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CLAIM
•
BOARD OF SUPERVISORS OF CONTRA COSTA COUNT'S'
BOARD ACTION MARCH 16, 2004
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
t F
915.4. Please note all"Warnings".
AMOUNT: $1,382.08
ION CORPORATION
DOME CONSTRUCTION BY: VIRGINIA PRECIADO
ATTORNEY: UNKNOWN DATE RECEIVED: FEBRUARY 12, 2004
ADDRESS- 2121 OAKDALE AVENUEB''DELIVERY TO CLERK ON; FEBRUARY 12, 2044
SAN RANCISCO, CA 94124
BY MAIL POSTMARKED. FEBRUARY 0 2004
,
FROM: Clerk of the Board of Supervisors To: County Counsel
Attached is a copy of the above-noted claim.
JOHN S W E E Ierk
,
Dated; FEBRUARY l2, 2004 .. B Deput
Y p Y
II. MOM: County Counsel, To: Clerk of the Board of Supe isors
( )phis claim complies substantial) with Sections 910 and 910.2.
� Y
( ) 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
claimants right to apply for leave to present a late claim(Section 911.3).
( } Other.
Bated. 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. OARD 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: ' 4"f4 JOHN SWEETEN,EETEN CLERK BY I3 e ut Clerk
x p Y .
WARNING(Gov. code section 913)
Subject to certain exceptions,you hove 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 ant now, and at all tunes 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. JOHN SWEETEN CLERK BY Deputy-''� D e ut Clerk
This warning does not apply to claims whichj are: not
subject to the California Tort Claims Act'such as actions
in inverse condemnation, actions for. specific relief such
as mandamus injunction,.or or Federal Civil Rights
claims. The above list is not exhaustive and legal
consultation is essential to under'stand all the separate
limitations periods that may apply.The limitations period '''"
within which suit must be filed maybe shorter or longer
depending on the nature of the claim. Consult the speeifflc.
statutes and cases applicable to your particular claim.
The County of Contra Costa does not waive any of its
* docs * waive
rights under:California Tort ClaimsAct norit
rights under the- statutes of limitations applicable to
action's not subject to the California Tort Claims Act.
Ik-
Or.,&T-13-2003 11:26 CCC RISK MANAGMENT 925 335 1421
P-02
Cla;.m to BOARD OY SUPERVISOM OF CONTRA COSTA M=
INSMCTIONS TO CLADWU
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, 1937,
must be presented not later than the 100th day after the accrue of the cause of
action. Clam relating to causes of.action for.death or for injury to person
or to personal property or growing amps and which accrue on or after January 1,
1988, must be presented not later than six months after the accrue of the cause
of action. Clat relating to any other cause of action must be presented not
later than one year after the ace.rual of the cause of action* {Govt. Code §911.2.)
B Clams 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.
he,
to
Ce If claim is against a district governed by the Board of Supervisors, ra"" or 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 bee
f i1ed against each public entity.
E. Fraud,, See penalty for fraudulent claims., Pew. Code Se 72 at the end of this
forts.
RE: Claim By Reserved for Clerk's filing stamp
6rAme/W_�
% WC
SEB
Against the County of Contra Costa-
Z004
or CLERK BOA
CON RD{JF
S1jSORS
District} C
Fila. in name)
The undersigned claimant hereby, makes claim- aire-Un.St the County of Contra Costa or
the above--nameed District in the sin of d? and in support of
this claim represents -as follows: W
le When did the dame or injury occur? (Give exact date and hour)
20 Where did the e or injury occur? (Inclu"de city and county)
J
XZ44,1A hl)z
40:
3e How did the age or i ury occurr(Give full details; use extra paper if
required}
400/
4,* What particular act or omission on the part of county or district officers,
servants or .employees caused. the-injury or. e?
OCT-13-2003 11:27• CCC RISK MANAGMENT
925 335 1421 P.03
Wnat are ttie names of county or district officers, servants or employees causing
the e or inJury?
What damnge oVinjcries do you claim resulted? (Give full extent of injuries or
domes claimed. Attach two estimates for auto e.
awe"
7., How was the amount claimed above computed? (Include the estimated amount of any
prospective injury or e.
Names and addresses of witnesses doctors and hospitals.
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 tie signed by the claimant
SM NOTICES TO: CAttorne or by,.-some person on his.behalf
Name and Address of Attorney ,
'W 119
,�'iu
A ai o
Aga
(claimant's Signature)
Address
44
MOONS~
Telephone No,, Telephone No. ,�,,,5�
P _ 0
N 0 T I C 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 off i cer,, or to any county, city or district board or
officery authorized to allow or pay the same if genuine, any false or fraudulent
claim, bill, account, voucher, or writing, is punishable either by imprisoriment, in
the county jail-for a period of not more than one-year, by a, fine of not exceeding
one thousand ($19 000),, or by'both such imorisonment and fine i..Or by imprisoment in
the state prison, by a fine of not exceeding ten thousand do rs ($10 1000 or by
both such imprisonment and fine
TOTAL P.03
Fib-09-04 11 : 19A FLYING DUTCHMAN AUTO BODY P.01
Date: 2191200411:35 AM
Estate ID. 5114
Estimate Version: 0
pn"minary
Profile Ib: STANDARD
FLYING DUTCHMAN AUTO BODY
285 SAyShoRE BLVD SAN FRANCISCO,CA 94124
(416)524-7$06
Fax: (416)$24-7106
Dartalp Asses"d By: MITCHELL MITCHELL
Deductible: UNKNCW*4
Insured: DOME CONSTRUCTION
Telephone; Work Phone:e: (4 t 5)641.0800 Home Phone: (416)641-0800
Mitchell Service: 817823
Dasctiption: 2000 Ford Ranger XLT
Body Style: 21D PkupXCb 0'Bad IUD'WB Drive Train; 3.01.lei 6 Cy!2WO
