HomeMy WebLinkAboutMINUTES - 05181999 - C12 CLA-M
BOARD OF SUP ,MS0JS OF CONTRA C" TA aim$ rALUMMIA
BOARD-ACTtOI may 1.5, 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 Governrr ent Codes. 3 Y -Y notice of the action taken on your claim by the
` ;# Board of Supervisors. (Paragraph IV below), given
pursuant to Government Code Section 913 and
=°
^Q. 915.4. Please rote all "Warnings".
K{
AMOUNT: Exceeds $10,000.00
CLAIMANT: Judith Day
AT Richard Elder and Associates DATE RECEIVED: April 12, 1999
Attorneys at Law Aril 12 1999
ADDRESS: 3107 Clayton 17d. BY DELIVERY TO CLERIC ON: p 9
Concord CA 94513
BY MAIL POSTMARKED: __- - April 9, 1999
L FROM: Clerk of the Board of Supervisors M. County Counsel
Attached is a copy of the above-noted claire.
Dated: April 13, 1999PHIL BA LOR, Clerk
�y: Deputy
IL FRO'_•VL• County Counsel TO: Clerk of the Board of Supervisl5rs
This claire complies substantially with Sections 910 and 910.2.
This claim 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).
( } 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: uty County Counsel
EOL FROM Clerk of the BoardTDs` C znty Counsel (1) County Administrator (2)
( ) Claim was returned as untimely with nice to claimant (Section 911.3).
W. BOARD ORDER.- By unanimous vote of the Supervisors present:
(>0 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: ° PHIL BATCHELOR, Clerk, By - - r�41
Deputy Clerk
WARNING (Gov. code section 13)
Subject to certain exceptions, you have only six (6) months from the elate 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 No*ie.
AFFIDAVIT OF lAAIFL�NG
I declare under penalty of perjury that I arty now, and at all times.herei.n 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 By4-Deputy Clerk
CC: County Counsel County Administrator
CLAIM PURSUANT- TO GOVERNMENT CODE
SECTION 910 , ET SEQ.
Contra Costa County
2530 Arnold Dr. #140
Martinez, CA 94553 EIEV
ED
(a) Name and Post Office Address of Claimant :FA�
� �
k2TA
1999
Judith Day
1855 Trinity Ave . , Apt . 3 Walnut Creek, CA94596 COMM
IR
(b) Address to Which Claimant Desires Notices to be sent :
Richard Elder and Associates
Attorneys at Law
3107 Clayton Rd.
Concord, CA 94519
(c) Date, Place and Circumstances of the Occurrence or
Transaction Giving Rise to the Claim Asserted:
On or about October 13 , 1998 , at about 6 : 30 PM
claimant Judith Day was walking on the
walkway/driveway between the parking lot and Oak
Park School/Center 1700 Oak Park Blvd. , Pleasant
Hill, CA. Claimant alleges that the
walkway/driveway was owned, maintained and
constructed by the Contra Costa County. Ms . Day
fell because the walkway/driveway was in a state
of disrepair, was negligently maintained, the
concrete was broken and portions were missing.
Said condition constituted a dangerous and
defective condition of public property of which
the Contra Costa County had either actual or
constrictive notice and failed to repair.
(d) General Description of Indebtedness, Obligation,
Damage or Loss Incurred:
As a result of the fall above described, Claimant
sustained serious and permanent personal injuries,
including, but not limited to, open distal
left radius and ulnar fractures and left knee
injuries, tear lateral meniscus and numerous
other injuries . Claimant has incurred and
will continue to incur medical and related
expenses for treatment of these injuries, has
suffered and will continue to suffer
disability from work, loss of earnings and
earning capacity, and suffered great mental
and emotion-al suffering.
(e) Name (s) of Public Employees) Causing the Injury,
Damage or Loss :
Unknown at this time
(f) Amount Claimed:
The amount claimed exceeds $10 , 000 . 00 and jurisdiction
will rest in Superior Court .
Dated: April 9, 1999
RICHARD ELDER AND ASSOCIATES
Attorneys at Law
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Richard E . Elder, { Jr.
