Civil Case Cover SheetCal. Super. - 6th Dist.January 27, 2021v CM-010 ATTORNEY OR PARTY WITHOUT ATIORNEY (Name, Stare Barnumber, and address). - YourLegalName: Lou\l [Ofll 301 éng R Qymrflck/ YourAddress.ngo E. l DUr Dr .. JzJaw j0 :7 L/ TELEPHONE Nov: Q qt; [7-3 FAX N0.: ATTORNEY FORmame): self-Represented FOR COURT USE ONLY SUPERIOR COURTOF CALIFORNIA,com_~ITY0F Santa Clara STREETADDRESS; 1 North F!I'St Street MAILING ADDRESS: 1 91 North Fll‘St Street CITYANDZIPCODE- san Jose, CA 95113 3mm NAME Civil Courthouse CASE NAME: QOg/a/rfla, V 9 Hfifnafl 06$ CIVIL CASE COVER SHEET Complex Case Designationm Unlimited D Limited . (Amount (Amount D Counter D Jomder demanded demanded is Filed with first appearance by defendant exceeds $25,000) $25,000 or less) (Cal. Rules of Court. rule 3.402) CASEWBER P9 jg 3 (2:. fl} O F} Ea ,,¢. {J3‘1.- ‘y’, E) 5f; n-T JUDGE: " DEPT; Items 1-6 below must be compieted (see instructions on page 2). 1. Check one box below for the case type that best describes this case: Auto Tort Contract Auto (22) Breach of contract/warranty (06) Uninsured motorist (46) Rule 3.740 collections (09) Other PUPDIWD (Personal lnjurylProperty Other collections (09) DamagefWrongful Death) Tort Insurance coverage (1 5) Asbestos (04) Other contract (37) Product liability (24) Real Property Medical malpractice (45) Eminent domainllnverse Other PIIPD/WD (23) condemnation (14) Non-PIIPDIWD (Other) Ton grr‘oenrgrglevgt'géigg) Business tomunfair business practice (OT) p p Civil rights (08) Unlawful Detainer Defamation (13) Commercial (31') Fraud (16) Residential (32) Intellectual property (1 9) Drugs (38) Professional negtigence (25) Other non-PI/PD/WD ton (35) Jud'cla' Rev'ew Asset forfeiture (05) Employment Petition re: arbitration award (11) Wrongfu1 termination (36) Wn’t 0f mandate (02) Other employment (1 5) Other judicial review (39) Provisionally Complex Civil Litigation Cal. Rules of Court, rules 3.400-3.403) Antitrust/Trade regulation (03) Construction defect (1 0) Mass tort (40) Securities litigation (28) Environmental/Toxic tort (30) Insurance coverage claims an’sing from the above listed provisionally comp1ex case types (41) Enforcement of Judgment Enforcement ofjudgmenl (20) Miscellaneous Civil Complaint RICO (27) Other complaint (not specified above) (42) Miscellaneous Civil Petition a Partnership and corporate governance (21)Other petition (not specified above) (43) 2. This case D is m is not factors requiring exceptional judicial management: a. Large number of separately represented parties d. b. Extensive motion practice raising difficult 0r novel e. issues that will be time- consuming to resolve c D Substantial amount of documentary evidence Number of causes of actions ecify): This case D is % is not a class action suitowpw Date‘O//25/Zl (TYPE OR PRINT NAME) complex under rule 3‘400 ofthe California Rutes of Court. If the case is complex. mark the Large number of witnesses Coordination with related actions pending in one or more courts in other counties states or countries or in a federal courtD Substantial postjudgmentjudicial supervision Remedies sought (check ali that apply) a D monetary b.fm nonmonetary; declaratory or injunctive relief c D punitive If there are any known related cases file and serve a notice of related case (You may use fonn CM-015) LCL‘HO/m JQxé/EW $999 NOTICE in sanctions‘ c File this cover Sheet in addition to any cover sheet required by local court rule. other parties to the action or proceeding. o Plaintiff must file this cover sheetwith the first paper flied 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 o lfthis case is complex under rule 3.400 et seq. of the Caiifornia Rules of Court. you must serve a copy ofthis cover sheet on all o Unless this is a collections case under rule 3.740 or a complex case, this cover sheet wit] be used for statisticai purposes only. Page 1 or 2 figfliéldoghenzfiorfhicaaqgafifig Use CIVIL CASE COVER SHEET CM-O1O Rev Juy1. 2007] C _ Mira’anni ESSEHHAL IURMS'" Cal‘ Rules of Cou rufes 230 3.220 3 400-3 403 3 740; Cal. Standar s of Judidai Administralion std. 3 10 www coumnfo ca gov pUEflU/MIL {/10} 1/;~\I 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 0n fiage 1. This information will be used to compile statistics about the types and numbers o cases filed. You must complete items 1 throug 6 on the sheet. In item 1, you must check one box forthe case pe that best describes the case. Ifthe case fits both a general and a more specific type of case listed in Item 1. check the more speci Ic one. Ifthe case has multiple causes of action. check the box that best indicates the primary cause of action. T0 assist you in completing the sheet, examples 0fthe 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 rule 3.740 is defined as an action for recovery ofmoney 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. 