Request DismissalCal. Super. - 6th Dist.September 4, 20181 8CV334372 Santa Clara - CIVII CN_1 1 o ATTORNEY 0R PARTY WITHOUT ATTORNEY (Name, Slate Bar number, and address): A. Flor asca Kevin H. Park SBN: 96562 FOR COURTUSE ONLY Hartsuyker, Stratman & Williams-Abrego 4607 Lakeview Canyon Rd., #275, Westlake Village, CA. 91361 Electronically Filed TELEPHONE. No': 8 1 8-540-44 1 7 FAX NO. (Optionaa: 8 l 8-540-4445 3y Superior Cou rt of CA, E-MAIL ADDRESS (Opbonal): c1ndy.canchola@farmers1nsurance.com n l . .ounty of Santa Clara, ATTORNEY FOR (NSWJ- Mld Centuly Insurance Company SUPERIOR COURT 0F CALIFORNIA COUNTY 0F SANTA CLARA m 1 1/1 3/201 9 9:45 AM .j Reviewed By: A. Floresca STREH ADDRESS: l 91 North Fust Street a #1 8cv3343 2 MAILING ADDRESS:191 North First Street :ase _ 7 CITY AND ZIP coDE:San Jose, 951 13 :nveloPe ' 3642408 BRANCH NAMEtDowntown Superior Coufl PLAINTIFF/PETITIONER: Mid-Centul Insurance Com any p y /s/ A. Floresca DEFENDANT/RESPONDENT: JB Products REQUEST FOR DISMISSAL CASE NUMBER; 18CV334372 A conformed copy will not be returned by the clerk unless a method of return is provided with the document. This form may not be used for dismissal of a derivative action or a class action or of any party or cause of action In a class action. (Cal. Rules of Court, rules 3.760 and 3.770.) 1. TO THE CLERK: Please dismiss this action as follows: a. (1) With prejudice (2)E VWhout prejudice b. (1) Complaint (2)D Petition (3)E Cross-complaint filed by (name): on (dale): (4)E Cross-complaint filed by (name): on (date): (5) Entire action of all parties and all causes of action (6)E Other (specifil):* 2. (Complete in all cases except family law cases.) The court D did did not waive courtfees and costs for a party in this case. (This information may be obtained from the clerk. Ifcoufi fees and costs were waived, the declaration on the back of this form must be completed). Date: November 12, 2019 7 _ /Kevin.H Bank................................ (TYPE 0R PRINT NAME 0F ATrORNEY E PARTY WITHOUT ATTORNEY) (SIGNATURE) "lf dismissal requested is 01 specified parties only of specifiqd causes of actjon Attorney or party WithOUt attorney for: only, or of specified cross-comfalamts onlydl so state and Identify the parties. PIaintiff/Pefitioner E Defendant/Respondentcauses of action,orcross-comp inlsto be smissed. E Cross-Complainant 3. T0 THE CLERK: Consentto the above dismissal is hereby given.” Date: ’ (TYPE 0R PRINT NAME 0F E ArronNEYE PARTY WITHOUT ATrORNEY) (SIGNATURE) Attorney or party without attorney for:“ If a cross-complalnt-ot Response (Family Law) seeking affirmative rr-i m.th u r - I' t d I t . . .. Sglfithisscms'eemHere:u?rr§§yt»y°cr:g§)eszrcgm?rgmgdgrees's’ggugggala?) E PIaIntIff/Petltloner D Defendanthespondent ”(9' E Cross-Complainant To be com leted b clerk( p y ) 11/13/2019 9:45 AM 4. m Dismissal entered as requested on (date): 5 E Dismissal entered on (date): as to only (name): 6. E Dismissal not entered as requested for the following reasons (specify): 11/1 3/2019 9:45 AM 7. a.E Attorney or party without attorney notified on (date): b. E Attorney or party without attorney not notified. Filing party failed to provideD a copy to be conformed E means to return conformed copy /s/ A. Floresca _ Clerk of Court Date: 11/1 3/201 9 9.45 AM cm by Deputy Page 1 of 2 F°'""‘“°P‘e‘"°' M‘"““°" “5° REQUEST FOR DISMISSAL Gov. cm, 5 533%??2)?&SF%$§:3?3&&5.3.13‘_?§33Judicial Council of California ClV-11U [Rem Jan. 1. 2013] wmmhmmm‘du. www.courts.m.yov CIV~1 1 O PLAINTEFF/PETiTIONER: Mid-Century Insurance Company CASE NUMBER: DEFENDANT/RESPONDENT: JB Products 18CV334372 COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS If a party whose court fees and costs were initiany waived has recovered or will recover $10,000 or more in vaiue by way of settlement, compromise, arbitration award, mediation settlement, or other means, the court has a statutory iien on that recovery. The court may refuse to dismiss the case until the lien is satisfied. (Gov. Code, § 68637.) Declaration Concerning Waived Court Fees The court waived court fees and costs in this action for (name): 2. The person named in item 1 is (check one below): a. E not recovering anything of value by this action. b. E recovering less than $10,000 in value by this action. c. E recovering $10,000 or more in value by this action. (/fitem 20 is checked, item 3 must be completed.) 3.E All court fees and court costs that were waived in this action have been paid to the court (check one): [:3 Yes E] N0 1. I deciare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: Kevin H. Park ’ (rYPE0R PRINT NAME 0F ATTORNEYE PARTY MAKING DECLARATION) (S'GNATURE) ClV-11O [Rev. January 1, 2013} REQUEST FOR DlSMISSAL Page 2 of 2 \OOOQQUI#UJNn-u NNNNNNNNNH ooqoxm4>w-oxo535§335538 PROOF OF SERVICE (C.C.P. §§1013a, 2015.5 and FRCP 5) STATE OF CALIFORNIA, COUNTY OF LOS ANGELES: I am a citizen ofthe United States, over the age of eighteen years and not a party to the within entitled action. I am employed at 3 1051 Agoura Rd., Westlake Village, California 91361. On l\/ l3"9 , I served the attached described document: REQUEST FOR DISMISSAL on the interested party(ies) in said action, by placing a true copy thereof, enclosed in a sealed envelope, addressed as follows: Ernest L. Weiss, Esq. Klinedinst PC 5 Hutton Centre Dr., Ste. 1000 Santa Ana, CA. 92707 and served the named document in the manner indicated below: [XX ] BY MAIL: I caused true and correct copies ofthe above documents, by following ordinary business practices, to be placed and sealed 1n envelope(s) addressed to the addressee(s), at the offices ofLAW OFFICES OF HARTSUYKER, STRATMAN & WILLIAMS-ABREGO, 3 1051 Agoura Road, Westlake Village, California 91361, for collection and mailing with the United States Postal Service, and 1n the ordinary course of business, correspondence placed for collection on a particular day is deposited with the United States Postal Service that same day. I am aware that on motion ofthe party served, service is presumed invalid if postal cancellation date or postage meter date is more than one day afier date of deposit for mailing in affidavit. [ ] BY FACSIMILE: I caused a copy(ies) of such document(s) to be transmitted via facsimile machine. The fax number of the machine fiom which the document was transmitted was fax number: (818) 540- 4445. The fax number(s) ofthe machine(s) to which the document(s) were transmitted are listed above. The fax transmitted was reported as complete and without error. I caused the trans facsimile machine to print a transmission record of the transmission, a copy of which ls attach e oy : a ‘ [XX] (STATE) I declare under penal f ' under foregoing is true and correct. Executed on “fig“? Wnchola