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MINUTES - 05012001 - C.9
• � AMENDED �• CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALHORNIA BOARD ACT10N: May 1, 2001 Claim Against the County, or District Governed by I the Board of Supervisors, Routing Endorsements, I NOTICE TO CLAIMANT and Board Action. All Section references are to ) The copy of this document mailed to you is your California Government Codes. I notice of the action taken on your claim by the ¢��� Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and APR 1 6 2001 915.4. Please note all "Warnings". AMOUNT: Unknown COUNTY COUNSEL MARTINEZ CALIF. CLAIMANT: Gary Mosbarger ATTORNEY: None DATE RECEIVED: April 13, 2001 ADDRESS: 901 C6urt St. BY DELIVERY TO CLERK ON: April 13, 2001 Martinez, CA 94553 BY MAIL POSTMARKED: April,ll, 2001 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. J EN, Cl Dated: April 16, 2001 By: Deputy 11. FROM: County Counsel TO: Clerk of the Board of Supervisors ( This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return 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: 47_«o'0/ By: — ( Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). BOARD ORDER: By unanimous vote of the Supervisor present: This Claim is rejected in full. ( Other: I certify hat this is a true and correct copy of the Board's Order tered in its inu s for this date. r Dated: I ��Dl JOHN SWEETEN Clerk, By �� , Deputy Clerk WARNING(Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. 'For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAII.ING 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 cop/y1 of this Board Order and Notice to Claiin n addressed to the c aimant as shown above. Dated: By: JOHN SWEE-fEN, CLERK By Deputy Clerk 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. RECEIVED >Inn aox /1t�ssblar�e� APR 13 2001 CLERK BOARD OF SUPERVISORS CONTRA COSTA CO. s------U-14-w. -15-moo._C.c-�_For _y o\I-_o I rut-- - ✓- r_s co_rlduc�_a.n�c>nl a�a Eu�-(�- n-r s h►^�9-� --- - - - -�_D � �m.�_o_s.a�_la�� Co_m.v-�-•--Gv c�_c��.a.�t�,..--eXcs�s i - -841 kI S. a-c-ri o n G? Tnv . - --- ! �':I —_✓�wz (�coc,oaS.._c �,._Con.s_ iu.i<`e -(��n.ch rnan� of- . ---- i��� ck� _.f'r_ 1_rook__W-i_}2 o v 1-- �� �r�c�-ks1--co-F_Lc1A=-� v._n_Qs.u.aL__�O.v n s h.n•e��. .I• r I��I —I o r—�__$ � d�Co_M_r_•�—�-ec1.�0.r_oQ c�r`s�__ �. �.. � ... . ... . aol�l—P�� ' .r_n—_l�Gd�—.✓�B rA_a.rl�'3....__rr,sic _ `� t_Jc�rC,,"4 - - II: - a3 m ]__o_Y.�_f�crs---v''l 3 F�a-row - q I - --__- - ---- - 3 ----- _ -ILQ 0�1.S_ -Fczr C��0._ !p¢�o r� Go_n�J r_c_�i -•--.- .---- .3 S_�k_�.Z rte•-G�Q,�r G'� (��`� ��F.-(�o��l�e_w_v_rc�-��C��►-v$..--- hl i' �- - r a 3 1�s�ous�� C�a;w15— a�/--Sras _ �j --mow r_���� c?,.✓�_c� �1•_u_s_s��—���C'�1_r•vol v&�:_�._ - .—-�--- -- - --- -- 1 C�s k Cay n.h_b a"0 e� �rn a _ono-lob-.►..c a-�—— -- _._ us_v4�1-��.n�sh_vn��L_ _,. T�Q, A p9-Ga3 ---_----t-5 17 ap p—�'1 c f ueL- -- 1 I— �� =v�_C�,.B-��7a�_G_ Con_✓_�C_�e�_—�p.C.�_S_O_�ta-� d�_o�_r�Jc _. _ . cis 5 - - L_e.rna-l-r_.z_-Y-S• ---- a 7 . C_6_r_r Qr.�C o_n_✓r n c�n �hresw=-�15-- _F�Jr OAAA!o-n-- a$ - a� r-o a`17 3-'-V- --- - - i \ • .�y� n,� COOS `rad • rpm 52 dio U3 RJ 4vw r .w Ctk b l ycra 1 - = ' y: �•�` � � f V .wr. AMENDED CLAIM CLAIM hOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION: May j, 2001 Claim Against the County, or District Governed by ) the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section references are to ) The copy of this document mailed to you is your California Government Codes. ) notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". AMOUNT: Unknown APR 0 3 2001 CLAIMANT: Gary Mosbarger MARTINEZCALIF. ATTORNEY: None DATE RECEIVED: April 2, 2001 ADDRESS: MDF DA15 BY DELIVERY-TO CLERK ON: April 2, 2001 901 Court St Martinez, CA 94553 BY MAIL POSTMARKED: March 30, 2001 I. FROM: Clerk of the Board of Supervisors TO: County.Counsel Attached is a copy of the above-noted claim. JO TJ Clerk Dated: April 2, 2001 By: Deputy.;.., H. FROM: County Counsel TO: Clerk of the Bo rd of Supervisors ( ) This claim complies substantially with Sections 910 and 910.2. ( IrThis 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: :—1 `�+ B Deputy t y 1 � ty C�un y Counsel III. FROM Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant(Section'911.3). BOARD ORDER: By unanimous vote of the Supervisors present: This Claim is rejected in full. ( Other: I certify that this is a true and correct copy of the Board's Order entered in its mi i tes or this te. Dated:aJM JOHN SWEETEi1 Clerk, By eputy 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 MAIIdNG 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-1 deposited in the United States Postal Service in Marti ez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant ddressed to cla' ant as shown above. Dated VA �� By: JOHN SWEETEN, CLERK By eputy Clerk 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. l l i ; _ 1 1 /O Co m c,r c� ►?, /� S, C ti,"'��(C'l �S�-h. Cc v � ?� � O c PTY " C" II G7 G N 3 / f S Le t-�•c f S �C 1 �? 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Sjq Routed To: ANSWER: ( )APPRO �(X; IED-(state�rea on) Mr. Mosbar er: I have denied urfete citizen ` compiiint forms since inmates in this facility have the - . - : :.•.::. : - .. grievence proceddures as outlined in the facility guideline;'; i.e. posted in the indvidual modules. As to your other issui- By: Lt. John Celestre Date:_Q�/�_/_QL Pink:Kept by Inmate Yellow:Reply to Inmate White:To Booking DET 024:FRM 1/2/91 � r 'V(_ C Office of.the.Sheriff Warren E. Rupf Contra Costa County SHERIFF Kathryn J. Holmes -�•: Undersheriff y? as p? Custody Services Bureau 81eosr'�° TO: Mosbarger, Gary DATE: March 8, 2001 Booking 2001004738 FROM: Captain Rich Woolard RE: Minimum Jail Standards Detention Division, Operations On March 5, 2001, you engaged in disruptive conduct in the transportation holding area of the Main Detention Facility.. In the course of your disruptive conduct you failed to comply with the lawful orders of my staff. You additionally attempted to stab one of my deputy sheriffs with a sharp object. Prior to arrival at this facility, you made verbal threats of harming and injuring deputy sheriffs at this facility. Your conduct in this regard is completely unacceptable and will not be tolerated. Effective immediately you will be placed on Minimum Jail Standards. You will receive the opportunity for three (3) hours of free time each week. You will be placed in restraints any time you are out of your cell or escorted within or out of the facility. �ea4 h �rcr-L--) c,-&-:oo}- r-,t s+-fra%ru.c� ,.1 ti� MGr\YVlI� . d►1� r\Son 15 NG These restraints will consist of a waist chain, with both o your hands attached to the waist chain, as well as ankle'restraints. r�`c'zr excsAS Izc a-ri a g Qr�d .c. o- c U r i N �,v� f"V r z-kL" will not tolerate your threats.or attempts to harm my staff, nor wl l I ,give yoTi the opportunity to bring harm to either my staff or other inmates in this facility. 7k%L- � U-i 4c- 5upptx-ss My Sic 1� I will review this decision at the end of thirty (30) days and assess if you have begun to adjust your conduct and behavior to conform to facility rules. cc: Commander G. Moore Lt. J. Celestre Sgt: J. Jennings Sgt. G. Wright Inmate booking D Module Lineup board P � - CONTRA COSTA DETENTION FACILITIES Incident Report Incident information: Entry Dt/Tm: 03-07-2001 1510 Entered By: 60199 , JACOBO Updated By: 60199 , JACOBO Synopsis: This report concerns a follow up investigation of incident#1001200(written on 03-05-01 @0700 hours involving Mosbarger, Gary (#2001004738) and his disruptive and assaultive behavior towards staff. Narrative: Sgt. Sanchez assigned me to interview approximately eight witnesses who were in room#2 in courts holding on 03-05-01 at approximately 0700 hours, during the incident between Mosbarger and transportation Deputies. Sgt. Sanchez gave me a court list from 03-05-01 of all those who were present at or around the same time. I randomly selected eight inmates from modules A,B, and F. I interviewed inmates Decker, Larin (BK#2001004846), and Jones, Michael (BK#2001004080)on A-module first. Decker said room#2 in courts holding was very crowded, and Mosbarger refused to let anyone else in the room. Decker said Deputies told Mosbarger to step away from the door and Mosbarger said:"No, I ain't movin', it's too god dammed crowded in here!!". Decker said at that point Deputies pushed open the door of room#2 and placed Mosbarger on the grou Deputies then removed Mosbarger from room#2. Jones told me he did not recall if words were exchanged between Mosbarger and the Deputies, but.he did see Mosbarger standing in front of the door of room#2. Jones saw the Deputies enter room#2, take Mosbarger to th ground and remove him from the room. i I. I next interviewed inmates Mathers, Matthew(BK#2001004754)and Shavers,Antoine(BK#2000012802)on ! B-module. Mathers said room#2 in courts holding was"packed", and Mosbarger was standing in front of the do He said Deputies asked Mosbarger to step away from the door. Mosbarger did not move and asked the Depute !: to move some of the inmates in room#2 to another room. Deputies again asked Mosbarger to move away from t door and he did not comply. Deputies then entered room#2, placed Mosbarger on the ground and removed him from the room. Mathers told me three deputies entered the room.Two deputies placed Mosbarger on the ground, and one stood by. Shavers said initially a female Deputy tried to open the door of room#2 to place some inmates inside. He said i Mosbarger would not allow the female Deputy to open the door.The female Deputy told Mosbarger to step away from the door and Mosbarger said:"It's too packed, I ain't movin'."Shavers told me Mosbarger said:"WhVdon'ty move s=_q f us to ano er room?"to the Deputies. Shavers said Deputies told Mosbarger several o the a inmat inside room#2 were due to leave anytime, and to be patient Shavers said Deputies asked Mosbarger to move away from the door again and he did not comply. Shavers sai Deputies entered room#2, took Mosbarger to the ground and were:"Having him touch in'walls", and then handcuffed him. ---- I'. I finally interviewed inmates Stephens, Delmas(BK#2001004039)/Engstrom, Edward (BK#2001004253)I Carte Marcus(BK#2001004502)/and Holmes, Dale(BK#1997209733)on F-module. Stephens said when the female . Deputy.tried to open the door of room#2, Mosbarger said:'They can't fit in here,they can't fit in here!!". Stephen said Deputies told Mosbarger to move away from the door of room#2, and Mosbarger did not comply. Stephens said he saw Deputies enter room#2, push Mosbarger against the wall and remove him from the room. Inmates Engstrom, Carter, and Holmes(who is deaf)told me they saw nothing. Holmes communicated this to m by writing on a piece of paper. Engstrom said he was asleep and Carter said:"I didn't see nothing.". Supplemental report: Sgt. Sanchez requested I interview eight more inmates who were present during this incident. I first interviewed Jenkins, Todd (BK#2000011934)/Saenkaew, Supachai (BK#2001004797)/Garlingto Michael (BK#2000027420)/and Bacerra, Porfirio(BK#2001004712)on Q-module. Inmates Jenkins, Saenkaew, j and Garlington all said they saw nothing. Bacerra said:'The guy (Mosbarger)was telling the Deputies there was no room in the place and he-put his back F the door, and then they (the Deputies L&gD, a_nd 'um ed him.". I asked Bacerra if the Deputies who entered the room ever told Mosbarger to move away from b-acurra said:"Oh yeah, they (the Deputies) must have t the guy (Mosbarger)three or four times to move before they came in, but he didn't want to listen.". T I then interviewed Walters, John (BK#2001004831)on M-module. Walters was housed on 0-module on the day the incident and was present in room#2 in courts holding. Walters saio: "I saw pretty much what everybody else saw. The guy (Mosbarger) didn't want to let anyone else in the room because it was too crowded. 1 mean the .. Facility: 1 Page 3 of 4 Printed: 03-07-2001 1850 5271 MAIN ` `f .I S .7 , viau r,,C4 o F Punted By:46927,SANCHEZ /� fa .0.W. D, 1 P-2aCQ vrr,(�+ CONTRA COSTA DETENTION FACILITIES Incident Report Bey came in, but then they took him out and put him against the wall. . KiIliams, Fredrick(BK#2000020528)/Osage, Michael(BK#2001004847)/and J04896)on C-module_Williams said:"It wasn't none of my business and I saw was in room#2 in courts holding on that day, but said he saw nothing..I.spoke with ne speaks spanish only) and he claims he saw nothing as well. _ j; i • i • 1 i.i.. h., I f ..'1 I_. Facility: 1 Page 4 of 4 Printed: 03-07-2001 1850 5271 MAIN Printed By:46927,SANC14EZ L j4WM4.xi_y"fflit Li�W4k;1r§PffE OF CALIFORNIA. . G3 .`.9i?2G'�'-tee' hw_T10E,SENTENCE,COMMITMENT FORM .� DOCKET F'A RATE—H DEFENDANT MOSBARGER, GARY DALE DEPT. 021DAT 3/05/2001 T1M� 19:30. AM ADDRESS TFtANS1Ef1 _ DOB ROC = PRCA~_ DEFENSE ATTORNEY "�- TIME WAIVED CUSTODIAL STATLB_` C#r !PC 4534166G CHARGES +,_0 lei PRvCEEDINGS t; RTIFlED CORRECT JUDGE M COLEMAN. COURT REPORTER :. R MASEL,i.; ;......;::,_ CLERK DEPUTY G ." nW ASSIGN. .. COURT DEPUTY TO DEPT. JUDGE. REPORTER ^:,:;::.:;:•:::• :. ..::: CEEfiK°r, ,;r.:a•y' I�I'i �/��� APPLICABLE ENTRIES MARKED A' ❑ Deft.proc In PRO PER' A Q Answers true name as charged E3Bench/Arrest Warrant to Issue R w P ❑Deft ;ts.❑.in custody.[XDett..not appearing:. :: ;. : A Set at$ 'E C1 With/byJPub. DetJADO 1 F-1WaivesWaives Ardreading of Complaint Recalled ❑Set Aside ❑Remain Out ❑ De Est.A N_ff ' ' R R . putt' Atty. Handed copy ot'Camplaint/Discovery N ❑ No PTA Release ❑ No Vol.App. A. ❑-Court bation,Off. f. Y ❑Deft.dul. N.. .. .. .. ... .. ..:..,E..:, w., y.arr.� Video ....Q on Prob.Vio. ❑Hald urttll C ❑ Interp.. sworn/ on file N ❑ Deft.waives art.on amended complaint. e a C3 Sail forfeit&continued 190 days C3 Bail Exon E: -. ❑ Cern 'Non=Ce ed per Rute 984 2 T A E ❑Bail forfeiture set aside 8 reinstated Order :. Int Q Int.Coord.notified°:•:c r,- ,,: ::.: ::' .'::L R : upon,paym@cit:of:.fee$ ❑ - Referred To:PUBLIC DEFENDER w :. , .. .. ,jt•.❑Wrftten,Plea.filed ❑Pleads Guilty,Ct.S O 2 _/ ']„ -3r0-- R`1] Referred To:PROB.Bail Study/PPR 1 N -- , E v ❑ Pleads No Contest,Found Guilty,. ; ! i. F'.Q Referred per❑288.'1 PC❑1.368 PC:, :: .: :.. ;.- - T....; . ;:,.,,- 1-7•/ �:.0. E 0 Adult Pre-TriaUPC_1000 Diversion eligibility a ❑ Pteads Not Guilty,Ct.fi N❑' " R sr ❑.Jury Trial.WaivedfDemanded u r� Z R ❑ Pub.Def.Conflict Fled;Appolrtted ADO' F A ❑ r ❑Time for Trial/Sent Waived/Not Waived A ❑ Report io for booking. .: .: s ❑ 977 waiver filed.❑170.6 PC filedJoral A ❑Time for PX 10160 Days Waived/Not Waived C.❑Vacate dati Of E ❑ In.re law notice given S.Q Admit/Denies •Priors/Refusal/Enhance :. :3 Del.must/need not appear ❑ Poo/Def.Motion-to/for/cont. P 0 Court Probation granted for mo/yr p❑ Submitted with ament❑without argument .a argument ❑AdultPwTriaUPC 1000 Diversion granted ❑ Granted ❑Denied ❑ Submitted` ❑No;Action Taken .A❑ Probation/D'rversion/Reinstated/Modified/Extended to 1 .o❑Grounds: T... Original terms.in:full'force and-effect,except,as,ordered. N SO D.A.Motion to.file amended complaint o❑ Deft.giveNwaived rights to Revoc.Hg;Admits/Denies allegations o❑Complaint amended on its face to add Cfrt' N'❑ Prob.Re4oked: ❑Def.'found in violation of probation R a violation of section .0 Probation/Diversion:Terminated:Successful)/Unsuccessfully/Denied D _. E ❑ Pursuant to 23103.5CVC ❑ Pay Prob.Vio.fine of$ ❑Upon payment of fine/completion of jail sentence S"❑ Strike the words felony and feloniously."Substitute the ❑Criminar Proceedings Reinstated/Dismissed word misdera@arlof virtlerever.:it.appears in Complaint. ❑ Per Court/DA dismiss,Complaint/Ct# F❑ Pay a fine of"$ ❑Rest Fine of c C3Be imprisoned days/months/years o❑Obey all laws. 1.❑ Pay$10 cite fee 1$25 Booking Fee/$-L—CJA Fee M ❑ days/mondWyears credit .R❑Do not use,any alcohol.Do not N E❑ Pay balance of fine/❑In lieu of fine❑Susp.$—after fine.M ❑ days/months/years suspended 00 go to places where alcoholic N' 8❑ Make monthly payments to CCU P.O.Bat 1669 Martinez,CA 94553 T E-1 Sentence to commence beverages are the thiel Rem of sale. O Phone(510)646-1951 by E ❑Serve consecutive/concunD ent ❑ Attend AA/NA R D❑ hours Volunteer work by Fee$ N ❑with ❑with any sentence i meetings per week and present T RE❑ Re-refer/reinstate to Level I/Level II/PCDDP s ❑Main Jail❑Electronic Home Detention N proof at each court appearance. S❑ Referred to ORC for Attorney.Fee Costs of$ ❑WAP Contact CAB immediately/within 15 days. s❑ Submit to search and testing F❑ License Suspended/Revoked months/years ❑Day for day credit for time served in approved residential ❑ Destroy❑ Return weapon E E❑ DL310/DL309 Served❑ Advised 14607.8 C_VCprogram..Proof by ❑ Stay away from s❑Pay fine/comply or appear on at REMANDED to County Jail: _ ❑Ordered released ❑On OR ❑Promise to Appear ❑Def.to be allowed phone calls r \Bail•Set in the amt:of$ �� �� ❑Court Court est' ❑ State Prison Commitment ❑ Committed-to custody 11fTtil semerrce'issatlsfiedmlydh_.:_.—."_. TO THF,S.HER)FF:COMMITMENT:I hereby certify that this is a true copy of/([�/rJ'�J,ntry of Judgment or Order s your. nry.for.the exeamort-thereof_.- ❑ .___.. .._- See other minute pages for additional proceedings. DATED: (JUDGE OF THE SUPERIOR COUR71 CRIM.MINUTES(8198) $ee•anached additional orders. _. .......:.......__..._.__.:..._._._.__........_........._..��_ ... 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NORAG.BARLOW SHARON L.ANDERSON B.REBECCABYRNES ASSISTANTCOUNTY COUNSEL c y `�` ANDREA W.CASSIDY CONTRA COSTA`COlJ,NsTY MONIKAL COOPER N /;• r-_�.= �\i 1� VICKIEL.DAWES GREGORY C.HARVEY OFFICE,QF THE__--COLINTY . .IOUNSEL MARKET F S ASSISTANT COUNTY COUNSEL II 'I .