Civil Case Cover SheetCal. Super. - 6th Dist.May 23, 2019Electronically Filed by Superior Court of CA, County of Santa Clara, on 5/23/2019 9:11 AM Reviewed By: Yuet Lai Case #19CV348637 Envelope: 2918987 19CV348637 CM-010 _ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) Richard L. Mahfouz II, Bar #246739, Clerkin, Sinclair & Mahfouz, LLP 530 B Street, 81h Floor, San Diego, CA 92101 TELEPHONE NO 619-308-6550 FAX NO 619-923-3143 ATTORNEY FOR (Name) Plaintiff State Farm Mukual Automobile Insurance Company SUPERIOR COURT 0F CALIFORNIA, COUNTY OF Santa Clara STREET ADDRESS 191 North First Street MAIL‘NG ADDRESS 191 North FirstStreet cn‘y AND ZIP CODE San Jose, CA 951 13 BRANCH NAME Downtown Superior Court CASE NAME: Slam Farm Mumal Automobile Insurance Company v. Jason Chris‘ian Ramwrez, an individual, Zeeba Company |nc., a Delaware corporafion‘ and Does 1410, inc‘usive CIVIL CASE CO-R SHEET Complex Case Designation CASE NUMBER |:l Unlimited v/ \ Limited _ (Amount (Amount E Counter E Jomder JUDGE demanded demanded is Filed with first appearance by defendant exceeds $25,000) $25,000 or less) (Cal. Ruies of Coun, rule 3.402) DEPT Items 1-6 below must be completed (see instructions on page 2). 1‘ Check one box below for the case type that best describes this case: Auto Tort Contract Provisionally Complex Civil Litigation E Auto (22) E Breach of contract/Warranty (05) (Cal. Rules of Court, rules 1400-1403)Uninsured motorist (46) fl Rule 3,740 collections (09) E Antitrust/Trade regulation (03) Other PIIPDIWD (Personal lnjurylPropeny l Other collections (09) l Construction defect (10) DamaQEIWTONQfU' Beam) TD" Insurance coverage (18) D MESS tori (40) ASbesws (04) j Other contract (37) E Securities litigation (23) Pr°dU°' “abimy (24) Real Property D Environmental/Toxic tort (30) Medical maipramice (45) E Eminent do_main/lnverse [- Insurance coverage claims arising from theE Other Pl/PD/WD (23) condemnatlon (1 4) above listed provisionally complex case Non-PI/PD/wn (Other) Tort M Wrongful evictim (33) types (41)D Business tort/unfair business practice (07) D Other real pr°peny (26) Enforcement afJUdgmem I CiviI rights (03) UnlaMul Detalner D Enforcement ofjudgment (20)fl Defamation (13) I CommerCial (31) Miscellaneous Civil Complaint I Fraud (16) D Residential (32) E Rico (27)E Intellectual propefly (1 9) I DI'UQS (33) E Other complaint (notspecified above) (42) I Pr°f555i°nal negligence (25) JUdiCia' R°View Miscellaneous Civil PetitionL Other non‘Pl/PD/WD tort (35) fl ASSEt forfeiture (05) Partnership and corporate governance (21) Empmyment E Petition re: arbitration award (11) ‘ Other petition (notspecified above) (43)E Wrongfultermination (36) D Writof mandate (02) Other employment (1 5) D Other judicial review (39) 2. This case D is is not complex under rule 3.400 of the California Rules of Court, If the case is complex, mark the factors requiring exceptional judicial management: a, Large number of separately represented parties d‘ D Large number of witnesses b. i Extensive motion practice raising difficult or novel e. D Coordination with related actions pending in one or more courts issues that will be time-consuming to resolve in other counties, states, or countries, or in a federal court c‘ I Substantial amount of documentary evidence f. Substantial postjudgmentjudicial supervision 3. Remedies sought (check all that apply): a- monetary hm nonmonetary; declaratory or injunctive relief c. [- punitive 4. Number of causes of action (specify): 1 for Subrogation 5. This case D is 7| is not a class action suit. 6‘ If there are any known related cases, file and serve a notice of related case‘ (You may use form CM-015‘) Date 5/23/201 9 Richard L. Mahfouz II } ”7 "J V‘" fl 7*?”‘33 (TYPE 0R pmm NAME) (sonATURE 0F PARTY 0R ATTORNEV FOR PARTY) NOTICE o Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed under the Probate Code, Family Code, or Welfare and Institutions Code), (Cal. Rules of Court, rule 3220‘) Failure to file may result in sanctions. ' File this cover sheet in addition to any cover sheet required by local court rule. 0 If this case is complex under rule 3.400 et seq‘ ofthe California Rules of Court, you must selve a copy of this cover sheet on all other parties to the action or proceeding U Unless this is a collections case under rule 3.740 or a complex case, this cover sheet will be used for statistical purposes onl ‘ age 1 on Form Adopted for Mandatory Use Cal Rules of Court, ru‘es 2 30‘ 3 220‘ 3 40073 403, 3 740. Judlcwal Councwl ofCahfomIa CIVIL CASE COVER SHEEr Cal Standards ofJudcha‘ Admlmstratlom std 3 10 CM-010 [Rev Ju‘y 1, 2007] www wurtmfo Ca gov Amencan Lega‘Net‘ \nc www FormsWorH/ow com CM-010 INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET To Plaintiffs and Others Filing First Papers. If you are filing a first paper (for example, a complaint) in a civil case. you must complete and file. along with yourfirst paper, the Civil Case Cover Sheet contained on page 1. This information will be used to compile statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check one box for the case type that best describes the case. If the case fits both a general and a more specific type of case listed in item 1. check the more specific one. If the case has multiple causes