HomeMy WebLinkAboutMINUTES - 06242008 - C.29 (2) AMENDED CLAIM
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY
BOARD ACTIONJU1 & Z+
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. I7ou is your notice of the action taken
!!!!llll tZlion your claim by the Board of
MAY 2 2 2008 Supervisors. (Paragraph IV below),
COUNTY COUNSEL given Pursuant to Government Code
_ MARTINEZ CALIF. Section 913 and 915.4. Please note all
AMOUNT: 2�. ' fly r "Warnings".
CLAIMANT: CVrJ sfan6
ATTORNEY: DATE RECEIVED: Y y `mak �( , a 15
ADDRESS: c a 61-- BY DELIVERY TO CLERK ON: 60-)
I G4 �� BY MAIL POSTMARKED:
FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
��,,rr JOHN CUL N Clerk
Dated: awb By: Deputy Pyr Qi bL �ti
II. FROM: ounty Counsel TO: Clerk of the Board of Supervisors
(vr'I 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).
(wrOther: �'1G C0H 1T MCAC_4_ neZ 1115 __Q /S' e - e PL)//Ic_
Dated: 5' By: �C� Deputy County Counsel
III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator(2)
( ) Claim was returned as untimely with notice to claimant (Section 911.3).
IV. BOARD ORDER: By unanimous vote of the Supervisors present:
( This Claim is rejected in full.
( ) Other:
I certify that this is a true and correct copy of the Board's rder entered in its minutes for
this date.
Dated: o JOHN CULLEN, CLERK, By Deputy Clerk
WARNIN (Gov. code section 913)
Subject to certain exceptions,you have only six(6)months from the date this notice was personally served
or deposited in the mail to fide a court action on this claim.See Government Code Section 945.6.You may
seek the advice of an attorney of your choice in connection with this matter. If you want to consult an
attorney,you should do so immediately. *For Additional Warning See Reverse Side of This Notice.
AFFIDAVIT OF MAILING
I declare under penalty of perjury that I am now, and at all times herein mentioned, have
been a citizen of the United States, over age 18; and that today I deposited in the United
States Postal Service in Martinez, California, postage fully prepaid a certified copy of this
Board Order and Notice to Claimant, addressed to the claimant as shown above.
Dated: O JOHN CULLEN, CLERK By Deputy Clerk
AMENDED CLAIM
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY
BOARD ACTIONJUAC,- ZL� "
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 s
California Government Codes. ) you is your notice of the action taken
on your claim by the Board of
Supervisors. (Paragraph IV below),
given Pursuant to Government Code
�_ � - Section 913 and 915.4. Please note all
AMOUNT: < �2 �, "Warnings".
CLAIMANT: Cvl:l :9(al)
DATERECEIVED:ATTORNEY. q0L)
by0211
ADDRESS:-�-L-3( ctt CL. �51- BY DELIVERY TO CLERK ON:
l4'(Q,, BY MAIL POSTMARKED: ! Y
FROM: Clerk of the Board of Supervisors TO: County Counsel
Attached is a copy of the above-noted claim.
JOHN CUL NSI Clerk
Dated:6\k. J am By: Deputy IJ�NP J.1/D� ecu
11. FROM: ounty Counsel TO: Clerk of the Board of Supervisors
O 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: By: Deputy County Counsel
III. FROM: Clerk of the Board TO: County Counsel (1) County Administrator(2)
( ) Claim was returned as untimely with notice to claimant (Section 911.3).
1V. BOARD ORDER: By unanimous vote of the Supervisors present:
O 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: JOHN CUL,LEN, CLERK, By Deputy Clerk
WARNING (Gov. code section 913)
Subject to certain exceptions,you have only six(6)months from the date this notice was personally seined
or deposited ut the mail to fde 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. U you want to consult all
attorney,you should do so immediately. *For Additional Warning See Reverse Side of This Notice.
AFFIDAVIT OF MAILING
I declare under penalty of perjury that I am now, and at all times herein mentioned, have
been a citizen of the United States, over deposited in the United
age 18; and that today I
States Postal Service in Martinez, California, postage fully prepaid a certified copy of this
Board Order and Notice to Clainumt, addressed to the claimant as shown above.
Dated: __ __ JOHN CULLEN, CLERK By Deputy Clerk
BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY
` INSTRUCTIONS TO CLAIMANT
A. A claim relating to a cause of action for death or for injury to person or to personal property or
growing crops shall be presented not later than six months after the accrual of the cause of
action. A claim relating to any other cause of action shall be presented not later than one year
after the accrual of the cause of action.
(Gov. Code § 911.2.)
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.
tee... r„,ao cmc_ 72 t the end of this form.
E. Fraud. See penalty for fraudulent J aims, e:=l
OWN mum now ME OR
RE: Claim By: Reserved for Clerk's filing stamp
Oa
7 5-T, )
RECEIVED
Against the County of Contra Costa or ) MAY 2 1 2008
��\ District) CLERK BOARD OF SUPERVISORS
CONTRA COSTA COI�A At .
