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Home My WebLink AboutMINUTES - 02062007 - C.21 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION: FEBRUARY-06 , 2007 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 Supervisors. (Paragraph IV below), AN 0 2 2007 given Pursuant to Government Code Section 913) and 915.4. Please note all AMOUNT: $5 ,000 -00 COUNTY COUNSEL "Warnings". MARTINEZ CALIF. CLAIMANT: LAFONZO RAY TURNER #2005015808 DECEMBER 29 ,, 2006 ATTORNEY,- UNKNOWN DATE RECEIVED: ADDRESS: MARTINEZ DETENTION FACWIDTLIVERY TO CLERK ON. DECEMBER 29 , 2006 901 COURT STREET, MARTINEZ , CA 94553 BY'MAIL POSTMARKED: DECEMBER 28 , 2006 FROM: Clerk of the Board of Supervisors TO: .County Counsel Attach,ed is.a copy of the above-noted claim. JANUARY 02 � 2007 JOHN CULLEN, (;4er Dated: By: Deputy . , � A . II. FROM: County Counsel TO: Clerk of the Board of S4ervis-or-1; ( 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 send warning of claimant's right to apply,for leave to present a late claim (Section 911.3). O Other: Dated: j By: M CiQ � . Deputy County Counsel 1.11. FROM: Clerk of the Board TO: County Counsel (1) County Administrator (2) Claim was returned as untimely with notice to claimant (Section 911.3). IV. BOARD ORDER: By unanimous vote of the Supervisors present: This Claim is rejected in full. Other: I certify that this is a true and correct copy of the Board's Order entered in its minutes for this date. Dated:-re, HN CULLEN, CLERK, By eputy Clerk _'Y' go - - WARNINGf(Ovo/. co(fe section 913) /1 F 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 widi this matter. If you want to consult an attorney,you should dosoimmediately. *ForAddidonal Warning See Reverse Side of This AFFIDAVIT OF MAILING I declare under penalty of per 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 e fully prepaid a certified copy of this Board Order and Notice to.Clainiant, addressed to the claimant as shown above. ��.Aeputy Clerk Dated7A!�!Z"_�P /10_?_� JOHN CULLEN, CLERK By "_C".'�Rl'ri to: BOARD,OF SUPERVISORS OF CONTRA COSTA COUNTY INSTRTJCTIONS TO CLAIMANT A. Claims relating to causes of action for death or for injury to person or to personal property or growing crops and which accrue on or before December 31, 1987, must be presented not later than the 10&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 0 CnU.Kr SMr -r Ali►KiCZpQ,�9455 ) RECEIVE® Against the County of Contra Costa or ) DEC 2 9 2006 ' ) CLERK BOARD OF SUPERVISO horn adz 7 a ,ooh P6�C Q l l�t.A District)) CONTRA COSTA CO, RS (Fill in name) d ) The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named district in the sum of$,5,600 and in support of this claim represents as follows: 1. When did the damage or injury occur? (Give exact date and hour) AU e 2. Where did the damage or injury occur? (Include city and county) C.p A-I eN C. Ab+kc- ,w\ 1 r� O+ �� UA- 2�� 1 Q ch i �tl; o lei] �� {�� 3. How did the damage or injury occur? (Give full details; use extra paper if required) tib- �� t •-,�= � �� A. What particular act or omission on the part of county or district officer, servants, or employees caused the ^: injury or damage?'�lyp �XC.gi ._.•. Sec-e, £ �a ,, is ��+;�,A �d F0ar-o 40�) -V\.e,P� OTF vin, J-tq e 5. What are the names of county or district officers, servants, or employees causing the damage or injury? 6. What damage or injuries do you ,�airn resulted? (Give full extent of injuries or damages claimed. Attach two estimates for auto damage.) j4ttP1 On ler+St&e-c�p FA'ce:LA314�\l L 6 PbP-P�5 ® ' kA � Q cin 14 -� �,�.,-))5 SouQ,-3SaoP5 I Since> oxeA as i , a f 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury ora bei damage.) 1�e-PnM6�Vl'1`Gl t Pk� uj ,Q-0 10 w _ l n� u 44 � �de �- ,.�RnS -� e. � �� 8. aures and addresses of witnesses, doctors, and hospitals. Y. List the expenditures you made on account of this accident or injury. DATE T M 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: (AttorneX Name and Address of Attorney ) 414. (Claimant's Signature) (Address) Telephone No. )Telephone No. NOTICE Section 72 of the Penal Code provides: Every person who,with intent to defraud,presents for allowance or the payment to any state board or officer,or to any county,city,or district board or officer,authorized to allow or pay the same if genuine,any false or fraudulent claim,bill,account, voucher,or writing,is punishable either by imprisonment in the county jail for a period of not more than one year,by a fine of not exceeding one thousand($1,000),or by both such imprisonment and fine,or by imprisonment in the state prison,by a fine:of not exceeding ten thousand dollars($10,000),or by both such imprisonment and fine. . �b� C,1►�i M t 1 y Pt C CON RA COSTA DETENTION FA( ]TIES Incident Report Incident#: 6004947 Incident Dt/Tm: 08-27-2006 0925 Incident Type Code: 03C Battery/Staff Additional Code 2 : 005 Damaging.Jail Property Additional Code 3 : 006 Disruptive Conduct Participants: Name (L,F,M,S): CIN/Book# Facility Mod Sect Rm Bed Inv MCNEW, RICHARD C. 70328298/2006004036 1 D C 02 A I TURNER, LAFONZO R. 70279364/2005015808 1 D C 07 A M Incident Occurred: Fac: 1 Mod: D Sect: C Location: Cell 7C, D module, MDF. Officer:68239, WELCH Su d`Dt/Tm: 08-27-2006 0934 Update By: 36236, SPARVOLI Update Dt/Tm: 08-27-2006 2109 Supervisor: 36236, SPARVOLI I I rr' Approval Dt/Tm: 08-27-2006 2109 Use of force? Y CS Violence? N Inmate Violence? Y Contraband? N Facility Damage? Y Disciplinary? Y Hearing Required? Y Action Taken: Approval Action: Inmate taken to Intake Hearing held; Inmate found guilty by report and Staff and Inmate evaluated by medical physical evidence. Sanctions: 10 days UD, 3 wks Crime Scene Cleaners contacted LOP. Following hearing, inmate asked to see nurse. Seen by Nurse Cynthia and cleared for return to D-Module. cc: Facility Commander& Classification 7 IV ti 12. Facility: 1 Page 1 of 5 Printed: 08-27-2006 2111 5271 MAIN Printed By: 36236, SPARVOLI CON A COSTA DETENTION FAC ;TIES Incident Report Incident Information: Entry Dt/Tm: 08-27-2006 1536 Entered By: 68239,WELCH It& Updated By: 68239 ,WELCH On 08-27-06 1 was assigned to D module at the MDF with Deputy Guzman. At approximately 0655 hours I-McNees contacted the booth via the intercom. I-McNew told Deputy Guzman that I-Turner was shoving "piss and shit" under his cell door. I looked up on to the C-side and saw a large puddle of water in front of cell 2 with a brownish substance floating in the water. I noticed I-Turner was calmly walking back and forth from the puddle of water towards cell 1. 1 told Deputy Guzman that I-T umer had"Shit bombed" I-McNew's cell. The term "Shit Bomb" describes when an inmate shoves his fecal matter under another inmates door and then throws water under the door to spread the fecal matter further into the cell. Deputy Guzman contacted I-Turner via cell 7C intercom and told I-Turner to lockdown in his cell. I-Turner walked over to the windows on the C-side and attempted to look into the booth. I-Turner then turned around and grabbed a mop out of the mop bucket. 1-Turner started mopping the puddle of water and brown substance. Deputy Guzman again told I-Turner to lock down in his cell. I-Turner, without saying a word, put the mop back in the bucket and walked to his cell and shut the door. 0 1 contacted I-McNew and told him to come out of his cell. I left the booth and went to the C-side. I told I-McNew that Crime Scene Cleaners was contacted and they will be here to clean up the mess. I escorted I-McNew to visit'room 3 and secur"ea-him there until the C-side could be cleaned. I-McNew had to be moved because of the possible exposure to unknown hazards from the urine and fecal matter contaminating the cell. The water entered I-McNew's cell and destroyed one set of clothing, one towel, one pair of sandals, and a pair of white inmate tennis shoes. fy Deputy Guzman contacted intake and asked for an escort to come to the module. Deputy Santos, who was assigned as intake One, stated no escorts were available because they were conducting window lock on the other modules. Deputy Guzman also contacted control and asked if Crime Scene Cleaners were still in the building. Sheriffs Aide Reed stated Crime Scene Cleaners had left the building a while ago. I contacted Sergeant Evans and told him about the incident. Sergeant Evans asked if we had anything to stop the water from spreading to the other cells. I told Sergeant Evans that DSW had absorbing socks that would stop the water from spreading. Sergeant Evans stated he would contact DSW and asked if we needed for him to come up to the module. ,!told_Sergean#.Evans that he,dd-_not nged.to come to the module. I-Turner had locked down and the other inmates had calmed down. Deputy Guzman locked down the entire module to ease the movement around the module. I told Guzman i was going to E module to look for some absorbing socks. 1 remembered from working on E module that some absorbing socks were stored in the supply closet because of the constant flooding. E module did not have any absorbing socks so I went F module to check. I found four socks on F module. I returned to D module at approximately 0805 hours. I went back to the C-side and saw that the water was moving across the floor and covered approximately 213 of the C-side. I threw the four absorbing sock in front of cells 3 through 6 so no water would go under the doors. While on the C-side I saw I-Turner sitting in his cell looking out the door window. Other inmates on the module began to complain that urine and fecal matter was coming under their cell doors. I returned to the booth and told Deputy Guzman I was worried that the other inmates could begin to retaliate ,A) against I-Turner by pouring more water or urine under their doors. And then causing I-Turner continuing to"shit bomb" under his door. Causing more of a danger for the inmates to come in contact with possible hazardous material. I believe moving I-Turner to a visit room would deescalate the rising tension on the C-side. It is a common practice for the night shift to leave the booth unattended to performkoom checks3when all of the inmates are locked down. The Deputy contacts control and advise them that he is'leaving the booth. The Deputy then secures the booth and performs his room check ` Because no escorts were available and l-Turner displayed passive demeanor, Deputy Guzman and I felt we Facility: 1 Page 2 of 5 Printed: 08-27-2006 2111 5271 MAIN Printed By: 36236, SPARVOLI CON ZA COSTA DETENTION FA( ITIES Incident Report would be able to sateiy move him to visit room 2. Deputy Guzman contacted control and intormed them we were going to leaving the booth and going to the C-side to escort an inmate to visit room 2. Deputy Guzman and I turned our radios to IVIDF main channel one(l). I grabbed the manual door key and Deputy Guzman secured the door to the booth. Deputy Guzman ensured the door to visit 2 was open. Deputy Guzman and I decided to enter the Cside via the A-side in order to avoid going through the water. �De uty Guzman and I entered the C-side and went to cell 7C. I told I-Turner, whom was still sifting in his chair looking out the window, to turn around and cuff up. I-Turner stood up and walked to the back of the cell and sat on the bunk. I told I-Turner to come to the door and cuff up. I-Turner sat calmly on the bed and did not say anything. Because of I-Turners passive demeanor I felt is safe to enter the cell and handcuff him. I Opened the cell door with the manual door key and entered the cell. The door was difficult to open and I had to kick the door twice to open it all the way. Deputy Guzman stayed at the door as I entered the cell. As I entered the cell I told I-Turner to turn around and cuff up. I-Turner lunged forward with his fist raised. Fearing ]-Turner was going to strike me I stepped forward and delivered a closed right fist to his chest. I-Turner was knocked back onto his bunk. Deputy Guzman entered the cell and attempted to control I-Turners legs. I attempted to gain control of one of his hands. I-Turner continued to resist and I began to exchange several punches with I-Turner. I-Turner grabbed my face causing a laceration on the left side of my nose. I struck I-Turner several times in his head, chest, and upper back in an.attempt to gain control of one of his arms. Approximately 30 seconds into the fight I was able to gain control of[Jurner's left ann. |was not able toapply a control hold inorder togain pain compliance. Because |was controlling /-Tunnor'sarm |was able bzreach for myradio and called acode 3assist David module. |-Turnerwas turning his head back tolook atrnoand said, "This aintabout you^ |-Tunnerbegan to-forcibly-turn.trying bohit mein the head. | backed away from !