Civil Case Cover SheetCal. Super. - 6th Dist.January 7, 2021ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Stare Ears number, and ddress)‘ FOR COURT USE ONLY - YourLegalName. QWQYW Yoru' Address: 3] \ S Q6 Uxfi gx‘ TELEPHONE No_z Wmcxfi C39? FAX%.S37b ATrORNEYFomn/ame): SQIf-Represented JAN __ 7 2“ SUPERIOR COURT 0F CALIFORNIACOUWY 0F Santa Clara 21 STREErADDREss: 191 North First Street Clerk Of the CCU” MAILING ADDRESS: 191 North First Street cnYANDZIP CODE. sari JOSE, CA 95113 amcHNAME- Civil Courthouse CASENAME: @623” W? MARE mClVIL CASE CCOIVER SHEET Complei Case Designation CASE NUjEEE P fl {.2Unlimited Limited . . H ' g 9 fl (Amount (Amount D Counter D Jomder o JUD E. L Eh j demanded demanded is Filed with first appearance by defendant G ' exceeds $25,000) $25,000 or less) (Cal. Rules of Court. 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 a Auto (22) Breach of contract/warranty (06) Cal. Rules of Court, rules 3.400-3.403)Uninsured motorist (46) Rule 3.740 collections (09) Antitrusthrade regulation (03) Other collections (09) Construction defect (10) Other PIIPDIWD (Personal lnjurylProperty DamagelWrongful Death) Tort Asbestos (04) ‘ Product liability (24) Real Property Insurance coverage (1 8) Mass tort (40) Other contract (37) Securities litigation (28) EnvironmentaI/Toxic tort (30) Medical malpractice (45) Cl Eminent domain/lnverse Lntfx:Tiiezovrexigieofilaal'lm208rgs:23 Zraosrgthe OtherPI/PD/wmzs) condemnation(14) p ° V p Wrongfui eviction (33) types (41) Other reaI property (26) Enforcement of Judgment Enforcement ofjudgment (2D) Non-PIIPDIWD (Other) Tort Business-tort/unfair business practice (O7) Civil rights (08) Unlawful Detainer Defamation (13) Commercial (31) Miscellaneous Civil Complaint Fraud (16) Residential (32) a RICO (27)Intellectual property (1 9) Drugs (38) Other complaint (nor specified above) (42) Professional negligence (25) Judicial Review Miscellaneous Civil Petition Other non'PUPD/WD ton (35) Asset forfeiture (05) a Paflnership and corporate governance (21)Employment Petition re: arbitration award (1 1) Other petition (norspecifieo' above) (43) Wrongful termination (36) Writ of mandate (02) Other employment (1 5) Otherjudicial review (39) 2. This case D is m is not complex under rule 3.400 ofthe California Rules 0f Court. If the case is complex, mark the factors requiring exceptional judicial management: a. Large number of separately represented parties d. Large number ofwitnesses b. Extensive motion practice raising difficult or novel e. Coordination with related actions pending in one or more courts issues thatwill be time--consuming to resolve in other counties states or countries or in a federal court c. D Substantial amount 0f documentary evidence a Substantral postjudgmentjudicial supervision Remedies sought (Check ail that apply): a.a monetary b fm nonmonetary; declaratory 0r injunctive relief c. a punitive Number of causes of actions ecify). This case D is fi is not a class action suit lfthere are any known related cases file and serve a notice of related case. (You may use form CM-O15.) Date Oi))07/21 gmrmngw} (TYPE 0R PRINT NAME) m??? 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 3.220.) Failure to file may result in sanctions. o File this cover sheet in addition t0 any cover sheet required by Iocal court rule. Ifthis case is complex under rule 3.400 et seq. of the California Rules 0f Court. you must serve a copy ofthis cover sheet 0n all oiher parties to the action or proceeding. o Unless this is a collections case under rule 3.740 or a complex case, this cover sheet will be used for statistical purposes only. Page 1 of 2 Ad ldf M d! . . CLRI {C 1 230, 3.,220 3400-3403 3.7400; ggdnigial ngncilogfgaaqmgorgg Use c-) “mum“ CIVIL CASE COVER SHEET a (gaelésotangl'alr smoteiudxcialAdministratirgn sld3 CM-O10[Rev July 20 ] M BSEH-“M “1me wwwcou oca gov[LGHOLM f7 74‘ CM-O10 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 your first paper, the Civil Case Cover Sheet contained on age 1. This information will be used to compiie statistics about the types and numbers of cases filed. You must complete items 1 througfi 6 on the sheet. In item ‘1. you must check one box for the case ?pe that best describes the case. If the case fits both a general and a more specific type of case listed in item 1,check t_he morle speCI Io pne. Ifthe 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 ofthe cases that belong under each case type in item 1 are provided below. A cover _sheet must be filed only wuth your imtiaI paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party, Its counsel. or both to sanctions under rules 2.30 and 3.220 ofthe California Rules of Court. To Pa‘rties in Rule 3.740 Collecgions Cases. A "collections case" under rule 3.740 is defined as an