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HomeMy WebLinkAboutMINUTES - 03072000 - C.17 C.18 7 CLAIM BQARD OF SUPER`V'ISORS_OF #O►'S'TR4_MSTA COUNM, `'A �rJ MA _BOARD At;T101 MARCH 7, 2000 Claim Against the County, or district Governed by 1 the Board of Supervisors, Routing Endorsements, 1 NOTICE TO CLAIMANT and Board Action. All Section references are to 1 Tate copy of flys document mailed to you is your California Government Codes. elfotice of the action taken on your daum by the Board of Supervisors. (Paragraph CV belovri, given ppu�rrsuant to Goverrrrent Code Section 913 and 815.4. Pieria note all "YVarnings'. AMOUNT: $500.00 JAN' 2 6 20 couNSE CLAIMAA+TT: Carol Chan MARIINEZGALIF, ATTORNEY: c/o Scott C. Tips DATE RECEIVED: January 26, 2000 TIPS & ASSOCIATES ADDRESS: Attorneys at Law BY DELIVERY TO CLERIC ON: r Mjjary 26, 2000 - 807 Montgomery Street San Francisco CA 94113 BY MAIL POSTM,+UtXM: Transmittal L FRONL Clerk of the Board of Supervisors Ta Cou»ty Ccnrtuel Attached is a copy of the above-noted claim. PHIL BA R, Clerk Dated:. January 27, 200(7By: Deputy . IL FROrii County Counsel TO. Clerk of the Board of Supervisors ( ) This claim complies substantially with Sections 910 and 910.2. ( L)'-?''his 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 claire (Section 911.3). ( Other: Dated: By: LL4Deputy County Counsel EI FROX Clerk of the Board lx)t County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3), IV., BOARD ORDIX By unnimous vote of the Supervison present: ( ?his 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 SATC.W..OR. Clerk, By ' Deputy Clerk WARNING (Gov. code section 13) Subject to certain exceptions, you have only six (6) months from the date this notice was personally servicd 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 connections with this mutter. If you want to consult an attorney, you should do to immediately. *For Additional Warning, Sege Reverse Side of This Notice. AFMAV1T OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage full; prepaid a certified copy of this Board Order and Notice to Claimant. addressed to the claimanj as shown above, Dated: By: PHIL BATCHELOR By 4 Depult'tyy Clerk VICTOR J.WESTMAN DEPUTIES: H COUNTY COUNSEL L. ALT JANICOFF < ��.- �� JANIGEL.AMENTA NORA G.BARLOW B.REBECCA BYRNES SILVANO B.MARCHESI ANDREA W.CASSIDY CH IEF ASSISTANT COUNTY COUNSEL CONTRA COSTA -:OU NTY MONIKAL.COOPER OFFICE OF THS COUMT.- OUNSEL VICKIELDAWES MARKE S.ESTIS SHARON L.ANDERSON MICHAEL D.FARR 4diJ3Y<tt?�A�iYI$TRAT1C7id BFf1LtklN�"` LILLIANT FUJII ASSISTANT COUNTY COUNSEL DENNIS C.GRAV€S ` ��} JANET L.HOLMES MAR i;1 E }{YrAI.IF {w�t ��l��-1229 KEVINTK€RR GREGORY C.HARVEY �> - BERNARD L.KNAPP ASSISTANT COUNTY COUNSEL EDWARD V.LANE,JR. BEATRICE LIU MARY ANN MASON GAYLE MUGGLI PAUL R.MUNIZ OFFICE MANAGER VALERIE J.RANCHE STEVEN P.RETTfG DAVID F.SCHMIDT PHONE(925)935-1800 DIANAJ.SILVER BARBARA N.SUTLIFFE FAX(925)646-1078 NOTICE OF INSUFFICIENCY JACOUELINEYWOODS AND/OR NON-ACCEPTANCE OF CLAIM TO: Scott C. Tipps Tips &Associates 807 Montgomery Street San Francisco, CA 941133 RE: CLAIM OF: Carol Chan 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: [ X ] 1. The claim fails to state the name and post office address of the claimant. [ X ] 2. The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. [X ] 3. The claim fails to state the date,place or other circumstances of the occurrence or transaction which gave rise to the claim asserted. [ X ] 4. The claim fails to state the name(s) of the public employee(s) causing the injury, damage, or loss, if known. [ 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. Page 1 [ ] 6. The claim is not signed by the claimant or by some person on his or her behalf [ ] 7. Other: The claim fails to describe any duty or obligation of the public entity and any action giving rise to the claim. VICTOR J. WESTMAN COUNTY COUNSEL By: t_-V)N46�L Deputy County Counsel CERTIFICATE OF SERVICE BY MAIL (C.C.P. §§ 1012, 1013a,2015.5;Evidence Code§§641,664) I declare that my business address is the County Counsel's Office of Contra Costa County,651 Fine Street,Martinez,California 94553;I am a citizen of the United States,over 18 years of age,employed in Contra Costa County,and not a party to this action. I served a true copy of this Notice of Insufficiency and/or Non-acceptance of Claim by placing it in an envelope addressed as shown above,sealed and postage fully prepaid thereon,and thereafter was,deposited this day in the U.S.Mail at Martinez,California. I certify under penalty of perjury that the foregoing is true and correct. Dated: February 1,2000,at Martinez,California. i cc: Clerk of the Board of Supervisors(original) Risk Management (NOTICE OF INSUFFICIENCY OF CLAIM:GOVT.CODE§§910,910.2,920.4,910.8) Page 2 61 TIPS & ASSOCIATES ATTORNEYS AT LAW RECEIVED 807 Montgomery Street San Francisco, CA 94139 USA JAN 2 6 2000 415-296-7003 CLERK BOARD OF SUPERVISORS January 12, 2000 CONTRA COSTA CO. Lieutenant Wayne Willett #533.00 Office of the Sheriff Contra Costa County Post Office Box 391 Martinez, California 94553-0039 Re: Your In estiaation of of Chan Complaint of 10/26/99 Dear Lieutenant Willett: This letter is sent in anticipation of litigation and is therefore a privileged communication