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Home My WebLink AboutMINUTES - 05202003 - C11-C12 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION: MAT 2U, 2003 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 EL Pursuant to Government Code Section 913 and X915.4.Please note all"Warnings". P, 2003 �' AMOUNT: EXCEEDS $25,000. �K,4TYC "f itL. 1" CLAIMANT: CARL BARNES, KATHY BARNES .ATTORNEY: MASTAGNI, HOLSTEDT & AMICK DATE RECEIVED: APRIL 14, 2003 ADDRESS: 1912 1 STREET, SUITE 102 BY DELIVERY TO CLERK ON: APRIL 14, 2003 SACRAMENTO, CA. 95814=31.1.2 BY MAIL POSTMARKED: — APRIL 11, 2003 FROM; Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the abode-noted claim. JOHN SWEETE Dated: APRIL 15, 2003 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). { ) 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). r^ (t>--Other: n-k 6n�-, v s vlL> Dated: ' .t 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; (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 minutes for this date. Dated: MAY 20, 2003 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 MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned,have been a citizen of the United States,over age 18; and that today I deposited in the United States.Postal Service in Martinez,California,postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: MAY 21, 2003 JOHN SWEETEN, CLERK.By _.Deputy ut Clerk 1 AMANDA UHRHAMMER/SBN 199445 MASTAGNI,HOLSTEDT& AMICK 2 A Professional Corporation ..�— 1912 I Street RECEI ER 3 Sacramento,CA 95814 Telephone: (916)446-4692 4 2003 4 Facsimile. (916)447.4614 5 Attorneys for Claimants rLE K laolkR A of SUP� SORS 6 7 8 CLAIM AGAINST A PUBLIC ENTITY 9 10 11 CARL BARNES; KATHY BARNES CLAIM AGAINST A PUBLIC ENTITY [Gov't Code §900 et seq.] 12 Claimant , 13 v. 14 CONTRA COSTA COUNTY, et al. 15 Respondents. 16 H 17 18 TO: CONTRA COSTA COUNTY. 19 CARL and KATHY BARNES hereby make this claim against CONTRA COSTA COUNTY, 20 pursuant to §910 of the California Government Code, and makes the following statements in support 21 of the claim. 22 1. Claimants' names are CARL and KATHY BARNES. Their mailing address is 105 Africa 23 Drive, Folsom,CA 95630. 24 2. Notices concerning this claim should be sent to Mastagni,Holstedt&Amick, 1912. I Street, 25 Sacramento,California,95814. 26 3. The date, place, and other circumstances of the occurrence which gave rise to the claim 27 28 PUBLIC ENTITY CLAIM-BARNES,CARL 1 MASTAGNI,HOLSTEOT&AM K A PROFESSIONAL CORPORAT N 1912 i STREET SACRAMENTO,CALIFORNIA 9 14 x.:26 r� 1 asserted are as follows: 2 A. The date of the incident is October 14, 2003. 3 B. The place where the incident occurred was at the Sheraton Hotel located at 45 4 John Glenn Drive, in the City of Concord in the County of Contra Costa. 5 C. On or about the date in question, at or about the location noted,Claimant, 6 CARL BARNES,was injured when he slipped and fell in the restroom located near the lobby on the first 7 floor of the Sheraton Hotel. 8 D. Claimant, CARL BARNES suffered severe injuries, including,but not 9 limited to,his knees and back. He has also suffered severe mental and emotional distress as a result of 10 said incident. 11 E. As of this date,the full extent of the claimant's injuries are not known. 12 F. The name or names of the public employee(s) or employer(s)involved causing 13 this injury, damage or loss are not fully known. However, the Claimant believes that among those 14 involved are the COUNTY OF CONTRA COSTA. This is based on the fact that the Defendants were 15 on notice regarding a dangerous condition of the restroom,and failed to warn, control, supervise,or in 16 1 any way maintain a safe environment as to the use of the premises. The defendant,as the owner of the 17 property,is liable for said injuries and failed to repair the condition which gave rise to the water being 18 on the floor which caused serious injuries to Plaintiffs. 19 G. Claimants,CARL and KATHY BARNES are now and were at all relevant times, 20 husband and wife. Claimant, KATHY BARNES, as a result of this incident has suffered the loss of 21 services of CARL BARNES as a husband and hereby claims damages arising from said loss of 22 consortium. 23 H. Claimants pray judgment against the COUNTY OF CONTRA COSTA as 24 follows: 25 1. for special damages including,but not limited to medical bills,past and future 26 2. for loss of wages suffered by Claimants, past and future; 27 28 PUBLIC ENTITY CLAIM-BARNES,CARL 2 MASTAGNI,HOLSTEDT&AMI A PROFESSIONAL CORPORAT14 N 1912 1 STREET SACRAMENTO,CALIFORNIA 95114 1 3. for costs of suit incurred herein; and 2 4. for punitive damages 3 5. for general damages 4 6. for damage arising from loss of consortium; and 5 7. for any further damages the court deems proper 6 I.. Jurisdiction over this claim would rest in the Superior Court since the estimated 7 amount of any perspective injury, damage, or loss in so far as it may be known at this time, including 8 general and special damages, exceeds $25,000.00. 9 10 Dated: z ,� MASTAGNI,HOLSTEDT & AMICK 11 12 By: AMANDA UHRHAMMER 13 Attorneys for Claimants 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PUBLIC ENTITY CLAIM-BARNES,CARL 3 MASTAGNI,HOLSTEDT&AMI A PROFESSIONAL CORPORATI 1912 1 STREET 11 SACRAMENTO,CALIFORNIA 95#4 �A>28 1 PROOF OF SERVICE(C.C.P.§1013x) 2 SHORT TITLE OF CASE: Barnes v. Contra Costa County, et al. 3 COURT NAME: not assigned I am employed in the County of Sacramento, State of California. I am over the age of eighteen years and not a 4 party to the above-entitled action;my business address is 1912 I Street, Sacramento,California 95814. 5 On the date below,I served the following document(s): 6 PUBLIC ENTITY CLAIM 7 addressed as follows: 8 Clerk of the Board of Supervisors 9 Contra Costa County 651 Pine Street 10 Martinez,CA 94533 11 12 BY MAIL. I am readily familiar with the firm's practice of collection and processing of correspondence for mailing. 13 Under that practice,it would be deposited with the United States Mail on the same day with postage thereon fully prepaid at Sacramento,California,in the ordinary course of business. 14 X BY CERTIFIED MAIL. I am readily familiar with the firm's practice of collection and processing of correspondence for 15 mailing. Under that practice,it would be deposited with the United States Postal Service on the same day with postage thereon fully prepaid at Sacramento,California,in the ordinary course of business. 16 BY PERSONAL SERVICE. I caused such envelope to be delivered by hand to the offices of the person(s)listed above. 17 BY OTHER SERVICE. I caused such envelope(s)to be delivered to the offices of the addressee(s)by:Over night via 18 19 BY FACSIMILE TRANSMISSION. I transmitted such document(s)by facsimile machine to the telephone number listed above. 20 21 I declare under penalty of perjury that the foregoing is true and correct. Executed on April 11,2003 at Sacramento,California. 22 23 " } 24 LAURA M. JES . 25 U' 26 27 28 PROOF OF SERVICE MASTAGNI,HOLSTEHT&AMI A PROFESSIONAL CORPORATI 1912 1 STREET SACRAMENTO,CALIFORNIA 951 14 E.:..hn,��:;128 m m cS',ZA -4 r Z Z .�I f C [1J a C] anrwr IAJ ru C 4 f. ................I........................I.......... ...... ........I................................... CLAIM . �C BQARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION.- MAY 2O..,�.:2.0.03,,, 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 SFS `� , 915.4. Please note all"Warnings". AMOUNT: $500.00 d 11 APR 1 5 CLAIMANT. BONNIE RANGEL CO U NTY C0UNSEL NiARYINEZ CALIF." ATTORNEY: UNKNOWN DATE RECEIVED: APRIL 14, 2003 ADDRESS: 2257 SHASTA DRIVE, BY DELIVERY TO CLERK ON: APRIL 14, 2003 MARTINEZ, CA 94553 BY MAIL POSTMARKED: HAND DELIVERED BY RT�K MANAGU= T[W-UGH PENNY I�ATLEY FROM:. Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN SWEETEN r ,e Dated: APRIL 15, 2003 By: Deputy " 5� H. FROM: CountyCounsel. TO: Clerk of the Board of Supervisori Wtiis claim complies substantially with Sections 910 and 9102. 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 9113). Other: Dated: rf By: S: 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). 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 minutes for this date. Dated: MAY 20, 2003 JOHN SWEETEN, CLERK, By Deputy Clerk WARNING(Gov. code section 95) Zr 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 pedury 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: MAY 21, 2003 JOHN SWEETEN,CLERK By Deputy Clerk 14. 100.1 I ! : 22,M 7 H6090769 NO. 11,JJ t i. Claim to: BOARD OF SUPERVISORS OF C OWM COSTA C OU"M 114STR'UMONS TO CLADiAIW A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and ;4hich accrue on or before December 31, 1987, must be presented not later than the 100th clay 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 grouting 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. Coda 591.1.2.) B. ClaL= must be filed With the Clerk of the Board of Supervisors at its of'f'ice in Room 106, County Administration Building, 651 Pine Strut, 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. Sf the claim is against more than one public entity, separate claims xust be file. against each public antzty. E. Fraud.. See penalty for fraudulent claims, Peral., Code Ser. 72 at the end of this form. RE: Claim By ) Reserved for Clerk's filing stamp ) Altai=t tine County of Contra Crista � or District) Fill, i; name ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ .cam'? 2-nd in support of this claim represents as follows.. 1. When dial the damage,or injury occur? (dive exact date and hour) 50 E. Where did the damage or injury o*aur? (Include city and county) 3. Hoer did the damdge or injury occur? (Give full details, use extra pager if required) 4. Whatticular �' act Or mi991oC1 on the part of county or district officers, sa.^vants or,employees caused. the injury or damage 14. ? 03 11 . 2 A 9256998769 N,0, 1193 P, 2 �. wnat are the names of county or district officers, servants or employees causing the damage or injury? P6 - 9D�� . 5. What damage or injuries do you claim resulted? {Give full extent of injuries or damages claimed. Attach two estimates for auto damage. _fir On - .. _-- -_----.- - __ 7• How Was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) 8. ;lames and addresses of witnesses, doctors and hospitals. see,- nc - pn�- - G� I I -- N - 9. List the expenditures you Mape on account of this accident or injury; DATE itiEM AKUN G ri. Code Sec. '910;2 provides; nThe claim mus signed by the claimant SEND NCTIMS Tfl. (Attorne ) --orby some poson his behalf." Name and Address of Attorney C. (Claimant'Ts i. tore Telephone No. Telephone No. ?) N CST S CE Section 72 of the Penal Cade provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authorized to allow or pay the same if genuine, any false or fraudulent claim, bill, account, voucher, or writing, is pcnishable either by imprisor:ment 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 {$1010041 or by bath such imprisonment and fine. w #. T- flit P CA w pe CLA� $ 1V1 F t l BOARD ACTTO„�Y.: .:I .20�, 20 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 5 H rip Pursuant to Government Code Section 913 and 915.4.Please note all"Warnings! AMOUNT: $886.67 €4 PR 2j C,3 CC)U TY COUNSEL CLAIMANT: SUSAN NIMS-DAVID MARTINF2 GAS.;F;: ATTORNEY: UNKNOWN DATE RECEIVED: APRIL 14, 2003 ADDRESS: 5028 DEEt2SVR.ING, WAY By DELIVERY TO CLERK ON: APRIL 14, 2003 ANTIOCH, CA 94531 BY MAIL POSTMARKED! APRIL 11, 2003 FROM, Clerk of the Board 'of Supervisors TO; County Counsel Attached is a copy of the above-noted claim. JOHN SWEETV, 1 Dated: APRIL 15, 2003 By: Deputy H. FROM: County Counsel TO:Clerk of the Board of Supervisors s 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 dolt act for 15.days(Section 914.8). { ) 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: D 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: , 00 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: MAY 20, 2003 JOHN SWEETEN,CLERK, By ,22uty Clerk WARNING(Gov. code section 13) Subject to certain exceptions,you have only six(6)months from the date this notice was personally served or deposited in the wail 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 immediate) :._ *For Additional Wiarnmg See Reverse Side of This Notice. , AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now,and at all times herein,rnentioned,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 cortified copy:of this Board Orden and Notice to Claimant, addressed to the claimant as shown above. Dated: MAY 21, 2003JOHN SWEETEN,CLERK By Deputygeputy Clerk Z0` 3E)Ud TZIPT S22 5c 6 0s:T T M ?T 03ta Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INST UCrIONS TO C€ ADWTr A. Claims relating to causes of action for death or for injury to person ar to per- sonal property or growing crops and which accrue on or before December 31, 1987, gust 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 Mang drops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any ether cause of action must be presented not laterthan one year after the aeccr aali of the cause of action. (Govt. Code S911.2.) 