Plaintiff s Claim More than 12Cal. Super. - 6th Dist.February 25, 2020i N 3 Plaintiff's Clairh and ORDER to Go to Small Claims Court Notice to the person being sued: You are the defendant if your name i's listed in® 0n page 2 of this form. The person suing you is the plaintiff, listed in Cl) on page 2. You and the plaintiff must go to court on the trial d_ate listed below. Ifyou do not go to court, you may lose the case. Ifyou lose, the court can order that your wages, money, or property be taken t0 pay this claim. Bring witnesses, receipts, and any evidence you need to prove your case. Read this form and all pages attached to understand the claim against you and to protect your rights. Aviso al Demandado: Usted es e1 Demandado si su nombre figura en® de 1a pégina 2 de este formulario. La persona que 10 demanda es e1 Demandante, 1a que figura en ® de 1a pégina 2. Usted y el Demandante tienen que presentarse en 1a corte en la fecha del juicio indicada a continuacién. Si no se presenta, puede perder el caso. Si pierde el caso 1a corte podria ordenar que le quiten de su sueldo, dinero u otros bienes para pagar este reclamo. Lleve testigos, recibos y cualquier otra prueba que necesite para probar su caso. Clerk stamps date here when form is filed. Fill in court name and street address: Superior Court of California, County of Santa Clara ' 191 N. First Street San Jose, CA 951 13 CourT fills in case number when form is filed. 'cawg'ic g 8 3 3 8 8 Case Name: Global Century Insurance vs Doan Tan Nguyen Lea este formulario y todas Ias péginas adjuntas para entender la demanda en su contra y para proteger sus derechos. 5rder to (256%th Courtg The people in ® and ® must go to .court: (Clerkfills outsection below.) Trial 9 Date Time Depaltment Date 1-%!WJZD )ZDU Pm 1“,” Name and address of court, if different from above 2. 3. ~ /\ I a Q DateMm 2 9 2020 Clerk, by ( Mélw/YK/ l AA , Deputy H. (2‘ ANAD Instructions for the person suing: You are the plaintiff. The person you are suing is the defendant. Before you fill out this form, read form SC-lOO-INFO, Informationfor the Plaintzfl t0 know your rights. Get SC-lOO-INFO at any courthouse or county law library, 0r go to www.courts.ca.g0v/smallclaims[forms. Fill out pages 2 and 3 0f this form. Then make copies of all pages of this form. (Make one copy for each party named in this case and an extra'copy for yourself.) Take or mail the original and these copies to the coun clerk’s office and pay the filing fee. The clerk will write the date 0fyour trial in the box above.‘ You must have someone at least 18-not you or anyone else listed in this case-give each defendant a court-stamped copy of all five pages ofthis form and any pages this form tells you t0 attach. There are special rules for “serving,” or delivering, this form to public entities, associations, and some businesses. See forms SC-104, SC-104B, and SC-104C. Go to court on your trial date listed above. Bring witnesses, receipts, and any evidence you need to prove your case. Judicial Council of California, www.courts.ca.gov Revised January 1. 2017, Mandatory Form Code of Civil Procedure, §§ 116.110 et seq., 116.220(c), 116.340(g) 013/ MGAL/ 99%? (Small Claims) Plaintiff's Claim and ORDER to Go to Small Claims Court SC-1 00, Page 1 of5 9 Plaintiff (list names): Global Century Insurance Brokers Inc. Case Number: ' £®SC©83388 Q) The plaintiff (the person, business, or public entity that is suing) is: Name: Global Century Insurance Insurance Phone: 925-493-7500 x 140 Street address: 2575 Collier Canyon Road Livermore CA 94551 Street City State Zip Mailing address (ifdz'fi‘erent): Street City State Zip If more than one plaintiff, list next plaintiff here: Name: Phone: Street address: Street City State Zip Mailing address (ifdz'fferent) .' Street City State Zip D Check here ifmore than two plaintifls and attachform SC-I 00A. V D Check here ifeither plaintifllisted above is doing business under afictitious name. Ifso, attachform SC-I 03. D Check here ifany plainti is a “licensee ” 0r “deferred deposit originator” @ayday lender) under Financial Code sections 23000 et seq. The defendant(the person, business, or public entity being sued) is: Name: Doan Tan Nguyen Phone: 800-508-8086 Street address: 2747 Sandpoint Drive San Jose CA 95 148 Street City State Zip Mailing address (ifdifferent); 1225 Mandela Pkwy Oakland CA 94607 Street City State Zip If the defendant is a corporation, limited liability company, or public entity, list the person or agent authorized for service of process here: Name: Job title, if known: Address: Street ' r City State Zip D Check here ifyour case is against more than one defendant, and attachform SC-I 00A. 