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MINUTES - 06151999 - C34
f lune 15, 1999 Claim Against the County, or District Governed by Boardft of Supervisors, Routing Endorser€�ents, � NOTICE TO CLAIMANT and Board Action. All �gx #t :. of ttus docent riled to is your not of the action taken on your claim by ftCalifornia Govermnent C Board of Supervisors. (Paragraph IV belovV,, given ` x pursuant to Government Code Section 913 and f 3; • , , 915.4. please note all "Warnings". AMOUNT: In Excess of $25,000.90 CLAIM .kNT: Richard Ricks, Isabel Vasquez and Nicholas Vasquez, a T..inor ATT ORINEY: MATT~ EM D: May 11, 1999 ADDRESS: Richard dicks BY DELIVERY TO CLERK ON: ��77v 1� 99 2708 Vasquez Court Antioch CA 94599 BY MAIL POSTMARKED: Haad Laldy=adl_ I. l Clerk of the Board of Supervisors M County Counsel Attached is a copy of the above-noted claire. PSL I�L,C3II, Cier Dated: �� �. 1999 By: Deputy ONt County Counsel TO: Clerk of the Board of Supervitsors This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( } Claim is not timely filed. The Clerk should return claire on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Cather: s �� t Dated: l1y A % .._�E_ 13y. - putt' County Counsel 4 IML O3 Clerk of the Board ty Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). W. BOARD O _ 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 )hoard's Carder entered in its minutes for this date. Dated. PIUL, l3ATCIMLOR, Clerk, By , Deputy Clerk WARNT G (Gov. cede section 3) Subject to certain exceptions, you have only sine (6) months from the date this notice was personally served or deposited in the snail to file a court action on this claire. 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. I declare under penalty of perjury that I am now, and at all times herein mentioned, have k)nma a citizen of the United States, over age 18; and that today I deposited in the United States Postail Service in 1lareino!m� California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, a'dressed to the cla.isaaant as shown above. A Bated: By: PIEL BATCHELOR lay �' 'd� putty Clerk CC. County Counsel County Administrates NOTICE OF CLAIM AGAINST COUNTY OF CONTRA COSTA DEPARTMENT OF SOCIAL SERVICES AND CHILD PROTECTIVE SERVICES (Government Code Sections 910 and 910. 2) TO: CONTRA COSTA COUNTY BOARD OF SUPERVISORS 651 Pine Street Martinez, CA 94553 CLAIMANT' S NAME: Richard Ricks, Isabel Vasquez and Nicholas Vasquez, a minor, date of birth 01/25/90, by and through his mother and guardian Isabel Vasquez CLAIMANT'S ADDRESS: 2708 Vasquez Court Antioch, CA 94509 NAME AND ADDRESS OF PERSON TO WHOM NOTICES REGARDING THIS CLAIM SHOULD BE SENT: Richard Ricks, 2708 Cortez Court, Antioch, CA 94509. DATE OF THE ACCIDENT OR OCCURRENCE: On or about November 11, 1998, PLACE OF ACCIDENT OR OCCURRENCE: 2708 Vasquez Court, Antioch, Contra Costa County, California 94509. GENERAL DESCRIPTION OF ACCIDENT OR OCCURRENCE: The Department of Social Services caused an investigation to occur and entered the house of Richard Ricks and Isabel Vasquez and did without cause harass, annoy and humiliate Richard Ricks, Isabel Vasquez and Nicholas Vasquez and made false accusations and utilized abuse of process with regard to the taking of their son Nicholas Vasquez. NAMES AND ADDRESSES OF WITNESSES: Richard Ricks 2708 Cortez Court r% Antioch, CA 94509 Isabel Vasquez 2708 Cortez Court 001 Antioch, CA 94509 Nicholas Vasquez 2708 Cortez Court Antioch, CA 94509 Page 1 of 2 GENERAL DESCRIPTION OF THE LOSS, INJURY OR DAMAGE SUFFERED: Substantial emotional distress and mental suffering. TOTAL AMOUNT CLAIMED: $In excess of $25, 000. 00. THE BASIS FOR COMPUTING THE TOTAL AMOUNT OF THE CLAIM IS AS FOLLOWS: Special Damages Incurred to Date: None. General Damages For: Pain and suffering, emotional distress, etc. I the undersigned declare under penalty of perjury that I have read the foregoing claim for damages and know the contents thereof; that the same is -;.-.rue of my own knowledge and belief, save and except and as to them, I believe it to be true. ............. Dated: 1.999 Richard Wc7Ti—'o�n behalf of himself Isabel Vasquez and Nicholas Vasquez Received by the Contra Costa County Board of Supervisors this day of May, 1999. by: Contra Costa County Board of Supervisors 651 Pine Street Martinez, CA 94553 RECEIVE �ck KMAROO Page 2 of 2 9 {, t i r # � y' -- 4 �.� � �. .. _ � - - i f 2 �tf' i s �. .. .. • . _ . . ` � * '� � . awl � �. � ' . .i. # rli a � f ` :a► r r � � ` �. � • •' ! 1 ♦ �` s is <. a � :' s �. � �I t , ! .�'R 1 • • ♦ t 3 ;r .. ,,.., �R.. .;. .. ..... t � �'.� __ __ __ t.„. i � r�: ;t� � • x r�. • s..' e a., a � y;,. x.' . .y�: -t {.: s . ,� - - f ` � t f.* � { ....._ � .s - R' . ,..: Y. CLAIM BOAR A Jane 15, i 999 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 Tie copy of this do=ent mailed to you is your California Governrnent Code& notice of the action taken on your claire by the Board of Supervisors. (Paragraph IV belov,, given pursuant to Goverrnietf Code Section 913 and 915.4. Please rote all "Warnings". AMOUNI T: Not Specified CLAIMAN"T: t marry R. Sloan ATTR Y: DATE EWED: May 6, 1999 ADDRESS. K11809,/4H22. H Unit BY DELIVERY TO CLERK ON: ?Lar L. 1999 San Quentin St. Prison San Quentin CA 94974 BY MAIL POSTMARKED: ---------- . rI 22, 1222 L FRCft Clerk of the Board of Supervisors County Counsel Attached is a copy of the above-noted claim. PIUL B I EL€J�, Cler Dated: May. 7,, 1999 Ey: Deputy � Ft. FRO - County Counsel 170. Clerk of the Board of Supervik6rs This claim complies substantially with Sections 910 and 91€1.2. 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 914.8). ( ) Claim is not timely filed. T'he 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. Zt ' ' �'-�,� County Counsel i p D Clerk of the Board T06 ty Counsel (1) County Administrator (2) ( ) Claire was returned as untimely with est ce to claimant (Section 911.3). IVa BOARD ORDEEL Ey unanimous vote of the Supervisors present: ( This Clain 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: >_ PFHL BATCHELOR, Clerk, Ey Deputy Clerk WARNING (Gov. code sectio 913) Subject to certain exceptions, you have only six (5) months from the date this notice was personally served or deposited in the mail to file a court section on this claire. 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 aro attorney, you should do so immediately. *For Additional Warning See Reverse Side of This Notice. AFFWAVIT OF NIAIMC, a - 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 Martintz, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimint as shown above. Dated: /` Ey: T'1II, BATCHELOR 13y Q:IZ�,,O, Deguty Clerk : County Counsel County Administmio 309 M Ulo rad Danville, California 84526 Contra costa County 11925)8120-8683 Board of supervisors (925)629®6627 FAX dist3@bos.coxontra-costaxa.us DONNA GERBER District lil Supervisor fr o; 4- l t k April 29, 1 999 Larry R. Sloan KI1809/4H22L H unit h San Quentin St. Prison San Quentin, CA 94974 S TA C€ sc � Co' Dear Larry: Your recent utter including a form addressed to the Supervisors of Contra Costa County has been sent to our office by Supervisor Gayle Uilkema. This was acne because your sister lives in Supervisor Gerber's district. By copy of this letter, 1 am forwarding your information on to the County°s Risk Management Department Mich Dandles claims against the county. Sincerely, Helen L. Freeman Chief Assistant cc: Ron Harvey, Maims Manager Ms. Dina Sloan i IZ/ 2� A p � tet `` �`y'•,._,� ,..�'. -i%'`�._ xu.. Z,.a`_ 1 74 ox N "�-• �f �x•/ ��° r1Y� i.. � ,.., +3'D�ad�a +".mss'`.' n ' r v Claim to.. BOARD OF SUPERVISORS }yO�•}'yCONTRA COST COUNTY A. Claims relating to causes of action for death or for njur 41-0 persona or to personal property or growing crops and which accrue can or before December 311, 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 Esther cause of action nin t be presented not later than one year after the accrual of the cause of action. (GovOt Code 911.2. ) B. Claims must be filed with the Clerk of the Beard of Supervisors at its office :in Room 1€6, County Administration Building, 653. Pine Street, Martinez, CA 94 53 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. Eo Er4Md. See penalty for fraudulent claims, Penal Cone Seca 72 at the end of this Berm. RE: Claim By Reserved for Clark's filing stamp 3 Against the County of Contra Costa) or District) (Fill in name) ) The undersigned c'La,.imant hereby makes claim against the County of Contra Costa or the boo -teamed District .in the sum of Z and in support of this claim represents as follows: 1m When did the damage or injury occur? (Give exact date and hour) 2 . Where dial the damage or injury occur? (Include city and county) i — r Vr 3 . How did the damage or injury occur? (Give f l 1 details; use extra paper if required) tQ 7 4. What particular act cr onission on the part of county or district officers, servants or employees caused the Lnjury or damage 5< What are the names of county or district officers, servants or employees causing the damage or injury? "710 414 6> What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damages 3 �r %��'��S` e°YO '✓�-r/t�e��� e6���'�� � f� /4'�G> � ` .�' 7. How was the amount claimed above computed" (Include the estimated amount of any prospective injury or damage. ) f/ S. Names anda -dresses of ity�nesses,,� doctors and hospitals. ��/ `��A'6�d�A6.-S,ie-,.'�Y M w..F� ✓'/ ' P d"r '-4�J'd 9e List the expenditures res you made cincco'n-It.- '-ff this ccil ent or injury. DATE Ug A104-,_V- 4.4 7Vdfo bd / r P J 9 # J a d"vc / Gov. Code Sec. 910.2 provides } "The claim mint be sigg by the } claimant or by on his 902 19-Mr-FAB. 102Y Name and Address of Attorney � X741 A `� _ i Nolc%? =` � lphon No. ^' 41 ' 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, c4 ty or district board. or officer, auth arized to allow or pay t1he 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 ren thousand dollars ($10,000, or by both such imprisonment and. fine. . 