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 apinst a district gavwrned by the Hoare! 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. * * * * * * * * * * 9 * * # ! RE% Claim By ) Reserved for Clerk's filing stamp REGI Against the oLl�Ey— of tra Costa 1 03 or 3APR District) Ca.Eex saatica of S'URKVt$unQ (TIll n name ) CoHIR costa cu. The undersigned claimant hereby makes claim Inst the County of Contra Costa or the above-named District in the sum of $ and in support of this claim represents,a3s follows: 1. When did the damage or injury occur? (Give exact date and hour) �Yi'.`M�� r� �J �; ��MRwi�, 11rMi i MYi�.iifiiilliM�.�ii�YY��iiiMVi4YM'+Mi►MM�.+IiiMM�_IiiaiMr.Y 2. Are did the damage or injury o o=? {2n a citir a nd cowrtt } rN 3. Haw did the damage or injury oc ? (Give full details; use extra paper if required'7-- t1� � 4. What particular act or omission on the part of county or district officers, servants or.empl°f�ees caused.the.injury aro damage? 7e V mak` \0� C + `" t� £0*30dd TZbt S££ SM 0S:TT M ZT 03G £0`8 'ui0i wnat are We names of county or district officers, servants or employees causing the darge or injury? 6. What damage or injuries do you clAin resulted? (Give full extent of injuries o damages claimed. Attach two estimates fora to damage. "TN-%j!a �k, , ^t" f 7. How was the amount claimed above ute+3) (Include the estimated amount of any prospective in jury or damage.) games and addresses of witnesses, doctors and hospitals. ('`�-"r��„� � W" �-c � ..- � .�.. � l � �- .�� -,tee... �►� � ��-�,.�.. . {�.. ��+ 'fir:► �... w �' w� - ` � max:.-� � �c�,, 9. List the expenditures you made on account of this accident or injury: DATE ITEM AMOUNT Gov. Code See. '910;2 provides: "The claim must be signed by the claimant ,END NOTICES T0. (Attorne ) so his.behalf."' Name and Address of Attorney ` -\,A 4 l A aiasaztt 5 Signature Address , t Telephone No. 'Telephone No. � NOTICE Section 72 of the Venal Code provides. "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer, authwized to allow or pay the same if.genuine, any false or fraudulent claim, bill, a= mt, voucher, or writing, is punishable either by imprisoriamt 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 imprisimmt 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. £0"d L et?T S££ SM iN3W9HNUW ASI 8 003 6b:L t 200e-6T-&W East Bay BIW IMATE East Bay MINI DR U#.MACH #;tIVING MACHINE 4350 ROSEWOOD DRIVE VISIT OUR WEB SITE AT PLEASANTON, CA 94588-3002 http://www.eastbaybmw.com/ 925-463-2555 .11 I1.Ho, 1 11 1RI' llI'll".11.11-1111.1111 11 i t E ido . 111. 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A,� I tC TI ItDEIG Pt.'AY IND.IYIDU'AL tBE ?AiitlN _ TpTAL_T ..I €I" o Al a � I C� i(Ei� .11-1 111.11.1 11I'll �1. 11 � 11'_ 1.,. ,", , * �x� Tt 1i L Imo' 6 I'll _F �4i�> lif7k�,.3 TGryi�xyc+fyr+sp#�i{��+}�,y� �f4p"1 }7�iR'F x.:t�}V�y4y��'y[L.i+f��s��yn4rp7, i�"i G.�i LG" A T.if.i �:� h �4R7,{,ii'FkZ _y ,.IN t#tIk IZE€# IN T#ii �uEy $ I#IkAR.7fl=A PASS EAi€I Al"1 INT 1RE � # �It Y "P�II # f JCtEt t,I IQ7 t11 1, I'll f kl FttEYIS; ER iti {##t` >ReiI'll I' ll, �'3i t I I t� 111. I 'll1I 11 11 . a r I #AC'I$2r" 4 LAS E'A IL1#CAI �I'll 14968 P 4 0 9 cuss, is ER COPY ( ENI3 fi tNyt� �:� f 5 f i ------------ r10 r' ., }rF }}fFtf lyF AFF/// „ f�} 'FlY 1l F F f/ — Mfr: }} f }}.: F F Mffi4PJc900c ' .; F�i .• F} F��}+F f'r AOOOOt< _f F ...................... ii 1: .... . ... ... Ff Ff F F yy / F". F ........... . ....... .......... ................ ... ........... ............ ........... ............ ............... ..........- ............... ...................... W: ................. ................ ..... ..... ............ ................. ....................... ........................ .......... ................... . ...... ................... .......... ................... .............. .............. .................... .......... F /i } r F / f Fj f y }f. F'+ ..........................................._. ............................................ y�� Y Fri r a� t Y}f tiS: 2 J 1111. _. .........._. ........... .. .... ........__..._.._.._... ......_.... ......... ......... ......... _........... CLAIM BQAM QF§UPERVI§%2NN C TA OUNIX O�AtI}ACTION. 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, $2,971-56 CLAIMANT: YIC1VPiOR.[i+f.YOi�a ; t" ATTORNEY:. UNKNOWN,, .— DATE RECEIVED: APRIL 15, 2003 ADDRESS: 145 DOGW006 PLACE BY DELIVERY TO CLERK ON: APRIL 15,,, 2003 SAN RAMON,_,;CA-94583 BY MAIL POSTMARKED: _ APRIL 14, 2003 FROM:. Clerk of the Board of Superv:iavrs TO: County Counsel Attached is a copy of the above-noted claim. JOHN SWEET k Dated: APRIL 15 2003 Bir: Deputy II. FROM: County Counsel TO: Clerk of the Board of Supervisors { s 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 911.0, { ) Other: Dated: E>" By: Deputy County Counsel III. FROM: Clerk of the Board TO:. County Counsel(1) County Administrator(2) { } Claim was returned as untirnel with notice to claimant(Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present: M 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. MAY 20 2003 Dated: a JOHN SWEETEN,CLERK,By Deputy Clerk WARNING(Gov.code section .13) Subject to certain exceptions,you have only six(6)months from the date this notice was personally 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 Wain See Reverse Side of This Notice, AFFIDAVIT OF MAILING I declare under penalty of perjury that Jam now, and at all times herein,mentioned,have been a citizen of the United States,over age 18V 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 Nonce to Claimant,addressed to the claimant as shown above. Dated: MAY 21, 20©3 . JOAN SWEETEN,CLERK By D!2uty Clerk Cla itc to: BOARD OF SUPERVISORS OF CONTRA COSTA CWM INSTRUCTIONS TO CLAIMART A. Claims relating to causes of action for death or for injury to person or to per- sonal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 100th day after the accrual of the cause of action. Claims relating to causes of action for-death or for injury to person or to personal property or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrual of the cause of action. Claims relating to any other cause of action must be presented not later than one year after the accrual of the cause of action. (Govt. Code §911.2.) B. Claims must be filed with the Clerk of the Board of Supervisors at its off ice 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 IV 57 a 3 ) Against the County of Contra Costa } or } District} Fi11 in name The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named District in the sum of $ � 7 , .�;� and in support of this claim represents as follows. 1. When did the damage or injury occur? (Give exact date and hour) x 2. Where did the dama;ge o�"injury occur? (Include city and county) f6�6t 7 l` 6 3. How did the damage or injury occur? Give full details; use Extra paper if required) �7 0 ' .07e1z,C- p jr 4-01V .3` ak&,A +dt, i' h1le 12lq,-z141AIt' e �.rC 2y f .rlltt@pt lL'rYlgn�1Y ? jJ't"e r�a l>`4 ` 3tL f �Ee f' 2 Ccyl7 �� r21�r'r� 10` r f,411 :L 1 atYcu "fi Lfj= a �LtC/ 1 3t� ,�S�Y� tr�r' �i%� .�fiC �! '7/�.»7[�7"Lt' G: L4, lye L.tij!'/Ycs i'r�—�.f4✓� �'F x,' .pro '�j . iG �La'7��.....`y'&/ �.�..M�l"' .i') 4. What Particular act or omission on the part y or district officers, servants or .employees caused. the injury or damage? t �f,.t�y �1 :: sErY ��f l.� � j4Y�7'�! �Itj`�•��.�..5 «e•�'jlt ;.�-�•7T� ;/;'t�r'�JG• C..e�t (over) ......... ......... ......... ...._. ... . ........................... .... ......... ......... _ _ __ _ ___ ............. . ...._.... ........_.. .._......._......._. 7. wnat are the names of county or district officers, servants or employees causing the damage or injury? 5. 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 est mated amount of any prospective injury or damage.) n $. Names and addresses of witnesses, doctors and hospitals. i W3 9. Listtheexpenditures you made on account of this accident or injury: DATE ITEMAMOUNT Gov. Code Sec. 910:2 provides: "The claim must be signed by the claimant SEND NOTICES T0: (Attorne ) or _py2jsome per§on. on his. behalf." Name and Address of Attorney r Claimant�s Signature ddress Telephone No. Telephone No. .. NOTICE Section 72 of the Penal. Code provides: "Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or to any county, city or district board or officer,, authorized to allow or pay the same if .genuine, any false or fraudulent claim, bill, account, voucher, or writing, is punishable either by imprisonment in the county jail for a 'period of not more than one-year, by a fine of not exceeding one thousand ($1,040), 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. ........................................................ _.... _ -1 AlOT VIA �A41e fir 197- -" /r HON11 -A OF MILPITAS 620 South Main Street �,CA 96036- 94029159 (408)263-6060 4/77/2t103 3127/2003 MORENOMICTOR 145 DOGWOOD PL SAPS RAMON,CA 94583 925-1303.8559 Unks For This Repair order ow 2001 HONDA ST1100 JH2SC26131M100039 1 PELON DT J. Description Parts � tvx` 812MIAAJ-AWZA 1 SADDLEBAG(TYPE22) $888:80 $8x38.80 64260-MAJ-GOOZA 1 COVER,R. $33.78 $33.78 64200-MAJT80ZA 1 COWL,R.(TYPE22) $245.14 $245.14 88111-MT3K 1 COVER,R.MIRROR"R1 $82.04 $82.04 81300-MAJ-AWZA 1 SADDLEBAG(TYPE22) $888:80 $888.80 Parts Subtotal $2,138.66 Labor TOESTIMATE t ic—j�,,.je 4 c 61-io-iAl a Raymond Perez 1 Hours $76.00 STRIP TO MEASUREI ,yv, Raymond Pere¢ 2Hours $150.00 MEASURE Y' e + Raymond Perm 2 Hours $150.00 R/R UPPER COWL 4 Hours $300.00 RIR SADDLEBAG 1 Hours $75.00 RIR MIRROR 1 Hours $75.00 Labor Subtotal Other Charges Shop Supplies $4.00 Waste Fees $4.00 Job subtotal $2,571.68 Page 1 HONDA OF MILPITAS 6213 South Main Strep �y Milp�s,CA 95035- 1� 1b8r 94029159 (408)26343WO3 t.tlys ............. qq ow MORENO,\ACTOR 145 DOGWOOD Pt. SAN RAMON,CA 94583 9254)03-8559 Customer Job Totals Parts $2,138.56 Labor $825.13U Other $8.00 Total of Customer Jobs i$2,971.56 Repair Order Subtotal $2,971.56 Sales Tax $176.43 Repair Order Total $3,147.99 Total Amount Clue $3,147.99 Thank you for doing business with us aW we took forward to seeing you in the new future Page 2 3 r t .£ `1 t ;> .I.. I..1.-I......I..I...I I....''..' I.. ........ I .1.''.......I......................... -. . ,..1. ''. "I .......................... '' ........ .'',1.1''..''''..'',......I.......1.I.I..1.I I. .1. .. 11 11 11 11 ...................... -.................. I ..''Ill.-, -.1..........I..I..''.�..... ............. t � .1. .........1, ...- ......... I.I.-.......11 ,'I".'-.,.,.,.,- . ...''.1, I. ........-.,......,................��!�i�lll�il�:!]!��]�i��:��..��i.*.��i��]�ii�..:..,...",. - .I I""."'."'.'.'.-"1".. I= I I ... .....I........ ... .......... .11.11,11, ' 1, I... - I - .............. ... 11.1.......... .......... I I I.1 I'll,111.1 .. ,, ,I'll _;« x g :. -..... . N 1,- %, -', .I.... . tA .1 .1"I'll. I I...I'll,...I.......",'.,'..,.....",,.,...""..,..1.1.I I..... ." I ,: I 1. t _ 11.11-11. '..'. ."..'.....'...'......I I I I I.....I .... f..'", .. ---.'-......-.-....,.... ................. § ..''..l. 111. ti�� M.- t :': 11 fI� J i u7 .. 