'D Check hereifany defendant is 0n active military duty, and write his 0r her name here: The plaintiff claims the defendant owes $ 2000.00 . (Explain below).- a. Why does the defendant owe the plaintiff money? Defendant was our customer/Insured, he had an accident on 08/05/2019 under his Liability Policy CTM400328 Insured has a $1000.00 deductible ifwe are required to pay loss. We paid a total 0f $5,879.29 for this loss. When did this happen? (Date): 08/05/2019 b. Ifno specific date, give the time period: Date started: Through: c. How did you calculate the money owed to you? (Do not include court costs orfeesfof service.) Per Policy agreement Insured has a $1000.00 deductible, and policy clearly advises if claim is not reported within 20 days a late fee of $1000.00 will apply. Claim was reported on 9/3/2019 D Check here ifyou need more space. Attach one sheet ofpaper orform MC-03I and write “SC-I 00, Item 3 ” at the top. Rev‘sedJamam'm” Plaintiff’s Claim and ORDER to Go to Small Claims Court $3400! P3962 0’5 (Small Claims) 9 L_h‘~\ Plaintiff (list names): i v GagW6 ® g 3 3 a (5%: Global Century Insurance Brokers Inc. You must ask the defendant (in person, in writing, or by phoné) to pay you before you sue. If your claim is for possession of property, you must ask the defendant to give you the property. Have you done this? E Yes D No If no, explain why not: Numerous attempts by phone and mail have been made, insured has refuse to pay. ® Why are you filing your claim at this courthouse? This courthouse covers the area (check the one that applies).- a. (1) Where the defendant lives or does business. (4) Where a contract (written or spoken) was made, (2) Where the plaintiff s property was damaged. signed, perfonned, or broken by the defendant 0r (3) Where the plaintiff was injured. where the defendant lived or did business when the defendant made the contract. b. D Where the buyer or lessee signed the contract, lives now, or lived when the contract was made, if this claim, is about an offer or contract for personal, family, or household goods, services, or loans. (Code Civ. Proa, § 395(b)-) c. D Where the buyer signed the contract, lives now, or lived when the contract was made, if this claim is about a retail installment contract (like a credit card). (Civ Code, § 1812.1 0.) d. D Where the buyer signed the contract, lives now, or lived when the contract was made, or where the vehicle is permanently garaged, if this claim is about a vehicle finance sale. (Civ Code, § 2984.4.) e. D Other (specifiz): ® List the zip code of the place checked in (5) above (ifyou know): 95148 ® Is your claim about an attorney-client fee dispute? D Yes E No Ifyes, and ifyou have had arbitration, fill outform SC-101, attach it t0 thisform, and check here: D Are you suing a public entity? D Yes E No Ifyes, you mustfile a written claim with the entityfirst. D A claim was filed on (date): Ifthe public entity denies your claim 0r does not answer within the time allowed by law, you canfile thisform. Have you filed more than 12 other small claims within the last 12 months-in California? E Yes D No Ifyes, thefilingfeefor this case will be higher. ls your claim for more than $2,500? D Yes E No Ifyes, I have notfiled, and understand that I cannotfile, more than two small claims casesfor more than $2,500 in California during this calendar year. I understand that by filing a claim in small claims court, | have no right to appeal this claim. I declare, under penalty of perjury under California State law, that the informati e and on any attach to this form is true and correct. ‘ ?@- Date: 11/1 8/2019 Anna Reyes ,..