Declaration CCP 585

Cal. Super. - 6th Dist.January 21, 2020

1 KENNETH J, FREED, ESQ. [State Bar No. 125349] DAV D WEEKS, ESQ, (State Bar No. 190542] 2 LAW OFFICES OF KENNETH J, FREED 14226 Ventura Boulevard 3 P.O, Box 5914 Sherman Oaks, California 91413 (818) 990-0888; (818) 990-1047 Fax KFREEDQKJFESO.COM: DWEEKSHKJFESO.COM 5 Attorneys for Plaintiff 6 CREDITORS ADJUSTMENT BUREAU, INC. Our File No. 6047414 7 8 SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA DOWNTOWN COURTHOUSE - UNLIMITED CIVIL 10 11 CREDITORS ADJUSTMENT BUREAU, INC. 12 Plaintiff, 13 v ~ 14 INTERNATIONAL CULTURE EXCHANGE 15 GROUP 1NC. AKA INTERNATIONAL CULTURE EXCHANGE GROUP, INC 16 LBA GLOBAL; and DOES 1 Through 10, Inclusive, Defendant, 18 DECLARATION PURSUANT TO C. C, P. SECTION 585(d) AND ASSIGNMENT ) CASE NO. 20CV362033 ) ) ) ) ) ) ) FAX SIGNATURE PER C,R,C. ) 2.305(d) ) ) ) ) ) 20 I, Luther Jao, do hereby declare as follows: 21 1. That I am the Collections Representative of STATE 22 COMPENSATION INSURANCE FUND, plaintiff 's assignor in the action 23 herein pending. I am personally familiar with the following facts 24 and if called to the stand to testify, I could and would 25 competently testify with personal knowledge "hereto; 26 2. That the documents and records attached hereto were 27 taken from the files of STATE COMPENSATION INSURANCE FUND and 28 were prepared in the ordinary course of business about the time M Vu Electronically filed by Superior Court of CA, County of Santa Clara, on 5/5/2020 9:28 AM Reviewed By:M Vu Case #20CV362033 Env #4309246 1 that the occurrences cited therein actually took place by 2 employees and/or agents of STATE COMPENSATION INSURANCE FUND 3 having personal knowledge of the occurrences which are cited in 4 ~ said documents. 5 3, As the Collections Representative of STATE COMPENSATION 6 INSURANCE FUND, I have personal knowledge regarding all issues 8 relating to the accounting system and record keeping of STATE COMPENSATION 1NSURANCE FUND, including issues relating, but not 9 limited to, price quoting, invoicing, delivery, and applying 10 payments to, and collection of, customer accounts. As part of my 11 duties as the Collections Representative, I maintain custody and 12 control of the files with respect to the account pertaining to 13 defendant, 14 4. That plaintiff's assignor i.ssued policies of workezs 15 compensation insurance, Policy No. 9167726-17 (covering the 16 period of October 14, 2017 to October 14, 2018) and Policy No. 17 9167726-18 (covering the period of October 14, 201S to )4arch 1, 18 2019) to defendant at defendant's instance and request. Defendant 19 became indebted to plaintiff's assignor in the sum of $ 29,125,35 20 for 'nsurance premiums earned pursuant to the terms a,nd 21 conditions of the policies. True and correct copies of the 22 outstanding invoices are etta.chad hereto marked as Exhibit, "1" 23 and incorporated herein by this reference as though fully set forth. I have reviewed the invoices and they corzectly reflect 25 the status o f defendant" s account except for credits that 26 recently were applied in the sum of 5489.35 due to changes in the 27 CIGA surcharges applicable to each policy such that defendant's 28 revised principal balance for the 2017 policy year is $ 24,738.72 1 and for the 2018 policy year is 