�` n COUNTNADMINISTR_ION.BUILDING�� JANET L-HOLMES KEVIN T.KERR DENNIS C.GRAVES \65�1PIN,E;-_STREET�_9.th.f,•L•OOj 45531BERNARD L.KNAPP SENIOR FINANCIAL COUNSEL MARTINEZ'CAL'IFORf71q` ' '229 ` EDWARD V LANE.JR. BEATRICE LIU GAYLE MUGGLI -� 4' MARY ANN MASON OFFICEMANAGER �Op � � C PAUL R.MUNIZ A nilll VALERIE J.RANCHE PHONE (925) 335-1800 NOTICE O �M 1'1 ICIENCY STEVEN P.RETTIG DAVID F FAX (925)646-1078 DANAAJ.S VE SCHMIDT A ND�OR JACQUELINE Y.WOODS NON—ACCEPTANCE OF CLAIM PAMELAJ ZAID TO: Gary Mosbarger c/o Martinez Detention Facility DA15 901 Court Street Martinez, CA 94553 . RE: CLAIM OF: Gary Mosbarger 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: [XX] 1. The claim fails to state the name and post office. address of the claimant. IXX] 2. The claim fails to state the post office address to wluch the person presenting the claim desires notices to be sent. [XX] 3. The claim fails to state the date, place or other circumstances of the occturence or transaction which gave rise to the claiii asserted. [ ] 4. The claim fails to state the name(s) of the public employee(s) causing the injury, damage, or loss, if known. , [X-X.I 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 amo«nt claimed as of the date of presentation, the estimated amouut 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 tell thousand dollars ($10,000), the claim fails to state whether jurisdiction over the claim.would rest in municipal or superior court. [XX] 6. The claim is not signed by the claimant or by some person on his or her behalf. [ -17. Other: Page 1 SILVANO B. MARCHESI COUNTY COUNSEL By: �"-J - Deputy County Counsel CERTIFICATE OF SERVICE BY MAIL (C.C.P. §§1012, 1013x,201.5.5;Evidence Code§§641,664) 1 declare that my business address is the County Counsel's Office of Contra Costa County,651 Pine Street,Martinez,California 94553;1 am a citizen of die United Stales,over 18 years of age,employed in Contra Costa County,and not a party to this action. 1 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,scaled and postage fully prepaid thereon,and thereafter was,deposited this day in the U.S. Mail at Martinez,California. T certify under penalty of perjury that the foregoing is true and correct. Dated: April ,2001,at Martinez,California. cc: Clerk of the Board of Supervisors(original) Risk Management (NO"rICE OF INSUFFICIENCY OF CLAIM:GOVT.CODE§§910,9102,920.4,910.8) Page 2 F 5-7 ktrlR' 4a1 •.'4� ao 03 Off x IN 0 1 Oa C-5 j 5s < < L) Z l _9 CLAIM 130ARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION: May 1, 2001 Claim Against the County, or District Governed by I the Board of Supervisors, Routing Endorsements, 1 NOTICE TO CLAIMANT and Board Action. All Section references are to I The copy of this document mailed to you is your California Government Codes. ) notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and MAR 2 7 2009 915.4. Please note all "Warnings". AMOUNT: $3,000 COUNTY COUNSEL MARTINEZ CALIF. CLAIMANT: Bianca Olaya ATTORNEY: None DATE RECEIVED: March 26, 2001 ADDRESS: 402 E. Okeefe St: Apt.17BY DELIVERY TO CLERK ON: Marrh 2(,y 9()()l E. Palo Alto, CA 94303 BY MAIL POSTMARKED: March 23, 2001 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN SWEETEN, Clerk Dated: March 27, 2001 By: Deputy i � II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( ) This claim complies substantially with Sections 910 and 910.2. ( L4--fh-is 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: Iq Dated: 3—Z7-01 By: % // L Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator(2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). BOARD ORDER: By unanimous vote of the Supervisors present: This Claim is rejected in full. ( ) Other: I certify that this isa true and correct copy of the Board's Order entered inr.its minute for this date. Dated: � DSO( JOHN SWEETEN . Clerk, By�' G eputy Clerk WARNING(Gov. code section 913) Subject to certain exceptions, you have only six(6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid �a�certiified copy of this Board Order and Notice to Claiman addres ed.to he cl mant as shown above. Dated: a,2 OO _ By: JOHN SWEETEN, CLERK By (/ t—Deputy Clerk I � 3 I ' I I I This warning does not apply to claims which are not j 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. I 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. I I I I I I I .. I I I I I I I I I I i Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to personal property or grotring 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 sit 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. If Claim is ahainst 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 filedr 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 ) REE ��ED Agiainst the County of Contra Costa MAR 2 6 2001 or CLERK BOARD OF SUPERVISORS District) CONTRA COSTA CO. (Fill in Name) The undersigned claimant hereby makes claim against the County of Contra Costa or the above named District in the sum of and and 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 Citv and County) -----C0 -a- _0 Qst_q CCWny------------------ 3. How did the damage or injury occur? (Give full details:use extra paper if required) "OC\CQ,Car Toss a. Ne ), 1� 'c w?lilnoUA_ Sgr(Jn cr hex ln}S Gam& n.ti 4. What particular act or omission on the part of county or district officers, servants, or employees caused the injury or damage? (Over) I. -jug put,luawuosi.ldlnl gans J7' gloq •iq .lo `( 0001013) s-iellop pursnogl nal laulpaaaxa lou jo aug a .iq °uosud alels aql ul Juauluosudwl .iq .Io.auk} pur. juawIIOsildmi gans q)oq .iq to •( 000'[3) Slellop puesnogl Guo 2ulpaaaxa Jon jo ani a Aq 'aean au0 uryl ajow Jou jo pouad a ioj I!ef.ilunoa aql ui luawuosudw► .iq lagl!a algeysiund si 'Sullu.0 to •.Iayanoe •lunoaae qpq tumlo lualnpne lj.Io aslej .iue •auinua ji awes ayl .iud to mope of pazi.ioylne laaayjo.Io pjeoq Jauls!p .Io .ilia •.ilunoa :iue of to 4.Iaayjo.Io p Ieoq alels .iue 01 Juaw:ird aoj.lo aauumol[e ioj sluasa.id 'pnuijap of lualui yli,a-oqm uos iadi lana„ :sap►eo id apoD[Fuad ayl jo lL u0103S 3 � I10N •oNi auogdapL •ou au011dalal (ssa.IPPV ) (ainlruoiS s•lurwlr[D) iauaouv.lo ssa.IPPV pur awerN a jp.g�q Gly no uos lad awos.iq a0 (.iau.Ioliv) :0 L S3�LL0[� QN3S JurtuFu�-aqy q pau;!s,aq )snw wtrla aqL„ Z'll[6-a3S apo 'A00 fila. 't AIVU :.ianful-jo ivaplaae slyl jo luROaae no apew non sa lnulpuadxa aql isl'l '6 --------,----------------------------------------------------------------------------- - cY► 'slel!ds0y pur. 's Iolaop•sassaul!.kn jo sassa.Ippr, pup sawrN1 •g --------- ---------------------------------------------------------------------------- �ewep.io.iJnfnn ampalsold.wc)p iunowe pamunsa ain apn[au[) ;paundwoa lunolue palulrla.l.Wge ayl A08' }p1 -OVAI4- 'env .N�93 _(D� 10 aP a\ �-va (3-V-ZiG\,Nw'axN\_� ('89ewep Gine OJ saiewpra OA14 IPeud' 'paw;cja sanewep io saunfui jo luaixa mg .-Lpallnsai uitup non op saunful.lo saienlep Jry,�&, -9 ;,.sinful.lo a;jewep ayl�ulsnea saanoldma so'slu�•Uas�siaaljjo laulslp to.ilunoa jo saweu agl ale JetlM •y ounty Administrator Contra Risk Management Costa County Adm,nst:at:or• 3u ic:^g 651 Pine Stree'..6th �'CC' ` .. Marti nez,,Cal f Coun Llablllt,y_Cialm$ Safety. 15; 54 _i��^ Vocational'�en Workers''amoensac:.,n 5: 16. c� _ ^F _ _ .... A 7_=7— CONS 7SONS ENT FOR THE:' RILL:SE C- MEDT-C-41. INFORMALT-13N 1'�IaInC-n I lavcz aL't.craze TSP,. O.0 ��r, �rnord� ;Name ?at-_--t? c= He-a-' --h to d'scicse to the bearer, who represents he County of Contra Costa. - Risk Management Division and/or designated copy service, all medical information- necessary to substantiate a claim inflated by me. I here-by.. ccnsen:-. ;and that the. becsre.—, '.^.e examine and obtain cou-i s of all: :1CSD1tal and.:me ic31 records of every sort and }Sind, interview' dcctors,,and .ot_'ler attendants regarding -all-matters rela•t ng to .exami na.t.-- ,. diagnosis, Care and treatment of myself . I understand that this Consent for the Release of Medical Information will remain valid unless cancelled bar me- ! e-i herebv acknowledge that I have received a copy of this C--nsert: for Release of Medical Inormation. It is understocd that a photostat of this authorization is as valid as the original. O Date- 3 bV01 Signed: Address : j consarva::c or C-ua=l_an) Date of 3iy _a: Sccia_ Secur-t-r t7 Q d � r X 4�{ 06 SILVANO B.MARCHESI DEPUTIES: PHILLIPS.ALTHOFF C.(IUEITY COUNSEL S L JANICE L.AMENTA NORA G.BARLOW B.REBECCA BYRNES SHARON L.ANDERSON , F-\\� ANDREAW.CASSIDY ASSISTANT COUNTY COUNSEL C -�NTRA COSTA-COUN\7 Y MONIKAL.000PER GREGORY C.HARVEY `' �1 VICKIE L.DAWES -� OFFIC 0 THE_-_CO_Uf� UNSEL MARKE S.ESTIS ASSISTANT COUNTY COUNSEL I. '' I. LILLIANT.FUJII I a , N•-Y INISTRATIONQUILOIN. I JANET L.HOLMES n�° A°"' / DENNIS C.GRAVES ,F5i1�PINESTREETz91h`F I KEVIN T.KERR SENIOR FINANCIAL COUNSEL MA ONEZ'_CALIFO�NIA g S 1229 BERNARDL.KNAPP aaay� EDWARD V.LANE.JR. BEATRICE LIU GAYLE MUGGLI -\\ ii4/ 4'V MARY ANN MASON OFFICE MANAGER �O ,�t�'� PAUL R.MUNIZ VALERIE J.RANCHE PHONE (925) 335.1800 NOTICE O 11 ViTC/ ICI�NCY STEVEN P.RETfIG DAVID F SCHMIDT FAX (925) 646-1078 AND/OR JACQUELINE Y WOODS NON-ACCEPTANCE OF CLAIM PAMELAJ.ZAID TO: Bianca Olaya 402 E. Okeefe Street, #17 East Palo Alto, CA 94303 RE: CLAIM OF: Bianca Olaya Please Take Notice as Follows: The claim you presented agavist the County of Contra Costa or District governed by the Board of Supervisors fails to comply substantially with the requirements of California Govenuneut Code Section 910 and 910.2, or is otherwise insufficient for the reasons checked below: [XX] 1. The claim fails to state the name and post office address of the claimant. [XX] 2. The claim fails to state the post office address to which the person presentiug the claim desires notices to be sent. ] 3. The claim fails to state the date, place or other circumstances of the occurrence or transaction which gave rise to the claim asserted. ] 4. The claim fails to state the name(s) of the public.employee(s) causing the injury, damage, or loss, if known. 1. ] 5. The claim fails to state whether the amount claimed exceeds tein thousand dollars ($10,000). If the claiin totals less than ten thousand dollars ($10,000), the claim fails to.state the amount claimed as of the date of presentation, the estiunated 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. IXX] 6. The claiin is not signed by the claimant or by some person on his or her behalf. [ ] 7. Other: Page I SILVANO B. MARCHESI COUNTY COUNSEL By: Deputy County Counsel CERTIFICATE OF SERVICE BY MAIL (C.C.P. §§'§ 1012, 1013x,20155;Evidence Code§§641,664) I declare that my business address is the County Counsel's Office of Contra Costa County,651 Pine Street,Martinez,California 94553;1 am a citizen of the United States,over 13 years of age,employed in Contra Costa County,and not a party to this action. I served it true copy of this Notice of Insufficiency and/or Non-acceptance of Claim by placing it in an envelope addressed as shown above,scaled and postage fully prepaid thereon,and thereafter was,deposited this day in the U.S.Mail at Martinez.,California. T certify under penalty of perjury that the foregoing is true and correct. Dated: March2JJi,2001,at Martinez,California. I cc: Clerk of the Board of Supervisors(original) Risk Management (NOTICE OF INSUFFICIENCY OF CLAINI GO\"1'.COD]'§§910,910.2,920.4,910.8) Page 2 c.� CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY CALIFORNIA BOARD ACTION: Ilay �, 2001 Claim Against the County, or District Governed by 1 the Board of Supervisors, Routing Endorsements, ! NOTICE TO CLAIMANT and Board Action. All Section references are to 1 The copy of this document mailed to you is your California Government Codes. ► notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". AMOUNT: Unknown APR 0 3 2009 CLAIMANT: Ahmed K. ElwyMARTIN COUNSEL ATTORNEY: None DATE RECEIVED: April 2, 2001 ADDRESS: 305 Mountaire Pkwy BY DELIVERY TO CLERK ON: April 2, 2001 Clayton, CA 94517 BY MAIL POSTMARKED: March 31, 2001 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JO V, erk Dated: April 2, 2001 By: Deputy H. FROM County Counsel TO: Clerk of the Board of Supervisors (�This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 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: —3-01 By: M &�' Z_(: Deputy County Counsel III. FROM Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV BOARD ORDER: By unanimous vote of the Supervisors present: (X) 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 mi Utes or this date. Dated:, 1;to17 JOHN SWEETEN Clerk, By puty Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six(6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to a cl imant as shown above. Dated: a a 0 0 By: JOHN SWE:TEN, CLERK By eputy Clerk I I I I 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. I . 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. I ' I I I I I I I I I I I I I - I i I I I I I I . Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to personal property ore owing crops and which accrue on or before December 31, 1987, must be presented not later than the 100'h day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property orb owing 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 RECEIVED Against the County of Contra Costa or . APR 0 2 2001 CLERK BOARD OF SUPERVISORS District) CONTRA COSTA CO. (Fill in Name) The undersigned'claimant hereby makes claim against the County of Contra Costa or the above named District in the sum of$ and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact Date and Hour) ------------------------------------ 2. Where did the damage or injury occur? (Include City and Count,) ------------- - 3. Hove did the damage or in jury occur? (Give full etaiL+s:use extra paper if re cared) �_3)\ S�Pi0iCe. ofl . 1 �C0.�r 2� W-`M S1a peok t foe e1� pw� �CL /1` T d I-o('1-stop, Wa 5 7?oi Y ��Q d aM i� IP t13 40 Cay 3 1� C e, I W R 1 W0-b CG Ca taF� X5173 �` E ooSl� t A Aokn �o ���U' Ccs,-�------------------------ =-0 - ce,�cu, -------------------- y ____ �___k_____ 4. What particular act or omission on the pan of county or district officers, sen-ants, or emplovees caused the injury or damage? s11CL4 , C," e vii Jyu- , St p of ��°� 1?�k.� aMo� �clr �1�,� m� car aM (Over) . er car , Ice. reror� a CA I II . -ang pur luamuos!.rdm! gins gloq q to `(000`01S) ssrllop pursnogl ual tu!paaaxa jou jo aug r .iq °uosud airis ;)q; am q;u! luuosudmr .iq io° � aug par luamuosudmt gans gioq ,iq ao .( 0004IS) s.irllop pursnoq; auo ourpaaZ)xa ion,lo aug r eq ljm,ri auo urgl a.rom lou {o pouad r-j03 i!ef.Ciunoa aq; u!'luamuosudm!':iq rayl!a algrgs!and s! 12u!j!jm.[o 1.iagan0e •lunoaar `Ij!q -tumID lualnpnrlj ao aslrj.Cur �auinuaI 3! avers ay; .Cud-io moljr o1 pazuoq;nr 'Saag;o jo plroq ou;slp 10 :i;[J 1.i4unoa :iur of jo'raagjo io piroq ams :iur of luawrird xoj io aaur.iAojjr lo,}sluas;ud'pnri;ap of mam ql!A&°oq.b uossad _ :sap!nold apo Iruad aq;jo ZL uo!lal?$ I . 3JI10N I - I s�Sb_zL9 �Z� or�auoydalaZ o� auogdalas I I ( ssral�PPJF) 1 'I 01,04�o�� s 0 I (aimruu!S s;;u m .l ) I I :Caulon 3o ssaJppF pup. anw-K ,•3lrgaq siq uo uosmd autos .iq to (.OwouF). :OL S3JLLOf Q.K.as iurwmla.agl.Cq p3Ois aq isnru uirrla aql,• :sap!.ioid-1'016 mac apc0 ,�00 -fit �1(�0� V 'f � AV � T / "J I -a butt f-,� pk (4)Q2,21 f Wall iLt-Q `/ll :.,Lnfui to ivap!aar s!ql jo iunoaar uo aprmaq1 ist'j ------------------------l--------------------------- - ro+ -------- UZ (52�) dal �SS�bi�7 nu'rV a�, 2�' + IZz '© . -� ( � tiJ S95b-,'Z9(5Zo �J Z s�oa wy F11 -5EF (Szb)�a''l Ob5ib b� °MA 45 `0ru""� L�� Tyres 001 = SLSSawV,vl -F' l )IV •siri!dsoy par-siovop'sassauir.++}o Cassa ppr. Pur sauirk •g 2-$6 IEsq =��°N S��Q$!I = zo �YbLa� 3 9L'I LL = I � % ��;mfgT-b - �Sp�o.imfur aJ015 dso�d.sue jo i�we pa�ewosa aye apn1;,ul) i aindmoo who mu paUlml:) akogr ayl Sr.a.%i0a , i -------------------------7-,7-...--- _---.--- -I i (a"ocu[ep nine I loj sa�eu[gsa o6U�et�tl •paurtcia saoeulep io saunfm jo luatxa Tm aniJ) Zpaljn mrejz no& op saunfui to saurmup lrgM -91 y 6 --- ----------------------bQR-b9�d -r �+�,7at15�( 10�(111C1--------- --- -, - -w01 1 1� I p CJ VIA .,A1nfur 10 anruirp aql nursnrJ sa�10`slur.uas`sla:)Wo l:)uls!p to:�lunoa;o samru aq;alr irgA SI CONCORD POLICE DEPARTMENT c` o TRAFFIC COLLISION INFORMATION CASE# C p.0�(C E D E DAY O®EEK TI E(2 LVAYACib O ATO NEARS WA o d O E N 2. E F ,LAST) . P N C Tr T�! - o JIM— L N DC STT B Q S �' .o LI S 7E V MAKE M V MAK � MOD 1 .CO./POLI Y# VEH Udo 111WDIRECTION J Y WEn DIRECTION N E W N E W NA DORESS OF RE RED OWNER O LE55 E 0 O SAME AS DRNER NAM81 ADDRESS OF REGIS ED OWNER OR LESSEE "AME AS DRIVER .a 3. E(FI MIDDLE, SKETCH a. O ACITY C '^•.. " INDICATE NORTH IV C SE STA BI S E LIC, 0. a.106 T AL S. O OD V ON DI ION -4% .. © 0 to o N S E W O , NAME&ADDRESSOF ISTEAED ER OR LESSEE E RIVER • TRAFFIC CONTROL DEVICEST Y PE OF VEHICLE • A ConVolsfunctioning 1 2 3 1 2 3 # A CSectionViolated: B Controlsnottunclioning A PassengercarJstationwagon A Stopped C Controtsobscured B Passenger carwArailer B Proceeding straight # B Other improper driving' D No controls present/factor' C Motorcycle/w=ter C Ran off road • • • D Pickup or panel truck D Making right turn C Other than driver• A::.:Head on E:.,Filouplpanel buck wttrailer;;.; ;i E;:Making lett turn D Unknown-. � ' B Sideswipe•;�-. - . - ,' F""Tnicc or trudltracto� F MakingU turn -- E Fell asleep' z:Rearend G Truck/truck tractor w/Valler G Baddng ..: D Broadside _. H -School bus:< >' H , IoWing/stopping:.: • E Hitobject I Olherbus 11 Passing other A Clear: F Overturned J Emergency vehicle J .Changing lanes B Cloudy G Vehiclelpedestrian K Highway const.equipment K Parking maneuver C Raining H Other% L Bicycle L Enteringtraffie D Snowing IM Olhervehicle. M Other unsafe turning E Fog(visibility Ft. • •- 9 • • N., Pedestrian N Xing into opposing lane F Other: A Non-collision O Moped 0.1'Parked B PedestrianI P:Merging G Wind C Other motor vehicle • • • • Q Traveling wrong way D. Motor vehicle on other highway I R Other A Daylight E Parked motor vechicle 1 2 3 BDusk-dawn F Tram A VC Section violation Cited: C Dark-streetlights G Bicycle ❑Yes UNo. D Dark-no street lights H Animal: B VC Sekdion violation Cited: •=- .