~:i , / fb/ ' , /7 I Plaintifltypes 0r prints name here Plaintiflsigns here I Date: ’ Secondplaintifltypes 0r prints name here Secondplaintiflsigns here Requests for Accommodations Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are available ifyou ask at least five days before the trial. Contact the clerk’s office for form MC-410, Requestfor Accommodations by Persons With Disabilities and Response. (Civ. Code, § 54.8.) ReV‘SedJanua’y1'20” Plaintiff’s Claim and ORDER to Go to Small Claims Court 30-100. Page 3°f5 (Small Claims) 9 -0, SC-1 00 Information for the defendant (the person being sued) "Small claims court" is a special court where claims for $10,000 or less are decided. Individuals, including "natural persons" and sole proprietors, ma'y claim u'p to $10,000. Corporations, partnerships, public entities, and other businesses are limited to claims of $5,000. (See below for exceptions.*) The process is quick and cheap. The rules are simple and informal. You are the defendant-the person being sued. The person who is suing you is the plaintiff. Do I need a lawyer? You may talk to a lawyer before or after the case. But you may not have a lawyer represent you in court (unless this is an appeal from a small claims case). HOW d0 I get ready for court? You don't have to file any papers before your trial, unless you think this is the wrong court for your case. But bring to your trial any witnesses, receipts, and evidence that supports your case. And read “Be Prepared for Your Trial” at www. courts. ca.gov/sma/Iclaims/prepare. What if l need an accommodation? If you have a disability or are hearing impaired, fill out form MC-41 0, Request for Accommodations. Give the form to your court clerk or the ADA/ Access Coordinator. What if I don’t speak English well? Ask the court clerk as soon as possible if your court has a court-provided interpreter available and how to request one. A coun-provided interpreter may not be available. Alternatively, you may bring an adult who is not a witness or an attorney to interpret for you or ask the court for a list of interpreters for hire. Where can | get the court forms l need? Go to any courthouse or your county law library, or print forms at www. courts.ca.gov/smallclaims/forms. What happens at the trial? The judge wiII listen to both sides. The judge may make a decision at your trial or mail the decision to you later. What if I lose the case? lf you lose, you may appeal. You’ll have to pay a fee. (Plaintiffs cannot appeal their own claims.) . If you were at the trial, file form SC-140, Notice oprpeaI. You must file within 30 days after the clerk hands or mails you the judge's decision (judgment) on form SC-200 or form SC-1 30, Notice of Entry ofJudgment. . If you were not at the trial, fill out and file form SC-135, Notice of Motion to Vacate Judgment and Declaration, to ask the judge to cancel the judgment (decision). If the judge does not give you a new trial, you have 1O days to appeal the decision. File form 80-140. For more information on appeals, see www.coults.ca.gov/ smallclaims/appeals. Do l have options? Yes. If you are being sued, you can: Settle your case before the trial. If you and the plaintiff agree on how to settle the case, the plaintiff must file . form ClV-1 10, Request for Dismissal, with the clerk. Ask the Small Claims Advisor for help. * Exceptions: Different limits apply in an action against a defendant o Prove this is the wrong court. Send a letter to the court before your trial explaining why you think this is the wrong court. Ask the court to dismiss the claim. You must serve (give) a copy of your letter (by mail or in person) to all parties. (Your letter to the court must say you have done so.) Go to the trial and try to win your case. Bring witnesses, receipts, and any evidence you need to prove your case. To have the court order a witness to go to the trial, fill out form SC-107 (Small Claims Subpoena) and have it served on the witness. Sue the person who is suing you. Ifyou have a claim against the plaintiff, and the claim is appropriate for small claims court as described on this form, you may file Defendant’s Claim (form SC-120) and bring the claim in this action. If your claim is for more than allowed in small claims court, you may still file it in small claims court if you give up the amount over the small claims value amount. or you may file a claim for the full value of the claim in the appropriate court. If your claim is for more than allowed in small claims court and relates to the same contract, transaction, matter, or event that is