Attorneys at Law '
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CLAIM
BDARD _01F SUPtzMQRS QE IR COSIA CO=s CALUDRNI
OWD ACTION May; 18, '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, . The copy of this document mailed to you is your
California Government Codes, 3r ' notice of t1 ► action taken on your claim by the
.s ward of Supervisors. (Paragraph IV below), given
:l. pursuant to Goverment Code Section 913 and
915.4. Please note all "Warnings".
#
AMOUhT: Unspecified
CLAIMANT: Jamnecas Keti Farr
ATTORNEY: DATE RECEIVED: April 12, 1999
ADDRESS: Martinez Detention Facility BY DELIVERY TO CLEF. ON: April 12, 1999
Jamecas Keti Farr April'10, 1999
A-42 BY MAIL POSTMARKED:
901 Court S t.
Martinez CA _94553
L FROM: Clerk of the Board of Supervisors TO; County Counsel
Attached is a copy of the above-noted claim.
PHIL BATCHELOR, Clerk
Dated: April 13, 1999 By: Deputy
IL. FROIN- County Counsel TO: Clerk of the Board of Supervi ors
(� This claim complies substantially with Sections 910 and 910.2.
) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The
Board cannot act for 15 days (Section 910.8).
( ) Claire is not timely fled. 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:
b
Dated: MriV 14 q4 li'
By: 1WQIDeputy County Counsel
1
i
M FROM Clerk of the Board TO: ty Counsel (1) County Administrator (2)
( ) Claim was returned as untimely with notice to claimant (Section 911.3).
IV. BOARD ORI?II : By unanimous vote of the Supervisors present:
l 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: PML BATCHELOR, Clerk, By , Deputy Clerk
WARNING (Gov. code secti 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.
AF&IIDAi'IT OF NL4 L NG
I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United
States, over age 18= and that today I deposited in the United States Postal Service in Martinez, California, postage fully
prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above.
Dated: x4 111212 By: PHIL BATCHELOR. By - Deputy Clerk
1
CC: County Counse' County Administrator
f Claim to: BOARD OF SUPERVISORS OF CONTRA COS'T'A 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. (Gov0t Code 911.2. )
B. Claims must be filed with the Clerk of the Board of jSupervisors 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 filen against each public entity.
E. gam;_ See penalty for fraudulent claims, Penal Code Sec. 72 at the
end of this form.
RE: Claim By Reserved for Clerk's filing stamp
} RECEDED
1
Against the County of Contra Costa) APR 12 1999
or )
District) CLERKCON Tf A C_ STA TPE SUPERVISORS
(Fill in name) }
The undersigned claimant hereby makes claim against the Count of
Contra Costa or the above-named District in the sum of
and in support of this claim represents as follows:
1. When did the damage or injury occur? (Give exact date and hour)_
y e-, X,VA 16' tL, 199Y i, L, :6_0—,44--n
2. Where did the damage or injury occur? (Include 'city and county)
...fw< 7 / '"rim� `"fw' f < '�'2 ,b s'6•fi 'eau"d a 4-
3. How did the damage or injury occur? (Give full details; fte extra
paper if required)
S" {4 Y i'. :::b.•2•'.;ya,t. 9M'. ^ +{.� r q ±", ..• s Q'.F l I.fs•.r ti"S }+;' i:{
4. What particular act or omission on th. part of c unty or district
officers, servants or employees caused the injury or damage?
s
> a s s
N3�Z1 a•"'art.x d'f Gi� iw �><S,ev� (over)
�a f • .y Y A a.. 7 .
z: .. _
. r.
5. What are the names of county or district officers, servants or
employees causing the damage or injury?
< x
6. what damage or injuries do you claim resulted? (Give full extent
of injuries or damages claimed. Attach two estimates for auto
damage.)
L ..
7. How wAE1 the amount laimed abov'& computed? (Include the estimated
amount of any prospective injury or damage. )
:: 9 { .`,$ 1.
tiv }i. .efY S .� , fie. .,4 &;�.�e.� �''� ����"�a:� ae�'��, :� r �'�'. Y." "S`�` ' ,
8. Names and addresses of witnesses, doctors and hospitals.
9. List the expenditures you made on account of this accident or
injury.