VIN: 1FTYR14V2YP8164 License: 6HO2421 CA
Options: AI.UMIALLOY WHEELS,AIR CONDIl ONING,POWER v INDOM,POVeR DOOP LOCKS
CRUISE CONTROLI AUTOMATIC TRANSMISSION$AM---M STE1tE0ICDPLAYER(894GLE)
Line Entry Labor Lore ROM Part Type/ Dollar Labor
Ram Number Type Operabon Description +� Part NLwnber � Ar cunt UnKs
1 700488 BDY REPAIR L CAB CORNER PANEL Existing 2.6*#
2 /AUTO REF REFINISH L CAB CORNER PANEL C 2.4
3 702260 BOY REPAIR L PICKUP BED SIDE PA14EL ExistlV 6.00#
4 AUTO REF REFINMH L BED SIDE PANEL OUTBID C 2.5
6 T03005 BUY REMOVE MPLACE L PICKUP BED SPLASH SHIELD F37Z 80292A23 A 19.83 0.1 #
6 900800 BOY* REMOVE/INSTALL ROOF RACK Existing 1.0"
7 AUTO PEEP ADD'L C" CLEAR COAT 1.5
933019 REF ADO L OPR MASK FOR OVERSPRAY 5.00* 0.3*
5 AUTO ADD'L COST PAINTIMATERIALS IWO
14 AUTO ADD'L COST HAZARDOUS WASTE DISPOSAL 5.00
*-Judgement Item
#-Labor!Vote Applies
C-Included in Clear Coat Calc
Add'1
Labor Sublet
I. Labor Subtotals Units_ Rata Anwunt Ar-mwtt Totals II. Part Replocal rtt Sunrnwy Amount
Body L4 76.00 6.00 0.00 64'0.00 T Taxable Picts 16.83
Rellnish 4.i* 74.00 5.00 0.00 913.00 T Sales Tax 8.9@m 1.43
Taxable Labor 1.150.40 Tads!Repieetr imW Parts Amount 18.26
Labor Sumnmy 14.4 10100.00
ESTIMATE FC-CALL PMJMSER: 2/912004 11:36:10 5114
UltraMate is a Tradamark of IIIltctrll Irrterm*YW
Mitchell Data Version: JAN-04-A Copyright IC}1134-2003 Mitchell k tternada" Page 1 of 2
UltraMete Version: 6.0.021 All FtW is Reserved
' 1=Qb-09-04 11 : 19A FLYING DUTCHMAN AUTO BODY P.02
Dates: 2/$1200411:33 AM
Estifnde ID: $114
Estimate version: 4
Prelirninary
Profile ID: STANDARD
W. Additiormitl Costs Amount IV. Adjustments Annunt--
Taxable Costs 187.55 Customer Responsibility 0.9
Sales Tax @ 8.500% 15.97
Total Additiwei Costs 343.82
L Total labor: 11144.40
II. Total Replacwnent Parts: 12.34
111. Total Additiorwl Costs: 203.82
Gross Total: 1►382.45
IV. Total Adjustments:
Net Tc tel: 1,382.08
T is is a patW nant est tom.
Additional jUngSs to the estimatea re uir d for the actual re ail".
California code of Rrsgulationse;
yuo have the right to have any repair facility of your choice to do
the repairs to, your vehicle, however your insurance company con
reasonalbl.y adjust any Written estimate prepared by the shop os your
choice. If you choose a Direct repair shop to repair your vehicle, as
suggested by your insurance Company, they will guarantee the damage
vehicle to berestore to it's pre-loss condition; Subject to the terms
of your policy. We do not use aftermarket parts,, or used parts in the
course of repairs toyour vehicle, unless authorized by the Customer,
and only then when OEM pasts are not available, or in the case of
buaa era that aro L,X,Q in appearance and fit, We sari not Guarantee
any repairs utilizing aftermarket parts, Authorized an Accepted; by
Fling Dutchman body shop, DBA Bayshore body Shop is hereby
authorized tomake the above specified repairs.
I understand that paynrnent in full will be due upon release of vehicle,
including additional supplemental damage charges, and hereby grant
Fling Dutchman body shop, DBA bayshore body shop and enpl oyees,
persni s s i on to operat the vehi slim herein described on s tree, or highway
s or elsewhere for the purpose of testing and/or inspection.
hereby acknowlege on above vehicle to secure the amount of repairs the
ESTIMATE RECALL NUMBER: 212120"11:35:10 5114
U1traMatt is a Tradenw%of Mitchell Internammial
U tch*R Data Version: JAN 04 A Copyright(C)1004-2003 Mltcheil intwnatiord Page 2 of 2
UttraMob versbn: 3.0.021 All Rghts Reserved
r ,
Date: 02/1012004 08:13 AM
Estimate ID: 4669
Estimate Version: 0
Preliminary
Profile ID: STANDARD
INDUSTRIAL AUTO BODY SHOP
146 INDUSTRIAL ST.SAN FRANCISCO,CA 94124
(415)648-0222
Fax: (413)648-1491
Damage Assessed By: KEVIN WATSON
Deductible: UNKNOWN
Insured: DOME CONSTRUCTION#57
Mitchell Service: 917623
Description: 2000 Ford Ranger XLT Vehicle Production Date: 6100
Body Style: 2D PkupXCb 6'Bed 125"WB Drive Train: 3.OL Inj 6 Cyl 2WD
VIN: 1FTYR14V2YPB98264 License: 6HO2421 CA
Mileage: 85,625
OEM/ALT: O Search Code: None
Color: WHITE
Options: ALUM/ALLOY WHEELS,AIR CONDITIONING,POWER WINDOWS,POWER DOOR LOCKS
CRUISE CONTROL,AUTOMATIC TRANSMISSION,AM-FM STEREOICDPLAYER(SINGLE)
Line Entry Labor Line Item Part Type/ Dollar Labor
Item Number Type Operation Description Part Number Amount Units
1 700888 BDY REPAIR L CAB CORNER PANEL Existing 2.0*#
2 AUTO REF REFINISH L CAB CORNER PANEL C 2.4
3 900500 BDY ADD'1.,LABOR OP MOVE BED BACK Existing 1.5*
4 701238 BDY REMOVE/INSTALL L CAB SIDE WINDOW GLASS Existing 1.1*#
5 701287 BDY REMOVE/INSTALL BED ASSEMBLY 2.5
6 702250 BDY REPAIR L PICKUP BED SIDE PANEL Existing 6.0*#
7 AUTO REF REFINISH L BED SIDE PANEL OUTSIDE C 2.6
8 701295 BDY REMOVE,'INSTALL L PICKUP BED FUEL DOOR Existing 0.3*#
9 703005 BDY REMOVE/REPLACE L PICKUP BED SPLASH SHIELD F37Z 99292A23 A 17.95 0.1 #
10 701506 BDY REMOVEIINSTALL L REAR COMBINATION LAMP 0.2
11 936012 ADD'L COST HAZARDOUS WASTE DISPOSAL 5.00*
12 AUTO REF ADD'L OPR CLEAR COAT 1.5
13 933003 REF ADD'L OPR TINT COLOR 0.5*
14 933005 BDY ADD'L OPR RESTORE CORROSION PROTECTION 10.00* 0.5*
15 AUTO REF ADD'L OPR FINISH SAND AND BUFF 1.6
16 933018 REF ADD'-OPR MASK FOR OVERSPRAY 5.00* 0.3*
17 AUTO ADD'L COST PAINTIMATERIALS 210.00*
* -Judgement Item
#-Labor Note Applies
C-Included in Clear Coat Calc
ESTIMATE RECALL NUMBER: 02/1012004 08:13:40 4669
UltraMate is a Trademark of Mitchell International
Mitchell Data Version: FEB_04_A Copyright(C)1994-2003 Mitchell International Page 1 of 2
UltraMate Version: 5.0.021 All Rights Reserved
• Date: 02110/2004 08:13 AM
Estimate ID: 4669
` Estimate Version: 0
Preliminary
Profile ID: STANDARD
Add'!
