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HomeMy WebLinkAboutMINUTES - 05022006 - C.30 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY 4!t BOARD ACTION: MAY 02, 2006 Claim Against the County, or District Governed by ) the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Sectionr fe� t5!t5 The copy of this document mailed to California Government Cod es. you is your notice of the action taken on your claim by the Board of MAR 3 Supervisors. (Paragraph IV below), COUNTY COUNSEL given Pursuant to Government Code Section 913 and 915.4. Please note all AMOUNT: TO BE ESTABLIW-I RY&�'FJURISDICTIIkarnings". OF THE SUPERIOR COURT OF THE STATE OF CLAIMANT_ : CALIFORNIA "KENDRA WINDR.IX, a minor JESSICA MELLAN ATTORNEY: PETER J. HINTON DATE RECEIVED: MARCH 30, 2006 HINTON, ALFERT & SUMNER ADDRESS: 1646 NORTH CALIFORNIA BLVDB,Y DELIVERY TO CLERK ON: MARCH 30, 2006 WALNUT CREEK, CA 94596 BY MAIL POSTMARKED: HAND DELIVERED FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. MARCH 30, 2006 JOHN CULLEN, e Dated: By: Deputy It. FROM: County Counsel TO: Clerk of the Board of Su rvisors ( his claim complies substantially with Sections 910 and 910.2. ( ) This Claim FAILS to comply substantially with Sections 910 and 910.2, and we are 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 �t send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: ✓' 31-0 (,a By: Deputy County Counsel III_ FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) ( } Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present: ( This Claim is rejected in full. O Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated: Got � JOHN CULLEN, CLERK, By eputy Clerk WARNI (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 o40Ar JOHN CULLEN, CLERK By eputy Clerk f PETER J. HINTON, SBN 36400 HINTON, ALFERT & SUMNER 1646 North California Boulevard Suite 600 Walnut Creek, California 94596 Telephone: (925) 932-6006. HIgR Facsimile: (925) 932-3412 Q COOTR opsup Attorneys for Claimants ti COsrq�ovrs s KENDRA WINDRIX, a minor, JESSICA MELLAN CLAIM AGAINST THE COUNTY OF CONTRA COSTA TO County of Contra Costa c/o Clerk of the Board of Supervisors 651 Pine Street Martinez, CA 94553 CLAIMANTS AND KENDRA WINDRIX, a minor THEIR ADDRESS: JESSICA MELLAN 16711 Marsh Creek Road, #191 Clayton, California 94517 925.757.3088 CLAIMANTS c/o Hinton, Alfert & Sumner TELEPHONE: 925 932-6006 FACSIMILE:' 925 932-3412 DATE OF INCIDENT: September 30, 2005 Deer Valley Road at a point 348 feet south of Briones Valley LOCATION OF Road, Unincorporated Contra Costa County, State of INCIDENT: California AMOUNT OF The amount of damages sought by the claimants as of the date CLAIM: of the presentation of this claim, is sufficient to establish jurisdiction in the Superior Court of the State of California. 1 These damages consist of general and special damages.for personal injuries, medical expenses, loss of past and future wages, loss of future earning capacity, general damages and emotional distress for claimants Kendra Windrix and Jessica Mel lan arising from a vehicle accident which occurred on September 30, 2005 on Deer Valley Road at a point 348 feet south of Briones Valley Road, Unincorporated Contra Costa County, State of California Claimant Kendra Windrix suffered physical NATURE OF injuries including, but not limited to INJURIES: a traumatic brain injury,a closed fracture of the left orbit or sinus, hemiplegia, affecting right dominant side. Claimant Jessica Mellan suffered multiple fractures including, but not limited to hip, lower legs, and ankles. Claimants have suffered emotional distress and their physical injuries have caused serious permanent disabling injuries. Claimants have suffered the wrongful infliction of emotional distress for witnessing the injuries suffered by each other. Medical and associated expenses have not been fully ascertained at this time. Said damages include, but are not limited to, medical expenses, past and future, lost wages, loss of earning capacity and incidental expenses in amounts which are unknown at this time. NAME OF PUBLIC Public employees, agents, and/or personnel of the State of EMPLOYEES California, presently unidentified, who were involved in or RESPONSIBLE: had responsibility for the design, construction, repair and maintenance of Deer Valley Road at a point 348 feet south of Briones Valley Road, Unincorporated Contra Costa County, State of California as well as the shoulder area along the paved roadway. CIRCUMSTANCES: At the time and location of the subject accident, Deer Valley Road was a two-lane highway with a posted speed limit of 45 miles per hour. At the immediate location Deer Valley Road hasa northbound traveled way lane width of 9 feet. 6 inches r and a southbound traveled way lane width of 9 feet. 7 inches on a horizontal left curve with extremely narrow shoulders and no recovery room available for vehicles that leave the traveled way. The traveled way and the area immediately adjacent to the traveled way present a dangerous condition of public property based on the length and radius of the 2 horizontal curve. The subject area also presents a dangerous condition of public property based on an inadequate and dangerous superelevation and horizontal sight distance, and an inadequate sight distance for the crest vertical curve and the area is not properly signed for a reduction in speed at the horizontal curve. The County of Contra Costa negligently designed, constructed, maintained, operated, controlled, repaired and inspected the roadway, pavement, pavement edge, shoulders located immediately adjacent to Deer Valley Road and negligently created a dangerous condition of the roadway so that when drivers are faced with an oncoming vehicle out of its lane, the driver has no available recovery area to move into and to avoid such a vehicle. Claimants were traveling southbound on Deer Valley Road at a point 348 feet south of Briones Valley Road, in an unincorporated area of Contra Costa County, State of California when they were struck head-on by a Ford Mustang which was northbound on Deer Valley Road. Both vehicles were traveling through the horizontal left curve at the time of the subject accident. As the Ford Mustang came through the curve, it crossed the centerline and hit the claimants head-on, causing them severe physical injuries. The County of Contra Costa negligently designed, constructed, maintained, operated, controlled, repaired, inspected and supervised said roadway in such a dangerous and defective condition, with narrow lanes on a horizontal curve, extremely narrow shoulders and no recovery room available for vehicles that leave the traveled way. The traveled way and the area immediately adjacent to the traveled way presents a dangerous condition of public property based on the length and radius of the horizontal curve. The subject area also presents a dangerous condition of public property based on an inadequate and dangerous superelevation and horizontal sight distance, and an inadequate sight distance for the crest vertical curve and the area is not properly signed for a reduction in speed at the horizontal curve. The County of Contra Costa and its employees negligently created the conditions and had actual and constructive notice of the narrow traveled way lanes on a horizontal curve, narrow shoulder and lack of recovery area, the inadequate length and radius of the horizontal curve, inadequate and 3 dangerous superelevation and horizontal sight distance and inadequate sight distance for the crest vertical curve and the area is not properly signed for a reduction in speed at the horizontal curve and thereby allowed and created a dangerous condition in that it created a foreseeable risk that vehicles which suddenly, unexpectedly and without warning would be faced with a vehicle leaving its lane and striking them head on as occurred in this instance. The County of Contra Costa was negligent in failing to advise and warn motorists of these conditions and negligently failed to warn the motoring public of the dangers presented by these conditions. The County of Contra Costa negligently created and allowed to exist, and maintained a dangerous and defective condition of said roadway as aforesaid and.created a substantial risk of injury to persons using the said roadway with due care. Said condition was created and allowed to exist by the County of Contra Costa, its