- ' E Dark-Street lights not functioning ❑Yes O No • ••. I Faked object: C VC Section violation Cited: 1 2 3 A Dry O Yes O No A Had Trot been drinking . B Wet D B HBD-under influence C Sr" -.Icy`r: J Other object: E Vision obscurement C HBD-not.under,inlluence, D SIi06ry(mud*qly,etc.) F Inattention' D HBD.'r'impairmentunkn_own*>; •••. • • • G Stop&go traffic E Under klrtig,ln(luence' • • • H Enteringfleavingramp F :Impairment=physical' A Holes,deep ruts. A No pedestrian involved I Previous collision G:;.Impairment not known B Loose material on roadway' B Crossing in crosswalk at Intersection J Unfamiliar with road H;::Not applicable_ �ConWshZucfion C Crossing incrosswalk-net at K Defekiive veh.equip: pyffatigue(irepair zone Intersection •- • E Reduced roadway width D Crossing-not in crosswalk L Uninvolved vehicle. A Hazardous Material F Flooded' E Inroad-includes shoulder M Other: G Other': I IF Not in read N None apparent H No unusual conditions I IG Approaching/-ming school bus 1 10 Runaway vehicle This form is the only report of this collision.See back of form. OFFICER �/'� ti� ID NO. BEAT APPY. _ DIABLO AUTO BODY DIABLO-LINCOLN-MERCURY-AUDI-KIA INC. 165 MASON CIRCLE CONCORD, CA 94520 PHONE: (925) 674-9700 FAX: (925) 674-0434 CD LOG NO 1818-1 DATE 03/23/01 SHOP: DIABLO AUTO BODY INSP DATE: 03/23/01 ADDRESS: 165 MASON CIRCLE CONTACT: SCOTT CITY STATE: CONCORD, CA OWNER: ELWY, AHMED HOME PHONE: (000) 672-9565 ADDRESS: 305 MOUNTAIRE PKWY WORK PHONE: (000) 673-8585 CITY STATE: CLAYTON, CA ZIP: 94517- TYPE OF LOSS: /DRV LIC#: 4HBT310 STATE: CA VIN: WAUBA24B7XN129568 BODY COLOR: SILVER MILEAGE: CONDITION: GOOD ACCTNG CTL#: DRIVEABLE: Yes VEH. INSP# : *=USER-ENTERED VALUE E=NEW PART EC=ECONOMY PART EU=SALVAGE PART EP=SEE PX REPORT ET=LABOR PARTIAL REPLACE IT=LABOR PARTIAL REPAIR I=REPAIR/ALIGN/SUBLET L=REFINISH N=ADDNL LABOR OPERATION P=CHECK TE=PART/PARTIAL REPLACE AA=APPEARANCE ALLOWANCE RP=RELATED PRIOR DAMAGE UP=UNRELATED PRIOR DAMAGE RI=R&I ASSEMBLY 1999 AUDI A6 QUATTRO 4DR SEDAN 68473A/B OPTNS H/24ACGQ OPTIONS: TWO-STAGE - EXTERIOR SURFACES TWO-STAGE - INTERIOR SURFACES 4-WHEEL DRIVE XENON HEADLAMPS SUNROOF CALIFORNIA EMISSIONS OP GDE MC DESCRIPTION MFG.PART NO. PRICE AJ% HOURS R -- --- -- ----------- ------------ ----- --= ----- - I 0566 COVER,REAR BUMPER REPAIR 2.5*1 L 0566 09 COVER,REAR BUMPER REFINISH 3. 6 4 SURFACE 2 .5 TWO STAGE .5 TWO STAGE SETUP . 6 E 0568 ABS,REAR ENERGY RT 4B0807378 152.00 0. 9 1 I ALIGN REAR DECK LID REPAIR * 0. 6*1* I R AND I REAR BUMPER REPAIR * 1.2*1* 5 ITEMS MC MESSAGE (S) 09 INCLUDES 0. 6 HOURS MAJOR PANEL TWO-STAGE ALLOWANCE FINAL CALCULATIONS & ENTRIES GROSS PARTS 152 .00 PAGE 1 1999 AUDI A6 ' QUATTRO 4DR SEDAN CD, LOG NO 1'81-8-1 PAINT MATERIAL 90. 00 ?ARTS TOTAL 242 . 00 TAX ON PARTS & MATERIAL @ 8 .000% 19. 36 LABOR RATE REPLACE HRS REPAIR HRS 1-SHEET METAL 58 .00 0. 9 4 . 3 301. 60 2-MECH/ELEC 89.00 3-FRAME 58 .00 4-REFINISH 58 .00 3.6 208 . 80 5-PAINT MATERIAL 25.00 LABOR TOTAL 510.40 TAX ON LABOR @ 0.000% SUBLET REPAIRS TOWING STORAGE ,ROSS TOTAL 771.76 NET TOTAL 771. 76 ADP SHOPLINK UA884 ES CD LOG 1818-1 DATE 03/23/01 02:28:43PM R6. 1 CD 03/01 PXN:N/00/00/00/00 CUM: /// HOST LOG COPYRIGHT 1999, AUTOMATIC DATA PROCESSING, INC. 1 .1 HOURS WERE ADDED TO THIS ESTIMATE BASED ON ADP' S TWO-STAGE REFINISH FORMULA: 20% OF REFINISH HOURS, AFTER OVERLAP, PLUS 0. 6 HOURS FOR THE FIRST MAJOR PANEL, WHERE NOTED. UNDER CALIFORNIA CODE OF REGULATIONS,TITLE 10 CHAPTER5, SUB. CHAPTER8 SECTION2695. 8.D.2.C. YOU ARE ADVISED THAT YOU HAVE THE RIGHT TO HAVE ANY REPAIR FACILITY OF YOUR CHOICE TO DO THE REPAIRS TO YOUR VEHICLE HOWEVER. YOUR INSURANCE COMPANY CAN REASONABLY ADJUST ANY WRRITEN ESTIMATES PREPARED BY THE REPAIR SHOP OF YOUR CHOICE. IF YOU CHOOSE TO USE A REPAIR FACILITY SUGGESTED BY YOUR INSURANCE COMPANY THEY WILL GUARANTEE THE DAMAGED VEHICLE TO BE RESTORED TO STATED IN THE POLICY. (I .E. POLICY LIMITS OR DEDUCTIBLE) OR ALLOWABLE DEPRECIATION. E. P.A. CAD982010555 BARAH080911 I .R.S. 94-2681331 -------------------------------------------------- y - PAGE 2 03/30/2001 at 03 :47 PM Job Number: 21932 B & S HACIENDA AUTO BODY License #:AG161460 Federal ID 4:942464067 Quality isn't expensive it's priceless 3687 OLD SANTA RITA RD #7 PLEASANTON, CA 94588 (925)847-8789 Fax: (925) 847-0804 PRELIMINARY ESTIMATE Written by: MARIA DOLURES SANCHEZ Adjuster: Insured: Ahmed Elwy claim # Owner: Ahmed Elwy Policy # Address: 305 Mountair Parkway Deductible: Clayton, CA 94517 Date of Loss: Day: (925)672-9565 Type of Loss: Point of Impact: 6. Rear Inspect B & S HACIENDA AUTO BODY Business: (925) 847-8789 Location: 3687 OLD SANTA RITA RD ##7 PLEASANTON, CA 94588 Insurance Company: Days to Repair 1999 AUDI A6 QUATTRO 6-2.8L-FI 41) SED Silver Int: VIN: WAUBA24B7XN129b68 Lic: 4HBT310 CA. Prod Date: 05/1999 Odometer: 21273 Air Conditioning Rear Defogqer Tilt Wheel Cruise Control Telescopic Wheel Intermittent Wipers Climate Control Elec. Instrumentation Keyless Entry Theft Deterrent/Alarm Bodv Side Moldings woodgrai.n Dual Mirrors Clear Coat Paint Power Steering Power Brakes Power Windows Lower Locks Power Driver Seat Power Passenger Seat Power Mirrors AM Radio FM Radio Stereo Search/Seek CD Pl.aver Anti-Lock Brakes (4) Driver Airbag Passenger Airbag 4 Wheel Disc Brakes Leather Seats Bucket Seats Automatic Transmission :aluminum Wheels -------------.... ---------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT 1 REAR BUMPER 2 O/H rear bumper 2.0 3 Repl 'impact. bar _ 2D5.00 Incl. 4* Rpr Bumper cover sedan V6 3_5 3.0 5 Add for Clear Coat 1.2 6 Repl LT Energy absnrher sedan 1 152.00 0.3 74 Rep_1 flex coat additive 1 8.00 T 84 color tint 1 0. 5 -?## hazardous waste 1 3.00 X 104 Rpr Color sand & polish 0.5 03/30/2001 at 03:47 PM Job Number: 21932 PRELIMINARY ESTIMATE 1999 AUDI A6 QUATTRO 6-2.8L-FI 4D SED Silver Int: NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- Subtotals =_> 368.00 6 .8 4.2 Parts 357.00 Body Labor 6.8 hrs Ch 50.00/hr 408.00 Paint Labor 4.2 hrs @ r; 60.00/hr 252.00 Paint Supplies 4.2 hrs @ $ 25.00/hr 105.00 Body Supplies 4.3 hrs @ $ 2.10/hr 9.03 Sublet/Mise. 11.00 ---------------------------------------------------- SUBTOTAL $ 1142.03 Sales Tax $ 479.03 @ 8.0000% 38.32 ---------------------------------------------------- GRAND TOTAL $ 1180.35 ADJUSTMENTS: Deductible 0.00 ---------------------------------------------------- CUSTOMER PAY $ 0.00 INSURANCE PAY $ 1180.35 1) All work is guaranteed for 1 year. We warranty workmanship and paint. 2) Life time guarantee on nur 2. Stage Paint and 5 (five) Years on Single Stage i3aint. 3) All sublet repairs are warranteed for 1 year, wheel aligments have a 30 day warranty. 4) Damage due to improper care or act of nature will Void gnarantPe_ EPA 4 000000184. Accepted by Date Year Make Model Authorization to begin repairs Date Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from file 0!id.� F.RT�1.351 Database Date i2/2000 and the parts selecLed ale OEM-parts manufactured by the vehicles Original Equipment Manufacturer_ Asterisk ( ) or Double Asterisk (-1 indicates that the parts and/or labor information provided by MOTOR may have been modified or may have come from an alternate data source. Nun-Oiiginai Zquipment ttanufacturer a`terimnrkpit parte nra described as U-1 or Qual Repl Parts. Used parts are described as LKQ, Qual Recy Parts, RCY, or USED. Reconditioned pints are described as Recon. Recored parts are described as Recore. NAGS Part Numbers and Prices are provided from Nalioi;al Auto Class specifications. Inc. pound sign ,R) items indicate manual entries. Pathways - A product of CCC Information Services Inc. � -, nr-ter✓"' . i M,X ,Sr } J arI d fir. 10 c�Q ej a a w co t' C.q APPLICATION TO FILE LATE CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION My--I, 2001 . Application to File Late Claim ) NOTICE TO APPLICANT Against the County, Routing ) The copy of this document mailed to you is your Endorsements, and Board Action.) notice of the action taken on your application by (All Section References are to the Board of Supervisors (Paragraph III, below), California Government Code.) ) given pursuant to Government Code Sections 911.8 and 915.4. Please note the "WAMnM" below. Claimants Cheryl Brownfield Attorney: None APR 0 3 2001 COUNTY COUNSEL Address: 4610 Driftwood Ct MARTINEZ CALIF. E1 Sobrante, Ca 94803 Amounts unknown By delivery to Clerk on April 2, 2001 Date Received: April 2, 2001 By mail, postmarked on March 31, 2001 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a Dopy of the above noted Applieati n to File Lai Cl im. DATED:April 2, 2001 JOHN SWEETEN , Clerk, By puty II. FROM: County Counsel TO: Clerk of the Board of 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 11.6). DATED: �'l�- �7- VICTOR WESTMAN, County Counsel, By�r�iu-� �i ty II. BOARD ORDER By unanimous vote of Supervisors present (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 true and correct copy of the Board's Order entered in its minutes for this date. DATE- �N� tl 0.2 J6Ep4 SWEETEN , Clerk, By Deputy WARNING (Gov. Code 1911.8) If you wish to file a court action on this matter, you must first petition the appropriate court for an order relieving you from the provisions of Government Code section 945.4 (claims presentation requirement). see Government Code Section 946.6. Such petition must be filed with the court within six (6) months from the date your application for leave to present a late claim was denied. You may seek the advise of any attorney of your choice in connection with this matter. If Mwant to consult an attorney, u should do so immediately. V. FROM: Clerk of the Board TO: 1 County Counsel (2) County Administrator 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 29703. DATED18,a 001 JOHN SWEETEN , Clerk, By _WLDeputy V. FROM: 1 County Counsel 2 County Administrator 70: Clerk of the Board of Supervisors Received copies of this Application and Board Order. DATED: County Counsel, By. County Administrator, By APPLICATION TO FILE LATE CLAIM 4-z) ( I pf) Ca� ( Oki APR 10 2 2001 's CLERK BOA OF suPRvxsaRs CONTRA COSTA CO. Ci G fit` , -for ( vvt S (Q 5S rY1e- �v *-4e � t . YN-O{ � Ck I Cheryl BrownField Re: Claim Page Two You may seek the advice of an attorney of your choice in connection with this matter. If you desire to consult an attorney, you should do so immediately. Date: c�0 JOHN SWEETEN, Clerk of the Board of Supervisors and County Admi istrator By: Deputy Clerk Enclosure Affidavit of Mailinq 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 Selvive in Mlartinez, California, po.stag-e fiiiiy prepaid, a copy of, the above NOTICE TO CLAIMANT (OF LATE-FILED CLAIM), addressed to the claimant as shown above. G 1� Date: 4 D I v Deputy Clerk I:'ITOIt"I'.RISK-MGT\C'I.AIMS\I.A'I'E\l Fomimpd { ++ w - CD 9h� CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY CALIEORNIA BOARD ACT10N: May"'O 1 2001 Claim Against the County, or District Governed by ) the Board of Supervisors, Routing Endorsements, 1 NOTICE TO CLAIMANT and Board Action. All Section references are to ) The copy of this document mailed to you is your California Government Codes. ► notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and R&J,(9;1ELdV1EM) 915.4. Please note all "Warnings". AMOUNT: Unknown APR 0 3 2009 CLAIMANT: Vickie Johnson COUNTY COUNSEL MARTINEZ CALIF. ATTORNEY: -.,None DATE RECEIVED: April 2,-2001 ADDRESS: 901 Cburt St. BY DELIVERY TO CLERK ON: April 2, 2001 Martinez, Ca 94553 BY MAIL POSTMARKED: March 28, 2001 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN S I EN, Clerk Dated: April 2, 2001 By; Deputy II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( ) This claim complies substantially with Sections 910 and 910.2. ( This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). i - I ( ) 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: �Tr3-0( By: Deputy County Counsel M. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant(Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present: (.� This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order en red in its min rtes f r this date. Dated 0 0 JOHN SWEETal Clerk, By eputy 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 MAEUNG I declare under penalty of perjury that 1 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 Claimantaddres�tthe. lai nt as shown above. Dated d,dU 01 By; JOHN SWE'iTEN, CLERK By puty Clerk 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 si actions not subject to the California Tort Claims Act. s SILVANO B:,TiMARCHESI DEPUTIES: CUUNTY COUNSEL 5 E 1, PHILLIPS.ALTHOFF JANICE L.AMENTA 1N NORA G.BARLOW SHARON L.ANDERSON =' ` ' B.REBECCA BYRNES n,r=.i f �=_\\� ANDREA W.CASSIDY ASSISTANT COUNTY COUNSEL CQNTRA COSTAVMU,NTY MONIKAL.000PER VICKIEL.DAWES GREGORY C.HARVEY OFFIC �OF_THE-COUNT G�OUNSEL MARKES ESTIS ASSISTANT COUNTY COUNSEL V. . -_.;___ �;� LILUANT.FUJII COUNTN ADMINISTRATION.BUILDIN_ I(7.,, � t _-ILDI ,...1 JANET L.HOLMES DENNIS C.GRAVES 651 PIN&STREET'Mh-FL°OQ KEVINT KERB 1,J.• 1=_., ., ,-�,.. o- ;I %. BERNARD L-KNAPP SENIOR FINANCIAL COUNSEL MARTINEZ'.C40 RN�IA�94%55-229 EDWARD VLANE JR. BEATRICE LIU GAYLE MUGGLI MARY ANN MASON OFFICE MANAGER �O PAUL R.MUNIZ A nn tl\ VALERIEJ.RANCHE PHONE (925) 335-1800 NOTICE OFA N=S' CIENC.1v STEVEN RETTIG - DAVID F.SCHMIDT FAX (925)646-1076 AND/ORDIANASSILVER JACQUELINE Y.WOODS NON-ACCEPTANCE OF CLAIM PAMELAJ.ZAID TO: Vickie Johnson Martinez Detention Facility 901 Court Street Martinez, CA 94553 RE: CLAIM OF: Vickie Jolvnsou 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 Govermnent Code Section 910 and 910.2, or is otherwise imsufficiennt for the reasons checked below: J I. The claim fails to state the name and post office address of the claimant. [ ] 2. The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. I'XXI 3. The claim fails to state the date, place or other circumstances of the occurrence or transaction which gave rise to the claim asserted. Please include the year of the incident. [ ] 4. The claim fails to state the natne(s) of the public employee(s) causing the injury, damage, or loss, if known. [XX] 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. [ ] 6. The claim is not signed by the claimant or by some person on his or her behalf. 7. Other: Page 1 r SILVANO B. MARCHESI COUNTY COUNSEL By:�G!/ Deputy County Counsel CERTIFICATE OF SERVICE BY MALL (C.C.P. §§ 1012, 1013a,2015.5;Evidence Code§§641,664) I declare that my business address is the County Counsel's Oft-tee of Contra Costa County,651 Pine Street,Martinez,California 94553;1 am a citizen of the United Suites,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,scaled 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: April—f-2001,at Martinez„California. i cc: Clerk of the Board of Supervisors(original) Risk Management (NOTICE OF rNSUFF1C1ENCY OF CLALM:GOVT.CODE§§910,910?,920.4,910.8) Page 2 .., �Pb� Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUN ®� INSTRUCTIONS TO CLAIIyiANT qp c A. Claims relating to causes of action for death or for injury to person or to per 1 e., or Nr �, crops and which accrue on or before December 31, 1987, must be presented not la hanktl'i 00t'd after the accrual of the cause of action. Claims relating to causes of action for death or "'ury'srs person or to personal property or growing crops and which accrue on or after January 1, 1988, be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Gov't Code 911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street,Martinez, CA 94553. C. If claim is against a district governed by the Board of Supervisors,rather than the County,the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims,Penal Code Sec. 72 at the end of this form. RE: Claim By Reserved for Clerk's filing stamp yIC-A ,9-- LA 1,_A Z 001 Against the County of Contra Costa or ) APR 0 2 � pc!IaT u District) CLERK BOARD UI SUPERVISORS ()Fill inre) ) CONTRA COSTA CO. �J r �a T The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district in the sum of$ and in support of this claim represents as follows: 1. When did the damage or injury occur?(Give exact date and hour) b Zu a*-LA OP-n �:2.►d.ay) vz - (o s S'-P M- 2. Where did the damage or injury occur?(�clr`uTe city an county iY��tu►rates. ��..�.� e..o�--r-a. ��.�--�� 3. How did the amage or injury occur?(Give full details;use extra paper if required "i-t-„►,+ o W►.&c�Q.Z_ �.. ��� �.�,2► �Sr sT2Q,s su I�► d,�� Tho v �1„t- � -� ` w a� o�i��� �o by � b� �e_ �r�ssi�. . O rv�l� •a c.c�-5�..da 4. What particular actor omission on the part of couqtyor distri officers, se ts, or employees caused the injury or damage? C-2 �2e✓Q z ci- r Y�V-e\I C/A-- t^Xcr-,- S. What are the names of county or district officers, servants, or employees causing the damage or injury? 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 damage.) �c 9 4 fYl Qty( 'u Coz—, � o 8. Names and addresses of witnesses, doctors, and hospitals. cTT y ►1 `4 CLT'►/J`i2_ ��mca�-tr �lZl�+-�.-�1U e�l 1 �o.,t m�� �w��m��..,� =a.o►nit-� 9. Tist the expenditures you made on account of this accident or injury. S hOA`"°ocj 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: (Attorney Name and Address of Attorney ) ) (Claim4's Signature) OV (Address) Telephone No. )Telephone No. 