832897.28 2 5. The amount indicated on the invoices, including, but 3 not limited to, the user assessment fund and fraud assessment 4 fund, and subject to the changes noted above on the CIGA 5 surcharges, ax'e mandated by the Insurance Commissioner of the 6 State of California; 7 6. That I am authorized by STATE COMPENSATION INSURANCE FUND 8 to assign the above-referenced account for collection in the sum 9 of 8292125.35 and thereby assigned the account to CRED1TORS 10 ADJUSTMENT BUREAU„ 1NC. for collection with full right to file 11 legal action in the name of CREDITORS ADJUSTMENT BUREAU, 1NC.; 12 7. Although demand has been made upon defendant for payment 13 cf same, defendant has failed and xefused to pay any sum towards 14 the balance. It, is therefoxe respectfully requested that judgment 15 be entered in favox'f plaintiff and against, defendants in the 16 sum of $28,636.00 principal, cost, of suit, int.crest at 10% per 17 annum from the date of default in the complaint„ plus attorney's 18 fees pursuant to California Civil Code Section 1717.5, 19 I declare under penalty of perjury that. the foregoing is 20 true and correct. Executed on this 22s'ay of April, 2020, at Daly City, 22 California. 23 Luther Jau(Aur22 202et LUTHER JAO Declarant 26 27 28 EXHIBIT "1"HI I “ ” 525 228.07 07/01/19 MCJVINI: P,C, ECX 7441 SI FRANCISCO, CA 84128.7441 1000099'f6 7/26 170//0000605 19330000000002522807 1 17 .06/08/19 3 A INTERNATIONAL CULTURE EXCHANGE GRO 44049 FREMONT BLVD PRENONT, CA 94538 uRoup PQLlcY/UNIT 9167726 - 1? SCRIT 0 4 CHECK ECX A'r LEFT FOR ADDRESS CHANIIE ADDRE98 CITY, STATE ZIP Kl%SISIRISIMWRTiiiRYININIE/sesssrssauusINRYSIEIIENNN~882NATBEHRINWSHNtrs~fNSNBIIIFa188NEIITNssst YOUR FINAL AUDIT STATEIBENT - 2017 INTERNATIONAL CULTURE EXCHANGE GRO 44049 FREMONT BLVD FREMONT, CA 54538 POLICY 88 INCEPTION DATEt EXPIRATION DltTEt SOURCRT 9167726 17 18/14/201'I 10/14/2DXB AUDI T 10/14/2017-10/14/2018 CLASS CODES 5810-1 CLERICAL OFFICE EMPI.DYEES 9095-1 EVENT MET/FESTXVAL/XRADX SHDN PAYROLL PAYROLT REPORTED ABDITBD 8 EASE RATE / 189 896„965,00 650,701.90 X 0,74 / 10fl 266,107.1D 463,607,55 X 10.46 / 108 BASE PRBNION 4,815.19 48,493.35 SUBTOTAL BASE PREMXTDf RAX'XNG PLAN MODIFXER SUBTC'IAL MODIPXED PREMIUM PREMIIIM DISCOUNX MODIFIER 53,308.54 X 0.855DO 45/578.50 X 0.89940 TOTAL PREMIUM POR POLICY /9167726-17 40,993.57 MANDATORY INSURANCE SBllCIIARGES GIGA 82 ~ 800001 X NCA 80.51280X X NCPA 80,167501 X UEBT 80.072101 X STET 80.153501 X OSHP 80.230501 X LEC 80.191801 X TOTAL SflRCZARGES 40„993.57 TIO& 993.57 40,993.57 40,993,57 40,995.57 40,993.57 40/993 57 819.87 12S.25 68,66 29.56 54.73 94,49 78,63 1,274.17 PC. SCX 7441 SAN FRANCISCO, CA I@12/h7447 I INEW 1.18I PAY ONLINE at www.stetsfundca.corn PAGE 001 OF 002 Thank you for your business. cvssssrst psl by phssst Addrsss chssssy Calf 888.8TATEFUNC f888 788 88881 See reuerss far payment instructions WA'SR 325 220.07 07/01/19 e ee"sse ~%~Nj N RO, BOX 7441 N FRANCISCO, CA 84128-7441 1000099 167726'f7040000605 19330000000002522507'l17 06/05/19 3 A 3 INTERNATIONAL CULTURE EXCHANGE GRO 44049 'FREMONT BLVD FREMONT, CA 94530 eRQUF pctrovruNIT 9167726 17 SC R 4 CHECK BOX AT L FT FOR ADDRESS oriNSB ADORESS CITY, STATE ZIP J i'TE0101~IOI~RrriilRNRNIISreeaerereeerrailRRIRIN8788EBIRBIIEl%fimRyiRINlsfaeaSIIIBRliiffsaifRSR~srrnIRsf