'hat ars the names of county or district officers, &ervants or employees causing the dame or injury? ° 6. What damage or injuries do you claim resulted? (Give full ektent of injuries or damages claimed. Attach two estimates for sutra damage, 72P. 771 , ' . , 7. How was the amount claimed above computed? (Include t-ht� estimated amount of any prospective injury or damage. ) /' 1�3''.o/ �-�`a h d/d/•Kd�$r iti"'G/"C6 i �Ji's �i✓/"J'- P 8 . Names and addresses of witnesses doctors and hospitals. �',�" �,G. ,r�'"�,� ��tea;Vis - �' �'�".�e;r - ,�' ". ,• 9. List the expenditures you made on account of this accident or injury. TIME AMOUNT s�sk�� ����r�#�kaRak�#m�SF�tkgk�s�a�es4t�t�E�a���ta�attdfr�t��leit�ti�aieakia+Rsleakr�+de�ta&8rx����#��afs���aks���� Gov. Cade Seca 910.2 provides "The claim must b by the 725-� } claimant or by e �,iecd n on his SEND SQ110ES. IQ: -fAt-to=r=yJ $ Name and Address of Attorney � (Address) Telephone He> )� `� -3 j Telephone No. IW A-4 0 7 1 C 3 Section 2 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 pad' 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 ($10, 000, or by both such imprisonment and fine. 4 Vie'" ,e` 4,e- CF- Ate. A-IE` tS- . 5- 06177o, 8 ,,Y 7ZI< �4 Ali, Vi s ' •' �� �' > 771V ba a 1-"0. ¢ -)*` � �° . - ,' 4Lr� JIICI IVC Ate214 .%, . ,J° 7- w Patient 1a � DOS ' = -- z� Contra Costa County Detention Facilities AND l 1. You are responsible for keeping your rrredk!!a ion secured at each facility, .. You are to take a medication as written on the medication package. Med / sched €l Med /schedule r ' a�" 1111 "" . o not trade or sill our pills to oil ar p opl �his csu pe anent damn s or rat , y 4. If you have any problems with or questions about your medicine,notify the Deputy or nurse or past in a Sick Call Slip. 5. If the FNP / IVID changes your medication, you will need to turn in your old pills before receiving the new. . If you are released before you finish your pills,take them with you and continue to take there as directed €ntil they are gore. _ 7. If you gra to court, you may keep the pills in your pocket with tl##s permission per. 8. If you do not follow these rules, you vrill be referred to custody. . .sere will be periodic spot checks by medical and custody. '10. If you want your medication renewed, put in a Sick Call Slip -4 lays before you need more medication. Allergies 1 have read and un r� n ` e rot s send instructions. Pa tierrtigrrt €re` Y lie Reviewed side sfl° is and contralndl a. Nurse's ignatur Z&l bats /:Z, ;% '1 l N - It authorizes you to carry the medicines listed until � E"r '5-4FP.M istritutirr. Blue- 35tlnate, ,res r Medical I -- - ------ ` gig - - ". f JalmlM VI ra MUS I AMMLredrelease' In 0 - f t Clash between jailhasnothingtodowiththe felonious chltivad euf Marri- ee a rowers, Jia that h �- 8 shom taeipating in for be iffie BY QwAsgey tiger, dl.,hays 6vao to Ll withdraw the�1$eas he f< onnectrion with A judge'yeaterday ordered the seise of'an estimated the release of video footage 2,OW pot pests at his home { taken inside the Maxin Com- in Janus ,jnd with a 1 ty Jail that contains of caw in which he,was prose- an altercation involving euted.for growing 135 plgnts, deputies and a father and son He has declined to g anted in a mar" m r�asona foh* h g -oaf-Ir, �aation case, pies revest,Wbkh*M.ba the Jud John Sutra said the , subject of a haa.1ri 9'next 24-hour meek. surveillance Daniel Ager, 21, has not video taken been implicated in the Ism ixiaryde the r e case, and has pleaded not jail's book- guilty to five felonies stein- u:ug area :sing Boni his arreat in Jatau- shows one of e whe de- flan Ager's attorney, e d a n t s David Vogelatein, said heb e i n won't know how important a knockedi� ale the video will play in the the go�and. . case until he gets a charm to s by deputies.He said defer ase it attorneys should be,allowed Sutro to resit foo as whowill e of the inti- .review the with s re re- dent to serttatays fr m the.co p � to- urc foat ah;�suald K Doyle questiaxua the rele� ` released. The sheriff's de- nce ofthe t to prose- parte is s tMui.ng its ani on of Alan mer,a?kusvesU Ption of the incident at podiatrist;--.,nd his go'n;,,.',.the'j l and has not decided Daniel. whether deputies acted.ice- " 'hawwr happen ed bs the properly. � � r lip 4) ta 10 0.1A � p} wpv 1 b?� 61*'L'! r'°'• ,G'« - .�!r„{,*' `, o--�,s7r-Z"' • G r,"° tg r{j'S. 'r C(3 .., u,�, ,e, y • Asa' 87 ' 0 t t+ G `� � � �„� � >„ � ���' �'"�:, � i '*� ,•� ..+ u�"�4�i`:.�• � �.�� 'tet moa cs� � � � "�•� '"`'� v�'`� � a' �,�'�` �'` � IVA r r� 44 �*��!�k+i�4[t�e att H'� �, — , `+t� �y � �y •+'� >���+ g„t'. o;•. }� 6$f't` 1�''�1U1?tt���t�ti � �� 7'+, � - ��•.� �°g y hhh t 4 �q r •j °., , } 0, 61 to ; Al f /5 STATE ,.. Up'°RMIA J//, 111 r E . C' VISITING QUESTIONNAIRE CLC 1059(5/37p READAREFULILY.P°;ase print or type,The €tfor,7 ation requested wiIi IDe used by officials of the of;grrec..or;s to deer .n e kMh€.l-her your aPP;:i0a*l'0 v iil tse approved or disapproved.The information pS ovidad mil:be Snaintaine s in ##;e perW:"•ing to the 1f mal't-. �M,accordance this Privacy Act Of 1974 PL 93-579),providing your Sociail Secu ty"r".umber-Is p t$c- as ..A yf;°.#"?;ssior'Or o£'. s r, may be cause for daniaa of visiting. Ma4ss rnai, "'his form directly to the..'sit ng office of the iC'•sa3,:r.:fo-n v0te e the inmate is 4 x:A;t O€3 of E`u '✓�i .T `Jie: INMATE'S NUMBER �e a YOUR NAME me 'FIRST � MIDDLE LAST) HOME.E4 PtiGPem NUMSER/AREA CODE . - — . Ak€k^E?d �A35E 4,.& P COhi�i 3A. MAke YC'IJ EVER USED tiNO';RER NAMES F SO,P'-fAS€a;ST_ 4. E^iP7y:wATW{M0/DP.YIY .R, A;szs„a'�s'?7:Dies,C ,..� "'"4', S?'A"s"E. rO!?tTYi _..__®.. r s" S. DRIVERS !GENS W 3?��WEs AND iSSi};?oG STATE ?d RD ANO;S$b£#G STATE. �tt S. SCC;AS"ECUR;TY NjMSER 109-OVAL, a 1 D.. 7. a..e ?a,AtSiLEtiCE RLRESS,"aL.A#eL STPE ?} Cry �� $ E x.. COJh 7A .r O FFER..N T£Wi RESIDENCE ADDRESS.PRESENT MA:UN^ADDRESS � Ci?Y STRwE � Z:P"ODE 6. PP.FV90LiS ADDRESS(Pio.and Street)WTH N PAS:TSMC YEARS ? CtYY 2!P CODE ® S. RL3.&T3+d3iS£^ii?TO i?d?vSAT=_{Paren2,Spouse,fr',erd,Srozh*�rJ$is>erj •_ _ _" - _ 0 3 V?S:T 4OR HAVE VfSITEO)ANO-"HER NhfieATE($; ,N A,AUFORN;A PR:SO?#. LJ NO YES If Yes,cOrr p.ete€tern SCA.Attach additions?sheet if more than two inmatas. - -�.— iu^A. ;(Yt�fiRTE'S'tARRE } >!U!doESa 9�$?;Ti;T�ON 4NsiEr�E`"CU V7$;T;?d'+i,RdE �3iEdA %"J^eSH?7 TO#NLEATE r, :#AVE YC1rW EVER SEENARRESTED OR CLNVSCYEC OF A Cii?u ET iNO YES If yes,comptets,tern 1 IA.Ust all arrests and/or convictions.Faiiurs to iist ali arrests may result it seer,?al of visiting..Attach additional sheets if necessary. £#A - OFFENSE �—APPROXIMATE DATE �� LtSP€DS3TlON/DPSMWED,PROSAT*N,JAIL,PP'SON 1 CCNT11 ED ON BACK E2. Are you on Probation;? Are you or. Parole or Civil Addict Outpatient Status? Are you a Former lnrnate? ;. Li �yy S N 5�5 NO �d 5M� YES 'b+�..,� u�...d �'�� �V G...�: YES -, 2A, if you are a former inmate discharged from supervision,you crust have the prior written approvai of the Warden/Superintendent before visiting will be permitted. 121 . if you are currentiy on probation,para c or civil addict outpatien.1 status,you must submit,a letter signed byyour supervising agency and have the written approval of the Warden/Superintendent prior to visiting. 13. Are you currently under any type of a court imposed prograrn? 14. Do you have any type of metal implant or prosthesis? , i4r Ll 0 YEsl S If yes, please explain on another � NO YES If yes, please attach a verifying sheet and attach to this form,. statement from your doctor. 15. if you are under 15 years of age and not the "srimate's legal spouse,you must have the written, notarized consent of a parent or legal guardian and be accompan ed by a responsible adult who is also approved to visit."`ire notarized written consent must be presented each I ime a minor visits unless prior approval has been obtained frons the Warden/Superintendent for an Inmate to visit with his or her unchaperoned children. Emancipated minors must provide a copy of the court order. 6. the following lags relate to prison visrzatior,.. Visitors entering;the correctional institution,camp or facility grounds are s:b;ect to a search of their person,vehicle and property.Except as described below,visitors may leave the institution,camp or facility grounds rather than submit toa search of their person,vehicie or Property. refausai to submit to the search wiii result in"!-,adenial of visitation for'he,day. Visitors may not elect to leave the correctional institution, camp or facility grounds rather than submit to a search when institution officials possess a court issued search warrant or cause for a search arises whiie the visitor is on the institution grounds and the cause X or the search is believed by institution officiais°o be a criminal offense, it is a felony for arryons to assist inmates to escape. Bringing firesrms, deadly weapons, or exp3�osives on prison grounds, or giving inmates firearms,weapons,explosives, liquor,cocaine,other narcotics,or any kind of drugs,in3ciuding marijuana, is a feiony(sections 2772, 2750,4533, 45.35,4550,4573,4573.5,4573.6,4574,4600 renal Code). .giving letters to inmates or taking letters out for inmates by anyone is a misdemeanor(Section 4E,70 Penial Code;. Anyone who falsely identifies hirnseif/`?erself to gain;add scion to a prison is guilty of a misdemeanor.Persons p,-ev ous y convicted of a felony in this.state who core upon the grounds of a prison without permission of the official in charge are guilty of a felony(Section 457'+x.5,4571 Penal Code). Entry or institution property for unauthorized purposes will be considered trespassing as prow'died in section,602+;x)of the Pena€Code. Refusal or failure to leave the property wheys requested to do so by an official will be considered trespassing as provided ins section 602(p) of the Perla€Code. in the event of ars emergency situation that affects a significant portion of the inmate populations at an institution,the visiting program and other program activities may be suspended during the period of emergency(Section 2601(d�, Panel Code). Hostages will not be recognized for bargaining purposesduring attempted escapes by inmates;Sections 3304 title 15,Div.3,Cal,Adm. Code,. 