employees and others, and the County of Contra Costa had actual or constructive notice of the dangerous and defective condition of said roadway a sufficient time prior to the incident to have corrected the dangerous condition. Claimants suffered the injuries and damages in the accident above-described, and are entitled to damages as described herein as a proximate result of the negligence of the County of Contra Costa and its employees, and of the dangerous conditions described herein. Dated March 28, 2006 HINTON, ALF SUMNER 1UNTON orne s for Claimants 4 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY (i BOARD ACTION: MAY 02, 2006 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 California Government Codes. l You is your notice of the action taken on your claim by the Board of Supervisors. (Paragraph IV below), MAR 3 0 2006 given Pursuant to Government Code AMOUNT: $3,831.99 COUNTY COUNSEL Section 913 and 915.4. Please note all MARTINEZ CALIF. "Warnings". CLAIMANT: FARMERS INSURANCE GROUP FOR: CHARLES McGEE and BEVERLY McGEE ATTORNEY: BY: SUSAN WAGGENER DATE RECEIVED: MARCH 30, 2006 UNKNOWN ADDRESS: NATIONAL DOCUMENT CENTER BY DELIVERY TO CLERK ON:MARCH 30, 2006 P.O. BOX 26899)t OAKLAHOMA CITY, OK 73126-9q�50 0qZ, HAND DELIVERED BY MAIL POSTMARKED. FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. MARCH 30, 2006 JOHN CULLEN, Dated: By: Deputy II. FROM: County Counsel TO: Clerk of the Board of Su ervisors ( ) This claim complies substantially with Sections 910 and 910.2. ( ,,)---'This Claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: 3 -51- 0(0 By: m�Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator(2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present: (� This Claim is rejected in full. O Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated:/1Ay m�, �� JOHN CULLEN, CLERK, By Deputy Clerk WARN (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 unmediately. *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. j Dated JOIIN CULLEN, CLERK By Deputy Clerk I ' • OFFICE OF THE COUNTY COUNSEL8 L SILVANO B.MARCHESI COUNTY OF CONTRA COSTA .0COUNTY COUNSEL Administration Building ° ___ `." 651 Pine Street, 911 Floor •\° SHARON ANDERSON CHIEF ASSISTANT Martinez, California 94553-1229 GREGORY C. HARVEY (925) 335-1800 VALERIE J. RANCHE (925) 646-1078 (fax) j:• m ;p ASSISTANTS • '4 t�OSTg vni ti C4` NOTICE OF INSUFFICIENCY AND/OR NON-ACCEPTANCE OF CLAIM TO: FARMERS INSURANCE GROUP NATIONAL DOCUMENT CENTER P.O. Box 268992 Oklahoma City, OK 73126-8992 ATTN: Susan Waggener, Property Subrogation Representative RE: CLAIM OF: MRS. CHARLES McGEE and BEVERLY McGEE Your Claim No. 099 BUS 1007732336-1 Please Take Notice as Follows: The claim you presented against the County of Contra Costa or District governed by the Board of Supervisors fails to comply substantially with the requirements of California Government Code Section 910 and 910.2, or is otherwise insufficient for the reasons checked below: [X] 1. The claim fails to state the name and post office address of the claimant. [X] 2. The claim fails to state the post office address to which the person presenting the claim desires notices to be sent. [X] 3. The claim fails to state the date, place or other circumstances of the occurrence or transaction which gave rise to the claim asserted. [X] 4. The claim fails to state the name(s) of the public employee(s) causing the injury, damage, or loss, if known. [ ] 5. The claim fails to state whether the amount claimed exceeds ten thousand dollars ($10,000). If the claim totals less than'ten thousand dollars ($10,000),the claim fails to state the amount claimed as of the date of presentation, the estimated amount of any prospective injury, damage or loss so far as known, or the basis of computation of the amount claimed. [ ] 6. The claim is not signed by the claimant or by some person on his or her behalf. Farmers Insurance Group Attn: Susan Waggener Re: Claim of Mrs. Charles McGee and Beverly McGee Page Two [X] 7. You are required to submit your claim on the proper form, which is enclosed. Please resubmit your claim on the enclosed form, including all the required information. Gov. Code, § 910.4. Please be aware that you have only a limited period of time in which to file an amended claim. See Gov. Code, § 910.6. [ ] 8. Other: SILVANO B. MARCHESI COUNTY COUNSEL By: Monika L. Cooper Deputy County Counsel CERTIFICATE OF SERVICE BY MAIL (Code Civ. Proc., §§ 1012, 1013a, 2015.5; Evid. Code, §§ 641, 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. On 0 : 2001--& I served a true copy of this Notice of Insufficiency and/or Non-Acceptance of Claim by plh6ing the document in a sealed envelope with postage thereon fully prepaid, in the United States mail at Martinez,, California addrekssed toFarriers Insurance Group National DocmentxCenter,POBox 268992,1 ...... m. ,e Oklahoma CityOKs731'26, 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 I declare under penalty of perjury under the�la7ws of the State of California and the United States of America that the above is true and correct. Executed onL//. .!C _, Z"d at Martinez, California. Kathleen O'Connell cc: Clerk of the Board of Supervisors(original) Risk Management Page 2 SAH MAR,,? q. COUNSELcOUNTY MARTINEZ, CA MARTINEZ CALIF COST,Xks- FARMER5r National Document Center P.O. Box 268992 3/27/ b Oklaho a City, OK 73126-8992 clannsdocument farmersinsurance.com Q J iC� Fax : 877-217-1389 03/21/2006 Contra Costa Sheriff's Dept. a� ��6►�'® 651 Pine Street 7th Floor NR Martinez,C29 94553 QFgkeo 3 D ZQ Re: Our Insured: Mrs.Charles Mcgee And Beverly Mcgee coNTgq OS q o0 Loss Date: 01/09/2006 0 9S Claim Number. 099 SUB 1007732336-1 Total Amount Owed: $3,831.99 Dear Contra Costa Sheriff'S Dept.: A review of the facts of the loss indicated that our insured is entitled to recover damages from you. Therefore,we have the right to make claim for these damages on our insured's behalf. The police broke down our insured's door in a case of mistaken identity. This letter is to notify you of our subrogation rights and to advise you that no one has the authority to give you a release for our interest except a representative of this company.If you carried liability insurance to protect you for such losses,we shall present our claim to your company. Please complete the following information and return to us: Insurance Carver. Policy-Number Claim Number. Contact Name: Phone: If you did not carry insurance,we will look to you for payment of our claim Please be aware that no partial payment that is less than the full amount claimed herein will be considered in anyway an acceptance of benefits,a notation or accord and satisfaction of this claim without an express written release of our claim executed by an individual who is a member of our subrogation department. Therefore,our legal rights to enforce collection on the remaining amount of claim shall not be waived or estopped due to a partial payment by you or someone acting on your behalf. Sincerely, Fire Insurance Exchange p Susan Waggener Property Subrogation Representative 888-991-1179 ext 773 ' N CO 0 M M kcq Efl (D fA EA CL 0 N C) CN Q N r� cc a , ia CL� to co o E cnd CN O CS, O o m F- jz z < Q W 'wn w 'wn V � Y k '„I w LU cr-j 4) Aw X ,g (moo ¢zw = w C- 10 CO U m co LU Uj F• i o 4 Q V.a w wco CI c M 1� L7 .0 U'a� N CIO w -j ' o co o < w !C _ CL Q > O`) 2 w a;c OG L 4) N.6 tai (7 z CD E LO C14 cr) [.L u* •, � �' N t,-Cf r r ., .� NC (D cfl 0 O m �. ? Cf, m _ q Fire Insurance Exchange F A R M E R SDocument Center P.O.Box 268994 Oklahoma City,OK 73126-8994 Fax(877)217-1389 claimdocuments@farmersinsurance.com 1007732336 916238149 Other $500.00 Insured: BR Quinney McGee Home: (707)427-3364 Property: 505 Yuba Ct Suisun City,CA 94585 Date of Loss: 01/09/06 Date Received: 01/09/06 Date Inspected: 01/11/06 Date Entered: 01/12/06 Price List: CAEB2S6A Restoration/Service/Remodel with Service Charges Factored In Estimate: 2006-01-13-0910 I Fire Insurance Exchange F A R M E!R S' Document Center P.O.Box 268994 Oklahoma City,OK 73126-8994 Fax(877)217-1389 claimdocuments@farmersinsurance.com 2006-01-13-0910 I Main Level -22'6'—{{8' 22.2.