of action. check the box that best indicates the primary cause of action‘ To assist you in completing the sheet, examples of the cases that belong under each case type in item 1 are provided below‘ A cover sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a pany, its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court. To Parties in Rule 3.740 Collections Cases. A "collections case" under rule 3.740 is defined as an action for recovery of money owed in a sum stated to be certain that is not more than $25,000, exclusive of interest and attorney's fees, arising from a transaction in which property, services, or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages, (2) punitive damages. (3) recovery of real property, (4) recovery of personal property. or (5) a prejudgment writ of attachment. The identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general time-for-service requirements and case management rules, unless a defendant files a responsive pleading. A rule 3‘740 collections case will be subject to the requirements for service and obtaining a judgment in rule 3.740. To Parties in Complex Cases. In complex cases only, parties must also use the Civil Case Cover Sheet to designate whether the case is complex. If a plaintiff believes the case is complex under rule 3.400 of the California Rules of Court, this must be indicated by completing the appropriate boxes in items 1 and 2. If a plaintiff designates a case as complex, the cover sheet must be served with the complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the plaintiff‘s designation, a counter-designation that the case is not complex. or, if the plaintiff has made no designation, a designation that the case is complex. Auto Tort Auto (22)-Persona| Injury/Propeny Damage/Wrongful Death Uninsured Motorist (46) (if the case involves an uninsured motorist claim subject to arbitraflon, check this item instead of Auto) Other PIIPDIWD (Personal Injury] Property DamagelWrongful Death) Tort Asbestos (04) Asbestos Property Damage Asbestos Personal lnjury/ Wrongful Death Product Liability (no! asbestos or onic/environmental) (24) Medical Malpractice (45) Medical Malpractice- Physicians & Surgeons Other Professional Health Care Malpractice Other PI/PDIWD (23) Premises Liability (e.g.. slip and fall) Intentional Bodily InjurylPDNVD (8.9., assault, vandalism) Intentional lnfliclion of Emotional Distress Negligent Infliction of Emotional Distress Other PI/PD/WD Non-PllPD/WD (Other) Tort Business TortIUnfair Business Practice (O7) Civil Rights (e.g.. discrimination. false arrest) (not civil harassment) (08) Defamation (e‘gq slander, libel) (1 3) Fraud (16) Intellectual Property (19) Professional Negligence (25) Legal Malpractice Other Professional Malpractice (no! medical or legal) Other Non-Pl/PDNVD Tort (85) Employment Wrongful Termination (36) Other Employment (1 5) CM-010 [Rem July 1. 2007] CASE TYPES AND EXAMPLES Contract Breach of Contract/Warranty (06) Breach of RentaI/Lease Contract (not unlawful detainer or wrongful eviction) ContractIWarranty Breach-Seller Plaintiff (not fraud or negligence) Negligent Breach of Contract] Warranty Other Breach of Contract/Warranty Collections (e,g,, money owed. open book accounts) (09) Collection Case-Seller Plaintiff Other Promissory Note/Collections Case I I Insurance Coverage (not prowswnaI/y complex) ( 1 8) Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Property Eminent Domainllnverse Condemnation (1 4) Wrongful Eviction (33) Other Real Property(e‘g., quiet title) (26) Writ of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (no! eminent domain, landlord/tenant, or foreclosure) Unlawful Detainer Commercial (31) Residentia! (32) Drugs (38) (if the case involves illegal drugs, check this item; otherwise, report as Commercial or Residential) Judicial Review Asset Forfeiture (05) Petition Re: Arbitration Award (11) Writ of Mandate (02) Writ-Administrative Mandamus Writ-Mandamus on Limited Court Case Matter Writ-Other Limited Court Case Review Other Judicial Review (39) Review of Health Officer Order Notice of AppeaI-Labor Commissioner Appeals CIVIL CASE COVER SHEET Provisionally Complex Civil Litigation (Cal. Rules of Court Rules 3.400-3.403) Antitrust/Trade Regulation (03) Construction Defect (1 O) Claims Involving Mass Tort (40) Securities Litigation (28) EnvironmentallToxic Tort (30) Insurance Coverage Claims (arising from provisionally complex case type listed above) (41) Enforcement of Judgment Enforcement of Judgment (20) Abstract of Judgment (Out of County) Confession of Judgment (non- domestic relations) Sister State Judgment Administrative Agency Award (not unpaid taxes) Petition/Certification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Miscellaneous Civil Complaint RICO (27) Other Complaint (not specified above) (42) Declaratory Relief Only Injunctive Relief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-Iorl/non-comp/ex) Other Civil Complaint (non-tort/non-complex) Miscellaneous Civil Petition Partnership and Corporate Governance (21) Other Petition (not specified above) (43) Civil Harassment Workplace Violence ElderlDependent Adult Abuse Election Contest Petition for Name Change Petition for Relief From Late Claim Other Civil Petition Page 2 on