7. if you are approved to visit,the in gate will be notified and itis his/her responsibility to notify y,),,,-- if visitation is denied,the institution will notify you by maid.You will not be allowed to visit until your application is approved. l Dave read and understand the above information. S;GNATuRE DATE TO BE COMPLETED BY INSTITUTION STAFF--- L APPROVED DISAPPROVED if DISAPPROVED,the applicant and inmate are to be informed in writing of the disapproval. REASON FOR DISAPPROVAL �7 F FNSI"Y�..'T�o?i.,.am..� ..._W_.._.e_.� .. DATE TIT c ' 8 l 3 WVIA E/VBSITIDr NOTIFIED®-(DATE): BY WHOM C'oc 106;"/€47) 17 � � TAS Cr E AvY r c ;N VISITING QUESTION -IRE CoC 106!E/€7} READ CAREFULLY. Pieria print or type.T-110 P f rm3tion requested wiP be used by officials of the Department o;Corrections to de!e ;Bina whether your applo"catiop...a iii be approved or disapprovedThe information jprovided WPi be maintai-md in iP fHe )enajning d r wif h the Privacy Act of 19" (PLI 93-5791,providing your Soria€ e �..rity number is Optional'.Any omissio o'faisifjcat€or o,j this 5ti33F r?ef�c may o eCause for deniat of VS sftinP- Please mgii this fwm'h'ot'ly to the isizin of icy of the institution i?^here he �nrTjaa e is NAME C. ,'W _YC NVAPa tr .C d�.> � �� Y® #NMATE S N,'MBER {'s i f c�YC R?kA2sEa .�. m i :25T �- - ?v4;E3C m s�aT) e�.o 4vi CTELEPHONE?d:FMMR/ARFACODE 4 w. ?rStai.yE�a r4er,A,4E ji`agrrtiGsiYie} ---:-S-A'P?A'tE YF'J 9'£F L'Se� _?dC"PPaR RiAPrPE7 rF 5C,Ri.€A6c UST. A. i T•f. E{7vG/^u311'EAR} i 3 4 i YtsRF�C ns ^ 'f, STAT-E, COvsN—Ry'r — i 3 _a 6. C t,1E S e.CEPaS_.SUM-MER AND.gr S,�G STA�— � �CA C}AP�i&SAY�C STA € � '�e SCCA �_r�RtT?SdUMSER tLaR:"=ONA—, . 7 xR_SE?&T REST££?vC€i3�aD azSc,�C AAY^DTR€ETd C Y �� -- VC An c 3 7,*, -r,^.9r�g£Rc?c7 Tr...'a P�€^sim..Fv'CE,=,�i3?EaS•°R�S€Aa :d,�tt.�G A.1CF'ESS�� ,^,#"Y � .� _ s....�_,,.�.- -y.-.w�,m._.. _ � �a..m } s3 r i � a B �;. t V?SiY(C}£??tiAVE V;S;iE,+',)Ar'NC??i€R fPe?d?AT€!SD:�A CAiiE.:+Ra'i{A RpEsSC3.'i, -.� �.,:..a.�..._m. µ'•- �.'. �" NO YES 3f Yes,osaMplete:tete °3A.A-mah additio€ta;skeet if rn.ore than two inmateS. uR. StivATE`S F�!€ P1 PRBEPi t>4S ,TLTiCNW ERE YOU V:SI7P?d�frY� v� RELAT;ONS«'VT C i?N?,iATE f 11. HAVE YQtS E1/ER 43.E!1d ARRESTED OR CG'N,VlC'E#J OF&CRi?+r9€> ------- - 0 NO L-1 YES �f yes,Wore meta iter t"A.List ail arrests and/or Convictions.FaHure to 6;st ail arrests may result in der.isi of visiting..Rech additional shuts if necessary. i 4A. CFPENSE AP*P'RC;kMATE DATE D:Sa''0SM0N/D!SWSSE0,PRC$,AT:ON,1AlL,P WSON CONTMUEE)ON BACK 12, Are you on Probation? A e you on Parole or Civil Addict Outpatient Stats? Are you a Former In x me? NO D YES 0 NO El YES leo YDS 12A. If you are a former innate discharged from supervision,you must have the prior written approval of the Warden/Superintendent before visiting will be permitted, 2S. If you are currently on probation,parole or civil addict outpatient status,you must submit a letter signed by your supervising agency and have the written approval of the Warden/Superintendent prior to visiting. 13. Are you currently under any type of a court unposed program? 14. Do you have any type of metal implant or prosthesis? D NO YES If yes, please explain on another NO YES If yes,please attach a verifying sheet and attach to this form. statement from your doctor. 15. If you are unser 18 years of age and not the inmate's legal spouse,you ;must have the written notarized consent of a parent or legal guardian:and be accompanied by a responsible adult who is also approved to visit.The notarized written consent must be presented each time a minor visits unless prior approval has been obtained from the Warden/Superintendent for an in-mate to visit with his or-her u-,chaperoned children, Emancipated minors must provide a copy of the court order. 16. The following laves rebate to prison visitation. Visitors entering the correctional institution,camp or facility grounds are subject to a search of their person,vehicle and property.z_xcept as described below,visite;rs may beave the institution,camp or facility grounds rather than subm.t to a search of their persons,vehicle or property. Pefusai to submit to the search will result in the denial of visitation for that day. Visitors may not elect to leave the correctional institution, camp or€ac:Iity grounds rather°€-lar? submit to a search when instiwtion officials possess a court issued search warrant or cause;for a search.arises whiie he visitor is on t°,,a institution grounds and the cause for the search is believed by institutio^.'efficials,to be a criminal offense. It is a feiony for anyone to assist immates to escape. Bringing firearms, deadly weapons, or explosives on prisons grounds, or guying inmates firearms,weapons,explosives, I.quor,cocaine,other narcotics,or any kind of drugs, ;,nc'a ting marijuana,is a felony(Sections 2772, 2:790,4533, 4535,45503,4573,4573.5,45 x`3.5,4574,4500 Penal Code). Giving letters to inmates or taking letters out for inrnnates by anyone is a s .jsdemeanor(Section 4570 Penai Code), ryore whofalseiy identifier him sebf/herself to gain admission to a prison;s guilty of a misdemeanor.Persons previously convicted of a felony in this;state who come upon the grounds of a prison without psrmission sof the off cia: in charge are gu:Ity of a felor;y(Section 4570.5,4571 Penal Code; Entry or institution property for unauthorized purposes vvill be considered trespassing as provided in section 502(j)of the Penal Code. .efusal or failure to ieave e property when requested to do so by ars official vvill be considered trespassing as provided in section 502(p) of the Penal Code. In.the event of an,emergency situation that affects a significant portion of the inmate population at an institution,the visiting program and other program activities may be suspended during the period of emergency(Section 2601(d), Penal Code). Hostages will not be recognized for bergairing purposes during attempted escapes by inmates(Section 3304,Titie 15,Div.3,Cai.Adm. Code). 17. If you.are approved to visit,the inmate wili be notified and it is his/her responsibility to notify you. If visitation is denied,the institution vvil Notify you by mail.You will not be aliowed to visit until your application is approved. I have read and understand the above information. SIGNATURE 6A _ TO BE COMPLETED BY INSTITUTION STAFF LJI APPROVED OISAr P€ OVER if DISAPPROVED,the applicant and inmate are to be informed inwriting of the disapproval, REASON FOR 0 SAFPROVAL T;TL% I r CDC losi5ISZ3 CLAM BOARD OE ERM011S CQ� p ACT p June 15, 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 docent mailed to you is your Califorr a Govemment Codes. I Mice of the action taken on your claim by ft hoard of supervisors. (Paragraph IV belov4, given pursuant to Goverment Code Section 913 and } 915.4. Please tote all "Warnings". AMOUNT: s1 212.50 � w CLAIMANT. 'led and Lee Ann Water.-oan ATTORNEY: DATE CEI D: May 11, 1999 ADDRESS�'oT afayette Adjusters BY DELrVERY TO CLERK ON: May _11 _1999 P. C. Box 351 Lafayette CA 94549 BY MAIL POSTMARKED: Inte�cffive L FROM Clerk of the Board of Supervisors Tom: County Counsel Attached is a espy of the above-noted claim. May 11 1999 PHIL BAT° HELORg Clerl Dated: By: Deputy ' d 11 FROM County Counsel Vk Clerk of the Board of Supervi oras XThis claire complies substantially with Sections 910 and 910.2. This claim FAILS to comply substantially with Sections 91€3 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). Claim is not timely filed. The Clerk should return claire on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: �< By: P Deputy County Counsel Af � IIS FROM Clerk of the Board TO: C6nKty Mansel (1) County Administrator (2) ( ) Claims was returned as untimely with notice to claimant (Section 911.3). MBOARDBy unanimous vote of the Supervisors present. This Maim is rejected in full. ( Other: I certify that this is aaa true and correct copy of the Board's Order centered in its minutes for this date. Dated; r Z PHIL BATCHELOR., Clerk, By C Deputy Clerk WARNING (Gov. code asection 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 seep the advice of an attorney of your choice in connection with this matter. If you avant to consult an attorney, you should do so immediately. *For Additional Warning See Reverse Side of This Notice. AFFMAVIT OF I1" NI G I declare sander penalty of perjury that I am now, and at all tunes herein mrrationed, have brtma a citizen of the gaited States, over age 18; and that today I deposited in the United States .postal Service in Marlimp, California, postage fully prepaid a certified copy of this Board Order and ?notice to Claimant, adds .ssed, to the claainiant as shovm above. Dated: fL. " By: PHIL BATCHELOR Delauty Clerk County Counsel County Administmtor F RECENT34 MAY 11 1999 P.O. BOX 51. e l,AFAYK-f-FE, CA 9464 925 283--4T70 FAX 92-5 283-4773 May 5, 1999 P F n"oS € ' Contra Costa County Risk Management 2530 Arnold Drive, Suite#140 Vi Martinez, CA 94553 Attention, Ron Har,7ey Claim o: 131223 Policy No.: CFP 1420998-00 Insured: Waterman Date of Loss: 11117197 Type of Loss: '`vehicle Loss Location:1511 Nest 18th Street Antioch 94509 Our File No.: 99110-0 Dear Mr. Harvey, We are acting as adjusters for the California FAIL.Plan, in connection with vehicle damage to the property of the insureds, 'Fed&Lee Ann Waterman. The loss location is at 1511 West 186 Street, Antioch, CA 94503. This letter follows our brief telephone conversation of 514199. To repeat the facts of t his case, on 11117137, a fire engine, responding to the report of a grass fire, drove up the private driveway of 1521 West 18`h Street, Antioch. Recognizing that it was not correctly positioned