Labor Sublet
I. Labor Subtotals Units Rate Amount Amount Totals 11. Part Replacement Summary Amount
Body 14.2 73.00 10.00 0.00 19046.60 Taxable Parts 17.95
Refinish 8.9 73.00 5.00 0.00 554.70 Sales Tax @ 8.500% 1.53
Non-Taxable Labor 19701.30 Tota!Replacement Parts Amount 19.48
Labor Summary 23.1 1.701.30
Ill. Additional Costs Amount IV. Adjustments Amount
Taxable Costs 215.00 Customer Responsibility 0.00
Sales Tax @ 8.500% 18.28
Total Additional Costs 233.28
!. Total Labor: 17701.30
11. Total Replacement Parts: 19.48
111. Total Additional Costs: 233.28
Gross Total: 1,954.06
IV. Total Adjustments: 0.00
Net Total: 17954.06
This is a preliminary estimate.
Additional changes to the estimate may be required for the actual repair.
ESTIMATE RECALL NUMBER: 02/10/2004 08:13:40 4669
UltraMate is a Trademark of Mitchell International
Mitchell Data Version: FEB 04 A Copyright(C)1994-2003 Mitchell International Page 2 of 2
UltraMate Version: 5.0.021 All Rights Reserved
•1 17
•
0M MORAN M
"ONSTRUCTiOH CORPORATION
2121 Oakdale Avenue
San Francisco, CA 94124
(415)641-0800
(415)6422812 fax
To: ome Construction Corporation date: September 16, 2003
p rp
2121yak dale Ave. Project No.: 2359
"ect Nanw= HML Laboratory Renovation
San Francisco, CA 94124 700 Heinz Street 1 st Floor
Attention: Virginia Preciada Berkeley, Ca
From: Mike TeelTransmittedElFAX [l Ovemight Delivery []Hand Carried
via: El Mail 0 Messenger.g ❑Other...
Memorandum:
' y
Here is the information I got from the other driver
Name:'Nancy Marie N iemerer
Driver license## N6753887
Truck license## 1090790
Truck##5029, Chevy S-10, year 2001
Contra Costa County.
Pretty much what happened is both trucks were South bound on Clayton Way in Concord. At the
intersection of Clayton Way and West street, there is stop sign. The traffic on the left side of the lane
turns left, and the traffic on the right side toms right, both onto West street. E had pulled up to the stop
sign and waiting to tura when the coup truck turned right into me. I was stopped and she was maybe
g g county
going 1 anile an hour or less. Either she didn't see rye or wasn't paying attention to what traffic was
doing. Both Clayton Way and West street are good size streets, and are one lane each direction
333 �
of
+`
I.�
FAX No.: 415-042-2812 C44W to:
LETTER OF TRANSMITTAL
CONSTRUCTION CORPORATION
FACSIMILECOVERSHEET
2121 Oakdale Avenue
San Francisco, CA 94124
(415) 641-0800
(415) 642-2812 fax
To: Clerk of the Board of Supervisors Date: February 10, 004 .
t N
Project o ..
Contra Costa County Pr
651 Pine Street Project Name: FEB
1 4; 2004
Martinez, CA 94553
CL OR���
Attention: Penny Bailey CO7� �i SIJPSRVISOR
..W..� U TA r S
From: Virginia Preciado ext. 150 We are sending ® FAX 0 Hand Carried ❑Overnight
you via: El Mail ❑ Pickup ❑ Messenger
Copies Date Pages Description
CLAIM #54339 - DATE OF ACCIDENT 9115103
Total Number of Pages: including Cover Sheet. Contact Sender if you do not receive all pages(FAX only).
These are Transmitte(I as Checked Below:
❑ For Approval ❑ As Requested ❑Approved as Submitted ❑ Returned for Corrections ❑Submittal#
❑ For Your Use ❑ For Review and Comment ❑Approved as Noted ❑ For Quotation ❑ Releases
Remarks
Hi Penny:
Enclosed is a completed claim form for your Claim #54339. We would like to have-a vehicle repaired as
soon as possible. Thank you for your assistance.
Please call me if you have any questions at (415) 641-0800, Ext. 150.
Thank-you.
FAX No.: 925-335-1421 Copy to:
Y
APPLICATION TO FILE LATE CLAIM
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
BOARD ACTION
MARCH 16, 2004
Application to File Late Claim ) NOTICE TO APPLICANT
Against the County, Routing ) The copy of this document mailed to you is your
Endorsements, and Board Action.) notice of the action taken on your application by
(All Section References are to ){ ' tlia Board of Supervisors ,(Paragraph III,below)
California Government,C- given pursuant to Government Code Sections 911.8
-anA 915.4. Please note the"WARNING"below.
Claimant: MARY HOGAN
Attorney:• TANYA R. MEYERS, Esq.
LAW OFFICES OF TANYA R. MEYERS
Address: 1300 CLAY STREET, #600
OAKLAND, CA 94612
Amount: UNDETERMINED BY IN EXCESS OF BY delivery delive to Clerk on: ; FEBRUARY 13, 2004
$25,000.00 !
Date Received: FEBRUARY 13, 2004 BY mail,postmarked on:! HAND DELIVERED
I. FROM: Clerk of 7heBoard of Supervisors TO: County Counsel
Attached is a copy of the above noted Application to File Late Claim.
DATED: FEBRUARY 13, �HN SWEETEN, Clerk,By:
DEPUTY
II. FROM: County Counsel TO: CleA of the;Board of Supervisors
( ) The Board should grant this Application to File Late Claim (Section 911.6):
\), i
( The Board should deny this Application to File Late Claim (Section 911.6).
DATED: 1171, L SILVANO B.MARCHESI CountyCounsel B :� l
ByDEPUTY
III. BOARD ORDER By unanimous vote of Supervisor present
(Check one only)
( ) This Application is granted (Section 911.6).
( This Application to File Late Claim is denied(Section 911.6).
I certify that this a true and correct copy of the Board's Order entered in its minutes for this date.
DATE: 4i?MOHN SWEETEN,Clerk, •
B DEPUTY
By.