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(S 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. {). t7� r�1 n..:-*� � +• k,i,aati � p/ 5 t riMr� ! �t �f 7"704 IXAM do-" ow —Wr . . CA IM $OARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA CEIVED BOARD A00R May 1 , 2001 Claim Against the County, or District Governed by APR 1 1 2001 the Board of Supervisors, Routing Endorsements, ) P�y NOTICE TO CLAIMANT and Board Action. All Section references are to ) CLERKBOAR CON ROA�OSTAC61 f t of this document mailed to you is your California Government Codes. ) notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Government Code-.S0 ,jorly-iltlg 915.4. Please note all 110jiirtgs I`IIJI AMOUNT: More than $14.5 million APR 0 4 2001 CLAIMANT: The Port of Redwood City COUNTY COUNSEL MARTINE?,CALIF. ATTORNEY: Johnathan Lunsford DATE RECEIVED: April 4, 2001 ADDRESS: Bassi, Martini, '.& Blum LLP'- BY DELIVERY TO CLERK ON: Apri 1 4, 2001 155 Sansome St #700 San Francisco-,' CA 94104 BY MAIL POSTMARKED: April 2, 2001 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JO N Cler Dated: April 4, 2001 / By: Deputy C L- II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( .� is claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( )Other: Dated: By: � eputy County Counsel III. FROM Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). BOARD ORDER: By unanimous vote of the Supervisors present: This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered i its min es f this date. Dated: �� p't 0 0 JOHN SWEETEN Clerk, By eputy 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 MAE ING 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 o the claimant as shown above. Dated: �,�6 0' By: JOHN SWEETEN, CLERK By Deputy Clerk _ . ....... 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. BASSI, MARTINI & BLUM ECEOVE 155 SANSOME"SFRLET, SOITF 700 APR - 3 2001 SAN FRANCISCO, CA 94104 GINAL TELEPHONE (41 S) 97-13397-9006 9 FACSIMILE (415) 397-1339 post rnasterrdbmb-law.com PUBLIC WORKS DEPT. CONFIDENTIAL SETTLEMENT DOCUMENT PURSUANT TO FED. R. EVID. 408 FOR SETTLEMENT PURPOSES ONLY April 2, 2001 Contra Costa County Public Works 235 Glacier Drive Martinez, CA 94553-4897 Re: Notice of Liability under the Comprehensive Environmental Response, Compensation & Liability Act, (CERCLA) 42 U.S.C. §§ 9601, et M., Resource Conservation & Recovery Act,(RCRA)42 U.S.C. 6901, et seMc.,and the California Hazardous Substance Bond Account Act, California Health and Safety Code §§ 25300 et sec, and Information Request. Amount of Contribution : 3,250 Gallons Deadline: 30 days from date of letter, 5:00 p.m. Dear Sir or Madam: We represent the Port of Redwood City (the "Port"). At the direction of the California Department of Toxic Substances Control ("DTSC") the Port has undertaken to remediate the Port's Liquid Bulk Terminal, located at 475 Seaport Boulevard, Redwood City, California (the "Site"). The Site, formerly known as the.Gibson Environmental, Inc. and/or Pilot Petroleum Facility("Gibson"), was previously used as a hazardous waste processing, treatment, storage and disposal facility from 1988 to 1995. As a result of Gibson's operations, there currently exists millions of gallons of hazardous waste water, oil and sludge in above ground storage tanks and the possibility of soil and groundwater contamination. Gibson Environmental has defaulted on its obligations to remove these hazardous substances and claims that it is purportedly unable to participate financially in the Site closure. The Port, as owner of the Site, has been notified by the DTSC that it is primarily responsible for closure and/or remediation of the Site. Gibson manifest records,currently in possession of the Port, confirm that between 1988 and 1995 you were a contributor of hazardous wastes, pollutants or contaminants, or hazardous materials April 2-, 2001 Page 2 that are currently stored at the Site and threaten soil, surface water and groundwater contamination. According to these records, your waste material was disposed of at the Site (see enclosure). As you may already know, a Responsible Party under CERCLA, RCRA and the relevant California statutes includes a person who generated wastes, and a person who transported, treated, or disposed of wastes at the Site. CERCLA Liability The Port contends that the entities identified in its review of the Gibson waste manifest files, including yourself, are responsible parties under the Comprehensive Environmental Response and Liability Act (CERCLA)' and that these entities are liable to the Port for its response costs associated with complying with the DTSC mandated closure. In addition to allowing the United States or estate to recover costs of responding to releases of hazardous substances, CERCLA-allows private parties to bring cost recovery suits.' CERCLA provides that where there has been a "release or threatened release" of a "hazardous substance" from a "facility" causing the incurrence of "response costs", certain categories of persons associated with the facility shall be liable for, among other things, "any...necessary costs of response incurred by any...person consistent with the National Contingency Plan.i' CERCLA identifies three major categories of responsible parties based on their relation to the facility from which the release or threatened release in question has occurred. These categories are: (1) the past and present owners and operators of the facility; (2) "generators" who arrange, by contract or otherwise, for the disposal or treatment at the facility of a hazardous substance which they owned or possessed; and (3) persons who transported a hazardous substance to the facility. The Port contends that you fall into the latter two categories. Incoming waste manifests attributable to you confirm that the bulk of the wastes shipped to the facility by you consist primarily of petroleum-based wastes. As you may know, these wastes typically contain substances not typically found in pure petroleum, a fact confirmed by the chemical analyses of the Gibson tank contents which show the presence of non-petroleum constituents. Accordingly, the Port contends that the wastes shipped to the facility by you were either listed hazardous substances under the federal statute or are presumed hazardous under Title 22 C.C.R. § 66261.126, App.X. ' 42 USC § 9607 et. seq. '42 USC § 9607(a)(4)(B). 3 42 USC § 9607(a)(4)(A) and(B). The Port has undertaken all response activities as directed by DTSC to conform with the requirements of the National Contingency Plan. April 2, 2001 Page 3 In 1998, the Port filed suit in the federal court against many of the largest contributors to the wastes generated and transported to the Site. The Port has settled with many of the defendants named in that suit. The Port is now prepared to initiate another suit against contributors such as yourself; those who generated lesser quantities of wastes disposed of at the Site. RCRA LIABILITY The Resource Conservation and Recovery Act 42 U.S.C. § 6972 (a)(1)(B) provides that: "any person may commence a civil action...against any person, including any past or Present generator...who has contributed...to the past or present handling, storage, treatment, transportation, or disposal of any solid or hazardous waste which may present an imminent and substantial endangerment to health or the environment." (emphasis added). Furthermore, 42 U.S.C. § 6903 (27) defines the term "solid waste" as: "any garbage, refuse, sludge from a waste treatment plant, water supply treatment plant or air pollution control facility and other discarded material, including solid, liquid, semisolid, or contained gaseous material resulting from industrial, commercial, mining and agricultural operations, and from community activities, but does not include solid or dissolved material in domestic sewage, or solid or dissolved materials in irrigation return flows or industrial discharges which are point sources subject to permits under section 1342 of Title 33, or source, special nuclear, or byproduct material as defined by the Atomic Energy Act of 1954, as amended." (emphasis added). Under the statutory definition, the abandoned Gibson manifest records confirm that you, at a minimum, disposed of "solid waste" at the Gibson facility as the listed generator of that solid waste. The preliminary engineering studies conducted at the facility by the Port's environmental consultant have confirmed the release of material from one underground storage tank. Questions of above ground tank integrity and sufficiency of secondary containment have created a further threat of release. Indeed, the Department of Toxic Substances Control issued a Consent Order to the Port directing it to remediate the site due to an "imminent and substantial threat of release" from the tanks. Pursuant to that order, the Port has initiated a cleanup and remedial action at the Site, funded solely by the Port. Since courts in California have broadly construed the definition of solid waste, notwithstanding any other claim or theory available to the Port, you are properly the subject of a RCRA action.4 4 Zands v. Nelson, 779 F. Supp. 1254, 1261 (S.D. Cal. 1991). April 2, 2001 Page 4 COMMON LAW NUISANCE CLAIMS Under controlling California authority, the existence of your waste at the site and the DTSC requirement that this waste be removed constitutes an actionable nuisance.' The Port never consented to the disposal of these wastes at the site and could not have expected that Gibson would abandon them at the site. The California Code of Civil Procedure Provides in pertinent part: "An action may be brought by any person whose property is injuriously affected, or whose persona!enjoyment is lessened by a nuisanc--...[as defined in Civil Code § 3479], and by the judgment in such action the nuisance may be enjoined or abated as well as damages recovered therefore." In the instant case, the DTSC has already issued a letter, dated December 6, 1995, to the Port directing the Port "to assume the closure responsibility to close the facility in accordance with Chapter 15, Article 7, Division 4.5, Title 22 of California Code of Regulations (22 CCR)." The letter further directs the Port to prepare and submit a detailed facility closure plan. DTSC also issued a formal cleanup order which alleges that an imminent and substantial threat of release exists at the site. Under well settled principles of California law, the PRPs actions in delivering waste material to the Gibson site, in conjunction with the DTSC mandate to remove it, constitutes a nuisance.b SETTLEMENT DEMAND By this letter, the Port wishes to inform you that it is now seeking your financial participation in the Site closure based on your status as a Responsible Party. Based on presently known conditions, the Port estimates that the required remediation will cost more than $14.5 million dollars. Although the Port believes that Site closure can be accomplished quickly, economically, the Port is preparing to initiate litigation against all Responsible Parties, including yourself, in s See, Capogeannis V. Superior Court, (1993) 12 Cal.AppAth 668, 683. 6 California nuisance statutes broadly define both the scope and nature of activities that constitute a nuisance as well as liable parties. See, e&., Code Civ. Proc. § 731 (defining the scope of action and damages); See, also, Wilshire Westwood Associates v. Atlantic Richfield (1993) 20 Cal.AppAth 732, 745-746 and Mangini v. Aerojet-General Corn (1991) 230 Ca1.App.3d 1125, 1133-38 (describing the breadth of application of nuisance law). The mere threat,,of regulatory action constitutes a nuisance. Capogeannis v. Superior Court (1993) 12 Cal.App.4th 668, 683. April 2, 2( Page 5 order to recover its Site closure costs. Should this be necessary, we anticipate that Site closure costs will increase significantly due to National Contingency Plan conformance requirements and protocols contained in the various cost recovery provisions of the above referenced statutes. The Port hereby demands $6,000 from you in full settlement of its claims. In return for payment of the full settlement amount on or before 30 days from the date of the letter, the Port is willing to offer you a full written settlement, release and indemnification for future liability.1associated with your delivery of waste to the Site, as identified in the Gibson manifest files. If full payment is not tendered,the Port will immediately initiate litigation against you. Of course, any settlement will be subject to the Court's approval as a good faith settlement. Please send your written response no later than 30 days from the date of the letter to: Jonathan Lunsford BASSI, MARTINI & BLUM 155 Sansome Street, Suite 700 San Francisco, CA 94104 (415) 397-9006 Ext. 32 Acceptance of Settlement Offer I, , on behalf of , will pay the Port of Redwood City, upon execution of a Settlement Agreement, the sum above-referenced. Very truly yours, BASSI, MARTINI & BLUM LLP Gavin Whitis GW:jxl Enclosure Stone of X.1ifornw--Cmironmemd Proecnon^Q.—Y Fatal Appra—d OMS Na.2050-0039(E.p:re.9-30-94) See Instructions on back of page 6. o.p,...,,..,...1 r...s,.b.�r,Con',.l Neave pnre.r type. Form dnig..ed!or vs..e erM(12*kh)q —6,ev. - S_c .,ue.Calilorrvo m 1, Gerolar's US EPA 10 No. M—fDocument ect No. 2. Page 1 Information in the shaded oreas UNIFORM HAZARDOUS it nae required by Federal Ia.+. WASTE MANIFEST 3 g at 3. Generaror's Name and Mailing Addreta t h r. mGat coNr,� :93238487ivi : in 4. GmeFatol i Prhona r�) L/•I� •.L .;:c,r�.T=• m _ .. -7 .... c+ S. Tranporter 1 Company Name b. US EPA ID Numbs °D Erickson,Inc. C D 0 0 9 4 6 6 3 9 Z ko 7. Transporter 2 Company Name 8. US EPA ID Number 11 11pbrialY 1 ;:��Y;,,L.:I>•`!,q Q i,>,r• 1 00 9. Desig00 Z _nV Foully I.Iagiarnd Silo Ad�ess 10. US EPA ID Number _ i.ii•.h;_,7u.= i Son 031/c'llot Petroleum '' --" _, Of M O 475 Sea Port Blvd. gg_. :,. `: ,.mak . ;;;,.. .. ..::, . - ...:•`;�., Redwood Citv,CA. 94063 7 2 M V 12. Comainen 13. Taal l4. Unit ' 11. US DOT Description(including Proper Shipping Name,Hmard Class,and ID Number) _Z No. i Quantity Wt/r/of �LWan.Number- R0 Hazardous Waste Licgr lids NOS (Benzene) 3 E 9 NA 3082, PG III 06018 ERG #31 OLOAI `., R EPA/Oilier:: A p T m O R EPA'/Other W ~ d. Lu 'EPA j'.. ".l r4 LU ad yX OC. �. Q :l;:Yi`�r�r:r':,r�,?.T }.C€ia�•.�`� ia" vt.,.�:w.K`i:i:i� �:,.��_�.�L'r .. Q 1S. Special Handling Instructions and Additional Information r . a Gibson Oil Waste Stream Profile # �� 5F4 31 24 Hr. Z Contact Ll( i L�i�S '—— — 24 Hr. Phone# _ .fit r LLCOCE 7- _j 14 GENERATOR'S CERTIFICATION, 1 hereby d—l—that the contents of Moe consignmaa ora fully and ou.vately,d—,;6.d ebeve by prep-ahippng name end are d—ified. packed,marked,and labeled,and are in all respects in proper con&tkm for transport by highway according to appRcoble federaL state and international haws. V If I am a largo quan*generator,I certify fhat I have a program in place M reduce dw volume and toxicity of was»generated to the degree 1 baso determined to be economically pro6calsfe and that I haw select the practicable method of Ireanient,-lavage,at disposal currently available to me which mktimiset the pros*and f.k" yd1 threat to human health cod thearrvironmemt OR.R w 1 cars a all quantity 9w7~.1 have made a good faith effort to minimize my wosta generation and toles the bear O, waste mama ernem method thar Is available to me and that I can afford. C) Printed/Typed Name - Signal Month Day i•r(ear v Z r 17. Tramr 1 Acknow mart of Receipt of Mafermk Uj N Prkned/T Nome gr Abmh Da/' or 0 18. Tran rfer 2 Atknowled emmf of Rea ' t of Mafanab TPrkrad /Typed Name Signature Memoir Day Year 0 ■ N19. Discrepancy Indication Space V A 'NuY Z I G005790 _ L 20. FodfityOwner or Operator Certification of receipt of hwardars materials covered by this manifest except as rated in Mem 19. Printed/Typed Name Signalwe Month Day Ysor C_rl 0 1M 0 1-1- DO NOT WRITE WW THIS LIN . W' F EN SDS THIS COPY TO DISC WITHIN 30 DAYS. DTSC 8022A 17/92! Tar P.O Box 3000,Sovamento,CA 95812 EPA 87006-72 Snere of Coffomio—En.:.onmentd Protnction Agency Form Approved OMB No.2050-0039 IE.pves 9.369A) See Instructions on back of page 6. Deper,—,el 1e.ic Svb.nencs,ce.,t Please print or type. form designed for use on elks 112-pilrh)"t,writer. Sacramento,Cohlo—o UNIFORM HAZARDOUS 1, Generators US EPA ID No. Manifest Document No. 2. Page I Inloanarien in the skoded area, is not required by Federal law. WASTE MANIFEST C al f 3. Generator's Name and Mailing Address mate. m$ell: --- mbar_:'.'. ' Copi�ardIA cs /`rFA,y7�✓7(`yr71;u/a(/�ry ti . �.QV►r/y/�7i 0-o y 7 uJ �i:1SlPf "a1gs•;di - .r sty a. nerate/s Phone 0"/0) .7` O 5. Transporter I Company Nome 6. US EPA ID Number :•4 C? -' 7. Transporter 2 Company Name 8. US EPA ID Num r ]0§T Q . Q 9. Designated Facility Name and Site Address 10. US EPA ID Number CV� G ;.r xc7A/ (p/dc 0 r' a CDC IZIro we 0f.7 Ctl6, a4 7,14,0-1, 1-710 Ll 11. US DOT Description(inducing Draper Shipping None,Hazard Clout. Containen 13. Total 14. Unit a Z ,and ID Number) No. Type Quantity Wt/Vol I. Wade Number N~ G.R. J iA 2 ATOO vJ waS rog N d. f. e,iF.e/��.✓/� state P,J)3 G 4JA 30943(?e ►LJ Borg! A0,6 o r G EPA/Other E coo N b' State'. E VR EPA/OH,er - '•`T.- A QT c. State R EPA/Other'. W d. Stare EPA/Other'• -.t .`J"A favAl6hiriii�k:j��, Q F` i dd'algrsd; I,ltitTid,;,�Akar, ;. �} Calesfo'iVYnites�l`ri1ed,Abova � ;r�..:�?cam�,,y y}.,' •t. n.• .�'V�+" �/T .�� 5e C� ,,. � ,/.. .J.i; ; W .4 N -'1 Y j44 vV 1 '�s, k�d'-� fit••t� ' �T. :ui�'�,''•S f :'l: � }l:.'r$'yt� 1 "t ':t r.e�5., �;: �'�..Y.�•-rZS�.z �i, .T� s[�• - y_ ` ..-'K'i^�,i,•..•._ - Q � �r'st`�a'^.,� � ,:tit, r•� Af- a.;i.. e�.. � ,d.