TOUR FINAL AUDIT STATEBIENT - 2017 INTERNATIONAL CUI TUBE EXCNANGR GRO 44049 FREMONT BLVD RRENONT, CA 94536 POLICT 08 INCEIrTIOM DlhTE8 EXPIRATIOM DATRI SOCRCEI 9167726-17 10/14/2017 10/14/201 0 AUDIT TOTAL CRAXGXS 42i267,74 PAIIOOITS 6 CBBDITS PXBNIIIN PAID SUXCXAXGXS PAID 16,526,00r 51,3,664 TOTAL - PATNXXTS Sr CREDITS 17,039.66& BALANCE DUE I8AY BY 07/01/2019 $ 25,22S.07 I IrrEw 'r-1st PC. BOX 7441 SAN FRANCISCO, CA 84128.7441 PAY ONLINE at www.statefundca.horn PAGE 002 OF DDI LP Thank you for your buslness, cesslress'I per by pbeiet Address cheese'I Cs!I 888.8TATEFUND 1888.788.8888) see reveres for payment Instruotlone «~ALII'» 33,897.28 07/19/19 WJ.INN'. PO. GQX 7441 44 FRANOISGO, GA 34120.7441 1000099167726 18020000624 19070000000000389728'110 06/24/19 0 B 7 INTERNATIONAL CULTURE EXCHANGE GRO 44049 FREMONT BI*TO FREMONT, CA 94538 GROUP POUOYA&NIT 9167726 - 18 SC R 4 0 M 2 D HEGN BDX AT LEFT FOR ADDRESS CHANGE AGGRESS CITY, STATE EIP 1 &N4Ng8IOIEIIIKEIBIKIUNNNmrNssssnsEsJNdfNNfE1EHIEmE8fssR8EWNEN3NsIIIINTsseINWiBlsr4ssNMEPIsbtsD TOUR FIEAL ESTIMATED STATEIEEMT - 2018 INTERNI&TIONAL CUT TURB BXCNANGE ORO 44049 PREMONT NTVD FIIEMONT', CA 94538 eor.rcT 83 9167726" 1S INCEPTION DATEI 10/14/2018 EXPIRATION DATNI 03/DI/2013 SOURCEs PATROLX ESTIMATED 10/14/2018"03/01/2019 C1.ASS CODES 9095-1 EVENX MET/PESTIVAL/TRADE SHOW ssyeorr. ESTIMATED 2 177,604,50 X BASR RATE / 100 11.46 / 100 BEER PRBMTSM 20,353,48 SUETOTA1. BASE PREMIUM EXPERIENCE MODXPXCATXON 951 SUBTOTAL STANDARD PREMXUM RATING PLAN MODIPIER SUBTOIAL MODIFIED PREMIUM PREMIUM DISCOUN'I MGDIPIER 20„353.48 X 0.950DD 19,335.81 X 0,97S12 13,912.74 X 0.89829 TOTAL PREMIUM POR POLXCI //9167726-18 16,989.13 MANDATOR'I INSURANCE SURCHARGES CIGA 82.000002 X NCA 80.814601 I WCPA 80.25500/ I UEBX'0.05730/ X SIET 80.359901 X GSHP ID,265507 X LEC 80.215007. X 10TAL SURCEARGES 16,9S9.13 M,989.13 16,989.13 16,989.13 16,989.13 16&989.13 16,989.13 339.78 138. 39 43.32 9. 73 61,14 45,11 36.53 674.00 P.G. BDX 7441 ~ BAN FRANCISCO, GA 34123.7441 I INFw 1.13I PAY ONLINE at wwwstatafundoa.com PAGE 001 OP 002 Tftsnk you for your buslnsss. Gs irlsnl7 Psrbv phsnirAddriis Ghsrioit Call 333.3TATEFUNC (233-73241333) Sss rsvsrss fdr paymsnt inatrudtfons L&8ASGN=. MeLDIN; I RO, BCX 7441 N FRANCISCO, CA 84128.7441 $ 3,897.28 07/19/19 06/24/19 0 . B ')0000991677261802000062419070000000000389728110 7 INTERNATIONAL CULTURE EEOBANGE GRO 44049 FREMONT BLVD FREMONT? CA 94538 GROUP pouurluulr 9167726 18 0 N 2 U :,3 CHECK BCK AT LEFT FOR ADDRESS CHANGE ADDRESS CITY, STATE ZIP NSSTESISIEIGIMNURSR?FBNISNEISB)avassloaelwsINNTRSR %%FiiaEISSRIESRNRIERymblietrrsyaaatmttsa?LSSE~SUisFNN YOUR F1NAL EST3MATED STATEMENT - 2018 INTERNATIONAL CVLTVRE ERCRANGE GRO 44049 FREMONT RLFD FREMONT„ CA 94538 POLICY 8s 9167726-18 INCEPTION DATE: 10/14/2018 ERRIRATIOE Dl)TES 03/01/2019 SOVRCE I PAYROLL ESTIMATED TOTAL CRABGES 17,663.13 PAYNBRTS & CREDITS INITIAL DEPOSIT PREMISE PAID SVICRARGES PAID . TOTAL - PAYKBNIS & CREDITS 4,494.00CR 7,489.16CR 1,782,70CR 13,769.S6CR BALANCE DUE PAY BY 07/19/2019 93 7 897,28 P,O, BOX '/441 SAN FRANCISCO, CASI?88 7441 l INSW 'l.'l 8) PAY ONLINE at www.statefundca.corn PAGE 002 OF 002'F Tbanu yau for your business, osessaas1 pil'87 Pease? Address chsage? oaa 888 STATSPUND f888-788-BSBS) .Bss reverse for payment Instruutlons