within the meaning of California Civil Code Section 47, California Evidence Code Sections 1152 et seq., and other pertinent authority. Reference is made to your letter of December 29, 1999, to our client, Ms. Carol Chan, advising her of the results of your investigation into our client's complaint of mistreatment by your officers on October 26, 1999. We, of course, strongly disagree with your stated findings that no action will be taken against the offending officers, particularly the one who stole$500.00 from Ms. Chan's wallet. However, most disturbing about your letter is your statement that "[t]here is sufficient evidence to prove the acts complained of did not occur as alleged." Since there is no possible way that you could possess such evidence, this law firm would be most interested in receiving a copy of whatever documents or other "evidence" you claim as support for this statement, which evidence is not precluded from disclosure by California Penal Code Section 832.7. We therefore make demand by way of this letter for your production of this so-called supporting evidence. I look forward to receiving such items from you in the near future so that we may avoid the need for litigation to force such disclosure. Thank you. SHARON HYMES-pFEt?RD Sincerely yours, JAN Z fuU Sc C. Tips SCT:mm cc: Ms. Carol Chan Nw*hnn-d,r.Mt SHARON HYMES-OFFORD &nnlp of (�untrtt tau ttt JAN 2 b 2000 (Offtrr of f4r #4rrtff Warren E. Rupf Sheriff, • January 21, 2000 Mr. Scott C. Tips, Esq. Tips &Associates 807 Montgomery Street San Francisco, CA 94133 Dear Mr. Tips: This is to acknowledge receipt of your letter dated January 12, 2000. You indicated that you represent Ms. Carol Chan in regard to her anticipated litigation. Accordingly, i have referred your correspondence to the Contra Costa County Risk Management Division. The Liability Claims Manager is Mr. Ron Harvey. Their address is 2530 Arnold Drive, Suite 140, Martinez CA 94553. You should address any future correspondence regarding this matter to Mr. Harvey. Sincerely, WARREN E. RUFF, SHERIFF Lt. INa a Willett Professional Standards & Resources Post Office Box 391+ Martinez, California 94553-0039 (925) 335-1500 �. n "s Ln VP ' �'•0W ✓_ 0 0 0 i � Ili d UJ ct3 w a CIAIM c BOARS OF 5I1 EYMSORS OE CDNIRA CC}STA COUNIL ME IA BOARDACT]01 MARCH 7, 2000 Claim Against the County, 'or District Governed by } the Board of Supervisors, Routing Endorsements, } NOTICE TO CLAIMANT and Board Action. All Section references are to } The copy of this document mailed to you is your California Government Codes. } notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given M 11WT pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". AMOUNT: $401.83 FEB8 — L 9,00 COUNTY COUNSEL CLAIMANT: Elaine B. Florance MARTINEZ CALIF. ATTORNEY: DATE RECEIVED: February 7, 2000 ADDRESS: 5030 Blume Road BY DELIVERY TO CLERK ON: February 7, 2000 Martinez CA 94553 - - - - BY MAIL POSTMARKED: By Transmittal from Risk Mgmt. L FROM" Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELOR, Clerk Dated: February 8, 2000 By: Deputy II. FR County Counsel TO: Clerk of the Board of Supervisors ( ) This claim complies substantially with Sections 910 and 910.2. { ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). { ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). { ) Other: Dated: o L4 By: Deputy County Counsel M. FRONL° Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 9113). IV. BOARD ORDER: By unanimous vote of the Supervisors present: { This Claim is rejected in full. ( } Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: r 'PHIL BATCHELOR, Clerk, A , 1/ Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF NIAH I G I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18, and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated:' ` V�---- By: PHIL BATCHELOR By Q �Oeputy Clerk CC: County Counsel County Administrator This warning does not apply to claims which are not subject to the California Tort Claims Act such as actions in inverse condemnation, actions for specific relief such as mandamus or injunction, or Federal Civil Rights claims. The above list is not exhaustive and legal consultation is essential to understand all the separate limitations periods that may apply. The limitations period within which suit must be filed may be shorter or longer depending on the nature of the claim. Consult the specific statutes and cases applicable to your particular claim. The County of Contra Costa does not waive any of its rights under California Tort Claims Act nor does it waive rights under the statutes of limitations applicable to actions not subject to the California Tort Claims Act. Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUC'T'IONS 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 1001" day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988,must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (+govt. Code§911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building,651 Vine Street,Martinez,CA 94553. C. If Claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity,separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec.72 at the end of this form. RE: Claim by } Reserved for Clerk's Filing Stamp SHARON HYMES-OFFORD Against the County of Contra Costa FEB 4 2000 or ", District) ' (Fill in Name) The undersigned claimant hereby makes claim against the County of Contra Costa or the above named District in the sum of S 461 ,13 and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact mate and Hour) 47 ------------ 2. Where did the damage or injury occur? (include/#City/and County) r,. 