� 0 1S. Special Handllrg'InssnscKons and Addifiorsal Information It I' 00 I f]0"Q, Q Z W F 1 Q GENERATOR'S CERTIFICATION: 1 hereby declare that the contents of the consignment are fully and accurately described above by proper shipping name and ars classified. Q packed,marked,and labeled,and are in all respect in proper condition for transport by highway according to applicable federal,state and international laws. U If I am a large quantity generator.1 certify that 1 have a program in place to reduce the volume and toxicity of waste generated to the degree 1 have determined to be aeconomically practicable ad that I have sebeted the pracicable method of Inealment,storage,or disposal currently available to me which minimises the present and future V) threat to human health and the environment,OR,if I an a small QuanSty generator,I have made a good faith effort to metimixe my waste generation and&alert the best waste management method that is available to me and that I can afford. Printed/Typed Name Signature Month Day Year bjr - v19!9 LLoe! Z T 17. Transporter I Acknowledgement of Receipt of Materiak oA Printed/Typed Name Sig Month Day Year N I W v ::E o IS. Transporter 2 Acknowledgement of Receipt of Materials W a Printed/Typed Name Signature Month Day Year O e N LU 19. DiwepangIndication Space ItlI�II�II�II4l����ll�l��� U A III Z G005950 L 20.�Faeiritv Owner or Operator Certification of receipt of hazardous materials covered by 1Ns manifesi woo as noted in tram 19. T I Printed/Ty p d Nanta Signature Month Day Yeor Y �l1 - Osl jC DO NOT WR TE BELOW THIS LINE. Whilm TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS. DTSC 8Yl2A(12/911 Tot P.O.Box 3000.Sacramento, CA 95812 EPA $700-22. Stave of Califer.,ie=Emi.ennurd F.ouaion Agency Far.,Appmwd OMB Na.2050-W39(Expires 9.30.94) See Instructions on back of page 6. Dopa,,,.,,,of ra.ti sah.uancer canhma Plww P^et«type. Form dcigeed for uw an ells.(12p&h)9'pe`v^M. .. Saeranhenro,Cnlilonro UNIFORM HAZARDOUS 1. Geearalar's US EDA ID No. Mari(est Oocump t No. 2. Page 1 Information in tl.e shaded area. WASTE MANIFEST A S ( I �` *nal requ:md by Federal law. •7 of ` 3. Genwator's Name and Mailing Addrm � Ooer �, sCQfN4',rtC ;:T6l b300. ar •;�+=s C-4 A. cc cs S. Transporter 1 Company Name 6. US EPM10 Number Shde:T - t4) ,.'d •'.k CP •� C c19 1410 Ict, :sem_ 5 j 7. Transporter 2 Company Name 8. US EPA ID Number ...' t... 9. Designated Facility me and She Address 10. US EPA ID Nu r �.,•� . `�/° o°` �� ..f ' ElUd�l�lltllnFTr1�C� r� ^`�+ -716 Md or. U � 12. Containers 13. Taal X14, Unit CZ 11.US DOJ Das•' ng Pro Shipping Home,Hazard Class,and ID Number) 12. T r 13. W. Uni 1.Wade Nu r N~ 63r G CE co N b. State::,: c4 E R I EPA/Odror:,' A O T c Stalls.. ^ O R EPA/Odor z W U EPAfOdierr, c VAT r• nqp OsiMildtted'AbOre•:,'1V;.�' '.�t1 Y ,i f.'• �.,,;, 1�*5�+ k,,..:-:' '�:•,1�1t,y}`Y�`'L��/ t�!,i AI mss`,F,a �+yl.^.�1,:a7YL - Y�.^ci`Nr4C'`)} ,+�, SSM••�.,rt� ,. .T ::moi..�. '.'ri:': 'tR.. �+� •gin. rte.�� d , , F:'r.• + Y�> �`o,"a::L.set<ar^' ;r t -i..,(. z O 15. Special Handling Instructions and Additional'Information G/e C' 6 FiK•- W a �,�nic7'— �y ,cls Z:6 #.--- �'h 1E51e 44 D 16. GENERATOR'S 41ERTIFICAM& 1 heroby declare that the contents of the consignment are fully and accurately detoibed abort by proper shipping name and are classified, d packed,marked,and labeled,and ata in all respects in proper condition for transport by highway according to applicable federal,nine and international lavrt. U r If I om a largo quantity generator,I certify that I have a program w place to reduce the vdurne and toxicity at waste generated to the degree I have determined to.be economically praditoble and that I have selected the practicable methad of treatment,garage,or disposol curre ttly available to me which minimizes the present and future y threat to human heahh and the environment;OR,if 1 am a small qhave m uantily generator.1 ade a good IaA ellen to minimize my vrmta generaeon and select the bat K waste mono emend madod that is available to me and that I can afford. N O PriMad/Typed Name II �• Signature 1, Month Day Year Ll JIB �. �-+�- '� Z T 17. Transporter 1 Aduawled errant oI Receipt of Moterials W w Pri /Typed Name Sig Month Day Year W i �, C>E.'L \.a vI I ll1!11(?31 W 0 a 18. Trans 2 A owfed ement of Receipt of Materials 7 LL r Printed/Typed Name Signature Month Day Year O w N 19, Discrepancy I+dkonon Space Is 11�1191�13�1I01101� 20. Facility Owner or Operator Certification of receipt of hazardous materials covered by#Isis manifest examas noted in Isom 19. 71Pri sed/typed / `` Signature Month Dry Year J LL l.�U/� av 'fr�'e'_ . 66113 DO NOT WRITE BELOW THIS LINE 12/9# Whileh TSDF SENDS THIS COPY TO DTSC WITHIN 30 OATS. DISC 8022A ( ) To, P.O.Boa 3000,Sacramento.CA 95812 EPA 8706-22 Contra Costa County Public Works Department Date: April 4, 2001 TO: Ann Cervelli, Chief Clerk, Board of Supervisors ry FROM: Jacqueline S. James, Chief Administrative Services SUBJECT: Claim against Public Entity— Bassi, Martini & Blum. Attached is a claim against the County that was misdirected to our office. If we can assist in the resolution of this claim, please feel free to call me at (925) 313-2367. JJ:eh G:\GrpData\Admin\JACKIE\Bassi Martini Blum-process server.doc Enclosure Uy S O 00 Pat" lit cl AMENDED CLAIM 1 BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION: May 1, 2001 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 purs a Government Code Section 913 and 915. . PIRLPOL9 a S". AMOUNT: $3,200 APR 10 1009�+ APR 1 1 2001 CLAIMANT: Nathanial Miller COUNTY COUNSEL CLERK BOARD OF SUPERVISORS MARTINEZ CALIF, CONTRA CO. ATTORNEY: None DATE RECEIVED: pri ADDRESS; 1160 Meadow Ln 477 BY DELIVERY TO CLERK ON: April`9,:.2001 Concord, CA 94520 BY MAIL POSTMARKED: April 2, 2001 to Risk Mngt I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN2!�/ C erk Dated: April 10, 2001 By: Deputy H. FROM. County Counsel TO: Clerk of the Board of Supervisors ( i,<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: '21- 10- 01 By: ( a-i�a_ Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present: f This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order Ued minWZuty date. Dated; V O JOHN SWEEPEIQ Clerk, By Clerk WARNING(Gov. code section 913) Subject to certain exceptions, you have only six(6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. "For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant addressed toa clai ant as shown above. Dated do b By: JOHN SWEETEN, CLERK By WX ,Oeputy Clerk 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. C I'm to: BOARD OF SUPERVISORS OF CONTRa,COSTA COUNTY INSTRUCTIONS 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, 1957, 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 propern•ors owing 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.:. ) 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_Martinm CA 94-4553. 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. o RE: Claim by ) Reserved for Clerk's Filing Stamp Against the County of Contra Costa APR u 9 IUUl or CLERK BOARD OF-SUPERVISO RS District CONTRA COSTA CO. ) (Fill in Mame) The undersigned claimant hereby makes claim against the Countv of Contra Costa or the above named District in the sum of S I c?oa•oa and in support of this claim represents as follows: 1. When did the damage or inIn . ry occur? (Give exact Date and Hour) ------------- 2. Where did the damage or injure occur' (Include City and County) ---- c uazJ-------- --- ----_----------------------------------------------- 3. How did the damage or injun, occur? (Give full details:use e.nra paper if required) q1 i� �t Q"a��t LAR� L,J �( a //��_♦ cva s Ao e_P sfe.c - c✓r e,�--/�. .�-o�'• �l a,.Pti-�-f .�L t•c,�� --�Q�.x ,�a.�✓�i G a� tel,�...���� ---_"------a ed_ _ ,f{a1r�r/ 4. What particular act or omission on the part of county_ or district officer , se •ants, or employees caused the injury or damage? 1,_&24 r1-o /dam' 9 �j !s-ti -♦CaQa ,Gf Q U (Over) � 1 r ang par luaamoSlldm[ gzI.g gloq .Cq to `( 000`013) sirilop pursnogl nal Lurpaa:xa lou;o aug r .Cq `nosud ;)Ins aql ur =muosudmi .:q ao-aui3 par mauruosudmi gDns gloq .:q to •( 000-IS ) slrllop pursnogl auo ourpaaaza lou jo aug r :{q `srae auo argl alour iou jo pouad r loj lrrf.Caunoz)aql ui luamuosudmr .:q laglla algrgsiand sJ `aurlu.ts 10 `saganon lunoan llrq mania lualnpnrlj ao aslrj .:ur aamual p amrs agl .►rd to .t+ollr of pazuoglnr `aa-aWo io piroq l:)ulsrp .ro .ula .Uunoa .pur of 10 la3Ujp io plroq mrls .Cur of luaul.lyd .ro}.Io a'aur,ltollr 1oj slaasald`pnEJ;ap of halm qua•oq.% uosuad.isan3,, :sopy old apo lruad aq;}o Z, aorlaaS 3JI10 N x x x x Y x x x x x x x x x x x x % % % x % % % % % % x x x x x Y Y x x x x x auogdalaj -off auogdalal 9� SCSI �J (ssa.rppF ) (a.rnlruirC 5 luT.ulrTSlJ ) \ J..-__ i i .iausouF.lo ssauppv pur. aarr? }lrgaq srq uo uos-ad auros.Cq io (.:aulout) :OL S3JI.L0-h� lururrrla aql_Cq pais aq lsnur tarp;)ql,, :Sapr.to.rd -1"016 -JAS apOJ "LOO Y .•R % Y % :.� % % % Y % x � %.4'x.x x a� Y % % % Y x % % % % % x % x M % % % % � �F x % x % % %.,Y %.%.% Y 1F % < % 1�:1(ll�t 1ti3 LI 3 LbQ :.unfur to luapraar sigl;o lunoa)r ao aprm noe salmipuadsa aql ISTJ -6 - ---------------------- -------------------------------------------------------------- P�-��i,b.��O��rr�rJ •n���ca�avt� O�f���i�'�tet' •slrlIdsoq par•s.101aop sassaali.0 jo sassasppr pur s g ------------�--- :-¢-�-0-�-0-0-�--- Q.�------------------ - -�y�->�� S -aocmcp ao.isn[tn aAt=adswd.iu jo tunomc pammusa atp apnlztq? palndruoa lunomr pamrrla anogr aql sr.b.tiog ------------------------------------------------------------------------------------- a'cump oine loj maumsa oma tpL-n -paurmt:)saSeturp io saun(tn jo m3aa MU a&i!)) Lpallnsal mala non-op saunful to saLrmrp lrglb -9 ------------------------------------------------------------------------------------- Z.Cinfui io aarmrp aql nuisnra saaiColdma_to'slar.Lias�S-=Wo 3au2sip to.-.iunoa jo saturu aql alr lrgM y a h v �Y I r" t I-s . y x ' r 1 Y CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION: May 1, 2001 Claim Against the County, or District Governed by ) the Board of Supervisors, Routing Endorsements, ► NOTICE TO CLAIMANT and Board Action. All Section references are to ) The copy of this document mailed to you is your California Government Codes. ) notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and RAR 2 6 20W 915.4. Please note all "Warnings". AMOUNT: Unknown C00,N.;Y CO,4N,5,5 ; MARTINEZGAL'tF_. CLAIMANT: Nathaniel Miller ATTORNEY: None DATE RECEIVED: March 26, 2001 ADDRESS: 1160 Meadow Lane BY DELIVERY TO CLERK ON: March 2..6 2001 Concord, CA 94520 BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN SWEETEN, Clerk Dated: Ma�26, '2001 By: Deputy � 'i IL FROM: County Counsel TO: Clerk of the Board of Supervisors ( ) This claim complies substantially with Sections 910 and 910.2. (1/11"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: sri 5T4�T Dated: By: County Counsel 111. FRO'VL• Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. 130ARD 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: JOHN SWEETEN Clerk, By Deputy Clerk WARNING(Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF NAI JING 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 1 deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: By: JOHN SWEETEN, CLERK By Deputy Clerk 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. . --SILVANO B.MARCHESI DEPUTIES: PHILLIP S.ALTHOFF iCOUNT"f COUNSEL SV U JANICE L.AMENTA NORAG.BARLOW B.REBECCA BVRNES SHARON L.ANDERSON , :_ ��\T ANDREAW.CASSIDY ASS[STANT COU NTY COU N SEL CONTRA COSTA`COU,N I Y MONIKAL.COOPER s. - -U-��' `\ VICKIE L.DAWES GREGORY C.HARVEY OFFICE-OFTHE-COU T-Y COUNSEL MARKES.ESTIS I LILLIANTFUJII ASSISTANT COUNTY COUNSEL 'I. .,.�`�=--==--- I� IP GOON:TYA§MiNISTRATI�ON:BUILDDINNG;,�j• JANET L.HOLMES DENNIS C.GRAVES 651 PINE":STREE79th F,•L•OO QR KEVIN T.KERR "9'� �`' "D' I ^x.141 BERNARD L.KNAPP SENIOR FINANCIAL COUNSEL MARTIN\yZ_CALIFORNIA�945533.=1'229 EDWARD V.LANE,JR. _-_ - BEATRICE LIU GAYLE MUGGLI - �'G�' MARYANNMASON. OFFICE MANAGERPAUL R: VALERIEJ.RAINCHE PHONE (925) 335-1800 NOTICEO 'INS ff"CIENCY STEVEN RETTIG FAX (925) 646-1078 DAVID F.S CHMIDT AND/OR JACQUELINE LVER � ELINE Y.WOODS' NON-ACCEPTANCE OF CLAIM PAMELA J.ZAID TO: Nathaniel Miller 1160 Meadow Lane Concord, CA 94520 RE: CLAIM OF: Nathaniel Miller 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 Governiment Code Section 910 and 910.2, or is otherwise insufficient for the reasons checked below: ] 1. The claim fails to state the none and post office address of the claimant. ] 2. The claim fails to state the post office address to which the person preseutiig the claim desires notices to be sent. [ 3. The claim.fails to state the date, place or other circuinstances of the occurrence or transaction which gave rise to the claim asserted. [ ] 4. The claim fails to state the name(s) of the public employee(s) causing the injury, damage, or loss, if known. [XX] 5. The claim fails to state whether the tumount 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 clainii would rest in municipal or superior court. [XX] 6. The claim is not signed by the claimant or by some person on his or her behalf. [ 1 7. Other: Paae 1 r•it � SILVANO B. MARCHESI COUNTY COUNSEL By: W Deputy County Counsel CERTIFICATE OF SERVICE BY MAIL (C.C.P. §§ 1012, 1013x,2015.5;Evidence Code§§641,664) 1 declare that my business address is the County Counsel's Office of Contra Coster County,651 Pine Street,Martinez,California 94553;I am it citizen of the United States,over 13 years of ace,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.Mehl at Martinez,California. I certify under penalty of perjury that the foregoing is true and correct. Dated: March 27,2001,at Martinez,California. cc: Clerk of the Board of Supervisors(original) Risk Management (NOTME OF R SUFFICIENCY OF CLAIM:GOVT.CODE.64 910.910.2,92U.4,910.6) Page 2 1Fnt,y'�Administrato Contra k,Mnagement Costa County Administration 3u io:ng Costa 651 Pine Street.6th Floor County Martinez.California 94553 RECIE I VETD Liability Claims (415)646-41,55 Safety (415)646-2203 Vocational Rehabilitar.cn (415)646-2239 ``% �-�, MAR 2 6 2001 1workers'Com oensation, (4151 0646-2526 C - (:;'�� CLERK EOARD OF SUPERVISORS CONTRA COSTA CO. CONSENT FOR THE RELEASE OF MEDICAL INFORMATION I , authorize 1 (Nae of Pati-ent) (-Provider i �Heali�thCa`re) to disclose to the bearer, who represents the County of Contra Costa - Risk Management Division and/or designated copy service, all medical information necessary to substantiate a claim initiated by me. I hereby consent and request that the bearer be permitted to examine and obtain copies of all hospital and medical records of every sort and kind, interview doctors and other attendants regarding all matters relating to examination, diagnosis, care and treatment of myself . I understand that this Consent for the Release of Medical Information will remain valid unless cancelled by me. I hereby acknowledge that I have received a copy of this Consent for Release of Medical Information. It is understood that a photostat of this authorization is as valid as the original. Date- Q — Signed: AAA AiL- Address : 1�1(_ 0_Mea6s)U1 Lw Un cor ca ql ks LO ( Conservator or Guardian) Date of - Birth- '0� So.Gia'1 ?,Security,No •+ ";faiim 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 properr< or growing crops and which accrue on or before December 31, 1987, must be presented not later thin the 100`x' 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§911.1.') 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 EIV11 Against the County of Contra Costa MAR 2 6 2001 or CLERK BOARD OF SUPERVISORS CONTRA COSTA :O. District) (Fill in Name) ��f12 The undersigned claimant hereby makes claim against the County of Contra Costa or the above named District in the sum of S and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact Date and Hour) -----1�2 -� --------------------�2.� --��-------------------------------- ------ 2. Where did tate damage or inJury Occur? (Include City and County) „ec__ _ --- --- c�o��_ �v 3. How did the damage or injury occur? (Give full details;use extra paper if required) 1���v Yr5 �� w��1�� ss as oc 3o r�P ��5h� 2 S ��r 7a wovnan �.Ji✓ll� �l"�(,�-t �t,�t �n �r��n o'� Y�� `S- Slave, o�n rn� C3Y'ake, 1cn� Secon��S ec -J,- V025 CJA Wh �C `P�Ck u�• -------------------------------------------------------------------------------------- 4. What particular act or omission on the part of county or district officers, servants, or employees caused the injury or damag0''.l �1 J�S CA C i J I �l��� �b�1 �n Sh e �C 1� 1 Jv'1 (Over) a - -aug pus luamuosl.zduil y tis,;`'`�' g;oq ngao `(00) �IIoP Pupsnoy; aa;ouipaaaxa jou jo aug r .iq `uosud alr;s aq;ui luamuosudwl .iq .zo..aul,; pur lua aosudmz gans oq :iq zo `( OOO�IS) s.zrilop pursnoq; auo Dulpaaaxa ion jo aug p Sq °.zpari auo urq; aloes jou;o p ad r jallirf , no:)aq; ui 3uauiuosuduq .iq.zaglta algrgsiund si`2ul;u.b io 'laganon`lunoaar `lllq 'Ulmja luaInpnr-g�q aspM.Wr iudinuan;l amus aq;.ird io mode of pazuoq;nr `iaag;o io paroq iau;sip lo :i;ia `.ilunoa :iur o; zo Ix;):)gjoo pzvoq a1 :►up of;uawipd zo; io amr,aopp ao;sluasazd'pnpz;ap o;;ualai qi!m`oq.%uostad,hand„ sa �toid apo:) rua a o uolloa P. P �l d 41; .ZL S a D I 10 NI �J N M M M M M M M M M M M M M M M M M M M M M M M ?f M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M -off auogdaia,L -oh auogda1al (ssa.zpp v) (aanlru2TS s,;urwirl:)) iauuouy10 ss;),IPP'V Pur.auirs ;luyaq siq uo uoszad autos_iq jo (iauollt+) :p L 53,LLOh(mas iuruurla aq;eq paulizs aq;snw wirlo aql,, :sapi.wld Z•0I6 ':►aS apaD •,%oO M ^a MMM .M � J.MMMMMM�M �f M .• � -.