11 I.4;,. ; :. I cv � Lo ;.' i w E CLAIM F NIRA COSTAg.0VN . Bt?ARD ACTIQN: MAY 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 Sectiovi 913 and ti 915.4. Please note all"Warnings". AMOUNT: UNKNOWN t E R. -1. ,6 2 0'0 CLAIMANT: PETE NASI C0 10N TY C", NEL MAP ATTORNEY UNKNOWN DATE RECEIVED: APRIL 16 , 2003 ADDRESS: 2061 RILEY COURT, #2 BY DELIVERY TO CLERK ON: APRIL 161_ 2003 CONCORD, CA 94520 BY MAIL POSTMARKED:: APRIL 15 , 2003 FROM:, Clerk of the Board of Supenisors TO: County Counsel Attached is a copy of the above-noted claim. Dated: APRIL 16 JOHN S WEE ' C 2003 By; Deputy H. FROM: County Counsel TO: Clerk of the Board of Supervis rs, (KThis 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 I5 days(Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim(Section 911.0. ( ) Other: Dated: � 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 911.0. IV. BOARD ORDER.: By unanimous vote of the Supervisors present: , 04 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: MAY 20,' 2003 JOHN SWEETEN,CLERK,By ,D uty Clerk WARNING(Gov. code section 9.1 ) 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 Warnn See Reverse Side of This Notice. r 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 1$; 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: MAY 21, 2003 JOHN SWEETEN,CLERK By Deputy Clerk s , HOUSING DISCRIMINATION COMPLAINT CASE NUMBER: 09-03-0453-8 (Title VIII) AM 15 2003 09--03-0020-6 (Title VI) 1. Complainant RECEIVED Pete Naj i 2061 Riley Court, #2 APR 1 6 2003 Concord, CA 94520 CLEftI SOARI)OF SUPERVIS0118 CONTRA COSTA CO. 2. Other Aggrieved Persons None. 3. The following is alleged to have occurred or is about to occur: Discriminatory terms, conditions, privileges, or services and facilities. Discriminatory acts under Section 818 (coercion, Etc. ) . 4. The alleged violation occurred because of: National origin. 5. Address and location of the property in question (or if no property is involved, the city and state where the discrimination occurred) : 2061 Riley Court, #2 Concord, CA 94520 6. Respondent(s) Riley Court Apartments 2061 Riley Court #1 Concord, CA 94520 Sharon Buell 2061 Riley Court, #1 Concord, CA 94520 Resources for Community Development 2131 University Ave. , Suite 224 Berkeley, CA 94704 County of Contra Costa County Administration Building 651 Pine Street, Room 106 Martinez, CA 94553 7. The following is a brief and concise statement of the facts regarding the alleged violation: Complainant is from Iraq. Respondents are the owners and agents of the apartment complex in which complainant resides. Respondents receive federal funding through respondent county. Complainant states that, on December 05, 2002, he requested repairs to be done to his unit to respondent Buell, the manager of his apartment complex. To date respondent has not done these repairs, which include fixing the hot water heater and fixing a screen door. Complainant also states that respondent Buell has harassed complainant, yelling at complainant for lodging complaints against other tenants who are harassing him and threatening complainant with eviction if complainant complained again. Complainant believes he is being treated differently in the terms and conditions of his lease due to his national origin. 8. The most recent date on which the alleged discrimination occurreds December 5, 2002. 9. Types of Federal Funds identified: Home Investment Partnership. 10. The acts alleged in this complaint, if proven, may constitute a violation of the followings Sections 804b or f and 818 of Title VIII of the Civil Rights Act of 1968 as amended by the Fair Housing Act of 1988. Title VI of the 1964 Civil Rights Act. Please sign and date this fors I declare under penalty of perjury that I have read this complaint (including any attachments) and that it is true and correct. o 1,2p to3 Pete Na3i (Date) N O T E : EM WILL FURNISH A COPY OF THIS COMPLAINT TO THE P33RSON OR ORGANIZATION AGAINST WHOM IT IS FIL=. . ............................................. ..........I....................................................................................................................................................................................... ............................... U.S. Department of Housing and Urban Development California State Office 450 Golden Gate Avenue, Box 36003 San Francisco, CA 94102-3448 April 15, 2003 County of Contra Costa County Administration Building 651 Pine Street, Room 106 Martinez, CA 94553 Dear Respondent: Subject: Housing Discrimination Complaint Naji v. Riley Court Apartments, et al. Inquiry No. 150982 HUD Case No. 09-03-0453-8 (Title VIII) 09-03-0020-6 (Title VI) We have received a formal complaint alleging that you have engaged in one or more discriminatory housing practices under the Federal Fair Housing Law, 42 U.S.C. Sections 3601-3619. We are required by statute to send you a copy of the complaint. we are enclosing a copy of the complaint for you. The alleged discriminatory practices are identified in this complaint. we have made no determination as to whether the complaint against you has merit. The purpose of this letter is to inform you of: 1) the rights you have in responding to this complaint, 2) the rights each complainant has, and 3) the steps the U.S. Department of Housing and Urban Development (the Department) will take to determine whether the complaint has merit. In order to insure that the Department informs you properly of the law's requirements, this notification letter contains language required by the law. similar letter is used to notify all parties whenever a formal complaint has been filed with the Department under the Federal Fair Housing Law. We are governed by federal law, which sets out what steps we must take when a formal complaint is filed. The law also includes steps that you can take to answer or refute the allegations of this complaint. Under federal law, any answer from you to this complaint can be filed within 10 calendar days of your receipt of this letter or receipt of a letter notifying you of any amendments to this complaint. Your answer must be signed and you must affirm that you have given a truthful response by including the statement "I declare under penalty of perjury that the foregoing is true and correct. " You will be allowed to amend your statement at any time, if our investigation shows that it is reasonable and fair for you to do so. ........................... ........... Our responsibility under the law is to undertake an impartial investigation and, at the same time, encourage all sides to reach an agreement, where appropriate, through conciliation. The law requires us to complete our investigation within 100 days of the date of the official filing of the complaint. If we are unable to meet the 100-day requirement for issuing a determination, the law requires that we notify you and the complainant(s) and explain the reasons why the investigation of the complaint is not completed. In handling this complaint, we will conduct an impartial investigation of all claims that the Fair Housing Act has been violated. If the investigation indicates that there is not evidence establishing jurisdiction, the case will be dismissed. At any point, you can request that our staff assist you in conciliating (or settling) this complaint with the complainant(s) . if the case is not resolved, we will complete our investigation and decide whether or not the evidence indicates that there has been a fair housing violation. If the parties involved have not reached an agreement to settle the complaint, the Department will issue a determination as to whether there is reasonable cause to believe a discriminatory housing practice has occurred. If our investigation indicates that there is reasonable cause to believe that an unlawful discriminatory housing practice has occurred, the Department must issue a charge. if the investigation indicates that there is no reasonable cause to believe that discrimination has occurred, the complaint will be dismissed. in either event, you will be notified in writing. If the determination is one of reasonable cause, the notification will advise you and the complainant(s) of your rights to choose, within 20 days, whether you wish to have the case heard by an Administrative Law Judge, or to have the matter referred for trial in the appropriate U.S. District Court. Each complainant has the legal right to file such a suit, even if the complaint formed the basis for a charge, as long as an Administrative Law Judge has not started a hearing on the record with respect to the charge. Under federal law, even if the Department dismisses the complaint, each complainant still has the right to file an individual lawsuit under the Fair Housing Law in an appropriate federal, state or local court within two years of the date of the alleged discriminatory practice or of the date when a conciliation agreement has been violated. The law does not count, as part of the two-year period, any of the time when a proceeding is pending with the Department. There may be other applicable federal, state or local statutes under which you and/or the complainant(s) may initiate court action. You may consult a private attorney in this regard. 09-03-0453-8 The law also requires us to notify you that section 818 of the Fair Housing Act makes it unlawful for you, or anyone acting on your behalf, to coerce, intimidate, threaten, or interfere with any person in the exercise or enjoyment of, any right granted or protected under the Federal Fair Housing Law. The law also makes it illegal for anyone to coerce, threaten or interfere with any person for having aided or encouraged any other person in the exercise or enjoyment of, any right or protection granted to them under the Federal Fair Housing Law. Some explanatory material on the law is enclosed for your information. If you have any questions regarding this case, please contact our office at (800) 347-3739. Please refer to the case number at the top of this letter in those contacts, and keep this office advised of any change of your address or telephone number. We hope this information has been helpful to you. Sincerely, T"al .. Charles E. Hauptman Director Office of Fair Housing and Equal Opportunity Enclosures 09-03-0453-8 .................................................. ............... INVITATION TO CONCILIATION Conciliation is a voluntary, non-binding and confidential process to help Complainant and Respondent achieve a resolution of the fair housing complaint accompanying this invitation. The Office of Fair Housing and Equal Opportunity(FHEO)is committed to working impartially with you to reach a settlement that may benefit everyone. A conciliated settlement is not an admission by a Respondent that the law has been violated,nor is it an admission by a Complainant that the complaint does not have merit. Conciliation is a way to resolve a dispute without the completion of a formal investigation. The Conciliator is Impartial. The Conciliator is not a judge, or advocate, or thereto advise anyone or decide anything. The Conciliator only helps persons create a resolution to the dispute. A Settlement Agreement will be your agreement. It must meet your needs, the needs of other parties, as well as be in the public interest. Conciliation requires Good Faith. This means keeping an open mind,being willing to listen,being flexible, and making a sincere effort to resolve the dispute. Good faith is needed from both Complainant and Respondent. We encourage and invite your participation, and commend your willingness to work with us to reach a conciliated settlement to this fair housing complaint. CONCILIATION UNDER THE FAIR HOUSING ACT HUD is required, from the time a Fair Housing Act complaint is filed, to give the parties a chance to reach a satisfactory settlement through conciliation. Parties`Rights • Confidentiality. Nothing said or done during the course of conciliation can be used in a subsequent hearing or trial regarding the alleged violation. • Legal Counsel. Attorneys may represent Parties. • Voluntary Nature of Conciliation. Participation in conciliation is entirely voluntary. There is no penalty for declining to settle through conciliation. Role of the HUD conciliator: • is a neutral participant seeking to facilitate a mutually agreeable settlement; ......................................................I...........I.........I............................................................................. ......................... • will inform the parties of their rights during conciliation; • will inform the parties about the process, and help to structure negotiation arrangements in which the parties can have confidence; • may provide interpretations of the Act to permit the parties to bargain from informed positions; • may describe the evidence gathered up to that time,but only to permit the parties to bargain from informed positions; • conveys