(Fill in the name) )
The undersigned claimant hereby makes claim against the County of Contra Costa or the above-named
district in the sum of$250 — 2 6c) and in support of this claim represents as follows:
1. When did the damage or injury occur? (Give exact date and hour)
i:L,-'S. iIT-H , 'Zd0 $ k 0 1 tAS RM
2. Where did the damage or injury occur? (Include city and county)
'A aRZ�N EZ �.J'T►�4 Lr,S-�a Dov N�
3. How did the damage or injury occur? (Give full details; use extra paper if required)
�. —m-CeT SWEepYc) "C>aCxVe_ v' ),k, � r�FET FL1�1C��NL RCL-�S EvE�`� Wtt1t10.E
C4%v5,N6 DAMAGE To MY
4. What particular act or omission on the part of county or district officers, servants, or employees
caused the injury or damage? A X50 A v E „o DRAGNS o k
ST?E6T wtTa> 1-10NG'T�CE ,
3tp�,upV� cs�a MY S�r�� Scc� ST� -QV P3U:5NEs6 "tHE=LE.
5 What are the names of county or district officers, servants, or employees causing the
damage or injury? ? �Cav-
ENciosE`�
• � N� THE S�LE��
Y�N� S�{aEOV�
S��5 �y_o�1►*►C� ���E N
S1��a
o0 N-`i S�QEET.
�
6•. What damage or injuries do your claim resulted. (Give full extent of injuries or dama9 s, � b0
.
claimed. Attach two estimates for auto damage.)
ON Ac7 O'F C:a`--Z- �►.,� u�luaSNtc _ r D\N 65 iw1 ��MS s►►v� P�'tJT
Cl1Z vJft'S kr-, DVa D\ZT \NS\VC- VE0\Uk- RS 'WC-
7.
WWF7. How was the amount claimed above computed? (Include the estimated amount of any
prospective injury or damage.) z S t'ov-E
NE Serb NE }AS a N ccc.c'u,.r�- wtt" `,'oU. t�C t1-1 'e, M xes A, A�-H� 3.
8. Names and addresses of witnesses, doctors, and hospitals:
N ) 'o"
9. List the expenditures you made on account of this accident or injury:u
DATE TME
OLNT
■n■.muss....n...n..n■.■.n....n....■■....n..■■.......In....n.n....n.......... . ........
Gov. Code Sec. 910.2 provides"1'he claim sh ' 'Dt
signed by the claimant or by some person on his
behalf."
SEND NOTICES TO (Attorney) )
Name and address of Attorney )
Cl ' ant's Signature)
3
INT P a -5 .
(Address)
Telephone No. ( `� ��� `'19 7 " `l 7
Telephone No. ) p
■memo Ems.....n.......n..nn...n.......................■■.....n.............. . .seasonal
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, §9 6500 et seq_) Furthermore, any
attachments, addend-ams,or supple nents attached to the claim form, including medical records, are also subject to
public disclosure.
..............................................................:.....................1
NOTICE:
Section 72 of the Penal Code.provides:
Every person who, with intent to defraud, presents for allowance or for payment to any state board or officer, or
to any county, city, or district board or officer, authorized to allow or pay the same if genuine, any false or
w
fraudulent claim, bill, account voucher, or writing, is punishable either by imprisonment in the County jail for a
period of not more than one year, by a fine of not exceeding one thousand dollars ($1,000.00), or by both such
imprisonment and fine, or by imprisonment in the state prison, by a fine of not exceeding ten thousand dollars
($10,000), or by both such imprisonment and fine.
City of. Martinez
STREET SWEEPING
SCHEDULE & ROUTES
—'— City Limit Boundary
MARINA ""••• Roadways
(• Freeways
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North
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BENNAM •:! \ j
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2008 STREET SWEEPING SCHEDULE
Hours 5:00 a.m. To 1:00 .m.
Sunday Monday Tuesday WednesdaL ThursdayFridaySaturda
MAY 1 2 3
5
4 5 6 7 8 9 10
8 2 10
11 12 13 14 15 16 17
9 3 Islands Islands
18 19 20 21 22 23 24
6 4 Parking Lots
25 26 27 28 29 30 31
HOLIDAY 7 1
JUNE 1 2 3 4 5 6 7
8 2 5
8 9 10 11 12 13 14
9 3 10
15 16 17 18 19 20 21
6 4 Islands Islands
22 23 24 25 26 27 28
7 1 Parking Lots
JULY 29 30 1 2 3 4 5
2 5 HOLIDAY
6 7 8 9 10 11 12
8 3 10
13 14 15 16 17 18 19
9 4 Islands Islands
20 21 22 23 2.4 25 26
6 1 Parking Lots
27 28 29 30 31 1 2
7
AUGUST 3 4 5 6 7 8 9
8 2 5
10 11 12 3 4 1516
9 3 10
17 18 19 20 21 22 23
6 4 Islands Islands
24 25 26 27 28 29 30
7 1 Parking Lots
This Information can also be found on our website at: www.cityofmartinez.org
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AI's Auto Detail
209 Berrellesa St
Martinez, Ca 94553
Tel.: (925)370-6033
Fax: (925)370-3540
1
CUSTOMER .
CO 5/19/2008 1
COREY STANLEY
3131 CATALPA ST
MARTINEZ,CA 94553
ITEM QUANTITY UNIT DESCRIPTION •
1.00 03 CADILLAC CTS PLATE#5MFE837 $260.00 $260.00
VIN#1391
1.00 COMPLETE DETAIL IN&OUT
COMMENTS
SUBTOTAL $260.00
TAX $0.00
TOTAL AMOUNT $260.00