— H8'11 T Room:Dwelling 850.67 SF Walls 729.56 SF Ceiling 17'8' 3'' 18'5' m l 1,580.22 SF Walls&Ceiling 729.56 SF Floor 819, 91.06 1 81.06 SY Flooring 104.50 LF Floor Perimeter 1 FNTRV 115.50 LF Ceil.Perimeter w J,'"" e a ,`wr:Y Front Elevation R&R Exterior door-fiberglass/wood w/detail- 2.00 EA 21.60 975.67 1,994.54 Premium grade Includes: exterior door,binges,jamb,stop,brick mold,casing(one side),finish nails,screws,wood shims,and installation labor. Excludes: lockset and painting. Quality: detailed(fiberglass or solid wood)door with pre-drilled holes for locksets,threshold,weatherstrip, stain grade solid hardwood jamb and 3 1/4"paint-grade casing. Door depreciation based on a life expectancy of 75 years with a current age of 1 year. Door lockset&deadbolt-exterior-Premium 2.00 EA 0.00 173.74 347.48 grade Includes: lockset and deadbolt for an exterior door and installation labor. Quality: heavyweight construction,lever type. Allowance for both doors and both sets of hardware. Finish carpentry-Minimum charge 1.00 EA 0.00 270.00 270.00 Necessary to replace the damaged casing Painting-Minimum charge 1.00 EA 0.00 215.00 215.00 Painting allowance includes material and labor to paint door slabs both sides and jamb/casing on both sides. Rear Elevation Patio door repair-Minimum charge 1.00 EA 0.00 245.00 245.00 Material and labor allowance to reset slider trim and secure. f I s, -.Y ' *' d< ,s. ' s w,*;g".e a e :=.$✓, .'* r?. , . .: raAhn.X- '"10-_:.. . . k.dim ,< ... . tFhh rYu!37 I 1 'I 1 r+ ,yt rsa %- 1 2006-01-13-0910 ; 01/13/2006 Page: 2 II Fire Insurance Exchange F A R;M EtR S; Document Center P.O.Box 268994 Oklahoma City,OK 73126-8994 Fax(877)217-1389 claimdocuments@farmersinsuranee.com 850.67 SF Walls 729.56 SF Ceiling 1,580.22 SF Walls&Ceiling 729.56 SF Floor 81.06 SY Flooring 104.50 LF Floor Perimeter 0.00 SF Long Wall 0.00 SF Short Wall 115.50 LF Ceil.Perimeter 729.56 Floor Area 768.50 Total Area 850.67 Interior Wall Area 945.33 Exterior Wall Area 118.17 Exterior Perimeter of Walls 0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length 0.00 Total Ridge Length 0.00 Total Hip Length 0.00 Area of Face I 2006-01-13-0910 01/13/2006 Page: 3 i 1 l Fire Insurance Exchange F A R,M S R S7 Document Center P.O.Box 268994 Oklahoma City,OK 73126-8994 Fax(877)217-1389 claimdocuments @farmersinsurance.com N1,'� t ® . Line Item Total 3,072.02 Material Sales Tax @ 7.375% 1,660.68 122.48 Subtotal 3,194.50 Replacement Cost Value 3,194.50 Less Depreciation 31.56 Owlv, , Less Deductible 500.00 -� Total Recoverable Depreciation 31.56 Net Claim if Depreciation is Recovered 2,694.50 2006-01-13-0910 01/13/2006 Page: 4 �/ ... Fire Insurance Exchange FARM ERS' Document Center P.O.Box 268994 Oklahoma City,OK 73126-8994 Fax(877)217-1389 claimdocuments@farmersinsurance.com Estimate:2006-01-13-0910 Area:Main Level Dwelling 3,072.02 100.00% Area Subtotal:Main Level 3,072.02 100.00% Subtotal of Areas 3,072.02 100.00% 2006-01-13-0910 01/13/2006 Page: 5 Fire Insurance Exchange 'F'A R"M ER 5' Document Center P.O.Box 268994 Oklahoma City,OK 73126-8994 Fax(877)217-1389 claimdocuments@farmersinsurance.com O&P Items RCV Deprec. ACV GENERAL DEMOLITION 43.20 43.20 DOORS 1,951.34 19.51 1,931.83 FINISH CARPENTRY/TRIMWORK 270.00 270.00 FINISH HARDWARE 347.48 10.42 337.06 PAINTING 215.00 215.00 WINDOWS-SLIDING PATIO DOORS 245.00 245.00 Subtotal 3,072.02 29.93 3,042.09 Material Sales Tax @ 7.375% 122.48 1.63 120.85 O&P Items Subtotal 3,194.50 31.56 3,162.94 Subtotal 3,194.50 31.56 3,162.94 Less Deductibles 500.00 500.00 2006-01-13-0910 01/13/2006 Page: 6 . � » � A-1 k $ . w» \ w � � � 2 \ � \ � � $ \ � $ \ . \ C-1 / \ % \\\6s ƒ » $ � « ƒ a Date: 1/27/2006 F A R M E R S Insured: Mr. McGee and Mrs. McGee Claim#: 1007732336 Policy#: 916238149 Loss Date: 1/9/2006 BUILDING LOSS Adjuster: Elva Hernandez WORKSHEET Unit Descri tion Quantity Cost Total Building Estimate $ 3,795.99 Depreciation $ 36.00 First Payment ($2,662.91) $ $ $ Subtotal $ 1,169.05 Less Deductible $ (500.00) Total $ 669.05 Total.Recoverable De reeiation Totat,Non-Recoverable De reclation i i I 4 Fire Insurance Exchange F ARM ERS Document Center P.O.Box 268994 Oklahoma City,OK 73126-8994 Fax(877)217-1389 claimdocuments@farmersinsurance.com ho-tfth� 1007732336 916238149 Other $500.00 Insured: BR Quinney McGee Home: (707)427-3364 Property: 505 Yuba Ct Suisun City,CA 94585 Date of Loss: 01/09/06 Date Received: 01/09/06 Date Inspected: 01/11/06 Date Entered: 01/12/06 Price List: CAEB2S6A Restoration/Service/Remodel with Service Charges Factored In Estimate: 2006-01-13-0910 I I I i Fire Insurance Exchange F A R M E R S' Document Center P.O.Box 268994 Oklahoma City,OK 73126-8994 Fax(877)217-1389 claimdocuments@farmersinsurance.com 2006-01-13-0910 I Main Level —2Y 8'--}}8' 1 9'3'- 22.2.— �81„ T Room: Dwelling 0w.111R° m 850.67 SF Walls 729.56 SF Ceiling ,T'8'--X3'1—,8'5' m l 1,580.22 SF Walls&Ceiling 729.56 SF Floor ,—,8'— i 8-9. 81.06 SY Flooring 104.50 LF Floor Perimeter FNTRV 115.50 LF Ceil.Perimeter a. r. 0 Front Elevation DOORS-Emergency Repairs 1.00 EA 0.00 195.00 195.00 R&R Exterior door-fiberglass/wood w/detail- 1.00 EA 0.00 2,445.00 2,445.00 Premium grade Includes: exterior door,hinges,jamb,stop,brick mold,casing(one side),finish nails,screws,wood shims,and installation labor. Excludes: lockset and painting. Quality: detailed(fiberglass or solid wood)door with pre-drilled holes for locksets,threshold,weatherstrip, stain grade solid hardwood jamb and 3 1/4”paint-grade casing.Cost to replace door obtained from Vacaville Door. Door depreciation based on a life expectancy of 75 years with a current age of 1 year. Door lockset&deadbolt-exterior-Premium 2.00 EA 0.00 173.74 347.48 grade Includes: lockset and deadbolt for an exterior door and installation labor. Quality: heavyweight construction,lever type. Allowance for both doors and both sets of hardware. Finish carpentry-Minimum charge 1.00 EA 0.00 270.00 270.00 Necessary to replace the damaged casing Painting-Minimum charge 1.00 EA 0.00 215.00 215.00 Painting allowance includes material and labor to paint door slabs both sides and jamb/casing on both sides. Rear Elevation Patio door repair-Minimum charge 1.00 EA 0.00 245.00 245.00 Material and labor allowance to reset slider trim and secure. „ ti 2006-01-13-0910 01/27/2006 Page: 2 Fire Insurance Exchange F A R E SR S Document Center F.O.Box 268994 Oklahoma City,OK 73126-8994 Fax(877)217-1389 claimdocuments@farmersinsurance.com 850.67 SF Walls 729.56 SF Ceiling 1,580.22 SF Walts&Ceiling 729.56 SF Floor 81.06 SY Flooring 104.50 LF Floor Perimeter 0.00 SF Long Wall 0.00 SF Short Wali 115.50 LF Ceil.Perimeter 729.56 Floor Area 768.50 Total Area 850.67 Interior Wall Area 945.33 Exterior Wall Area 118.17 Exterior Perimeter of Walls 0.00 Surface Area 0.00 Number of Squares 0,00 Total Perimeter Length 0.00 Total Ridge Length 0.00 Total Hip Length 0.00 Area of Face I 2006-01-13-091001127/2006 Page: 3 x Fire Insurance Exchange 4 F A R M E RS" Document Center P.O.Box 268994 Oklahoma City,OK 73126-8994 Fax(877)217-1389 claimdocuments@farmersinsurance.com h ;;b oANNNIMM Line Item Total 3,717.48 Material Sales Tax @ 7.375% 1,064.56 78.51 Subtotal 3,795.99 Replacement Cost Value 3,795.99 Less Depreciation 36.00 Less Deductible 500.00 Total Recoverable Depreciation 36.00 Net Claim if Depreciation is Recovered 3,295.99 I 2006-01-13-0910 01/27/2006 Page: 4 1 �! Fire Insurance Exchange F A R M E°R S Document Center P.O.Box 268994 Oklahoma City,OK 73126-8994 Fax(877)217-1389 claimdOcuments@farmersinsurance.com �6 Estimate:2006-01-13-0910 Area:Main Level Dwe Ring 3,717.48 100.00% Area Subtotal:Main Level 3,717.48 100.00% Subtotal of Areas 3,717.48 100.00% i .2006-01-13-0910 01/27/2006 Page: 5 l Fire Insurance Exchange F A R M E R S' Document Center P.O.Box 268994 Oklahoma City,OK 73126-8994 Fax(877)217-1389 claimdocuments@farmersinsurance.com lzkg�f -71 O&P Items RCV Depree. ACV DOORS 2,640.00 24.45 2,615.55 FINISH CARPENTRY TRIMWORK 270.00 270.00 FINISH HARDWARE 347.48 10.42 337.06 PAINTING 215.00 215.00 WINDOWS-SLIDING PATIO DOORS 245.00 245.00 Subtotal 3,717.48 34.87 3,682.61 Material Sales Tax 7.375% 78.51 1.13 77.38 O&P Items Subtotal 3,795.99 36.00 3,759.99 Subtotal 3,795.99 36.00 3,759.99 Less Deductibles �500.00) �500.00) AMW-e---- 2006-01-13-0910 01/27/2006 Page: 6 a 0 0 N l'- N n O Q} J LU N a = 0 0110 d M c ` ted M C" G' j� T � tv L � .- � r•, 8 as�°.f° � o y005A U N O W � t 41- Photo Sheet Claim No. 1007732336 Mcgee Ajduster: „ t -r, • ' a �x �j'�'mPhoto 1 Risk ¢ ;� a•-Azo k� t' h JA a t qe �IP 'Y, .l,. 