WARNING (Gov. Code §911.8)
If you wish to file a court action on this matter,you must first petition the appropriate court for an order
relieving you from the provisions of Government Code Section 945.4(claims presentation requirement).See
Government Code Section 946.6.Such petition must be filed with the court within six(6) months from the date
your apRlication for leave to present a late claim was denied.
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.
IV. FROM: Clerk of the Board TO: (1) County Counsel (2) County Administrator
Attached are copies of the above Application. We notified the applicant of the Board's action on this
Application by mailing a copy of this document, and a memo thereof has been filed and endorsed on the Board's
copy of this Claim in accordance with Section 29703.
DATED: a��l .009 •
JOHN SWEETEN,Clerk,By. DEPUTY
V. FROM: (1) County Counsel (2) County Administrator TO: elerk of the lEfopard of Supervisors
Received copies of this Application and Board Order.
DATED: County Counsel,By:
IS
County Administrator,By:
APPLICATION TO FILE LATE CLAIM
i
This warning does not apply to claims which are not
subject to the California Tort Claims Act such as actions
in inverse condemnation, actions for specific relief such
as mandamus or injunction, or Federal Civil Rights
claims. The above list is not exhaustive and legal
consultation is essential to understand all the separate
limitations periods that may apply. The limitations period
within-which suit must be filed may be shorter or longer
depending on the nature of the claim. Consult the specific
statutes dxrd cases applicable to your particular claim.
The County of Contra Costa does not waive any of its
rights under California Tort Claims Act nor does it waive
rights under the statutes of limitations applicable to
actions not subject to the California Tort Claims Act.
Urs.�► ..,
,,-13-04 -03: 18A Tanya R. Meyers, Esq. (510) 690
t
I Tanya R. Meyers, Esq.
LAW OFFICES OF TANYA R. MEYERS IVED
Office: 13 00 Clay 2 O Y Street, #600 RECE
Oakland,California 94612
3 Tele hone. {510)690-01831
p 1 "
Facsimile: (510) 690-0830 FEB 2044
4
Attome s for Plaintiff CLERK BOAR 01✓Sl ERVISORS s
. � GONTF?A COSTA CO.
$ MARY'HOCAN
6
7
8 MARY HOOAN, } CASE,NUMBER:
9 Plaintiff, } APPLICATION FOR LEAVE TO PRESENT
} LATE CLAIM
10 vs. }
)
1l }
WEST CONTRA COSTA COUNTY }
12 UNIFIED SCHOOL DISTRICT, and DOES 1 }
through 25, inclusive, }
13 )
14 Defendants. }
)
15 }
16
TO: VEST CONTRA COSTA COUNTY UNIFIED SCHOOL DISTRIC`"l'
17
18 Ms. Mary Hogan was employed by the West Contra Costa County Unified School District
19 as a teacher since 1997, last working at the Omega High School Site located as 1"2.50 23" Street.
24 Richmond, California until February 17, 2003. During,the course of her employment, Ms. Hogan
21 was subjected to an unsafe and unhealthful work environment in violation of California Code of
22 Regulations, Title 8, Section 3364(x)and(b), which resulted in, inter uliu.her co}istructive discharge
23 on February 17, 2003 and related claims subject to the Government Tort Clainis Act (car Constructive
C, 24 discharge in violation in violation of public policy.
Qp �, P P Y
"�3a�► '�""�
0 25 1. Application is hereby made for leave to present a late claim under Section 91 f
4 of
Dam
u. 0
26 the Government Code. The claim is founded on a cause of action for constructive discharge and
27 y
APPLICATION FOR LEAVE
28 To PRESENT LATE.CLAW
FPB 13 2004 03•'20 510 690 0830 PAGE.02,
Feb-13-04 3-04 03: 18A Tanya R. Meyers , Esq. (510) 690 0830 P.03
1 constructive discharge in violation of public policy, which accrued on February 17, 2003. Ms.
2 Hogan is requesting relief from complying with the Government Tort Claims requirement as a result
3 of excusable neglect,mistake and inadvertence; that she had in fact substantially complied with the
4 statute as evidenced by her protracted interaction with the District to remedy the conditions giving
5 rise the causes of action, the notice provided in her letter of resignation and filing of a workers'
6 compensation claim; that her petition is being brought within a reasonable time; and,the District,
7 having full knowledge of the claims,were not prejudiced by the delay. For, additional circumstances
8 relating to the cause of action,reference is made to the proposed claim attached hereto as Exhibit A.
9 2. Ms. Hogan substantially complied with the notice requirement by informing the-District
10
that her resignation was due to its failure to provide the adequate restroom facilities. Ms. Hogan's
ll
letter of resignation is attached hereto as Exhibit B. Based on this letter, in addition to Ms.Hogan's
12 . .
13
numerous complaints prior to resigning, her notification to the Department of Industrial relations and
14 the filing of her workers' compensation claim, she substantially provided the District notice bf her
15 claims.
16 a.
3 The reason for the delay in presenting the claim was due to mistake, inadvertence and
17
18
excusable neglect of Ms. Hogan and her former counsel as set forth more particularly in the
, .
19 declaration of Ms. Hogan attached hereto as Exhibit C.
r
20 4. west Contra Costa Unified School District can not establish and will not be
21
prejudiced if Ms. Hogan is allowed to present her claim because the District had knowledge of the
22 .
claims.
23
F
5. This application is being presented in a reasonable time after the accrual of the cause
24
25
of action. Ms. Hogan filed a request to file a late claim along with a copy of the claire on the District
26 on February 13, 2004, immediately after learning of its requirements. At all times, Ms. Hogan has
27 APPLICATION FOR LEAVE
TO PRESENT LATE CLAIM
28 2
:
FEB 13 2004 03:21 510 690 oe30 PAGE.03 .,
Feb-13-04, 03: 18A Tanya R. Meyers ,, Esq. (510) 690 0830 P.04
1 acted diligently and prudently in contacting attempt to address her work related issues.
HEREFORE, it is respectfully requested that this petition be granted. ,
3
4 Respectfully submitted; LAW OFFICE OF TANYA R. M E YERS
5
6 .Date; February 12,2004
Tanya R, yer , A ev fo plaintiff, Mary Hogan
7
8
9
to
11
f.