-Turner and struck him inthe face again. —`--' Deputy Guzman during this altercation continually told I-Turner to lie on his stomach and place his hands behind his back. At no point/nthe fight did I-Turner ever givethe impression he was goingto comply with Deputy Guznmmn'acnmmanda. | finally was able toplace ahandcuff on |'Tunnen;left arm and Deputy Guzman controlled and cuffed his right arm. |-Turnercontinued tomove around once hewas hand cuffed. | puUed I-Turner to the floor in order to gain a better control of his upper body and arms, . Over the radio / could hear the escorts arriving onthe module. Because | had control of/-TurnerDeputy Guzman left and assisted Deputies Sonbos, Nue. Black, and Snider on to the C-aide. The escorts arrived at cell 7Cand took control of|-Turner, | noticed |vvaa bleeding from ascratch onthe nose | received from /-Turner. Sergeant Evans and Sergeant Yates arrived on the module. Deputies Gonboo, Nue. Black and Sergeant Yates escorted /-Turnerho intake. |-Turnerwas placed inSafety Cell#2and shackled gtthe ankles. Nurse Louis evaluated |-Turnerand checked the ankle restraints. Deputy Alexander started the Safety Cell Log atO825. | exited cell 7Cand secured the door bothe A-oideofthe module. | entered the booth and established control of the module. ! told Sergeant Evans what had happened. Sergeant Evans told rnahohave medical examine the cut onmnyface and then hewould take pictures ofmnyinjuries. / received medical attention for the cut onnny face and was advised tosee nmydoctor aoafollow up. Deputy Guzman received mkick tohis stomach by |-Turner, he received noother injuries. - Sergeant Evans took pictures ofthe scene. Facility: 1 Page 3of5 Printed: D8-27-2OD62111 . . ' ~ � Contra Costa County Detention Facilities DISCIPLINARY HEARING REPORT DETENTION FACILITY INMATE: 13KG. R. Last First ` HEARING.DATE & TIME: INCIDENT DATE & TIME—S btqj PROCEDURE:yo, h4ve been accused of vio ting the following rule(s) or regulr-A-ion(s) 1� A As a result of this charge, you M/Y be subject to one or more of the following 4nalties: Loss of good/work time. privileges or programs. job or housing transfer, extra work detail . segregation, reprimand, criminal prosecution. INMATE RIGHTS IN DISCIPLINE l) To receive 24 hour prior notice of u disciplinary hearing. This may be waived in order to receive an immediate hearing. [fnot waived, the hearing *i l beheld within 72 hours of the completed report (excluding weekends and holidays). � 2) To receive a copy of the incident report within 24 hours ofA oecapleted report. 3> To be present during the hearing process. un ty is jeopardized. 4) To present witnesses at the hearing, unless securi Facility is jeopardized, G) To represent yourself or have--a--staff member re re nt 6) To appeal after the disciplinary hearing to Administrator for review, Such appeal request will be written on the Inmate Request Form and filed G days of the Hearing WAIVFR - Check On � . o I do not wont a Disciplinary Hearing and do not contest the charge o I waive the 24 hour prior notice rule and request an immediate disciplinary hearing. o l do not waive the 24 hour rule. El Other Inmate Signature Date Time DTSCTPITNARY HEARING: INMATE: A Preseni 0 Not Pr en Hearing Officer/Comittee I vest' ti Findings: /��Inmate committed the act as charged u Inmate did not commit o prohibited act o Inmate committed the following prnbibited act(s): Sanctions/Punishment imposed: L)-'U-P ;69- Name Employee Number Committee Member. � �----- v Name Employee Number Copy to Inmate by: ��proved by Operations Director: ~~ � � Di-smummn: BAS(Original) Copies to: Facility Administrator,Inmate Booking,Operations Director,Inmate,Classification,Module where inmate ishuus6d r%=-r",n-Pnm Rev.8/41e7 b to- cm cc 0 :a 4 } ' o..IWW w� r . .a uj Lu Im uj 777--1 r ��u E Lo '" t CLAiM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION: DIARY 06, 2007 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. �, D � � you is your notice of the action taken Z on your claim by the Board of AN 0 2 2007 Supervisors. (Paragraph IV below), given Pursuant to Government Code Aiv10UNT: 000 .00 COUNTY COUNSEL Section 913 and 915.4. Please note all 1 MARTINEZ CALIF. "Warnings". CLAIMANT: V. DARLENE KONNOFF ATTORNEY: UNKNOWN DATE RECEIVED: DEC. 291 2006 ADDRESS: 450 SIXTH STREET BY DELIVERY TO CLERK ON:DEC. 29 , 2006 RODEO� . CA. 94572 BY MAIL POSTMARKED: HAND DELIVERED FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JANUARY 02 , 2007 JOHN CULLEN, Cl rk Dated: By: Deputy 1.1. FROM: County Counsel TO: Clerk of the Board of Sup 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 send warning of claimant's right to apply for leave to present a late claim (Section 911.3). O Other: Dated: Z/—0-7 By: Mr_'K ( 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. ,B'OARD ORDER: By unanimous vote of the Supervisors present: (� This Claim is rejected in full. O Other: t certify that this is a true and con-ect copy of the Board's Order entered in its minutes for this date. Dated;C� O o,�bHN CULLEN, CLERK, By Deputy Clerk WARNING (Go . cod 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 widr this matter. if you want to consult an attorney,you should do so inunecliately. *For Additional NN'arning See Reverse Side of•This Notice. AFFIDAVIT OF MAILING 1 declare under penalty of• perjury that I ann now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today 1 deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated a' ® OHN CULLEN, CLERK By Deputy Clerk BOARD OF SUPERVISORS OF CONTRA COSTA.COLNTY INSTRUCTION'S TO CLAWANT � .�-..�..�,��..«.�T�..�....�«.r+-.,._«.._.-.._.�:...�.v.��.r. Ln�.:_-T-w.—«.Y•:9 L__�...�:_«•:•..-!.Y.�'T-:'t.'.��; n=',�_ :...:-� :. .�.. .. _- A claim relating to a cause of action for death or for injury to person onto personal property or growing crops shall be presented not later than six months after the accrwd 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.) Claims must be filed with the Clerk of the Board of Supervisors at its office in Room 146, County Administration Building, 651 Pine Street,Martinez,CA 94553. 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. E. If--the claim is against more than one public entity, separate claims must be filed against each. t ' . 'public entity. ,. Fraud. See penalty for fraudulent claims,Penal Code Sec. 72 at the end of this form.. ■E RE USEE USES RUNK BESS RE E SUN*KKK E i MUMS C E E E E E t E E E■E E E 6= E E E E E EEE■E E E E(E E E at UK E L at t at Claim By: Reserved for Clerk's filing stamp RECEIVED Against the County of Contra Costa. or � DEC 2 0006 District) CLERK BOARD OF SUPERVISORS (Fill in the name) )' CONTRA COSTA CO. The undersigned claimant hereby makes claim against the Counter of Contra Costa or the above-named district in the sum.of e6) and in support of this claim represents as follows: 1. When dial the damage or injury occur? (Give exact date and hour) fi� t�ursr..1` .„-- S�,pr/� •-�-" fit'C��Cr` , 2. Where did the damage or injury occur? (Include city and county 3. How did the damage or injury occur?, Give �,T�details;use extra paper if required)� ` /Jal.,t� 4. t particular act or omission on the part of county or district officers, servants, or employees caused the injury or dama-ge? S What are the names of county or district ofE"icers,senrants,or employees causing the damage or injury? 'c?t, `- c�j /Is � . f S What damage- or injuries do your claim resulted? (Give full extent of injuries or damages claimed: Attach-two estimates for auto damage-.) ems' . G �T "�. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) �,�cc�j-�c �� ,,��:�r��'z��r=...e.. C.�.•t.'.�-rte ��'�� C�� =�� 3. List the e�. enditures ou rnadea on accoun#of this cident or injury: ��'�� r��Gtr - 'P Y DATE TIIi� AMaUNT ata Rnita/tRaeesatata Rataan antaRt ntssslRatRRitaaRatanat Ree Big on at RRRsalsasit tta■Ramona at .Gov. Code Sec. 910.2 provides"The claim shall be signed by the claimant or by some person on his behalf n SEND NOTICES TO: (Attorney) Name ani address of Attorney -:;y- ) } (Claimant's Signature) } (Address) } Telephone No. )Telephone No.,;e�—7 T- 7 IIRtiR al t�a��Raaa San malls na a Is noun KNERRaaaal Rat a newanRltts Rltta[tatt[ttatasa nuc eats a cast PUBLIC 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, s§ 6500 at seq.) Furthermore, any attachments,addendums, or supplements attached to the claim form, including medical records, are also subject to public disclosure. ■■masts][RIRaRRaaRRratown an will stsn:Rlost][Ram its satnamany WE Not NOTICE: Section 72 of the Venal Code provides: Every person who, vrith intent to deftud, presents for allowamce 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, bili; 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. l 10/26/2006 at 09: 03 AM Job Number: 29767 STEWART'S BODY SHOP, INC �� License #:BAR AJ112826 Federal ID #: 680032iO4 SERVING THE BAY AREA SINCE 1944 12540 SAN PABLO AVE RICHMOND, CA 94805-1406 (510) 235-3515 Fax: (510) 235-9022 PRELIMINARY ESTIMATE Written By: VAMA EMFINGER Adjuster: Insured: DARLEEN KONNOFF Claim # Owner: DARLEEN KONNOFF Policy # Address: Deductible: Date of Loss: Day: (510) 799-9273 Type of Loss: Point of Impact: 12 . Front inspect STEWART ' S BODY SHOP,; INC Business: (510) 235-3515 Location: 12540 SAN PABLO AVE RICHMOND, CA 94805-1406 Insurance Company: Days to Repair 2003 TOYO MATRIX XR 4-1 . 8L-FI 4D WGN 8Q5/BLUE Int : VIN: 2T1KR32E13C139590 Lic: 5BSW868 CA Prod Date: 02/2003 Odometer: Air Conditioning Rear Defogger Tilt Wheel Intermittent Wipers Keyless Entry Rear Window Wiper Dual Mirrors Clear Coat Paint Power Steering Power Brakes Power Windows Power Locks Power Mirrors AM' Radio FM Radio Stereo Search/Seek CD Player Driver Air Bag Passenger Air Bag Cloth Seats Bucket Seats Recline/Lounge Seats 5 Speed Transmission Overdrive ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT . PRICE LABOR PAINT -----------------------------I ------------------------------------------------- 1 FRONT BUMPER 2 O/H bumper assy 2 .3 3 Repl RT Spoiler outer 1 200. 89 Incl . 0 . 8 4 Add for Clear Coat 0 . 2 5 Repl Spoiler center 1 124 . 75 Incl . 1. 0 6 Overlap Minor Panel -0 . 2 7 Add for Clear Coat 0 . 3 8 Repl LT Spoiler outer 1 200 . 89 Incl . 0 . 8 9 Overlap Minor Panel -0 . 2 10 Add for Clear Coat 0. 1 11# Color Tint 1 0 .5 D 12# Flex Additive 1 12 .50 1 10/26/2006 at 09: 03 AM Job Number: 29767 PRELIMINARY ESTIMATE 2003 TOYO MATRIX' XR 4-1 . 8L-FI 4D WGN 8Q5/BLUE Int: ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT --------------------------------------------=---------------------------------- ------------------------------------------------------------------------------- Subtotals =_> 539. 03 2 . 8 2 . 8 ------------------------------------------------------------------------------- Estimate Notes : PARTS MAY COME PAINTED BUT WON'T KNOW UNTIL WE RECEIVE THEM. WILL CHANGE ESTIMATE IF PARTS COME IN COLOR WHEN REPAIRS ARE COMPLETE. Parts 539. 03 Body Labor 2 . 3 hrs @ $ 70 . 00/hr 161. 00 Paint Labor 2 .8 hrs @ $ 70 . 00/hr 196. 00 Diagnostic Labor 0 .5 hrs @ $ 70 . 00/hr 35 . 00 Paint Supplies 2 . 8 hrs @ $ 35 . 00/hr 98 . 00 ---------------------------------------------------- SUBTOTAL $ 1029. 03 Sales Tax $ 637 . 03 @ 8 . 7500% 55 . 74 ---------------------------------------------------- GRAND TOTAL $ 1084 .77 The above is an estimate based on our inspection and does not cover any additional parts or labor which may be required after the work has been started. Occasionally, worn or damaged parts are discovered, which are not evident on the first inspection. Because of this, the above prices are not guaranteed and are for immediate acceptance only. I authorized Stewart's Body Shop to repair above said vehicle as itemized per this estimate. X Date: 2 10/26/2006 at 09 : 03 AM Job Number: 29767 PRELIMINARY ESTIMATE 2003 TOYO MATRIX XR 4-1. 