3. How did the damage or injury occur? (Give fart detain;use extra paper if required) �.�'...•�t t7� 'l.,t.��l-t,.. '�- � lam- i �� i,t„t�.� �� ;�'" �� � ��':� �'�� f , 4. What particular act or omission on the part of county or district officers, servants, or employees caused the injury or damage? (Over) ' glaq fiq zo `(ppp'pls) szellap puusnogl ual nipaaa 'aui�pun luauruosuduci Bans xa lou o auk u fiq'uosud aluls aql ui luamuosTaduri Sq jo'auU pun luaumosuduti Bans gloq fiq co '(000116) saullop punsnogl auo auipaaaxa lou;o aug v fiq 'inafi auo uell; azauc logic,lo pouad it .Yoi lint filunoa aql ui Iuamuosudmi Sq Aaglia algegsiund silupum io liagano.4'lunoaau 'lliq 'Iaiela lualnpnexj.io aslu3 flue'auinua2 3i auYns aql tied.io Moho of pazuoglnu '.c 3Wo xo p,xnoq laulsip ao fila 'filunoa flue of JO'.1aai,�o so panoq alms:Cue of luaudrd jo;xo am-among xol swasaid'pnu jap of lualul gliM'ogM uosxad fitana„ :sapinoad apo,a luua,d aql 3o ZL uoilaas � I10N •oX auogdalay -oK auogdolay (ssajppv) (aznleu iS sjumiep) Otuouv 3o ss3.1ppv pun aumm 3ingaq sig uo uosxad amos Sq xo Vau couv) :OL s33I.LON axis lueuuiula aql Cq paOis aq Isnua ultltla agbg :sapinoid Z•016-aas apo -.to-9 t�taow�+ Ntazt alva :fi cnfui.zo luapiaau sigl;o lunoaan uo apuur no,C sa inlipuadxo aql IstZ .6 _______________________.._-__-_____-_________---____-_-__---------_�________---_______ -slulidsoq pue'saolaop'sassaupmjo sassazppu pue sawvN g ----------------------------------------- ( aSeucep xo fimlSt4 an adsoxd sue 3a;unouce paputlW alp apnpul) Lpalndwoo lunouce paluinla anoqu aql SUM Ai L Oyyl (•a$sutBp o�n$ so,}salmuttw oau ipuny pauqva sal—p xo sayanNio 4"xa my aej) Zpallnsaz Iutela nog op sarxnfui to sagewnp lvq g _..___________________________-_______---__--_-_----------_..__--_-------___-.--___---- 4fanfupo allnluep aql 3uisnna saafioldma xo'slueAaas's.iaaWo laulsip ao filunaa,lo saumu aql axe legA 'r _ 4 Goree Ct. Martinez,CA 94553 a ' Fax(925)228-5243 >` Plumbing Sewer Service Martinez(925)228-5242 Concord(925)825-0360 Pinole(510)758-1900 Llc.#763796 Walnut Creek(925)939.0564 Antioch-Pittsburg(925)778-0179 Benicia-Vallejo(707)552-2494 Pleasanton-Livermore(925)224-9974 Customer Name Phone No. Date Siiling Job r} t r f L❑ Cash n Check## ..{-- ❑ Purchase Order# ❑ Charge ❑ Credit Card ❑ Auth/Release# Hours Charge Job Description and Materials 1st Hour j Minimum u ..a.,,..J i'�..``�.:...YS':ai:... S+✓a`.fl "G.�:;`L.:C..J '.�s$.,� !k":F...i'..+�.d" :b.4.r::J'�.•''c� ......•'I::� s�'�,,,,,r' - i Additional t . Time rte._ _, _�rases,. ~.} ;/'r...>F�j•>�:�'..... ,(<--f r.,}..t��cfa�i•-...�! i"�.......i�•'�1..tr�f� .,�a.....:.a..._:i'.'.st - f �� A.6td a z ✓ +.' i 1 itY j..,.,. .G::S L.....31......:t_-...+ r. c;:., . e -a t_sa~' f.,... !iv!. �.-..i f 1 u..r., a....:�¢.�i r i-..•?;.flf«;...�1.�.:..� :f._ .+.'"�.}� ��T.,z 7 :..t.�..!6 t._: �q'x:..4 f`w,F�' . S 7 _ i....t....*a•�.lr.c.d f �"��E J°,..r. r..��.£..v�'ts� � �"?'. .:: S.i z`a`.. .:. .... 's ... - .y ..... b...fri .1, Labor Total Materials Total A-19 .a k J�=D: f'a`1 iv A.JV1'e ("'J/4-i 1 A)L./ .-r i I" re Equipment Total Drain Care Products Total Tax L Totalount Due I -` Service Technician Recommended Service: J"'i 2nd Man Time in Time Out Price Quoted: I authorize the performance f Y x of recommended service Customers signature Initials If not paid by the 10th of the month following date as indicated above, a service charge of 1112% per month will be charged on overdue accounts which is 18%annually. In case suit be commenced to enforce payment of any sum due under said invoice,purchaser agrees to pay reasonable attorney tees to be fixed by court. THANK YOU FOR CALLING ERNIE'S PLUMBING! WE LOOK FORWARD TO SERVING YOU AGAIN! T ytGoru+-s,Crani NESS�,1�°a"�'!;�'-r�A �,3Cra$,.ft!?;3 Setvice :ou,Fsir.L.RJU P80-K427 NEbS',m,.-�_C..Yb�,*�n'iy.�x,"f(n4-,3. k2t.NJ"6 b-12U0555 cla T"KiDWRONWIff AT AM 1411110at MlK-MINEz (951 a*4135 Contra 1Afarren �.� 1124/00 5111 a" C t3181� ,.. ON fix Costa start Engineer PT pµ County (925)313-2408 . (925)313-2333 FAX FAIN Public Works Department wM 6111ttt�klTY p� + 73.83 IFA 255 glacier Drive ZNW Martinez,CA 945534825 ZilE, TME IlAfiSuxI}) 7,� 7•`9 1EA 8 email;wlai*pwcxO,=tra-cOftca.us 8i5.82 TAX: 7,it SK MUs 601100015 t)3iMLf Fs U,* I )) JNU #19911147 ((own SAM TTS M 8Wd Contra rob Tavenfer , I Iii Wix[ddM Joj MA 4LP41 t1Sta Senior Civil Engineer ) { p u n y (925 313-2258 Office � (925 890-1009 Mobile { (925) 313-2333 FAX Public Warks Department w mmmm 1m 255 Glacier Drive WE 3W Martinez, CA 94553-4825 i E-Mail:rtavenleOpw,co.contra-costa,ca.us WOST _N161 691T %SZ1$ XVi six � %*0 _N19t f 02'69 66'T I OG } , d IM!0 u2 WT" r WV T 0 GM OO�lZO ISOO AS fi S1}G}7��p0p7y-�'0r�1S GOq E 2YD V3 'Z�:PQN MIA PTWJV ISOT ma" 01 awam I t i 1V •S BOARD Of SERUSMS OF CQMA. TA =TN'T"Y. CA.LXEQBNIA Ann MARCH 7, 2000 Claim Against the County, or District Governed by l !ewe Board of