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27 APPLICATION FOR LEAVE,
28 TO PRF-,SF-.NT LATE`CLAIM
3
FEB 13 2004 03:21 510 690 0830 PAGE.04
• �"�� ,
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Feb- 13-04 03: 19A Tanya R. Meyev-s , Esq. (510) 690 0830 P.06
Claim to: BOARD OF SUPERVISORS OF CWTU COSTA COUNTY
litziINUCTIONS M CIADIANT
A. Claims relating to causes of action for dealth or for injury to peersoin or to per..
sonal property orgrog;ng crops and vhich accrue on or before December 31, 1987,
must be presented not later than the 100th day after the accrual of the cause or
action, Claims relating to causes of action for death or for injury to person
or to Personal property or graidng tops and Which accrm ca or after January 1,
1988, must be presented not later than six months after the accrual of the cause
I
of action. Cla" relating to any other cause of action must be presented not
later QM one year after the a=rval or the cawe of aation,, (Govt. Code 1911,2
B. claisas gust be filed with the Clark of the Board of Supervisors at its office in
Room 106s Comty Admiaistration Bu . ng, 651 Pim Street, Martinez, CA 945530,
Co If claim is against a district governed by the Board of Supervisors, rather than
the County, the nam of the District should*be filled in.
D,m If the claim is against more than one public entity, separ at.& claims must be
filed against each public entity.
Ee Fraud* See pem1ty for fraudulent claims, Peral. Code Sea. 72 e. the end of this
rots.-o -
#
aim By Reserved for Clerk's f111n& 3tMP
Against the--co=ty Of Contra costa
District)
The w3iped he by =kes dim inist the r Mty of Contra Costa or
the above-onamed District in the sum of $ LQWLj3&M.Wv %f --No eLnd in support of
this claim represents -as follows:
When did the e or injury =cur? (Give exact date and ho=)
2. Where did thaftv' Hzmmra or Injury om=" (Include city and county)
&J
3. Hdid thee or injury occur? Wive ,full details; use extra paper if
W4L&mag
required)
L
PA
.�
4A
i7t 4
on e part of cOUM4 or district off iters 4e What particular act; or 33�d tA
servants cr. loyees cmised. the injury' or damge?
3 3�-V 4400,
FEB 13 2004 03:22 510 690 0830 PAGE'e 96"'
Feb-13-04" 03: 19A Tanya R. Meyers , Esq. (510) 690 0830 P.07
-
T
Z'0 ad 1t oioi t,
Wriat are the nMes of county or district officers, servants or employees causing
the damage or injury? _
r
.S&YX4,,
rc,.- Ice
WMM 00rri.w�.r►�Fw�n..r.....�.r.N..rr. r�.w�r�sr..nr�.�...,r
What gage or inJur i es do you claim resul.ted? Give fail extent of in juries or,'
domes claimed. Attach two estimates for auto fie.
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n4- LLm ul.(J 109
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7. How the a�c� +unt c ►1�med above + mputed�' t yn .ude the est mated ago t of any
prospective injury or e*)
ON D 6_ltdn*xtr�49
Loki � ,�s—
"
8. Names and addresses of witnesses, doctors and hospitalsTVK 19
tk�
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j 1
4)4ity+y�
h.
-all
9. List the ex r._ndi turves you made on acoount of this accident or injury
DAM ITEM AMOUNT
No"r $*0I
Gov. Code Secs '910.2 vides. .y..
"'The c3.a1Z unt be signed by•the claimant
SNOTICES TO: {Attome ) car ecxee +era m his.
SD k
Name and Address of Attorney wr
'O'er-S ajtune
•. G _ s f s
I}-- 1
. t , 2q I
"~
���-+ �!> Address
0 Lm,
, J.
Telephone No. ,.�� Telephone No le
.
efeaeee • # see �t #
N 0 T E
Section 72 of the Feral Code provides: - ..
" on who with intent to defraud, presents for a3.lowa�►ee or for '
Every pens : count cit or district bo��� .
payment to any state board or officer, or to any Y: 3�
f authorized to �111.ow-or pay the sante f f .genuine, any false or fraudu iw 7�.
officer,f ris ble either by imprisoment �:'n
claim, bill, acoomt, voueber, or writing,
the countjail-for a period Of not Mare t'hAn one•year, by a fine of not exceeding
Y - t mid fine-` or iaspriso, nt in
one thousand ($1,000)lp or by both succi impris�
to r a fine of Wt excWing ten thousand doll='s t�1Q,Cho* or �Y
�� stn p i:�n, by _.
FEB 13 2004 03:23 510 690 0830 PRGE.07
,�.�:r�
Feb-13-04 03:20A Tanya R. Meyers , Esq (510) 690 0830 P.09
�� -��. .-• - V V J
02/09/03 11:54 FAX Q001
w
!r TZ REPORT *�4y
TRANSMISSION OK
TZ/R1 NO 1214
CONNIECT I ON TEL 15102150430
SUBAnvRES S
CONWCTION ID
ST. TIME 02/09 11:54
USAGE T 00'12
PGS. SENT 1 ,...
RESULT 08
Febmwy 81 2003 _
De u Mrs.Price:
Wben we spoke, on I'ebruazy 3,2003, over the telephone, I informed you 1 tuns leaving th.r.
Cm ching positiou I love,at AWhC, under durc3s. OSHA found safety and health viohtions
at the:Omega,site and tbese deplorable hazards YemS�•
For over 20 months my hcait�, and the hath Wad-3kfity of 0+0xvv _bemsounisedL
.CO'mP
As a xesvlt,my physical hem is de tx ort.,.g and 1 Ca=0t continue at tit site under triose
same deplorable conditsou5. February 21,2003,is my 12st day it chit site.
I wih you well
Sincczclp,
FEB 13 2004 03:23 510 G90 0830 PAGE.09
Feb-13-04, 03:21A Tanya R. Meyers , Esq. (510) 690 0830 P. 11 _
r'
1 Tanya R. Meyers, Esq.
LAW OFFICES OF TANYA R. MEYERS
2 Office: 1300 Clay Street, #600
Oakland,California 94612
3 Telephone: (510) 690-0831
Facsimile: (510) 690-0830
4
Attorneys for Plaintiff
5 MARY HOGAN
6
7
S
9
MARY HOGAN, ) CASE NUMBER:
10 )
Plaintiff, ) DECLARATION OF MARY HOGAN TN
I 1 ) SUPPORT OF APPLICATION FOR
vs. ) LEAVE TO PRESENT A I.,ATE CLAIM
12 )
13 WEST CONTRA COSTA COUNTY )
UNIFIED SCHOOL DISTRICT,and DOES 1 )
14 through 25, inclusive, )
15 )
Defendants. )
16 }
17
4, �A
18 Plaintiff Mary Hogan, declare and certify as follows:
19
1. I was employed by the West Contra Costa County Unified School District as a teacher since
20 ��
1997, last working at the Omega High School Site located as 1250 23 Street, Richmond,
21
California until February 17,2003.
22
2. During the course of my employment,I was subjected to an unsafe and unhealthful work
23
environment in violation of California Code of Regulations, Title 8, Section "364(a) anti (b),
24 �:
which resulted in, inter alfa, my constructive discharge and constructive discharge" n,
25 z
violation of public policy on February 17, 2003.