offers between the parties; • prepares the Conciliation Agreement; • may describe the penalties for violations,but will not comment on the likelihood that they will be imposed; and • will not discuss the probable outcome of the case. Effect of Agreement. A formal conciliation agreement,which the Act requires to be in writing and approved by HUD,will terminate the complaint. It ends the Respondent's potential liability and the Complainant's right to pursue allegations that could be filed with HUD. Nature of Agreement. The essential terms of the agreement will be those negotiated by the parties. The parties may agree to refer compensation matters to an arbitrator. The agreement will also include standard provisions in the public interest(for example, concerning monitoring and reporting). HUD's Role. By approving the agreement, HUD acknowledges that its terms serve the public interest. Role of the Department of Justice. The Justice Department will enforce the Conciliation Agreement in the event of a breach. Addendum-HUD Investigator Contact Information Dear Respondent: Your case has been assigned to the following investigation unit. —XX Investigations Branch, San Francisco Jesse Webster, Chief HUD-FHEO 450 Golden Gate Avenue, P.O. Box 36003 San Francisco, CA 94102-3448 (415)436-6536 or(800) 347-3739 Investigations Branch, Southern California Ralph Douglass,Chief HUD-FHEO 1600 N. Broadway Santa Ana, CA 92706-3927 (888) 827-5605,extension 3910 Las Vegas Office, Las Vegas,Nevada Bret Helgren, Equal Opportunity Specialist HUD-FHEO 333 North Rancho Drive, Suite 700 Las Vegas,NV 89106-3714 (702) 388-6053 Please contact the Branch indicated to discuss your case. Please also respond to the Data Request List enclosed with your notification letter to the office indicated above. Title VI Addendum to the Notification Letter Dear Respondent: Subject: HUD Case No. 09-03-0020-6(Title VI) A complaint containing allegations that you have engaged in discriminatory housing practices under Title VI of the Civil Rights Act of 1964(hereinafter"the Act')has been received and was officially filed with the U. S.Department of Housing and Urban Development(hereinafter "the Department")since the complaint alleges discrimination by a housing development or government agency which receives assistance from the Department. A copy of the complaint is enclosed. The investigation of this case will be conducted by the Department of Housing and Urban Development. Please contact the investigation unit identified in a separate addendum to the notification letters for any questions concerning this case. Title VI prohibits discrimination on the basis of race,color,or national origin in any program'or activity for which federal financial assistance is authorized. Under Title VI,the Department's investigation of this matter will include a review of your practices and policies,the circumstances under which the alleged noncompliance under Title VI occurred, and other factors relevant to a determination as to whether you have failed to comply with Title VI. If our investigation indicates that you have failed to comply with the Act, and if the matter complained of and any related issues are not resolved by informal means,the Department may take actions to effect compliance through suspension of,termination of,or refusal to grant or to continue your federal financial assistance. Prior to taking such action,the Department would notify you of your right to request a hearing or to waive the right to a hearing and submit written information and argument for the record. Upon review of the hearing,or the evidence obtained during the course of the Department`s investigation of this matter,you would be notified,in writing,of the final decision and/or order. Your rights and the Department's procedures for effecting compliance under Title VI are fully detailed under the Department's implementing regulations for the law,codified under 24 CFR Part 1. You are further advised that under Title VI,it is unlawful to coerce,intimidate,threaten,or interfere with any person in the exercise or enjoyment of,or on account of his or her having exercised or enjoyed, or on account of his or her having aided or encouraged any other person in the exercise or enjoyment of any right granted or protected under Title VI. Please contact the investigator identified elsewhere in this material at your earliest convenience. DATA REQUEST LIST 1 . State the legal name of your business and any other name (s) under which you do or have conducted business on the date of discrimination listed in the complaint. Identify the nature of any federal financial assistance received by the subject property along with the project number. 2 . State type of legal business entity you are (i .e. , corporation, partnership, limited partnership, sole proprietorship etc. ) . Also identify any agent for service of process along with his or her contact information. 3 . Identify and list the legal owners of the property in question by name, address, telephone number and type of ownership. 4 . List all persons and/or firms involved in the management of the property named in the complaint by name, address, telephone number, job title, and management responsibility. Also identify any agent for service of process along with his or her contact information. 5 . State whether at any time you have been a party in any lawsuit or enforcement action brought under any fair housing law or civil rights act in any court of law or by any governmental agency. If so, state the title or caption of the case, the case number, the name of the court or governmental agency where it was filed, the date of filing, and the outcome. 5 . State any facts that you assert in response to the allegations in the complaint. Please state these facts chronologically by date. 7 . Identify and list by name, title, address, and telephone number each individual who was involved in or witnessed the act (s) alleged on the complaint form or who has knowledge of the information set forth in your response to this data request letter. ...................................................................................................I........''I'll'-, .................................................................................................... ............................................ 8 . Identify any documents that support the facts referred to in your response to this data request letter. Describe these documents chronologically so that they can be identified and include a copy of these documents if possible. In addition, state the present location of each of these documents and the name, address and telephone number for the custodian of these documents. 9. Submit a copy of any documents or the contents of any file in your control concerning the complainant (s) . 10 . Please state whether this project is the subject of any Low Income Housing Tax Credit. If so, please provide documentation of this tax credit . Revised 10/03/2002 2 .' ------------ f f i 4 l} 3 i F 1 ~ 7 e� 0 } gwq�f f ' } f F S � f S i >� 7 FS h' lfl� }f .ls a2, f" b:. �Cv .F : . CLAIM f 19AM 09 SIMUM12RS QE CQMM CQSJA COE= V BOAS?ACTICiI�i: MA's 2 0 g .2€�0 3 aMPIIiMPBMPiY..P I PPi�Y I�.1 R P I I I II YYrP1YwPYiw• 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 Californias Government Codes. ) notice ofthe-action taken on your claim by the _ > Board of Supervisors.(Paragraph IV below),given 31lu Pursuant to Government Cade Secti 913 and 915.4.Please note all"Warnings". °' AMOUNT. $1 ,482 . 6 �wt{.'J sir :Z CALI CLAIMANT: PACIFIC 'Gks &I ELECTRIC ATTORNEY: UNKN ` " D,ATERECEIVED APRIL 16, 2003 ADDRESS: BRENDA BATCHELOR BY DELIVERY TO CLERK ON. APRIL 16, 2003 P.O. BOX ;8329 STOCIKT01g A 5208 BY'MAIL POSTMARKED: APRIL 11, 2003 FROM;. Clerk of the Board of Supervisors TC). County Counsel Attached is a copy of the above-noted claim. JOHN SWEETE Dated; APRIL 16, 2003 By; Deputy H. FROM: County Counsel: TO;Clerk of the Board of Supervis6rs (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 9101.8). ( ) 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. n Hated. .. -3By: Deputy County Counsel III. FROM: Clerk of the Board TO:. County Counsel(1) County Administrator(2) ( } Claim was returned as untiamely with notice to claimant(Section 911.3). IV. BOARD ORDER. By unanimous vote of the Supervisors present. ti ft This Claim is rejected in full. { ) Other: I cer t'that this is a true and correct`copy of the Beard's Order entered in its minutes for this data,. Bated: MAY 20,' 2003 JOHN SWEETEN,CLERK,By Deputy Clerk WARNING(Gov.code section 13) Subject to certain exceptions,you have only six(6)months from the date this notice was personally served or deposited in the mail to files 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 ixnmediatel : *For Additional Yom .See Reverse Side of This Noticer AFFIDAVIT OF MAILING I declare under penalty ofpe4ury that I'am now,and at all times herein,mentioncd,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: MAY 21 2043JOHN STEN,CLEF.By D uty Clerk Claim to: BOARD OF SUPERVISORS OF CMTRA COSTA COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury=to person or to per- sonal property or growing crops and which accrue on or before December 31, 1987, mint 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'. Claim relating- to-'any other' cau of action must` be presented not later than one year after the accMall of the cause of action. (Govt. Cade §911.2.) B. Claims must be filed with the Cleric of the Board of Supervisors at its office in Room 105, County Administration Building, 651 Pine Street, Martinez, CA 94553. C. If claim is against a district governed by the Board ofSupervisors, 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 ,r Reserved for Clerk's filing stamp �C. ) �... Against the MEty of Contra Costa j t , or ry yDistrict) The undersigned claimant hereby mattes claim against the County of Contra Costa or the abovera-med District th th.e sum of $ 14,j Z.ist and in support of this claim represents�as follows 1. When did.the damageorinjury occur? (Give exact date and hour) 2. Where did the damage or injury occur? (Include city and county) 3. How did the damage or injury occur? (Give till details; use extra Paper if required) iiY�# YY WiNMMIiM�iY.M ------ --------- 4. ----irW----Mow 4. What particular act or omission on the part of county or. district officers, servants or.employees caused.the.injury or damage? (over: 5. Wnat are the names of county or district officers, servants or employees causing the damage or injury? ,.... ,..+.s..+w..,..... .r....,..n..«...............r.........»..,r....+r.-«,.. ......r.r...r. -------.w.....»............a+...►,,...........--- What damage or injuries do you claim resulted? (Give Roll extent of injuries or damages claimed. Attach two estimates for autos damage._ 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) 54GE A 15 vk'�-t:k tr us tJ P . Names and addresses of witnesses, doctors and hospitals. Lcoa. 11101 N�6wA" 610 P,4w CA 9• List the expenditures you made on account of this accident or injuryt DATE, ITEM AMOUNT � s . Gov. Cade See. 91W provides. "The claim must be signed by the claimant SEND NOTICES TO: (Attorne ) or by some person on.his..behalf»" Name and ss of Attorney Claimant# gna ure U &K (Address) 'FFA 8 Telephone No. Telephone No. 74161 Ott * N -QT I E Section 72 of the Penal Code provides: "Every person who, with intent to defraud, presents_ for_allowance or for payment to any state board or cff`icer, brat 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 countya1 -for a period of not more than one-year•, by a fine of not exceeding One thousand 41,000). or by both such imorisonment and fine, °oar by imprisonment in the state prison:, by a fine of not exceeding ten thousand dollars ($10,000, or by bath such imprisonment and ,fine ......................... ...........................................I.......... ....... ......... ................................... Pacific Gas and flecftic Company Credit and Records P.O.Box 8329 Stockton,CA 95208 April 10, 2003 Attn: Liability Division Contra Costa County Risk Management 2530 Arnold Drive, #240 Martinez, Ca. 94553 APR ,I, Gentlepersons: This refers to an incident on January 14, 2003 when Highway Patrolman Todd E. Turney struck and damaged our street light standard when he?ost control of his patrol car at Sycamore Valley Road in Danville. The conditions under which this damage occurred indicate you are responsible for the damages and we have the right to recover from you the cost of repairs. Enclosed is our invoice in the amount of$1,482.88. Also enclosed is a cost breakdown of all labor and material charges, and also your claim form. If you have insurance coverage,please provide the name, and address of your insurance carrier, as well as your policy number in the space provided below. We will then forward our bill for damages to them. Please call me at 1-800-945-5251, Extension 7469, or 209-956-7469, if you have any questions. 