4' *t Photo 2 Front double doors damaged from impact k o' i PjY a in } x et M t fwnk9 } � rµ e 1 l {" ✓gyp ii � k �;i 9•^• X w y 9{ r kk Y I Picture Management 1 1/13/2006 PDF created with pdfFactory Pro trial version www.i)dffactorv.com Photo Sheet Claim No. 1007732336 Mcgee Ajduster: Photo 3 Left door " damaged below hardware H y{ 4 E`,M`•21� J^mt 4R� E E. i LI fi h ✓ a w �.F S k•.e ej�,, -,. a y �" � # fnf Y •�'4 ii yy t »" Photo 4 closeup left door Ss qR, 4damage > Picture Management 2 1/13/2006 PDF created with pdfFactory Pro trial versionwww.odffactorv.com Photo Sheet Claim No. 1007732336 Mcgee -- _ Ajduster: Photo 5 Leaded glass with Brass trim ( p i ' 5` t vy r i .ti r $» i k, Photo 6 Rear slider frame damaged from < impact `Yq W 3 xb F b`1 F { x` Al : n i 1 Picture Management i 3 1113/2006 PDF created with pdfFactory Pro trial version www.pdffactorv.com Photo Sheet Claim No. 1007732336 Mcgee Ajduster: Photo 7 Frame closeup on slider damaged from impact Y t }i td, Y a Y —DIY µ LTi �r Y Photo 8 Interior side of damaged double s entry doors u...i{YF . i { a =1i Picture Management ` 4 1/13/2006 PDF created with pdfFactory Pro trial version www.i)dffactorv.com Photo Sheet Claim No. 1007732336 Mcgee Ajduster: Photo 9 Casing damaged aW kq *` from impact on fr 3_ a doors iR yP FTn.r�• ��*� Y( �.f`t i + Y p �o j` j �• es r •g. 6, i i 1 i Picture Management I 5 1/13/2006 PDF created with pdfFactory Pro trial version www.pdffactorv.com Office of the County Counsel Contra Costa County 651 Pine Street, 9th Floor Phone: (925) 335-1800 Martinez, CA 94553 Facsimile: (925) 335-1866 Writer's Direct Dial: (925) 335-1885 RECEIVED Date: March 30, 2006 MAR 3 0 2006 To: Clerk of the Board of Supervisors CLERK BOARD OF SUPERVISORS Attn: Emy Sharp, Deputy Clerk CONTRA COSTA CO. From: Silvano B. Marchesi, County Counsel By: Monika L. Cooper, Deputy County Counsel MCe� Re: Government Tort Claim of Farmer's Insurance Please process the attached letter from Farmer's Insurance regarding Charles and Beverly Mcgee as a government tort claim. Thank you for your assistance. Please call with any questions. Attachment CONFIDENTIAL ATTORNEY CLIENT DOCUMENT �h I •Rem N a d bZSQ3ttNt1 00 „� woo ow' uaads3 a co Boom uo a� w OD M O N r �O O IIN N° ° Ob P N U O i ®; tm w C Lf) tL QM °3uNn o o o 00 031HoSaaaMId aala \ N � 9J 1=� ash. w' CLAIM /f y BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION: MAY 02, 2006 Claim Against the County, or District Governed by ) the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT and Board Action. All Section reference's are to ) The copy of this document mailed to California Government Codes. ) you is your notice of the action taken on your claim by the Board of D !IE0a" Superyisors. (Paragraph IV,below), given Pursuant to Government Code AMOUNT: UNKN A 3 2006 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: ELLEN It �D REICHES ATTORNEY: THOMAS G. McLAUGHLIN DATE RECEIVED: MARCH 31, 2006 LAW OFFICES OF THOMAS G. McLAUGHLIN ADDRESS: 3105 LONE TREE WAY .STE. 1)BY DELIVERY TO CLERK ON:BCH 31, 2006 ANTIOGH, CA 94509 BY MAIL POSTMARKED: MARCH 30, 2006 FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN CULLE X&, Dated: APRIL 03, 2006 By: Deputy II. FROM: County Counsel TO: Clerk of the Board of Su ervisors ( This claim complies substantially with Sections 910 and 910.2. ( ) This Claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: / 0(0 By: nq&i?7 Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) O Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present: (This Claim is rejected in full. ( ) Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated:44y 0.2 ol00461IN CULLEN, CLERK, By Deputy Clerk WARN IN 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. A Dated� l 0a6 JOHN CULLEN, CLERK By Deputy Clerk i I THOMAS G. McLAUGHLIN, ESQ., CSB#: 71904 LAW OFFICES OF THOMAS G. McLAUGHLIN 3105 LONE TREE WAY, SUITE D ANTIOCH, CA 94509 °<F 9'p (925) 754-9900-telephone 9°Nq°oF31�p�6 Attorney for Claimants /9cosTq �9`/S�'9S CLAIM OF Ellen Reiches and Ronald Reiches ;r Claimants CLAIM FOR PERSONAL INJURIES (Government Code Section 910) against the County of Contra Costa, Respondent. You are hereby notified that Ellen Reiches and Ronald Reiches whose address is 4375 Mehaffey Way, Oakley, California, hereinafter described as claimants, claim damages from the County of Contra Costa as follows: This claim is based upon the personal injuries sustained by Ellen Reiches and the loss of consortium suffered as a result thereof by Ronald Reiches on or about October 9, 2005, on Chianti Street, Oakley, in front of the address known as 1516 Chianti Street, Oakley, in the County of Contra Costa, State of California. On October 9, 2005, Ellen Reiches was walking on the sidewalk on Chianti Street when her foot came in contact with an uplifted area of the cement portion of the sidewalk. The dangerous condition that existed on the sidewalk caused her to trip and fall onto the cement sidewalk sustaining injury to her person and caused Ronald Reiches to suffer loss of consortium. The proximate cause of the injuries to the claimant resulted from the dangerously maintained condition of the',sidewalk and the unsafe condition that existed on the sidewalk in the vicinity where the claimant tripped and fell on October 9, 2005. The respondent also negligently maintained the sidewalk such as to create and allow the hazards to exist and be maintained. Said dangerous condition was not trivial and created a substantial risk of injury and harm to people using the sidewalk including decedent. I 4 . Respondent also carelessly and negligently through its employees, whose names are unknown at this time, failed to take adequate steps to warn of the dangerous condition and/or to repair the dangerous condition knowing that said area was dangerous and presented a serious risk of injury and or death to people using said area in a reasonable manner. The sidewalk and adjoining areas were negligently and carelessly managed, maintained, repaired, constructed, designed and controlled by the County of Contra Costa, by its employees whose names are unknown at this time. The damages sustained by the claimants are in excess of the jurisdictional limit of the Superior Court of the State of California, Unlimited Jurisdiction. Jurisdiction over the claim would rest in the Contra Costa County Superior Court. All further notices or other communications with regard to this claim should be sent to THOMAS G. McLAUGHLIN, 3105 LONE TREE WAY, SUITE D, ANTIOCH, CALIFORNIA 94509 telephone (925) 754-9900. Dated: March_30, 2006 THOMAS G. MCLAUGHIXN l Attorney for Claimants i I I I LAW OFFICES OF THOMAS G. McLAUGHLIN 3105 Lone Tree Way,Suite D 101 Sandcreek Road, Suite 301 Antioch,California 94509 Reply to Antioch Brentwood California 94513 Telephone(925)754-9900 Telephone(925)516-4717 Fax(925)756-6604 Fax(925)756-6604 March 29, 2006 REC EYED Contra Costa County MAR 3 1 2006 Clerk of the Board of Supervisors CLERK BOARD OF SUPERVISORS 651 Pine Street CONTRA COSTA CO. Martinez,CA 94553 Re: Filing of Public Entity Claim Form Re: Incident of October 9, 2005 Dear Clerk of the County of Contra Costa: Please find enclosed herewith the original plus one copy of the Claim for Personal Injuries of Ellen Reiches and Ronald Reiches. Please file the original with your office and return an endorsed-date stamped, filed copy to me in the envelope provided herein. Thank you for your cooperation in this matter. Very truly yours, ITO AS G.MAS G. McLAUG IN ' TGM/rre enclosure I i 1 i THOMAS G. McLAUGHLIN, ESQ., CSB#: 71904 Apt? 0 LAW OFFICES OF THOMAS G. MCLAUGHLIN C�ERKBO� 2006 3105 LONE TREE WAY, SUITE D °pN Rq°pSUp ANTIOCH, CA 94509 C°Sr Fov�s s (925) 754-9900-telephone Attorney for Claimants CLAIM OF Ellen Reiches and Ronald Reiches Claimants CLAIM FOR PERSONAL INJURIES (Government Code Section 910) against the County of Contra Costa, Respondent. You are hereby notified that Ellen Reiches and Ronald Reiches whose address is 4375 Mehaffey Way, Oakley, California, hereinafter described as claimants, claim damages from the County of Contra Costa as follows: This claim is based upon the personal injuries sustained by Ellen Reiches and the loss of consortium suffered as a result thereof by Ronald Reiches on or about October 9, 2005, on Chianti Street, Oakley, in front of the address known as 1516 Chianti Street, Oakley, in the County of Contra Costa, State of California. On October 9, 2005, Ellen Reiches was walking on the