the subject of the plaintiff's claim, you may file your claim in the appropriate court and file a motion to transfer the plaintiff‘s 's claim to that court to resolve both matters together. You can see a description of the amounts allowed in the paragraph above titLed “Small Claims Court.” Agree with the plaintiff's claim and pay the money. Or, if you can't pay the money now, go to your trial and say you want to make payments. Let the case "default" If you don’t settle and do not go to the trial (default), the judge may give the plaintiff what he or she is asking for plus court costs. If this happens, the plaintiff can legally take your money. wages, and property to pay the judgment. What ifl need more time? You can change the trial date if: You cannot go to court on the scheduled date (you will have to pay a fee to postpone the trial), or You did not get served (receive this order to go to court) at least 15 days before the trial (or 20 days if you live outside the county), or You need more time to get an interpreter. One postponement is allowed, and you wi|| not have to pay a fee to delay the trial. Ask the Small Claims Clerk about the rules and fees for postponing a trial. Or fill out form SC-1 50 (or write a letter) and mail it to the court and to all other people listed on your coun papers before the deadline. Enclose a check for your court fees, unless a fee waiver was granted. Need help? ®rYour county’s Small Claims Advisor can help for free. j J Small-Claims Advisor |- (408) 882-21 00, (Options 2, '6) Or go to www.courts.ca.gov/smallclaims/advisor. who is a guarantor. (See Code Civ. Proc., § 116.220(c).) Revised January 1, 2017 (Small Plaintiff’s Claim and ORDER to Go to Small Claims Court SC-1 00, Page 4 of 59Claims) a | SC-1 00 Informacién para el demandado (la persona demandada) La “Corte de reclamos menores” es una corte especial donde se deciden casos por $10,000 o menos. Los individuos, o sea Ias “personas fisicas" y los propietarios. por cuenta propia, pueden reclamar hasta $1 0,000. Las corporaciones, asociaciones, entidades pablicas y otras empresas solo pueden reclamar hasta $5,000. (Vea abajo para Ias excepciones.*) El proceso es répido y barato. Las reglas son sencillas e informales. Usted es el Demandado-Ia persona que se esté demandando. La persona que Io esté demandando es el Demandante. ¢Necesito un abogado? Puede hablar con un abogado antes o después del caso. Pero no puede tener a un abogado que Io represente ante la corte (a menos que se trate de una apelacién de un caso de reclamos menores). (",Co'mo me preparo para ir a la corte? No tiene que presentar ningunos papeles antes del juicio, a menos que piense que ésta es Ia corte equivocada para su caso. Pero lleve al juicio cualquier testigos, recibos y pruebas que apoyan su caso. Y lea “Esté preparado para su juicio” en wwwlcourts.ca.gov/reclamosmenores/preparese. (:Qué hago si necesito una adaptacién? Si tiene una disoapacidad o tiene impedimentos de audicién, Ilene el formulario MC-410, Request for Accomodations. Entregue el formulario al secretario de la corte o al Coordinador de Acceso/ADA de su corte. éQué pasa si no hablo bien inglés? Pregflntele al secretario de Ia cone lo més pronto posible si en el juzgado habré un intérprete disponible y cémo solicitarlo. No siempre estén disponibles los intérpretes de la corte. Otra opcién es llevar a un adulto que pueda interpreter para usted siempre que esa persona no sea un testigo ni un abogado. O puede pedir a la corte una lista de intérpretes particulares disponibles para contratar. 5D6nde puedo obtener los formularios de la corte que necesito? Vaya a cualquier edificio de la corte, la biblioteca legal de su condado, o imprima Ios formularios en www.courts.ca.gov/ smallclaims/forms (pégina esté en inglés). iQué pasa en el juicio? El juez escucharé a ambas partes. El juez puede tomar su decisién durante Ia audiencia o enviérsela por correo después. éQué pasa si pierdo el caso? Si pierde, puede apelar. Tendré que pagar una cuota. (El Demandante no puede apelar su propio reclamo.) . Si estuvo presente en el juicio, Ilene el formulario SC-140, Aviso de ape/acio'n (Notice of Appeal). Tiene que presentarlo dentro de 30 dias después de que el secretario Ie entregue o envie la decisién (fallo) del juez en el formulario