'i erely, ere'y' atchelo Representative clos 0 a s tchelor ai Representative nclosures A/R No.: 0301821 ------------------------------------------------------------------------------------------------------------- Submit-invoice directly to me for payment. Submit invoice to insurance carrier. Insurance Company: —Agent: Address: City: State: Zip:_ Phone: Contact Name: Claim/Policy No.: Insured's Name:— AYR No.:0301821 ACTUAL COST WORKSHEET Contra Costa County Risk Management Our Fite No.: 301821 Date of Straight Over Double Loss Time Time Time 1/14/2003 Equipment Operator 3.00 0.00 0.00 Lineman 3.00 0.00 0.00 Electric Crew Foreman 3.00 0.00 0.00 Lineman 3.00 0.00 0.00 Lineman 0.00 10.00 0.00 Troubleman 1.00 0.00 0.00 Total Hours 13.00 10.00 0.00 Labor Subtotal $403.03 Non-Productive Time $0.00 Benefit Burden 1104.78 Payroll Tax $39.50 Admin/General Expense $22.17 Vehicle and Equipment $73.74 Other Costs E,E0 Materials See Attached $73jrp.37 Stores Expense 1103.09 Credit and Salvage Values SALVAGE $0.00 BETTERMENT $0.00 JOINT POLE CREDIT $0.00 Total Amount Due $1,482.68 Our costs are billed in accordance with the Uniform System of Accounts prescribed by the Federal Regulatory Commission. Our right to recovery for these costs are delineated in Public Utility Code 7952 enacted in 1951( Copy on Enclosed). +p 3 CA) C .s 0 a �Dstlx .sQ (D 00 -4 +u s G 4 COCA 0191 CCD t„) Rt '< -( far -0t/3 t"' ch O N 0 M �. Co > Ica All mr I I z > z m a MC MR 8m MR mg " mc a 00 rr Cr 0rX-q c _ � � �►rr- rnb r c � . a + m m sm m "'gym ° rn -j o m 8m m tit t- � m � m ', m � mm tom � z z z o z 3z � z a z E7 70 X 1;v Q ;a "� � tC1 0 o a 0 !V tv W EJs fY1 � W .� !V :� '� n i o o EC o o 0 o r o CAia E� + O 14 X a R 0 O m r jo 4 p `� 0 CA v 0 nr's C 00 C v 0) W w w w8 w w w w E3 E3 Ea w E+s w Cl p. O3 too cow w ED Ea w E� Ers W W iC+J w W w w cr, C, E,n clti , c`n v► n� r.� � C) � Ea Era w CD ca N N N N N N IN IN m m m !T! m m a s CA i Eft Eh � ::: ....... Pacific Gas and Electric company 99950006375526800001,482680000148268 X. 0006375526-8 04/1602003 $ 1,482.68 _ C C C RISK MANAGEMENT PG&E Box00 ATTN: LIABILITY DIVISION Saoran nt 2530 ARNOLD DRIVE SUITE 240 � � c� MARTINEZ CA 94553 Please return this portion with your payment. Thank you. When Making Inquiries or Address Changes, 0<��j Please Contact: 401210 Non-Energy Collection Unit P.O. Box 8329 00637`5526 Stockton CA 95208-8329 (800)945-5251 Cott RM Reference Number:0301821 LABOR TO REPAIR ELEC FACILITIES-CAPITAL 1 LA 569.48 MATERIAL FOR REPAIR OF ELEC FAC-CAPITAL 1 EA 839.46 OTHER COSTS FOR REPAIR OF ELEC FAC-CAP 1 EA 73.74 Line Item Subtotal 1,482.68 AMOUNT NOW DUE $ 1,482.6$ NOTE: This invoice reflects current charges only. Any past due amounts will be billed separately. Pecrycled,Pope, _ rt: y�yC i �i t c! RE la .g ,,y Mi •apt /� � X � CLAIM IIQAM F SUPFERM§=QF CQ=A C T TY BOARD ACTIO}N: MAY 20, 2003 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 f7N f. Pursuant to Government Code Section913 and 915.4. Please note all"Warnings". ' AMOUNT: $ 47.29 rlllc�PR: 1 ! 2i�`3 � ANNA M. MEDIA COUNTYC�¢� `tNSEL CLAIMANT: MARTINEZ.i<,LF ATTORNEY UNKNOWNDATE RECEIVED: APRIL 17 , 2003 ADDRESS: 1221 MARIONOLA WAY BY DELIVERY TO CLERK ON: APRIL 17,2003 2003 PINOLE, CA 94564-2144 BY MAIL POSTMARKED: APRIL 16, 2003 FROM:, Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. Dated: APRIL 1 T) 2203 $ : Deputy JOHN SWEETEN, ler II. FROM: County Counsel . TO: Clerk of the Board of Supe viso (vlI 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 914.8). { } 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: -- 703 By. Deputy County Counsel M. FROM: Clerk of the Board TO:, County Counsel(1) County Administrator(2) { } Claim was returned as untiTely 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: . MAY 20,E 2003 JOIN SWEETEN,CLERK,By ,Deputy Clerk WARNING{Gov.code sect 9.13; Subject to certain exceptions,you have only six(6)months from the elate this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6. You may seek the advice of an attorney of your choice in connection with this matter. If you want to consult an attorney, you should do so immediately. *Feu Additional Karning See Reverse Side of This Notice. ' AFFIDAVIT OF MAILING I declare under penalty ofperJury that I am now,and at all times herein,mentioned,have been a citizen of the United States,overage 18 .and that today I deposited in the United States Postal Service in Martinez, California,postage fully. prepaid a certified copyof this Board Order and Notice to Claimant,addressed to the claimant as shown above, MAY 21 2003 .Dated: � JOHN SWEETEN,CLERK BX Deputy Clerk Claim to BOARD OF SUPERVISORS OF CONTRA.COS'T'A COUNTY INSTRUCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to personn or to personal property or growing crops and which accrue on or before December 31, 198", 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 groperry or growing crops and which accrue on or after January 1, 1988, must be presented not later than six months after the accrtial 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.'x.) 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. `,2 at the end of this farm. RE: Claim by ) Reserved'for Cleric's Filing Stamp � . Against the County of Contra Costa - wv o { District) �uu �i GtfBTA CQ. The undersigned claimant hereby makes cl an against the County of Contra Costa or the above named District in the sum of S*' - and in support of this claim 4 epresents as follows; 1. When did the damage or injury occur" i;Give exact Date and Hour) --------------------- . Where did the damage or injury occur" (Include,City and County t Z& -------- 3. How did the damage or ,occur. -7(Give full details.use extra paper if required e— ---------------------------------- 4. ---- ------------------ -------- 4 WVat particuldr actor 'the part of county or district'officers, servants, or employees caused the injury or damage?' IVi� (4v r) 410 sYed g'�&/ 0 s ou h�. r L p �- kf cam- I 5. What are the names of county or district officers,servants,or employees causing the damage or injury? --------------------------------------- 6. What damages or injuries do you claim resulted? (Give rtat ertesnt of in}uries or damages datimed. Attach two estimates for auto damatt ) -------------------- w the above claimed amount C uteri' (Inc3ude a estimated amount of an- prospective injury or damate.) ${;R as � 8. Names and addresses of witnesses.doctors.and hos �" +fir' t�►-,fit-,�'O l-•..� � �. 11� � ��'�t� .,.�d k>t�tic f�,'�'�� . r -�►y t + n �i ' __ _ >'�J�f#1-o--" _,`_ 'fir j t 9. _List the ezpenditures you a on a c ntof this acrior injury. MEM AMOUNT Gov. Code Sec, 9 0.2 provides. "The claim must be signed by tide claimant SEND 'NOTICES"1"O- (Attorney) or by some person on his behalf." Name and Address of Attorney r { Claimant's Si natur �A dress} ' Ail Telephone No. Telephone No. "510 NOTICE Section '72 of the Penal Code provides "Every person who,with intent to defraud.presents for allowance or for pavment to anti- state board or officer,or to any county,city or district board or officer,authorized to allow or pay the same if genuine, any false or fraudulent claim, bill,account, voucher, or writing,is punishable either by imprisonment in the county jail for a'period of not more than one year, by a fine of not exceeding one thousand dollars ( S1.000 ), or by bath such imprisonment and fine,or by imprisonment in the state prison,by a fine of not exceeding ten thousand dollars ( S10,000 ), or by both such imprisonment and fine SERVICE ORDER 2502–AI8727 0002341 -------_ ....... ....... ........ ., }..u,, �.., Jaz ;_t,J� n .. --------- RODEO N toTec<h &; TirePros MX-JIA/CHU( 04/14103 WaRRA5rrY APPLIES 650 PARKER AVENUE 1221 MARIONOLA WAY 10:38 TO THE FOLLOWING RODEO, CA. 94572 (51.0) 245--847:1 PINOL9 GA f s—#.. ��'�v .-..... ITEMS AS CHECKED MC N-gRI 7. 30--5 30 SAT 8-2 94564 RICK ��s��#ss�� B.A.R. NUMBER AH190769 (510) 724--3129 mss•: �`� _ 1 '��:11?,uG3fi9i. E.P.A. NUMBER CAL000144317 DAY 04/14 BRAKEUER .AUL OURBUNI ' 114, 053 �32B3I L SsBRS #ssreFi ..... _w ......... ........... ....................... f E f>.;.......J{ w.s.#{,,r, . .s. #. .# •,.,£I. :#i to{3tJ# ti1.ra # , 12A` J12-41W, x# P4}' aJ1 REPAIR OR REPLAUE RIGHT FRUNT TIF CHECK TRANSMISSION FLUID � SHOP 4M-C).14,�MM . 033 1 ; MOUNT & BALANCE M.–>No ;Charge : 03:3 7 �V'A•LVR STEM --->No ;Charge :: SHOP ITIRE DISPOSAL ..,....>No ,Charge SHOP 1 FRERDOM PLAN .00 :: 6.00 FREEDOM PLAN LIMITED TIRE WARRANTY.FREE FLAT REPAIR. FRSE TIRE REPLACEMENT AND ROADSIDE ASSISTANCE FOR 12 MONTHS/12,000 MILES, WHICHEVER IS TO )(4UR AUV'ANTAGE. } 1 FREE TIRE ROATION AND TIRE INSPECTION FOR THE LIFE OF THE TIRE, SER FLAIL REGISTRATION CERTIFICATE FORtj � COMPLETE DETAILS. 8HMOBHCC4702 SH 3P ::FP DISCOIJN'I` 3O. Obi .'00 SHOP I ATF :TRANSMISSION FLUID 2. . 00 ADDED 1 QT TRANSMISSION FLUID'. .. x ... tr t [.-<: s.>S>.•.+.rc t.i:ts•.o:t vr>.. n:<wr.a.m 3#.s*3f•:r:i� s ,, £ACJ ?. rs .................. ', -a•------- #z ARTS 40.45 Ysss k (L srs { #:;>zf •c#sig 's #s �; rr` : �s s�• » M.""""kat k ,k 3szs !k.-:s�UU YM i :3sssksn 'fa #.s.vz >}z zz,.:£ s #F3 5 v r.a^ tc; fep un, y T 3.34 •L.ss ss.k�fi. u.u:;c;;,t„s�c£?z,,.c:}fr.k22U>.f3s s.s Rb s•-s•, :.fr»r r'ic-. yr�.,cs£.#Pv • u,...i,�,..:. ,cs.c f-^ .:rs3yf�:BG:. .^.» I;Lx�,r..tr, s'G ..£.,_f.a?}?JJ.?.LS ,.: z c,r 3 usx �., xzkz us a 3 ffi£s3;-s 3#..S s {-{ xf £,} ac>� fz k` :< .. _ ........ .-,j_.. .--___... __._____ ,rEsz?z?vza s,ss.u#zf uuY,3,.J;;<fss•kt3s.3t 3us3r ss uJzf3�szsrrr. s s } c# # rE -- a _ _ _. : ....._.y ................ ........ ................... __•rtZ-' - - -_ -_- _ :,-...-......" >yvi ..... ,. ... .. ---- __-_ :. ; 33Y............. 49. 7 9 ..:.. .. ..........................{ ..s ... .L....... w. t ..... -- •`i f-E. so" ,£•Svur;.. � \,.#�g !is 3 HL A,PFR,1`d,,�' 40. 45 6. 001 4:9. l9 04/14 :11. 17 w.... .IASO ANA. i.. .. --- c .... ... .._......._ ze" 's._•. '. k f;t.r.'# ,3`3#ic;n:�^c:'x:E.;'•?. ,..<,:3:F. .,3.><'.:is3t u,$ .::.f'k2;3.{G.eE•<c'-*c' Zai?' :.,si�sf<ama<'fy 3.s foo r'F�.:r.:�r'sc'S'tt'.£ pan's and�k��7w3't'3�i3 tai E#E'�i3G r^[nd ff43#Ore, r^^.•�r.Es,3#' :^ik`t Oki? i.`bi iit' :'«r.,?'•.<_�>.sf;..i'<:'S..?'c..'S7fs:s: ;.a.,s.3C{s,'r#'k.3}'i7fs.#M30to cngd sw 33i.jppliiod w,�#x-d 8r:!am 3.:W3z'F,d. WWIM � s� r v c am CLAIM J F CQMA COETA COLMt. 130ARia►ACTIQIy;_MAY ,20, 2003 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. )w notice of the-action taken on your claim by the Board of Supervisors. (Paragraph IV below), given Pursuant to Government Code SectiVi 913 and ` f . `? h 0_`u �� 915.4. Please note all"Wuninigs". AMOUNT: $1,000 000.. €"'.MJrt MARTNEZ CALF CLAIMANT: FREDDIE ESCO, JR. E-92544 3-D-15 ATTORNEY: UNKNOWN ` DATE:RECEIVED: APRIL 17 , 2043 ADDRESS: SAN QENT"IN SCA 94974974ATSPRISON' SAN QUtJENT"1N., GBY DELIVERY TOCLERK.ON: APRIL 17 , 2003 BY MAIL POST:i��El) APRIL 162003 FROM .Clerk of the Board'ofSupe�rvisors T& County Counsel Attached is a copy of the above-noted cra m. JOHNS WEST , Dated. APRIL 17 , ,2003 By Deputy II. FROM: County Counsel TO: Clerk of tho Board of Sup " ors (4-this claim complies substantially with Sections 910 and 910.2. { .) This Claim PAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15,days(Section 910.5). { ) Claim is not timely filed.The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim(Section 911.3). Other: c> G r' LAAO PC It cb . ' L Dated: By: Deputy County Counsel III. FROM: Clerk of the Board TO-, County Counsel(l) County Administrator(2) ( ) Crim:was returned as untimely with notice to claimant(Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present: {X) This Claim is rejected in full, O Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Bated: MAY 20, 2003 JOHN SWEETEN, CLERK,2y Deputy Clerk WARNING(Gov.code section 9.13 Subject to certain exceptions,you have only six(6)months from the date this notice was personally served or deposited in the mail to file a court action on this claim. See Government Code Section 945.6.You may seek the advice of an attorney of your choice in connection with this matter.If you want to consult an attorney, you should do so immediate , *For Additional WEN-See Reverse Side of This Notice. # AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now,and at all times herein,montioned,have been a citizen of the United States,over age 1$;,and that today I deposited in the United States Postal Service in Martinez, California,postage fully prepaid a certified copy of this Board Order and Notice to Claimant,addressed to the claimant as shown above. Dated: 3 Y 20, 240JOHN§' , ETFN,CLERK By D!T!LtX Clerk 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 craps 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 .c�1t , Against the County of Contra Costa or ) APR � } fi 2003 5n," 6blr' Pc?L zc District) to oFs (Fill in name) ) e�sra co, s f The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district in the sum of$ , l --_and in support of this claim represents as follows: 1. Whendid the damage exact date and hour) Al /he -Cw pabJ6 levee L)epl, 3r 2. Where did the damage or injury occur? (Include city and county) _ � tgJ'�"'./? ail k�r, 4, �`l?si:?