to fight the fire, it backed down the driveway, Its wheels cracked the edge of the driveway and a sewer clean-out, The damages are itemized per the attached schedule, $1,612,50, A$500 deductible applies. This report is being sent to the insurer, if they find that there is coverage, they will make payment to their insured. They will then look to you for reimbursement. I ask that you review:his ratter and notify'me of your decision regarding liability. Thank.you, Sincerely, Lafayett,-Adjuster`s , PJC:kb Patrick J. Crovey ., cc: CFP Waterman, Inc. Insured: Waterman 5/5/99 1 im No.: 131223 D/LCs ; 11/97/97 §ghg OffiLUATION 0E,SFj!A1R COSTSYROOTER Inspection & Recovery: 112.50 Remove Dirt Pi d and reglace gft2rsi Back Hoe&Operator 6 hrs 75.00 450.00 Helpers 36 Inas 35.00 210.00 Repairs: 8 hrS 45.00 350.00 Helper: 8 hrs 35.00 280.00 Materials: 125.00 Fees, Dump Fess, Contingencies: 75.00 Total: 1,500.00 1,500.00 Concrete Repair- minimum: 100.00 100.00 Total: 1,712.50 Deductible: X500>00) CLAIM: $1,212.50 CIALM BOARD AO June 15, 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 tHs docurnent railed to you is your California Governrnent Codes. i Mice of the action taken on your claire by the Board of Supervisors. (Paragraph IV below), liven . pursuant to Government Code Section 913 and } 915.4. Please note all `Warnings". A-MOLT: Not Specified CLAIMANT: Renwick Gibbs Z ATTORNEY. DATE RECEIVED: lay 4, 1999 ADDRESS: C Module, #20 BY DELIVERY TO CLERK ON- May 4, 1999 Martinez Detention Facility 901 Court Street BY MAIL POSTMARKED: _M14 v 3 1999 Martinez CA 94553 L FRONE Clerk of the Board of Supervisors 3; County Counsel Attached is a copy of the above-noted claire. 6 1999 PHIL B HELOR,, Clerk Dated: y s ny: Deputy . 10, A DINL� County Counsel TO: Clerk of the Board of Superv° ors This claire complies substantially with Sections 910 and 9183.2. { This claire FAILS to comply substantially with Sections 9183 and 91 a.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 claire on ground Haat it was filed late and send warning of claimant's right to apply for leave to present a late claims (Section 911.3). ( ) Other: t P ' Dated: �t:� � 614 _j5y: ��a._ � e� �pu� County Counsel i DM- Clerk of the Board ,.-� unty Counsel (1) County Administrator (2) ( ) Claire was returned as untimely with notice to claimant (Section 911.3). Tv BOARD O Idy unanimous vote of the Supervisors present- j54This Claims 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 P19L BATCHELOR, Clerk., By ' De u Clerk . WARNING (Gov. code section 13) Subject to certain exceptions, you have only sig (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 ars attorney of your choice in connection with this matter. If you want to consult an g.tiorney, you should do sea immediately. *For Additional Warning See Reverse Side of This Notice. AFFIDAMIT OF I declare under penalty of perjury that I sane now, and at all times herein nsentioned, have been a citizen of the united States, over age 18, and that today I deposited `ars the gaited 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. Bated: / -� By: piBATCHELOR yDeputy Clerk County Counsel County Administrator 1 � rRECEIVED MAY 0 41999 FF� 4 CLERK BOARD OF SUPERVISORS CONTRA COSTA CO. 91 7 9 to4 12 11 07 7 V•-,.:. 9 '%'f fY .`'13 i` I a 3,, ./ C u ; $' }/:/•.' ,�r�+y;. J� $''+� :'•{. P y 6� 14 ` Off, a ° 15 16 17 rip oz i ae J ,Y.�^f}*�. A �`ws 't. 'a..x.,b fi y +,�¢ y a• .i 19 � s "� y 20 S 21 t 22 xr 23 fir. � > -,.� ;: �;>• ° •?' .d.: �.�',� ..F d ���:. 1�'t"•, 24 ' 25 26 f rt Jill, l: < 4 27 +/''�gypp x x r g3 L+A � � ��'�"' Y :`�-� yEsfi 9h ��./'•� / / � ay lie � x.�� .,� . :? ff ^•<,. �,,.� �' +a-'� b,. > { :'fit✓.. ;wY KeYy. _....._. ................................................................................................................ . __.. _ .......................................................................................... ... .................................................. r � 0 ,�^ � Y 1 s t r A/ 5a. :. $ Yi 7 �zs r r t�i • 1 : 'cif yf �' + ' Y'}•. .: 10 y�Q{ P-4.5 }•aAPY n gp r 13 15 16 17 1$ 19 a, 20 21 22 23 24 ...:: x ; Ile:f 25 26 27 y� } rip � 2..: 2•n' �,.: 2S .l NomaC f 1 fpf P M /+''7 . P \ ry .- err X01 `� � ff ff� tt D, Am J e 1155, 11,94-99,94 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 daunt mailed to you is your Califorria Governall Codes. i notice of the action talon on your claim by the Board of Supervisors. (Paragraph IV below), given ., :, r ? pursuant to Goverment Code Section 13 and .XY 1 � 1 b.4. Lease nota all iamings". AMOUNT: Not Speclf f.e 00{.v a✓._. •J mss+.:- u.. � '' ;Renwick Ciob <' xis �f x= ATTORNEY: BATERECEIVED: May 4, 1999 ADDRESS: C Module, #20 BY DELIVERY TO CLERK OM ysay 4, 1999 Martinez Detentlon Fae.flity 901 Court, BY MAIL, POSTMARKED: 1999 Martinez CA 94553 L FRONS Clerk of the Board of Supervisors M County Counsel .Attached is a copy of the above-noted claire. PHIL BA IYELOR, Clerk Dated: May 6, 1999 BDeputy, Deput '� IL FROl County Counsel : Clerk of the Board of Supervis s 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). { ) 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: zZmay: puty County Counsel s 2 UL FROM Clerk of the Beard my Counsel (1) County Administrator (2) } Claim was returned as untimely with notice to claimant (Section 911.3). IVa_ BOARD ORDM- By unanimous vete of the Supervisors present: ( This Claim is rejected in full. ( ) Other:____. I certify that this is a. true and correct copy of the Board's Carder entered its its minutes for this date. Dated: PHIL BATCHELOR, Clerk, By rr , Deputy Clerk WAILNING (Gov. code section 3) Subject to certain exceptions, you have only six (6) months from the date this notice was pzrsonally 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 avant to consult an attorney, you should do so immediately. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF Imo;G I declare under penalty of perjury that I am now, and at all tunes here in mant'oned, Dave been a citizen of the United States, over age 18; and that today I deposited in the United States Portal Service in Martinez, California,, postage fully prepaid a certified copy of this Board Carder and Notice to Claimi addressed to the claimant as shown above. Dated: t aaF By: DIEL, BA.TCI-1ELOR By S "' T3eputy Clerk �. 1pl CC: County Counsel County Administrror RECEIVED MAY d 4 1959 GLER MARD 4FSUPFRVIS€R15 CONTRA COSTA CO. ,S -f.,. t' ti _.......... ?: y 3< s s S 4 �..i ? y � ..:..•. � Lf f... z .,K\j� � %:�: r£ } f'�� • r y i� T, 4 y9. e i $ r _ tom• .__._..._. ti T. s .n ..•tz-, Sc" ✓ K o Y �- 1 y' n # !. t .4. { • f a �h� r f j :w Y t _.... ......... ......... ........__ ........ ......... ......... ....._ ........... . ........... ......... ............ .......................... .... ......... ......... ......... ......... ..... ......... ......... ......... ...................................................................................... ...__.......................... C1aia # ZOARD C? iQ Zxvz$O B OT CONTRA COSTA CO Y BTRL1ir.TI41!1$ TO SLyY2Iiik2d't` t • 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, 1387, =st be presented not later than the -both day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to persanal ,property or growing craps and which accrue on or after 4Tanuary► 1 1388, must be presented not,tater than sic months after the accrual of the cause of action. Claims' relati: q to any other cause of action must be presontod not later than ogee year after the accrual of the cause of action. (Gm*t Code 911.2.) B. Claims bust be fired with the Clerk of the Board of Supervisors at its office in Room 108, county JaWnistration Building,, 651 Pine street,, Martinets CX +84553. C. If claim is -against a district governed by the Boardof supervisors, nether than the County, the name of the District should be filled in. D. If the claim -is against more than one public ontity, separate claims must be filed against oaach public entity. E. rraud.. Sere penalty for fraudulent claims, `Penal Cade Sec. 73 at the end of this form. liii!#!li►iiilt.!liif#!#tiiiiii#llrf#iti##ill�ifilrtiti !!#:#iilliRtlal+lti#iRli RE: Claim By ierk's filing stamp s ' is ;v. .. :. .. ... .. > •U. .. fr...-, `..f. S. ... ewe "�.. {R.i�-%} �-yry� Against the County of Contra st �f orf t,0 MJ UZ_0 1P STA o" Dist YL (Fill in maze) ) } The undersigned claimant hereby makes claim against the County of Contra Costa or the above-Zamred District in the sum of 1,£ f and in support of this claim represents as follows: 1. Wben did the damage or injury occur? (Give exact date and hour) ' ,f t A �5' f 2. 'Where did the damage ar injury occur? (Incl-u-47 city and county) 3. Now did the damage or injury occur? (Give full details: use extra► paper if required) 4. What particular' act or omission on the part of county;or district officers, servants or employees caused the injury or 'damsge'� (over) S. What are the names of county or district officers, servants or ' +loyerre causing the damage or injury? { � Y 6 What damage or injuries db you cla ; roxu�.-- d? {+Give full extent csf #juries or damages ained. Attach two est"at&& for auto e�as►a#�e.j 7. 8©w was the amount'clad' above computed? Include the<estimated Amount of any prospective injury or damage.) 8. Nam s and addresses of vitnesses, doctors and bospitals. �. Hist the expenditures you evade on account of Els accident or. injury. f�:<:"a#s#s<#,r#�:��#as :a+e�*aereae-�►#sfaas•see�re,�e�re�r:ea;�sessre,eae�r�st�r } Gov. Code sec. 920.2. Provides3 "' e claim must be signed Dy thecla want or by '0ome person on his Name and Address of Attorney Cl W4,mant*9 Signature) Cous-r 61- (I4- : f 5 - }q (Address) <`w3 2.... a1!yY 1 Telephone leo +.