Supervisors, Routing Endorsements, NOTICE TO CLAIMANT and Board Action. All Section references we to l The copy of ttis domxrnent mailed to you is your California Government Wes. notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV belovO, given ppuxrsuant to Govermmnt Code Section 913 and 1115.4. mase note ail *Warnings". AMOLNT: $347.00 FEB COUNTY,COUNSEL CLAIMANT: George Jazuk MARTINr-Z CALIF- ATTORNEY: DATE. RLCErvW: February 3, 2000 ADDRESS: 15 Crosby Street BY DEITVERY TO CLERK ON: teary 3, 20000 Pacheco CA 94553 8Y MAIL POSTMARKED: E2h�!jary 2, 2000 ..._ I PROM Clerk of the Board of Supervisors M county Counsel sel Attacked is a copy of the above-noted claim. ML SAWIELO& Cle Dated: February 3 X2000By: Deputy IL iI:ROM County Counsel M. Clerk of the Board of Supervisors ( 'his claim complies substantially with Sections 910 and 910.2. This claim FAILS to comply substantially with Sections 910 and 910.2, and we are to notifying claimant. The Board cannot act for 1$ 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: Deputy County Counsel EL FROM Clerk of the Board 711 County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 9113). IV BOARD ORDER., By unanimous vote of the Supervisors present: This Claim is rejected in full. I certify that this is a true and correct copy of the Board's Order entered in its minutes for this slate. Dated: 'l PHIL BATCCH=R. Clerk„ By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice wu personally served or deposited in the mail to file a court action on this claim. See Government Code Section 943.6. You may Meek the advice of an attorney of your choice in connections with this matter. If you want to consult an attorney, you should do to immediately. "For Additional "Wareing Sae Reverse Side of This Notice. Z7=—AV1`T OF MAIMG I declare tinder 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 full prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. / r Puty ClerkDated: BPIEL BATCHELOR By, e : r-4"y t"7jmse} ,., Cr-tnn',Administrator Claim to. BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY we SMI&TIONS TO CLA MANT '� ��� IN 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`"day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Gov't Code 911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 105, County Administration Building, 551 Pine Street, Martinez., CA 94553. C. If claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim By Reserved for Clerk's filing stamp RECEIVED /5�6,eogs Cr Ayqg�-,�O, oi- J�-3 Against the Coun of Contra Costa or ) FEB - 3 2000 e01v �R vS'Tei- t + ) - G ' District) CLERK BOARD 0 SU-PERVISORS (Fill in name) � CONTRA COSTA CO. The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district in the sum of$-,?,Ynd in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) 2. Where did the damage or injury occur? (Include city and county) 3. How did the damage or injury occur? (Give full details; use extra paper if required) _ 6 f L S4� 1/6,, 'rD 7WE- b6L7jA r-*14 ii i tc 4.- What particular act or omission on the part of county or district offs ers, servants, or employees caused the 3 injury or damage? yoclt, tec 4 AI r rvfnts or employees causin the damage or injury? 5. What are the names of county or district officers, se $ g 3 0 i/#z tr�c ILt .�. tit Al,°S`5 � --1AAA.,fi '� 72-4t& 6. What damage or injuries do you claim resulted?(Give full extent of injuries or damages claimed. Attach two estimates for auto damage.) 7. How was the amount claimed above computed?(Include the estimated amount of any prospective injury or 77 aA1 8. Dames and addresses of witnesses, doctors, and hospitals. P7&AZ— C(,1,& 9. List the expenditures you made on account of this accident or injury. DATE TIME AMOUNT } Gov. Code Sec. 910.2 provides"The claim must be signed by the claimant or by some person on his behalf." SEND NOTICES TO: (A-Ift M Name and Address of Attorney ) Ilk ) (Claimant's Signature) ) (Address) ) d W ) Telephone No. )Telephone No. 1. 7 NOTICE Section 72 of the Penal Code provides: Every person who,with intent to defraud,presents for allowance or the payment to any state board or officer,or to any county,city,or district board or officer,authorized to allow or pay the same if genuine,any false or fraudulent claim,bill,account, voucher,or writing,is punishable either by imprisonment in the county jail for a period of not more than one year,by a fine of not exceeding one thousand($1,000),or by both such imprisonment and fine,or by imprisonment in the state prison,by a fine of not exceeding ten thousand dollars($10,000),or by both such imprisonment and fine. ,t X17 COUNTY OF CONTRA COSTA Worker PCN:6 SPE COUNTY AUDITOR-CO TROLLER Case No.:.3ow 6 Gt X3.3 LOST/DESTROYED WARRANT CERTIFICATE Case Name;She Ley (2 r'pe i N�0 LEGAL REFERENCES: Month Applied: !