-tag t �y 'x,.y�5� 0n✓f!} co'u Lyf 3. How did the damage or injury occur?(Give full details;use extra paper if required) `' i c G G LfCt�C�f'3 . :^f'L' 'i rsC ff t t� /t'3f✓`�' C1C11�!1ar 7 T,,,,v Yd's e' an J J Cj e6l pfjrij jnj bcr�Ks a-1 Me 6aki hiblee+ lice ��"}0.'',•�i'4." ^eyU�3,/�c`� �..� ��r,�.?�}� ��)ff'<$.7ll�of'7C_�d� � ::J?'}i` ff:? .'cf�..•`�fr`?r'� �,��'z•,1�� c31.wlY:� 4. What particular act or omission on the part of county or district officers, servants, or employees caused the injury or damage? T &,41 know , 5. What are the names of county or district officers, servants, or employees causing the damage or injury? f. What damage or injuries do you claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage.) --L home, g.*/ '�" 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.)l/ s rs;ry > G >rh '� ria l�tk rel dAd .t5 r rtu t�t� rt?y ill 0-4Ca . 8. Names and addresses of witnesses, doctors, and hospitals. i1./ 3cfc.r d tit . vI the Publi7G t: ;ill i° ri10 i L. rrd Pic tip . sc�frrr. s d :�`f, ! 1J q 0.x'33 9. List the expenditures you made on account of this accident or injury. DATA TIME AMOUNT for eopfc,� ) Gov. Code Sec. 9103.2 provides"The claim must be ) signed by the claimant or by some person on his behalf." SEND NOnCES�T .._(Attorney Name and Address of Attorney ) } (Claimant's Signature) (Address) )-Tan 6Le-kA /sa 9a& 3"i•1SfS?if ,t'a�,i'`i 11"r="( S1e.�3 CA P Telephone No. )Telephone No. NMCE 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,authorise to allow or pay the same if genuine,any false or fraudulent claim,hill,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 impnisc runent and fine. i/�C ' qtr" )oove t.r ,,41 Ach e 4el0f, aqd( *1e 'gyp;'; ter re aarsl ohoce ahevf my, Ina7ey in Ae, etX.f'v1ij jf tJ r%t,t;tj 'j C" te- of G Zvi fj. STATE OF CALIFORMA - DEPARTMENT OF CORRECTIONS cocwu Neal TRUST ACCOUNT WITHDRAWAL ORDER F Date ...... ...... .....°'.........:........................20 To: Warden or Superintendent Approved............................................................... I hereby request that my Trust Account be charged Hs...e� lli� �r3_,. for the purpose stated below and authorize the Withdrawal of that sum from my account: J� .................... iNJUMBER NAME{Signature please,00 NOT PRINT) State below the PURPOSE for which withdrawal is requested PRINT PLAINLY BELOW name and address of person (do not use this form for Canteen of Hobby purchases) to whom check is to be mailed. t, PURPOSE PHOTOCOPYING SERVICE(LEGAL LAW) NAME:_ San Quentin Law Library ADDRESS.................... ....... ................................................. . ............................................................................ ............................................................................................................. ................................................................................ .....................................................................,............................... ........ X ... ..................................... PRINT YOUR FULL NAME HERE CONTRA COSTA COUNTY DETENTION FACILITY ( /INMATE REQUEST FOR INFORMATION { }MEDICAL REQUEST Ta: /G' e, From:rre ad'i Bkg# 7/0!:�, M ) Date:,Z / Z- ' Housing Assignment: Check One: (04equest ( )GrieAnce ( )Appea# ( }Other Request: r t� y X _ J 4 i V ,0 9 Routed To: AW. _ ( )APPROVED * ) NI D-(state:reason) ANSWER: QE a tA.01 . e {: By: Gate: Pink:Kept by Inmate Yellow:Reply to Inmate" q .White:T�Bd&.nga LIEF 024:FRM 1/2/91 * # M ff RA COSTA COU ETENTI()N FACILITY { }1N�ATE REQUEST MATION J MEDICAL REQUEST To: f=rom: ._ _ _ :. Bkg# JOD (D ©ate.I / / C1, ' t-tousing Assignment: Check One: request { )Grievance { }Appeal ( )Other ! Request: XXDal r lip pa ike_ ' ' ..__ _RoutedToc ANSWER: ( }APPROVED , ( ) DENlE7-{state reason►}, A14 ... Pink 24, RM 1/ate Yellow:R` y to lnrnaEe, httolTo Booking C .. DAAyTa� , ; 2{ v@s F S $ SHRMBLOUSE i 4 aF r { 1 r { T S > e.� bw ( Y , ' � , s r , RELEASE y L OFC• i : ,• oOfcEr�g f f. `{ ` fi { ii' t/f/ f f 9 w �./ '`��/ � �` fF�. ��f�. !'� �%i ,��: '', r}�:. �.. �� '' ,,,�.:, '% >:; .;, r,.k ,: �, "' � : ., }-. . ;;.. �, r�: -�� .�; �f� , ;� iii ff i„ � � � %,¢i, yy >:`r. rs r t r. i.'�ii�/j' ti{ r y / r f .. �iif ,/'1 �. 7'�. ;''7' /f si A .f r� f}., ' � off it rr� ��: �';' >r yj, �+ ,� ,,' �e �`, ' f 'ff r,. �� », y �: l� � r �:J'l yl� CLAIM F CONTRA C TA CQUN BgA„ MAGTION: MAY ,2O 003 Claim Against-the County,or District Governed by ) the Board of Supervisors,Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section gofer ; irf s The copy of this document mailed to you is your California Government Codes. }' `� # notice of the action taken on your claim by the APR R 1 8 Board of Supervisors. (Paragraph IV below),given Pursuant to Government Code Section 913 and t.)UN C. ', N SE, 915.4. Please note all"Warnings". .. RTI 4 MA, yA4EC..CAU�:.. AMOUNT: $2 ,492 . 13, CAR RENTAL,` CLAIMANT: SABRENA .ROSENBERG ATTORNEY UNKNOWN:' ',— DATE RECEIVER: APRIL 18 , 2003 ADDRESS: 8491 LIMAN WAY BY DELIVERY TO CLERK ON: APRIL 18 , 2003 ROHNERT PARK-,. : CA 94928 BYIVMAIL'POST tAIJ�K.ED:' HAND DELIVERED FROM: Clerk of the Board of Supe; isors TO County Counsel Attached is a copy of the above-noted clam. JOHN SWEEV Dated: __ APRIL 18 , 2003 By; qty II. FROM: County Could TO: Clerk,of the Board of Supe sons- ' ( This claim compliessubstantially 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 semi warning of claimant's right to apply for leave to present a late claim(Section 911.3), O Other: Dated., B Deputy County Counsel M. FROM: Clerk of the Beard TO:. County Counsel(1) County Administrator(2) { ) Clam was returned as untimely with notice to claimant(Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present: , (y) This Claim is rejected in W. ( ) Other: I cer*that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: MAY 20, 2003 JOHN SWEETEN,CLERK,By ,Deputy Clerk WARNING(Gov. code section Z3) Subject to certain exceptions,you have only six(5)months from the date this notice was personally served or deposited in the mail to.file a court.action on this claim.See Government Code Section 945.5. You may seek the advice of an attorney of your choice in connection with this matter.If`you want to consult an attorney,you should do so immediatel. . *For Additional Earn See Reverse Side of This Notice. AFFIDAVIT OF MAILING I declare under penalty ofperjury 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 Nonce to Claimant,addressed to the claimant as shown above. Dated: MAY 21,' 20031OHN SWEETEN,CLERK By D uty Clark Claim to: BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRUCTIONS TO C.AIMWT 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 eatise ofaction. 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,631 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. ''Z at the end of this form. RE. Claim by ) Reserved for Clerk's Filing Stainp s RECEIVED Against the County of Contra Costa APR 1 8 2003 or CLERK BOARD OF SUPERYISDR$ CONTRA COSTA CO. 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$24 and in support of thi claim represents as follows. 4-L ib- 1. When did the damage or injury occur" (Give exact Date and Hour) _10-6_ uI_ _ M-%- 41.--1/ 4!�3---- , _'�------------------------------- 2. Where did the damage or injury occur? ;include City and County) . TV-�k --4... -------------), - ----------- - - 3. How did the damage or inJun OC£lr. (Give full details;use e,rpaper if required) , 4. 'What particular Act or omission on tele tra�t of� ordistrict officers, servants, or employees caused the injury or damage. UAt 6)wc- 1 616, S/b a'�".S'k)t R6 AC46V7—. rn Y e is s I5 (Awo T:) - -µ, Li A-1 e, 5,#v rn V P14 /V-f—^W 2> 07rel rny� c� !! ' __ _ _ __ , . • 7)001 "> K,+firz.- 2*,,, 'c i•ees causing t dam�r xn u « . 5. What are the names of to distract officers,servants, F 3 6.` What damages or injuries do you claim resulted' (Give full extent of injuries ar damg�e�csclaisnJad. Attach two estimates for auto��) s �� '�i'�i � rf � sue F _4�'� l-------- ---------------------------------------------- titer"!Include the estimated amount of any prospective injur}'or damage.) How was the above claimed ount comp t , Ic ---------------------------------------------------------------------------------- g. Names and addresses of wi S. ______________________________ }j 9. List the'expenditures youmade on account of this accident or injury. r 47) Gov. Code Sec. 910.2 prm ides: "The claim must be signed by the claimant SEND NOTICES TO: (Attorney) or by some person on his behalf.." Name and Address of Attorney ( laiman 's Signature} Address) Telephone No. Telephone No. NOTICE Section 72 of the Penal Code provides: "Every person who,with intent to defraud,presents for allowance or for payment to any state board or officer,or to any county;city or district board or officer, authorized to allow or pay the same if genuine,any false or fraudulent claim,bfll, account,voucher,or writing, is punishable either by imprisonment in the county jail for a period of not more than one year, by a fide of not exceeding one thousand dollars (S1,000 ),or by both such imprisonment and fine,or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars { S10,000 ), or by both such imprisonment and fine: ..................................................................................................................................................................... ..................................................................................... 04/17/2003 at 04:55 PM Job Number: 63601 DION a DOWNTOWN AUPTOBODY LLC. License #:AD204841 Federal ID #:680387794 "YOU'RE TAKEN CARE OF" 7611 REDWOOD DRIVE COTATI, CA 94931 (707) 665-9100 Fax: (707)665-9400 PRELIMINARY NOTIMATZ Written by: GUS TREVENA # Adjuster: Insured: SABRINA ROSENBERG claim # Owners SABRINA ROSENBERG Policy * Address: 8491 LIMAN WAY Deductibles ROHNERT PARK, CA 94928 Date of Lose: Day: Typo of Lose: Evening: Point of Impacts Inspect Locations Insurance C-1manys Days to Repair 1996 TOYO COROLLA DX 4-1.8L-FI 4D SED BLUE MET Int: VINs INXBB02E1TZ359037 Lie: 3NOG292 CA Prod Dates Odometers Rear Defogger Intermittent Wipers Tinted Glass Body Side Moldings Dual Mirrors Clear Coat Paint Power Steering Power Brakes Driver Air Bag Passenger Air Bag Cloth Seats Bucket Seats Recline/Lounge Seats ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- I FRONT BUMPER 2 O/H bumper assy 2.8 3* Rpr Bumper cover 0.5 2.5 4 Add for Clear Coat 1.0 5 FRONT LAMPS 6 R&I RT Park lamp Incl. 7 HOOD 8 Blnd Hood 1.3 9 R&I Front seal 0.2 10 FENDER 11 Repl RT Fender US built 1 87.01 2.2 2.3 12 Add for Clear Coat 0.9 13 Add for Edging 0.5 14 Add for Clear Coat 0.1 15 Repl RT Body side mldg black 1 9.15 0.1 16 FRONT DOOR 17* Rpr RT Outer panel w/o molding 3.0 2.2 18 Overlap Major Adj . Panel -0.4 19 Add for Clear Coat 0.4 20 R&I RT Belt molding 0.3 1 04/17/2003 at 04.55 PM Job Number: 63601 PRELXMXK RY $STIMSATZ 1996 TOYO COROLLA DX 4-1.8L-FI 4D SED BLUE MET Int: -------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- 21 Repl RT Body side mldg black 1 46.10 0.3 22 R&I RT Mirror standard 0.3 23* R&I RT Handle, outside black 0.3 24 R&I R&I trim panel 0.4 25 WHEELS 26 Rept RT/Front Wheel cover 7 holes 1 69.39 27 Repl LT/Pron:t Wheel cover 7 holes 1 59.39 28# Subl FRONT END ALIGNMENT 1 49.99 X 29# Rpr TINT COLOR 0.5 30# Repl COVER CAR EXTERIOR 1 5.00 0.2 31# Rpr COLOR SAND & POLISH 2.4 32# Repl HAZARDOUS WASTE 1 3.00 X 33 FRONT DOOR 34 R&I LT Mirror DX & CE body color 0.3 35 Refn LT Mirror DX & CE body color, 0.6 ------------------------------------------------------------------------------- Subtotals =_> 339.03 13.8 11.4 Parts 286.04 Body Labor 13.8 hrs a $ 70.00/hr 966.00 Paint Labor 11.4 hrs @ $ 70.00/hr 798.00 Paint Supplies 11.4 hrs @ $ 30.00/hr 342.00 Sublet/Misc. 52.99 ---------------------------------------------------- SUBTOTAL $ 2445.03 Sales Tax $ 628.04 @ 7.5000% 47.10 ---------------------------------------------------- GRAND TOTAL $ 2492.13 ADJUSTMENTS: Deductible 0.00 -----..