�," �"���":":"�:*e"art,ea:yrs: �•#assn:e•�e"#�s.ea,re,e�.,�#ts*��••"r►a+e�,e t &action 72 of the ftna2 s �►rov deers !'very ""M who, with imtant to Defraud, prresent& for all or for Payment to any state board Or officer, Or to any county, city or district board or Officer, authorized to allow or gay the same if gamer*, any false or traudulsnt claim, brill, account, voucher, or writing, is puniShabls either by imprisonmr nt In for county ;jail for a period of not more Ulan ams year, by a fin* Of t exceeding One thousand MAO), or by both su�i ianpIsora&nt and 'tiro, ear byimgr sanoamt in theestateprison, by3.ne of rpt exceeding by thousand dollars (SliD,dgp, or by both such imprisonment and fine. ........ ... y ........... ---------------- ......... ............ .......... ..... _ .......... . ............ .:. %. .: ......t2, ....... �# ...... ....................i"k ............. .............. t.. t , } ¢tt 2 � t }� 1 � Kv �. ......,.. .. ...:..... ay. ..�: "SwiY.. .. ., .. ... �. :� ..• � s .. "'} ,}. 1 3 } a. ::� ;3` � tir� �y{ ;+y'r'.;$'ke,.n{ rrt^:'t }:�., zo e S h } ¢ f ti ry 1 � t 1 f _.7 •p'} (f 'IWOW , f j� v s CLAM BOARD OF S BOARD AO 15, 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 nailed to you is your California Governlnt Codes. 1 notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given � pursuant to Government Code Section 91 and u k fLU 1 915.4. Please note all "Warnings". AMORT: $56,516.65 M :. <.,. CLAIMANT: Kase A. Grillo, a minor 'AP N ����=r'• by Claude Grillo ATTORIN'EY: c/o Ronald P. Rives, Esq. DATE RECEIVED: May 6, 199 Rives, Huffaker, Littorno & Jenny ADDRESS: 2211 Railroad Ave. BY DELIVERY TO CLERK ON: May 6, 1999 Pittsburg GA 94565 BY MAIL POSTMARKED: Hanel-delivered L FRROTNt- Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PAIL BATZPELOR, Clerk, Bated: May 6, 1999 By: Deputy H. F ROI : County Counsel TO: Clerk of the Board of Supervis rs (X This clap 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 911.0. : ) Other: _ Bated: f' � f� `� 13y: ' i' Deputy County Counsel M. RO?W Clerk of the Board. TCB: nty Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). TV. 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 Beard's Order entered in its minutes for this date. Dated: a - /. PHIL BATCHELOR, Clerk, By , Deputy Clerk WARNING (Gov. cede 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 claire. See Government Code Section 944.5. 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 A AILINO 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: " 3 B PIIL BATCI-TLOR B By: y QDeputy Clerk CC: County Counsel County Administrator i RONALD P. S ESQ. 'State Bar No. 58130 I RIVES ;� q y q� vg; �gy z �' e RNpay Qr JENNY � 2 2211. Railroad Avenue Pittsburg, California 94565 (925) 432-3511 41 RECEIVED } EE Attorneys for Claimant KATE A. GRILLO 3 MAY 0 6 ,y ' € � y> g E i CLERK u btu�? ``EPEE t tSSOMS 1 v C - — 3 1 9 iE ; s z Ss7 h tl Claim sfKATE A. IL1,O, agar by CZ UDE GRILLO, 12 Claimant, CLAM AGARgS'T`PUBLIC ENT 13 `LU vs. (COV`. COBE SECTION 5910)-,--- 14 UJ I COUNTY OF CONTRA COSTA, et al., z 15 16 " Ressndents, s 17 EE ' 1$ TO TBE COUNTY OF CONTRA COSTA: � 'i I E; 19 Claimant KATE A. GR.ILLO by her attorney Ronald P. Rives, Esq. hereby present E 20 ' J the following claim against the COUNTY OF CONTRA COSTA. j 21 °t I, Claimant's Name: KATE A. GR.ILLO. 22 ;E 23 i 2. Claimanes Address: 154 Saddle Oaks Court, Walnut Creek; California. 24 7{ 3. Date of Injury: February 5, 1999. 25 ! i t 4. Location:The intersection of N.- Avenue and Nursery Zane,Walnut Creek, 26 `1 �i 2711 California. 281 9i s 3 I 5. Circumstances of Accident: On February 5, 1999, county employee,Larry H. Yost Bled to snap for a red light on Newell Avenue in Walnut Creek and. 3 violated claimant's right of way causing a collision. east was operating a county 4 r vehicle in the course and scope of his employment. This accident was investigated by the Walnut geek Police Department, Deport #C99-28-46. !+ s 6. Injuries and Damages: 9 �i Cl.airnanes automobile sustained property damage in excess of$6,516.65. Claimant suffered personal injuries consisting of neck injury,raid-back injury, r low back injury and knee injury. � z ° 12 € 13 '`' 7. .mount Claimed: $50,000.00. LU � w 1 8. Basis of Computation of Claims: Claimant's vehicle was damaged in an amount � a in excess of 6 516.6 5. In addition, claimant suffered personal injuries and has 16 d incurremedical expenses with ohm Muir Hospital, 17 john Muir Trauma 18 i' Physicians, an 13 y , Arlyn'�J Dyke physical.Therapy and Ramiro Miranda,M.D.� :�o { 10 ii wage lass is claimed. 20 I Official notices and correspondence should be sent to the following: 21 =i y 22 Ronald Pa Rives, Esq., Rives, Huffaker, Littorno &Jenny, 2211. Railroad Avenue, Pittsburg, California 94565, 23 Telephone: (925) 432m3511., 24 ij � 3 2 �' �: .pril 2s 1999. pfYl1R NN 26j ii �t b ...D P. ESO. 27 � j ATTORNEY FOR CLAIMANT ki { 2 '? E CLAM OARD OE SUIMSORS QE MNI TAI L s-CALTMENIA A#ti nRL June 15, 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 docurrent mailed to you is your California Governrnent Codes. I notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV beioM, given pursuant to Government Code Section 913 and 915.4. Please Mote all earnings", AMOLTN°T: $815.60 K CLAIMANT: rorothy G. Harris ATTORNEY: OATS RECEIVED: May 13, 1999 ADDRESS: 145 Mercedes Lane BY DELIVERY TO CLERK. ON: � X999 Oakley CA 94561 BY MAIL POSTMARKED: , MaV_12 €999 L OAL- Clerk of the Board of Supervisors TO. County Counsel Attached is a copy of the above-noted claim. PML I3ATC L,OR, Clem° Dated: May 14, 1999 By: Deputy - � IL IRON: County Counsel M. Clerk of the Board of Supervis rs (; ) This claim complies substantially with Sections 910 and 910.2. 1� ) This claire FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.13). ) Maim is not timely filed. The dark should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Mated: F a fi 1. # > Bv: AVY14Wu '�'z<7 3eputy County Counsel s € / i 1 OMN: Clirk of the Board T'O: Cbunty Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911,3). IV. BOAM O3 By unanimous vote of the Supervisors present: ( Ibis Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Carder entered in its minutes for this date, Dated: PML BATCHELOR, Clerk, By � � e Deputy Clerk WARNING (Gov. code section7913) Subject to cerin exceptions, you have only six (6) months from the date this notice was personally seared or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. if you want to consult ars attorney, you should do so immediately. *For Additional Warning See Reverse Side of This Notice, AFFMAVIT OF MV 'C$ I declare under penalty of perjury that I am now, and at all threes herein mentioned, brie bs,en 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 clait�asjl is shown above, �f All Dated: By: SI L SAT C1�LOR By 4 puty Clerk : County Counsel County Administrator Claim}to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY I IS"l t i 0NS TO CLADIANT 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 tater than the 1€00 day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to persona or to personal property or growing crops and which accrue can 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 tater than one year after the accrual of the cause of action. l Govt,Code §911.2.� BA Claims must be fled with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building,651 dare Street, 4lartinm CA 94553, C. If Claims 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 ate etai'm is against snore than one public entity,separate claims must be flied against each public entity. E. fraud. See penalty for fraudulent claims, Penal wade Sec.s2 at the end of this forma RE: Claims by } Reserved for Clerk's Filing Stamp E Against the County of Contra Costa or upe Distracts Fill in Name) 'I'"'he undersigned claimant hereby makes claim against the County of Contra Costa or the above manned District in the sisal of S d� and in support of this claim represents as follows: 1> When slid the damage or injury occur; (Give exact Date and Hour) r� =ro w m•ir -----------------pb m w wn.a.r a s------e w------/--e n w w-m w w a a-ev-w w w m a w w u®w m w a w s-e a v a w u w a 2. Where did the damage or injury occur? inciude,city and County; wa-r----- aw` wa!a • »� f � * _. eaa_ww �w w 3. How dad the damage or injury occur? q Give w detaats:we extra Paper ifuired) � ��� NZ P� keS „v 2- ----------------�-------------------------------------------- --a_„wawww 4a What particular act or omission on the part of county or district officers, servants, or employees caused the injury or damage: t Over S. What are the names of county or district officers,servs yts,or employees causing the damage or nn ury. What damages or injuries do you claim resulted:' t Give full extent of injuries or damstges claimed. Attach two estimates for auto damage.) .. 1 Cf W2 —&e�l rte- d s.,r 7.�_How was the above-claimed amount computed? (Include the estimated Amount of easy prospective injury or damage, 8. Names:acrd addresses of witrnesses,doctors,and hospitals. S mwm a a«mss w_r_a mm--v.__ms-_--_s_e._ww_---a.s-o.a o o o r..r a no-____ee._om m_s s a mo-a._w_w a..__u._r r_r_-_ 9. List the expenditums you made on account of this accident air irt�or ya ]DATE ITEM A i xR ae to £e # ak ae ae ate ak xY ag # ar ae 1# at ax as a aB fc asarae at vt 4: ak a§ st 5k ac ac aea # at ie it a� ae ak 0 Gov. Code Sec.. 910 pr T'he claims must b signe int SEND NOTICES TO: (Attorney) or b% some persons on Name and address of attorney (Catrnant's Signature 9 �4¢�,.. .5✓ � ��< ,»� �,�'✓Y ,Arlt -�'�' r'� + ���.3'i���'._�.. (Address} Telephone No.� Telephone N 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 hoard or officer,authorized to allow or fray the same if genuine,any false or fraudulent claim,bill, account,voucher;or writing, is punishable either by imprisonment in the county,fail 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 tern thousand dollars(S10,000), or by both such imprisonment and fuse, DANAk APORT HARRIS 05/10/09 at 14 :01 D.R. 17163-0008210 AB057216/FAX634-7257 Est: M. CASEY CASEY' S AUTO BODY QUALITY IS OUR NUMBER ONE CONCERN 4515 O'HARA AVE BRENTAfOOD, CA 94513- (925) 634-2211 Owner: ROBERT HARRIS Day Phone: (925) 679-1992- Address : 145 MERCEDES LN. Other Ph: ( - - OAKLEY CA 94561 Deductible: $ N/A Insurance Co. : Phone: Claim No. : Adj . : 97 PONT GRAND AM SE 4D SED GREEN 6-3 . 