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Home My WebLink AboutMINUTES - 02052008 - C.7 (3) CLAIM BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY C -T BOARD ACTION: FEBRUARY 05, 2008 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. DEC 2 you is your notice of the action taken 6 2007 on your claim by the Board of COUNTY C. JNSEL Supervisors. (Paragraph IV below), l IARTINI%y C,kh� given Pursuant to Government Code AMOUNT: IN EXCESS OF $25,000.00 Section 913 and 915.4. Please note all "Warnings". CLAIMANT: SYLVIA TAYLOR ATTORNEY: BRIAN LARSEN DATE RECEIVED: DECEMBER 26, 2007 ADDRESS: 530 JACKSON STREET, By DELIVERY TO CLERK ON: DECEMBER 26, 2007 SAN FRANCISCO, CA 94133 RECEIVED THROUGH BY MAIL POSTMARKED: INTER OFFICE MAIL FROM: Clerk of the Board of Supervisors TO: County Counsel Attached is a copy of the above-noted claim. DECEMBER 26, 2007 JOHN CULLEN, Dated: By: Deputy II. FROM: County Counsel TO: Clerk of the Board of Su ervisors (,This claim complies substantially with Sections 910 and 910.2. ( ) This Claim FAILS to comply substantially with Sections 910 and 910.2, and we are so notifying claimant. The Board cannot act for 15 days (Section 910.8). ( ) Claim is not timely filed. The Clerk should return claim on ground that it was filed late and send warning of claimant's right to apply for leave to present a late claim (Section 911.3). O Other: Dated: 7- D By: MC19=&o Deputy County Counsel III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator(2) ( ) Claim was returned as untimely with notice to claimant (Section 911.3). 1V. ,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: >6a2 r y ev�ronOHN CULLEN, CLERK, By Deputy Clerk WARNING (Gov. 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 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 Wareing See Reverse Side of This Notice. AFFIDAVIT OF MAILING I declare under penalty of perjury that I am now, and at all times herein mentioned, have been a citizen of the United States, over age 18; and that today I deposited in the United States Postal Service in Martinez, California, postage fully prepaid a certified copy of this Board Order and Notice to Claimant, addressed to the claimant as shown above. Dated:�G6atcar G` JOHN CULLEN, CLERK By Deputy Clerk 12/18/2007 08:52 CONTRA COSTA COUNTY CLERK OF THE --� 914153985080 NO.962 D01 gOpp OF SUPERVISORS OF CONTRA CO TA COUNTY INSTRCAIMANT C A. A claim relating to a cause of action for death or for injury to person or to personal Property or growing crops shall be presented not later than Six nths ll be rated not later than o the use' of of action. A claim relating to any other cause of acts P after the accrual of the cause of action. (Gov, Code § 911.2.) B. Claims must be filed with the Clerk of the Board of euPC sors 94553- at 4553 its office in Roam 106, County Administration Building, 651 Pine Street, Martin 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 ) RECEIVED ULI, L ki LUva ctig90 GAG Against the County of Contra Costa or } T9q o�sGA �i CLERK BOARD OF SUPERVISORS 0 V CONTRACOSTACO. � SSL, ` District} �s (Fill in the name) ) The undersigned claimant hereby akes claim againsort t he this County aim presents as follows:e, above-named district in the sum of$ rand m suer 1. When did the damage or injury occur? (Give exqct dw andhour)� 2. Where did a damage or Jury oecur�c��c��djCO�%-el�1 IJV� 1 ��ry�occur? ((3ive full de ' s;use extra pap . if required) VA 3. HoVv did edam e°cmc a r district officers, servants, or employees Tom' e art h0founty4. t particular act or omissi on tb P � caused the iaj or damage?(�Q` ,� 5 What are the names of ounty or district officers, servants, or employees causing the damage or injury? Q ftovM 12/18/2007 08:52 CONTRA COSTA COUNTY CLERK OF THE 4 914153985080 NO.962 P02 6. Y What damage or injuries do your claim resulted?� (Give full a ent of injuries mor damageC � �� cl ' ed; Attach two estimates for auto damage.) ` 1 ` 0.1 tc u the ° o -U_ ow was a a�Q c ova mtrte ? )PLO v 7. prospective injury or damage.) (��;� �v�%�a�• . d ess sof witness s, doctors, spitals: I �7iN�XJ�1 8. Names an �NC��" 4,M'e a unt Vail of this ra nt°�m]UrY•peAdttures you m neo A140 DDAAT'E_ � hr ■1 s 1 s s r■r s s 1 s s s s s so ONE 1 s s A■s s s r■■■M s s■■■s66101110`109 sups o■■■■■■■1■s so guano,as ■■■items s■1 M�6 Gov. Code Sec. 910.2 provides"Theclaimn� be sigaed by the claimant or by some p Il behalf." SE] D N TI ES TO: Attorne Name and address of Attorney } — T)An �� (a5b ) ( ant's Signature) 53�0 C i(JT J'pr1.✓ o/Z CG.O/MA ewl,�( k ) (Address) 6rA114C /rL t/ 7- 5'33 Telephone Noy11'� )Telephone Nq ■■■■r■■rs■��.s�■r■��■■.��r.■■s■■.rr■■.r■■■■■■�r.■■�■r•■�■■■rr��r�.r�r�1�r■1.0r■s■ds■, PUBLIC RECORDS NOTICE: Please be advised that this claim form, or any claim filed with he County under 65 4the o et Sq.) l~urthermorrt Claims Art, is e, any public disclosure under the California Public Records A medical records, are also subject to attachments, addendums,or supplements attached to the claim form, including public disclosure. •1■■1■s1■■�■■1ss..powwow 1■■�■r1■1■■■■..w■■s■s■r■u1■n1usr■1rs■i NOTICE: Section 72 of the Penal Code provides: payment to any state board or officer, or esonts for allowance or for payor false or Every person who, with intent to defraud, pr 8 the same if genuine, any ail for a to any county, city, or district board or officer, authorizEd to allow °r Pim risonment in the County j bill account voucher, ar writing, is punishable either by P ODO.OD), or by both such fr$udulent claim bill, a fine of not exceeding one thousand dollars ($1, period of not more than one Year by a fide of not exceeding ten thousand dollars imprisonment and fne, OT by imprisonment in the state prison, by ($10,000),or by both such imprisonment and fuse. 1 N !a J1 ,SIL ti^ 4�l ":gym Gaa Wvh�u r r 'Fl e;� Y �• � Via' Ir N' 7� —mwmbwwW y � ?s1, � # � �• �•�-'nom ':��``:"'`- R 4 r � , irr �e umu� 4% _T4 R '�Yu ►� k $ Ap J � 'yam t4 .�,: �- a�..• ,.M; 1 , 4 as w / tYy��, �,y6 Y• ��`. �L• '6V° yam~ i.' 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