8L-FI 4D WGN 8Q5/BLUE Int: FOR YOUR PROTECTION CALIFORNIA LAW REQUIRES THE FOLLOWING TO APPEAR ON THIS FORM: ANY PERSON WHO KNOWINGLY PRESENTS FALSE OR FRAUDULENT CLAIM FOR THE PAYMENT OF A LOSS IS GUILTY OF A CRIME AND MAY BE SUBJECT TO FINES AND CONFINEMENT IN STATE PRISON. THE FOLLOWING IS A LIST OF ABBIIREVIATIONS OR SYMBOLS THAT MAY BE USED TO DESCRIBE WORK TO BE DONE OR PARTS TO BE REPAIRED OR REPLACED: MOTOR ABBREVIATIONS/SYMBOLS: D=DISCONTINUED PART A=APPROXIMATE PRICE LABOR TYPES: B=BODY LABOR D=DIAGNOSTIC E=ELECTRICAL F=FRAME G=GLASS M=MECHANICAL P=PAINT LABOR S=STRUCTURAL T=TAXED MISCELLANEOUS X=NON TAXED MISCELLANEOUS PATHWAYS: ADJ=ADJACENT ALGN=ALIGN A/M=AFTERMARKET BLND=BLEND CAPA=CERTIFIED AUTOMOTIVE PARTS ASSOCIATION D&R=DISCONNECT AND RECONNECT EST=ESTIMATE EXT . PRICE=UNIT PRICE MULTIPLIED BY THE QUANTITY INCL=INCLUDED MISC=MISCELLANEOUS NAGS=NATIONAL AUTO GLASS SPECIFICATIONS NON-ADJ=NON ADJACENT O/H=OVERHAUL OP=OPERATION NO=LINE NUMBER QTY=QUANTITY QUAL RECY=QUALITY RECYCLED PART QUAL REPL=QUALITY REPLACEMENT PART COMP REPL PARTS=COMPETITIVE REPLACEMENT PARTS RECOND=RECONDITION REFN=REFINISH REPL=REPLACE R&I=REMOVE AND INSTALL R&R=REMOVE AND REPLACE RPR=REPAIR RT=RIGHT SECT=SECTION SUBL=SUBLET LT=LEFT W/O=WITHOUT W/_=WITH/_ SYMBOLS: #=MANUAL LINE ENTRY *=OTHER [IE. .MOTORS DATABASE INFORMATION WAS CHANGED] **=DATABASE LINE WITH AFTERMARKET N=NOTES ATTACHED TO LINE. MQVP=MANUFACTURER'S QUALIFICATION AND VALIDATION PROGRAM. OPT OEM=ORIGINAL EQUIPMENT MANUFACTURER PARTS EITHER OPTIONALLY SOURCED OR OTHERWISE PROVIDED WITH SOME UNIQUE PRICING OR DISCOUNT. Estimate based on MOTOR CRASH ESTIMATING GUIDE. Unless otherwise noted all items are derived from the Guide ARM8440 Database Date 0;9/2006, CCC Data Date 09/2006, and the parts selected are OEM-parts manufactured by the vehicles Original Equipment Manufacturer. OEM parts are available at OE/Vehicle dealerships. OPT OEM (Optional OEM) or ALT OEM (Alternative OEM) parts are OEM parts that may be provided by or through alternate sources other than the OEM vehicle dealerships. OPT OEM or ALT OEM parts may reflect some specific, special, or unique pricing or discount. OPT OEM or ALT OEM parts may include "Blemished" parts provided by OEM's through OEM vehicle dealerships. Asterisk (*) or Double Asterisk (**) ,indicates that the parts and/or labor information provided by MOTOR may have been modified or may have come from an alternate data source. Tilde sign (-) items indicate MOTOR Not-Included Labor operations. Non-Original Equipment Manufacturer aftermarket parts are described as AM, Qual Repl Parts or Comp Repl Parts which stands for Competitive Replacement Parts. Used parts are described as LKQ, Qual Recy Parts, RCY, or USED. Reconditioned parts are described as Recon. Recored parts are described as Recore. NAGS Part Numbers and Benchmark Prices are provided by National Auto Glass Specifications. Labor operation times listed on the line with the NAGS information are MOTOR suggested labor operation times. NAGS labor operation times are not included. Pound sign (#) items indicate manual entries. Some 2006 vehicles contain minor changes from the previous year. For those vehicles, prior to receiving updated data from the vehicle manufacturer, labor and parts data from the previous year may be used. The Pathways estimator has a complete list of applicable vehicles. Parts numbers and prices should be confirmed with the local dealership. CCC Pathways - A product of CCC Information Services Inc. 3 – This is our third visit! My car has been 'hit and ran' each time. The only good part is knowing Crockett Auto Body will restore it perfectly. �eter It's a pleasure to do business with you.- "This ou.„This was the best customer ser- vice I've had in a long time. The staff was so nice and helpful, espe- cially Mike DeMello. I've already told many friends and would definitely return if needed." asked various auto dealerships for the best; everyone mentioned your shop as best. I was very, very pleased." "Now I understand why Ogden Volkswagen recommends your work. When I picked up my car it looked better than it did before my acci- dent! Your establishment is terrific!" m what you call a skeptic. I confess— I had Saturn look over your work and guess what? Flying colors! I was pleased with your prompt service and courteous employees. Thanks for giving me my brand new car back!" 900 San Pablo Avenue Pinole, CA 94564 510/?41-9001 WW W.crockettautobo dy.Cohn �,�•INiEC4 E9 i CLAIM BOARD OF SUPERVISORS OF.CONTRA COSTA COUNTY BOARD ACTION: FEBRUARY 06 , 2007 Claim Against the County, or District Governed by ) the Board of Supervisors, F.Qr► o s ent ) NOTICE TO CLAIMANT and Board Action. All Sec,Ah�,5�e 147 The copy of this document mailed to I California Government Co ) you is our notice of the action taken JAN 0 N 2007 y y on your claim by the Board of COUNTY COUNSEL Supervisors. (Paragraph IV below), MARTINEZ CALIF. given Pursuant to Government Code AMOUNT: Section 913 and 915.4. Please note all IN EXCESS OF $10 ,000,000. 00 «Warnings": CLAIMANT: DANIEL DOELLSTEDT ATTORNEY: CHRISTOPHER B. DOLAN DATE RECEIVED: JANUARY 02 , 2007 THE DOLAN LAW FIRM JANUARY 02 2007 ADDRESS: 78 FIRST STREET, BY DELIVERY TO CLERK ON: SAN FRANCISCO, CA 94105 RECEIVED FROM BY MAIL POSTMARKED: RECEIVED FROM FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is,a copy of the above-noted claim. JANUARY 02 , 2007 JOHN CULLEN, l Dated: By: Deputy 11. 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). 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 91.1.3). O Other: Dated: _ i y— By: rY1 C&18-: Deputy County Counsel III. FROM: Clerk of the Boai-d TO: County Counsel (1) County Administrator(2) O Claim was returned as untimely with notice to claimant (Section 911.3). 1V. BOARD ORDER: By unanimous vote of the Supervisors present: (VJ' This Claim is rejected in full. O Other: t certify that this is a true and con-ect copy of the Board's Order entered in its minutes for this date. Dated:rehyuC�,V -0G o HN CULLEN, CLERK, By Deputy Clerk WARNING (Go .'co e section 913) Subject to certain exceptions,you have only six(6) months from the date this notice was personally served or deposited in the nuail to file a court actim 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 declare under penalty of perjury that l 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, hostage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the.claimant as shown above. Dated-. rw-A� 0 W.P-o"JOHN CULLEN, CLERK By Deputy Clerk EE pFFFn CLAIM AGAINST THE COUNTY OF CONTRA COSTA 2007 (Pursuant to Government Code Section 910, et seq.) j i CLAIMANT: Daniel Doellstedt Name Phone O C/o Dolan Law Firm 415-421-2800 Address C/O Dolan Law Firm 78 First Street, San Francisco, California, 94105 (Include City, State, & Zip Code) PERSON TO WHOM ANY NOTICES CONCERNING CLAIM SHOULD BE SENT: Name Phone O Christopher B. Dolan, The Dolan Law Firm, 78 First Street, San Francisco, Ca. 94105 415-421-2800 WHEN DID THE DAMAGE/INJURY OCCUR: Date9/24/06 Time3:35 p.m. (Circle One) (State exact month, date, & year) AT WHICH LOCATION DID THE DAMAGE OR INJURY OCCUR? Bike Path on Highway 580 (Westbound) West of Castro Street WHAT HAPPENED AND WHY IS THE ENTITY RESPONSIBLE? (Attach additional sheets, if needed) Claimant is informed and believes and on the basis of said information and belief alleges that The County of Contra Costa established, operated and/or maintained this bike trail and/or directed bicyclists to use this bike trail as the only manner to get to Point Molate/Point Richmond. This bike path was a dangerous condition of public property which posed a significant risk of injury to individuals, including Claimant, of injury or death, when using the roadway with due care. The public property was constructed and/or maintained in violation of the established policies and guidelines governing the safe construction and operation of bicycle paths and roadways including but not limited to the CalTrans Design Manuel, Traffic Manual, and Manual on Uniform Traffic and Control Dev'i'ces. Bicyclists, and motorists, with out protection, advanced warning, and signage, given the totality of the circumstances, features of the highway, configuration of the roadway, etc, were led into a trap whereby the unwary bicyclist was placed into harms way and in real and significant danger of being struck by motor vehicle traffic. The County of Contra Costa knew, or should have known, of the nature of the dangerous condition with sufficient time to remedy said condition and failed to do so. Contra Costa County also failed to provide warnings of the known dangerous condition to bicyclists using the roadway .which, in combination with the other factors referenced above led to the creation of a dangerous condition f public property. As a result of the aforementioned, Claimant was injured when a vehicle struck him on Highway 580 when Claimant was in the bicycle lane thereby causing serious permanent injuries to Claimant. WHAT DAMAGE OR INJURY OCCURRED? (Attach additional sheets, if needed) Claimant was rendered a Paraplegic from the collision. Claimant is also partially paralyzed in his upper extremities. Claimant has required extensive medical treatment and will continue to require medical treatment for the remainder of his lifetime. Claimant has suffered property damage and will require extensive modifications to his home, and transportation, as well as life care, nursing, and attendant care in the future an has and will continue to suffer wage loss, and loss of earnings potential and other special damages in an amount to be determined at the time of trial. Claimant has suffered non economic damages including but not limited to pain and suffering. loss of enjoyment of life, anxiety, etc, in an amount to be determined at the time of trial. The Damages are in excess of$25,000.00 and , therefore, are within the jurisdiction of the Superior Court. CLAIM AMOUNT: in excess of$10,000,000.00 HOW DID YOU ARRIVE AT THE AMOUNT CLAIMED? Based on extensive nature of the bills to date for the intensive care and rehabilitation , the nature and extent of his injuries, his physical limitations and his prognosis DATE: Signature of C imant or person acting on his behalf CHRI OLAN Attorney for Daniel Doellstedt f t x r .co.crxio •a ars HUb I ItHM/HU j,_LU,'a1L4155361%2 NO.367 P.i A'6 Pa«1 cor ERA t -z jr OTATtMNIA QAIFORNIA DRF'A EPff QP H04 M Y P/►TR01. n�P�aRT 4F COL.1.18t�N-N it6L6�A8in Omp w, srM a to o, o wSM tib weY/Oafcow ou" offer ►]hew a rs f+ON t QN LMIWIM Yew Dino u�►TM ffw. De il114tti 2 Aum peUr w go Ahn M t*HOPIM v�Qaw Opwgo un YON Coy F� JOhn Md DanIN pagilRMd3 41 tdwt 4�►' anar p 0.► r•a.ww� N gMaol�13 93 Me F1�. 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A4 the Teyofa C+i�y 4 MMS 0 b�a+ne t �iak tsewlh�is Aw�►aribaaod qd�moved►nb Wo�3 Etta.direetty toryYN'd the bet!sidR o itte'1'pyNtt t"�pOp�n !►Ir Eltilrep4►veered ba T�►oa Y t' 14 9vgW a 00U 44 WA ibis Oro"veblolw 11w 'coyote Com' be d aor jj-w"Wt; &040=4 the zo got of do TW*QAm*mak 9w ea w*W*tlid burden me nark M way odds of 1-5110 weemood. A*this ovl bwN*0 toms coo ean*Mg weetbo*Qo tM rift*OW AW mod Wu*twb Idoyoltsts (Nlt.Welaswbt Ind T&DoeWP&). IU tWD"Uete wary net w*bg beb,oaa d ase time of ibis oollkW sod pwt+*M moa bW iri M 1WtsrMe. RleWmetid AW MAW loo�1N4 do two PWOW Wan 110 dwsono y,ow wwo not odwis tae tratnid 4�1att turd feypptsil ttr,lteo++�r to hpnit badkw ow vow tgdc orpp aR$10 Woft am en4 the eonditloe Ofdo two"IWOp OtM4 INWO WWWAAM 490 1100loglt>t kM reeptq>V4 3"a"stop ton pbds stid wbsffimW at die . Bailletoo evens, 1.300 eeO0mid igd*800041",WAR 0*0 it lolj bo% The bM w"ro4pgW is 1d2S hews and dis waetbayn4 lenw t�►u0��+lt 1697 ttaWs► Boat avlllibia vldbM M� v10 tibltoopllr to fop Haspilwl to Qogemd.CA. p� � aaioNl�re ornre aea IRMt� ovrsNrrOe ee . i THE DOLAN BUILDING Cj11BD CHRISTOPHER B.DOLAN 78 FIRST STREET (415)421-2800 TEL SAN FRANCISCO,CA 94105 THE DOLAN LAw FIRM (415)421-2830 FAX 12/15/06 Via ffederal Express/ John Cullen Administrator Contra Costa County County Administration Building 651 Pine Street, 11 th Floor Martinez, CA 94553 Re: Doellstedt&Weinstein,et.al.v. CalTrans,City of Richmond,Association of Bay Area Governments, Alameda-Contra Costa Transit District, Metropolitan Transportation Authority, et. al. Date of Incident 9/24/06 Dear Mr. Cullen: Enclosed please find a notification pursuant to Government Code Section 910 of an 'intent to sue for your records. If you are not the proper authority for service, or you wish to obtain additional information please contact Christopher B. Dolan at the above address or phone number and please direct this letter to the proper authority. Your website gives no information on who to serve notice on and does not provide a Claim Form. If there is any error in this claim or you require a special form pursuant to your procedures,please notify this office immediately. Very truly yours, Christop er . olan The Dolan Law Firm MEMORANDUM TO: TO WHOM IT MAY CONCERN JAN O 2 2001 CLERK BOARD pF COINV OF /U ' RVIsORs FROM: Alisha M. Singer SrAoo• RE: Doellstedt& Weinstein, et. al. v. CalTrans City of Richmond Association of Bay Area Governments Alameda-Contra Costa Transit District, Metropolitan Transportation Authority, et. al DATE: December 19, 2006 Enclosed you will find a cover letter and notification pursuant to Government Code section 910 Form. You will find two copies, one for your records and one that we would like endorsed and sent back to us using the self addressed and stamped envelop provided. Thank you so very much for you cooperation on this matter. Very truly yours, Alisha M. Singer Paralegal CONTRA COSTA COUNTY RECEIVED DEC 2 0 2006 OFFICE OF COUNTY ADMINISTRATOR 1 CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY 616 BOARD ACTION: FEBRUARY 06 , 2007 Claim Against the County, or District Governed by ) the Board of Supervisors, Routing Endorsements, ) NOTICE TO CLAIMANT' and Board Action. All Sectionf n mav nThe copy of this document mailed to Tr California Government Codes. k, you is your notice of the action taken on your claim by the Board of JAN 0 2 2007 Supervisors. (Paragraph IV below), COUNTY COUNSEL given Pursuant to Government Code ARl1EZ00. 