action for recovery of money owgd In a sum stated to be certain that is not_more than $25,000. exclusive 0f interest and attorney's fees, arising from a transaction in which property, serVIce‘s, or money was achIred 0n credit. A collections case does not include an action seeking the following: (1) iort damages, (2) punitive-damages, (3) recovery of real property, (4) recovery of personal property, or (5) a prejudgment writ of attachment. The Identificatqon of a case as a rule 3.740 collections case on this form means that it will be exempt from the eneral tzme-for-servnce reqUIrements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 co lections case will be subject to the requirements for service and obtaining a judgment in rule 3.740. To Parties in Complex Casean comfi case is complex. If a pIaintiff believes t lex cages only. parties must also use the Civil Case Cover Sheet to designate whether the e case ls complex under rule 3.400 ofthe California Rules of Court. this must be indicated by complefing the appern'ate boxes in items 1 and 2. If a plaintiff designates a case as compiex. the cover sheet must be sewed with the complaint onlaII parties to the action: A defendant may file and serve no later than the time of its first appearance a joinder in the pIamtlfi‘s desugnatlon, 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| Injurnyroperty Damage/Wrongful Death Uninsured Motorist (46) (iffhe case invoIves an uninsured motorist claim subject (o arbitration, check this item instead of Auto) Other PIIPDIWD (Personal Iniuryl Property Damage/Wrongful Death) Tort Asbestos (04) Asbestos Property Damage Asbestos Personal Injury] Wrongful Death Product Liability (no! asbestos or (oxfdenvironmental) (24) Medical Malpractice (45) Medical Malpractice- Physicians & Surgeons Other Professional Health Care Malpractice Other Pl/PD/WD (23) Premises Liability (e.g., Slip and fall) Intentional Bodily Injury/PDNVD (e.g., assault. vandalism) Intentional lnfliction of Emotional Distress Negligent lnfliction of Emotional Distress Other PilPD/WD Non-PIIPDNVD (Other) Tort Business Tort/Unfair Business Practice (07) Civil Rights (5.9., discrimination. false arrest) (not civii harassment) (08) Defamation (e.g.. slander. libel) (13) Fraud (16) Intellectual Property (1 9) Professional Negligence (25) Legal Malpractice Other Professional Malpractice (no! medical or Iegal) Other Non-PIIPDIWD Tort (35) Employment Wrongful Termination (36) Other Employment (1 5) CASE TYPES AND EXAMPLES Contract Breach of Contract/Warranty (06) Breach of Rental/Lease Contract [not unlawful detainer or wrongful eviction) Contractharranty Breach-Seller Plaintiff (nor fraud or negligence) Negligent Breach of Contract! Warranty Other Breach of ContracUWarranty Collections (8.9., money owed, open book accounts) (09) Collection Case-Seller Plaintiff Other Promissory NotelCollections Case Insurance Coverage (nofprovisionally complex) (18) Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Property Eminent Domainllnverse Condemnation (14) Wrongful Eviction (33) Other Real Property (e.g.. quiet title) (26) Writ of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (not eminent domain, landlord/(enanr, or foreclosure) Unlawful Detainer Commercial (31) Residential (32) Drugs (38) (if the case involves illegal drugs, check this item; otherwise. repon‘ as Commercial or Residential) Judicial Review Asset Forfeiture (05) Petition Re: Arbitration Award (11) Writ of Mandate (02) Writ-Admlnistrative Mandamus Writ-Mandamus on Limited Court Case Matter Writ-Other Limited Court Case Review Other Judicial Review (39) Review of Health Officer Order Notice 0f AppeaI-Labor Commissioner Appeals Provisionally Complex Civil Litigation (Cal. Rules 0f Court Rules 3.400-3.403) Antitrust/Trade Regulation (03) Construction Defect (1U) Claims Involving Mass Ton (40) Securities Litigation (28) EnvironmentaIfToxic Tort (30) Insurance Coverage Claims (arising from provisionally complex case type listed above) (41) Enforcement ofJudgment 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) PetitionICemfication of Entry 0f Judgment on Unpaid Taxes Other Enforcement of Judgment ' Case Miscellaneous Civil Complaint RICO (27) Other Complaint (no! specified above) (42) Declaratory Relief Only Injunctive ReIief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-rod/noncomplex) Other Civil Complaint (non-rort/non-complex) Miscellaneous Civil Petition Pannershl’p and Corporate Governance (21) Other Petition (not specified above) (43) Civil Harassment Workplace Violence Elder/Dependem Aduit lAbuse Election Contest Petition for Name Change Petition for Relief from Late Claim Other Civil Petition CM-010 [Rev], July 1. 2007] C _ Martin Rank ,, w)4 w ESSEHHAI fflflMS” CIVIL CASE COVER SHEET Page 2 of 2