The crash occurred around 6:40 p.m. in the area of Seventh and A streets, according to Oxnard police.
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The 38-year-old driver of the 2020 GMC Sierra truck stayed at the scene and cooperated with investigators, police said.
Police say the driver was headed west on Seventh Street toward A Street when the crash occurred, and that Ramirez was "crossing the intersection within the crosswalk."
Paramedics rushed Ramirez to an emergency room, but she did not survive.
"Our County mourns the loss of our Chair of the Board Carmen Ramirez. Chair Ramirez was a pedestrian involved in a vehicle accident in Oxnard and passed away this evening. We extend our heartfelt condolences to her family, loved ones, and her City and County community," the county announced in a social media post.
Ramirez, 73, grew up in the San Gabriel Valley with six siblings and worked in Ventura County since 1978, according to her 2020 campaign website. The county's website states she served on the Oxnard City Council for 10 years.
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Prior to being elected to the council in 2010, she worked as a longtime legal aid attorney serving low-income communities in Ventura County, officials said.
"I offer my sincere condolences to her husband, Roy Prince, and her family," said Oxnard Mayor John Zaragoza in a statement released Saturday. "We will miss Carmen tremendously. We worked together often, while I was serving as Supervisor and she was Oxnard's Mayor Pro Tem, and this camaraderie continued when she was elected Supervisor and I served as Mayor. She was passionate about environmental justice and creating a better future for our City. Her kindness, love and deep compassion for the community was felt by everyone. She will be dearly missed."
A candlelight vigil will be held at Plaza Park in Oxnard in honor of Ramirez at 7 p.m.