sidewalk on Chianti Street when her foot came in contact with an uplifted area of the cement portion of the sidewalk. The dangerous condition that existed on the sidewalk caused her to trip and fall onto the cement sidewalk sustaining injury to her person and caused Ronald Reiches to suffer loss of consortium. The proximate cause of the injuries to the claimant resulted from the dangerously maintained condition of the sidewalk and the unsafe condition that existed on the sidewalk in the vicinity where the claimant tripped and fell on October 9, 2005. The respondent also negligently maintained the sidewalk such as to create and allow the hazards to exist and be maintained. Said dangerous condition was not trivial and created a substantial risk of injury and harm to people using the sidewalk including decedent. i I t i I fes. Respondent also carelessly and negligently through its employees, whose names are unknown at this time, failed to take adequate steps to warn of the dangerous condition and/or to repair the dangerous condition knowing that said area was dangerous and presented a serious risk of injury and or death to people using said area in a reasonable manner. The sidewalk and adjoining areas were negligently and carelessly managed, maintained, repaired, constructed, designed and controlled by the County of Contra Costa, by its employees whose names are unknown at this time. The damages sustained by the claimants are in excess of the jurisdictional limit of the Superior Court of the State of California,Unlimited Jurisdiction. Jurisdiction over the claim would rest in the Contra Costa County Superior Court. All further notices or other communications with regard to this claim should be sent to THOMAS G. McLAUGHLIN, 3105 LONE TREE WAY, SUITE D, ANTIOCH, CALIFORNIA 94509 telephone (925) 754-9900. Dated: March_30, 2006 � l � THOMAS G. McLAUGHIfN Attorney for Claimants l fA " is'�•�a � c y .. t� m _.:. tr+ n fl , P � � o o d r rn Q r O o . x~' RECE111 APR 0 6 2006 CLERK BOARD LAW OFFICES OF COW- CO gP�OVISORS f THOMAS G. McLAUGHLIN 3105 Lone Tree Way,Suite D 101 Sandcreek Road, Suite 301 Antioch,California 94509 Reply to Antioch Brentwood California 94513 Telephone(925)754-9900 Telephone(925)516-4717 Fax(925)756-6604 Fax(925)756-6604 March 29,2006 Contra Costa County Clerk of the Board of Supervisors 651 Pine Street Martinez, CA 94553 Re: Filing of Public Entity Claim Form Re: Incident of October 9, 2005 Dear Clerk of the County of Contra Costa: Please find enclosed herewith the original plus one copy of the Claim for Personal Injuries of Ellen Reiches and Ronald Reiches. Please file the original with your office and return an endorsed-date stamped, filed copy to me in the envelope provided herein. �Y.. t y Thank you for your cooperation in this matter. Very truly yours, T OMAS G. McLAUG IN TGM/rre enclosure I _ I I ka it }' L U?o'� 6d mc, roil o MOM a_ g75o f iieeri�vo .e'�emvm Ln Ln ich ..n Ln ru Y O ri -�. 0' o fU Op r-. U CN v Ln «i a� Q ru' o Y U 0 of U 4 v N C3 o .— i..� .a � � . •.. ,ra N {tl rA UVB M let M,0 1,7 M • cr 0 N .>O 00 O nU Q Q CD x F a W U ¢ G7 � o u zZ. t' w CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION: MAY 02, 2006 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 California Government Codes. ) you is your notice of the action taken on your claim by the Board of � C TM II�T-�Dgupervisors. (Paragraph IV below), given Pursuant to Government Code AMOUNT: $50 000.00 + i APR 0 4 2006 Section 913 and 915.4. Please note all ' i COUNTY COUNSEL Warnings". CLAIMANT: DAWN CHRISTENSEN MARTINEZ CALIF. ATTORNEY: UNKNOWN DATE RECEIVED: APRIL 04, 2006 ADDRESS: 5290 SAN PABLO DAM ROAD #I Y DELIVERY TO CLERK ON: APRIL 04, 2006 EL SOBRANTE, CA 94803 BY MAIL POSTMARKED: HAND DELIVERED FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN CULLEN, I Dated: APRIL 04, 2006 By: Deputy 11. FROM: County Counsel TO: Clerk of the Board of S ervisors (>-),01his 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). O 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: oci Deputy County Counsel 111. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) O 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 I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated/ D .CJOHN CUL':LEN, CLERK, By it Deputy Clerk WARN (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 fide 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: 6 JOHN CULLEN, CLERK By Deputy Clerk �o - -� - D(ZIGI til int_ P 110ARD(J SUPERVISOILS OF CONTRA COSTCYOUNTY lNSTRUCTfON,S TO CLMMAn `J A. A claim relating to a cause of action f r death or for injury to person or to personal property or growing crops shall be presented not later than six months after the accrual of the cause of action. A claun relating to any other cause of action sha11 be presented not later than one year after the accrual of the cause of action. (Gov. 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 fine 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. i D. if the claire is against more than one public entity, separate claims must be filed against each public entity. E. Fraud. See penalty for fraudulent clain►s,Penal Code Sec. 72 at the end of this form. Yaa■•wawwa••aw••waaaa••wa aaaaaa. as■a•da�waw•waaaawaa a•ea aawaww•a•.wa•Rpm*•waaww, RE: Claim By: Reserved for Clerk's filing stamp DAWN CHRISTENSEN RECEIVE® Against the County of Contra Costa or APR 0 4 2006 District) CLERK BOARDOFSUP�RVISORS (Fill in the name) CONTRA COSTA CO. The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district in the sum of$ 50,000+ and in ,upport of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) On or about December 31, 2005 2. 'Where did the damage or injury occur? (Include city and county) 5290 San Pablo Dam Road , #17 Contra Costa County E1 Sobrante, CA 94803 3- How did the damage or injury occur? (Give full details; use extra paper if required) SEE ATTACHED 4. What particular act or omission n the part of county or district officers, servants, or employees caused the injury or damage? Failure to inspect and/or failure to enforce and/or require adherence to applicable building/construction standards. 5 What are the names of county or district officers, servants, or employees causing the damage or injury? Unknown at this time. I 0 0 6. What damage or injuries do your chum 'resulted? (Give full extent of injuries or damages claimed, Attach two estimates for auto damage.) ____ Z. How was_tlte_atnount claimed above computed? (Include the estimated amount of any — prospectiue-injur-y=-ot'damage.)- 8. Names and addresses of witnesses, doctors,and hospitals: 9. List the expenditures you made on account of this accident or injury: DATE TiMF AMOUNT Goa Samson seas afar■a now see women gam so asIswoo goo a to gapomahaana■a era t arae gave go wwawtom a1 Gov. Code Sec. 910.2 provides"The claim shall be signed by the claimant or by some person on his behalf." � SEND NOTICES TO: (Attorney) 1 Name and address of Attorney ) (Claimant's Signature) (Address) Lf/f/ SobrAl;& 9 Telephone No. )Telerhone No. (Slo� 0a 9 a 0 a a a o e s g f'a a a a a a.a as as a a 9 a 0 a 0 a f a a a e a a a m v a a P w w w aa.a..e w a a w a Y m a a s a a a a a a e a s m a w...0-.. PUBLIC RECORDS NOTICE: Please be advised that this claim form, or any claiin filed with the County under the Tort Claims Act, is subject to public disclosure under the California Public Records Act. (Gov. Code, §§ 6500 at seq.) Furthermore, any attachments, addendums, or supplements attached :o the claim form, including medical records,are also subject to public disclosure. .**as■ago*s■of*a*as aass a.unsung a a woo wu woo so a as Soon own teas*sa'e's If a as sea a a rasa age Weal NOTICE: Section 72 of the Penal Code provides: Every person who, with intent to defraud,present:,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 clohni 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 Iof not exceeding one thousand dollars ($1,000-00), 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 fiine. 