Civil Case Cover SheetCal. Super. - 6th Dist.January 21, 2021CM-O1 0 ATTORNEY OR P‘RRTY WITHOUT ATTORNEY (Name, Stale Bar number, and address): FOR COURT USE ONLY -- Vour LegalName: W: W‘Waf Your Address: Ci~$h ‘LI I L ETELEPHONE NO. FAX No.1 ATTORNEY FOR (Name) Self-Represented F SUPERIOR COURT 0F CALIFORNIA, couyTv 0F Santa Clara MAR } 9 2021 STREET ADDRESS 191 North Fl rSt Street 191 North First Street cTfiLiZiifgiii San Jose, CA 95113 Clerk 0' “‘9 CW"mall. BRANCH NAME CiVil COUTthO‘llfe m , I BY “CAmwd Em CASE NAME: Vflwvafi VS . m’uflQ 7 m mummyf I31 v VV CIVIL CASE COVER SHEET Complex Case Designation CA5: NUMBER:m :‘IAnrggnljgfid D 323$ D Counter D Joinder 2‘ ‘G’tOU taro demanded demanded is Filed with first appearance by defendant JUDGE 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 Tor! Contract Provlsionally Complex Clvll thlgatlon Auto (22) Breach of contractlwarranty (06) Cal. Rules of Court, rules 1400-3403) Uninsured motorist (46) Rule 3.740 collections (09) Antitrust/Trade regulation (03) Other collections (09) Construction defect (1 0) Other Pl/PDIWD (Penona' Injurwpmpeny Insurance coverage (18) Mass tort (40)DamageIWrongful Death) Tort . ‘ . . . Other contract (37) Securmes litigation (28) Asbestos (04) . . . . , Envnronmentalfl’oxuc ton (30) Product Inability(24) Real Property . . . . ‘ . . Insurance coverage claims ansmg from the Medical malpractice (45) D Eminent domalnllnverse above listed rovisionany com |ex case Other PI/PD/WD (23) condemnation (14) types (41) p p Non-PI/Polwo (Other) Ton wmngfu' ev'cm" (33) . . . . Other real property (26) Enforcement o! Judgment Business tort/unfalr busmess practice (07) D Enforcement crud mem (20) Civil rights (oa) Unlawful Detalner J 9 Defamation (13) Commercial (31) Mlscellaneous Clvll Complaint Fraud (16) Residential (32) RICO (27) Intellectual property (19) Drugs (38) Other complaint (not specified above) (42) gfifeersrsi'oflapllggngonfjfigg Judicial Review Miscellaneous Clvll Petition Asset forfeiture (05) Partnership and corporae governance (21) Employment Petition re: arbitration award (11) Other petition (not specified above) (43) Wrongful termination (36) Writ of mandate (02) Other employment (1 5) Other judicial review (39) 2. This case D is m 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. Large number of witnesses b. Extensive motion practice raising difficult or novel e. 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. D Substantial amount of documentary evidence f. Substantial postjudgmentjudicial supervision Remedies sought (check all that apply): a. D monetary b. nonmonetary; declaratory or injunctive relief c. D punitive Number of causes of action s ecify): This case D is is not a class action suit. If there are any known related cases. file and serve a notice of related case.(You may use fonn CM-015.) Datezo. :%\ .‘x -’ . 1 gQ :g: 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 to any cover sheet required by local court rule. o If this case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on all other 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. 9,539.0" Page 1 o! 2 FoanA tear M a t u a1. Run ofCoun n1 2‘30. 3.220, 3.400.140: .740; éfigfiumfir agfimi 5° c pML. CIVIL CASE COVER SHEET c Caefsmndards otejuducialAdnu'nistratiqnbstdano8V. y , 7] a Mm Hlusw WWWCOUITID Ca WV Pvfi MV/m/L 3h «IL! 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 your first pa er, the Civil Case Cover Sheet contained on statistics about the types and numbers o cases filed. You must complete items 1 throug age 1. This information will be used to compile 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 the more speci c one. If the case has multipIe 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 party. 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 ru!e 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 transacfion in which property, services, or mone was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages. (2) punitive damages, ( ) 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 co||ections case will be subject to the requirements for service and obtaining a judgment in rule 3.740. To Parties in Complex Casean com lex cases only, parties must also use the Civil Case Cover Sheet to designate whether the case is complex. If a plaintiff believes t e 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 me 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 plaintiffs 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 Ton Auto (22)-Personal Injury/Propeny DamageNVrongful Death Uninsured Motorist (46) (if the case involves an uninsured motorist claim subject to arbitration, check this item instead of Auto) Other PIIPDIWD (Personal Injury! Property DamageIWrongful Death) Tort Asbestos (04) Asbestos Property Damage Asbestos Personal lnjury/ Wrongful Death Product Liability (not asbestos or toxic/envimnmental) (24) Medical Malpractice (45) Medical Malpractice- Physicians & Surgeons Other Professional Health Care Malpractice Other PIIPDNVD (23) Premises Liability (e.g., slip and fall) Intentional Bodily lnjury/PDIWD (e.g.. assault. vandalism) Intentional lnfliction of Emotional Distress Negligent lnfliction of Emotional Distress Other Pl/PD/WD Non-PIIPDIWD (Other) Tort Business Tort/Unfair Business Practice (07) Civil Rights (e.g., discrimination, false arrest) (no! civil harassment) (08) Defamation (e.g.. slander. libel) (13) Fraud (16) Intellectual Property (19) Professional Negligence (25) Legal Malpractice Other Professional Malpractice (no! medical or legal) Other Non-Pl/PDNVD Tort (35) Employment Wrongful Termination (36) Other Employment (1 5) CASE TYPES AND EXAMPLES Contract Breach of Contract/Wananty (06) Breach of Rental/Lease Contract (not unlawful detainer or wrongful eviction) Contract/Warranty 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 Insurance Coverage (not provisionally complex) (18) Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Property Eminent Domain/lnverse Condemnation (14) Wrongful Eviction (33) Other Real Property (e.g.. quiet title) (26) Wn’t of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (not eminen! domain, landlord/renant, or foreclosure) Unlawful Detalner Commercial (31) Residential (32) Drugs (38) (if the case involves illegal drugs, check (his item; otherwise, report as Commercial or Residential) Judicial Review Asset Forfeiture (05) Petition Re: Arbitration Award (1 1) Writ of Mandate (02) Wn't-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 Provlslonally Complex Clvll Llflgatlon (Cal. Rules of Court Rules 3.400-3.403) Antitrust/Trade Regulation (03) Construction Defect (10) Claims Involving Mass Tort (40) Securities Litigation (28) Environmental/Toxic 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- domeslic relations) Sister State Judgment Administrative Agency Award (not unpaid taxes) PetitionlCenification of Entry of Judgment on Unpaid Taxes Other Entorcement of Judgment Case Miscellaneous Civil Complaint RICO (27) Other Complaint (not specified above) (42) Declaratory Relief Only lnjunctive Relief Only (non- harassment) Mechanics Lien Other Commercnal Complaint Case (non-(ort/non-complex) Other Civil Complaint (non-(ort/non-complex) Miscellaneous Clvll Petition Partnership and Corporate Governance (21) Other Petition (not specified above) (43) Civil Harassment Workplace Violence EIder/Dependent Adult Abuse Election Contest Petition for Name Change Petition for Relief from Late Claim Other Civil Petition cumo [Rem July 1, 2007] b Mambom ___ 'BSflllAlHllMS" CIVIL CASE COVER SHEET Pig. 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