---------------------------------------------- CUSTOMER PAY $ 0.00 INSURANCE PAY $ 2492.13 UNDER CALIFORNIA. CODE OF REGULATIONS, TITLE 10, CHAPTER 5, SUBCHAPTER 8, SECTION 2695.8.D.2.C, YOU ARE ADVISED THAT YOU HAVE THE RIGHT TO HAVE ANY REPAIR FACILITY OF YOUR CHOICE DO THE REPAIRS TO YOUR VEHICLE. HOWEVER YOUR INSURANCE COMPANY CAN REASONABLY ADJUST ANY WRITTEN ESTIMATES PREPAIRED BY THE SHOP OF YOUR CHOICE. IF YOU CHOOSE A REPAIR FACILITY SUGGESTED BY YOUR INSURANCE COMPANY, THEY WILL GUARANTEE THE DAMAGED VEHICLE TO BE RESTORED TO ITS PRE-.LOSS CONDITION AT NO COST TO YOU OTHER THAN AS STATED IN THE POLICY (I.E. POLICY LIMITS OR DEDUCTIBLE) OR ALLOWABLE DEPRECIATION. 2 04/17/2003 at 04:55 PM Job Number: 63601 PR$LIKINARY EBTXMATE e 1996 TOYO COROLLA DX 4-1.8L-FI 4D SED BLUE MET Int: i THE FOLLOWING IS A LIST OF ABBREVIATIONS OR SYMBOLS THAT MAY BE USED TO DESCRIBE WORK TO BE DONE OR PARTS TO BE REPAIRED OR REPLACED: MOTOR ABBREVIATIONS/SYMBOLS: D=DISCONTINUED PART A=APPROXIMATE PRICE LABOR TYPES: B=BODY LABOR D=DIAGNOSTIC E=ELECTRICAL F=FRAME G=GLASS M=MECHANICAL P=PAINT LABOR S=STRUCTURAL T=TAXED MISCELLANEOUS X=NON TAXED MISCELLANEOUS PATHWAYS: ADJ=ADJACENT ALGN=ALIGN A/M=AFTERMARKET BLND=BLEND CAPA=CERTIFIED AUTOMOTIVE PARTS ASSOCIATION D&R=DISCONNECT AND RECONNECT EST=ESTIMATE EXT. PRICE=UNIT PRICE MULTIPLIED BY THE QUANTITY INCL=INCLUDED MISC=MISCELLANEOUS NAGS=NATIONAL AUTO GLASS SPECIFICATIONS NON-ADJ=NON ADJACENT O/H=OVERHAUL OP=OPERATION NO=LINE NUMBER QTY=QUANTITY QUAL RELY=QUALITY RECYCLED PART QUAL REPL=QUALITY REPLACEMENT PART RECOND=RECONDITION REFN=REFINISH REPL=REPLACE R&I=REMOVE AND INSTALL R&R=REMOVE AND REPLACE RPR=REPAIR RT=RIGHT SECT=SECTION SUBL=SUBLET LT=LEFT W/O=WITHOUT W/_=WITH/— SYMBOLS: #=MANUAL LINE ENTRY *=OTHER LIE. .MOTORS DATABASE INFORMATION WAS CHANGED] **=DATABASE LINE WITH AFTERMARKET N=NOTES ATTACHED TO LINE. Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from the Guide ARM8425 Database Date 1/2003 and the parts selected are OEM-parts manufactured by the vehicles Original Equipment Manufacturer. Asterisk (*) or Double Asterisk (**) indicates that the parts and/or labor information provided by MOTOR may have been modified or may have come from an alternate data source. Non-Original Equipment Manufacturer aftermarket parts are described as AM or Qual Repl Parts. Used parts are described as LKQ, Qual Recy Parts, RCY, or USED. Reconditioned parts are described as Recon. Recored parts are described as Recore. NAGS Part Numbers and Prices are provided from National Auto Glass Specifications, Inc. Pound sign (#) items indicate manual entries. Pathways - A product of CCC Information Services Inc. POW AUTOBODY AUTOBODY COTATI ��VV 7611 Redwood Drive ' ! CA 9 �4't�te`! 6Pv (707)t6659100+1 Fax 665-9400 AND TOWING AUTOBODY PETALUMA 715 Petaluma Blvd.South GUS TREVENA Petaluma,CA 94952 General Manager (707)7659100+Fax 765-9600 TOWING COTATI 24 Hour Service 7611 Redwood Drive 1-804-726-3974 TOWING PETALUMA 1490 Petaluma Blvd.North 3 i i i }v /} r} r r, 4 it Rx �� r'•.y,}i/. ;>;;rf:•: }}fir // f/}}I l }} r r %iii},:J% � ::l :;r..}��,::>f.,., �./� : }.. ...�•:/r:<:'ri :::-�;f�;::�;��.,.,,,:,;}1� .':t�:�f';r ;f ::Y.;:l.:�i6� / ,f• �< Y` ..m }f..i./, .... :. .::,.� r;'�. .:r.::;,c.•:::::::�::: ,�fn... / .. . .�...;;}. r� / r } . .�.. / /; � � >��;:<n;:;:<.;::.;:>:;:a:;:;:>:>;»:::::-::i:�:�>:=:::: /...... ... ..... ..:.. ....... .....:. ......... .:.: f:�':':G�:%'w::��::5;>:�.:%fi ii'i;o-'<•:...:.i..:<i:i':Y``.i,;Si ::%:f:::.:;f; : ....:....:.... .:%�:::,:•,:;;',r.r/':1. MrY y f FX. "POOR'PROPPROR VOR goppop; ! . }% k .:. . . . .. <.: f ! :! r ! . :: tId4 : Igod !• di ! } :! :�:<%:%�:F tfF:hF;�:%::2%:f:;:;� ! .�lfl �}`�`�:�!' r.%�� ! ,✓.vlr.lrwa',:y" ! :.f! ! : .. 3r E( ! } rr}}! ! }} ! ! + : 04/17}'2003 at 11 : 49 AM Job Number: J5042 BLAKE'S AUTO BODY Remember, Blake' s Auto Body, Rohnert Park 5500 STATE FARM DRIVE ROHNERT PARK, CA 94928 (707) 584-4188 Fax: (707) 584-4128 PRELIMINARY ESTIMATE Written by: JOE PAZ # Adjuster: insured: WILLIAM PURDY Claim # Owner: WILLIAM PURDY Policy # Address: 1212 GRAND AVE Deductible: SAN RAFAEL, CA 94901 Date of Loss: Day: (415} 454--5714 Type of Loss: Point of Impact: 2 . Right Front Pil Inspect BLAKE'S AUTO BODY Business: (707) 584-4188 Location: 5500 STATE FARM DRIVE ROHNERT PARK, CA 94928 Insurance Company: Days to Repair 1996 TOYO COROLLA DX 4-1 . 8L-FI 4D SED BLUE Int:BLUE VIN: 1NXBB02ElTZ359037 Lic: 3NDG292 CA Prod Date: 09/1995 Odometer: 190997 Air Conditioning Rear Defogger Intermittent Wipers Tinted Glass Body Side Moldings Dual Mirrors Clear Coat Paint Metallic Paint Power Steering Power Brakes Power Windows Power Locks Power Mirrors Driver Air Bag Passenger Air Bag Cloth Seats Bucket Seats Recline/Lounge Seats Automatic Transmission Overdrive ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- 1 FRONT BUMPER 2* Rpr Bumper cover 0 . 5 2 . 5 3 Add for Clear Coat 1 . 0 4 O/H bumper assy 2 . 8 5 FRONT LAMPS 6 R&I RT Park lamp 0 . 3 7 FENDER 8* Rpr RT Fender US built 3 . 0 2 . 3 9 Add for Clear Coat 0. 9 10 R&I RT Body side mldg body color 0 . 1 11 R&I RT Fender liner 0 . 7 12 FRONT DOOR 13* Rpr RT Outer panel w/molding 3. 0 2 . 2 14 Overlap Major Adj . Panel -0. 4 15 Add for Clear Coat 0. 4 16 R&I RT Belt molding 0 . 3 1 04/17/2003 at 11 : 49 AM Job Number: 65042 PRELIMINARY ES'T'IMATE 1996 TOYO COROLLA DX 4-1 . 8L-FI 4D SED BLUE Int:BLUE -------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- 17* Repl RT Body side mldg BLUE 1 46. 10 0 . 3 0 . 3 18 R&I RT Mirror DX & CE body color 0. 3 19* R&I RT Handle, outside body color 0 . 3 20 R&I R&I trim panel 0. 4 21 REAR DOOR 22 Blnd RT Outer panel w/molding 1 . 0 23 R&I RT Belt molding sedan 0. 3 24 R&I RT Body side mldg body color 0. 3 25* R&I RT Handle, outside body color 0 . 3 26 R&I R&I trim panel 0 . 4 27# Tint 1 0 . 5 28# Cover Car 1 5 . 00 0 . 3 29# Haz Material 1 8 . 00 X 30# Flex Addative 1 8 . 13 ------------------------------------------------------------------------------- Subtotals =_> 67 . 23 14 . 1 10 . 2 Parts 59. 23 Body Labor 14 . 1 hrs @ $ 70 . 00/hr 987 . 00 Paint Labor 10 . 2 hrs @ $ 70 . 00/hr 714 . 00 Paint Supplies 10 .2 hrs @ $ 30 . 00/hr 306. 00 Sublet/Misc. 8 . 00 ----------------------------------------------------- SUBTOTAL $ 2074 . 23 Sales Tax $ 365 . 23 @ 7 . 5000% 27 . 39 ---------------------------------------------------- GRAND TOTAL $ 2101 . 62 ADJUSTMENTS : Deductible 0 . 00 ---------------------------------------------------- CUSTOMER PAY $ 0 . 00 INSURANCE PAY $ 2101 . 62 joEPAZ OW Wr 707-584-4188 jftj= �_ ! BLAKE ' S CA 9492(s AUTO BO- - 2 04-/i7/°2003 at 11 : 49 AM Job Number: 65042 PRELIMINARY ESTIMATE 1996 TOYO COROLLA DX 4-1 . 8L-FI 4D SED BLUE Int:BLUE THE FOLLOWING IS A LIST OF ABBREVIATIONS OR SYMBOLS THAT MAY BE USED TO DESCRIBE WORK TO BE DONE OR PARTS TO BE REPAIRED OR REPLACED: MOTOR ABBREVIATIONS/SYMBOLS: D=DISCONTINUED PART A=APPROXIMATE PRICE LABOR TYPES: B=BODY LABOR D=DIAGNOSTIC E=ELECTRICAL F=FRAME G=GLASS M=MECHANICAL P=PAINT LABOR S=STRUCTURAL T=TAXED MISCELLANEOUS X=NON TAXED MISCELLANEOUS PATHWAYS: ADJ=ADJACENT ALGN=ALIGN A/M=AFTERMARKET BLND=BLEND CAPA=CERTIFIED AUTOMOTIVE PARTS ASSOCIATION D&R=DISCONNECT AND RECONNECT EST=ESTIMATE EXT. PRICE=UNIT PRICE MULTIPLIED BY THE QUANTITY INCL=INCLUDED MISC=MISCELLANEOUS NAGS=NATIONAL AUTO GLASS SPECIFICATIONS NON—ADJ=NON ADJACENT O/H=OVERHAUL OP=OPERATION NO=LINE NUMBER QTY=QUAN'T'ITY QUAL RELY=QUALITY RECYCLED PART QUAL REPL=QUALITY REPLACEMENT PART RECOND=RECONDITION REFN=REFINISH REPL=REPLACE R&I=REMOVE AND INSTALL R&R=REMOVE AND REPLACE RPR=REPAIR RT=RIGHT SECT=SECTION SUBL=SUBLET LT-LEFT W/O=WITHOUT W/ =WITH/ SYMBOLS: ¢#=MANUAL LINE ENTRY *=OTHER [IE. .MOTORS DATABASE INFORMATION WAS CHANGED] **=DATABASE LINE WITH AFTERMARKET N=NOTES ATTACHED TO LINE. Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from the Guide ARM8425 Database Date 1/2003 and the parts selected are OEM-parts manufactured by the vehicles Original Equipment Manufacturer. Asterisk (*) or Double Asterisk (**) indicates that the parts and/or labor information provided by MOTOR may have been modified or may have come from an alternate data source. Non-Original Equipment Manufacturer aftermarket parts are described as AM or Qual Repl Parts.. Used parts are described as LKQ, Qual Recy Parts, RCY, or USED. Reconditioned parts are described as Recon. Recored parts are described as Recore. NAGS Part Numbers and Prices are provided from National Auto Glass Specifications, Inc. Pound sign (#) items indicate manual entries. Pathways - A product of CCC Information Services Inc. 3 STATE OF CALIFORNIA PAGE I TRAFFIC COLLISION REPORT-PROPERTY DAMAGE ONLY SPECIAL CONDITIONS HIT&R CITY DICLU,DISTRICT POFF UMBER YES©I+H} -- L/tr.' C H T ICER L r60 COLLISION OCCURRED ON I MAYL TIME NCIC OFFICER ID AT INTERSECTION WITH DAY OF THE EE TOW AWAY STATE SSI M�wh F 5a YES 0 HIGHWAY ( OR: FEET TLE OF NO W YES V NO 0 PARTY D R'S LICENSEATE CLAS SEATBELT RECORD ONLY. NOT SUBSTANTIATED OR 1 YES NO Cl INVESTIGATED BY CHP DRIVER (FIRST,MIA LER LAS ) PHONE � PEDE S E ADDRESS CITY, A ,ZIP REPORT TAKEN AT Cj,• CONTRA COSTA CHP PRVEH BIR DATE INS NCE POLICY N 1 SLUM RD. F MARTINEZ,CA 94553 BICYCLE V�F,,,ti. MODE C R t VEH LICENSE ST TE (925)6464"0 0 t OTHER DnLTRAVEL ON STREET.OR H G AY C3 SPE D LIMIT DATE: PARTY DRIVER'S LICENSE STATE C S SEATBELT 2 YES NO C DRIVER AAt(FIRST,MIDDLE, ST) HONE NEEDS FOLLOW-UP tj� Pts T STREET A D }STA E:ZIP 94 i:GJ PK VEH BI AT Ii+7 r r� RANCE POI. 0 FOLLOW-UP COMPLETE AL- BICYCLE VEFL YR ODEL/COLOR vFH LICENSE 7 T TI 10502- R. OTHER DI �R V 0 STREET OR HIG Y SPE D LIMIT PARTY DRIVER'S LICENSE STATE CLASS I SEATS T 3 YES[] NO D DRIVER NAME(FIRST,MIDDLE,LAST) PHONE Q PEDEE.ST STREET ADDRESS CITY,STATE,ZIP PK VEH SIrX BIRTHDATE INSURANCE POLICY NO. El BICYCLE VEH.YR MAKE/MODELICOLOR VEH LICENSE STATE Q OTHER DIR.TRAVEL I ON STREET OR HIGHWAY SPEED LIMIT PASS WIT. R/O AGE J-91EXj NAME ADDRESS PHONE a 0 0 PASS WIT. RIO AGE SEX NAME ADDRESS PHONE t7 R C7 PROPERTY NAME ADDRESS DAMAGE PROPERTY OWNER 11 sxA`rfi OF CAUFORNIA PAGE 2 TRAFFIC COLLISION REPORT-PROPERTY DAMAGE ONLY REVIEW ANIS ANSWER ALL OF THE FOLLOWING QUESTIONS(THAT APPLY). PLEASE PRINT LEGIBLY. 1. What county were you in? 2. What city were you in or near? M dim d EZ-Z C-'c '0 C'0 3. What freeway/street were you driving on? _ �1"y 4 4. What direction were you traveling? rte`i a-T—Lj A3 L- ) 5. What was the nearest overcrossing or street?. �{ 6. 'What were the traffic conditions?(Light,heavy,etc.) V�� a 1'x'1 7. What lane were you in?(Counting from left to right) S. How fast were you going? Lo— 9. What is the speed limit? 10. What freeway/street was the other driver on? 11. "What direction was the other vehicle traveling? � iL) - 12. What lane was the other vehicle in? 2- 13. How fast was the other vehicle traveling? 14. What were the weather conditions? _- STATE OF CALIFORNIA PAGE 3 TRAFFIC COLLISION REPORT-PROPERTY DAMAGE ONLY 15. Did the weather contribute to this collision? If so how? ,! 16. What were you doing just prior to the collision? (For example,were you looking to your Ieft to make a lane change ; trying to pick up a cigarette that you dropped; tuning the radio; etc.) 17. How did this collision occur? (Be specific, include as much detail as possible.) . — i7 r '1✓ L L/Ala �h1 7�I� /4 T C AJ / ) ---- Pte- .? t- 1\1 / ZVL V414 ze 1 7 = t 07- I- � tel ' L) C/ E CI vV , , YVY L,.f 6}!