1 0 0 Christensen vs. Contra Costa County Attachment 3.to Complaint Form 3. glow did the damage or injury occur? Failure to inspect, correct,mandate correction and/or require adherence to building and safety code standards. As a proximate cause of the County's acts and omissions,Claimant's real property sustained substantial damage due to substandard repair work, causing water damage and other miscellaneous losses; damage subject to ongoing analysis and investigation. Attachment 6.to Complaint Form 6. What damage or injuries do your claim resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damages.) Loss of value of property; loss of use of property; diminution of value; cost of replacement and repair of damaged property both real and personal and resulting mold; All said damages proximately caused by substandard repair and construction and failure to inspect,correct and warn owner. Attachment 7. to Complain Form 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) Estimated loss in the sum of$50,000.00 and continuing for property repair and replacement. Attachment 8.to Complaint Form 8. Names and addressed of witnesses,doctors, and hospitals: A. Lisa Dolne, 5290,San Pablo Dam Road 418,El Sobrante, CA 94803 B. Samantha McNally, 5283 San Pablo Dam Road,#1,El Sobrante,CA 94803 C. Collins Management Company, 3260 Blume Drive, Suite 402, Richmond, CA 94806 1 D. Unlimited Property Services Incorporated, 3260 Blume Drive, Suite 402, Richmond,CA 94806 E. Others whose identities are unknown to Claimant at this time. Subject to amendment. i i Dated: 3l DAWN CHRISTENSEN I Claimant CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY V• BOARD ACTION: MAY 02, 2006 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 California Government Codes. ) you is your notice of the action taken on your claim by the Board of CLAIM AGAINS`('CCC HOUSING AUTHORITY Supervisors. (Paragraph IV below), _ �`asasg;1vlli Pursuant to Government Code on 913 and 915.4. Please note all AMOUNT: $690.00 APR U 4 20e6"Warnings". CLAIMANT: LATASHA DAVIS COUNTY COUNSEL MARTINEZ CALIF. ATTORNEY: UNKNOWN DATE RECEIVED: APRIL 03, 2006 ADDRESS: 2201 SYCAMORE DRIVE, #250 BY DELIVERY TO CLERK ON:APRIL 04, 2006 ANTIOCH, CA 94509 BY MAIL POSTMARKED. MARCH 31, 2006 FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. APRIL 04, 2006 JOHN CULLEN, er Dated: By: Deputy UF 11. FROM: County Counsel TO: Clerk of the Board of Sup rvisors (0his claim complies substantially with Sections 910 and 910.2. ( ) This Claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). ( ) Other: Dated: By: Y�� _Deputy County Counsel Iii. FROM: Clerk of the Board TO: County Counsel (1) County Administrator(2) O Claim was returned as untimely with notice to claimant (Section 911.3). IV.P'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. i Dated i a&ABOHN CULLEN, CLERK, By Deputy Clerk WARNI (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 ichoice 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:�Ay ' JOHN CULLEN, CLERK By Deputy Clerk ! I INSTRUCTIONS TO CLAIM T A. A claim relating to a cause of action for death or for injury to person or to personal property or growing crops shall be presented not later than six months after the accrual of the cause of action. A claim relating to any other cause of action shall be presented not later than one year after the accrual of the cause of action. (Gov. Code § 911.2.) l 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. ....■■��■■■■■■■■■■■...■■r■■■■■■■■■■■■■■■■rr■■■■■■■■�■■■■■.■.■■■■■■■■■■■■■■OEM■1 RE: Claim By: Reserved for Clerk's filing stamp RECEIVED Against the County of Contra Gaeta or ) APR 0 3 2006 District) (Fill in the name) ) CLERK CONTRA COSTA CO SUPERVISORS The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district in the sutra of$ l o°\b'�� and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) 2. Where did the damage or injury occur? (Include city and county) f 'CA_-% c7 `CJS ck4 S-1 oL 3. How did the damage or injuryloccur? (Give full details, use extra paper if required) qlu 4. What particular act or omission on the part of county or district officers, sets, or employees .44c caused the injury or damage? 5 What are the names of county;or district officers, servants, or employees causing the damage or injury? l i TO •d i WV Z0: 20 9002—LT_NVW I 6. What damage or injuries do your claim resulted? (Give full extent of injuries or damages claimed. Attach twp estimatesor auto damage.) r f` � as the am t claimed above computed? (Include the estimated amount of any 7. H:� prospective injury or damage.) 8. Names and addresses of witnesses, doctors, and hospitals: VN`, r 31 to V\ as,— Ya�1, t CA I yST�- 9. List the expenditures you made on account of this accident or injury: DATE TIME AMOUNT 2 Emmaus noppohnom Rooms Poo M means NEI Gov. Code Sec. 910,2 provides"The claim shall be signed by the claimant or by some person on his behalf." SEND NOTICES TO: (Attorney) 1 �_ Name and address of Attorney } (Claimant's Signature) ) �s (Address) �ov� �Q.. c�t-kSoA Telephone No. )Telephone No. L� 51 -1 Slo -��utS •■r■■r■ ■rap■■■r■.mp■mmm■pmpp■�.No*■■pmmpmp■■■■romp■■maps@■■.■■ppm■pmpp an"0so■■rmu ul PVBLIC RECORDS NOTICE: Please be advised that this claim form, or any claim filed with the County under the Tort Claims Act, is subject to public disclosure under the California;Public Records Act. (Gov. Code, §§ 6500 et seq.) Furthermore, any attachments,addendums,or supplements attached to the claim form, including medical records, are also subject to public disclosure. ss■...r■•■•p■wwwa•■r■rmpmasa■I■■■•m Imsaampp■r■rrmamaas■■.■s■■rsmpam sus■■■OWN a■■g on sp. 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 dollars ($1,000.00), or by both such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars ($10,000),or by both such imprisonment and fine. i Ze -d WO 20: 20 900Z—ZT—HtJW I 1 n i LaTasha A. Davis 2201 Sycamore Drive, Unit#250 Antioch, CA 94509 (925) 756-7245 Latashadavis28@,yahoo.com February 01, 2006 C.C.C. Housing Authority Attn: Eric Vasetti &Patty Nuss 2 California Street Rodeo, CA 94572 RE: Unauthorized Entry into Unit 730 Dear Eric & Patty: On January 27, 2006 I began to move my things out of the unit located at 1318 Mariposa Avenue# 730 Rodeo, CA 94572. I was supposed to have occupied this unit until 02-06- 06, as per my thirty-day notice that was submitted on 01-06-06. My neighbor Mike, (located to right upon walking out the door of my unit)heard two maintenance guy's knock on my front door. After getting no response, one of the men said"Oh! I guess she did move"and proceeded into the unit and removed the screens from the windows, blinds, and curtains from the windows,and two closet doors,that were in the upstairs hallway. I did not authorize anyone to enter into my unit,and there were no work orders pending, therefore no one should have been in my home without my permission. Do to maintenance negligence and unauthorized entry into my unit, someone entered into the unit and removed my washing machine, two children's bikes, and my barbeque pit, all of which were in the kitchen. When I arrived at approximately 5:00pm on January 31,2006 I noticed that the curtains were off the living room windows and two screens from the living room window were placed against the wall,the shades were removed from the kitchen and two upstairs bedrooms.Upon walking through the hallway, I notice that two closet doors were removed also. I The front and back doors were locked the chain on the back door was off,the window of the kitchen was open, and someone had broken the window just enough to lift the latch and enter into the unit. I called the sheriffs department and filed a police report. I do hold the housing authority liable for my things that are now gone, and I have every intention on having the Housing authority reimburse me for my loss. Once Officer I f i I . Beltran left,me and some family members cleaned the unit,mopped the floors, and removed anything that was left behind. On February 01, 2006 I gave Eric two keys to my unit located at 1318 Mariposa Avenue. I do expect to receive my deposit in full within 21 days, as per my conversation with Patty Nuss. I do not intend to pay for items that were taken out of the unit by your maintenance workers. Your prompt attention to this matter would be appreciated. If you have any questions or concerns, please contact me at the number listed above. Respectfully, LaTasha A."Davis I I� I I i I i Lr1s s • LnLry /• p -a LTi 00- tfit'912 L rt Cc I � Postage $ $0.39 ru $ .40 0072 O Certified Fee OE O Postmark 0Return Receipt Fee 11.85 Hare (Endorsement Required) O Restricted Delivery Fee $0.00 (Endorsement Required) Total Postage&Fees $ $4.64 02/13/2006 Ln I sen T, -- --------------------------------------- - ----------- ---—----- M1 sweet,Apt No.; �` or PO Box No.