�Qcy—) MMMM MM .Lv�10i�i'd Y�3.L1 �.L`cQ :.unful zo;uaptaas s1qj jo lunomr uo aPsm`non saznllpuadxa aq;;szrl 6 •sirlidsoq pur`s ioiaop`sassaull,+n;o sassa.zppr pup sawrl�.j g (-ageump io Stnfux anuaadsold Sue jo iunomr pawmasa ato apnpu[) ;,pa;ndmoo lunomr paw rla anoqu a ;SEAi.uog 'L UT 7. (•20eump ohms .mj saieutgsa oeu yaeUV paunch saoewnp to sa�mfuq jo;IIa1Xa fm aAjO) Zpallnsal uurla no:► op saunfut 10 sa2ruirp ;rqM 9 ;,i.znfnl so a�raipp aql nuzsnra saaioldma.zo`s;ur.uas°s.fa��lo;au;.sip.zo.ilnnoa;o samrn aq;a.tr lrgM 'S Gq CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY CALIFORNIA BOARD ACTION: May"1, 2001 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. i notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and APR 1 0 2009 915.4. Please noteTBOARD IVE® AMOUNT: Unknown COUNTY COUNSEL MARTINEZ CALIF.CLAIMANT: Cindy giordamo MurilloA ril 9 2001 'TACO.ISORS ATTORNEY: DATE RECEIVED: P ADDRESS: 251 Cypre§s Rd. BY DELIVERY TO CLERK ON: April 9, 2001 Oakley, CA 94561 BY MAIL POSTMARKED: Hand Del. frm Risk Mngt April 9, Ol I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JO 'TEN Cler Dated: April 10, 2001 By: Deputy C� II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( ) This claim complies substantially with Sections 910 and 910.2. ( This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return 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: 4`10"o l By: De uty County Counsel M. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present: ( N This Claim is rejected in full. Other: I certify that this is a true and correct copy of the Board's Order entered i its Lutes or this date. Dated F� d0 JOHN SWEETE[V Clerk, By � eputy 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 MAIIdNG 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 af�certified copy of this Board Order and Notice to Claimant, addressed t the laimant as shown above. Dated: ►�� ,900 By: JOHN SWEETEN, CLERK By f Deputy Clerk 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. SIL VANQ-B.MARCHESI DEPUTIES: PHILLIPS ALTHOFF �Ql?`NTY COUNSEL y>r_ L JANICEL.AMENTA �ti��:i --\�f.• NORA G.BARLOW SHARON L.ANDERSON / > + B.REBECCA BYRNES n„�-.=-;r � ANDREA W.CASSIDY ASSISTANT COUNTY COUNSEL CONTRA COSTA-4, ;�I Y MONIKA L.COOPER "qN" `1 VICKIE L.DAWES GREGORY C.HARVEY OFFICE�-OF THE-0FNTY�COUNSEL MARKES.ESTIS ASSISTANT COUNTY COUNSEL I `- -- ` C LILLIANT.FUJII C UNiYADMINISTR,.TION:BUILD�N��� JANET L.HOLMES i� _ f y DENNIS C.GRAVES 651 PINE'STREET19fh F�OQRJ KEVIN T.KERR /:� h..,.. ,-.,._Tu.:: I` n/,*�i BERNARD L.KNAPP SENIOR FINANCIAL COUNSEL MARTINE�z;'CALIFORNIA_ 4553`11229 EDWARD V LANE,JR ti BEATRICE LIU GAYLE MUGGLI MARY ANN MASON OFFICE MANAGER CUs PAUL R.MUNIZ �A /•�11iT1 VALERIE J.RANCHE STEVENNOTICE 0 PRET IGPHONE (925) 335-1800 10ENCY DAVIDFIDT FAX (925)646-1078 DANJ.sLVEANTIOR JACQUELINE Y.WOODS NON-ACCEPTANCE OF CLAIM PAMELAJ zA'° TO: Gundy Giordamo Murillo 251 Cypress Road Oakley, CA 94561 RE: CLAIM OF: Cindy Giordamo Murillo Please Take Notice as Follows: The claire you presented against the County of Contra Costa or District governed by the Board of Supervisors fails to comply substantially with the requirements of California Government Code Section 910 and 910.2, or is otherwise insufficient for the reasons checked below: I ] L The claim fails to state the name and post office address of the claimant. ] 2. The claim fails.to state the post office address to which the person presenting the claim desires notices to be sent. 3. The claim fails to state the date, place or other circumstances of the occurrence or transaction which gave rise to the claim asserted. 1 ] 4. The claim fails to state the nante(s) of the public ernployee(s) causing the injury, damage, or loss, if known. [X.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.arnount claimed exceeds ten thousand dollars ($10,000), the clai n fails to state whether jLrrisdiction over the claim would rest in municipal or superior court. [ ] 6. The claim is not signed by the clairnaut or by some person on his or her behalf. f ] 7. Other: , Page 1 . ' SILVANO B. MARCHESI COUNTY COUNSEL By:L Deputy County Counsel CERTIFICATE OF SERVICE BY MAIL (C.C.P. §§ 1012, 1013a,2015.5;Evidence Code§§641,664) 1 declare that my business address is the County Counsel's Office of Contra Costa County,651 Pine Street,Martinez,California 94553;1 am a citizen of the United StateS,over 13 years of age,employed in Contra Costa County,and not a party to this action. 1 served a true copy of this Notice of lnSufficiency and/or Non-acceptance of Claim by placing it in an envelope addressed as shown above,scaled 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: April ��,2001,at Martinez,California. cc. Clerk of the Board of Supervisors(original) Risk Management (NOTICG OF INSUFTICILNCT OF CLAIM:GOVT.CODE 09 910,910.2,920.4,91(1.6) Page 2 Claim to: BOARD OF SUPERVISORS OF CONTRPA,COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to personal propem or bowing crops and which accrue on or before December 31, 1987, must be presented not later than the 100'h day after the accrual of the cause of action. Claims relating to causes-of action for death or for injury to person or to personal propem orb owing 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 7Z at the end of this form. RE: Claim.by ) Reserved for Clerk's Fili ) p15IL _I'.nd (.I 05t,0raCUAn Awe.', <<a � RECEIVED p � r ,�1,,�y�, (�p 1. I�10.{.I �t O'��Q-YI_C� ) l� � � r "M'I�R' Wt7 2001 Against the County of Contra Costa CLERK BOARD OF SUPERVISORS or CONTRA COSTA CO. District) (Fill in Name) The undersigned claimant hereb-,, makes claim acrainst the County of Contra Costa or the above named District in the sum of S and in support of this claim represents as follows: 1. When di'd the damage or injury occur? (Give exact Date and Hour)': ' 2. Where did the damage or injury occur? (include City and Counny) _ CIC)n. :Gn:--_Ca r- ,--- 5+� Ca ��-==-------------------- 3. How did the damage or injury (�occur?rr ..t CM(Give full details:use extra paper if required 1 / < wGt..t> t A�&e— 7M-Y\.T Sdai-6-c PCiSSP�n�G( Slel 07 YYLLt Cc,um1�-Cj Me l :.� l��t. . C,CLLC, �c 0LA:) n �exSo a-L eaA — _b_e_� _ :cox�_�_ _�L :��a�v � -_x �v -------- 4. What particular act or o ssion on the part of count}• or district officers, servants, or emplovees caused the injury or damage? 1 t , \INS- W�.NC+ `�/V� l.l�•�l � 1 � ��� . an>l.� gym' �� •�v�a.,-: ..newt. � t .: o.(Over) -aug pur luamuosudm[ pns' gloq :iq so `( 00040TS ) sirllop pursnogl nai touipaaoxa lou}o aug r Aq `uosud aims np u) mamuosudup .iq io.aug pus waucuosuduil guns gloq .iq jo •( D00•1S ) slrllop pursnogl auo'uuipaaaza lou ;o aug r .�q `1raA auo augj a-iom lou jo pouad r lo; lrrf.Ciunoo aqj ui wamuosudml .iq laglp algsgslund sl `2ul;ues to 'laganon •lUnOME `ll!q 'mrcio lualnpnrl; co aslr; .iur �aumuaE;l amrs ag; .ird io mollr'o1 pazuoglnr io psroq loulslp .io .410 .ilunoa .iur of ao`saag;o to psroq aids .iur of ivam.ird lo;to a:)ur,,&olls loj sluasa.id=pnrs;ap of ivaim q;i,b'oqm uouad.uan3,. :sapLio cd apo lruad aql jo Z,, aolloas 3JI10K Y Y Y Y X Y X Y X Y Y Y Y Y S[ X X X X M Y Y Y Y Y 1F X Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y X Y Y Y X X X X X Y op� auogdalal• S2 ro,; auogdala,L j �IS�7✓ �' � �-b )-��07 �7 10�'la� (ssalpPF•) � � � (a-fnirutis s•iurmirlJ ) S g�>� S} �}-b y� h� ��O Y-M Y AVL�l d � C�' '�'a U�a�7 ON) is .iatuouF;lo ssalppF pur auir,� 3lrgaq s►q,u6 uos.:ad amos Sq so - (.iauwouF) :OL S3JLLO4 Qti35 liieuiirp aq;-iq puf is ;)q isnm mala aqL,;..' :sap►.►oA--0161 aac apo •.�05 X Y Y Y X'Y•^Y'CX'.,X. X Y' Y X •X�.�i�t vX(�1� Y Y < X Y Y Y X Y Y Y 4 Y X Y Y Y Y X Y Y Y Y X Y f X K X Y Y Y X %F �f CY14 'AAR CI iR_»i:t mail alva :.isnfui to ivap!aar sigl jo iunoaas uo aprm noA sa.xruipuadxa aq; isi-I _6 ----------------------------------------------------------------------- .------------ p l q.p p' 1. PP P k •8 :yam —�-r��+ ,0 4/Yro•� •s ei►dso pup �s�oiao sassauii.�. o sassal r ur, samr • ro ► ------;--a ------ ---- lb - l (•aeruiep.lo.i1 CUT anuaadsoIF.Ue jo lunoutr paleuiusa ay1 apnpuj) ;palnduIo:) lunomr pamirlo anogE aql sr.a.'Aog --------------- 4rtcr �• -..�j.�e"1�/1/1 , 1 l 1 a V / (aocturp oine sucgsa o,�u 1p�V pau=p saoeuirp to siun,fui jo luaixa Wu anit)) �pallnsai misla noA op szunfut 10 sa-ru up lrglA 9 j "" -------------------------------=,--------,------------ -�---i---------- --- ;,,unto►so aaruirp aq;Dulsnsa saa,:oldoia so'slus.uas`siaaglo;auzs�p so.ilunoa,}o samro aq;alr isq� •S Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 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 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 ) Against the County of Contra Costa or y77[�97d ( C C 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 / and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact Date and Hour) -��q-4ua_ z.E--�rO�--Z---I-lx'-'.\-nk- --------------------------------------- 2. Where did the damage or injury occur? (Include City and County) ------------------------------------- /UPc - 3. How did the damage or injury occur? (Give full details.use extra paper if requiredCa r ) ---A�r--�5-------�/.�A�2t - -�7, - ---------- ----- ------ ------------ 4. What particular act or omission.on. the.part. of county or district officers, servants, or employees caused the injury or damage? CCC (Over) 1 -aug pur luamuoslldmi Bans gloq,Cq to `(000`oTS) slrllop pursnogl aal 3ulpaxm) lou;o aug r Sq`uosud alu aql ul laamuosudmi :Cq to aug par luamuosudml gans qloq :Cq lo'( oop`IS) sirliop pursnogl aao suipaaaxa lou;o aug r :iq 'arae auo argl atom lou,lo pound r .io3 Ilrf.Caunoo agl ui luamuosudmi .Cq aagpa algrgsiund sl'gull!Am to l.iaganon `lunar 'lllq liump lualnpnr.i;to aslr;.Cur `aulnuat)p awes aql.Cud ao mollr of pazuoglnr 'iaagjo ao paroq laulslp to :Cala `.Chinon :Cue of to`laag;o to piroq alrls ,iur of luamArd loj to aaur.Mollr loj sluasaad`pnrl;ap of lualm gll.b'oq.++uosaad ,1aa.13„ :sapl.+old apo bund agl;o zL uollaaS I10 N M X M X M M M M M M X X M M M M M M M M M M M X X M M X M X X M M M M X X M M M M M X X X X X X M M M M M X M -ON auogdaI;).L -ori auogdala,L (ssalppv) Q ( (2 (am urutlS s:lurmlrlJ) CauaouF.lo ssa-1pp'v pur amrNl 3irgaq slq Cao uoslad amos.Cq to (Saulouv) :O.L S33I.LOti Q;N3S 1uruilrla aql.Cq pau:is aq lsnm mina aqy„ :sopi.►old i-0I6 -aaS apo •too Wall a.Lvu :.sinful to luapiaar sigl jo lunooar uo aprm non salnllpuadxa aql lsl-I -6 _ r LI c ��00tffs 2 , ss ��.(--��� Jrj-- -�1 ;;�- .-fes- •slrlldsoq pur'saolaop'sassaullAlJO sassalppp Pur samrNI -g ------------------------ -:------------------- n ��g (•a�eut¢p to.unto[an��aadso�d.Cue jo iunow¢pa�empsa a�apn�aui) ;,palndmon lunomr pamlrla anoge aql sr,11.110$ 'L ---------------------------------- - 1oj sa�eu[psa o yae�ytr -pourreia saouwep so saunfui}o ruaixa unj an!f)) jallnsaa mina noe op saunful to swIrmrp lrq,b .g ---------------------------------- -- ` ----. -.-- � X- p -vrr*rA¢ - %tCsJU-��j --- �,C.infui to a�rmrp aql�nlsnra saaeoldma to`slaeelas'slaa�o 3aulsip to:Clunoa�o samra aq;alr lrgM 'S au-<'k . ....���./*,. lM lA-/\ CAA Gb^kAL"Al- 7- A . rte., ?AA---- . .. _ - C IIA _ 41 a ary l.l�.lh roLe J-/w I - .. . . _ ..._-• . .._._� ` +...�__ . _-� .�.�.,�,,,,.,�, _ _,..cam . �/���\c/. Q ..:.�__. . _. _.. _ . ..Ci�►,��,�.:Q�:_., Com-. _.- ���-s��--.. ��-_ -1-� �� . �.�.-o -_ -- ---- 40 - _ .._......�.._ ._..- . .._.......t,�,c.,�._. , lit..�..� � - -. - -- •-- - ) - , . . _.. Ca I I :i � � � i �., • I'i - - ' ' �_�-�-�-_ .�1=�=�-._�a,�--e.�-ems ._ � n�=��, b� � i �...�_._m:__� r�- .. _._ ;:, , : - _��i--- __-_-�. -- _- ---�-- - , ,,, '� �:� . ,., ji�� .�. - - -- - -- -- ��?w ,.�..__..._---_.__ - - --- _�__.-____�,,..._ ___-� _ ._�_ _r,_. .___.�. _ _, __ _ ��._ _.__-.__-- _ _�- _ -- �; ,,, A�� _._�__�.._.�,.y a i�—._.— ___.__ _____ _ �'' �I:� j:�, �,� CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACT10a May 1. 2001 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 1 The copy of this document mailed to you is your California Government Codes. ) notice of the action taken on your claim by the y q�IEIIWMg) Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and MAR 2 6 2001 915.4. Please note all "Warnings". AMOUNT: $51'300,000 COUNTY COUNSEL MARTINEZ CALIF. CLAIMANT: Bsam Hanna ATTORNEY: Robert S. Arns DATE RECEIVED: March 26, 2001 ADDRESS: 2093 B Olivera Rd BY DELIVERY TO CLERK ON: March 26, 2001 Concord, C" 94520 BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN SWEETEN, Clerk Dated: March 26, 2001 By: Deputy Brett M. Horton IL FROM: County Counsel TO: Clerk of the Board of Supervisors ( This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return 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: 3--2-7- 01 By: 'L-W/10114 eputy County Counsel III. FROM Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). BOARD ORDER: By unanimous vote of the Supervisors present: This Claim is rejected in full. ( ) Other: I certify�thnat this is a true and correct copy of the Board's Order entered in its inute for this date. Dated: yl , (Oo JOHN SWEETElq Clerk, By eputy 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 M4=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 I imant as shown above. Dated:����/�r a O�l By: JOHN SWEETEN, CLERK By 6 G`-Deputy Clerk 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. ' VE® I Robert S. Arris, State Bar No. 65071 MAR 2 6 2001 THE ARNS LAW FIRM 2 A Professional Corporation CLERK BOARD OF SUPERVISOR CONTRA COSTA CO. 3 101 Spear Street, Suite 215 San Francisco, California 94105 4 Phone: (415) 495-7800 Fax: (415)495-7888 5 6 Attorneys for Claimant 7 CLAIM AGAINST PUBLIC ENTITY 8 9 TO: ` 10 SECRETARY I I DEPARTMENT OF TRANSPORTATION 12 STATE OF CALIFORNIA 1120 N Street 13 Sacramento, CA 95814 14 BOARD OF SUPERVISORS 15 COUNTY OF CONTRA COSTA 651 Pine 16 Martinez, CA 94553 17 DEPARTMENT OF PUBLIC WORKS 18 COUNTY OF CONTRA COSTA 255 Glacier Drive 19 Martinez, CA 94553 20 21 Please Take Notice that the undersigned hereby serves and makes a demand upon you zz for the cause and amounts set forth in the following claim: i 23 24 Claimant's Name and Address: 25 Bsam Hanna 2093 B Olivera Road 26 Concord, CA 94520 27 28 -1- Public Entity Claim CLAIM BOARD OF SUPERUSORS, OF CONTRA COSTA COUNTY, CALIFORNIA { BDARD ACT101t May 1, 2001 Claim Against the County, or District Governed by ) ) - the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section references are to ) The copy of this document mailed to you is your California Government Codes. ) notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and MAR 3 0 2001 915.4. Please note all "Warnings". AMOUNT: 5,3001'0000 COUNTY COUNSEL MARTINEZ CALIF. CLAIMANT: Bsam Hanna ATTORNEY: 'Robert S. Arns DATE RECEIVED: Tntermail March 28,2001 ADDRESS: 2093 B Olivera Rd BY DELIVERY TO CLERK ON: Intermail March 28,2001 Concord, CA 94520 BY MAIL POSTMARKED: I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JO�S� E.,, k Dated: March 30, 2001 By: Deputy 11. FROM: County Counsel TO: Clerk of the Board of Supervisors ( ) This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return 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: �� ltca-hUe �,1a►m r Dated: By: Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present: ( ) This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: JOHN SWEETEN Clerk, By Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six(6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. 'For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAEUNG I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: By: JOHN SWa-M, CLERK By Deputy Clerk 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. Contra Costa County Public Works Department Date: March 27, 2001 TO: Ann Cervelli, Chief Clerk, Board of Supervisors FROM: Jacqueline S. James, Chief Administrative Services SUBJECT: Claim against public entity— Bsam Hanna On Monday, March 26, 2001, a process server left the enclosed claim at our office. We tried to explain that our office was not the proper place to deliver the claim. However, against our advice, the process server gave the claim to the receptionist and left the building. 'In the future we will try to avoid this problem. Should you have any questions regarding this matter, please contact me at (925) 313-2367. JJ:eh G:\Grp[)ata\Admin\JACKIE\BsamHanna-process server.doc Enclosure I Robert S. Arns, State Bar No. 65071 THE ARNS LAW FIRM 2 A Professional Corporation 3 101 Spear Street, Suite 215 San Francisco, California 94105 4 Phone: (415)495-7800 Fax: (415)495-7888 5 6 Attorneys for Claimant 7 CLAIM AGAINST PUBLIC ENTITY 8 9 TO: 10 SECRETARY 11 DEPARTMENT OF TRANSPORTATION STATE OF CALIFORNIA 12 RE E uE0 1120 N Street � 13 Sacramento, CA 95814 MAR 2 8 Z001 14 BOARD OF SUPERVISORS 15 COUNTY OF CONTRA COSTA CLERK BOARD OF SUPERVISORS 651 Pine CONTRACOSTACO. 16 Martinez, CA 94553 17 DEPARTMENT OF PUBLIC WORKS COUNTY OF CONTRA COSTA Is 255 Glacier Drive 19 Martinez, CA 94553 20 21 Please Take Notice that the undersigned hereby serves and makes a demand upon you 22 for the cause and amounts set forth in the following claim: 23 Claimant's Name and Address: 24 25 Bsam Hanna 2093 B Olivera Road 26 Concord, CA 94520 27 28 -I- Public Entity Claim I Claimant's Mailing Address 2 Robert S. Arns 3 The Arns Law Firm 101 Spear Street, Suite 215 4 San Francisco, CA 94105 5 Amount of Claim: 6 Special damages, expenses and general damages legally caused by the occurrence 7 a described below are in excess of the jurisdictional minimum of the Superior Court. Because of 9 his injuries it is unlikely that claimant will be able to return to his chosen profession. Claimant io seeks damages in the amount of: Past Medical expenses in excess of $300,000.00, Special 11 damages of$2,000,000.00, and General damages of$3,000,000.00 12 Date of the Occurrence Giving Rise to the Claim Asserted: 13 On December 24, 2000, the claimant was injury in an auto incident on State Route 4 14 15 380 feet east of the Rodeo Creek Bridge. 