DT '', TIME AMOUNT
� .,� ire •"�
j r
} Gov. Code Sec. '910.2 provides
} "The claim must be signed by the
} claimant or by some person on his
tore behaLf. 11
Name and Address of Attorney
- Ar (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 imprisonmentand 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.
roof Qf Service By Mari
3 Code Civ. Proc. § 1012 Fed. Rubs of Civil Proc.
4 § 1013.(a) § 2015.5 Rule 5.(b)
5 l :• � ' : < f - . ;` declare that;
$ 1 am over the age of 18, ama citizen of the U.S., am a resident of Contra Costa
County, and not a party to the within cause . . . My address is.
I further declari that I placed a true and correct copy of the attached;
i in an envelope(s) and served a true copy upon the ,following, by
addressing said envelope(s) as follows;
n.
. I further declare that the envelope(s) were then sealed postage prepaid and
` placed into the bin marked "U.S. Mail" . . .
I declare that the aforementioned is true and correct under the penalty of
perjury . . .
Executed in Richmond California, County of Contra Costa.
Dated: This /� day of 9` _. ;' in the year 199
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CLAIM
BOARD OF SUPFRN IfiMC OF ('Yl`(1lIR t'"MI—A i`Y"1=s CAI,HMIA
WMd aOflllt__ ay 18,,__1999
Crim Against the County, or District Governed by �
the Board of Supervisors, Routing Endorsements, NOTICE TO CLAIMANT
and Board Action. All Section references are to The copy of this docurnent mailed to you is your
California Government Codes. ) notice of the action taken on your claim by the
Board of Supervisors. (Paragraph IV below), given
pursuant to Government Code Section 913 and
915.4. Please note all "Warnings".
.fir• / 1 4.t mZ
AMC?L,�T:
'clot; Specified
COU N 4 '+.i b%0 Qi+w'+e
CLAIMANT: Cherice Gibbs and Renwick
ATTORNEY: DATE RECEIVER: April 12, 1999
ADDRESS: 203 California BY DELIVERY TO CLERK ON: April 19, 1999
Rodeo CA 54572
BY MAIL POSTMARKED: Interoffice
L FRONE Clerk of the Board of Supervisors TU: County Counsel
Attached is a copy of the shove-noted claire.
Dated: April 19, 1999 PHIL BAT HELOR, Clerk
$y: Deputy
IL FROM County Counsel TO: Clerk of the .Board of SupervIfors
This claim complies substantially with Sections 910 and 910.2.
(� This claim PAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The
Board cannot act for 15 days (Section 910.8).
Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of
claimant's right to apply for leave to present a late claim (Section 911.3).
( ) Other:
Dated: ! r 1 , k By; 42 putt' County Counsel
E ,
11L FROM Clerk of the Board TO: C:oupV Counsel (1) County Administrator (2)
( ) Claim was returned as untimely with notii to claimant (Section 911.3).
IVBOARD 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 L Deputy Clerk
WARNING (Gov. code section 913)
Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited
in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an
attorney oAF 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.
AFMAVIT OF IMl4.II..i1lNG
I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United
States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully
prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above.
Dated: / By: PHIL BATCHELOR B n
12!Zeputy Clerk
CC: County Counsel County Administrator
PH1LLiP S.ALT HOFfi
COUNTY COUNSEL JANICE L.AMENTA
NORA G.BARL OW
" B.REBECCA BYRNE
S
ANDREA W.CRSS
IL ANO B.NIARCHESI CONTRA COSTA
COUNTY MON;KA L COOPER
CH(EF ASSISTANT COUNTY COUNSEL VICKE
L.DAMES
OFFICE OF THE COUNTY COUNSEL MARKES.EST!$
SHARON L.A€DEPSONMICHAEL D.FA3RR
COUNTY ADMINISTRATION BUILDING LILLIAN T.FUJII
ASSISTANT COUNT COUNSEL 659 PINE STREET.9th FLOOR DENNIS C.GRAVES
JANET L.HOLMES
MARTINEZ, CALIFORNIA 94553-1229 KEVIN T.KERR
GREGORY C.HARVEY BERNARD L.KNAPP
ASS€STAN T COUNTY COUNSEL EDWARD V_LANE,JR.