00 CALIF. Section 913 and 915.4. Please note all AMOUNT: IN EXCESS OF5 "Warnings". MICHELLE WEINSTEIN, as an individual CLAIMANT: MICHELLE on behalf of herminor children EMMA WEINSTEIN and MICHAELA WEINSTEIN AND the Estate of DANIEL WEINSTE ATTORNEY: CHRISTOPHER B. DOLAN DATE RECEIVED: JANUARY 02 , 2007 THE DOLAN LAW FIRM JANUARY 02 2007 ADDRESS: 78 FIRST STREET, BY DELIVERY TO CLERK ON: SAN FRANCISCO, CA 94105 RECEIVED FROM BY MAIL POSTMARKED: COUNTY COUNSEL FROM: Clerk of the Board of Supervisors TO: County Counsel Attached 1s,a copy of the above-noted claim. JANUARY 02 , 2007 JOHN CULLEN, er Dated: By: Deputy II. FROM: County Counsel TO: Clerk of the Board of Supervisors ( This claim complies substantially with Sections 910 and 910.2. ( ) This Claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). O Other: Dated: c(—c77 By: (rC6� 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). 1V. BOARD ORDER: By unanimous vote of the Supervisors present: (V) 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��Yzt�*- ;?OHN CULLEN, CLERK, By Deputy Clerk WARNING (Go . 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 n-wil 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 attor-irey,you should do so immediately. *For Additional Warning See Reverse Side ofThis Notice. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, hostage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated: JOHN CULLEN, CLERK By Deputy Clerk CLAIM AGAINST THE COUNTY OF CONTRA COSTA (Pursuant to Government Code Section 910, et seq.) CLAIMANT: Michelle Weinstein as an individual and on behalf of her minor.children Emma Weinstein and Michaela Weinstein and the Estate of Daniel Weinstein RECEIVED Name Phone O C/o Dolan.Law Firm 415-421-2800 JAN 0 2 2007 CLERK BOARD 0=SUPERVISORS CONTRA COSTA Co. Address C/O Dolan Law Firm 78.First Street, San Francisco, California, 94105 (Include City, State, & Zip Code) PERSON TO WHOM ANY NOTICES CONCERNING CLAIM SHOULD BE SENT: Name Phone ( ) Christopher B. Dolan, The Dolan Law Firm, 78 First Street, San Francisco, Ca. 94105 415-421-2800 WHEN DID THE DAMAGE/INJURY OCCUR: Date9/24/06 Time3:35 p.m. (Circle One) (State exact month, date, &year) AT WHICH LOCATION DID THE DAMAGE OR INJURY OCCUR? Bike Path on Highway 580 (Westbound) West of Castro Street WHAT HAPPENED AND WHY IS THE ENTITY RESPONSIBLE? (Attach additional sheets, if needed) Claimant is informed and believes and on the basis of said information and belief alleges that The County of Contra Costa(the County) established, operated and/or maintained this bike trail and/or directed bicyclists to use this bike trail as the only manner to get to Point Molate/ Point Richmond. This bike path was a dangerous condition of public property which posed a significant risk of injury to individuals, including Decedent Dan Weinstein, of injury or death, when using the roadway with due care. The public property was constructed and/or maintained in violation of the established policies and guidelines governing the safe construction and operation of bicycle paths and roadways including.but not limited to the CalTrans Design Manuel, Traffic Manual, and Manual on Uniform Traffic and Control Devices. Bicyclists, and motorists, with out protection, advanced warning, and signage, given the totality of the circumstances, features of the highway, configuration of the roadway, etc, were led into a trap whereby the unwary bicyclist was placed into harms way and in real and significant danger of being struck by motor vehicle traffic. The County knew, or should have known, of the nature of the dangerous condition with sufficient time to remedy said condition and failed to do so. The County also failed to provide warnings of the known dangerous condition to bicyclists using the roadway which, in combination with the other factors referenced above led to the creation of a dangerous condition of public property. As a result of the aforementioned, Claimants were injured when a vehicle struck Decedent Dan Weinstein on Highway 580 when Decedent was in the bicycle lane thereby causing Decedent's death. WHAT DAMAGE OR INJURY OCCURRED?(Attach additional sheets, if needed) Dan Weinstein was killed. His wife and children, Claimants, have suffered loss of society,. support; services, comfort, care and companionship, and other economic and non economic damages in an amount to be proven at trial, in excess of$15,000,000.00 The Estate of Daniel Weinstein has suffered economic damages including but not limited to medical expenses, funeral expenses, and other related damages in an amount to be proven at trial. Claimants have suffered non economic damages and economic damages due to the death of Daniel Weinstein in an amount to be determined at the time of trial. Damages shall be sought pursuant to Cal. Code of Civ Pro. Sections 377.20, 377.34, 377.60 and 377.61 and any and all other provisions allowed by law. The Damages are in excess of$25,000.00 and , therefore, are within the jurisdiction of the Superior Court. CLAIM AMOUNT: in excess of$15,000,000.00 HOW DID YOU ARRIVE AT THE AMOUNT CLAIMED? Based on extensive nature of the bills to date, the loss of past and future earning capacity, and the significant loss of society, care, comfort, and support, and other damages and losses attendant to the death of Dan Weinstein. DATE: Signature of Clai ant or person acting on his behalf CHRISTOPHE OLAN Attorney for Plaintiffs Weinstein acr.co.Lrx�o •a irw H JS 1 M-UJtiHUb 1.LUNSl_4155361982 NO.367 P.1 OTAT:4CONIA CALIFORNIA DMAR' MEW OF H04MY PATROL REPM 4F CdLLIMON•149" RELEA$9 i ��0 ip� Opi 316 AM a �113h! 01gt1wd . � . ognwe wsM+rMtbo�md wes of C�{ro 3t�t � ama 1]hr�w D rni �M t7� Oil OiMM UPOWO YS rear. , Ig pPe of q° Unom YewDo"ft tiles Z 43 Aum p° John Mt*hb6 D CI �psea�arerN M Car�° pM►fikcalmm GN11'YtNM' PIW hMM� �Na 0011W Dtapptt" 3 �{t idms 4i+► aR0wr Jdhn.Mplt vn4w p ► m011, gMrooawre Qw+onpr F* Dow" , � tai q� �A qq '119y001 OND �O1Ip[ t / t MooMhla Owio�QMtK 13*10 OF 00 Dw C14 Do qa r,••rp• t 1M 4M Pwoeor►w Ca m*E5r Yn Oaa D� p'1. pp pw Or Opo a ow. plw��r OM«uiw M rr° t?M• Orb, GpA° cll . ROW b fMMNbN bdbrrn~ON mors* FhM Ylo1411 Mlalmdlon Id�MNAIr flip ooronr►'i WMMNM 60"bW ZA,2,of oppuodPvir ISO hmW%OfAd a O&SI hft 01740900--Aanudat igNw oo11>Alaa oq 1400 waael0ua11r woof of two Claes(lltfir to�AA�G CSD i•0°l i�1�17�. Yn�1d(aibMvl,Mre o f�a lnv4l�pil .nd wlbw�inter+h'ry•�'e a�r.e adult mda ppm w omgm q!two 104.1963 Md 04W��/A=03.14.10 CM#UM 39b m d Udmi Ma Mazer DO 04-11,1063)HdMn *101%#w ft*Od% d v0 die VW a't Wlr att-IW"004 WO at'CesW SUM 10: er wW rMlog bls b1oyCM0 dp44 utht.Wegla *ad*-bob WO& bhr. ?Wu Abdebt *900keoar (Dq8 07•91+1911/G1aL 10]sM?)W10 dtivin3 by Zb1'aw cgdW p^14bp o N SXXVO"*"onad w t.$$%to 0 43 We,et 6!n1pb,wat at CINro Wit, A►m.To*C=ay oontbwe4 w"*PWA hea+n►P49N! eswft he ft wsPftwd 49*0 0"d 1819 20 03 qdu.elhgly Cal rd tbn beR Ndp o the TpyNO C�pty, b fr z%01 par vsmA ba Tome m 9v!d4 s ooubtgq omi ft tom vowel% llw Torts a'odpad in n omwaafftf 0040mm the zJ&mad or tM Tw*RAM oak ew w*11 d burden tbo w* m wsy ed6e of 1-300 wedbowui. A*lhu opubip ,*0 t"coo santlaued wn*WA ao the rift aturldm ad lbuo1<two waybums a*-Wejnateln and Mn.Doe bp*). 'IU tore bk bft wary sot wWft h&b*M d dr Hone of tbie CQUIoa=6 PRO**IP%W bW MW to telae. Rwmwsd fw "vwA wftiatwthe pro 094* yvin lit'►du+reb*46*W w a sot oOWU tae ground Fwd far A nq►tOt hpneophe 1r+dta4, Olw lml p ll*Of*affafM tam mw an"e oonditioa of�u two opA�dop �►�gpvOd de0iai t�0 w�gWpd�3b��of CIM ten>P�sqd weld e!dle . oaAleloa 1.310"48wnd°ndW"010041"WAR 411613'"k Vp oe omW kW w"*ap oW a 025 ban and#0 waetboynd IepN M►ae +It 1897 ha4p� Bods evltiilaa vlatJlM rp0�a 01Ytlpo�v>e ueltlaopttr to JoM 11�it NorQltol b CA. i � � oNlf TMrs aoNOMl+raamraa�aln� !.Wam p Mao" 31:00 • n....M, Arw FAIR- OLWAV CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY ' BOARD ACTIONFFRRITARY �� ion 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 Nou he copy of this document mailed to California Government Codes. 0 is your notice of the action taken n your claim by the Board of AN 0 5 2007 Supervisors. (Paragraph IV below), COUNTY COUMBEL given Pursuant to Government Code AMOUNT: $11088 . 62 MARTINEZ CALIF. Section 913 and 915.4. Please note all "Warnings". CLAIMANT: ANDREA C. AIELLO ATTORNEY: UNKNOWN DATE RECEIVED: JANUARY 05 , 2007 ADDRESS: 2917 HONEYSUCKLE CIRCLOY DELIVERY TO CLERK ON: JANUARY 05 , 2007 ANTIOCH, CA 94531 UNKNOWN POSTMARK BY MAIL POSTMARKED: FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. JOHN CULLEN, e Dated: JANUARY 05 , 2007 By: Deputy IL FROM: County Counsel TO: Clerk of the Board of Suf ervisors Pte,�--�u icy. ( ..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). 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). (✓YOther: G I a i n i v a✓n t +mel -�pp�� oc�uY-r n o� f JJ/y _D0(o, Ar7�/ G/airr��'oreue�i�,oc�v��.�g "re L)1 S, Look l 5 /a-k., and ff C. �h;fM-qck � S �e� rr`� �e C'ov17�coo 17, /S Dated: 2 By: 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. O Other: I certify that this is a true and con-ect copy of the Board's Order entered in its minutes for this date. DatedFa4A.uvr OG O.?OHN CULLEN, CLERK, By Deputy Clerk WARNING (Gos4/codj section 913) Subject to certain exceptions,you have only six(6) months from the date this notice was personally screed or deposited in the nail to file a coma action on this claim.See Government Code Section 945.6.You may seek the advice of an attorney of your choice in connection wide 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 l: am 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:re.Ox"-*oJOHN CULLEN, CLERK By Deputy Clerk OFFICE OF THE COUNTY COUNSEL S�_-L SILVANO B.MARCHESI COUNTY OF CONTRA COSTA +;y � -=''o,.� COUNTY COUNSEL Administration Building ,, = 651 Pine Street, 91h Floor # -_`�* SHARON L. ANDERSON Martinez, California 94553-1229 =_ CHIEF ASSISTANT 's GREGORY C. HARVEY (925) 335-1800 0; i�;,,�;\!1��! VALERIE J. RANCHE (925) 646-1078 (fax) ' ' ." ,O ASSISTANTS NOTICE OF UNTIMELINESS AS TO A PORTION OF THE CLAIM TO: Andrea C. Aiello 2917 Honeysuckle Circle Antioch, CA 94531 RE: CLAIM OF ANDREA C. AIELLO Please Take Notice as Follows: In regards to the claim you submitted on January 5, 2007, portions of the claim are timely and portions are untimely. The portions of the claim prior to July 5, 2006 that you presented against the County of Contra Costa governed by the Board of Supervisors fail to comply substantially with the requirements of California Govenmient Code Sections 901 and 911.2, because they were not presented within six months after the event or occurrence as provided by law. Because the portions of the claim prior to July 5, 2006 were not presented within the time allowed by law, no action was taken on those portions of your claim. The claim was forwarded to the Board for action only on the timely portions of the claims. The only recourse at this time is to apply without delay to the County of Contra Costa governed by the Board of Supervisors for leave to present a late claim as to the claims which are untimely. See Sections 911.4 to 912.2, inclusive, and Section 946.6 of the Government Code. Under some circumstances, leave to present a late claim will be granted. See Section 911.6 of the Government Code. You may seek the advice of an attorney of your choice in connection with this matter. If you desire to consult an attorney, you should do so immediately. SILVANO B. MARCHESI COUNTY COUNSEL By: �` — Monika L. Cooper Deputy County Counsel Page 1 CERTIFICATE OF SERVICE BY MAIL (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 January 11, 2007, 1 served a true copy of this Notice of Untimeliness as to a Portion of the Claim by placing the document in a sealed envelope with postage thereon fully prepaid, in the United States mail at Martinez, California addressed to Andrea C. Aiello, 2917 Honeysuckle Circle, Antioch, CA 94531, 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 0 7 at Martinez, California. 