/_.S' t_,•_1 �, �.�t,11 ick c;r� ', c G-7- .n/r'i -1-44 O-e �,�R/�+'��'"'�` r�� 1 Dc;e . sTATE OF CALIFORNIA FACE 4 TRAFFIC COLLISION REPORT-PROPERTY DAMAGE ONLY 18, What happened after the collision? 'j'iie.))6(Lf-1 i2-�) 5 t Al M V L=2� MO r 19. Did you speak with the other driver? If so what was said? J�d-1 l 1Z) 6/6 7' `�f- A 20. If not, did you attempt to stop the driver to get his/her attention? (Explain) L C-- <,e � 21. Describe the other driver: (sex, race, height, weight, build, color of fair, facial hair, scars, tattoos, etc.) - a6 eL�I zzz�2 Ae ` �'1,5k , '14/, - tea 22. Describe the other vehicle: (year, make, model, color, license, identifying marks, etc.) r 4 J STATE OF CALIFORNIA PAGE 5 TRAFFIC COLLISION REPORT-PROPERTY DAMAGE ONLY 23. Shade in the damage. OTHER VEHICLE YOUR VEHE C .1 CE IF YOUR VEHICLE WAS DAMAGED OR STRUCK BY AN OBJECT, COMPLETE THE FOLLOWING: 24. Can you identify the object? (Example-golf ball size rack, tire tread, small metal object, etc.) 25. Did the abject fall from or was it kicked up by a vehicle.? 26. Did you actually see the object come off of the vehicle, or did you see the abject come from the area of the vehicle? 27. Do you think the other driver was aware of the fact that something had fallen from his/her vehicle? (Explain why you think the driver had knowledge.) STATE OF CALIFORNIA PAGE 5 TRAFFIC COLLISION REPORT-PROPERTY DAMAGE ONLY 28. If you feel that you have any other pertinent information, please explain. J tA. IMPORTANT-READ CAREFULLY Keep this report. This is your record of this collision. To comply with the California Vehicle Code (VC) Section 20402 (duty where property damage)you must either: 1. Give the owner or person in charge of such property the name and address of the driver and owner of the vehicle or in the absence of the owner: 2. Leave a written notice in a conspicuous place on the other vehicle or damage property, giving the name and address of the driver and owner of the vehicle involved and a brief statement of circumstances. This information is necessary for the completion of your State SR-1 form; Report of Traffic Report, and your Insurance Report. VEHICLE CODE SECTION 16000 The driver of a vehicle involved in an accident resulting in damage to the property of any ONE party in excess of$500.dollars as stated in VC Section 16000 or in the injury or death of any person MUST submit a SR-1 form to the California Department of Motor Vehicle within 10 days. NOTE: Failure to comply may result in the suspension of your drivers license. Form SR-1 may be obtained from your insurance agent, a motor vehicle club, the Department of Motor Vehicles, the California Patrol, or a local police station. If city or State pr,7 was d a ed, ou wi be contact egarding possible liability. SIGNATURE 60&" TODAY'S DATE: .- �� T1 C! CLAIM BQAU QF§J1rZ&V.1§QB§QF§&V.1 CONTBA CQ§LA-09M $ O► T : MAY 20`, 2003 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. 4 notice of the-action taken on your claim by the Board of Supervisors.(Paragraph IV below),given > r= Pursuant to Government Code Section 913 and �V 915.4.Please note all"Warnings". AMOUNT $25 ,000. fV1A,,,9W, z cAU, CLAIMANT AMAL ABU AFI H AS GUARDIAN AD LITEM EOR NEENAH iRIQAT, A 'MINOR ATTORNEY: JILL STZ N-HENDERSON, DATE RECEIVED: APRIL 18 , 2403 ADDRESS: 3024 RAILROAD AVENUE: BY DELIVERY TO CLERK ON:_APRIL 18, 2003 PITTSBURG, .CA. 94565 APRIL 16, 2043 BY MAIL OSTMARKED: FROM:• Clerk of the Bc►au:d of SupM-4sors TO: Cotnty Couiasel Attached10 a copy of the above-noted cert. JOHN SWEETEN, l Bated: APRIL 18 , 2003 By; I7eppty II. FROM: County Counsel TO.Clerk of the Board of Surviso (:This claim complies substantially with Sections 910 and 910,2: .) This Claim FALLS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant.The Board cannot Act for 15,days(Section 914:8). ( } Claim is not timely.filed.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: x'.415 r tier Dated: 4f By: `` Deputy County Counsel M. FROM: Clerk of the Burd 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 minutes for this date. Dated: -MAY 20, 2003 1O�S'W'EETEN,CLERK,By I3 uty Clerk WARMING(Gov.code section 91 5) 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 inunediatel : *Far Additional W See Reverse Side ofThis 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;•arid 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: MAY 20, 2003 . JOHN SWEETEN,CLERK B D uty Clerk ORIGINAL STEVEN H. HENDERSON - SB #88620 2 .TILL STERN-HENDERSON - SB#148172 3 Attorneys -Abogados 3024 Railroad Avenue 4 Pittsburg, California 94565 (925) 427-177'1 APR 1 5 FAX: (925) 427-4282 C1 8200 6 Attorneys for Claimant Y a co sags 7 8 CLAIM AGAINST PUBLIC ENTITY 9 AMAL ABUSAFIEH as Guardian Ad 10 Litem for NEENAH IRIQAT, a minor, 11 Claimant, 12 vs. 13 BEL AIR ELEMENTARY SCHOOL, 14 PITTSBURG UNIFIED SCHOOL DISTRICT, and DOES 1 through 25, 15 inclusive, 16 Defendants. 17 18 Claimant, AMAL ABUSAFIEH as Guardian Ad Litem for NEENAH IRIQAT, a 19 minor, for a cause of action against the Defendants, and each of them, claims as 20 follows: 1. The name and post office address of AMAL ABUSAFIEH is as follows: 21 22 83 Laguna Circle, Pittsburg, California 94565. 23 2. The post office address to which Attorney Steven H. Henderson desires 24 notice of this claim to be sent is as follows: 3024 Railroad Avenue, Pittsburg, CA 25 94565. 26 3. At all times herein mentioned, each of the Defendants was the agent, 27 servant and/or employee of each of the remaining Defendants, and was at all times 28 j 1 Claim �I . I , 1 2 herein mentioned acting within the purpose and scope of said agency, service and/or I 3 employment. 4 ! 4. On or about October 30, 2002, NEENAH IRIQAT, a minor, was 5 seriously injured when she fell off the playground play structure and fractured her 6 ! wrist, which resulted in two or three operations. Claimant contends that either the i 7 play structure and/or the padding beneath was substandard and dangerously 8 defective. Claimant also contends lack of supervision may had led to this incident. I g 5. Claimant is informed and believes and upon such information and belief 10 alleges, that Defendants, BEL AIR ELEMENTARY SCHOOL, PITTSBURG UNIFIED 11 SCHOOL DISTRICT and DOES 1 through 15, inclusive, were the owners of a certain 12 playground/play structure, and were responsible for its installation and maintenance. 13 Further, that said defendants were responsible for the padding underneath the play 14 structure, installation and maintenance and that the defendants failed in some 15 manner and created a dangerously defective condition of said property. 16 6. As a direct and proximate result of the carelessness and negligence of 17 Defendants, and each of them, as herein alleged, Claimant NEENAH IRIQAT was 1$ injured in her health, strength and activities, sustaining injuries to her body and shock 19 and injury to her nervous systems and person, all of which injuries have caused, and 20 continue to cause, Claimant great mental, physical and nervous pain and suffering, 21 all to her general damages in a sum to be ascertained at the time of trial. 22 7. As a further proximate result of said conduct of Defendants, and each of 23 them, the Claimant NEENAH IRIQAT was required to and did employ physicians and 24 surgeons to examine, treat, and care for her and did incur hospital and incidental 25 expenses; that Claimant is informed and believes, and based thereon, alleges, that i 26 there will be some additional medical expenses, the exact amount of which is 27 unknown. 28 2 Claim ......... ......... ..........._. ....... .. __...... ............ ........ .......... ....................__..._.. ......... ......... ......... ......... ............._._...... 1 1 i 1 2 8. At the time of presentation of this claim, AMAL ABUSAFiEH as 3 Guardian Ad Litem for NEENAH IRIQAT, a minor, claims damages in the amount of 4 above Twenty-Five Thousand Dollars ($25,000.00), computed on the basis of the 5 following: 6 Special Damages: Multiple surgeries, costs unknown at this 7 time. 8 General Damages: Unknown at this time, but in excess of 9 $25,000.00.,1 10 1F Dated: April 10, 2003 i 4 i` 11 LL TERN-HENDERSON 12 rneys for Claimants 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 i 3 Claim ............. .....................................................I..,......11.1.1.............. ............................................................... PROOF OF SERVICE 2 3 1 am employed in the County of Contra Costa, California. I am over the 4 age of eighteen (18) years and not a party to the within cause. My business 5 1 address is: 3024 Railroad Avenue, Pittsburg, CA 94565. 6 On the date shown below, a copy of the attached docume;d(s): 7 CLAIM AGAINST PUBLIC ENTITY was served on the interested parties in this 8 9 action by placing a true copy thereof in a sealed envelope, addressed as I I I 10 follows: 11 Clerk of the Board of Supervisors 651 Pine Street 12 Martinez, CA 94553 13 (BY PERSONAL SERVICE) By causing each such envelope to be 14 delivered by hand, as addressed, with instructions that it be personally 15 served. 16 X I (BY MAIL) By placing said envelope, with postage thereon fully prepaid for first-class mail, for collection and mailing at my place of business following 17 ordinary business practice. I am readily familiar with the ordinary business practice for collection and processing of mail. In the ordinary course of 18 business, mail is deposited with the United States Postal Service on the same 19 day as it is placed for collection. 20 1 declare under penalty of perjury under the laws of the United States that 21 the foregoing is true and correct. 22 Executed April 16, 2003, at Pittsburg, California. 23 24 BARBARA COATES 25 26 27 28 4 Claim ...._.... ......... .._...... ... . ........ .........._. ...__...... ........ ........ . . . .. ...... ......... ........_..._.._.. April 16, 2003 Clerk of the Board of Supervisors 651 Pine Street Martinez, CA 94553 Re: Claim Against Public Entity [dear Sir or Madam: Enclosed please find the original and one copy of the above-referenced claim. Please stamp "Received" on the copy and return it to this office in the envelope provided. If you have any questions regarding this matter, please do not hesitate to call. Very truly yours, ,r-• v' Barbara Coates Legal Assistant Encls. ya5-W z .� )§f CL . 2 Ct) 0 m 0*) ; 0 4) co 0 .- a. :a. V- . U t"O' \ \ . . \ > � � � ƒ � a x TO: BOARD OF SUPERVISORS � `f � ` �" CONTRA t COSTA FROM: Jahn Ste, Cutty Administrator COUNTY BY: Johnny W. Jefferson,Director Office of Revenue Collection s, DATE: May 20, 20 03 SUBJECT: Initiate Legal Action to Recover and Secure Costs of Services SPECIFIC REQUEST(S)OR RECO MMENDATIC"S)& BACKGROUND AND JUSTIFICATION REC�'3MI�iEIA:TF�tI1I#Sl: A U T`HORIZEMIRECT City Counsel to initiate legal action to recover monies owed for outstanding debts and costs of suit and when appropriate to initiate legal action against the following parties: NAME BEBT LEE,AGNS $39,656.24 LARGA SPA DAe,HARDIEL & �llif�LARGA SP'ADA,MARIA S 6,992.1.. 8 tl NG,JOHN&YANG $35,230.27 BAST,DEBORAH $13,134.51 RANA:,MOHAIV MAD&RAHAT S 6,503.55 GARCIA, MERE+GILDO $30,,365.35 LO NGRI GE,GAYLA&JOHN 119,171.77 TOTAL $1.51,043.87 FINANCIAL I1 "ACT This action will increase the County's ability to execute on the judgments obtained pursuant to the Board of Supervisor's authorization. 89890—N RECOMMENDATION To secure the County's interest on debts owned. The parties 'involved have demonstrated an unwillingness to reimburse Contra Costa County for services provided. It is necessary for the County to preserve its interest by initiating appropriate action against the responsible party. fa CONTJUED ON ATTACHSIENT: —YES $MATURE. _!::::::RECOWMWDATM OF COUNTY ALM NIS't BATOR_ COMWT TEE _Ac4WPROVE 0114ER SIGI ATURE{S} ACTM OF APPROVEf3 AS REC#NEN[kEE3 OTHER VOTE or,S4011's UNANM1IKM fS{AUNT DISC': i } I HEREIN`CERTWY THAT THIS IS A TRUE AM CORRECT COPY OF AN AYES:_ i S: ACTPGMV TAKM AND ENTERED ASSENT-�ABSTiAK ON iNJNIJTES OF THE BOARD OF sUPERVtWRS ON THE OATS SHOWN. DISTRICT III SEAT VACANT Contact: ATTEsTEI� MAY 20, 2003 .JOHN SWEET SM,CLEW OF THE BOARD OF SUPERVISORS cc:P.Hurd,ORC AM COUWY AOMMwSTRATOR P.Powe nee,ORC BY, DEPUTY P.Althoff,Counsel "—