BEATRICE 3.11)
MARY ANN MASON
GAYLE MUGGL3 PAUL.R.MUNIZ
CIFFECE MANAGER VALERBE J.RANCHE
S`CEVEN P.RETTIG
DAVID F.SCHMIDT
DIANA J.SILVER
PHONE(925)335-1300 BARBARA N.SUTLIFFE
FAX(925)848-1078 TICE (y JACQUELINE Y.WOODS
(�
AND
NTC}N- C P I ANCE CSF CLAIM
TO: Cherice Gibbs
203 California Street
Rodeo, CA 94572
RE: CLAD OF: Renwick Gibbs
Please Take Notice as Follows:
The claim you presented against the County of Contra Costa or District governed by the Board of
Supervisors fails to comply substantially with the requirements of California Government Code Section
910 and 910.2, or is otherwise insufficient for the reasons checked below:
[ 1. The claim fails to state the name and post office address of the claimant.
[ ] 2. The claim fails to state the post office address to which the person presenting the claim
desires notices to be sent.
13, The claim fails to state the date, place or other circumstances of the occurrence or transaction
which gave rise to the claim.asserted.
[ 1 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 claim fails to state the amount
claimed as of the date of presentation, the estimated amount of any prospective injury,
damage or loss so far as known, or the basis of computation of the amount claimed. If the
amount claimed exceeds ten thousand dollars ($10,000), the claim fails to state whether
jurisdiction over the claim would rest in municipal or superior court.
[X] & The claim is not signed by the claimant or by some person on his behalf.
Page
7. Other: The claim fails to describe any duty or obligation of the public entity and any action
giving rise to the claim.
VICTOR I. WESTMAIv, aunty Counsel
By.
D putt' County counsel
CERTIFICATE OF SERVICE BYMAIL
(C.C.P. §§ 1012, 1013a,2015.5;Evidence Code§§641,664)
i declare that my business address is the County Counsel's Office of Contra Costa County,651 Pine Street,Martinez,California
94553;1 an a citizen of the United States,over 18 years of age,employed in Contra Costa.County,and not a party to this action. 1
served a tree copy of this Notice of Insufficiency and/or Non-acceptance of Claire by placing it in an envelope addressed as shown
above,sealed and postage fully prepaid thereon,and thereafter was,deposited this day in the U.S.Mail at Martinez,Cahfamia.
I certify under penalty of perjury that the foregoing is true and correct.
Bated: April 20, 1999,, at Martinez,California.
F
3
J S
1 5�j�t?A lt'If.7 ✓ i ;f�5 v ,I.^ Yom,
b
cc: Clerk ofthe Board of Supervisors(original)
Risk Management
(NOTICE OF INSUFFICIENCY OF CLAIM:GOVT.CODE§§910,910,2,920.4,910.8)
Page 2
Office of the County Counsel Contra Costa County
651 Pine Street, 9th Floor Phone: 335-1800
Martinez, CA 94553 Fax: 646-1078
RE EIVED
Date: April 15, 1999 � r
z h
To: Anne Cerv6lli, Clerk of the Board of Supervisors CURK BOAR OF
PERV ORS
From: Grego[y,::C.,Harvey, Assistant County Counsel co co,
Subj: Claim of Cherice Gibbs and Renwick Gibbs
Please treat the attached documents as a claim. Thanks.
H:kGROUPS\TOR'\CASES\.=ORMSW.EMOWEklM-STN®.WPD
CONFIDENTIAL ATTORNEY CLIENT COMMUNICATION
Righti~AX NT 4/12/99 PAGE 1/2 RightF`AX
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From; Name:
Fax Number:
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To: Name: Board of Supervisor
Company:
Fax Number: 9,1,925,335,1913 RECEIVED w
Voice Phone:
7
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Fax Notes: R I
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Hate and time of transmission: Mon 04/12/99 01:37PM
Number of pages including this cover shoat: 02
A fightFAX'Conwwnkated Document
r-r�.rr vm Y-wa4 .14.Y 'SY iiLwl td#f i-FY'4kL. ddY Cw:. 4*4i6.i�e3-F"'i3'16 ....