1L-FI Vin: !G2NE52M5VM549105 License: Prod Date: 3/97 Odometer: 0 Power steering Power brakes Power locks Tinted glass Body side moldings Dual mirrors Air conditioning Anti-lock brakes (4) Driver airbag Passenger airbag 4 wheel disc brakes Cloth seats Bucket seats Recline/lounge seats - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PART NO. OP. DESCRIPTION OF DAMAGE QTY COST LABOR PAINT MiSC - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1* Repr REMOVE TAR ON TOPS AND LT. 1 10 . 0 2* SIDE OF VEHICLE,WHEELS,LIGHTS 1 3 FRONT BUMPER 4 R&I bumper asst' 1 1.4 5* COMPLETE DETAIL RUB & POLISH 1 X 200 . 00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i - - - - - - - - - - - - - - - - - - - - - - Subtotals -=®> 0 . 00 11 .4 0. 0 200 . 00 Page: 1 SAM nCr., REV bRT HARR I S 05/10/99 at 14 : 01 D..R. 17163 -0008210 AB057216/FAX634-7257 Est: M. CASEY CASEY' S AUTO BODY QUALITY IS OUR NUMBER ONE CONCERN 4515 O'FARA AVE. BRENTWOOD, CA 94513- (925) 634-2211 Paris 0 .00 Body Labor 11 .4 units @ $54 .00 615 .60 Sublet/Miss 200.00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - SUBTOTAL $ 815 . 60 Tax on $ 0 . 00 at 8 . 2500% 0. 00 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - GRAND TOTAL $ 815 . 60 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INSURANCE PAYS $ 815 .60 THIS IS XUST AN ESTIMATE OF REPAIRS, IF ON FUTHER INSPECTION, ADD ITIONAL PARTS OR REPAIRS ARE NEEDED, YOU WILL BE CONTACTED FOR AUTHORIZATION. WE ARE NOT RESPONSIBLE FOR LOSS OR DAMAGE FROM FIRE,THEFT ACCIDENTS OR CAUSES BEYOND OUR CONTROL TO YOUR VEHICLE. STOREAGE CHARGES WILL OCCUR 48 HOURS AFTER CUSTOMER IS NOTIFIED THAT VEHICLE IS COMPLETED. X CIASEY'S AUTO BODY GUARANTEES ALL REPAIRS PREFOR-MED ON YOR VEHICLE INCLUDING PARTS, WORKMANSHIP AND REFINISHING FOR A PERIOD OF NOT L ESS THAN ONE YEAR FROM THE TIME OF COMPLETION OF REPAIRS. DEFECTS IN CRAFTMANSHIP OR REFINISHING ARE WARRANT- EED FOR AS LONG AS YOU 0 WN YOUR VEHICLE. Estimate based on MOTOR 'CRASH ESTIMATING GUIDE. Non-asterisk(*) items are derived from the Guide DR1FQ92. Database Date 3/99 Double asterisk(**) 4teZ.5 indicate part supplied by a supplier other than the original equipment manufacturer. CAPA items have been certified for fit and finish by the Certified Auto Parts Association. NAGS Part Numbers, Prices and Labor Times are provided from National Auto Glass Specifications, Inc. EZEst - A product of CCC Information Services Inc. Page. 2 �� ��� �� �� �� . ,..� �. 1 l }}}yy `1 ' �5 `�°tax i3 �°�°� 't S ti.. +� ..� � .� � r a .r ' .. �, :� � � '"'^a.s.. .� � ax. M° 4 j r r & ti E �l «�, e� z� :� � 7 `. �� � :� � � k � 4 :.. � @ � o. s �'. ``:' 4 CIAM LU11' .5: 1999 Claim Against the County, or District Governed b } the Bard of Supervisors, Routing Endorsements, NOTICE TO CLAIMANT and Board Action. All Section references are to The copy of this downent bailed to you is your California Govermmnt Godes. notice of the action taken on your claire by the Board of Supervisors. tParegraph iU belovO, liven pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". AMOTUNI T: Exceeds $1.0,000 CLAI'vlANT: Lawrence Harvey A'I ORNTEY: c/o Kerry M. Gough, Esq. DATE RECEIVED: May 1.4, 1999 Gough & Cohen ADDRESS: 1.60 Franklin St. , Ste. 200 BY DELIVERY TO CLERK. ON: 4 1999 Oakland 94607 BY MAIL POSTMARKED: _ _May 1.5. 1999 L P"RONI L Clerk of the Board of Supervisors M County Counsel Attached is a copy of the above-noted claire. PML BAT 0 Clerk Dated: 'may 14, 19,09 By: Deputy-- IL O County Counsel TO: Clerk sof the Board of Supervise �) This claim complies substantially with Sections 910 and 9141.2. This claire TAILS to comply substantially with Sections 9141 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 914.5). ( } Claire is not timely filed. The Clerk should return claire can 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. By:Dated: �r t p u 'Coun Counsel M. F R.C91 : Ci6k of the Board M. "'bounty Counsel (1) County Administrator (2) ( ) Claire was returned as untimely with notice to claimant (Section 911.3). . BOARD ORDBy unanimous vote of the Supervisors present: ( ibis Chaim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Carder entered in its minutes for this date. Bated: r €` PHIL ]BATCHELOR, Clerk, By Z f , i3eputy Clerk Al 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 aro attorney, you should do so immediately. *For Additional 'warning See Reverse Side of This Notice. I declare tender penalty of perjury that I am novo, and at all times herein mentioned, have been a citizen of the United States, over age 15; 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 By: P L BATCHELOR Ey �A— Deputy Clerk CC: County Counsel County Administrator GOUGH & COHEN A PROFESSIONAL LAW CORPORATION THE LONDON BUILDING AT TACK LONDON SQUARE 160 FRANKLIN STREET,SUITE 200 TELEPHONEr KERRY M.GOUGH OAKLAND,CALIFORNIA 54607 (510)832-5800 BARBARA M.COHEN FACSIMILE: AZITA 8,GHAFOURPOUR E-MALI,coin.4ANI)CO3if*,*M;Ni7SPRINC-.COM (510)833-4601 May z 3, 1999MAY 14 Via Certified bait,Return Receipt Requested r I} Clerk of the Board of Supervisors $ County Administration Building 551 Pine Street, Rm. 1€ 6 Martinez, CA 94553 Re: Lawrence Harvey Dear Clerk: This office represents Mr. Lawrence Harvey in his claim against Contra Costa County. Enelosed you will -find an original plus a copy of a claim for damages on Mr. Harvey's behalf. Please file and return a conformed copy of the claim to this office 1n the envelope provided. Should you lhave any questions, please feel free to contact this office. Very truly yours, CiOUGH & CO.EN Kimberly Gallegos, Secret � to KERRY M. GOUGH /kg enols. r A. Mai= relatins to causes of action, for death or for inJury to person or to per- sonal F ply or growink' oa-ope and which accrue cn or before December 31, 1987, must be presented not later than the 100t1h day after the acor-ual of the cause of action. Claim relating to causes of actions for death or for injury to person or to personal property or mowing amps and which accrue on., or aftex January 1, 16988, must be presented not Mer m months o o f the cause "11 of aoti 8 Claim relating to any othea- awtet of action wust, be presented got late" thvvi one year fter the acertal of the cause of action. (Gov,. Grade 91.1 s . B. Claim must be filed with the Clerk of the Board of Supervisors at its office in 106, County Administration Build:, 651 Pine Street, Yartinez, CA 94553. Ca if claim is a in^ t a district governed by the Board of Superviscrsrather than the 11.0 ty, the name of the District should be filled in. D. If the claim is a$airmt =re tip one publio entity, separate claims must be FLIed against each public en.!C.ye 2. Fraud. See penalty for fraudulent claims, Penall Code Seo. 72 at the end of this form. a Claim By 'Reserved for Clling stamp -LAWRENCE HARVEY ireF ig nu—r.ty 'of C3z t a Cost, or District) C',u .f. in e undersigned zed clay t hereby wee claim against t-he County of Contra Costa or t w above-named Distrbiot 4 the e= of exceeds 1Q Gand in wuppor°t of this claim reoresent3 as follows. 1. When did the damage -cr damage- injury oomn-? (Give exact date and hour) 2. did the dmaage or injur7 occur? `Include city and county) Mar ie California. 3. Few did the � �or Injury occur? (Give fUll details-, use extra roper if required) See attachment 4. 'fit particalar act or cmission on the part of county or district off,21LOOrs, Serfs or emloyees caused the injury or e? See attachment . C over J ® `zat we the .Ames of county or district officers, ser-mnts or emplOYOGS causing the damSe or injury? Tori Young, Chief of Management Services , Richard Heyne, Hunan Resources Department, and others whose identities are unknown at this time. 6. What, damage or in'Juries dna you claim restilted7 (Give fel eetent. of injuries or dam es claimed. Attach two estimates for auk damage. Loss® of opportunity to become a ContraCosta Deputy Sheriff. 7. How % tete &=unt clai:rwd above comp,utAd? (Include the estimated m at of any prospective inJury or . Earnings-'of a Contra Costa. County Deputy Sheriff plus overtime ; in d d it c h off. p r - and a�ttorr'ne s ` eee•---.�-.�-® 8. Names and addresses of wiuresses, doctors and hospitals. Kenneth G. Venos , M. D. - 5601 Norris Canyon Rd. , #130, San Ramon, 94583 Jan Eric Henstorf, M.D. - 38690 Stivers St . , Fremont , CA 94536 George A. Rugh, M. D. 12 Camino Encinas , #10, Orinda, CA 94563 Thomas�GamS V, M. D. 1.0 Douglas Dr. , #110, Martinez ®CA 94553 Lit the expendl6tvares you made on account of this accident or ins r DAM :LM AMOUNT Not applicable. Gov. Code See. 910.2 provides: m "Theal t be signed claimant clait VM W=.CES Tor (Attorney) or u sore an Uji; c At oRe-y Kerry M. Gough, Esq. AAZ^-2� GOUGH & COHEN s e s 160 Franklin St . , Ste . 