«tom 9 Sections 29854-2 of the Goverment Code Section 2015.5 of the Code of Civil Procedure Kind of Warrant: W I, of the City of L#Mftu County of r CI- State of California, residing at "a Zip Code , declare That I am the owner and holder of that certain warrant, dated l -! number drawn by the County Auditor-Controller of the County of Contra Costa on the special Revolving Fund of said County, in favor of _j"=E6,'.t ff - 2- payee thereof, in the amount of $ 22_6 6 That I have received no benefit or value from the proceeds of said warrant and no part thereof was applied to any use in my behalf; did not +endor3& the warrant. I endorsed the warrant as follows That the material facts relative thereto are as follows: Further, I agree to itnamediatel�y return to the County of ;Contra. Costa uncashed the said warrant if it comes into my possession. I DECLARE CINDER PENALTY OF PERJURY THAT THE FOREGO ' IS TRITE ANIS CORRECT Signature Dated Signature of Witness Dated California Copy 1: Auditor Copy 2: M 262.1 (Rev. 7187) Ref: DM 25-330.6 IM Case file Copy 3: M Casle fastener 05 Cif� CONTRA COSTA 08-09-" C 3RPE� CIRING SHELLEY 30-0556333-00-M C MCGI NNI S C3PE ?Ob-4626 4545 DELTA FAIR BLVD. ANTIOCH CA 94504 FG&ORRSHE&ENUKCI RING 15 CROSBY CT PACHECO CA 94553-5603 TO: LANDLORD FOR (CLIENT NAME Z TRPRAFMNMHA KETHANT CTODHERA I ,F REOOCOUNTY BY RaHt DEYOAWILL DU I; N LY-XT-Tom- T AS-fRfIN9 PPOVlNG THE F� AXTNS ELIGIBLE FOR CASH AID* NOTE: COUN�YNIALN��REARTYTT�ST� TA ER�EM �TANHASO� TppE,LMAI�ATIppN E UNDER TH AGREEMENT AND IS T RESP'�IhISTOLE ET HER FDR CARRYING 0% ANY OB I ATION OF YOUR TENANT OR FOR ENFORCING NY RIGHTS THE LANDLORD. ALL PAYMENTS ARE MADE TOTALLY AT THE DIRECTION OF YOUR TENANT W140 PLAY TOP THE PAYMENTS MADE BY THE NTY AT ANY TIME* THE C NTY WILL pATTEMPT TO NOTIFY Y@@U OF AAYM N "NAY ER S � PPDSDRLM I" D B DL AIIE IBLE TO NOTIFY YOU. THERE HAS EEN A CH NGE IN THE AMOUNT OF RENT THAT CAN BE PAID S f ,�,�'f ANF NAME ABOVE H A D. EFFECT VE HIS !� WILL BE SINN"a Y U MONTH ON U QCT ANY REMAINDER OWED TO YOU DIR Y FRO{ ! YOU TE ANT. C—) JNx„.Y, DqA ,,PAXN NTS FOR THE TENANT NAMED ABOVE MI STIP AS OF AFTER HAT .DATE Y£1l! MUST CO ECT ANY Mn NE Y 13903 O YOU 5T '�'1"LY FROM Y R TMN; THIS ACTION IS REQUIRED BY THE FOLLOWING LAMS ANO/OR REGULATIONS RULES: THESE RULES APPLY: YOU MAY REVIEW THEM AT YOUR WELFARE OFFICE. HPP SECTION 44-°305 &17 1 � 1i � t i I CLAIM BOARD DE SUPERUSORS OF MMA COSTA QQi TTti"T`. CALTEQH n.*r s J a� BOARD AMOhE March 7, 2000 Claim Against the County, or Dstrict Governed by die Board of Superv<sors, Routing Endorsemerrrs, A N 2 � Hgg N0710E TO CLAIMANT and Board Action. A11 Section references are to IaUNrY COUNSEL The cry of this document mailed to you is your Wfornia Covert ant Codes. )MARTINEZ CALIF, ttatice of the action taken on your chin by the Board of Supervisors. (Paragraph IV befov4, given ppuurrsuant to Government Code Section 913 and 915.4. Phase note all `Warnings". AMOUNT: IN EXCESS`OE $25,000.00 CLAIMANT:Manoan j i la Maharaj ATTORNEY: DATE . January 26, 2000 ADDRESS: 5255 Sobrante Avenue BY DEt VERY TO CLERK ON: January 26_,_2000 El Sobrante CA 94803 $Y MAIL POSTMARKED. Transmittal L FROM Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. Dated;_ _ January 26, 2000 By: Deputy PHIL BR. Cle • , li FRO � .County Counsel T Clerk of the Board of Supervisors ( ?Iris claim complies substantially with Sections 910 and 910.2. This claim FAILS to comply substantially with Sections 910 and 910.3. and weare 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 Isle claim (Section 911.3). { ) Other: Dated: By: _17-2 AV" 2ag „Deputy County Counsel in PROM Clerk of the Board TQ County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Suction 911.3). N. BOARD ORDER: 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 Order goterad in its minutes for this date. Dated: PHIL BATOR. Clerk, By , Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this 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 iinunedistely. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAIIING 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 full; 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 "�:t11ty ', ,�j:$ , aT Claim to. BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY I&SSTRU-CMONS IQ CLAlE7VTANT 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* day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988,must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code§911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 146, County Administration Building,651 Pine Street,Martinez,CA 94553., C. H Claim is against a district governed by the Board of Supervisors, rather than the County, the name of the .District should be filled in. ' D. If the claim is against more than one public entity,separate claims must be filed against each public entity. E. Fran See penalty for fraudulent claims, Penal Code Sec.72 at the end of this form. RE: Claim by } Reserved for Clerk's Filing Stamp } RECEIVED } Against the County of Contra Costa JAN Z 6 2,000 or District CLERK BOARD OF SUPERVISORS CONTRA COSTA Cts. (Fill in Name) The undersigned claimant hereby makes claim against the County of Contra Costa or the above named District in the sum of S ZSt?- M + and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact Hate and Hour) 2. Where did the damage or injury occur.? (include cuy ono county) 3. How did the damage or injury occur? (ct4 fa detalla: extra er It req ) r cfan� vcfi st' a► rhi i'a,�,c bstpapr it.,rtu . Tile c�ttirn l�cP r -a 4 �� �v�d ►ri lcd a ck I`�A, hew ' 4n�-too _____o_________________________________..