16 Description of the Occurrence: 17 The claimant was driving west bound on S/R 4 when he was struck by a vehicle that 18 crossed the center line and forced claimant's car to smash into a retaining wall. Claimant 19 suffered severe personal injuries as a result of the incident. 20 21 Specifically, the above named public entities and their employees and agents failed to 22 design; construct and maintain the above referenced section of SR 4 by placing, constructing, 23 installing or otherwise causing to be installed a retaining wall alongside the area of SR 4 where 24 the incident occurred. The presence of the retaining wall created a foreseeable hazard by 25 constricting, narrowing and otherwise reducing the distance between lanes of traffic and the 26 27 shoulder of the road. The above referenced public entities knew or should have known that the 28 aforementioned a road design presented a foreseeable hazard that would lead to a collision such -2- Public Entity Claim I as the one giving rise to this claim. The above referenced public entities had a duty to take 2 reasonable steps to construct, and maintain the above referenced roadway yin such a manner as 3 to prevent the incident giving rise to this claim. Despite knowledge of the aforementioned 4 s hazards, the above referenced public entities and failed to take reasonable steps to prevent the 6 foreseeable occurrence giving rise to this claim. 7 Additionally, the above referenced public entities failed to place a median divider 8 separating the lanes of east and west bound traffic. The presence of such a median divider was 9 a reasonable measure that could have been taken by the above mention public entities and 10 would have prevented any crossing over of traffic into the oncoming lanes. The placement of 11 12 such a median divider would have prevented the incident at issue from occurring. It was 13 foreseeable that the failure to place a median divider on SR 4 at the site of the incident would 14 result in traffic crossing into oncoming traffic. Because the aforementioned public entities 1s failed to place a median divider on SR 4, Claimant was caused to suffer personal injuries. 16 The claimant will require substantial medical attention for his infection for the rest of 17 18 his life. The claimant's earning capacity has been severely impaired. In all respects, the 19 manner in which the claimant lives has been affected. The claimant became aware of this cause 20 of action on or about December 24, 2000. 21 22 23 24 25 26 27 28 -3- Public Entity Claim I Description of Injury: 2 The claimant sustained multiple orthopedic and neurological injuries as a result of the 3 incident. 4 5 6 7 DATED: ?j I Z'J I D) THE ARNS L FIRM 8 9 ROBE S to Attor y or Claimant II 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 -4- Public Entity Claim � f I CERTIFICATE OF SERVICE 2 I,the undersigned,declare as follows: 3 1 am a citizen of the United States, over the age of 18 years and not a party to, nor interested in, the above-entitled action. I am an employee of The Ams Law Firm, A Professional Corporation, and my business 4 address is 101 Spear Street,Suite 215,San Francisco,CA 94105 5 On March 26,2001,I served the following: Claim Against Public Entity on all interested parties in the above cause,by: 6 REGULAR MAIL by placing a true and correct copy thereof enclosed in a sealed envelope 7 with postage thereon fully prepaid. Said envelope was thereafter deposited in the United States Mail at San Francisco, California in accordance with this firm's business practice of collection and processing correspondence 8 for mailing of which I am readily familiar. All correspondence is deposited with the United States Postal Service on the same day in the ordinary course of business. 9 OVERNIGHT MAIL by placing a true and correct copy thereof enclosed in a sealed 10 overnight service envelope with postage thereon fully prepaid. Said envelope was thereafter deposited with the overnight service at San Francisco, California in accordance with this firm's business practice of collection and I 1 processing correspondence for overnight service of which I am readily familiar. All correspondence is deposited with the United States Postal Service on the same day in the ordinary course of business. 12 X HAND DELIVERY by placing a true and correct copy thereof enclosed in a sealed 13 envelope with the name and address of the party to receive the document. Such document was then given to the service or individual signing the bottom of this Proof of Service showing delivery made. 14 FACSIMILE by placing a true and correct copy thereof with a facsimile cover sheet showing 15 service upon the following individuals. 16 The envelopes were addressed as follows: 17 SECRETARY BOARD OF SUPERVISORS 18 DEPARTMENT OF TRANSPORTATION COUNTY OF CONTRA COSTA STATE OF CALIFORNIA 651 Pine 19 1120 N Street Martinez, CA 94553 20 Sacramento,CA 95814 DEPARTMENT OF PUBLIC WORKS 21 COUNTY OF CONTRA COSTA 255 Glacier Drive 22 Martinez, CA 94553 23 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and 24 correct: 25 Executed on March 26,2001 at Sa ncisco,Califo 26 ` 27 DAN ONAVIER 28 4- CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION: May 1, 2001 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. I notice of the action taken on your claim by the (r,7pursuant Board of Supervisors. (Paragraph IV below), given J pursuant to Government Code Section 913 and MAR 2 7 2009 915.4. Please note all "Warnings". AMOUNT: $5,000,000. COUNTY COUNSEL MARTINEZ CALIF. CLAIMANT: Kenneth Earl Williams ATTORNE� None DATE RECEIVED: March 26, 2001 ADDRESS; 2422 8th Ave. ; #21 BY DELIVERY TO CLERK ON: March 26, 2001 OaKland, CA 94606 BY MAIL POSTMARKED: March 26, 2001 I. FROM Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN SWEETEN, Clerk Dated: March 27, 2001 By: Deputy II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( his claim complies substantially with Sections 910 and 910.21. ( ) 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: 3— By: L_0n � Deputy County Counsel III. FROM Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). BOARD ORDER: By unanimous vote of the Supervisors present: lTJ\Y 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 mi utes for this date. Dated: JOHN SWEETEN Clerk, By / eputy Clerk WARNING(Gov. code section 913) Subject to certain exceptions, you have only six(6)months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAILING I declare under penalty of perjury that 1 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 c aimant as shown above. Dated: I O By: JOHN SWEETEN, CLERK By G Deputy Clerk s 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 INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Gov't Code 911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street,Martinez, CA 94553. C. If claim is against a district governed by the Board of Supervisors,rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be.filed against each public entity. E. Fraud. See penalty for fraudulent claims,Penal Code Sec. 72 at the end of this form. ****************************************************************************************** RE: Claim By Reserved for Clerk's filing stamp RECEIVED. MAR-2 6 Z'001 Against the County of Contra Costa or ) 4 n ) CLERK.BO TR OOSTAER SUPERVISORS 6 o�l)iW (),5A-14 District) (Fill in name) ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district in the sum of and in support of this claim represents as follows: 1. When did the damage or injury occur?(Give exact date and hour) Oti 1730 hoop,S , 01-03-01 2. Where did the damage or injury occur? (Include city and county) IQ �hE ci'kj of COQCCR6 - COWKA Co,51.p ON SPM S;ME04 DNr AQP TREIgJ Blvd. 3. How did the damage or injury occur? (Give full details; use extra paper if required) -cy +�)LFnCF_55 0; ARRE5� uc``►n ,i 04eEAs ') � *C, CoucoD, hkI 5CA of d 00PACcl -4 Ra�rJ�d 1�oltic�, s fro Al -K MF, rWd '-hW f41s0 ulur>-P,mcd A-10d 04EAFd ob, IRu3�s�+aN�� �h� n�� ;o135 �•��CE.RS +: �=� L✓N�f�-1��` -�o� ��u r,��,(;�X55►9�i,�' , ���� �v�J�)�+�� � ►��J� , ' J S 4. What particular act or omissii/:i on the part of county or district officers, servants, or employees caused the injury or damage?7h CI�(�S._ Ihi1101�IEd 1' J rill (4I��i✓5�" C-FvSt'C� -gyp (�£,S�-RAIr� 0� op6cc, 4�1� Po IiC� !-bC td DiSfANki►��l✓ ITS AE�Re�iS A�-iCA '6k)E-d IIU r�pteE m�, � A)rn�E, 1 � w�-s Nc� ��cl , 5. What are the names of county or district officers, servants, or employees causing the damage or injury? 1JV-) NL)tF , � ���` , 5����c112�IYJiC,k� �� 1kxx A-Nd 6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage.)-�M�u P.£5 W �Ch RE Su� F-a �eo n'1 -�h;e Y� J 1-`PJ 1" d o g '&A-F-5 oN ►��I A>Zm s ra cl ►C-15 ,-1r--,Ud su ' ►'tip.. ,;�h; i . I^ ,��I�.�d �Ro r-� 'RE� ►u ct�&pjC�i'o nj' WIC h �E Add�d ►�� nc�oti� � Ind PRPP') 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) ThE (�I�1�ufJ�- j r� GUCSS+�rr)A� ' bAS_. ON mil CAICU�Afilc)K15 coti F ;,v� uJ��-h s����1 ig40R%E�ls 4n�d DoC+ops nNcl oa4'hEk V1C�'rr 5 Po l,c,l`, bRL)�AI�I 8. Names and addresses of witnesses, doctors, and hospitals. SanidR� a�Ech:�,, 04' cc.Rs 2AIFC , Sq J)fwl JE,IJoJ� 5MJ�Al rY1Ec�ic�l s�A�'f FRorn 1\41 bRblo ME&C-PIC 9. List the expenditures you made on account of this accident or injury. DATE DAE NTS+ AMOUNT 5UNT ACCOVNt d� +hest il�i��R�5, ) Gov. Code Sec. 910.2 provides "The claim must be ) signed by the claimant or by some person on his behalf." SEND NOTICES TO: (Attorney Name and Address of Attorney ) (Claimant's Signature) (Address) ) Telephone No. )Telephone No. 5/0 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(S 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(510,000),or by both such imprisonment and fine. i )Q KK�� c C1U�- A-0 0C RyF braFrn f�-qr. Pn r'1 �IJhF— „ Fes'If_J in II 1 1 AI s mv.sa cy�-c YIJ fr r pa- 5. r' 1� CLAIM HOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION: May 1, 2001 Claim Against the County, or District Governed by I 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. I notice of the action taken on your claim by the Iftse,m 4wlEM) Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and MAR 2 7 2001 915.4. Please note all "Warnings". AMOUNT: $412.35 COUNTY COUNSEL MARTINEZ CALIF. CLAIMANT: Daniel Louis Belson ATTORNEY: None DATE RECEIVED: March 26, 2001 ADDRESS: 388 Adelle St. , BY DELIVERY TO CLERK ON: March 26, 2001 Livermore, CA 94550-2750 BY MAIL POSTMARKED: Marrh 23, OM1 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN SWEETEN, Clerk Dated:_gar,h97 Tit By: Deputy H. FROM: County Counsel TO: Clerk of the Board of Supervisors ( This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 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: 3 By: ` Deputy County Counsel M. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present: NThis Claim is rejected in full. Other: I certify that this is a true and correct copy of the Board's Order entered in its m'nutes f r this date. Dated: JOHN SWEETEN Clerk, By 4,65eputy 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 MAELING 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 tot a clai ant as shown above. Dated By: JOHN SWEETEN, CLERK By eputy Clerk I 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 INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100 'day after the accrual of the cause of action. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Gov't Code 911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County Administration Building, 651 Pine Street, Martinez, CA 94553. C. if claim is against a district governed by the Board of Supervisors, rather than the County, the name of the District should be filled in. D. If the claim is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent claims, Penal Code Sec. 72 at the end of this form. RE: Claim By Reserved for Clerk's filing stamp _ DA n;e I 1-oU iS &,l Sov► ) DECEIVED Against the County of Contra Costa or ) MAR 2 6 ?U01 ' ) CLERK BO District) CON Rg0� lA ERVISORS (Fill in name) ) S 0. The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district in the sum of$ 412357 and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) 0^ Fe,6rWar1 15-�Z.00i a+ 4Pr+ S was {,oil v;a +elt fHone -khat My PersoA4 prorer+y fha4- w ty " 'heid by 4e Can Ora Cosh► Cow„ Acr4Nft- a,s e-OAR%cc bead bec,n "' deatroyeV. 2. Where did the damage or injury occur? (Include city and county) My perso„,I ft ftf- y +k<� Wus "AeS+r6JtT1 Was Whl) hell 6y +kC Con-ka C00h Cou-by ShcetJ.f 044ke - PropcaMd £didtnct Se�yice.f a+ 40, S sea 1xmr S+ree+., ,M ar+1 , Co.%+m Cos{ U.,. y 3. How did the damage or injury occur? (Give full details; use extra paper if required) Or, Dice-L-er ZSR 1996 T was ckere.B4oA 6y +kC 5” Ra,Mon Po lk:- De fo_t- me�v+ Case F'-Ic do--9G- 34491), Sonne pvdsonal prop" ids WeCc -fake,-9(-o*A oxe ko be r,e,id as %teVIdewce", (See_. A46Ame.,* hlo, Z ), fJtrnerour ;-hG,r►s of mihe were cDA+a',_neA in -N.e back pac�C� ;hclu�ln9 wroMA c.(�r FMas gi s 4. What,particular act or omission on the part of county or district officers, servants, or employees caused the injury or damage? I�- +k. cA.Aft &Ss6 Coq.A� Skcc-n4's a�i e, woull kavc cmn+aeW Me AHA g"veA me, 44,e o?Por+tA6%'1 +o QiCk UP 9-A'! Per90n4A vr-oFeAy Poor -�o `�de��eF7on" S wDul-� have p►oue sgw\e. 5. What are the names of county or district officers, servants, or employees causing the damage or injury? Ms. &IA C.om m s key (Coad-" G54a CoLtwty Sherr iF': 0"k e. Sherrie S PecZA sf) adv►sed me- loaf A-kx Profu4y and Evjd<.tee Seg-Yiccj v-0,mANeA haA `14e.4royel" V-y v Sonai eroPu--•Y- 6. Y-6. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage.) ? h we (bee i d"t4 by A$,c toss 4- rky fcsonA Phu--,j w k ick► Z va ke, 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) '(he aw►eu,rl' clAi'mel WAs Cat-\?L 4Cd eLS t\4cA ;h A4-&c4^eJ # 3 8. Names and addresses of witnesses, doctors, and hospitals. t4/A 9. List the expenditures you made on account of this accident or injury. DATE TMffi AMOUNT N/A ) Gov. Code Sec. 910.2 provides "The claim must be ) signed by the claimant or by some person on his behalf." SEND NOTICES TO: (Attorney Name and Address of Attorney ) (Claimant's Signature) j 3 fl g Adel z s-�re e+ (Address) > LIVW1,1are GA 43,+SSM-2,750 Telephone No. )Telephone No. C9 ZS) Coo 6— 8 S 37 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($10,000),or by both such imprisonment and fine. i C,( t 6y 'D"Ie, Loq(f Wry Macy's) a Sar,y 1Na1 k�. wi A Srv)�s � k���t A M&+oro(a Cell6-rye AK Ads las PAoyv- wind bceaacec o� ojat j.e �Oor oP 4e g ;tw�y Pik a Z �eceiYt� Pc (000. AiJcrsiov� (ro" Au CbA rA Cess. Co. SHPtclor — Cour' AS reA4� 4-o way arftsf aA� W�ex ir►�u� a6au1�" oJ2�}�n9 M/ +ke Cadrk G$+& COtAA jj s kerr'Pf � ac'r"rna Wcml� corA-aa� rn2 \#4,\ ft 10hgru nt,4e,A +o WA �ev� as e l w h,c!, co u toe 3 c�east ±). 0n F�oR�gcy s��� 0.T OI�P(�;CiYy� 4 Pte_ dgq neA 4%1- — Ce n4rA Casa Co u j Aml�'f 6411cf- -fm��" a ve 5m,. �P�,Na,9a-G4G- 2453) and askeA Ms. Ani{ CAMM15k�y (Sf wrr Sp¢et«li�f� abo +I,t o y fetsohaA frop�r�r 4 YVa5 6e,'�uj e She -Fe(-eph r�eA bac -1-n .me 4-14 mysg4 _Pra�er+y koJ beco %kkAe-s�rb s A514e.d 6-r W ky I WQS ►+o T cOn�a�e� pc;o_r �-o 2.�\eie3�twd`t�on/r. S�e SA�d - 4.+ 44ey nal�w,all�y �-n� A0 tGn�,,Lat Pe.op 14& leave. eYI"Ae LC-f- he(a PHO -ra_de3�r-►IC� Oh -� o Ne- 4e*• T• z o� or+u*+ %\ rf-+(-eiyd TT Sarre She k� ha �ae� y�r1,y S was mb+ Con4-av"1 e4 . iUl y Lk 4A refs_ Ina 5 re fAaZ-A e,4 TSL Since Ofyh y Qr reJS-}.. "1�ecr- S'o n w(n y�l-d,er c�,u I a v,o� In ave c.a����,�-e d ;�►�2. C,1 m 10: LIVERMORE PO From: Contra Costa Sheriff 4-9-97 4:44pm p. 6 of 9 SAN RAMON POLICE DEPARTMENT 2222 Camino Ramon,San Ramon.CA 94683 Phone(510)275-2270 FAX(510)8300074 ORI: CA0070025 0 MW ® ,,,,..i 0 4.0-8 1. 11377 a ,96-34491 SR/25 H&S POSS.OF DANG.DRUGS — j PEOPLE OF THE STATE 12/25!96 37170 IALCOSTA BLVD.&DAVONA DR.,SAN RAMON IBELSON,DANIEMY L LOUIS WE,Guaroon aepc%rdK aamnw.t Fano LOK Blo- .er aBirBnwt Oa WOM LOOMbe W1wa TMwn.VakmL TMt1 Lar_LAT N FOLLOWfq OROHt A)Cwrww.moYM tat bwT•C)Cbtft FnG 0)W�M'1wG EI OINN 6 wt F)m�10.� �:0)R=14Hru d Owft 9 LIM . -7 EVIDENCUAN RAMON P.D. 1-BACKPACK, BLUE. 1-FANNYPACK, BLACK. ' 1-CASSETTE TAPE. i i i i I j I I i i i I I I i i I I i i i i14.ot.alrx,tb, I [JB �C CCA COE L ❑0 [18R CjV El b--pdm E— C�IFMeMb C]JL.. c]c—W r rJ PrM.1,OL pACa ❑wL ❑RA. []BHC S.OLIVERA 12-26-98 0600 REFER j il a�� o�M MMYwPimaWpv(MM ��r II- tr FORM 8(Rwv.IAR - Coma CoMa Corer VwiRs OW-P.O.Bw 791.MW6M&CA 91dm Oft CA007000 AWcAfWe4+ No. Z �C: ..ESTIMkTE .. OF:.. GLpr(M. BY. D�K .I �L Lou►s B�LSo►J o -`2`x.7'7 �z ri5riaS PreSeS 651@' 2�eaod,fR2ce�f�-� /2S,00 1 �p � h G1 1 YY�I� �ivt YIP.6lrif ,Ae-S )ar llgd l la Pt 1A.3QC-40gI S} r f� Syil1`55 �r�^y KJ1 ti'Ce�SlM )4r^/t o�(P�e�e� 1 i��e<<n01 FIO. SAB-53791 RQA 4 2.�9 .i M'o4irbl :..CP.0 aJa f P{,o„� &tP14ce�ed Ply a7wlbyo Chew Plo.lo38 �a �ellulgr Dae 8 0.(�9 '7 I Ad.aas Pu llGyef Vyi n�:.bceeJlCef ESA-..6kW C-bS4 Igr'a°c}G Door r DQ +u. ( Los�`� I See: AfFac! ;�w# �# F*If $cne Aa N•e« ...#s 3 jl • }10.` F t^ •y--cry'��...�. �y � D ttR � m ' C. VM D J/N.N �I L'4�I{� �•C•ISOh � 1��8gad ` Z"Ss''� C � ! I I �O Az m ��a ii � n +S Ti1ir Tai? l ry Mfr, S Lk,6t— .