My name 3s Cbw=Gift and my husband Rmwick was cbarp wa seven counts ill'robbery
6125193 and was aawcd Five mmft later he was moved to Napa,County inconpIcat to gaud trsff he
wars away from Napa.Ik comufted a mme;of robbery in the state of LA and was sexitenwe to 10 years
21 nxxth later. 13y California law- u Call bmia has a 3 year time lfnnit to have Reavvick in cert which
would of bear{)6125196. Coots Costa County viotated their:law by cxtirrung to get Ibarwxk 815198
sentemiug bim 312199 to 1 l years. The lawyer knew and refuse to file a dismissal bion on the ground of
time lick I've have all the documents f vm the detailer(tom)and all aocusations on doctatment&
Docket no#981996.2,933431-9,932363-0.My mail ing acid=s is 203 California Rodeo,Ca 94372.Or I
cern be reach at 510.531-2.6.27 or 510-245-3852.
RECEIVED
f
CLER600XR�00F SUP--RoSIORS
high.tfAX NT 4/12/89 PAGE 2/2 R ghtFAIX
Hdllet my is Chedioc -Gibbs
I'm writing for my husband Renwick Gibbs who's in West County kit.I'm looking for a lawyer
who cm handle a matpmc#cc claim against his lawyer: On the grounds that a spoedwtrsil motion was filed
bade in Mauch of 1996 in Homer,La were he was doing time on other cam,now being that:motionwas
filed the state of California was suppose to came and,get him within 1903 days,but the state of Califo is
did not extradite him until 21/2 years later. Renwick ask his lawyer about the form and he died that the
form was roodvad by the Cocom and sou be took the guilty flea:of dam yram because of it(nowt knowing
the foam was thcre�Now IN-e come to find out that the court files did have the sem*trail motion back
from 1994 and if the lawyer would of filed a 995 dibm seat motion Renwick would have been released in
August of 1998 instead he lied (the lawyer)li3ce the motion for speedy trail was not in the Dca or judge's
fdcs.How I cane to find out about this motion was bowuse the files art available to the public. I'm a
nxther of two who's been married to Renwick for 10 years and at twenty-seven years old need my
husband's help who would have been here in August of 98.P1 Please let me know what you can dry as
soon es possible. You can reach me 9-5 p.m.Monday through Frklay at 5101.587-8125 or at home 5106
245-3852,ramage no 4 510`531-2653. Arty mailing address is 203 Catikaiis,St,Ronde%Ca 94572.
V
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a
CLLR €3A8 SUPERVISORS
RightFAX NT 4/12/£19 PAGE 2/2 RightFAX
compmInt on Contra costs county
My nam is Chence Gibbs and my husband Renwick was chs rge with seven counts of rim 6125/93 and
was arrested Five motes later he was roved to Napa County incompetent to stand trail he walk away
from Maps.He committed a cruse of robbery in the stare of LA and was sentenoe to 10 years li rtionth
later. By California law ander Califoma has a 3 year thne ling to have Renwick in court which would of
been OW251966. Contra Costa rCo icy violated their law by ming to ld Renwick 815198 s entmd g him
312199 toll years. The lawyer knew and rdbse to file a dismissal motion on the groand of timC limit,I've
have all tha documents from the detailer(teary)and all acctisations on doc a s. bo&d noO
98199&2,933431.9,932563-0.My ming addmss is 203 California Rodeo;Ca 945.72.Or I canbe reach
at 510-531-2627 or 510.245-3852.
RECEIVED �I
8 RS
mCONTRA CTHA OTA CO.
CLALV1
BOARD—01E SIRR SORB QE CONTRA, COSTA CXMUL CA ROTICA
BOARD., ACn ?may 18, 1999
Claim Against the County, or District Governed by )
the Board of Supervisors, Bolting Endorsements, ) NOTICE TO CLAIMANT
and Board Action. All Section references are to The copy of thus document railed to you is your
California Government Codes. 1 notice of the action taken on your claim by the
Board of Supervisors. (Paragraph IV below), given
p 6 pursuant to Government Code Section 913 and
s 915.4. Please note all "Warnings".