__._________________________________________- 4. What particular act or omission on the part of county or district officers, servants, or employees caused the Injury or damage' to damage? A�'�' �arslly elirru` enA X �.✓d+�rd415�� h01--;err.; lr�mises. RuWrc (Over) R 0-17 5. "'What are the names of county or district officers,servants,or employees causing the damage or injury? ,r -, � ........................ ............................................. s What damages or injuries do you claim resulted? (Gtve&B extent of inimrUs or daud g a dalma& err two edhnato for onto damase.) _UA 9. How was the above claimed amount computed? (radon the estimated amount of any prospective or dwwZ&) . ., _I.�—---_______________________________________. ______ ______.______-_-____4___ . 8. Names and addressps of witnesses,doctors,and hospitals. 1�'Xr-tAJ �1.t5�'►''Pvye'td n Ycf `" Jc IYYIt/Ytl� 941 l q01 Alevi`n Awnoe) tZicGt of , 9. r List the expenditures you made on account of this accident or injury: PAn AMQUn Pend Gov. Code Secs 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 AUS d- 'teoen-James CkdO (Claimant's Signature Mfr'?.= r-ei t ZSS wl : ! 111 ✓✓1 -Ott SG ate � ( (Address) Telephone No. S,10– Ltqq 1497 d ' Telephone No. S70' Z Z Z–7–Lf 7 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 imprisonmo-nt in the county jail for a period of not more than one year,by a flue of not exceeding one thousand dollars (S1,000),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. Boaz Kbc Galo RICHMOND OFFICE I' I 3150 HILLTOP MALL ROAD RICHMOND, CA 94806 510.839.4300 PERSONAL INJURY ATTORNEYS SAN FRANCISCO OFFICE ONE SANSOME STREET, SUITE 2000 SAN FRANCISCO, CA 94104 415.777.4878 LAKE MERRITT PLAZA + 1999 HARRISON STREET, SUITE 1990, OAKLAND, CA 94612 + TEL 510.444.4878 + FAX 510.444.4432 + E-MAIL CH010DNAI.COM January 20, 2000 Sharon Offord Contra Costa County Risk Management 2530 Arnold Drive, Ste 140 Martinez, CA 94553 Re: Our Client: Manoanjila Maharaj Your Insured: Martinez court house Claim No.: Unknown Date of Accident: October 26, 1999 Dear Sharon Offord: Enclosed is a copy of the claim form that will also be mailed the to Clerk of the Board of Supervisors. Thank you for your courtesy and cooperation. Very truly yours, 14" Kelly sai Law Office of Steven James Choi 00'/7 APPLICATION TO FILE LATE CLAIM MARCH 7, 2000 BOARD OF SU'P VISORS OF CONTRA COSTA 50 M.. CALIFORNIA BOARD ACTION Application to File Late Claim } NOTICE TO APPLICANT Against the County, Routing } The copy of this 30—OMME MaIT63 to you is your Endoraements, and Board Action.) notice of the action taken on your appliwation by (All Section References are to } the Board of Supervisors (Paragraph III, below), California Government Code.) } given pursuant to Government Code Sections 911.6 and 915.4• Please note the "WA C3" below. Claimant: JONATHAN LOUD Attorney: Address: c/o KATHLEEN M. SCHLOSSER P. 0. Box 4317 CAL WEST subrogation RecoveryMountain View, CA 94040 Amount: By delivery to Clerk on February 7, 2000 Irate Reoeived: 2-07-00 By 11, postmarked on February 4, 2000 erk -07 ER Board o Supervisors TO: County Counsel Attached is a copy of the above noted Application to File Late Claim. DATED: February 7; L BATC4iM.OR, Clerk, $y � Py I. Pus CFE-Ey Counsel : Clark o the o Supervisors ( } The Board should grant this Application to File Late Claim (Section 911.6). { } The Board should deny this Application to File Late Claim (Section 911.6). DATED: 'VICTOR OMAN, County Counsel, By Deputy mous vo e c pery cors prOM (Check one only) ( } This Application is granted (Section 911.6). ( - This Application to File Late Claim is denied (Section 911.6). I certify that this is a tare and correct copy of the Board's Order entered in its minutes for this date. DATE:mo' � 2, '3 PHIL BATCHELOR, Clerk, By '... t puty WARN= (Gov. Code 1911. 3) If you wish to file a court action an this matter, you must first petition the appropriate court for an order relieving you from the provisions of 0overrment Code Section 945.4 (claims presentation requirement). an Government Code Section 946.6. Such petition moat be tiled with the court within six (6) months from the date your application for leave to praisent a late claim was denied. You way aeek the advise of any attorney of your choice in concoction with this matter. If Z2u aunt to consult an attcrne you should do so immediatel . : Clark o : County County AdministrMF Attached are copies of the above Application. We notifed the applicant of the Board's action on this Application by mailing a copy of this document, and a memo thereof has ben filed and endorsed on the Board's copy of this Claim in accordance with Section E97O3• � �' �- Deputy v. r ; .,.._.PHIL SATCHELDR 0 Clerk, Hy �_- v� Dep........._. : County &—ur@-Z (15 Coudnty AdminikWor 16t dclerk or-OWor-OW Bear of Supervisors Received copies of this Application and Board Order. DATED: County Counsel, By County Ad1mini3trator, By APPLICATION TO FILE LATE CLAIM rrwiw or Racycltttl 70-00 11-4 Risk Management Division /�' Office of the City Attorney 2600 Barrett Avenue, Room 301 Richmond, CA 94804 City of Rio* Ago&� August 02, 1999 Cal West Subrogation Recovery 336 Ramon Drive Los Altos, CA 94024 RE: Claimant: Jonathan Good Date/Loss: April 14, 1999 Claim No.: 0770ORL200017 Dear Sir/Madam: Your claim