Civil Case Cover SheetCal. Super. - 6th Dist.January 27, 2021' ' CM-o1oL VI ‘LTTORMH OR PARI’Y WITHOUT ATTORNEY (Name, Stale Bar number and address): FOR COURT USE ONLY Your LegalName:“a L, Fr Sch Yo-ur Address: ‘MB S; 936:6“? TELEPHONE No m -q b s"? FAX N0; AHORNEY FOR (Name) :6Pfil’esented F I L E DsUPERIon COURT 0F CALIFORNIA. cougmr 0F Santa ClaraSTREET ADDRESS 191 North Fll'st Street MAILINGADDREss 191 North FII’St street JAN 2 7 2021 CITYANDZIPCODE san Jose, CA 951 1 3 Kamen NAME Civil Courthouse Clerk f the Court Nab CASE NAME: superior Court CA nty oi Santa Okra F(Avxlcv‘ v S Mo (’cwo BY DEPUTY mew". CASE (EVER SHEET Complex Case Designation CASE NUMBER; V \ Unlimited Limited . (Amount (Amount D Counter D Jonnder ‘ Z I l: H“UQEL demanded demanded is Filed with first appearance by defendant JUDGE exceeds $25,000) $25,000 or less) (Cal. Rules of Court. mle 3.402) oepr. Items 1-6 below must be completed (see instruclions on page 2). 1. Check one box below for the case type that best describes this case: Auto Tort Contract Provlslonally Complex Clvll thlgatlon B Auto (22) Breach of contractlwarranty (06) Cal. Rules of Coutt, rules 1400-3403)Uninsured motorist (46) Rule 3.740 collections (09) Antitrust/Trade regulation (03) Other collections (09) Construction defect (1 0)om" PIIPDIWD (Personal Injurylpmpeny Insurance coverage (18) Mass ton (40) DamageIWrongful Death)Ton S ‘t. Im anon (28) Asbestos (o4) Other contract (37) Eecyn Ies g I . . . nvnronmental/Toxnc tort (30) Product Inability (24) Real Property . . . _ ‘ . . Insurance coverage claims ansmg from the Medical malpractice (45) a Eminent domam/lnverse above listed provisional” complex case Other PI/PDNVD (23) condemnation (14) types (41) Non-PI/PDIWD (Other) Tort ‘gmngfu' 6mm" (33) . . . . ther real property (26) Entorcement o! Judgment Busmess tort/unfaar busmess practice (07) - D Enforcement ofjudgmem (2°) Civil rights (08) Unlawful Detainer Defamation (13) Commercial (31) Miscellaneous Clvll Complaint Fraud (16) Residential (32) a RICO (27)Intellectual property (19) Drugs (38) Other complaint (no! specified above) (42) gizgsjgiqgirsgfivfifgfigg Judicial Revlevg Miscellaneous Clvll Petition Asset forfeiture (05) Partnership and corporate governance (21) Employment Petition re: arbitration award (1 1) a 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. a Large number of witnessesb. Extensive motion practice raising difficult or novel 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 postjudgment judicial supervision 3. Remedies sought (check all (hat apply). a. D monetary b. nonmonetary; declaratory or injunctive relief c. D punitive 4. Number of causes of actions ecify). 5. This case D is fi is not a class action suit. 6. If there are any known related cases, file and serve a notice of related case.(You may use form CM-015.) I ( q Date 0 I o){FrW Z Z 3 g Z0V l ’ fi Q a 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 ‘his 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. 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 gfiawpzvlHy agda‘cu aaimngm: CIVIL CASE COVER SHEET Cd Rgal. gandards of JugfialsAgfirEsgggfigaéa‘oo KME/fl f/zovar st 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 fiage 1. This information wiIl 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 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 Ic one. If the 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 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 counseI. 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 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 transaction in which property, services, or moneg 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. he 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 collections case will be subject to the requirements for service and obtaining a judgment in rule 3.740. To Parties in Complex Cases. In comfilex 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 the complaint on all panies 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 Tort Auto (22)-Personal Injury/Propeny Damage/Wrongful Death Uninsured Motorist (46) (if the case involves an uninsured moton's! claim subject to arbitration, check (his item instead of Auto) Other PIIPDNVD (Personal Injury! Property DamageIWrongful Death) Tort Asbestos (04) Asbestos Property Damage Asbestos Personal Injury/ Wrongful Death Product Liability (not asbestos or foxic/environmental) (24) Medical Malpractice (45) Medical Malpractice- Physicians & Surgeons Other Professional Health Care Malpractice Other PI/PDNVD (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 Pl/PDNVD Non-Pl/PD/WD (Other) Tort Business Tort/Unfair Business Practice (07) Civil Rights (e.g.. discrimination. false arrest) (not 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-PI/PDNVD Tort (35) Employment Wrongful Termination (36) Other Employment (15) CASE TYPES AND EXAMPLES Contract Breach of Contract/Warranty (06) Breach of Rental/Lease Contract (not unlawful detainer or wrongful eviction) Conlract/Warranty Breach-Seller Plaintiff (no! fraud or negligence) Negligent Breach of Contract! Warranty Other Breach of Contractharranty Collections (e.g., money owed, open book accounts) (09) Collection Case-Seller 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 Propeny Eminent Domain/Inverse 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 (no! eminent domain, Iandlordflenant, or foreclosure) Unlawtul Detainer Commercial (31) Residential (32) Drugs (38) (if the case involves illegal drugs, check this item." otherwise, report as Commercial or Residential) Judicial Review Asset Forfeiture (05) Petition Re: Arbitration Award (1 1) Writ of Mandate (02) Writ-Administrative Mandamus Wn’t-Mandamus on Limited Coun Case Matter Writ-Other Limited Court Case Review Other Judicial Review (39) Review of Health Officer Order Notice of Appeal-Labor Commissioner Appeals Provlslonally Complex Civil thlgatlon (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- domestic relations) Sister State Judgment Administrative Agency Award (not unpaid taxes) Petition/Cenification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Mlscellanoous Civil Complaint RICO (27) Other Complaint (not specified above) (42) Declaratory Relief Only Injunctive Relief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-tort/non-complex) Other Civil Complaint (non-ton/non-complex) Miscellaneous Clvil 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 CM01O (Rev, Juiy 1. 2007] _ WmDml! BSEIIIM FIRMS" CIVIL CASE COVER SHEET Pug. 2 o! 2