___ _ ___________ __________________________ _________________............ std 4 I C�SENDER: COMPLETE THIS SECTION COMPLETE THIS �� I SECTION . . ■ Complete items 1,2,and 3.:Also complete A.signature Item 4 if Restricted Delivery is desired. ��_ ❑Agent i ■ Print your name and address on the reverse ' f Mddressee so that we can return the card to you. ' :Rece; d b ( dnred ante) C. Date of Delivery J ■ Attach this card to the back of the mailpiece, A- G or on the front if space permits. I D. Is delivery address different from ttem 1? 1:1 Yes 1. Article Addressed to: 1 It YES,enter delivery address below. B No i�cv�TV� NF 2�.l ` l tS P_ 3. Service Type . Certified Mail ❑Express Mail ❑Registered ❑Return Receipt for Merchandise 0 Insured.Mail,-:' :❑,C.O.D. } - - 4. Restricted DelNery?'(Extra Fee) ..i;n ❑Yes 2. Article Number - 1 (Traer"service !1 7005 116 0 0002 5 8 7 3 6-555 PS Form`381'1,February 2004 Domestic Return Rel 102595.02-1141154 I • I I /Z � LaTasha A.Davis 1318 Mariposa Avenue#730 Rodeo,CA 94572 (510) 799-0527 Email: latashadavjs2t3 yahoo.com January 6,2006 C.C.0 Housing Authority Attn: Housing Manager&Patty Nuss #2 California Street Rodeo, CA 94572 RE: Thirty day notice Dear Eric &Patty: I LaTasha Davis would like to provide the Bayo Vista Housing Authority with a thirty day notice to vacate the premises located at 1318 Mariposa Avenue# 730 Rodeo, CA 94572. I will do my best to ensure that the apartment is neat,clean,and returned to you in the same condition as it was when I moved in 6 %years ago, excluding the.normal wear and tare items. Should you have any questions,please feel free to contact me at(510)799-0527 Sincerely. LaTasha A. Davis i I I ®Face Page CONTRA COSTA COUNTY SHERIFF'S DEPARTMENT CA0070000 Beat ❑Continuation []Supplemental P.O.Box 391,Martinez,California 94553-0039 ❑at/.. ❑HRO ❑Arrest ❑SI 1.DR No. ... .2.City Code 3.Crime/Classitication .:. 4.Detail 'I.-459R .5.More 06-02763 Bay/20 Burglary-Residential (459R') 2 Persons 6.Day/Date/Time of Occurrence7.Date/Time Reported 8.Employee No. Monday/1-30-06/1630 Hrs I 1-31-06/1715 Hrs 62366 9.Reclassi. 10.Address/Location of Occurrence ficalion 1318 Mariposa St. Rodeo 94572 ❑ .11. D9 PRI . ...... Vlc.. ... WIT.,,... ... El MSP. ....... ...RUN ....... .SUS.. ... .LEAD .... OTHER 12.Name(L,F,M)"-' "-'- "' "' " -- " '- -" " -' " "'- - '13:Race/Sex/Age' ' -A 4.DOB '-"'- 15.Driver License No. ' Davis, Latasha Antoinette ,. _. _. B /F._ /31 1.1-16-74 :63785019 16.Address(Zip Code) 17.Home Phone 2201 Sycamore Dr.#250 Antioch 94509 925-756-7245 18.Employed By or School -19.Work Phone Unknown Unknown 20:Hair' - `21.Eyes :1 22:Ht. - 23:Wt. `24.AKA/Maiden Name- - - -- - --- -- - "25.Social Security NoE BRO BRO 5 4250Unknown26.Further Description(Scars,Tattoos,Mannerisms,Clothing,Etc.)- - "' -" - -"'- "" "" - - - 27.Booking or Cite No 28, PRI VIC U WIT MSP RUN SUS LEAD OTHER 29.Name(L,P M)'- "- -' - "- - " - - '- - - '29.Race/Sex/Age " " '.30.DOB .31.Oriver License No: Contra Costa County Housing Authority -32.Address(Zip Code) j - 33.Home Phone 34.Employed By or School '35.Work Phone 36.Hair 37.Eyes 38.HL - 39.VA. 40.AKA/Maiden Name - -41.Social Security No. 42.Further Description(Scars,Tattoos,Mannerisms,Clothing,Etc.) "" ""- -"--"'--""""' - "-- "'-".. .. "-"" -"--"" 43.Booking or Cite No: 44._ Lj.PRI... ... ...VIC U VAT LjMSP.. ... RUN I A SUS ... LEAD... .... OTHER... 45.Name(L,F M) 46.Race/Sex/Age -.47.DOB :48.Driver License No. 49.Address(Zip Code) .. .. .. .. ..... .... ....... .... ........ .. ..50:Home Phone. .. ... 51.Employed By or School .. ... -. .:. .. _ 52.Work Phone. .... -: 53.Hair - 54:Eyes :55:Ht. =56.W. 57.AKA/Maiden Name-- - - - - -- --- - - S8:Social Security No: 59.Further Description(Scars,Tattoos,Mannerisms,Clothing,Etc.) :60.Booking or Cite No. .62.Veh/Ves'--"' 63.Lic No.(State) -64:Year' -65:Make'- "' --' :66:Model" -' -.67.Body Style - 68.Color Top- ❑ S❑ viol Bottom ..69.Status. 70.Registered Owner .. _ - .. ..... 71.R.O:Address ... . . ...... .. .... ❑ Left ❑ Impound 72.Towed to or Released to.. .. ... .._._.. ._..._ 73.Who has Keys? ... ... .. .. .._. . ❑ Stored 74.Evid 75.F/P 76.Dispo of Evidence 77.Missing 78.Damaged 0 Yes •No o vas 0 No None $1,400 $100 -79.Brief Synopsis of Incident V#1-Davis reported unknown respohsible(s) entered her residence while she was away and stole her washing mashine, bicycles, closet doors, and window blinds. Davis said she was in the process of moving out of the location when the property was taken. Davis said her front and rear doors were still locked when she came home, but the rear kitchen window was smashed and open. Davis said it would take a key to lock the doors from the outside. Davis said all herikeys were accounted for at the time of the theft, and no one had authorization to enter t residence. %. ` There are no suspects or leads at this time. 80.Distribution i 81.Additional Routing ISI B ❑ C ❑ DA ❑ OE ❑ L ❑ o ❑SR ❑V ............ .... .... ............ ® Investigation ❑ Vice ❑ Narcotics ❑ Juv ❑Coroner '82.Reporting Deputy(Print) .Date/time Written 84,Dispo ❑ PropertyCk. ® Acs ❑ Intall. ❑ R.O. ® SrC. Deputy J.Beltran#62366 2-1-06/2230 Hrs REF ❑ Patrol Captain❑ Compl.Ofc. ❑ Marine Patrol❑ OV Unit ❑ Other .85.Approving Supv(Print) -88.Supt/No. 0 Date IT.Reeder, 51588 02/09/06 . 1 or 4 36112 11/94 ® continuation CONTRA COSTA COUNTY SHERIFF'S DEPARTMENT CA0070000 Beat 1 ❑ supplemental P.O.Box 391,Martinez,CA 94553.0039 . .. - . I ❑D,V. ❑ HRO ❑Arrest ❑SI 1.DR No. — - ...... ... .2. tyrim ode- 3.Ce/Classi l on..... ......... ... ... .Detail ...... i s-459R'. 5.Redlassi Bay./20. .Burglary.-Residential (459R*)., 2, ficadon b. c un Mina (L, ate Ung.Report 8.Employee No. ❑ Davis,,Latasha Antoinette. 1-31-061/1117 15 Hrs 62366 9.Address Location 01 uccurrenco 10. uspect's Name¢,. ) 1318 Mariposa St.Rodeo 94572 11,Property Description: I Impounded,Recovered,Found,Lost,Stolen-Item Number,Article,Quantity,'Brand/MakelManufacturees Model Number,Serial Number,Miscellaneous Description,Location Where Taken,Value,Include Total loss-LIST IN FOLLOWING ORDER:A.Currency,Notes:Ell Jewelry;C Furs;D Vehicles;E.Office Equipment: Radio.TVs etc.:G Firearms; Household Goods;I Mi=.......... ........ 12.Recovered openly 13.Nanafiw/Statements V#1-Davis reported her washing machine, bicycles, closet doors, and blinds were taken from her residence while she was away. I met with Davis at her residence at 1730 hours. Davis told me the following in summary: She has been moving out of 1318 Mariposa St. for the past few days. Most of her property had been relocated to her new home,. for the exception of a washing machine, dryer, and her Children's bicycles. She left and locked all the doors and windows on 1-30-06 at 1630 hours. She returned the following day at 1715 hours and found her washing machine and children's bicycles gone from the location. She also found the hallway closet doors and window blinds gone. Davis said the front and rear doors were still locked, but found the rear kitchen window smashed and wide open. Davis said the doors can only be locked from the outside using a house key. She said all her keys were accounted for and no one had permission to be inside the residence. I found no signs of forced entry to either the front or rear doors. The rear kitchen window was smashed and off the window slide rail. Due to earlier rain, I was unable to fingerprint the window. I found no mud tracks or foot prints on the window or kitchen counter, which the suspect(s) would have left if he/she entered through the window. The washing machine and bicycles were near the kitchen and rear door when they were taken. Davis said the blinds, curtains, and closet doors belonged the V#2-Contra Costa County Housing Authority. Davis was unable to provide any information on possible leads. I asked Davis if employees of the Housing Authority may have removed the items believing she had moved out and left the property behind. Davis said gave the Housing Authority a move out date, later than 1-31-06 . I Stolen: 1. Washing Machine (1) , WHIRLPOOL, unknown model, large capacity, white, unknown specifications/serial number. Estimated Value- $500 2. Bicycle (1) , HUFFY, unknown model/serial number, unknown speeds, mounter p.bike, boys, burgandy/black. Estimated Value! $250 3 . Bicycle (1) , unknown make/model/serial number, unknown speeds, mountain bike,- girls, pink. Estimated Value- $250 4. Window Blinds (2) , unknown make, roll blinds, cream color, unknown dimensions' ZOO,, Estimated Value- $100 5. Closet Doors (2) , unknown make, fiberglass, unknown dimensions. Estiinta ed—Valluu�e- $200 14.Distribution15.Additional Routing %a ❑ C ❑ D4 ODE ❑L ❑ O ❑SR ❑V ® Investigation ❑ Vice ❑ Narcotics ❑ Juv ❑±Coroner ...... ❑ Property Ck. ® ACS ❑Intell. ❑R.O. 0 SHC 16....F.Deputy Reporting per..