SC-ZOO o SC-130, Aviso de publicacién del fal/o (Notice of Entry of Judgment). . Si no estuvo en el juicio, Ilene y presente el formulario SC-135, Aviso de peticién para anu/ar el fa/Io y Declaracio’n para pedirle a1 juez que anule el fallo (decisién). Si Ia corte no le otorga un nuevo juicio, tiene 10 dias para apelar la decisién. Presente el formulario SC-140. Para obtener més informacién sobre Ias apelaciones, vea www. co urts. ca.gov/rec/amosmenores/apelaciones. gTengo otras opciones? Si. Si Io estén demandando, puede: . Resolver su caso antes del juicio. Si usted y el Demandante se ponen de acuerdo en cémo resolver el caso, el Demandante tiene que presentar el formulario ClV-1 10, Solicitud de desestimacién (Request for Dismissal) ante el secretario de la corte. Pl’dale al Asesor de Reclamos Menores que Io ayude. . Probar que es la corte equivocada. Envie una carta a la corte antes del juicio explicando por qué cree que es la corte equivocada. Pidale a la corte que despida el reclamo.Tiene que entregar (dar) una copia de su carta (por correo o en persona) a todas Ias partes. (Su cana a [a corte tiene que decir que hizo Ia entrega.) . Ir al juicio y tratar de ganar el caso. Lleve testigos, recibos y cualquier prueba que necesite para probar su caso. Si desea que Ia corte emita una orden de comparecencia para que los testigos vayan al juicio, Ilene el formulario SC-107, Citaton'o de reclamos menores (Small Claims Subpoena) y entrégueselo legalmente al testigo. . Demandar a la persona que lo demandé. Si tiene un reclamo contra el Demandante, y el reclamo se puede presentar en Ia corte de reclamos menores, tal como se describe en este formulario, puede presentar el formulario 80-120. Reclamo del demandado (Defendant’s Claim) y presentarlo en este mismo caso. Si su reclamo excede el limite permitido en la corte de reclamos menores, puede igualmente presentarlo en Ia corte de reclamos menores si esté dispuesto a limitar su reclamo al méximo permitido, o puede presentar un reclamo por el monto total en la corte apropiada. Si su reclamo excede el Iimite permitido en la corte de reclamos menores y esté relacionado con el mismo contrato, transaccién, asunto o acontecimiento que el reclamo del Demandante, puede presentar su reclamo en Ia corte apropiada y presentar una mocién para transferir el reclamo del Demandante a dicha corte, para poder resolver los dos reclamos juntos. Puede ver una descripcién de los montos permitidos en el pérrafo anterior titulado “Corte de reclamos menores". . Aeptar el reclamo del Demandante y pagar el dinero. O, si no puede pagar en ese momento, vaya al juicio y diga que quiere hacer los pagos. . No ir al juicio y aceptar el fallo por falta de comparecencia. Si. no llega a un acuerdo con el Demandante y no va aljuicio (fallo por falta de comparecencia), el juez le puede otorgar al Demandante lo que esté reclamando més Ios costos de la cone. En ese caso, el Demandante legalmente puede tomar su dinero, su sueldo o sus bienes para cobrar el fallo. (,Qué hago si necesito més tiempo? Puede cambiar la fecha del juicio si: - No puede ir a Ia corte en Ia fecha programada (tendré que pagar una cuota para aplazar el juicio), o - No Ie entregaron Ios documentos legalmente (no recibié Ia orden para ir a Ia corte) por Io menos 15 dias antes del juicio (6 20 dias si vive fuera del condado), o - Necesita més tiempo para conseguir intérprete. (Se permite un solo aplazamiento sin tener que pagar cuota para aplazar el juicio). Pregflntele al secretario de reclamos menores sobre Ias reglas y Ias cuotas para aplazar un juicio. O Ilene el formulario SC-150 (o escriba una carta) y envielo antes del plazo a la corte y a todas Ias otras personas que figuran en sus papeles de la cone. Adjunte un cheque para pagar los costos de Ia corte, a menos que le hayan dado una exencién. gNecesita ayuda? El Asesor de Reclamos Menores de su condado Ie puede ayudar sin cargo. SmaII-Claims Adviser ]_ (408) 88mm mntions 2,6) O visite www. courts. ca.gov/reclamosmenores/asesores. ‘ Excepciones: Existen diferentes limites en un reclamo contra un garante. (Vea el Cédigo de Procedimiento Civil, seccién 116.220 (0).) Revised January 1, 2017 Reclamo del Demandante y ORDEN SC-1 00, Page 5 of 5 Para Ir a la Corte de Reclamos Menores (Reclamos Menores)