11,9 ,� 4 v Kath een O'Connell cc: Clerk of the Board of Supervisors (original) Risk Management Page 2 BOA"OF SUPERVISORS OF CONTRk COSTA COUNTY INS PR.UMU�NS'E`4 CLAIl1A'C*IT A claim zelating to a cause of action for death or for iujwy to g=wn car to persoiiia7 prof rty-or gvwiag crops shall be presented not later tl=.sk months af= the sccrul of the ce=e of action, A claim rPl� to L a12y other:cause of.aadm sball be..pmmwd not lir t=on;.year . after the a=nd of the c n se of action. (Goy;Code 4 911.2.) Caws must be Bled with the Cledc.cif the,Board of supervs.'sors, at.its Office in Room 106, County BOAiag,651 Pine Steet,l *to]eZ,C.A, 94553. Lf Claim h:agaiu�'t a dist�,iat govesaed by the Board of Supervisors, rather than.the County, tlae nw:fie of the District should be rifled isz. r; if the 63$im is aggdD& more dtim ane public eidty, soparate claims must be fled agaLust each public entify. :. Fz`aucL See pmol y for fraud.uleat cd;ai=,Penal Ce Sec.72 at the ead.of Us`fozm Rags Zi WE a II7 It XX in i a a MR a XXsR MX9rcame a atXz IvXIa ata a.K Mrs%it Lt 11 xxz;X a a tKr BE as Y L C 91 ClaimBy- R=ved fbr Clerk's st unp �. RECEIVED kgaisq the County of Contra Cairo or JAN 0 5 2007 Dict) CLERK BOARD OF SUPERVISORS (RU iathe Mme) CONTRA COSTA CO. The UndeMiged-cI -hqz -, �es clad against tI--CDu33ty of_Cortra_Cos l-or lhc sbm-nzmec----— dLrtdct in.the mim:of$ in support ofS claim rapMentg as MOVE: L When did the damage or m jmp occur? Give i=date and ho=) Whore-din tbp.nage or injury ocr; r`? (Epciud anal county) burg Health Center 2311 Loveridge Road ttls�'Nu CA 94565 a. How did-(ho e or=jury O=ir? (Give f0&tn%;use extra Paper P l 4. What;part alk act ar 0=i s;iDn on the pare of ccoudy ar district officers, =vat, or employees causyd 1ho qM or damage? D po\,►�<k- $ VJba.'t ase tba na nes of covntp or disftia 0ffic 7.%sett ,ar mployees csusing e OCT. 10. 2006 9:56AM CCC RISK MANAGEMENT � VO. 543 ?, 3 What d=ag& orinjm3.es da your claim resulted? (Give full extent of injuries or damages - ' 'elz' l_ 'Ach t-Wa esmates far auto dam$ge.) _ - HOW was the amo£mt cl&med above comptted') (Inaude the estimated amotmt of any Prospaz&e injury or dab4age.) J—. �— G ~ mac -6 �- Names. dresses of witnesses,doctors,and bDsp' cs� - Utthc expenditures you reader on account of this accideat or jury: DATE TL2E AMOUNT a■t=iaWRaCtBacsaasnxwon CARiRiRRJkiillii#iRiRaRI9RRikiRa#iiiailraiRRaaiaRR=i aRiR9aaxxxxxR1 .Cmc►.Code Sac.910.2 provides'Me claim shall be slued by the oWmant or by sonic p=on on his )behal%� SEND NOTIaS TO: (Attomey) 1 Tis%e a63 address of Atto=y ) LAA r rQ x C (e M-We 0 ` } (Address) Tcjephom No( qi� , '7-S`f; 5 )Telephone NTof� �� ai#LiR1auiR}aRaR REVS UPURK=#is■EXRiIts inil i/rarm aita#iiiiiaaii a R RRi i t a KEY a R#R#■tE#R Ra YCR 91' Ph-.=be advised that tfib elaim f=m,or any claim nW vd fi the County zmder the Tort Claims Act;is sdl jwt to public 930109me uudsr•th-- C& omia. Public R=rds Ant_ (Gov. Code, 65 6500 et Seq.) Flute hare, M aitacbmen%addmdums,or supplemauts attarhed to tiro claim form,including medical records, m also subject tai public disclosure. ti#RMaaa aasRaa aam Itai#Yi##YWRRSURE aR!#1a MENi RrV IRK RUN MKS IREM*a R R tilt M#R1LR iR R iiit Or ai R il, NOUCE: S.=ion n of the.Pawd Code provides: > . Every persm who, wit ivt5vt to de&aud ps=Mts for allowance or for payment to any state board or officer,ar to My c0mtY, city, or district board or ,ofucer, mg#ized lo allow w pad►t'he same if gwanse, Emmy false or fraudulmt alairn.bR aocaunt vouohmr, or wlitia&b ptzaisbablo either by imprisoamm t Ln the County jail for 1. period of act mare than one year, by a B.nc of not=ming one thousand dollars M DDQ.00), or by both suob uapmmmml and m , or by imprisonment in the std prison, by a fine of not excealizg tea thousand do-Ums CS 000),or by both such impriso= mt'and fine. 2. How did the damage or injury occur? My car was broken into on 5/31/06 and 9/12/06 while i was working at Pittsburg health center. There is no security of any kind in the Pittsburg county health center. Both times my car was broken into were during business hours of the Pittsburg. The locks were ripped out on the driver side car door and the alarm disabled. The stereo and dash board were also ripped out while the theft was occuring. I had no visable items in my car to cause the breakins. I had some bags of clothes under the seat not visible from windows and also an ipod that hooks to my stereo thru the locked glove compartment that was not visible in any way thru the windows of the car. I also included a letter that states the parking lot is county property and also there was a sign in the parking lot that has been taken down recently. 6. What damage or injuries do your claim resulted? 1. the breakin on 5/31/06 the damage to the car was $1,908.77 2. the breakin on 9/12/06 the damage to the car was $976.35 9. List the expendindures you made on account of this accident? 1. the decutible for 5/31/03 was $250.00 2. the deductible for 9/12/06 was $250.00 3. the clothes were $205.62 4. the Ipod was $199.00 5. the cost of the police reports was $23.00 6. the cost of 2 half days I had to take off of work to get my car taken care of was aprox. $160.00 PITTSBURG POLICE DEPARTMENT ( 65 CIVIC AVENUE PITTSBURG, CALIFORNIA 94565 ( 25)2524980 ?cttj 31 L Tele.:# 7 ;/- d-_ I -DATE: ( �. �J . 3. a AMOUNT: CASH( ) CHECK#( /S IG ) MONEY ORDER( ) FOR: .. REPORT NO.:.6 66 -7:5 "/Y.: f G 06-13/3 11-57e) E+ CITATION NO.: FINGERPRINTS( ) PHOTOS( ) OTHER:. WARRANT NO. BAIL$ COURT: APPEARANCE.DATE: FORFEIT BAIL( ) i CHARGES: 1 I. � PD-103 Rev.02/02 BY j flNANCE pfnkln vx tx� x RECEIPT ' 3 8 Uy2 93. CASE FILE Canary �� -•�c,,,,,� ry ro aaF��P� ASS',,r`�ra� S �f6;�`a.zr"�x�x"1 s' :�• 7..a[•�` � 't3 3 ' ,'ny ''" Tuzh y�+a I j i I i I, I j j i I --- .------ -------—._.— .. _---'---------- .._._— _._----- 1 The Apple Store (U.S.) - iPod nano Page 1 of 3 _iPod+ iTunes _ —.Mac------ Qu ck7iti�e Support, �.,, Mac-CJS X� Ynur.f�cco"E nt 1�t ewr C � ,SavediCarts': #order ta�t�s� CtJsttimer Ser�rce.. _ Select your iPod nano. R, (PR0OUC s N � , €�J a 2158: S00 Songs 4GS:1,000 Songs4GB: 1,000'Songs4GB 1,000 Songs4GB 1,000 Songs8G8:2,000 Song sSpecial Edition Ships:Within 24 hours Ships:Within 24 hours Ships:Within 24 hours Ships:Within 24 hours Ships:Within 24 hours Ships:Within 24 hours 4GB:1,000 So $149.00 $199.00 $199.00 $199.00 $199.00 $249.00 r S'4elect.. 1, Select, Select -jet .Select ' (- Select.. { Select ) Ships:Within 24 he $199.00 '` !4 III Select- �� _ Free shipping on orders over$50. Free laser engraving available on all iPod models.0 Need help?Call 1-800-MY-APPLE. • Overview • Compare Specs • Gallery • Warranty info • (PRODUCT)RED http://store.apple.com/1-800-MY-APPLE/WebObj ects/AppleStore.woa/wo/StoreReentry.wo?fa... 10/16/2006 TERMINAL 341 T�ERHINL 105 '11�t ,,�.� !' 11fNllllll��llllllllilllllllll ' .., hil��f� �I�s�l111111111111 .. � . 8 217 61 2 4 0 0 3 2 T F 81321761310032 } THANK YOU FOR.SHOPPING A MACY*S, ANTIOCH THANK YOU FOR SHOPPING AT MACY*S, `CONCORD i TERMINAL 105 CUSTOMER COPY _PURCHASE S132 ASSC 262372 TRO651 05/04/06 1237P TERMINAL 341 CUSTOMER COPY PURCHASEi, BABY PRAT JRS QTY 1" 59.00: S017 ASSC 253940 TR7142 05/11/06 140P 696329820032 ! � . UPDATED SWIM QTY 1 50.00 ��ess 20% Disci 11 80- 717601815888 SUBTOTAL 47.20 UPDATED SWIM QTY 1 50.00 i CA, 8.25% TAX 3.89 717601815123 UPDATED SWIM QTY 1 42.00 TOTAL AMOUNT DUE STORE 51,09 717601816526 { .. APPROVED 00 SUBTOTAL 142.00 20 REVOLVING - CA 8.25% TAX 11 .72 MACY*S XXXXXXX9132 0 M MACY*S . 51.09 .. . TOTAL AMOUNT DUE STORE 153.72 TOTgL SAV r— NGS`` 4 $11.80 APPROVED 00 1'#I 20 REVOLVING MACYxS XXXXXXX9132 0 M i 3 21 0 5 0 6 51 MACY)*S 153.72 -- - -- - --EiEE THIS -AEC I-P�T-----_- 0173417142 ; FOR RETURN/EXCHANGE See Reverse Side KEEP THIS RECEIPT THANK-YOU ANDREA C. AIELLO FOR RETURN/EXCHANGE i Macy's Platinum Star Rewards Card., See Reverse Side Ouofan vice is goal. Please Macy*s ho ur ser a was to s.c tellus THANK YOU ANDREA C. AIELLO_,__- _..- - .- _--- - Macy's Platinum Star Rewards Card Sales Assoc Outstanding Service is our goal . Please tell Macy*s how our service was today at'www,macys.com/tellus Sales Associate yy1, FOR 3P►la*- V'jNN 30.DAYfi AT ANY ' d. lrtifl . C a LPEGEIP� •':"iTACth)r{i<, E.IETt.3N`u NItlSfi RO: 0014185.00 Detailed Customer Invoice Page: 1 9/26/06 12:23PM Antioch Auto Body,.Inc. 1401 Verne Roberts Circle Antioch, CA. 94509. Phone(925)757-3586 Fax(925)757-5246 BAR#. AK2636169 / EPA# CAR000004440 ANDREA AIELLO Date of Loss: 9/12/06 LIBERTY MUTUAL 3301 BUCHANAN RD UNIT 8 1750 Howe Ave, Suite 400 ANTIOCH,CA 94509-4360 Year: 00 PO Box 138003 Make: DODGE Sacramento, CA 95818-8003 Home: 000-000-0000 Model: DURANGO Phone: I Work: 925-757-5185 Type: Fax: Est.: SERGIO Style: WAGON Adjuster: Received: 9/18/06 Color: Silver Claim#: 007560990-01 Del. Date: License: CA 4MGF156 Policy: PD631: Date Paid: 9/22/06 Mileage: 86,050 Betterment: VIN: 1B4HR28Y4YF261278 Deductible: 250.00 Ln. Description Parts Labor Units Refin Units + Other I iRepair PNL,FRONT DOOR OUTER LT JBL 1.50 I 2�Retinish PNL,FRONT DOOR OUTER LT PL 2.90 3jRem/Inst W/STRIP,BELT OUTER L/F IBL 0.101 4hem/Inst MLDG,FRONT DOOR SIDE LT IBL 0.301 1 51Rem/Repl N/PLATE,FRONT DOOR LT IPT 52.50 IBL 0.20 i 6 Rem/Repl N/PLATE,FRONT DOOR LTPT 45.95 BL 0.20 I lRem/Inst MIRROR,OUTER R/C LT BL 0.70 I8IRem/Repl CYL,FRONT DOOR LOCK LT SPT 49.45 BL 0.30 j 91131end PNL,REAR DOOR OUTER LT PL 1.301 i 101hem/Inst W/STRIP,BELT OUTER LT BL 0.10 I 1 lRenl/Inst MLDG,REAR DOOR SIDE L1' BL 0.30 j 12 RenVInst HANDLEAR DOOR OUTER LT BL 0.601 - - ---- 141haz waste IHW 4.20 --15�Paits'DiscoiindMarl<u --- ---- - PT- --10.46 -_-- 1611'aint Materials I PM 126.00 1 17ILT.FRONT DOOR OUTER HANDLE IPT 56.70 IBL 0.70 1 ITotals - __ - 204.60 S.00 4.201 119.741 -- -- Total Category Rate Units Est. Supp Total _ -1----- ILABOR:BODY 68.00 5.00 292.401 47.60 340.00 LABOR:PAINT 68.00 4.20 285.60 285.60 IMTL:PAINT 1 126.00 1 126.00 1PARTS:OEM I 137.441 56.70. 194.141 _._..-. - HAZARDOUS WASTE 4.201 4.201 i --- Subtotals 9.20 -- - 845:64 - -----104:301-- --- 949.94 (SALES TAX 21.731 4.681 26.41 (Grand Total: 1 9.201 867.371 108.98 976.35 I . i i I j i 4 r - b', 4185.00 Detailed Customer Invoice Page: 2 9/26/06 . 12:23PM ate Payment Received By. Method Charge Type Amount 9122/06 b2-20 —� — MISTY Check 726.35 Total Payments: 726.35 I Balance Due: 250.00 !THE FOLLOWING IS A LIST OF ABBREVIATIONS OR SYMBOLS THAT MAY BE USED TO DESCRIBE WORK TO BE DONE OR PARTS TO BE REPAIRED OR REPLACED: ITX=SALES TAX BL=BODY LABOR PL=PAINT LABOR FL=FRAME LABOR ML=MECHANICAL LABOR PM=PAINT MATERIAL BM=BODY MATERIAL PT=PARTS OEM LK=USED PARTS AM=AFTERMARKET PARTS UP=USED PARTS SB=SUBLET ST=SUBLET TOWING SS=SUBLET STORAGE HW=HAZADROUS WASTE MT=MISC TAX __ A Antioch Auto Body,Inc. 1401 Verne Roberts Circle Antioch,CA. 94509 Phone(925)757-3586 Fax(925)757-5246 Signature -----Date BAR# AK2636169 I EPA# CAR000004440 I i i i i i i LMG 9/19/2006 2 :16 PAGE 002/008 LMG AN770CH AUTO BODY, INC. 1401 VERNE ROBERTS CIRCLE ANTIOCH, CA 94509 PRONE: (925) 757-3586, FAR:(925) 757-.5246 BODYTECINIX.RETCOM.COM CD LOG NO 2116.