(print) ..... .. ..e ime,Written ... .....ispc.. .. ❑patrol Captain J.Beltran#62366 2-1-06/2230 Hrs REF ❑ Compl.Ofc. ❑Marine Patrol ❑I W Unit pprovmg upv nn upv o. to Page❑ o"e` eeder 51588. 02/09/06 . .. 2 .of.,4 3611211/94 ' j I ® Continuation CONTRA COSTA COUNTY SHERIFF'S DEPARTMENT CA0070000 Beat 1 ❑ Supplemental P.O.Box 391,Martinez,CA 94553-0039 .. . [1 OV. ❑HRO ❑Arrest OSI 1.DR No..... - - 2.Cdy C e 3.Crime/ assi oet,on .. .......... .... .... 4: tai .... .. 1 459R .... I �5.Redlassi - 06-02763 Bay/20 Burglary..,.Residential (459R*),., 2. , . .. tication 0. o,m MMQ .Dale 0ng.Report e.Employee o. ❑ Davis, Latasha Antoinette_ . 1-31-06/1715 Hrs, .62366 Address Location of Occurrence I 10.Suspect's Name ) 1318 Mariposa St. Rodeo 94572 11.Property Description: Impounded,Recovered,Found,Lost,Stolen-Item Number,Article,Quantity,Brand/Make/Manufacturer's Model Number,Serial Number,Miscellaneous Description,Location Where Taken,Value,Include Total.Loss-LIST.IN FOLLOWING.ORDER:A Currant,Notes;B Jewelry:C Fun;of Vehicles;E.Office Equipment; Rada.TVs etc.:G.Firearms'H Household Goods;l Miss... w.Recovered Property 13.Narrative/Statements Total Loss- $1,40,0 Damaged: 1. Window (1) , glass, single paned, sliding. Estimated Damage- $100 I I i I � Ccn.+.` I Cc ; : U 0 I I 14.Distribution I 15.Additional Routing ® B ❑ C ❑ DA ❑DE ❑L ❑ O OS R ❑V Investigation [3 Vice ❑Narcotics ❑Jw ❑Coroner ........ ........ ....... ❑ Property Ck. ®ACS (I Intell. ❑R.O: i&sHC Reporting Deputy rent to ,me Written ,spo 2-1-06C1 Patrol Captain i .Deputy J.Beltran#62366 -1-06/2230 Hrs REF ❑Compl.Ofe. ❑ Marine Patrol ❑ t7J Unit pprovmg upv not- . upv o - -. ate ❑ ower T.,Reeder 51588. . 02/09/06 .. 3 of.,4 .. '3811211/94 I c I A S&UPP MENT CONTRA COSTA COUNTY SHERIFF'S DEPARTMENT CA0070000 �.:INCI E G - P.O.Box 391,Martinez,California 94553-0039 No. nme/Cassincation 'I --'-" """ "" 3. taicode -" ""- 06-02763 Burglary.-Residential(459W) -1 1 2 ❑Felony ❑Mild. ❑Anent []Cite lctim Name(L,F) -:t. .:-:- P. ress/Locatron Occurrence '7.Employee Davis, Latasha Antoinette ,1318 Mariposa St.Rodeo 94572 62366 I 8.Gang Activity O Yes 0 No OF ❑ Other Prints LEGHO❑ Leg Holster PS ❑ Paint Samples PISWIP❑ Pistol Whipped TRK ❑ Tracking Company PH ❑ Photos PURSE❑ Purse TVs ❑ TV/Stereo Sales(Repair 9.Name of Gang N/A PJ ❑ Projecttle/Casing RERPK[J Rear Pocket W14S E] Warehouse RK [IRape Kit RIGHH (3Right Hand oTH ❑ Other 70.MEANS OF ATTACK ST ❑ Semen PSACK ❑ Sock/Ball B ❑ Bottle SK ❑ Sketches SHOTS❑ Shots Fired C ❑ ClUNStick TT ❑ Tire Castings SHLHO❑ Shoulder Holster 21.SUSPECT'S ACTIONS F ❑ Firearm TL Q Tool Marks WAIST ❑ Waistband APPFF Q Approach from Front G ❑ Handgun VH ❑ Vehicle APPFR❑ Approach from Rear K ❑ Knife WP ❑ Weapon ATEDR ❑ Ate/Drank N El Martial Arts Weapon 16.Circumstances BUND ❑ Blindfolded Victim W R ❑ RaciaURelguousrEthnfc BOGAG❑ Bound/Gagged P ❑ Physical(Hands) 13.METHOD OF ENTRY R ❑ Shoes/Feet A ❑ Attempt COWF❑ Covered Victim's Face S ❑ Shoes/Feet 19.ALARM DEFEC❑ Defecated T Threats ❑ D ElBodily Force N ® Nona DEMON❑ Demanded Money V ❑ Vehicle G ❑ Boll Cutters/Saw A ❑ Activated DISAL ❑ Disabled Alarm O ❑ Other WA E ❑ Common CeilinWWall P ❑ Bypassed DISPH Q Disabled Phone L ❑ Cut D ❑ Disabled DISPO ❑ Disabled Power C ❑ Hid in Building DISRO ❑ Disrobed Victim 11.PROPERTY ATTACKED O ❑ Lockbox FIRED ❑ Filed Weapon ARG ❑ Agriculture B NSFE 20.WHERE OCCURRED F ❑ Pry APO ® ApartmentlCondo FOLVM El FollowedVictim ANT ❑ Antiques I ❑ Slim Jim/Coat Hanger APT ❑ AutoTre Stores FVMTM E] Forced Victim to Move ART ❑ ArUPainlings BNK E] Sank/Savings B Loan FDISR ❑ Fully Disrobed(suspect) H ® SmasKlBreak/Punch AUT ❑ Auto Parts BAR E] Bar/Lunge/Tavern HBO [:] Had Been Drinking BYC ❑ Bicycles K El Unlocked CAB ❑ Cab/Taxi HITCH ❑ Hitchhiking BOT ❑ Boats r CWA❑ Car Wash IMPOT Q Impersonated Other BLM ❑ Building Materials 14.POINT OF ENTRY CHU Cl Church INJIN ❑ Inflicted Injury CAM ❑ Camems/Projectom Window Entry I CLN ❑ Cleaners JUMPC❑ Jumped Counter CLO ❑ Clothing WC ❑ Crank CLO ❑ Clothing Store KLOCA❑ Knew Location of Cash CRC ❑ CredVATM Cards WD ❑ Louvered OOC❑ Construction Company LCRET ❑ Lilted Cash Register Tray CUR ❑ Currency WA ❑ Non-movable COS❑ Construction Site MADPR❑ Made Purchase NRC ❑ Drugs WB ❑ Sliding Door Entry CON Convenience Store MTHRT❑ Made Threats FIR ❑ Firearms DG ❑ Double Swing DPT ❑ Department Store MASTU❑ Masturbated FRN ❑ Furniture DI ❑ Garage(overhead) MOD❑ Doctor/0entist Office MOLES❑ Molested Victim APP ® Household Appliances OF ❑ Single Swing DRG❑ Drug Store MULTI 0 Multiple Suspects IND ❑ Industrial Equipment DH ® Sliding DWYOCCUP El Occupied Building JEW ❑ Jewelry DJ ❑ Other ❑ Driveway 2P ElOFVFD Duplex/Fourplex ❑ Offered Victim Food/Drink LID ❑ Liquor Other Entry FFS ❑ Fast Food ORALC❑ Oral Copulation Im. LIV ❑ Livestock OP ❑ Basement GAD❑ Garage Detached POISR ❑ Partially Disrobed(Suspect) MED ❑ Medical Equipment OK ❑ Floor GAS ❑ Gas Station PKLOT ❑ Parking Lot MIS ® Miscellaneous 00 ❑ Ground Level GVT❑ Government Facility PRPEX❑ Prepared Exit MOT ❑ Motorcycles/Minibikes ON ® On PremisesPPPAG ❑ erty Put Propin Bag [IMUS ❑ Musical Instruments OL ❑ Roof SMS❑ Grocery-supe Store MKT GrocerySupermarket BANS ❑ Ransacked OFE ❑ Office Equipment OR ❑ Upper Level HIM/❑ Highway/Street/Road RIPCL ❑ Ripped Clothing PUR ❑ PureesNVallets OM ❑ Wall HOS❑ Hospital SELEC t@ Selective in Loot i RAD ❑ Radio/Stereo DO ® Unknown HTO ❑ Hotel/Motel Once SMOKE❑ smoked on Premises COL ❑ Rare Coins I HTR❑ Holel/Motel Room SARM ❑ Suspect Armed SLV ❑ Silverware 15.ENTRY LOCATIONJEW[I JewelryStore THRET C] Threatened Retaliation SPD ❑ Sporting Goods F ❑ Front ' LAU ElLaundromat TCONC❑ Took Concealabks TEL ❑ TelevisionNCRs R ® Rear LID ❑ Liquor Store TDRUG❑ Took Drugs/Narcotics TOB ❑ Tobacco Products S ❑ Side MAL ❑ Mall TSTTV ❑ Took TV/Stereo Only TOL ❑ Tools O ❑ Other MFG❑ Manufacturing Firm TVMCL❑ Took Victim's Clothes VEH ❑ Vehicles(not motorcycles) l 1 MAR❑ Maime/Dock/V✓atodrom UID ❑ Under Influence Drugs 16.NUMBER OF SUSPECTS Unk MOV❑ Movie/Playhouse UNOCC❑ Unoccupied Buikding BKS ❑ Office Supp/Book/Stat. ODORS❑ Unusual Odors 12.PHYSICAL EVIDENCE OIL ❑ Oil Company UDEMN[:] Used Demand Note AC ❑ Accelemnls j PPK ❑ Park/Playground ULODR❑ Used Lookout AL ❑ Alcohol 17.HOW WEAPON WAS USEDMATCH❑ Used Matches BL E] Blood COATP C] Coat Pocket LOT ❑ Parking Lot CL ❑ Clothing COVER RAL ❑ Rapid Tr USVEH❑ Used Stolen Vehicle DC ❑ Documents ❑ Covered RAP ❑ Rapid Maas VBART WNAM❑ Used Victim's Name PROPK❑ Front Pocket "" _ WTOO❑ Used Victim's Tools DR RES ❑ Residential Flouse' _ FP ❑ Finer rents HIPHOs PANPK ❑ Hand in Pocket RST ❑ Restaurant ""/i `�., VANDL ® Vandalized ❑ Fingerprints HIPHO Hip'Holster SAL ❑ SalvageANrecking Yard VEHND® Vehicle Needed GL ❑ Glass Fragments LEFTH ❑ Le8 Hand r KA ❑ ( SCH ❑ School Hair MS ❑ Mud/Soil SPT ❑ Sporting Goods Store 22.Distribution 23.Additional Routing ® B 0 C] DA El DE ❑ L ❑ O 0 S 0 * Investigation ❑ Vice ❑ Narcotics ❑ Juv ❑Coroner .24.Reporting Deputy(Print) ZbUate/Tme Written -'-" '" - ' ' ': :D ispo- ❑ Property Ck. ® ACS ❑ lnten. ❑ R.O. CK SHCI -:Deputy J.Beltran#&2366 2-1-06/2230 Hrs REF 1 27.Approving Supv(Pant)-" -" upv o - 29:Date - ge'' ❑ Patrol Captain❑ ComplOfc ❑ Marine Patrol❑ OV Unit 0 Other :T..Reeder :51588 __ __.,, 02/09/06 ..; 4 01__.4.. �Y: � >, �:xl I I � I I ;� '4t. � 3 4 �., �`` `:.4{{ ':� b , �" <E *4� - --- 9 _ _ _ -- ; ' ,,.: (f,� � Ni�: T it �� a . a : a = . � � \ . .�� <�� � \�2 <"/� �\ . � � .. ^�w. � �/ .� y> \ `��. . : �� ��d I 11 1 I fy •s t � ' �a �y 1 y �yY M � b y IS Y � ���: . 2� . \ \� \ �� �° � � « ��\© �\ � r \�\ � � i4 -s`/ �r. r.- .. ..v- _ a s1.i .o.. ,r :�' '�., ',i. .. T 2.. � ��> .. � . � , �«x \ \ $��\��: ���\y��y 2°��{�/ �����\� \ } ������\ \ ^�/����, \ \ � '�� /%�' w \ \ �� K \ \ \ . \ \ � �©� `: � -- 1`{; j !� S , � � � - ____=_ _�� ��`-_-_ ry� Y �.: e 3 r��Y i. . �3E ., -- n -'mac�, . at_p �.., .i+; -," "E: -['.�.* n� t� ...� {'i h.'t i_ �� +��' .E'.. 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