against the City of Richmond has been received. Please contact me at (510) 620-6709 if you have additional information not contained in your original claim that will aid in our investigation. If you wish to speak with me in person, please call the above number so that an appointment can be scheduled. I may be reached at this office between the hours of 9:00 a.m. and 4:00 p.m., Monday through Friday. Sincer y Ci�aa e Car -Hernandez Liability Claims Investigator Workers' Compensation Claims: Liability Claims; Police and Fire: (510)620-6973 (alt))tilt)-67{t9 All other departments: (510)620-6711 Fax Nunther. (3'10)420-6811 Phil Batchelor —TheV rd of Supervisors Contra Clerk of the Board County Administration Building Costa County Administrator 651 Pine Street, Room 106 (92siaas-1soo Martinez, California 94553-1293 County John Gioia, 1st District Gayle Uilkema,2nd District Donna Gerber,3rd District M. Mark DeSaulnier,4th District Joe Canciamilla,5th District ,v a .'c r TO: Jonathan Good c/o Kathleen M. Sclosser Gal West Subrogation Recovery 336 Ramon Drive Los Altos, CA 94024 r NOTICE TO CLAIMANT (Of Late-Filed Claim) (Government Code Section 911.3) The claim you presented to the Board of Supervisors of Contra Costa County, California, as governing body of the County of Contra Costa on October 27, 1999, has been reviewed by County Counsel and is being returned to you herewith because: — Your claim for an injury to person or personal property which arose on or before December 31, 1967 was not presented within 100 days after the event or occurrence as required by law. (See Government Code sections 901 and 911.2) X Your claim for an injury to person or personal property which arose on or after January 1, 1966 was not presented within six months of the event or occurrence as required by law. (See Government Code sections 901 and 911.2) Your claim relating to a cause of action other than injury to person, personal property or growing crops was not-presented within one year after the event or occurrence as required by law. (See Government Cade sections 901 and 911.2) Because the claim was not presented within the time allowed by law, no action was taken on the claim. Your only recourse at this time is to apply without defy for leave to present a late claim. (See Government Cade sections 911.4 to 912.2 and 946.6) Under some circumstances leave to present a late claim will be granted. (See Government Code section 911.6) I;\TORT\RISK-MGT\CLAIMS\LATE\Good.wpd ' �, -- ercnw RECEIVED CAL WEST' SUBROGATION RECOVERY Kathy u ger► PER7 2000 P. 0. Box 4317 (650) OF SUPERVISORS Mountain View, CA 94040 Fax: (650) COSTA M .k�0-5-44 A v I i t insured; ``1� 4 � ` Guc Claim No: ' (10 (c> l Date of Loss: •-Q/�L (. L,+-4->, C'L-L", H 0"�q; - .. �,� �, <n f. `li el"17 J VPX Clam to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code§911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building,651 Pine Street,Martinez, CA 94553. C. If Claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity,separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim by ) Reserved for Clerk's Filing Stamp C,01�i— ) RLCEIVD P-'-co v ) DEC 13 1999 . Against the County of Contra Costa CLERK 90ARD OF S"t^��;r'"OSS C NTRA or District) (Fill in Name) The undersigned claimant hereby makes claim against the County of Contra Costa or the above named District in the sum of S -11 and in support of this claim represents as follows: L When did the damage or injury occur? (Give exact Date and Hour) ----------- --------------------- - --------,_ .`-- ---—---- --------------------- 2. Where did the damage or injury occur? (Include city and County) V JA --------------------------- -------------------------- 3. How did the damage or injury occur? (Give fall details;use extra paper if required) 7=2 t�?-l V I r^S C� C7 r� V^L--f._.. `7+ V 1 r t o.<p f-V7,> -4 Ar*-c�-�- 4. 'What particular act or omission on the part of county or district officers, servants, or employees caused the injury or damage? {Over) •aug pug;uauiuoslzdmi gans q;oq,Cq xo '(000'01$) sxe;lop pugsnogl ual gucpaaaxa lou 3o auU g gq 'uoslid a;e;s aq;ui luaucuosudwl Cq.xo'auu puu luautuosuduxi gans q;oq Cq xo'(00011$) saullop puesnoq; auo 2uipaaaxa lou jo auU a ,Cq '.xuaC auo ugg; axour lou;o pouad a xoj lir f:C;unoa aq;ul;uamuosudmi Cq.iaglp algegsiund si'gui;ixni jo 'xaganoA ';unoaae 'ILq`mrela lualnpng.i; to asle;Sue'aulnuaS,ll aures aq;Sud ao moll¢ o; pazuoglne'xaag;o ao pxnoq;auIS ip xo 941a C;unoa , uv of ao'.mg;o io pjeoq ale;s flue o;;uawAed.co,;.10 aaue,uolle joj s;uaswd 1pneajap of;ualul gj!AA oq i uosiad Qan3„ :sap!Aoard apo leuad aq;3o ZL uoi;aaS 10N 1- _ c -o Nj auogdala 1, a auucldala L (ssaappv) a n 0v r a ) --v"s-°- Sauao;ly 3o ssaapp`tr pug auiek i,-jlvgaq sig uo uos rad autos Rq zo (Sauaouv) :0j,,S331LUAt(luas lueuiiela ag;,Cq pau2is aq lsnui morula aq,L,, :sapinoid Z"016 -30S apo , •nof) r no t� wall 9,LVU :Sinfut.io;uapiaae scgl to lunom uo apuue noS sajn;ipuadxa aq;;sy l '6 ----------------------------------------------------------------V--------------------- •slg;cdsoq pug'sao;aop'sassau;im to sassaippt puu saucer °g (-alumsp io Xjnftq ae44aadgwd Cua,4o 4unouss pa;eum-alp apn(aui) Lpa;ndwoa;unom,pauuula anoge aq;sum,stag .L ----- ,-__C -------------------------------------------------------------------- c�. 