-2 DATE 06/08/06 SHOP: ANTIOCH AUTO BODY, INC. IMP DATE 06/07/06 ADDRESS: 1401 VERNE ROBERTS CIRCLEi CONTACT: GARY RAINES CITY STATE: ANTIOCH, CA PHONE 1: (925)757-3586 ZIP: 94509- FAX: (925)757-5246 OWNER: AIELLO, ANDREA HOME PIO1E: (925)757-5185 ADDRESS: 3301 BUCHAN" RD UNIT 8 CITY STATE: ANTIOCH, CA ZIP: 94509-4360 CLAIMf: 007202854-01 POLICY#: PD631 INSURED: AI.ELLO,ANDREA TYPE OF LOSS: COMPREHENSIVE/DRP LOSS DATE: 05/31/06 SUPPLEMENT POINT OF IMPACT: 16 DAYS TO REPAIR: 4 INS. CO: LIBERTY MUTUAL CONTACT: LIBERTY MUTUAL ADDRESS: 1750 HOWE AVE, SUITE 400 PRONE 1:. (800)565-5505 EXT 2367 PO BOX 138003 FAX: (916)564-2007 CITY STATE: SACRAMEM.' CA ZIP: 95818-8003 LIC#: 4MGF156 STATE: CA VIN: IB4HR28Y4YF261278 BODY COLOR: SILVER MILEAGE: 82,161 COAMITION: GOOD ACCTNG CTL#: ZZZZZZZZZ. ------DRIVEABLE: YES -___-------------------VEH. INSP#: ----- ---- -- - ---- •=USER-ENTERED VALUE E NEW PART NG=REPLACE NAGS EC=QUALITY REPLACEMENT PART UE=DISABLED UC=RECONDITIONEED PRT UM-IIEW DISCOUNT OEM PRT EU=REPLACE RECYCLED EP=SEE QUAL. REPL. PRT. RPT. OE=DISABLED PC=PXN RECONDITIONED PM=PXN REMANIREBUILT TE=PART/PARTIAL REPLACE ET=LABORIPARTIAL REPLACE IT=LABORIPARTIAL REPAIR I=REPAIR L REFINISH BR=BLEND REFINISH TT=TWO-TONE CG�HIPGUARD SB=SUBLET N=ADDNL LABOR OPERATION RI=R&I ASSEMBLY P=CRECK AA=APPEARANCE ALLOWANCE RP=RELATED PRIOR DAMAGE UP=UNR&LATED PRIOR DAMAGE PAGE 1 06/08/06 " 9/19/2006 2:16 'PAGE 008/008 LMG 4e ODGE DURANGO SLT 4DOOR WAGON = NO 2116-2 + 'rCOPY OF APPRAISAL FAXED TO VEHICLE OWNER ALL SUPPLEMENTS REQUIRE PRIOR APPROVAL BY A LIBERTY MUTUAL }wi REPRESENTATIVE. PLEASE CONTACT LIBERTY.MUTUAL'S SACRArffiM CLAIMS CENTER AT 1-800-565-5505 FOR ANY SUPPLEMENT REQUEST. BOTH: MATERIALS & LABOR MR TINT COLOR 4 COVER CAR ARE INCLUDED OPERATIONS WITHIN ADP DATA BASE OLD DAMAGE:SEE NOTES SUPPLEMENT REQUIRED DUE TO:PART PRICE INCREASES 2000 DODGE DURANGO SLT 4DOOR WAGON SCYL GASOLINE 5.2 CODE: N7103A/C OPTNS C/2AMZEffOG OPTIONS: TWO-STAGE - EXTERIOR SURFACES BUMPER COVER MOUNTED FOG LAMPS RUNNING BOARDS LUGGAGE RACE - FRAME MUNTED TRAILER B17QI CALIFORNIA EMISSIONS RFMTE KEYLESS ENTRY SYSTEM ELEC REMOTE CONTROL MIRRORS OP GDE MC DESCRIPTION MEG.PART NO, PRICE AJ% B'% ROURS R -- --- -- ----------- ------------ ----- --- -- ---.-- - RI 0871 BEZEL,INSTREMENT PNL R&I ASSEMBLY 0.9 1 I 0207 DOOR SHELL,FRONT LT REPAIR 5.0*1 L 0207 13 DOOR SHELL,FRONT LT REFINISH 3.8 4 2.7 SURFACE 0.6 TWO STAG.SETUP 0.5 TWO STAGts RI 0257, W/STRIP,BELT OUTER LIF R&I ASSEMBLY INC 1 RI 0231 01 FNL,INNER DOOR TRIM`LT R&I ASSEMBLY INC 1 RI 0375 01 MLDG,FRONT DOOR SID LT R&I ASSEMBLY 0.6*1 CLEAN AND RETAFE E 0076 NIFLATE.FRONT DOOR LT 55076875M 52.50 -5 0.2 1 E 0315 N/PLATE,FRONT DOOR LT 55076431AB 45.95 -5 0..2 1 RI 0219 MIRROR,OUTER RIC _ LT R&I --- - RI 0452 -- _C.11AtNEI.,FRONT GLASS LT R&I ASSEMMY 1.3 1 E 0227 HANDLE,FRONT DOOR 0 LT 55257435AA 54.75* -5 S1 0.3 1 BR 0287 DOOR SRELL,REAR LT BLEND REFINISH 1.3 4 0.9 BLEND 0.4 TWO STAGE RI 0350 WISTRIP,REAR DOOR . LT R&I ASSEMBLY 0.1. 1 RI 0309 W/STRIP,BELT OUTER ,LT R&I ASSEMBLY 0.1 1 RI 0407 01 MLDG,RFAR DOOR SIDS LT R&I ASSEMBLY 0.6*1 CLEAN AND RETAPE RI 0307 01 PNL,INNER DOOR TRIM LT R&I ASSEMBLY .INC 1 RI 0305 HAMLE.RR DOOR OUTS LT R&I ASSEMBLY 0.6 1 EC STEREO W/CD PLAYER QUALITY REPL. PAR° 415.01S1 INC*1* PANTELS MUSIC BOX 925-7576618_:,__._.___. SB INSTALL RADIO, CR: WIR SUBLET REPAIR 68.75* 91 1* PANTELS MUSIC BOX 925-7576618 PAGE. 2 06/08/06 t s y 9/19/2006 2 :16 PAGE 004/008 LMG > s 'DODGE DURANGO SET 4DOOR WAGON 2 NO 2116-2 19 ITEMS MC MESSAGES) 01 CALL DEALER FOR EXACT PART NUMEER / PRICE 13 INCLUDES 0.6 HOURS FIRST PANEL TWO—STAGE ALLOWANCE FATAL CALCULATIONS & ENTRIES GROSS PARTS 153.20 OTRER PARTS 415.01 LINE ITEM DISCOUNT 7.66— PAINT MATERIAL 153.00 PARTS &'MATERIAL TOTAL 713.55 TAX ON PARTS & MATERIAL 9 8.250% 58.87 LABOR RATE REPLACE HRS REPAIR HRS 1—SLEET METAL 68.00 5.6 5.0 720.80 2—MECH/ELEC — 68.00 3—FRAME 68.00 4—REFINISH 68.00 5.1 346.80 5—PAINT MATERIAL 30.00 LABOR TOTAL 1,067.60 SUBLET REPAIRS 68.75 TOWING STORAGE i --�""�� ' .✓�s S�^�s`i`-^` �r+r?�tt}s,tc�s.t��eh�..f�4,,v�s< 1,.�x`� .� „ x3'Y. It-�..5 �'C1'12`BL""�S y�4' a�-4`3s�i*'ii �' '.4 'ski .�' S ��t_f P"L# d•f.� hS t�25 V��y_:L NET TOTAL 1,658.77 LESS: PREVIOUS NET TOTAL 1,632.26— NEW SUPPIE11EVT 71OTAL (FINAL BILL) 26.51 UNRELATED PRIOR DAMAGE GDE DESCRIPTION MFG.PART NO. PRICE AJ% B% HOURS R 0006 CVR,FRONT BUMPER LWR UNRELATED PRIOR DMGE 1 SCRATCRED 0071 LAMP ASSMOLY,FOG RT UNRELATED PRIOR DMGE 1 CRACKED 0103 FENDER,FRONT LT UAMELATED PRIOR DMGE I DENTED 0104 FENDER,FRONT RT UAUZELATED PRIOR DMGE 1 PAINT G'HIP 0208 DOOR SHELL,FRONT RT UNRELATED PRIOR DMGE 1 DENT 0288 DOOR MLL,REAR RT UNRELATED PRIOR DMGE 1 - — ---SCRATCH----- 0387 PANEL,QUARTER LT UNRELATED PRIOR DMGE 1 SCRATCH 0479 TAILGATE ASSEMBLY UNRELATED PRIOR DMGE 1 PAGE 3 06/08/06 Page 1 of 1 From: Jeff Smith/MedSry/HSD/US To: MedSry All Staff@HSD Date: Monday, June 26, 2006 03:44PM Subject: Parking 6/27 Remember, Parking at the Hospital and Clinics is ONLY for patients and employees "who are at work." These are NOT public parking lots. Because of safety and liability concerns, no employees who are involved in the protest on 6/27 will be allowed to park in these lots. Jeffrey V. Smith, MD, JD Executive Director Contra Costa Regional Medical Center And Health Centers phone-(925)370-5100 fax-(925)370-5138 This message is intended only for the use of the Addressee and may contain information that is PRIVILEGED and CONFIDENTIAL. If you are not the intended recipient, dissemination of this communication is prohibited. If you have received this communication in error, please delete all copies of the message and its attachments and notify me immediately. http://hsdmail.1/mail/areed2.nsf/($SoftDeletions)/ACFF73FF238F 13DD88257199007CE7... 6/26/2006 PITTSBURG POLICE DEPARTMENT DomesticViolence. PITTSBURG,'.dALIFORNIA Case No. Info/Miscei{aneC06-7381 �sNTE D Misdemeanor INCIDENT REPORT Incident No. X Felony . RMS PENDO Victim CDL# Juvenile Involved N6422572 STA S ARR ❑ JUV O Code Section Crime Classification Beat PC 487 (a) Grand Theft Locked Vehicle 8 Date and Time Occurred-Day il Date and Time Reported Location of Occurrence 09/12/06 1300-1700 hours,Tuesda 09/12/06 1710 hrs. 2311 Loveridge Rd. Pittsburg Victims Name-Last,First, Middle,(Firm if business) Residence Address Residence Phone Aiello, Andrea Christine 2917 Honeysuckle Cr. Antioch 925-757-5185 Occupation Race-Sex Age Date of Birth Business Address(School if Juvenile). Business Phone Clerk O/F 146 .06/03/1960 2311 Loveridge Rd. Pittsburg925-726-1018 Victim Vehicle-License No.-ID No.-Year-Make-Model-Colors(other identifying characteristics) Check if More Names 4MGF1 56-2000-Doda-Duran o-SUV-Siler Name-Last, First,Middle Code Residence Address Residence Phone Occupation Race-Sex Age Date of Birth Business Address(School if Juvenile) Business Phone Name-Last, First, Middle Code Residence Address Residence Phone �i Occupation Race-Sex Age Date of Birth Business Address(School if Juvenile) Business Phone Describe characteristics of premises and area where offense occurred: Residential Commercial a Vehicle Street Sidewalk a Parking Lot � Other: Describe briefly how offense was committed: On the above date and time V-Aiello parked and locked,her vehicle in the parking lot of the above listed location. An unknown suspeot(s)''damaged the driver's side door handle and door lock by unknown means, entered the vehicle and removed personal property. The unknown suspect(s) fled in an unknown direction. No known suspects, witnesses or workable leads. V-Aiello was at home in the City of Antioch when she reported the theft therefore the vehicle was not processed for latent prints. Nothing further. Weapon:-- -- -Prints------ rints— ----E----- ----- -- ---- Firearm Knife Hands/Feet X Other: N/A PhysicalEviderice Estimated Loss Value/Extent of Injuries: $499.00-Refer to Property Sheet. Suspect Vehicle-License No.-ID No.-Year-Make-Model-Colors(other identifying characteristics): Unknown Suspect No.,1 (Last,First, Middle) Race-Sex Age Height- 'Weight Hair Eyes ID No. or DOB Arrested: Unknown Yes X No Address,clothing or other identifying marks or characteristics: Unknown Suspect No.2(Last, First, Middle) Race-Sex Age Height Weight Hair Eyes ID No. or DOB Arrested: ---- -- -.. — - - _---- ----El -Yes - -- No -- Address,clothing or other identifying marks or characteristics: Check if More Names in Continuation Investigating Officer Assisting Officer/s Rev�i ed by, Date and Time PA R. Ramirez 7343 Comments Processed by- ate and Time l- Assigned: Patrol Traffic Copies Patrol Adm. Sec ,l�!°ti ROLL � lef)MEPJT Case Closed Inver. Juv. to: Inver. Chief Inves. Review [ ] RMS [ ST� 2 4 2QQ6 PITTSBURG POLICE DEPARTMENT PITTSBURG POLICE DEPARTMENT Domestic Vioholen Case No. �1 PITTSBURG, CALIFORNIA Info/Miscellanf.NT C06-4313 X MisdemeanorRMS PEND INCIDENT REPORT VCDL Felony 'I STAT ARR � JUVI�; N6422572 Juvenile Involved Code Section Crime Classification Beat PC 488 PettyTheft From Locked Vehicle 108 Date and Time Occurred—Day Date and Time Reported Location of Occurrence 05/31/06 0800-1220 hrs.Wednesday 05/31/06 1224 hrs. 2311 Loveridge Rd. Pittsbur CA Victim's Name—.Last,First,Middle(Firm if Business) Residence Address Residence Phone Aiello Andrea Christine 2917 Honeysuckle Cir. Antioch CA 757-5185 Occupation Race-Sex Age Date'lof Birth Business Address(School if Juvenile) Business Phone Clerk O — F 45 1 06/30/60 2311 Loveridge Rd. PittsburgCA 431-2515 Victim Vehicle—License No.-ID No.—Year—Make-Model-Colors(other identifying characteristics) Check if More Names 4MGF156-2000 — Dodge — Duran o —White Name-Last,First, Middle Code Residence Address Residence Phone Occupation Race-Sex Age Date of Birth Business Address(School if Juvenile) Business Phone Name-Last,First,Middle Code Residence Address Residence Phone Occupation 7�_ Sex Age Date of Birth Business Address(School if Juvenile) Business Phone Occupation Describe characteristics of premises and area where offense occurred: F Residential Commercial Vehicle Street F Sidewalk � Parking Lot F Other: Describe brieflyhow offense was committed: On 05/31/06, at approx. 0800 hrs., (V) parked her vehicle in the parking lot of 2311 Loveridge Rd.. At approximately 1223 hrs., (V) returned to her vehicle and saw that the driver's side door handle had been pried away from the vehicle by an'unknown means. Upon further inspection (V) saw that the car stereo had been removed from the dashboard. The area was checked for witnesses, suspects Or additional-workable leads and met with-negative results.There-were no-sec-urity camera---- recordin s available for review. —Nothinci Further- Weapon: „ Prints 0 None Firearm Knife Hands/Feet Other. Physical Evid. 0 Estimated Loss Value/Extent of Injuries: Approx. $300.00 car stereo (see attached evidence report) /cost to repair door handle Suspect Vehicle—License No.-ID No.—Year—Make—Model-Colors(other identifying characteristics): None seen Suspect No. 1 (Last,First,Middle) Race—Sex Age Height Weight Hair Eyes ID No.or DOB Arrested: Unknown n Yes n No Address,clothing or other identifying marks or characteristics: - « rjpGUM Suspect No.2(Last,First, Middle) Race—Sex Age I Height Weight Hair yes ID No.or DOTArrested: Yes No Address,clothing or other identifying marks or characteristics: heck.if More Names iRG PQLin Continuation n%TTSqInvestigating Officer Assisting Officer/s Reviewed by Date and Time N. Goldman 277 Comments Processed by Date and T' Is Assigned: PatrolHjuv. Traffic Copies Patrol Adm.Ser. D.A. Other. p` Case Closed Inves. to: Inves. Chief Inves. Review [ ] RMS . [ ] STATS y PITTSBURG POLICE DEPARTMENT PITTSBURG, CALIFORNIA Case No. C06-7381 INAL PROPERTY/EVIDENCE REPORT Page No. SUPPLEMENT 2 /4ode Section/incident Victim(Last Name First) Suspect's Name Ofc. Booking Property PC 487 a Aiello, Andrea I Unknown ____________ PROPERTY S-Stolen DISPOSITION ER Evid. Room PROPERTY V-Victim LEGEND: E-Evidence LEGEND:!' R-Refrigeration OWNER CODE: S-Suspect F-Found PL-Prepared for Lab W-Witness SK-Safe Keeping LO-Ret.to or Left with.Owner F-Finder R-Recovered O-Other Property Owner Code Address Home Phone Business Phone Prop. Est. Disp. Prop. Bin# Item# Leg. Description Value Leq. Code 1 S !pod $499.00 V i� ii Total $499.00 V _Investigating Officer_______.._..__..Assisting Officer/s-------- -- - ---- - - Processed by------- .___._.._ _.__..._____ -Date and Time------ ------ PA. R. Ramirez 7343 Comments Reviewed by ..Date and Time Assigned: PatrolTraffic I Copies .I' Patrol Adm. Ser. D.A. therLE� Inves. Hjuv. to: Inves. Chief CII AUL DFyip;pse Closed OCT 2 4 1006 PITTSBURG POLICE. UtPATNIENT tiz PITTSBURG POLICE DEPARTMENT PITTSBURG; CALIFORNIA Case No. w,NaL PROPERTY/EVIDENCE REPORT ,,,��UPPLEMENT Page No. r �Z u Code Sect/Incident Victim(Last Name First) Suspect's Name Ofc. Booking Prop. �� 1I8a' .��t.t_v, ,.