200 Attor y fo Claimant Oakland, CA 94607 A Lf 2,OQ (Address) Qs T .ee A+tc. (510) 832-5800 �' �ph�3°� Nt� SOT1* CE Section 72 of the Penal Coxae provides: "Every peracn ,& with intent to defraud, presents for allmanae w for payment to any state bid or officer, cr to any county, city or district board or offioer, autherized to allow or pay t-he same if Senuine, any fuse or fraudulent claim, till, acco :t, voucher, or wzritin& is pt=dshable either by imprisonment in the qty ja"' for a period d orf not more than cne year, by a f l n of not exceeding one t d ($26,0001J, or by both such imprisc:=ent and fixe, or by iwr;iso nt n the state prison, by a fire of zwt exceeding ten thousand dollars ($10,000t or by both awh impria=mnt and fine. ATTACHMENT TO CLAIM Harvey v. County of Contra Caste Dr. George A. Pugh, who was retained by Contra Costa County to determine Mr. Harvey's medical qualifications as Deputy Sheriff, has found that he is physically capable of performing essential Job functions as Deputy Sheriff. Also, Lar. Pugh found that he is not likely to pose a threat to others. However, Lir. Pugh has stated that Mr. Harvey is at risk of being injured in the next three years as a police officer greater that: 50%. On that basis, Mr. Harvey was denied employment, although he passed all the requirements for admission to the academy. The denial of employment to Mr. Harvey was in violation of the following: (1) violation of the California Pair Employment& Practices Act prohibiting discrimination against disabled individuals and the regulations promulgated pursuant thereto, (2) violation of the.Americans with Disabilities Act and regulations promulgated pursuant thereto, and(3) violation of the Public, Policy of the State of California prohibiting discrimination against individuals with disabilities and prohibiting discrimination against individuals who have received compensation under the workers' compensation provisions ofthe California Labor Code. Dated- May ' 1999 Derry M. Gough Attorney for Claimant PROOF OF SERVICE 2 �§ Kimberly Gallegos,s 1 oss declare as follows: � !� I am employed in the County of Alameda, California. IL arrA over the age of eighteen years and not a party to the within action. My business address is 160 I.Franklin street, Suite 200, 5 Oakland, California 94607. On May 13, 1999 I served the within CLAIM AGAINST 6 7 j COUNTY OF CONTRA COSTA.by placing the original enclosed in a sealed envelope sent by I 8 certified mail, return receipt requested, with postage fully prepaid, in the United States rn it in 9 Oakland, California, addressed as follows_ Clerk of the Board of Supervisors 12 County Administration Building 1 651 Pine Street, Rm. 106 3 � Martinez, CA 94553 14 �� I declare under penalty of perjury that the foregoing is true and correct, and that this it j declaration was executed on May 13, 1999 in C}akland, California. E I a; 16 i 17 C� limberly Gallegos 8 jl 9 1� 20 1I 21 f 22 i 23 24 2 I �I 2 6 1 27111 28 's y+�4 i n 10, u� Sig a <r CILAIM ROARD, OF S WAgp ACTltI dune 15, 1999 Clair 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 railed to you is your California Government Codes. l notice of the action taken on your claim by the Board of Supervisors. (Paragraphs IV below), given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". AM03IJNT: $200,000 ? CLAIMANT: ClirI.stopher LaFles ATTORNEY: Robert P. Star, State Bar No. DATE RECEIVER; May 12, 1999 112071 ADDRESS: Law Office of Robert P. Star By DELIVERY To CLERIC ON: May 122 1999 877 Ygnacio galley Rd. , Ste. 208 Walnut Creek CA 94596 BY MAIL POSTMARKED: May 10,.,_.1999 LOINE Clerk of the Board of Supervisors M. County Counsel Attached is a copy of the above-noted claim. PML BAT �..� Clerk C LOO, Bated: May 12, 1999 By: Deputy R Ile EL FROIN1 County Counsel TO: Clerk of the Board of Supervisor 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 claire on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: f' J € : By: _ � eputy County Counsel I.. F ROIN1 C:le�k of the Board TO- County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER. By unanimous vote of the Supervisors present: This Claim is rejected in full. Other. I certify that this is a true and correct copy of the Board's Carder entered in its minutes for this date. Dated: PI-HL BATCHELOR, Clerk, By �i Via, � � , Deputy Clerk WARNING (Gov. code sectio 913) Subject to certain exceptions, you have only six (b) Months from the date this notice was personally served or deposited in the mail to file a court action on this claire. 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 CSE N 6 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 S-ervice in Martinez, California, postage fully prepaid a certified copy of this Board Carder and Notice to Claimant, addressed to the claimant as shown above. Bated: , By: PML BATCHELOR By_ � Deputy Clerk CC: County Counsel Courity Ad.rinistrator Robert P. Star, State Bar No. 112071 Law Office of Robert P. Star 877 Ygnacio `alley Road, Suite 208 RECEIVED Walnut Creek, CA 94596 Telephone: (510) 932-3311 111999 # Attorney for Claimant Christopher LaFlesh �' CLAIM AGAINST THE COUNTY OF O TIdA Ct-STA TO Clerk of the Board of Supervisors 651 Fine Street First Floor Martinez, CA 94553 Via Certified Dail#Z 214 414 018 CLAIMANTS' NAVIES d Christopher LaFlesh CLAIMANTS' ALDD ESS 60 Foothill Place Pleasant Hill, CA 94523 CLAIMANTS'TELEIi(3iNE (925)691-0975 AMQjjNj OF CLAIM $ 200,000 ADDRESS TO WHICH N-YUCES ARE TO BE SENT t ROBERT P. STAR,ESQ. LAW OFFICE OF ROBERT P. STAR 877 Ygnacio Valley Road, Suite 208 Walnut Creek, California 94596 MATTE OF OCCURUNCE s Larch 14, 1999 PLACE 01-QCCU-RUNCE Taylor Road, 200 feet North of Pleasant Hill Road overcrossing O)Y DID CLAIM ARISE At the location of the accident, Taylor Road northbound has a sharp curve with a downward slope. Claimant lost control of his vehicle after hitting a puddle of water and left the roadway geeing down an embankment and striping a tree. Claimant suffered - 1 - serious injuries as a result of striking the tree. These injuries were due to the county's failure to extend the guardrail despite similar previous accidents at this site, JTEMJA1AJLQS-_QE CLAIM Loss sof Earning. 10,000 Property Damage: 15,000 Incursion of Medical Bills 35,000 General Damages: $150,000 DATED: May 5, 1999 LAW+ CE OF ROBERT , , AR Attorney fort ant Christopher LaPlesh -2 - STATE CALIFCRL IA fRAMC t8;3LLISION REPORT rArS SPECIAL CONFEM-ONS NO Ptd,` HdeR FEL UTY suTlfCfAL SaISTRPCT NUMBER ONINCORMRATED WALNUT CREEK NO€GILL MISD COUNTY DIST BEAT COLLISION OCCURRED ON: MIO DAY YEAR TIMI£12 j NCiC B OFMCER€.D. a ' Ay ��'" c RGA 031141 .99 1540 9320 0 1 .3800 C - A MILEPOST INFORMATION: DAY OF WEEK TOW AWAY PHarOGRAPHS BY: ? S:3NDAY iYES [j No :WAYS € y ; TE my REL 1 ROLL N �[J AT it�'£RSECCZON Wf3"4: STA s- I 't i oR: 2"1 y f eet N of PLEASANT H_y LL RD 1PARTY!mrvER'S LICENIsr NUMBER STATE I CLASS SAFETY VEH YR MAKEFMODSLICOLOR LICENSE NUMBER STATE i 55073 731CA C G 93 INFI ITI G30 BURG. 3EY G4:L1 CA L- — -- . . . . . . . . . . . . . . . . . . . . . . . . e. . . . a a DRIVER i NA.saf£(FI?ST,M€DDEZ,LASr, CHRISTOPHER D. LAFLESH OWNER'S NAME - SAME AS MINIM mM:-S- STREET ADDRFM 6vFOOLL ASCE OWNER'S ADDRESS SAME AS DRIVER. PARKED CITY1STATEZZE, vE ' L CA 9452 _ �PLEASANTHILL 3 x .�ca OF vEHSCLE ota ORDERS OF- jq OFFICER �� DRIVER �� a BICY- SEX I HAIR EYES I HEIGHT ,WEIGHTJ BLfiT4DATE RACE SOWN TOW y m ERN BRIM 5_ 9 13 5 1 o > 15 7 7 PRIOR MECHA�N'ICAL DEFECTS: N0NB A.'PAREN`r .} REFER TO NARRATIVE OTHER f ME PIf3?3£ BUSINESS PHONE VEHICLE MENTIFICAr ON NUMBWL t 9 2 5} 6 -097—r-.9.1 ( NNE VEHICLE o DEs€RP$E* ItcL d DA MAcE sIPAA^E€N DAMAuEn AR€A � INSURANCE CARRIER bPOLICY NUMTYPE OINK. ��NONE ��MINOR } MERCURY 11908 01 � [�Moo.�,�M VOR ROLL-OVER g DTR TRV ON STREET OR HIGHWAY SPEED LIMIT CA DOT E T.4 TAYLOR ROAD 35 CAL-T TCPIPSc MclMx PARTY DRIVER'S LICENSE NUMBER STATE � CLASS �SAFETY VEP:YR€ MAKEIMSODEUCOLOR - LICENSE NUMBER STATE 2 i DRIVER NNAMT: • • a • b . . . . . . a a (�tSr,MPDDLE,LAS4'; s l OWNER'S NAME SAME AS DRIVER PEDES- STREET:ADDRESS TR OWN WS ADDRESS SAME AS DIUVE+R y PARKED C€TYATATEMP VEffs DISPO OF VEHICLE ON ORDERS OF: OFFICER DRIVER )arHER i Bl--Y. SEX €fAfR EYES HEIGHT lydE GH^ BIRTHDATE s RACE PRIOR MECP$.ANPCAL DEFECTS: NONE APPAREI r REFER TO NARRAATIVE Lq e J OTHER :ROME PHONE BUSIVNT S PHONE VEHICLE IDENTIFICATION NUMBER: i CHP USE ONLY E DESCRIBE VEHICLE DAMAGE SHADE IN DAMAGED AREA Ey INS` VEHICL]E TYPE JNiy ]Uw L3 NONE ]MINOR MOD.��MA30R ��ROLL-OVER � •DIF:TRV I ON STREET OR HIGHWAY SPEED LfMT'P' CA e7d3'r ; CAL-T TCP/PSC MC./MX PARTY!DRIVER'S LICENSE NUMBER STATECLASS SA'FET'Y y VE4 YR MAKE/MODSUCOL OR UCENSE NUMBER SPATE 3 DRIVER 5 NAME�IRST,MIDDLE,LAST} . . . . a a . . . a . . a a . . . . . i OWNER'S NAME SAME AS DRIVER PEDES, }STREET ADDRESS i € 3 QW."IER'S ADDRESS SAME AS DRIVER PARKED!C€TYISTATLZIP E VE L E DPSPOOPVEHICLE ONORDERS OF: ��OFFICER i� DRIVER � OTHER - [ R€CY. i SEX i HAIR EYES HEIGHT IVEPG4T BIRTHDATE RACE CL E e y E PRMR MECHAN€CAL DEFECTS: P#47NE Ae PARENT i] REFER TO NARRAT€VE J OTHER E 40ME PRONE BUSINESS PHONE E VEHICLE IDENTIFICATION NUMBER: i E CHP USE ONLYLLlrlEumsNcopxD- BE VEHICLE DAMAGE SHADE IN DAMAGED AREA 1 VEHICLE TYPE INSURANCE CARRIER POLICY NUMBER E f]M0NE MI#NOR j I MA:eR E]RoleL-uvER DIR TRVON STR?ET OR HIGHWAY SPEED LIMIT CA Dar � # � I CAI,-'I' TCP/PSC Mc/MX------------------- y PREPARER'S NAME DISPATCH NOTIFIED REVTBWER'S NAME DATE AIMEEWW TD,ALE E 013800 - Y« Ess N/A � m S T A'T4 dFCALIFOR$IA FFIC COLLISION CODING PAGE op CSC dSbBvR OFFICER I.D. dtiR 03 - 4 99 C 33238Ci;ATE OF ORi. AL 3�LDENi TIME'24w up GWNERS NAMEIAIkDRESS vQT#F eD PROPERTY iDFSCRIPTION OF ISAAdAGS DAMAGE i SEATING POSITioN. SAFETY EQUIPMENT EJECTED FROM�E� OCCUPANTS M/C WCYCL.E-HELMET I-DRIVER A-NONE IN VEHICLE L-AIR BAG DEPLOYED 0-NOT EJECTED 3 2 it b-PASSENGERS 8-UNKNOWN M-AIR BAG Nt7T DFPLOYED DRIVER I-FULLY EJECTED 7-STA.WGN.REAR C-LAP BELT USED N-CTI#ER V-NO 2-PARTI4,LY EJECTED 12 3 $-RR.GCC.TR3:.OR VAR D-LAP BELT W77 USED P-NOT REQUIRED W-YES 3-UNKiiRN -PCs. [ON UNKNOWN E-SHOULDER H&K ESS USED 4 S 6 i 0-GT JER F-SHOULDER HARNESS NOT USED CHILD RESTRAP.NT PASSENGER G-LAPISHOUL.DER HARNESS USED Q.IN VEHICLE USED X-NO i 7 ! H-LAPISHOULDER HARNESS NOT USED R-IN VEHICLE NOT USED Y-YES I i I-PASSIVE RESTRAINT USED S-IN VEHICLE USE UNKNOWN K-PASSIVE RESTRAINT NOT USED T•IN VEHICLE IMPROPER USE U:NONE IN VEHICLE ITEMS MARKED BELOW WHICH ARE FOLLOWED BY AN ASTERISK SHOULD BE EXPLANTD.N. THE NARRATIVE PRMARY COLLISION FACTOR F2F3 MOVEMENTF° fi 3RIG LIST NUMBER CSI ESP P.AR3 Y AT FAULT AMC Ct>�MOL DEME 1 'TYPE OF VEMCLE '1 2 3 COLLI IDN A YC SECTION VIOLATED: CITED A COW.ROLS FUNCTIf:mNG i A PASSENGER CARlSTN.WON. A STOPPED 22350 vac. YE B CONTROLS Nw%UNCmNL3NG* 8 PASSENGER CAR W t TRAP-n 2 PROCEEDING MAira91- B OTHER IMPROPER DRIVING } C CONTROLS OBSCURED � C MOTORCYCLE I SCOOTER X C RAMI OFF ROAD C O SER TITAN DRIVER* X D NO CONTROLS PRESE t"i!FACTOR D PICKUP OR PANEL TRUCK D MAX?iO RIGHT TURN D UNKNOWN* 4 E PICKUP/PANELTRK.WdTLR. E MAKING LEFTT°.JRN E FELL ASLEEP' L'YPE OF COLLMON i F TRUCK OR TRUCK TRACTOR_ P MAK NC°.