26
27 DECLARATION OF MARY HOGAN IN
28 SUPPORT OF APPLICATION
x.
t,
T
FEB 13 2004 03:23 510 690 0830 PAGE.11
Feb-13-04 03:21A Tanya R. Meyevs , Esq. (510) 690 0830 P. 12
1 3. 1 am requesting relief from complying with the Government Tort Claims requirement as a
2 result of excusable neglect,
3 4. 1 am requesting relief from complying with the Government Tort Claims requitement in that I
4 had substantially complied with the statute by continually advising the District of its need to
5 remedy the conditions giving rise the causes of action for constructive discharge and
6 constructive discharge in violation of public policy. Additionally, at the time of my
7 compelled resignation, I specifically wrote that I had to quit because of the District's failure
8provide adequate facilities. I also complained to the Department of Industrial Rela:tiAs.
9 which did investigate and cite the District for its violations. After my fbrced resignation., I
10 filed a workers' compensation claim, again notifying the District of'claillis sternen irg'fro ni its
11 failure toprovide adequate facilities.
12 5. At the time of my resignation,I was completely frustrated and depressed to the pdfitt'�of
13 inability to act on my behalf. However, soon after my resignation., I sought and refained the
14 law office of Bell Associates now in Rodeo, California. I worked with Ms. Jaynellel'�#ell,
15 Esq. on my employment related matters. Late January 2004, Ms. Bell notified rnet6`t she
16 could not file a claim for me because she was winding down her practice and for min`to seek
17 other counsel. I immediately sought and found new counsel I did not learn until Ve'bruary
18 2004 upon finding new counsel,that a tort claim needed to be filed prior to proceeding with
19 my lawsuit. At all times, I was tenacious, vigilant and diligent in pursuing my rig�i�end
20 notified the District,verbally, in writing,by taking action in notifying the Depart1�6t Of
21 Industrial Relations of my dissatisfaction and intent to find remedy for the treatment I.,
22 received. I did not know that despite my constant interaction with the District about,my
23 claims that I could be foreclosed from pursuing my remedies.
24 6. In view of my continued interaction with the District, the District had full,timel 'A6wledge
25 of my claims and will not suffer prejudice if I am allowed to bring my claim.
26 1 declare under the penalty of perjury the foregoing is true and correct.
27 DECLARATION OF MARY HOGAN IN
sUP?Ok*['OF APPLICATION
28 2
FEB 13 2004 03:24 sio 690 oe30 PAGE.12'
Feb-13-04 03: 21A Tanya. R. Meyers, Esq. ' (510) 690 0830 P. 13
69 0 083 C1
4 O2:Q9A Tam �• ��J►�er.s., Esq_ X51[3.. .,
Fe3b-13�-0
�.ESP1✓CT FU L,Y SUBMMED:
i
3 February 13.20- ary o g
u �
6
7 i
9
to b
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13
14
15
16
17
18 .
19
20
21
22
23
24
,25
26
27 DYCLMtA-nOK OF MARY HOGAN
SUPP0R,T 4F APPIAC:A'nON
28 i
FEB 13 2004 03:24 510 690 0830 PAGE.13
CLAIM
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY eb
BOARD ACTION: MARCH 16, 2004
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 our
. Y Y
California Government Codes, notice of the-action taken on our claim b the
Board of Supervisors. (Paragraph IV below), given
Pursuant to Government Code Section 913 and
u 915.4. Please note all "Warnings".
AMOUNT: $2,000,000.00
CLAIMANT: MICHAEL JOHN SULLIVAN
ATTORNEY: UNKNOWNDATE RECEIVED. FEBRUARY 13, 2004
ADDRESS: 8667 FROBISHER STREET BY DELIVERY TO CLERK ON: FEBRUARY 13, 2004
SAN DIEGO, CA 92126
BY MAIL POSTMARKED: FEBRUARY 11, 2004
FROM: Clerk of the Board of Supervisors' TO: County Counsel
Attached is a copy of the above-noted claim.
FEBRUARY 13 2004 JOHN SWEET ILA.
Dated: ' �� 8y: Deputy
II. FROM: County Counsel,. . TO: Clerk of the Board of Su erv' ors
. p
( 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 g
notifY in claimant. The
Board cannot act for 15 days (Section 910.8),,
nn rte+�
(V<Claim timely filed. Tla— OlmrJr- "wvv3-1 Vatalam" M 032 0=11ad
. .
� r
(ver
Other: -e e- ILn v � cooler, rr'
la4-e-,
6 tet t� -Lt, C-7 ou, C 1,3 -,
C `
IA aarA L-on 1) y •—t ..e. Coyvks. 4-
Dated: 06tiov-,�� ��-
NNO
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 . •
IARD ORDER: By unanimous vote of the Supervisors present:
( This Claim is rejected in full.
V.
( ) Other:
I certify that this is a true and correct co of the Board's Order entered. py eyed in its minutes for this date.
Dated: ,/&;e446 .
. JOHN SWEETEN, CLERK, By , Deputy C 1 erk
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 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
p g fully
prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above.
DatA#14tyo�Z� a2'�ed. JOHN SWEETEN, CLERK By Deputy Clerk
p Y
This warning* does not apply to claims which are not
subject to the California Tort Claims Act'such as, actions
in inverse condemnation, actions for. specific relief such
or injunction,as mandamus or Federal Rights
claims. The above list is not exhaustive and legal
consultation is essential to under'stand all the separate
period OOW
limitations periods that may apply.-The limitations
within which suit must be filed maybe shorter or longer
depending on the nature of the claim. Consult the specific
6 , .
statutes and cases applicable to your particular'claim.
The County of Contra Costa does not waive any of its
'it waive
rights =der..,California Tort CClaims Act n'odoesr
rights under the statutes of limitations applicable to
action's not subject to the California Tort Claims Act.
OFFICE OF THE COUNTY COUNSEL _- SILVANO B.MARCHESI
COUNTY OF CONTRA COSTA � COUNTY COUNSEL
Administration Building SHARON L. ANDERSON
651 Pine Street, 9t" Floor *;' �` -� ---`�+�
Martinez, California 94553-1229
CHIEF ASSISTANT
GREGORY C. HARVEY
(925) 335-1800 01 :a3$a11���� VALERIE J. RANCHE
(925) 646-1078 (fax) a � "_T' - • ;� ASSISTANTS
D10'
cou
STATUTORY WARNING PURSUANT TO
GOVERNMENT CODE SECTION 911.3
TO: Michael John Sullivan
8667 Frobisher Street
San Diego, CA 92126
RE: Claim of Michael John Sullivan
Please Take Notice as Follows:
The claim you presented to the Contra Costa County Board of Supervisors on February 11,
2004 was reviewed by County Counsel. The portion of the claim prior to August 11, 2003 was not
presented within six months after the event or occurrence as required by law.
