Request DismissalCal. Super. - 6th Dist.October 4, 2018X X 2/21/2020 2:38 PM 2/21/2020 2:38 PM 2/21/2020 2:38 PM /s/ S. Vera Electronically Filed by Superior Court of CA, County of Santa Clara, on 2/21/2020 2:38 PM Reviewed By: S. Vera Case #18CV335939 Envelope: 4066499 18CV335939 Santa Clara - Civil S. Vera ClV-110 Plaintiff/Petitioner: California Spine and Neurosurgery Institute CASE NUMBER‘?‘ SCV335939 Defendant/Respondent: California Physicians‘ Service & TriNet Group COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS If a party whose court fees and costs were initially waived has recovered or will recover $10,000 or more in value by way of settlement, compromise, arbitration award, mediation settlement, or other means, the court has a statutory lien on that recovery. The court may refuse to dismiss the case until the lien is satisfied. (Gov. Code, § 68637.) Declaration Concerning Waived Court Fees 1. The court waived court fees and costs in this action for (name): 2. The person named in item 1 is (check one below): a. D 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. (If item 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): Yes No | declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: ’ (TYPE 0R PRINT NAME 0F E ATTORNEY E PARTY MAKING DECLARATION) (SIGNATURE) C1V-1 10 [Rev. January 1, 2013] REQUEST FOR D'SM'SSAL Page 2 of 2 For your protection and privacy, please press the Clear This Form button after you have printed the form. Sgye this fgrm > KOOOQQLh-bUJNr-t NNNNNNNNNr-Ar-Ar-AHHHHHr-dr-d OOQQUl-hUJNF-‘OKOOOQONUI-bUJNHO PROOF OF SERVICE I am employed in the county 0f Los Angeles, State of California. I am over the age 0f 18 and not a party t0 the within action; my business address is 303 North Glenoaks Boulevard, Suite 700, Burbank, California 91502-3226. On 21 February 2020, I served the foregoing document(s) entitled: REQUEST FOR DISMISSAL by placing a true copy thereof enclosed in a sealed envelope addressed per the attached Service List. [X ] BY U.S. MAIL: I am "readily familiar" With the firm's practice 0f collection [] [] and processing correspondence for mailing. Under that practice it would be deposited With the United States Postal Service 0n that same day With postage thereon fully prepaid at Burbank, California in the ordinary course of business. I am aware that 0n motion 0f the party served, service is presumed invalid if postal cancellation date 0r postage meter date is more than one day after date 0f deposit for mailing in affidavit. [C.C.P. 1013a(3); F.R.C.P. 5(b)] BY FEDERAL EXPRESS: I caused such envelope(s), With overnight Federal Express Delivery Charges to be paid by this firm, t0 be deposited With the Federal Express Corporation at a regularly maintained facility on the aforementioned date. [C.C.P. 1013(0) 1013(d)] BY PERSONAL SERVICE: I caused the above-stated document(s) t0 be served by personally delivering a true copy thereof to the individuals identified above. [C.C.P. 101 1(a); F.R.C.P. 5(b)] BY EXPRESS MAIL: I caused such envelope(s), with postage thereon fully prepaid and addressed t0 the party(s) shown above, t0 be deposited in a facility operated by the U.S. Postal Service and regularly maintained for the receipt 0f Express Mail on the aforementioned date. [C.C.P. 1013(0)] BY TELECOPIER: Service was effected 0n all parties at approximately_ am/pm by transmitting said document(s) from this firm's facsimile machine (818/559-4477) t0 the facsimile machine number(s) shown above. Transmission to said numbers was successful as evidenced by a Transmission Report produced by the machine indicating the documents had been transmitted completely and Without error. C.R.C. 2008(6), Cal. CiV. Proc. Code § 1013(6). KOOOQONUI-PUJNr-t NNNNNNNNNr-Ar-AHHHHHHHH OONQUI-RUJNr-‘OKOOOQONUI-bWNV-‘O [X ] BY ELECTRONIC SERVICE: By emailing true and correct copies to the persons at the electronic notification address(es) shown 0n the accompanying service list. The document(s) was/were served electronically and the transmission was reported as complete and without error. [ X ] State: I declare under penalty 0f perjury under the laws 0f the State 0f California that the above is true and correct. Executed 0n 21 February 2020 in Burbank, California. \LfiRE'NAfENCOMO lbencomo ,sacfirm.com SERVICE LIST John T. Fogarty, Esq. Joanna L. Allen, Esq. Manatt, Phelps & Phillips, LLP Manatt, Phelps & Phillips, LLP 11355 West Olympic Boulevard One Embarcadero Center, 30th Floor Los Angeles, CA 90064-1614 San Francisco, CA 941 11 (3 10) 3 12-4000 (415) 29 1 -7400 (3 10) 3 12-4224 fax (415) 291-7474 fax ifogafiv@manatt.com ilallen@manatt.com cc: Dawn Runchey drunchev@manatt.c0m