4-, t 'tr b 1 -t j,-,.,o + ( a�eurep o;nrs JO)5aIUMPSa OAy IpV;jV •pan4e4•a SaUMVp.co Saianfuijo 4uaw tm ama) Lpa;lnsax tawla nog op sapnfui.co sageulep ltgALt g ------------------------------------------------------------------------------------- Z"nfui ao aSuuuup oql guisnga saanoldwo xo'sluTg uas'sia:)Wo laic;sip to";unoa jo saumu aql aau lgxlm `S 4;3`4 i� J W � W X" 0 0 d- ! ! z(D 0 �} 050 C-1 < t-- GA7 V3 C9 Uj .,.rl l 171 a) cpl ► a �. + 1p M .4 ..4 r O y 1010 1+.,, C? L3LU00 .4 SLS rgo 0 z o Q T- w a 0 o to W F- i— to#i rr ## .x ag Of W J.1 :r ."L'' 0 Ui `w. 0 till r 0 Z ey _� cc LU—A tt k �to,�Ct c� cr W� 0-6 0 TR a�P o Q a $0 wwZIL ti ILr Er to .J V VIA 1G V t� rt tr J y` ul tk!{ Q j� Wy {)J 1 Y rf'r M1Y, Y�- CL A ../ C J b I C3 s #i M ?'• 0 C3 cc z 1 1 C.1 CU) W .Qt w < .j It� tr j C) its W w O 0 u9 11 rri z ul At C)U CA C� ofC c OC CJ tY d -A W , C?L'�i `��" els � !� '� 1� 2 � ]► iC7 r` LU 9 #r w !!. UJ U IL ..i V) LU V d O 0 HARLEY-DAVIDSON OF'VALLEJU ' V 1600 5ONOMA BLVD. + VALLEIO,CA 9459 xf t-M 643-1413 FAX(707)643-1462 1x c t11I1aER ESTIMATEkri: Order ha.t I*MB tiev tag: batt. 9188/1999 "fie*: 4;4%N Reftrtncr V lei i Ser i a!: 11D 1 FCR3iiSY6M7 Custa�er: ;�8 Nodei : FLX►C-01 3I1EpTHAM.GOOD Nanutocttww.- io Year: 1995 764A BERN8i11 WRY Niloage Ing 34989 II.IN CA 94365-1111 Datt/Tito Int 9/86/1999 16,29 Pant:11826- 941 titrlts tiYB! 6.+.,; Fix.(W)an Tar ExttPt:N P.D. No.e Tax Not Service Advisor; 18! Notes-00 ESTIMATE iter Nusber bescrip# ta #I Bty. uric* Ea. Ext. Art. Event Nulbtr: ! DeKTiation: CRAtS# EmMATr Type.. R 188916 Dw STIb1P 5.96 8.31 1.* 1.55 1 t-arA L.R.WWRP.TIDW I.* 354.95 8," 514.955 1730 SCREW, FUIT TGRX 11EA 2.88 8.35 U1 L 75 23416-64A "ING, amDH CANER 1.68 i.68 8.81 1.68 314+33-W OIL SEAL, i.6! L91 LU 6.91 34911-94 GNA7, PRIMARY COVE i.1t I7.w &u I7.N 34W&-MB I! Emm MWR so t.16 215 754 SCM4 HEX SOC. 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Nat A Receipt .......... 13.73 t st-*v+o®..a wm r+o. &A ou me s mom 'ALi ° " `oma, Lee 5 +oo not wwd an"mme. fits Rrww L M wow *am* yww+or5w�rwaw� u�E�Nr 1.0 rw.A..,..+�wwr■www..��r+.r.s..p:a.r.�. ..��°"��` t�►t :�c.I6 rww*wW r.r.wwMi.r�.*.M,a,.�,,.�,■.rew�w LU cunmmx T 2477.14 =tA'tm no to AT Too Plate 1 txyav 00 Mild3 L! c �' ' ZtINC1C 10659Z85Z61 92:4T 666T/TZ/60 n �/11/1yy� t/:t)5 1925821s�Srit . Jt31VRVTHAN & SUZETTE: HARLEY-DAVIDSON 4F VALLEJb 1600 SON©MA BLVD. • VA,LLEJO,CA 94590 "`� •` r. (707)643-1413 FAX(707)643-1462 Dark Order No.. 14258 770J NONi( MR ESTIMATE Otey Tali l Date, 9/ 6/1995 Tiers 4149►s1t ►Taference s WSerial 1 IH)lFCPjM68w Cust#eert 378 Nwel : fuiTC-ul JtiNfilHpMl 8Ii11D Maswfactorers NF1 Year: t995 7644 13M WAY Nileage Jul 34969 MAIN CA 94%&-" bate(Tisrt fat 91l8li399 15125 Rh1n*:i%5)828-5941 Ilorkr(888)BYl8-88 Ext.. faxs(NG)A8A-*W tax Etie'ept-1m G.O. No.t Tax Not Service Advisor: RN NoteslCRIM ESTIMATE Iter Wow Description Oil Qty. Price Ea. Ext. Ast. 22.58�91.8$� m 58 90943-33 N0111T. 6t1AAp PAIL, c 1 8s 5.75 8.60 11.38 36445-93 0"T, am RAI:. 2.ee 8.25 8.n tS.38 98946-93 CLW, 8m RAIL.. ?�.5e Nates, WOWIN6 OFF IlS1gpU COWANY ;_3T ii:t C1J6T0 a MUST YIs, IN ECTION PACIFIC SPECIALTY INSYRANM CdpW BILL WARM (888) %2-1172 F—, . 3892 ' ?his I; Ars Estiratf Only Prim Sub.Jert To Chang# ! plot A Receipt .......... ' Z Y 77. 1 y 13c1?3 44L 1� 77 Pl 7 PINia"W"W"rep" but Cal SAH be'We mu%"V d ttw orae s. s x.t do nal ww nn ftlwnwy, 5t�c LIS B„�latttlir■ 5.98 K«wv auw.Mr r«err �.n.Nr.w brw r w dome"..*wpm "W` is ...w.iw. ..r.,auurwewrrr..rerrrr.....r�.isVON" I uta0iilv8.88 �!r!a�w►rr+ r.r.+w+M+r' � �, ` � 7#2.16 "�"�"t.err.rnruMtrir�rN7.rw�wrr,re.au._ �,�8 X Teta 2477.14 1 ou"otrwattsroa AW W&M AT Two pap 2 nkwyrvAm rr%w TO: BOARD OF SUPERVISORS C.Ig FROM: Phil Batchelor, County Administrator Uol-Itra DATE: March 7, 2000 SUBJECT: Final Settlement of Claim-- Cruz-Rincon vs. Contra Costa County uOul Sup. Court#C9900259 SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&13ACKGROUND AND JUSTIFICATION RECOMMENDATION: Receive this report concerning subject final settlement and payment from the Medical Liability Trust Fund in the amount of$1,750,000. BACKGROUND/REASONS FOR RECOMMENDATION: W. David Walker, defense counsel for the County, has advised the County Administrator that within authorization an agreement has been reached settling the medical liability claim of Cruz- Rincon vs. Contra Costa County. This Board's February 15, 2000 closed session vote was: Supervisors Canciamilla, Uilkema, Gioia, DeSaulnier, and Gerber, yes. This action is taken so that terms of this final settlement and the earlier February 15, 2000 closed session vote of this Board authorizing its negotiated settlement are known publicly. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR MENDATION ARD COMMITTEE APPROVE OTHER SIGNATURE(S): ACTION OF BOARD ON MARCH 7, 2000 APPROVED AS RECOMMENDED X OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON THE MINUTES OF THE BOARD x UNANIMOUS (ABSENT DONE ) OF SUPERVISORS ON THE DATE SHOWN. AYES: NOES: ABSENT: ABSTAIN: ATTESTED MARCH 7, 2000. PHIL BATCHELOR,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact: Joseph J. Tonda—335-1450 cc: CAO Risk Management Auditor-Controller BY , DEPUTY