Because you allege late discovery of the claim, the claim is "timely on its face" and will be
reviewed and acted upon by the Board of Supervisors within the statutory time period. To preserve
the rights of the County, its departments and employees to challenge the validity of your late
discovery claim, you are warned pursuant to statute that if your delayed discovery argument is
improper, your claim is late, and is being returned because it was not presented within six months
after the event or occurrence as required by law. (See Gov. Code, §§ 901, 911.2.)
Because the claim may not have been presented within the time allowed by law, we warn you
that to preserve your right in the event your claim is determined to be late, your only recourse at this
time is to apply without delay to the Contra Costa County Board of Supervisors for leave to present a
late claim. (See Gov. Code, §§ 911.4 to 912.2, inclusive, and 946.6.) Under some circumstances,
leave to present a late claim will be granted. (See Gov. Code, § 911.6.)
Page 1
You may seek the advice of an attorney of your choice in connection with this matter. If you
desire to consult an attorney, you should do so immediately.
SILVANO B. MARCHER
COUNTY COUNSEL
r
By.
Monika L. Cooper
Deputy County Counsel
CERTIFICATE OF SERVICE BY MAIL
(Code Civ. Proc., §§ 1012, 1013a, 2015.5; Evid. Code, §§ 6419 664)
I am a resident of the State of California,over the age of eighteen years, and not a party to the within action.
My business address is Office of the County Counsel, 651 Pine Street, 9th Floor, Martinez, CA 94553-1229.
OnFelP/ �D� , I served a true co of this Notice of Untimeliness as to a Portion of the Claim b
� copy y
placing the document in a sealed envelope with postage thereon fully prepaid, in the United States mail at
Martinez, California addressed as set forth above. I am readily familiar with Office of County Counsel's
practice of collection and processing of correspondence for mailing. Under that practice, it would be deposited
with the U.S. Postal Service on that same day with postage thereon fully prepaid in the ordinary course of
business.
I declare under penalty of perjury under the laws of the State of California and the United States of America
that the above is true and correct. Executed on at Martinez, California.
Kathleen O'Connell
cc: Clerk of the Board of Supervisors(original)
Risk Management
Page 2
Claim to: BOARD.OF SUPERVISORS OF CONTRA COSTA COUNTY
INSTRUCTIONS TO CLAIlI�IANT
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 100m day
after the accrual of the cause of action. Claims relating to causes of action for death or for injury to
person or to personal property or growing crops and which accrue on or after January 1, 1988, must be
presented not later than six months after the accrual of the cause of action. Claims relating to any other
cause of action must be presented not later than one year after the accrual of the cause'of action.
(Gov't Code 911.2.)
B. Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 106, County
Administration Building, 651 Pine Street,Martinez, CA 94553.
C. If claim is against a district governed by the Board of Supervisors,rather than the County, the name of
the District should be filled in.
D. If the claim is against more than one public entity, separate claims must be filed against each public
entity.
E. Fraud. See penalty for fraudulent claims,Penal Code Sec. 72 at the end of this form.
RE: Claim By Reserved for Clerk's filing stamp
t�1 �c,lna�e � Jo 1�n S v l t i vG✓) �
1 RECEIVED
Against the County of Contra Costa or ) FEB 1 3 2004
tiS /IN V,})I'D R District) CLERK B^Ahs OF SU"rL�R11130RS
cl
1,0
(Fill in name)S H��.�l �.F- bE
The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district
in the sum of$0OO�p��nd in support of this claim represents as follows:
TW 0 M I LL I o t*4 VoLL)i OZS
1. When did the damage or injury occur? (Give exact date and hour)
j�E f3 T T A C H("1 EN'!= � - P3 3
Z. Where did the damage or injury occur? (Include city and county)
C o in t r c, �a5�, Co�vo,
i-y J,q ILC,M.p,OVR I-S T_
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3. How did the damage or injury occur? (Give full details; use extra paper if required)
-1::S Ic E 4T_1_t4 C V4 ri t N I- S I +V)r\-J
°l" °k I 5 %`n c,C->'r' r"ra �- d1 �-� r2 cq h C E,
loe trec, �-��1
4. What particular act or omission on the part of county or district officers, servants, or employees caused the
injury or damage?
S. w�tare the names of county or district officers, servants, or employees causing the damage or injury?
1'r i �e4�i i f h�e, Akc eG r a�- -Vine rn-ec�iG�� D���-• a �-
�C,r }; y d e �-�.n �-► �� R, A aVVI C's a mac,
515r I}Lso q- rrAc,14rnENV F, f+„ � 4tomurvau Oe. i ► s .
6. What damage or injuries do you claim resulted?(Give full extent of injuries or damages claimed. Attach
two estimates for auto damage.) J+T-rftCHMC*rJF
?. How was the amount claimed above computed?(Include the estimated amount of any prospective injury or
damage.) /3 TT#9 C.H ILM IE NT'
8. Names and addresses of witnesses, doctors, and hospitals.
Gov^+f--.r 1r�o s ro i �'Gt � o►.1 /�1 kI�w!101/'C., S a"� (+i!G r�i n 2 Z G�}
X21` E't, p F T`E N 1-16 N F4 G 1 L1 T"�_' o f o I c o U 5(SEC amacAinsor #I /is* �
4%r -t.- C,f4)C1"t
9. List the expenditures you made on account of this accident or injury.
DATE TIME AMOUNT
Gov. Code Sec. 910.2 provides"The claim must be
signed by the claimant or by some person on his behalf."
SEND NOTICES TO: (AttoreX
Name and Address of Attorney )
(ClairfWnV-s Signature)
OLZ' S
(Address)
Telephone No. )Telephone No
NOTICE
Section 72 of the Penal Code provides:
Every person who,with intent to defraud,presents for allowance or the payment to any state board or officer,or to any
county,city,or district board or officer,authorized to allow or pay the same if genuine,any false or fraudulent claim,bill,account,
voucher,or writing,is punishable either by imprisonment in the county jail for a period of not more than one year,by a fine of not
exceeding one thousand(S 1,000),or by both such imprisonment and fine,or by unprisonment in the state prison,by a Sae of not
exceeding ten thousand dollars(S 10,000),or by both such imprisonment and fine.