{�✓,�r}F c,�-!�'1sr-r,f��, Ur/�/a�/ n/t�.. •J Property S -.Stolen F-Found R-Recovered Dispos; ER-Evid. Room PL Prepared for Lab Property v-victim w-witness o-other Legend E-Evidence SK-Safe Keeping Legend R-Refrigeration LO-Ret.to or left with owner Owner Code S-Suspect F-Finder Property Owner Code Address Home Phone Business Phone .4Sz .A1 ! FA G�tr4:5T d, V 2gr7 ,�l�t G1r�. �I�frr 757-55/85 q3t-Z5)5 Bin Item Prop' Estimated DisP• Prop. No. . Leg. Description Value Leg. Code ltr�ta►� —.DIGM"�FL �= 5`T��)� �L� X17 !S'1�4t—IG. �5'J. OCI 2 :4 µ fl Ft�iS�3URG �D1.1�,E t�EPRt�TN ENT 3stlgating Officer - Assisting Officer/.s Processed by Date and Time 16pLaM4 :Z-7-7 iments Reviewed by Date and Time _ fined ❑ Patrol ❑ Traffic Copies O Patrol ❑ Adm. Ser. ❑ D.A. ❑ Other Case n 0 Inv. 0 Juv. to: 0 Inv. r-i eniof rr, till xx �S r [7 i ttn i �w3 •' `p k 5• fit`k�z ��' � �3'.� x K rJ d O h` v a I� CLAIM �I BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION: FEBRUAY 06 , 2007 Claim Against: the County, or District overned 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 Supervisors. (Paragraph IV below), AN 0 8 2007 Du given Pursuant to Government Code AMOUNT: $100 . 00 Section 913 and 915.4. Please note all COUNTY COUNSEL MARTINEZ CALIF "Warnings". CLAIMAN'T: COURTNEY A. SMIITH ATTORNEY: UNKNOWN DATE RECEIVED: JANUARY 08/07 ADDRESS: 625 BURNEY CREEK PLACE BY DELIVERY TO CLERK ON:JANUARY 08 , 2007 SAN RAMON, CAI!94582 JANUARY 05 2007 BY MAIL POSTMARKED: FROM: Clerk of the Board of Supei`visors TO: County Counsel Attached is a copy of the above-noted claim. JOHN CULLEN 1 r Dated: JANUARY 08 , 20''07 g Deputy Y p y II. FROM: County Counsel TO: Clerk of the Board of Xpervisors - (t>__fhis 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 fled late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). O Other: Dated: l By: 7�� Deputy County Counsel III. FROM: Clerk of the Board li TO: County Counsel (1) County Administrator(2) O Claim was returned as untirriely 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 aria correct copy of the Board's Order entered in its minutes for this date. Dated:4gtary oG HN ICULLEN, CLERK, By Deputy Clerk WARNING (G . code section 9130el Subject to certain exceptions,you have only six(6) months from the date this notice was personally served or deposited in the nail 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 wide 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 t declare under penalty ofperjury that I am now, and at all times herein mentioned, have been a citizen of the United Stages, over age 18; and that today t 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 CULLEN, CLERK By '---Deputy Clerk C�lttlll�ir-.j f J, BOARD OF SUPERVISORS OF CONTRA COSTA.COUNTY t� 2T_SMdCTTOIYS TO —U-PAQU A. sA claim relating to a cause of action for death or for injury to persou or to personal propem or gmwing 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 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 Admigistration Building,651 Pine Stmt;Martinez,CA 94553. C. If claim`is against a district governed by the Board of Supervisors, rather#hart the County, the name of the District should be filled tri. D. if the claim is against more than one public entity,separate claims must be filed against public entity. E. Fraud. See penalty for fraudulent claims,Penal Cade Sec.72 at the end of this form. f a Aliiiii am kw MEW.lliti/M}i iti Ra a a an IWONSITII/ills\imp ti K i I f==twiR*i/III\II iii M: Claim By: Reserved for Clerk's fling stamp RECEIVED Against the County of Contra Costa or JAN 0 8 2001 CLER BOARD OF SUPERVISORS (Fill in the name) Y CONTRA COSTA CO. The undersigned clainizat hereby makes claim against the County of Contra Costa or the above-ii med district in the sum of$_40 °-P and in support of this claim represents as follows: L Whea did the damage or injwcy occur? (Give exact crate and hour) 2. Where did the damage or injury occur? (Include city and county) r'T i N �L-L i y-�-k( C C-AD st Gw, a -L ? Give details•use extra �paper if 3. Haw dad the damage or snlury occur � full , Pap zequcred) 4. What'particular act or omission on the part of county or district officers, servants, or eml loyoes caused the Wury or damage? N 5 What are the names of couaty or district officers,serimts,or employees causing the damage or injury? N I 'd �u 'ON 1N3W30VNVW YSH 030 Wd811 1001 .I Ur . i b. What damage or quries do your claim resulted? (Give full extent of injuries orges "claimed. -Aftach two estimates for auto,damage.) 0 tj l k� ��(5- K b cs Q r) re CX,(- bvw,pC� � 7. FSow was the amount claimed above computed? (include the estimated amount of any prospective injury or damage.) C�L\.�- +1 ►^n �`� S. Names.and addresses of witnesses,doctors,and hospitals: pscD 9. Ust the expenditures youa made'on account of this accident or injury: DA'I TI, ' AMOt Vt ._T c a . iD" --i '-41 t� aaa&as ass ass ass a aIts aslaw ata a*sssi galsoesaaas a aaagog ant east tan Rasa$mile a am awe m atom tgoal II -Civ.Code Sec.910.2.provides"The claim shall be signed by the claiaumt or by some person on his SEND NOTICES 10_: Wwmey) ) Nance and address ofAttorney Paim t,S ) r urns Crk- - P1 > 5ar, cion } (Address) q Ll 5 g Z... } o , Telephone No. )Telephone No. (. t 2,5�1 + v t) - z o 3� a."Susat omega sasassasse a am alismamsaslolaiaalil seen iRRmssasssR!ltYsmsaM was a toot a •Moat PUBLIC RECORDS NOTICE: Please be advised that this claim form,or any,;claim filed with the County under the Tort Claims Act,is jest to Public disclosure under the Calc£ mk Public Rewards Act. (Gov. Code, 65 5500 at seg). F re, any auacbments,addenda ms,or supplements attached to the claim form,including medical swords,are also beat to public disclosure. a%tamsat<nataaaaa amaassma aft wamamssmtfgaglsia ata a■aataslgaaatsa ltaseltsaammismaa saasamt NOTICE: S'ed ion 71 of the Penal Ca&provides. Every person who,with intent to defraud,presents for allowance or for payment to any state board or fficer,or to any county, city, or district board or off=, authorized to allow or pay the same if genuine, an fd o or fraudulent claim,bill,act xmt voucher, or�is`punishable either by*risozument m the Coon jail for.at period of not more than one year, by a fine of not mwee4h-one thousand dollars($1,000.00), or by such imprisonment and fine, or by imprisoumetit in the state prison, by a fine of not exceeding ten thous dollars ($10,0001 or by both such imprisonment and fine. 'd S61 'ON INA39VNVN NSJd 3)3 Wd8! :E LOOZ 'Z Nd( % !o-g�:�. e r"ry?`•;r .; w s i.. � 6.� x„ e `� 'is` �': t�� " r�. -r 4,� ! �'b� �� ..Sr r 'ff r Ir � i� � t # '. FE k-1—Z E m r i f r •.EE n 9 ,:E iR aCD DC7 '�H R !3 .W;: ILL. .'' 'y r�9� != d • j a Q m Z ,� 0-1 0 upiOF Ji' % } i ? •.'Y'' Ff r ,t s rt.;ey °` t ! ;. re.� s;`.n r' .P f . rm. r a r _'� •,' { zi �'� .q Ute PE ,-0 '!an dL'`. '� 5 a`_ ' '-s,v s -' .. •,7:a J� m .*L` i f ° _ "� j •1, +¢ N ��- � afi ;rte �: t �.r.+' Si' t r '1bx y - { a �'v • e',�s , 'v � x4� rC� � � � tib � �': �� v6 � ! x �,., r - . o. a�a_ .r Z '�=.6•, '0` ira 'y�'3 � - :'4 3 '- ,,xr'�';,, .>� r.r^t `,�. r; • 12 '�,� a�€` _ m � � � � ( ,� � � t �ri - t :?. -E �, };;a n,>•.xy fes. r s' ,� t' � '#F�' s . 'h333 t � zt .° . ,yb1i ^� �r i'� 1"'!r7 ' a� ->�e! •: 53 Jr.r�' 11 t i .> K ;S S - - ; t .F Le I �'tir�.'rt, t,,y v 'a'v {a "1 t`- E f I,.M `{g' 1 •. pf a e' t 'v pds,`.t r '�`s �j � ti x L' ;3 L s �F-,' i a { y trate: � y. �� t �Y '6 r �. �fi, j� ��rt'..9 1 + - zr` Fes, a�;�� •{7 xra �.+-a a ani IS E � jmv -21 �BH ~r':�.3 r•r'4 �,^ r r, a ^�c a ...� "kv �A °�` 2kx.' n �t' t cs -Ov _ g .: sem. !. � '�� a t , a �;�k�" •,v � ,F.j,r t �� v c� 'O iu s uNF.3.y! �j �"k.' x''`3 M; � :.,�..rs"7 a .tis .�'. c e*` .S' ::4 w, zr s 3�'",p•' ;�'•y,� i,k� :�k r'a r 12/15/2006 at 03 : 53 PM Job Number: 13472 TRI-VALLEY AUTO BODY INC. License #:AG173640 SERVING THE VALLEY SINCE 1980 3561 FIRST STREET LIVERMORE, CA 94550 (925) 443-8548 Fax: (925) 443-0110 PRELIMINARY ESTIMATE Written By: J.R. Romero Adjuster: Insured.: COURTNEY SMITH C'.aim #05-5350-9640. Owner: COURTNEY SMITH Policy # Address: 3616 RIO GRANDE DR Deductible: $100 .00 ANTIOCH, CA 94509-5419 Date of Loss: Evening: (925) 757-1982 Type of Loss: Collision Point of Impact: 6 . Rear Inspect TRI-VALLEY AUTO BODY INC. Business: (925) 443-8548 Location: 3561 FIRST STREET LIVERMORE, CA 94550 Insurance STATE FARM INSURANCE COMPANIES Company: 2590 N FIRST ST Days to Repair SAN JOSE, CA 95131 2005 CHRY 300 6-2 . 7L-FI 4D SED BLACK Int : VIN: 2C3JA43R65H624895 Lic: 5KQT557 CA Prod Date: 12/2004 Odometer: Condition: Good Air Conditioning Rear Defogger Tilt Wheel Cruise Control Telescopic Wheel Intermittent Wipers Keyless Entry Body Side. Moldings Dual Mirrors Clear Coat Paint Power Steering Power Brakes Power Windows Power Locks Power Driver Seat Power Mirrors Power Trunk/Tailgate AM Radio FM Radio Stereo Search/Seek CD Player Driver Air Bag Passenger Air Bag 4 Wheel Disc Brakes Cloth Seats Bucket Seats Automatic Transmission Overdrive ------------------------------------------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ------------------------------------------------------------------------------- 1 REAR BUMPER 2** Repl RECOND Bumper °cover w/300, SXT 1 204 . 00 1 . 7 3 . 0 3 Add for Clear Coat 1 . 2 4# FLEX ADD PER COVER 1 2 . 50 T 5# Subl HAZ MAT DISPOSAL 1 2 . 00 X ------------------------------------------------------------------------------- Subtotals =_> 208 . 50 1 . 7 4 . 2 1 12/15/2006 at 03 : 53 PM Job Number: 13472 PRELIMINARY ESTIMATE 2005 CHRY 300 6-2 . 7L-FI 4D SED BLACK Int : Parts 204 . 00 Body Labor 1 . 7 hrs @ $ 65. 00/hr 110 . 50 Paint Labor 4 . 2 hrs Q $ 65 . 00/hr 273 . 00 Paint Supplies 4 .2 hrs Q $ 30 . 00/hr 126 . 00 Sublet/Misc . 4 . 50 ---------------------------------------------------- SUBTOTAL $ 718 . 00 Sales Tax $ 332 . 50 Q 8 . 7500% 29 . 09 ---------------------------------------------------- GRAND TOTAL $ 747 . 09 ADJUSTMENTS : Deductible 100. 00 ---------------------------------------------------- CUSTOMER PAY $ 100 . 00 INSURANCE PAY $ 647 . 09 FOR YOUR PROTECTION CALIFORNIA LAW REQUIRES THE FOLLOWING TO APPEAR ON THIS FORM: ANY PERSON WHO KNOWINGLY PRESENTS FALSE OR FRAUDULENT CLAIM FOR THE PAYMENT OF A LOSS IS GUILTY OF A CRIME AND MAY BE SUBJECT TO FINES AND CONFINEMENT IN STATE PRISON. THE FOLLOWING IS A LIST OF ABBREVIATIONS OR SYMBOLS THAT MAY BE USED TO DESCRIBE WORK TO BE DONE OR PARTS TO BE REPAIRED OR REPLACED: MOTOR ABBREVIATIONS/SYMBOLS : D=DISCONTINUED PART A=APPROXIMATE PRICE LABOR TYPES : B=BODY LABOR D=DIAGNOSTIC E=ELECTRICAL F=FRAME G=GLASS M=MECHANICAL P=PAINT LABOR S=STRUCTURAL T=TAXED MISCELLANEOUS X=NON TAXED MISCELLANEOUS PATHWAYS : ADJ=ADJACENT ALGN=ALIGN A/M=AFTERMARKET BLND=BLEND CAPA=CERTIFIED AUTOMOTIVE PARTS ASSOCIATION D&R=DISCONNECT AND RECONNECT EST=ESTIMATE EXT. PRICE=UNIT PRICE MULTIPLIED BY THE QUANTITY INCL=INCLUDED MISC=MISCELLANEOUS NAGS=NATIONAL AUTO GLASS SPECIFICATIONS NON-ADJ=NON ADJACENT O/H=OVERHAUL OP=OPERATION NO=LINE NUMBER QTY=QUANTITY .QUAL RECY=QUALI-TY RECYCLED PART QUAL REPL=QUALITY REPLACEMENT PART COMP REPL PARTS=COMPETITIVE REPLACEMENT PARTS RECOND=RECONDITION REFN=REFINISH REPL=REPLACE R&I=REMOVE AND INSTALL R&R=REMOVE AND REPLACE RPR=REPAIR RT=RIGHT SECT=SECTION SUBL=SUBLET LT=LEFT W/O=WITHOUT W/_=WITH/_ SYMBOLS : #=MANUAL LINE ENTRY *=OTHER [IE. .MOTORS DATABASE INFORMATION WAS CHANGED] **=DATABASE LINE WITH AFTERMARKET N=NOTES ATTACHED TO LINE. MQVP=MANUFACTURER' S QUALIFICATION AND VALIDATION PROGRAM. OPT OEM=ORIGINAL EQUIPMENT MANUFACTURER PARTS EITHER OPTIONALLY SOURCED OR OTHERWISE PROVIDED WITH SOME UNIQUE PRICING OR DISCOUNT. NWCPP=NATIONWIDE CRASH PARTS PROGRAM. 2 12/15/2006 at: 03 : 53 PM Job Number: 13472 ( PRELIMINARY ESTIMATE 2005 CHRY 3',00 6-2 . 