0r money was acquired 0n 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 a_ttachment. The identification of a case as a rule 3.740 collections case on this form means that itwill be exempt from the general tlme-for-service requirements and case management rutes, 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.|n com Iex cases only. parties must also use the Civii Case Cover Sheet to designate whether the case is complex. lfa plaintiff believest e case is complex under rule 3.400 ofthe 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 0n a” parties to the action. A defendant may fiIe and serve no later than the time of its first appearance ajoinder in the plaintiffs designation, a counter-designat‘lon 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)-Personal lnjury/Property Damage/Wrongful Death Uninsured Motorist (46) (ifrhe case involves an uninsured motorist claim subjec! to arbitration, check this item instead of Auto) Other PIIPDIWD (Personal Injury] Property DamageNVrongful Death) Tort - - Asbestos (04) Asbestos Property Damage Asbestos Personal Injury] Wrongful Death Product Liability {not asbestos or toxic/envfronmental) (24) Medical Malpractice (45) Medical Malpractice- Physicians 8. Surgeons Other Professional Health Care Malpractice Other PIIPD/WD (23) Premises Liability (e.g., slip and fall) Intentional Bodily InjuryIPD/WD (e.g.. assault, vandalism) Intentional lnfliclion of Emotional Distress Negligent Infliction of Emotional Distress Other Pl/PD/WD Non-PIIPDIWD (Other) Tort Business TorUUnfair Business Practice (07) Civil Rights (e.g., discrimination, false arrest) (notciw‘l harassment) (08) Defamation (e.g., slander, libel) (13) Fraud (16) Inteilectual Property (19) Professional Negiigence (25) Lega1 Ma1practice Other Professional Malpractice {nor medical or legal) ' Other Non-PJ/PDIWD Tort (35) Employment Wrongful Termination (36) Other Employment (1 5) CASE TYPES AND EXAMPLES Contract Breach of Contract/Warranty (06) Breach of RenlailLease Contract {nor unlawful detainer or wrongfui eviction) ContracUWarranly Breach-Seller Plaintiff (nor fraud ornegligence) Negligent Breach of Contract! Warranty OU1er Breach of Contract/Warranty Collections (8.9., money owed, open book accounts) (09) Collection Case-Setler Plaintiff Other Promissory Note/Collections Case insurance Coverage (not provisionally complex) (1 8) Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Property Eminenl Domain/lnverse Condemnation (14) Wrongful Eviction (33) Other Real Propeny (e.g., quiet title) (26) Writ of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Propeny (not eminent domain, Iandlord/tenant, or foreclosure) Unlawful Detainer Commercial (31) Residential (32) Drugs (38) {if (he case involves illegaf drugs, check this item; otherwise, mpon as Commercial or Residential) Judicial Review Asset Forfeiture (05) Petition Re: Arbitration Award (1 1) Wn't of Mandate (02) Writ-Administrative Mandamus Writ-Mandamus on Limited Court Case Matter Wn‘t-Other Limited Court Case Review Other Judiciat Review (39) Review of Health Officer Order Notice of AppeaI-Labor Commissioner Appeais Provisionally Complex Civil Litigation (Cal. Rules of Court Rules 3.400-3.403) Antitrust/Trade Regulation (03) Construction Defect (1 0) 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) Petition/Certification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Miscellaneous Cile Complaint RICO (27) Other Complaint (not specified above) (42) Declaratory Relief Only Injunctive Relief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-rort/non-complex) Other Civil Complaint (non-fon/non-complex) Miscellaneous Civii Petition Paflnership and Corporate Governance (21) Other Petition (not specified above) (43) Civil Harassment Workplace Violence EIder/Dependenl Adult Abuse Election Contest Petition for Name Change Petition for Relief from Late Claim Other Civil Petition CM-010 [Ram July 1. 2007] g6) Amman“ W BSEHHAL FURMS" CIVIL CASE COVER SHEET Page 2 orz