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APPLICATION TO FILE LATE CLAIM
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY CALIFORNIA
BOARD ACTION
MARCH 16, 2004
Application to File Late Claim ) NOTICE TO APPLICANT
Against the County, Routing ) The copy of this document mailed to you is your
Endorsements, and Board Action.) notice of the action taken on your application by
(All Section References are to ) the Board of Supervisors (Paragraph III,below),
California Government Code.)��. given pursuant to Government Code Sections 911.8
and 915.4. Please note the"WARNING"below.
t
Claimant: ELAINE DELGADO
Attorney: UNKNOWN
Address: 3134 WINTERBROOK DRIB
BAY POINT, CA 94505
Amount: UNKNOWN By delivery to Clerk on: FEBRUARY 11, 2004
I
I
Date Received: FEBRUARY 11 2004 By mail,postmarked on:' FEBRUARY 06 20Q4
I. FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above noted Application'to File Late Claim.
FEBRUARY 11, 2004
DATED: JOHN SWEETEN,Clerk,By. DEPUTY
Ti. FROM: County Counsel TO: Cler of the Board of Supervisors
F
{ } The Board should grant this Application to File Late Claim (Section 911.6)'
{ The Board should deny this Application to File Late Claim (Section 911.6).
i
7
DATED. // SILVANO B.MARCHESI,County Counsel,By EPUTY
III, BOARD ORDER By unanimous vote of Supervisors present
v.
(Check one only)
{ } This Application is granted(Section 911.6).
{ This Application to File Late Claim is denied(Section 911.6).
I certify that this a true and correct copy of the Board's Order entered in its minutes for this date.
DATE: oe JOHN SWEETEN,Clerk,By: DEPUTY
-ZVX-
WARNING(Gov. Code §911.8)
If you wish to file a court action on this matter,you must first petition the appropriate court for an order
relieving you from the provisions of Government Code Section 945.4(claims presentation requirement).See
Government Code Section 946.+6. Such petition must be filed with the court within six(6)months from the date
your appcation for leave to present a late claim was denied.
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.
IV, FROM: Clerk of the Board TO: (1) County Counsel (2)County Administrator
Attached are copies of the above Application. We notified the applicant of the Board's action on this
Application by mailing a copy of this document, and a memo thereof has been filed and endorsed on the Board's
copy of this Claim in accordance with Section 29703.
DATED: JOHN SWEETEN,Clerk,By: DEPUTY
V. FROM: (1)County Counsel (2) County Administrator TO: Clerk of tht Board of Supervisors
Received copies of this Application and Board Order.
DATED: County Counsel,By.
5
County Administrator,By: t
APPLICATION TO FILE LATE CLAIM
i , .
This warning does not apply to claims which are not
subject to the California Tort Claims Act such as actions
in inverse condemnation, actions for specific relief such
as mandamus or injunction, or Federal Civil Rights
claims. The above list is not exhaustive and legal
consultation is essential to understand all the separate
limitations periods that may apply. The limitations period
within nin-which suit must be filed may be shorter or longer
depending on the nature of the claim. Consult the specific
statutes and cases applicable to your particular claim.
The County of Contra Costa does not waive any of its
rights under California Tort Claims Act nor does it waive
rights under the statutes of limitations applicable to
actions not subject to the California Tort Claims Act.
Claim of Elaine Delgado } CLAIM FOR PERSONAL INJURIES
3134 Winterbrook Drive }
Bay Point, Ca 94565 ) (GOVERNMENT CODE 91
Against
/
FF
B1
Contra Costa County Fire Department ��Fgkeo 1 C�U
4
c �q�
American Medical Response
TO THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY:
You are hereby notified that Elaine Delgado, whose address is 3134 Winterbrook Drive,
Bay Point Ca 94565, and claims damages from the County of Contra Costa in the
Superior court.
This claim is based on wrongful death of claimants father, Louis Guillory resulting from
treatment of injury that occurred on July 4, 2003, in his home at 3150 Winterbrook
Drive, Bay Point Ca 94565 under the following circumstances:
My claim details the events that lead to the death of my father, on August 5, 2003. My
father an elderly 68-year-old black male adult, a double amputee from knee down fell
from his bed during early morning of July 4, 2003. My mother, his wife was awakened
by his calls for help and immediately called 911 for help. The EMTS acting on behalf of
the Contra Costa County Fire Department were first to arrive. They found my father
helpless unable to move on his bedroom floor, and reacted by picking him up by his
limbs and returning him to his bed. Fire's EMTS then cancelled the responding
ambulance despite the protest of my parents, despite trauma to the head, numbness
and obvious signs of paralysis. Ambulance was eventually re-dispatched with code 2
response, an unacceptable response code for a trauma patient. EMTS again without
immobilization moved my father to a blanket. And finally EMTS of both Fire and AMR
moved him from the blanket to AMR stretcher. He was transported to Kaiser—Walnut
Creek, not the nearest trauma center.
EMTS have a clear ethical duty to assess and manage neck injuries. Priority
emergency medical care to patients with spinal cord injury is essential to ensure patient
survival, preserve spinal cord function, and allow highest possible chance for an injured
spinal cord to recover. There was no immediate danger or foreseeable harm to justify
an EMTS decision to move a patient with an unstable neck injury displaying signs of
numbness and paralysis three separate times without immobilizing the neck. Especial)
considering half of neurological deficits are created after initial trauma. Protocols have
been developed in order to save lives, minimize the possibility that a patient with spinal
p
cord injury could be injured while moving from scene to hospital.
Conduct of EMTS fall below the standards of behavior established by law for the
protection of others against unreasonable risk of harm.
v _ _
Claim of Elaine Delgado ) APPLICATION FOR LEAVE
TO PRESENT LATE CLAIM
Govt C ( 911.4 )
Against )
Contra Costa County Fire Department )
American Medical Response )
To the Board of Supervisors of Contra Costa County:
Elaine Delgado hereby applies to the County of Contra Costa for leave to present a
claim against the County of Contra Costa, pursuant to Section 911.4 of the California
Government Code.
The Cause of action of Elaine Delgado as set forth in her proposed claim attached to
this application, accrued on July 4, 2003, a period within one year from the filing of this
application.
Elaine Delgado's reason for the delay in presenting her claim against the County of
Contra Costa is as follows:
I made a mistake calculating the filing timelines. It was my understanding that claim
was to be filed six (6) months from date of death, which calculated to February 5, 2004,
instead of six (6) months from date of injury. Based on this information my claim should
have been filed January 4, 2004.
All notices and communications concerning this claim should be sent to Elaine Delgado
3134 Winterbrook Drive, Bay Point Ca 94565.
Wherefore, claimant asks that you grant this application, deem the attached claim to
have been presented on your receipt of this application, and act on the claim as
required by Government Code section 911.6.
Dated: February 5, 2004
Elaine Delgado