7L-FI 4D SED BLACK Int : Estimate based on MOTOR CRASH ESTIMATIING GUIDE. Unless otherwise noted all items are derived from the Guide DR3NW05 Database Date 11/2006, CCC Data Date 11/2006, and the parts selected are OEM-parts manufactured by the vehicle's Original Equipment Manufacturer. OEM parts are available at OE/Vehicle dealerships. OPT OEM (Optional OEM) or ALT OEM (Alternative OEM) parts are OEM parts that may be provided by or through alternate sources other than the OEM vehicle dealerships. OPT OEM or ALT OEM parts may reflect somelllspecific, special, or unique pricing or discount. OPT OEM or ALT OEM parts may include "Blemished" parts provided by OEM's through OEM vehicle dealerships. Asterisk (*) or Double Asterisk (**) indicates that the parts and/or labor information provided by MOTOR may have been modified or may have come from an alternate data source. Tilde sign (-) items v indicate MOTOR Not-Included Labor operations. Non-Original Equipment Manufacturer aftermarket parts are described as AM, Qual Repl Parts or Comp Repl Parts which stands for Competitive Replacement Parts. Used parts are described as LXQ, Qual Recy Parts, RCY, or USED. Reconditioned parts are described as Recon. Rec�ored parts are described as Recore. NAGS Part Numbers and Benchmark Prices are provided by National Auto Glass Specifications. Labor operation times listed on the line with the NAGS information are MOTOR suggested labor operation times. NAGS labor operation times are not included. 'Pound sign (#) items indicate manual entries. Some 2006 vehicles contain minor changes from'Ithe previous year. For those vehicles, prior to receiving updated data from the vehicle manufacturer, labor and parts data from the previous year may be used. The Pathways estimator has a complete list of applicable vehicles. Parts numbers and prices should be confirmed with the local dealership. II CCC Pathways - A product of CCC Information Services Inc. 3 0 o � 4 ISI CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY BOARD ACTION. FEBRUARY 06 , 2007 Claim Against the County, or District I'IiGoverned 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 p'I on your claim by the Board of Supervisors. (Paragraph IV below), given Pursuant to Government Code JAN 0 9 2007 M Section 913 and 915.4. Please note all AMOUNT: $1 , 154 . 63 „ COUNTY COUNSEL Warnings . CLAIMANT: CINDY MAGEE l MARTINEZ CALIF ATTORNEY: UNKNOWN �� DATE RECEIVED: JANUARY 09 , 2007 ADDRESS: 3484 GREGORY DRIVE, BY DELIVERY TO CLERK ON: JANUARY 09 , 2007 BAY POINT, CAI�, 94565 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 l � Dated: JANUARY 09 , 2©07 By: Deputy 11. FROM: County Counsel TO: Clerk of the Board of S pervisors ( 0e,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). 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'japply for leave to present a late claim (Section 911.3): O Other: Dated: _�J © ' o By: �� 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. 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: ;'"&IYmG49) HN 'CULLEN, CLERK, By Deputy Clerk WARNING (Go . code section 9131�) 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 ol'This Notice. AFFIDAVIT OF MAILING I declare under penalty of perjury that l 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 frilly prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated� � �'� �� JOHN CULLEN, CLERK By Deputy Clerk BO."M OF SUTERVISOPS OF CONTRA C(3S'TA COUNTY INSTRUCTIONS TO CLAINLA,NT A. A claim relating to a cause of action for death or for injury to person or to personal propel� of growing crops shall be presented not later than six months after the accrual of the cause of action. A claim relating to any others cause of action shall be.presented not later than one y az . after the accxual 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 boom 106, County Adniitaistration 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 uamp of the District should be filled in. D, If the claim is against more than one public entity, separate claims roust be filed against ach. public entity. E, Fraud. See penalty for fraudulent claims,Penal Code Sec.72 at the end of this form. '-X X■■RX f■XY k W u Box Xo X am %s X■%W ktvlF mum■f■XFXLoxam■Xb w M R K tot■oXmtXXPmuu%x2XKXx R""Ll RE: Claim By: Reserved for Clerk's fling stamp Cin dk M oa ez } RECEIVE® Against the ouuty of Contra Cost or } -- - District) JAN O 9 2007 (Fill in the name) Y CLERK BOARD OF SUPERVISORS CONTRA COSTA CO. The undersigned claimant hereby makes claim.against the the County of Contra Costa or the above- ed district in the m.suof$ / / li/, & , anal.in support of this claim represents as follows: L When did the damage or injury occur? (Give exact date and hour) Oecember 2. Where did the damage or injury occur? (Include city and county) -E � sz�5 3. How did e darn ge or uj ury occur? (Give full details;use extra aper if required) '1 i olrG l � -f' � 3311'7 sd� , -� s � -/�kf 00 4. What pattewar act or ornmass&ioeien the part of county or district Mcers, servants, or >a low's causAd the injury or damage? 5 What are the names of county or district officers,servants,or Prnployees causing the damage or injury? '0N 6. What damage or injuries do your claim resulted? (Give fall extent of injuries or dames claimed. -Attach-two estimates for auto damage.) • - . - 7. How was the amount claimed above computed? (Include the estimated amount of any prospective injury or damage.) S. Names and addresses of witnesses, doctors, and hospitals. F09. List the expenditures you .made on account of this accident or injury: DATE T �! IME AMOUNT � � 17 4AI's -77m<f- a r Y X a k X■►INN k an R■ X a r Ito a r%■ i no 0 i R INN NO**6 a a a X R X!R R R a F a■r V X X R VMS X X l X No OIL!MR NA X G R*a l .Gov. Code See. 910.2 provides"The claim shall be signed by the claimant or by some person on his behalf." SEND NOTICES TQ- fAttomgvl ) Name and address of Attorney ) �� Clarm.aut' ignature) 4 v } ( ddr ss) • 0-4 1 P6 1'r) 64-1 Telephone No. � )Telepho=No. 11rr!ranot andaaXaRaXa■Xa■aRXtKraaXSao 1!XRaRY■X!■■!akXR7a!X■XkaXRXXXX!XXX!YIaai! !X XRcXXI PUBLIC,RECORDS NOTICE: ICE: Please be advised that this claim form, or any!lclaim-filed with the County ander the Tort Claims Act,is s bject to public disclosure under the California Public Records Act (Gov- Code, 95 6500 et seq.) Furthe re, auy attachments,sddendums, or supplements attached to the claim form,including medical records, are also 41bjectto public disclosure. �I i a RON XXr■■X1aX►u■Rka aXXa!■ ■ "RX,XalXXXXr XaXRRr RaX Afa YXXly!!■XX RlYkaX XXaaXa M.SKIN RON XUYXXZ% NOTICE: Section 72 of the pend.?Code provides: Every person who, with intent to defraud, pesents for allowance or for payment to any state board or Meer, or to any county, city, or district board or officer, authorized to allow or pay the same if genuine, an false or fraudulent claim., bill, account voucher, or Juriting, is punishable either by imprisonment in the Couu jail for a period of not more than one year, by a fine of not exceeding one thousand dollars ($1,000.00), or by oth such imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thous d dollars W0,0!00),or by both such imprisonment and fine. i 01/02/2007 at 09 : 24 AM Job Number: 13030 JIM'S CALIFORNIA AUTO BODY INC. License # :AF178743 Federal ID # : 942227228 EST. 1962 2520 Monument Blvd. Concord, CA 94520 (925) 6891;-6117 Fax: (925) 689-7836 PRELIMINARY ESTIMATE Writtpn By: Brian Mahler Adjuster: Insured: CINDY MAGEE Claim # Owner: CINDY MAGEE Policy # Address: 3484 GREGORY DR Deductible: BAY POINT, CA 94565 I Date of Loss: Day: (925;) 261-9221 Type of Loss: Evening: (925) 323-7899 Point of Impact: ii Inspect Location: Insurance 4 Company: II Days to Repair 1999 DODG CARAVAN 4X2 4-2 . 4L-FII3D VAN BLUE Int : VIN: 2B4FP25B5XR369879 Lic: 4FRG786 CA Prod Date: Odometer: Condition: Good Intermittent Wipers Rear wiper Body Side Moldings Dual Mirrors Clear Coat Paint Power Steering Power Brakes AM Radio FM Radio Stereo Driver Air Bag Passenger Air Bag Cloth Seats Hiback Bucket Seats Automatic Transmission ------------------------------------------------------------------------------- { NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ii -- ------- -- -----,'----------- -------------- ------- ---------- ------ 1 FRONT BUMPER 2 R&I R&I bumper cover 1 . 7 3 FRONT LAMPS'il 4 R&I LT Headlamp assy w/o Quad Incl . Lamps 5 Repl Aim headlamps j 1 0 . 5 6 FENDER 7 Repl LT Fender 1 153 . 00 3 . 0 2 . 0 8 Add for Clear Coat 0 . 8 9 Add for Edging 0 . 5 10 Add for Clear Coat 0 . 1 11 Deduct for Overlap -0 . 4 12 R&I LT Mud guard high line, low 0 . 2 line gray green 13 FRONT DOOR 14 Blnd LT Door shell 1 . 2 15 R&I LT Belt w' strip outer 0 . 3 II I 1 II 01/02/2007 at 09 : 24 AM Job Number: 13030 PRELIMINARY ESTIMATE 1999 DODG CARAVAN 4X2 4-2 . 4L-FI 3D VAN BLUE Int : ---------------------------------' ----------------------------------------------- NO. OP. DESCRIPTION QTY EXT. PRICE LABOR PAINT ---- ---------------------------------------------------------------------------- 9 16 R&I LT Handle, outside 0 . 3 11 17 R&I LT R&I trim panel 0 . 4 18 PILLARS, ROCKER & FLOOR 19 R&I LT Mirror assylllauto dim Incl . w/memory 20# TINT COLOR 1 0 . 5 21# COVER CAR j 1 5 . 00 0 . 1 22# Subl HAZARDOUS WASTE 1 5 . 00 ---- ------------- ---------------- ----------------------------------------------- �Subtotals =_> 163 . 00 6 . 6 4 . 6 U i Parts 163 . 00 Body,jLabor 6 . 6 hrs @ $ 74 . 00/hr 488 .40 Paint Labor 4 . 6 hrs @ $ 74 . 00/hr 340 .40 Paint Supplies 4 . 6 hrs @ $ 30 . 00/hr 138 . 00 ---------------------------------------------------- SUBTOTAL $ 1129 . 80 Sales Tax $ 301 . 00 @ 8 . 25001 24 . 83 ------------------------------------------------ GRAND ----------------------------------------------GRAND TOTAL $ 1154 . 63 ADJUSTMENTS : Deductible 0 . 00 7----------------------------------------------- CUSTOMER PAY $ 0 . 00 INSURANCE PAY $ 1154 . 63 ** _ *** VISA / MASTERCARD / ATM ACCEPTED FOR DEDUCTIBLE***** Due to many unforseen circumstances in the repairing of automobiles, we regret that we can only estimate, not promise a completion date and time . 2 I PACIFIC AUTO BODY SHOP 2575 MONUMENT BOULEVARD, SUITE N CONCORD, CA 94520 f PHONE: (925) ,825-2099 FAX: (925) 825-2097 EXPERT PAINTING'& COLOR MATCHING BAR #AD159992 CD LOG NO 2682-1 DATE 01/02/07 SHOP: PACIFIC AUTO BODY SHOP INC INSP DATE: 01/02/07 ADDRESS: 2575 MONUMENT BLVD '# N PHONE 1 : (925) 825-2099 CITY STATE: CONCORD, CA FAX: (925) 825-2097 ZIP: 94520- OWNER: MAGEE, CINDY HOME PHONE: (925) 261-9221 ADDRESS: 3484 GEAGORY DR CITY STATE: BAY POINT, CA ZIP: 94665 POINT OF IMPACT: 0 DAYS TO REPAIR: 0 LIC#: 4FRG786 STATE: VIN: 2B4F25B5XR369879 BODY COLOR: PURPLE MILEAGE: 119, 853 CONDITION: GOOD ACCTNG CTL#: PROD.DATE: 03/99 PAINT CODE: *=USER-ENTERED VALUE E=RE PLACE OEM NG=REPLACE NAGS EC=REPLACE ECONOMY UE=REPLACE OE SURPLUS UC=RECONDITIONED PRT UM=REMAN/REBUILT PRT EU=REPLACE SALVAGE EP=REPLACE PXN OE=REPLACE PXN OE SRPLS PC=P RECONDITIONED PM=PXN REMAN/REBUILT TE=PARTL REPL :PRICE ET=PARTL REPL LABOR IT=PARTIAL REPAIR I=REPAIR L=REFINISH BR=BLEND REFINISH TT=TWO-TONE CG=CHIPGUARD SB=SUBLET N=ADDITIONAL LABOR RI=R&I ASSEMBLY P=CHECK AA=APPEAR ALLOWANCE RP=RELATED PRIOR UP=UNRELATED PRIOR 1999 DODGE CARAVAN LE 4DOOR PASSENGER VAN 6CYL GASOLINE 3. 8 CODE: N6622C/D OPTNS L/24HDEFIRLMPT OPTIONS: TWO-STAGE - :EXTERIOR SURFACES TWO-STAGE - INTERIOR SURFACES LEFT SLIDING SIDE DOOR POWER DOOR LOCKS POWER WINDOWS HEATED REMOTE CONTROL MIRRORS HEATED TAILGATE GLASS ANTI-LOCK BRAKE SYSTEM TILT STEERING WHEEL AIR CONDITIONING CRUISE CONTROL OVERHEAD CONSOLE 0 OP GDE MC DESCRIPTION MFG.PART NO. PRICE AJ% B% HOURS R -- --- -- ----------- ------------ ----- --- -- ----- - BR 0083 13 PANEL,HOOD BLEND REFINISH 2 .2 4 RI 0086 EMBLEM,HOOD PANEL R&I ASSEMBLY 0. 1 1 E 0103 FENDER, FRONT LT 4882291AA 153. 00 3 . 6 1 PAGE 1 1999 DODGE CARAVAN LE 4DOOR PASSENGER VAN CD LOG NO 2682-1 L x'0103 FENDER, FRONT LT REFINISH 2 . 5 4 BR 0207 DOOR SHELL, FRONT ,LT BLEND REFINISH 1 . 3 4 RI 0217 MIRROR, OUTER R/C hLT R&I ASSEMBLY INC 1 RI 0211 HANDLE, FRONT DOOR 0 L R&I ASSEMBLY 0. 6 1 7 ITEMS MC MESSAGE (S)i 13 INCLUDES 0.?6 HOURS FIRST PANEL TWO-STAGE ALLOWANCE FINAL CALCULATIONS & ENTRIES GROSS PARTS 153. 00 PAINT MATERIAL 168 . 00 PARTS & MATERIAL TOTAL 321 . 00 TAX ON PARTS & MATERIAL @ 8.2500 26.48 i LABOR RATE REPLACE HRS REPAIR HRS 1-SHEET METAL 68j. 00 4 . 3 292 . 40 2-MECH/ELEC 75.00 3-FRAME 681. 00 4-REFINISH 68,1. 00 6. 0 408 . 00 5-PAINT MATERIAL 28,',. 00 LABOR TOTAL 700.40 SUBLET REPAIRS TOWING STORAGE GROSS TOTAL 1, 047 . 88 NET '.DOTAL 1, 047 . 88 SHOPLINK U0666 ES CD LOG 2682-11 DATE 01/02/07 09: 39:22AM R6.37 CD 12/06 HOST LOG (C) 1998 - 2006 AUDATEX NORTH AMERICA, INC. it 1 . 9 HRS WERE ADDED TO THIS EST.'' BASED ON AUDATEX TWO-STAGE REFINISH FORMULA. ----•----------------------------------------------------------------------- THIS ESTIMATE IS BASED ON OUR INSPECTION AND DOES NOT COVER ADDITIONAL PARTS OR LABOR THAT MAY BE REQUIERED ';'AFTER THE WORK HAS BEEN STARTED. WORN OR DAMAGED PARTS WHICH ARE NOT EVIDENT ON FIRST INSPECTION MAY BE DISCOVERED .THIS ESTIMATE CAN NOT COVER SUCH CONTINGENCIES . REPAIRS AUTHORIZED BY X DATE it �i PAGE 2 i