AMOUNT: $3,639.69
CLAIMANT: Michael Lazaro
ATTORNEY: DATE RECEIVER: April 14, 1999
ADDRESS: 2115 Dublin rive BY DELIVERY TO CLERK ON: April 14, 1999
Sar: Pablo CA 94£06
BY MAIL POSTMARKED: Interoffice
L FRONL• Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
Dated; April 14, 1999 B PHIL BATCHELOR, Clerk f
Y Deputy
IL FRONVI: County Counsel TO: Clerk of the Board of Supervis6fs
{
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 clays (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: By: Deputy County Counsel
s ,
17
M. FROM- Clerk of the Board TO:tp�unty Counsel (1) County Administrator (2)
( ) Claim was returned as untimely with notice to claimant (Section 911.3).
IV. BOAP.D ORDER: 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: PHIL BATCHELOR, Clerk, By , Deputy Clerk
,
WARNING (Gov. code section I3)
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.
AFTWAVIT OF N AIIING
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 "` �-' Deputy Clerk
CC: County Counsel County Administrator
SHARON YES-OFF R
Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY 1999
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. Code§911.2.)
B. Claims mist 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 tilled in.
D. If the claim is against more than one public entity,separate claims must be filed against each public entity.
Fraud. €penalty for fraudkilent z1ainis, genal�.ild Scfc.72 at hr end of illis I01-w.
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RE- Claim by ) Reserved for Clerk's Filing Stamp
RECEIVED
Against the County of Contra Costa
or APR 14 1999
District) C:.IrK 95XRDSt1IPEP t1SO8S
a,',NT&A3 TA 13
(Fill in Name)
The undersigned claimant hereby, makes claire against the County of Contra Costa or the above named
District in the suer of � .rr".�"�, �`l and in support of this claim represents as follows:
1. When did the damage or injury occur? (Give exact slate and Hour)
-------------- r__t-_b __ . ------------------------------------------------
2.
---------------------- _--------------_---
2. Where did the damage or injury occur? t Include city and County)
an,.e----------..-,. -��¢..tr..������o���-- d`rt® ----- ---o----.. ..�� d..�l S'ic a....--
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3. How did the damage or injury occur? t Give tLli details,use extra paper if required)
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------------------- -------------_-r 'x«. - - .s.-------------------------------
4. What particular act or omission on the part of county or-district officers, servants, or employees caused the
injury or damage? ' S.
t;-+/'-f i .0 �?
(Over)
S. 'What are the names of county or district officers,servants,or employees causing the damage or injury?
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6. What damages or injuries do you claim resulted:' (Give full extent of injuries or damages claimed. Attach two estimates for
auto damage } f a
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7. How was the above claimed amount computed? (Include the estimated amount of am�prospective injury or damage.}
,
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8. Names and addresses of witnesses,doctors.and hospitals.
Ft �'
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9. List the expenditures you made on account of this accident or injury.
DATE I'T'EM AMOUNT
'S
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Gov. Cods:Sec.910.2 provides:
"The claim must be signed by the claimant
SEND NOTICES TO: (Attorney) or by some person on his behalf."
Name and Address of Attorney
(Claimant's' attire,/'\
,'`,
T (Address)
-. 4
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 dollars ($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 fide.
� St 3 RUCt`: � CO I 'ENCO.w LriiLE f
�� � Ptie r .. ve, ,.
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Sara Leandro, CA x'457.
APR 12 1999 FAX (510) ' 562-5564
ECs'E'3 MATE CE i='ii='.PA M ..
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Dedc_fctablf
place HaLer:ials Page .l Of Sublet i=°ar-ts
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Old parts are to be junked unle s. we are otherwise Labor
in:9truc:ted . The _,ibove is an estimate based on our Parts__.
and does noL river addi Lienal parts o
la?_.,c.w wttir_h utzky be required after wark ifsas been Sublet
tar i:. ci u¢ idrsf~rzFrat, nut: dv;.e to wreck damage is Sales i
sai,-o r.addiLional . Decarxse Of this, Lhe n(_--,t. Local is Est . Tota: _
nc)t gu aran Leed . Estimate Void a Fter 170 days . All SuppI imen t� �r
t" nn7ie-z.; L-u be paid prior U:) 'Hip vp-tlicle.
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