-'ileail�t 5�i°cg� i r�1 �'``{ 1'- ".1gar'`n; 22,8' 70 m g� E n � ?RICE a p� ' � ��ii34Yi5 r a • 7}3Atz�� rj3st '1H: 'f,;Ml92 8745 1 CASTE TAKE /574 44 PERS AUDIO 99.00 5750349 IOZMK 80.10 SUBTOTAL 80.10 a 3.50% Tx 6.81 TENDERT SCR 86.00 4 0 cb TENDER 10.91 wouar. s 3 n " , CHANGE DUE 10.00 •'THIS WlEkCHFNUISE MAY ONLY '• THANK YOU FOR SHOPPING AT UO. BE RETURNED INITHI" 30'DRYS MACY*S, PLEASANTON 00i �; a �, VATH OR RECEIPT OR PROOF _ '� CE PURCHASE AND IN ITS TERMINAL 845 CUSTOMER COPY PURCHASE m d ORIGINAL PACKAGE•" 5027 ASSC 014644 TR3053 12/24/96 208P '001 ;6 G O ' O O i f : APPROVED 904884 � V j_ MhC 497064179221 9TY IN 25,00 01001- sl ;; ' 1 4(17 !CTAT. 86.4''i t APPROVED 900897 &o MMC 497064179238 QTY IN 25.00 y y { O d } 01001- APPROVED 900904 MMC,497064179245 QTY 1N 25,00 3 m - - AP PROVED•90091.1.. .':,._ _ n 3 SEND TO: � � I � ! MMC 497064179252. . QTY 1N 25,00 h � : m I 01001-; >_ - m m < z ` S APPROVED 900928 .. a c MMC 497064179269 QTY IN 2:5,00 c aC - xR � - 010 01- s mau.0 co.. - o Eo TOTAL AMOUNT DUE STORE 125.00 a 3 C �' Z CASH TENDERED 144;00 CASH CHANGE DUE 15,00 -. 6 - m_... . g t it m 011111l1'llItW411 111 I!!_12/24/96 SAVE THIS RECEIPT - SEE REVERSE SIDE z m m r nl r b .. m r� I"•• m A 1+,o A A,e4 *-4-. Day/Fanny Packs P age 10 Spring Break 0' Rainbow of colors-aualtablel ' — ., Mall-around@reatP plenty with lea of features , 9u;1daIICe including:Pancl-load design entry to main=n- Constructed of durable,water-resistant Cordata Plus partment•Handy front zippered accessory nylon!'Leather'bottom and handle for,added durabtl- pocket•Climbing cord zipper'pull ties•Top fly•Two front accessory pockets offer easy access web haul loop for hanging or hauling •Fabric: Roomy panel-load design provides full accedes to main 1000 Denier Cordura Plus Nylon.Plaid Propex compartment•feather lashing square and ice arm loop or 500 Denier Double Cross.430 denier Nylon ' •Padded.'adjustable shoulder.st aps•Leather zipper packrloth•Colors:Navy:Black.Forest Green. 1 PuII.:Ues makeopening zippers easter.•Colors:Navy, Eggplant Black Fares_t'Gieen..FF.ggplant.; No.JPC-43911.. ....... .522.99 No.JPCr45614. $a�.99 Sbo:141/?x13'a61/?•Capocdty:1300 cu.m: s4e:175/6•x133%4'x81/Y-1800 cu.In; .. ....r .. . Daybiker; . 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Colors:Navy.Black,.Forest curry keys in front pocket!Leather zipper pull lies opening zippers easier•Colors:Navy.Black. ...... .. Green.Eggplant make No JPC-45701 $a9.99 Forest Eggplant ,�S@e:171/2':MW-2250 cu>n.'.. No.JPC-43962.......:......::.......643.99.. . :Tahoaaa `:`. `:': .. . 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Navy.B t•Eggplantsecured at an a for access•Colors:Navy. Colors: lack,Forel No:JPC-43612:..:.: 579.99 No.JPC-4111172:.._....,..............541.99 . Forest Green,Black.Eggplant Sire:241AI55/e�61/8;6 28M.cubac loci,•_•MR.•I(b.,14 cr:; SkW--*x26W•860 cu.in No.JPC•408 _ ._�. -.. $52.99 . ... . . -.:.,;:..,.... : � - . . .. - ail. J•• a,�te.r�ds.�wry SaVAl�llall -. _ . Tapestry 7`rim, ., ;.®... ',Large,panel�load main com• - . .• �,_`.-°� .= 1 Oasis ' partme!t!Oig nlzwpocket ®_ 'r holds pens:pencils.etc. • Exclusive JanSport RipCord fabric !Tv�o ;? Walkabout i . Fashionable suede leather ter bottles 9te t into Insulated packets and as bottom and trim• Keyper with elastic loops•Padded Coolguard mesh ck•` Zippered main compartment•Zippered front pocket Elastic:lnside,main com tp t•Front re3- provides easy access to smaller Items•Ar1 rattle i cerates keys in front pocket • •, waist belt with quick release buckle fits wide range •Water.reskstant fabric • arca'straps Zippered front pocket lip'. 4 1+abric: .:1000 Denier. -secures loose-Waist belt ends•.9W re• of sizes•Durable nylon,self hearing coil nippers Cordata Plus Nylon,'430 .lease waist belt buckle!Chinhing cord zip Climbing cord zipper Pull ties make opening zip. Denier Nylon--f Packcloth --Colors: Navy, ui'th molded Pull tabs•Colors:green, pexa easter•Material:500 denier Cordran Plus Brack.Foresf Green.Eggplant` . •:. .: ' Green. t. Pia VC-43M..;...::..:...... '. $42.99 d08 .:... ....... .... .. . ... ,. plant black.navy Colors:H Scarlet.G F,ggplan Teal ...... .532. No JPCr, 1b. .$19 99 ai. sem:61/2�1h•>413/4••250 4 itfo mates 1K 13 oz. Skw:MI390••capacity:426 cubic Michel• t a w- (• ft Sae:179r139�1/2°•Copocth VOO : Wonderlan ORDER:.TOTi Perfect Day&O Accessory .. Side compression straps and stabiltier wings•Padded Cooigum d mesh j back for RMEtter ventilation•Lashing loops for attaching accessories•Two front accessory FREE:,: . pockets!'Qulcg-slip-clips secure loose waist belt ends•Fabric:500 Demer Ripcord Nylon.430 Denier ' Nylon Pack loth..Cooguard Nylo mesh• Col`sema. Black,Potent Eggplant No JP}40 .... . 99 ' S12e:7l/4,xl2l/49t4••Capaolty:475 Cu.in. /•1TTA�nMt�1 � J — ----- G•lai b Ori 410'-st PageKnives 110kAP r Red IiuIItsnaaII ria:;9Assaiol Victorinox - '425" - No.SAS43201 Red 539.99 _ No.SAB-SM Nock ° $39.99 Swisscl amp , Fl nm the village of ibach.Switzerland comes Spartan V1Ct0liII�x:- one of the world's most innovative objects. No..SAB-691St Red No.SAB•535o1 Red $82.49 The Victorinax°original Swiss Army knife.' An $25.99 No.SAB-63603 Black ...$82:99 - :unquestioned symbol of quality. simplicity No.SAB-53153 Black Hae ever)tLiaghated order"T<nlie teatmes°phse:,, and versatility that has carved a place in our $25 wooA chisel. .Imaginations for,over a centuryl Choose from ' �rt� baDpolnt pan:.pllere�v/wipe carter; 17 different-m bibinations-and-csllors and Camper ^ s t 8ne,scievudrlver.. • .' nY forget the pouehl- No.SAB-53301 Red y -Fisherman' `-Eaplore_r Red No.s $29.99 y. AS-53303 Block Red', . <. - Victorinox } S29.44 :. No.SAO-6WI No.SA&53791 Rad / 542.99 . Executive Classic \_ super- er Victorinox No.S Red AB-SU01 Red No.SAB-S3Mi Red.- :$15799V:' ` $3499 No.SA1143002 Blue,...515,99.. Victorinox No.SAB43403 Block No.3AB-53003•Black $1$.99 Nd SAB-Ml Red $34.99 No.988 SS006 Grey.,,.,, $16i99., $38.99 : Money Clip No:SA643007-White $15.99'; Climber Red 'Craftaa Victorinos Victorinox Pio.SAB-53981 Rad . o No.SAS-53739 Red Red-.. «.•. ... ; : 539.99: —. - . $25.99 No.BAB-53721 Red No.SAB-599!3 Black �',$?2.99: $39.94: • • = KNIFE FEATURES Zermatt Pouch a Prctecte your.Swi.se.Airy knik�Fbr bett4.up to 2:.wide.` . . ` No.9A8�33202 Mediurii brown .A 59.49, :_ E t9 No.SAB-33203 Medium bitCk .. v$ 'A m ° o d Re m Medium fila models Tfritier.SpCrfCn. a ¢4 ota No.SAB-33208 large crown' $9.99 m c $E —r$ Esc '' aEi. ° d - No.SAB-J3207 large black,' -:'$9.99'" t),r`�to�t3��n�� t# 5 u..= targe•fltsmodelsCprreper.,F[She' wn ti_ Tinker. x x X X X X X .X X . X X Huntsman:Explorer Explorer z x 4 x x x x x x x x x x x x No,SAB-33210 Extra largo Win' ;$9,99 Flurtteman' X x x x x x x x x x x x x x Swlsschampxitx zxxxit x x x x x x x Xxx x x SJ►B�99211.Extra lard black f .: $9.9.9 Cratbsrnan x X X x X x x x x x x x x x x O E Extra Large fits models Craftsman.Swksehcmp ; -. Spartan x - xxxx xxxx x x x Camper X Xxxx xxxx x x x x // Fisherman° x x X X X X x .x x x x x x x z e-OLIOUK— � classic X ". X x X x x x x x x The BRK. SuperTh* .X. X X X X X X X X X X X X Climber x x x x x x x x x X X Survival Rescue.radve : Elteeutive x x X X x x 4 Po 'expense' was aparedin$wel.heat Tra�ll Master _. treatirig.& con= structtorioftheSRR.-Theiiinth. BladeiamadeofCarbonMeeihoned Carbon V steel btade features a Tremendously strong clip pt;W that's' —r sharp by hand and has an almost unhr eakable clip point.Rich.satin polished ilnish . fine enough for delicate.work;yet possesses;enough beHy:foi effiacxit. -Weighs 16.7 oi_with a balance point approx.3/4"in front of the guard-Handle is 5"long r cutting,Slashing&sldnntngstrolms•Specifications.Blade 6°long,3/' and de WY checkered for a nonslip shock absorbing grip•Comes with extra heavy.black 16"thick; Draton handle.-,Cames wffll.hlgh quality.black Corfiva .Cordova sheath complete with tie down cord. sheath.No.exrc-38C. .. $79.99' No.exit-16C ....... 5248.99 Questions? Call' 24 Hour • .- 1-510-447-0195 X+F a ctt w.enf (o ------- a �,Q i t D (� r•� � i cr �A4'ttir � tech.. x ^`f � U j t, a N C, � r 61 40 CP J h f O r a r AA y CLAIM C HOARD OF SUPERVISORS OF CONTRA COSTA COUNTY. CALIFORNIA BOARD ACTION: may 1, 2001 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 IU below), given E717,10��� pursuant to Government Code Section 913 and 915.4. Please note all "Warnings". AMOUNT: None �a.? 20N CLAIMANT: Racheal Thorton hgARTINEZ CALIF ATTORNEY: William Berg DATE RECEIVED: March 27, 2001 ADDRESS: 98 W. Ruby St., #441 BY DELIVERY TO CLERK ON: March 27, 2001 Richmond, CA 94801 BY MAIL POSTMARKED: None L FROM Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. PHIL BATCHELOR, Clerk Dated: March28, 2001 By: Deputy Z OF H. FROM: County Counsel TO: Clerk of the Board of Supervisors ( This claim complies substantially with Sections 910 and 910.2. ( ) This claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 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: --2–-7—0 By: C_// / Deputy.County Counsel M. FROIVL• Clerk of the Board TO: County Counsel (1) County Administrator(2) ( ) Claim was returned as untimely with notice to claimant(Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present: This Claim is rejected in full. ( ) Other: I certify�that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated l(a" I / PHIL BATCHELOR, Clerk, ByJ��Pl Deputy Clerk WARNING(Gov. code section 913) Subject to certain exceptions, you have only six(6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. *For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to ClaimantAdressej to the /Jima t as shown above. Dated: o,060/ By: PHIL BATCHELOR By V 6' eputy Clerk CC: County Counsel County Administrator t 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. • WILLIAM L. BERG SBN 92095 1 MICHAEL EDWARD COKE SBN 42757 2 LAW OFFICES OF WILLIAM L. BERG& ASSOCIATES 1470 Maria Lane, Suite 200 3 Walnut Creek, CA 94596 Telephone: (925) 943-3200 RECEIVED 4 Facsimile: (925) 943-1022 MAR 2 .7 2001 5 Attorneys for Claimant CLERK BOARD OF SUPFRMORS 6 Racheal Thorton CON TF1 A G 0 S TA CO. 7 8 Racheal Thorton, NOTICE OF CLAIM 9 Claimant, 10 vs. 11 Contra Costa County and City of Richmond, 12 Respondents. 13 14 15 PLEASE TAKE NOTICE of the following claim: 16 Name of Claimant: Racheal Thorton 17 Claimant's Address: 98 W. Ruby St., #441, Richmond, California 94801 18 Send all Notices to: Law Offices of William L. Berg& Associates, 19 2156 Central Avenue, Alameda, CA 94501 20 Date of Accident: October 8, 2000 21 Place of Accident: 517 Market Ave., unincorporated Contra Costa County, 22 Richmond, California, 94801 23 Injuries: Probable left wrist fracture; soft tissue injuries to arms, 24 shoulders and back 25 Circumstances of Accident: Claimant was walking on the sidewalk on Market Ave. in unincorporated Contra Costa County, Richmond, 26 California 94801. Claimant tripped and fell on a piece of 27 raised sidewalk, sustaining injuries. 28 • Jurisdiction: Superior Court of California County of Contra Costa 1 2 Dated: March , 2001 3 WILLIAM L. BERG Attorney for Claimant, 4 Racheal Thorton 5 6 1 have received the above Notice of Claim on behalf of the respondent, 7 8 County of Contra Costa. 9 10 Dated: 1 l Name: 12 Title: 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA BOARD ACTION: May 1, 2001 Claim Against the County, or District Governed by I 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. I notice of the action taken on your claim by the RIEZ7.1mIq) Board of Supervisors. (Paragraph IV below), given pursuant to Government Code Section 913 and MAR 2 7 2001915.4. Please note all "Warnings". AMOUNT: Unknown COUNTY COUNSEL MARTINEZ CALIF. CLAIMANT: Edward R. Bennett ATTORNEY: DATE RECEIVED: March 26, 2001 ADDRESS: San Quintin State PrisorBY DELIVERY TO CLERK ON: Mnrrh 9t;, 2001 San Quentin, CA 94474 North Block 4NO2U BY MAIL POSTMARKED: March 26, 2001 I. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN SWEETEN, Clerk Dated: D42,-, L ?7 90ni By: Deputy— II. FROM: County Counsel TO: Clerk of the Board of Supervisors (kr-1-1 al l {✓j This claim complieyubstantiall 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). { 4'Other: yotU r- rjGL t rYl I'S-hrne(u GLS-{p el,�t> QC-Lo-r i mac, On of a .90u64- 2-2, aoo( An 4 GIQ ImS prl)or-�a Poo) ca re-p—L)�n-hnme�(1�( ; Dated: 3'c —D By: eputy County Counsel III, FROM Clerk of the Board TO: County Counsel (1) County Administrator (2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). BOARD ORDER: By unanimous vote of the Supervisors present: y This Claim is rejected in full. { ) Other: I certify that this is a true and correct copy of the Board's Order tered initsnutes for this date. Dateda 06! JOHN SWEETEN Clerk, By f , Deputy Clerk WARNING (Gov. code section 913) Subject to certain exceptions, you have only six (6) months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. "For Additional Warning See Reverse Side of This Notice. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to he Crit as shown above. Dated:/ gijo�� By: JOHN SWEETEN, CLERK By Deputy Clerk 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. 1I � RECEIVED c244—� AltA�. -'MAR 2 12001 MAR 2 6 2,001 46-1 s3-,12. WUNTY COUNSEL CLERK BOARD OF SUPERVISORS CONTRA COSTA CO. —MARTINEZ-,GAL-IF. ?� Ao,a Ayp au_ ✓7`- , _cam-� �c_e�ir�t�ru."`�,_ �c_�Ioy, cceptc¢ G�a i�c_ K_e�fvuu/�2 a r,ce..Je J n _ i t �lctcry. .- 96/ ani .is ao �oy � •�Gno_t -i�; -- - `(-zue��4-a.�_z_`!_,�ax—tea-�,may;i+.�,-�-c� �u�!�,_.?0_�o_._ae�u_.a� -�..1,�%s..�a�;,,,Y�_;�•�e_u-ter�uY�,Le%a-�-°� -- 7 -- - •—�can.oP .e� %�".�._a.T�uA-+c+�a.- �.�cu�7—d_u-7..ecL.��Vii_-,a ago 10, Ddu - ��,.�`•-�v� `��93z�� . J Facility: 1 P;3 ,-" of 1 l' Printed: 01-10-2000 2014 10PE NOKC Pflnted By:56331,GARDENER CONTRA COZ., �i}�EP�T@ �l 9L9Tl�ES CIN- 470683 ;r 2000Ef0076Q 'Book DicFLer; o^=�o-z000 1221 Clothing Dtrr�,: o�-10-a000 zoos R1larvti m,S): E; ;,v ,7 i r, EOV'A RC, R -1057' r _ ..,5 R,t e'-6 you: M SA,- 451-15-4875.. MOT.- cation.:- O ' Il Storage Nus r ,R.1s/cV BIN OOQ: ,- RACK..: Pro e . ' ,�e 1,4scriptio '; Status -. S c CNE SEALEU:.SAG S 'a LJN05RVVEAR _ g PANTS y S smc,ALs et,.,�c rlx PLA5-'C g JACKET Clothing Notes — Housing The above is an accurate inventory of my clothing. ' t (InmateSignature/Date) (Witni-ss Signature/Date) I F3elease I have received all of my clothing. x (Inmate Signature/Date) (Witness SignatureEt4ate) �. CONTRA COSTA DETENTION FACILITIES Funds Receipt Transaction 0 115983 Type: DEP1 Receipt: 71565 Received.From: STEWART, C Received DUTm: 09-21-2000 0830 Fund Type Amount Item 0 --- -'CA.SN .....,. _... ..$45.00 /` Total.A mount: $g5.00 Notes: Inmate Information: CIN: 070246693 Book 0. 2000000769 Mame(L,F,M,S): BENNETT, EDWARD, R Clerk: - 4 1 I V Facllttq: 1 Page 1 of 1 Printed: 0.9 21 2i)Oil 312F MAIN Printed Bq:47767,LAWS 'hrrraxlca 4suau ' �1r � If x1a 14 C-1 L ��" , - v �1 � rn �;,• � GQ ami Q' "�J , _ ® a� a� " U � +- N <y` U 0 f. C.) - n' `J �J `.1 L tv O CV LL ' L M N tf) Cv� N p) LO 2 L rn ca C - U a to U m N (� 5 inc) ( � •1 SILVANO B.MARCHESI DEPUTIES: PHILLIPS.ALTHOFF BOUNTY COUNSEL SE LJANICEL.AMENTA NORAG.BARLOW SHARON L.ANDERSON _ B.REBECCA BYRNES a,,%=? L�-.\� ANDREA W.CASSIDY ASSISTANT COUNTY COUNSEL CON:1 RA COSTAIVO-U,NTY MONIKAC.COOPER VICKIE L.DAWES GREGORY C.HARVEY OFFIC •O'F THE-COU ' �1NSEL MARKES.ESTIS . ` ASSISTANT COUNTY COUNSEL �1. .,.,.�"- --=�+ I� LILLIANT.FUJII InCOI� TYADMINISTRATION:BUILDING�,`�j JANET L.HOLMES ,��.�NN I.. DENNIS C.GRAVES 'q5' Et TREET$9th bQ KEVIN T.KERR " I7', BERNARD L.KNAPP . SENIOR FINANCIAL COUNSEL MAR�INE�Z;'CALIFOW�IA 55.33, 229 EDWARD V.LANE,JR. BEATRICE LIU GAYLEMUGGLI � 4' MARYANNMASON OFFICE MANAGER �0 PAUL R.MUNIZ VALERIEJ.RANCHE . PHONE (925) 335-1800 STEVEN P.RETTIG DAVID F.SCHMIDT. FAX (925) 646-1018 NOTICE OF UNTIMELINESS JACOU LINE R JACOUELINEY.WOODS AS TO A PORTION OF THE CLAIM PAMELAJ.ZAID TO: Edward R. Beinriett San Quentin State Prison North Block 4NO2U Sail Quentin, CA 94474 Please Take Notice as Follows: In regards to the claim you submitted on March 26, 2001, that amended your February 22, 2001 claim, portions of your claim are dinely and portions are untimely. The portions of your claim prior to August 22, 2001 that you presented against the County of Contra Costa governed by the Board of Supervisors fail to comply substantially with the requirements of Cal.i.fornia Government Code Sections 901 and 911.2, because they were not presented within six inontlis after the event or occurrence as provided by law. Because the portions of the claim prior to August 22, 2001 were not presented within the time.allowed by law, no action was taken on those portions of your claim. The clainn was forwarded to the Board for action only on the timely portions of the claiuns. Your only recourse at this tube is to apply without delay to the County of Contra Costa governed by the Board of Supervisors for leave to present a late claim as to the claims which are untimely. See Sections 911.4 to 912.2, inclusive, and Section 946.6 of the Government Code. Under- some circumstances, leave to present a.late claim will he granted. See Section 911.6 of the Government Code. You may seek the advice of an attorney of your choice in connection with this matter.. if you. desire to consult an attorney, you should do so immediately. . SILVANO B. MARCHESI COUNTY COUNSEL By: Monika L. Cooper Deputy County Counsel Page 1 CERTIFICATE OF SERVICE BY MAIL (C.C.P. §§ 1012, 1013x,2015.5;Evidence Code§§641,664) 1 declare that my business address is the County Counsel's Office of Contra Costa County,651 Pine Street,Martinez,California 94553;1 aun 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 UNTIMELINESS AS TO A PORTION OF THE CLAIM by placing it in an envelope addressed as shown above, sealed and postage fully prepaid thereon,and thereafter was,deposited this clay in the U.S.Mail at Martinez,California. 1 certify under penalty of perjury that the foregoing is true and correct. Executed in Martinez,California. Dated: I1 — cc: Clerk of the Board of Supervisors(original) Risk Management Page 2