}'I URNI i A HEAD-ON i G TRK-f=.TRACTOR W PLR. O BACKING i VIBATIiJiR I�IARI{I TCI2ITF 4453 s B SIDESWIFS ®p €I SC1100L BUS H SLOWING i STOPPING A CLEAR i C REAR MI I OTHER BUS I PASSING OTHER VEHICLE pX B CLOUDY ---..- ARGEdCY VEHICLE LANES IICA' Ni X i C RA 'rNG X I E Hr-OBJECT K HWY.CONST.EQUIPMENT a K PARKING M&NEXIVER D SINOWING F OVERTURNED I - L BICYCLE i L ENTBRINO TRAFFIC E FOG fVisIBF TY: G VEHICLE IPBDIiSTRTRL4N y M OTHER VEHICLE i M OTHER UNSAFE TURNING F Q kdR*: H OTHER,: �N PEDESTRIAN �N XM. '-N-m GLANS i G WIND MOTOR 3'dI3ICL.Yi INVOLVED Wrm o AdOPwD i 0 PARKED LIGHTING- A ICON-COLLMON ! ! P?ff3:RGIivG A DAYLIGHT 8 PEDESTRIAN OTHER ASSOCIATED FACTOR I,Q'TRAVELPINGWRONG WAY B DUSK-DAWN' C OTHER ER MOTOR VEHICLE 2 3 i hiARFC 1 TO 3 TRAi§ ! I2 OTHER` C DARK- IMM REc"'I'LIGHTS ! - i D MOTOR VEH 04 OTHER ROADWAY i A VC SECTION WOLA"TION.CITE - i D DARK-NO STRUT LIGHTS i E PARKED MOTOR VEHICLE s � H DARK-STREET LIGHTS NOT FUNCTION F TRAIN i B VC SECTION VIOLATION:CTT- ROADWAY SURFACE ! G 8ICYCLF SOBRIETY-DRUG A DRY i H ANIMAL: } C VC SECTION VIOLATION.Cis � 3 SMA PHYSt C I�°gR11S57 BX I A HAD NOT BEEN mmm C SNOWY-ICYi 3 FIXED OBJECT: e E VIS.OBSCURED. ° D HaD-UNDER INFLUENCE D SLIPPERY UDDY,OILY,ETCJ i s TREE F INATTE!'r,ION= C RED NOs UNDER INFLUENCE EI I a eiER O$3ECI: # G S%Tt1P GJ TRAFFIC D :'BD-IMPAIRMENT UMK.* ROADWAY CONDITIONS - MARK I TO 3 r Emss � PEDESTRIAN'S ACTIONS i H ENTERING I LEAVING RAMP 'FLUEN' S3bCc* A HOLM,DEEP RUTS' j X A NO PEDESTRIAN INVOLVED ? I PREVIOUS COWLiSIC}% F' IMPAIRMENT-PHYSICAL* 3 LOOSE MATERIAL ON RDWY" B CROSSING IN XWAL.KJIN'TERSECTION i I UNFAMILIAR WITH:zOAJJ G IMPAIRMENT NOT KNOWN C OBSTRUCTION ON ROADWAY* C CROSSING IN XWALK NOT AT K DEFEC e.YE VEH.EQUIP,CITE H NOT APPLICA33LE iNTERSECIFO?N _ D CONSTRUCTION-REPAIR 0N's I SLEEPY/FATIGUED i i $ REDUCED ROADWAY WIDTH E i D CROSSING NOT IN CROSSWALK, L UN-4NVOL.VED V€HICLE SPECIAL,M—FOR34ATIO,N i F FLOODED* !E INROAD.INCLUDES SPOULDER � M OTHER': s A HAZARDOUS MATERIAL G OTHER*: F NOT INROAD X ! N NONE APPARENT i 4 B SEAT3EL FAILURE ' H NO UNUSUALCONDITIONS S G APr Rf3ACIffNG/LLAv4 SCHOOL BUs i O RUNAWAY VEHICLE - - SKETCH MISCELLANEOUS �-HQ DOT 3 g CHP - i DA PD/SO t STATE OF CAUFOR€ IA.. SATE OF INCIDENT TIME NCiC NUMBER OFFICER I.D. NUMBER 03-14-99 9320 13800 d t / / 10` 12` 122` / / LN JJJ #1 LN DawrmJ V-1 if f ! J Taylor Blvd Northbound mft MeWVWwd Metg&v 6 Pleasant concrete Hill Rd. ' midget f support concrete bridge support SKETCH (Not To Scale) 1 1,0,NIJMBER DATE E J. Dole 13po s V STATU OF CAS.IFO"' tNX DrW_rrN SS PASSENGERS DATE OF COL ICIN !T)ME(24M NCIC NUMBER OPFSCER i.D. NUMBER 03 — 14 — 991540 9320 013800 OANC3P:�P EXT ENT CF INJURY(X ONE) INJURED WA (`X" ONES d�ii aESS PASSENGER ACE SEX PAXTY SEAT SAFETY FJFMD ONLY ONLY FATAL SEVERE 0--HER V L.E COMPLAINT itJM$ER POS Et313iP. f '^iIRY IN]YURY NIISRY OF PAIN DRIVER PASS. PED. DIKE OTHER 'f ix 21 Mi { x i 1 v :NAME D.O.BJADDRESS 6 TEL.EMONE 3 CHRISTOPHER D. LAF LE H 10-15-77 ` f H-60 FOOTHILL PLACE, PLEASANT HILL, CA, 94523 (925) 69l-0975 ; ?;iN}I:REDONLY)TRmiSPORTEDRY: TAKEN TO- A O: AM—R JOHN IMUIR HOSPITAL TKA.LI�c�i 1 CREEK E D."^.SCC'fiiiBE iPiit}ICIES: LARGE AVULSION TO LEFT HAND, LACERATION TO LEFT FOREHEAD, MISC. LACERAT ! 1 ON . VICTIM Of VMLENT CRIME NOT#Pf,E}D X IF f .L 3 V V 9 E NA1aIElD.O.Z$JAI3ARESS TEE.EMONE ANDREA LAMADORA 02-27-81 H--900 S. HAMPTON #100, EENECIA, CA, 94510 (707) 745-2024 i(ItT3iIREU ONL Y;TRR_NSPOStTED$Y: TAKEN TO: 3 ;33ESv'R�E 33�Fkt.IR'.".S: f VSCTIXJ:OP ViOI,ENT CR.:�fE NOTA NAMM.O.BdADDRFMiELEP FONE MURED ONLY,TRANSPORTED 3Y: TAX&N TO. DESCRIBE iNlit'RIES. VICTIM OF VIOLEN-CRIME NM71EDt NAMEM.O.B.IADDRESS TELEPHONE s E iN L'RED ONLY)TRANSPORTED BY: TAKEN TO: EE E i DESCRME MURI S: VICi`SM OF VSOLENT CRjmE 2SO'rlFMD_ 1NAME/D.O.DJAODRESS TELEPFONE i 3, S ;(INJURED ONLY)TRANSPORTED BY: TAKEN TO: 1 }DESCR ISE DGURIES. i #__ ( VSCTiM OF VIOLENT CR'M9 NGTMED PREPARER'S NAME 3.33 NL MBER MO. DAY YR. IREVIEWEVS NAME MO. DAY YR. DALE E 3 X3138{ (} 03-14-99 OF 0ALIFORNLA NAREA11MUS MENIAL DATE OF INCI DEW, TIME NCIC NUMBER OFFICER I.D. NUMBER -14-99 9329 13800 10` 17 1 , LN ,�' 1 LN f r e Taylor Blvd 1 Northbound c MetaMood tguwd"UH g t f Pleasant concreteHill Rd. bridge support t concrete bridge Support (Not To Sole) L RSEEAEtEa t s s E I DoJ P- 13YT A3/f4/99 aR'ATE OF CALIFORNIA BASE(?:'AICI 3 7 €I- IE NC€��i ER OFFICER€.D. '` ER 03114199 1540 9320 013800 O.ANC3BUP 1 FACTS 2 3 ATI I was stopped on the right shoulder ofnlb Pleasant Dill Road at Rancho 4 View with my emergency lights activated to slaw traffic. A passing citizen stopped, and 5 advised me that there was an accident north of my location. I responded, and arrived on scene b at 1550 hours. All tunes, speeds and.measurements in this investigation are approximate, 7 Measurements were taken by pacing, except where otherwise indicated. S 9 tN- Y, At the scene of this collision., Taylor Road is a northbound city street consisting of 10 two lanes. The roadway is curved and has a negative grade. The surface is composed primarily I I of asphalt. Located to the east of the roadway there is a descending dirt embankment with trees 12 and bushes. See diagram. 13 14 PARTIES, 1< 16 party# 1 (Lftuh)was contacted in the passenger seat of V-1. D-1 was determined to be the 17 diver of V-I at the time of the collision by his statements,his injuries,by him being the 18 registered owner of V-1, and the statements made by the passenger placing him as the driver of 19 V-1, V-1 was found at it's point of rest facing a southern direction down the dirt embankment 20 located to the east of the roadway. V-I .had massive intrusion damage to the driver's sid r. 21 This caused the food to buckle,the front windshield to crack, and the rear window to shatter. 22 D-I claimed no mechanical defects. 23 24PHYSICAL-EME None. 25 26 ADDMONAL DT ON, Due to the circumstances involved in this collision 27 (Subject passing a marked patrol vehicle with emergency lights activated for the purpose of 28 slowing vehicles down at this location,then speeding up and running off the roadway causing 29 major injuries to himself), a citation for unsafe speed has been issued to C. Laflesh, 30 3 33 Party* Lai h) was contacted in the driver seat of V-1. When I initially asked him. about 34 the collision, he was unaware that a collision had occurred. I responded to Jahn Muir Hospital 35 and interviewed hire a second time. D-I stated that he wasn't sure if he was driving. He said 36 he was on his way back to his house to get some money. He said he was in the#1 lane at 45-50 37 m.p.h. The car spun out and ran off the roadway at 35 m.p.h. I asked hire if he saw me at 38 Rancho View with my emergency lights on. He said he "saw me there, and slowed down to 39 35." I asked him what he thought I was doing at that location, he said, "To catch people 40 speeding." PREPARER'S NAME I.D.°3UMBER. DA'T'E REVIEwE€3.'S?NAME DATE E DALE 013800 03/14/99 S'T'ATE OF CNLIFORNIA IDATE OF INCIDENT TIME NCIC NUMBER OFFICER I.D. N-UNSER €33/14/99 1540 9320 013800 OATC3BU-P � 1 _(LgMAdQW was contacted on the dirt embankment on scene. Larnadora related 3 that D-1 was driving V-1 in the 41 lane at 35-40 mph. The carr started to slide, and she 4 thought D-1 was going to correct for it. D-1 lost control of V-1 and went off the road. 5 6 TEMNS AND NCLUSI3TO€ 8 9 SUbDIARY,° Taylor Road at this location is posted as a 35 m.p.h. zone, There are also yellow 10 hazard signs with curves on them with 35 rn.p.h. on thein. D-1 was traveling n1b on Taylor I I broad at 50 m.p.h, in the#1 lane. D-1 attempted to negotiate the left hand turn at an.excessive 12 rate of speed. D-I lost control of V-1, and ran off the east edge of the road. V-I continued 13 down the embankment backwards. The driver's side door of V-1 collided with a tree located to 14 the east of the roadway. 15 16 RSA F TMZA-M- The AOI was deternned by the point of rest of V-1, and the location of 1 7 the damaged tree. The x.01 -I vs. Tree)was located approximately 88 feet north of the 18 Pleasant Hill Road over crossing, and 40 feet east of the east road edge of Taylor Road. 19 20 CAUq& D-1 was the cause of this collision, and in violation of section 22350 v,c. unsafe 21 speed for the roadway conditions. Section 22350 v.c. states in part that no person shall drive a 22 motor vehicle at a speed greater than is reasonable or prudent,having due regard for the 23 roadway and weather conditions. An in no event, at a speed that causes damage to property or 4 persons. D-1 was in violation of this section by traveling at a speed that did not allow hien to 25 negotiate the left hand turn on the wet roadway. This caused him to losecontrol of V-1,.run off 26 roadway, and collided with a tree located to the east of the roadway. The cause of this collision. 2 d is based on the statements made by the driver and passenger,and the damage to V-1. 28 29 30 ENDATIONS 31 32 Ione. PREPAREWS 1 ALM- E I.D.NUMBER DATE REVIEWER*S INAMME DATE E DALE 013800 03/14/99 STA E OF GA FORMA CHP 556(Rev 7-90)OPI 042 Pane TIME i} OFF�EA uo. JYma:A NUMBER E fNCrENTCCURtEvGd fdlb57 115416 f-fin, tlX'�13�E "X ONE TYPE SUPPLEMENTAL rX-APPL AB E} lla>rative o ssor epcwt 0,13A mate Fatal flit and run update spplarnental L—Other: D Hazardous materials ED School bus Other: CfTyr-4?t N-V,»LD$CEAL DESTfiiCT - -.._ - REPOR'nNGa DsTRCT,REAT i VTATE04 t UMBER LOCATit'WSUBJE.C•T STATE P?GHV AY RELATED / Yes Alc AElz r2 4. 5. i i 6. i -- ---------- 12. ? 13. i 14. I 17. 1 19. 20. 21. 22. I i 23. i 124. 25. 26. 27. 130 31. PREPARER'S?IAME AND U).NUMBER DATE I of IEbVE33 S PtAk4E CAPE a .7 Use previous editions until depleted. 90 57541 �e .X� l •S f A .41s L■ i ir^ tc I ash }£ z qy ,�:p� •�t � y tp �R t `1 LRd1 lot CD `s fz K ,