Civil Case Cover SheetCal. Super. - 6th Dist.January 29, 2021ATI'ORNEY OR PARTY WITHOUT ATTORNEYUVame, Stare Bar number, and address): FOR COURT USE ONLY _ You!“ Legal‘Namg: q,- Mtchel 16 wmfl Your Ad‘dress: W91 mm {0’s \bQ- '-flZZQ TELEPHONE No:w JOBe/w F §/% L/ AWORNEY FORwams): S&lf-Represented SUPERIOR COURT 0F CALIFORNIA, cougmr 0F Santa Clara smemooaess; 1 91 North Flrst Streetmm ADDRESS: ’1 91 North First Street CITYANDZIP CODEzsan Jose, CA 951 13 BRANCH NAME: CIVII Courthouse CASE NAME: B W*\4( v, @(Omvx mClVlL CASE (EVER SHEET Complex Case Designation msymfi a Q jg; h;Unlimited Limited . {‘gH Q E? ;J g ’f‘ (J (Amount (Amount D Counter a Jomder J D g. v AL K. w u demanded demanded is Filed with first appearance by defendant U 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) Antitrust/Trade regulation (03) Other collections (09) Construction defect (1 0) Other PIIPDIWD (Personal lnjurylPropeI‘ty Insurance coverage (1 B) Mass tort (40)TDamage’wmgfu' Death) '°” Other contract (37) Securities litigation (28) Asbestos (O4) . . A , , Enwronmental/Toxtc tort (30) Product Inability (24) Real Property . . . , y . . Insurance coverage dalms ansmg from the Medlcal malpractice (45) Emmentdomam/[nverse above listed mvisiona“ com lex case Other PIIPD/WD (23) condemnation (14) p y p Wrongful eviction (33) types (41) Other real property (26) Enforcement of Judgment Enforcement of judgment (20) Non-PIIPDIWD (Other) Tort Business tort/unfair business practice (07) Civil rights (08) Unlawful Detainer Defamation (13) Commerciai (31) Miscellaneous Civil Complaint Fraud (16) Residential (32) RICO (27) Intellectuai property (19) Drugs (38) Other complaint (nor specified above) (42) giggerssloifiglrsgfifiirfigé) Judicial Review: Miscellaneous. Civil Petition Asset fodeuture (05) Partnership and corporate governance (21) Employment Petition re: arbitration award (1 1) a Other petition (nofspecified above) (43) Wrongful termination (36) Writ of mandate (02) Other emptoyment (1 5) Otherjudicial review (39) 2. This case a is m is not complex under rule 3.400 of the 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 of witnesses b. Extensive motion practice raising difficult 0r 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. a Substantial amount of documentary evidence f. D Substantial postjudgmentjudicial supervision 3. Remedies sought {check allfhatapply): a. D monetary b.m nonmonetary; declaratory or injunctive relief c. a punitive 4. Number of causes of action s ecifid.‘ ' 5. This case a is fl is not a class action suit. 6. Ifthere are any known related cases, file and serve a notice of related case.(Y may use fonn C 015.} ‘v ‘ a Date- J gq-gl Mi dkdle, crgca‘Mfl ‘ (TYPE 0R PRINT NAME) } 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. File this cover sheet in addition to any cover sheet required by local court rule. 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 panies 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 F Ad t dr M d t U . c I. R I H: n 1 2.303.220; 34400-1403 1740; £3.33ngncuoércaanmgrfig 39 r66)M CIVIL CASE COVER SHEET a 5§§§zan§grdsr%?3udjcialAdministration,std.3.1oCM-O10[Rem July 1. 2007] M Bsflmfl FflRMSn www.courtmfov a.gov {16M Cm 1. Ui-u CM-O1O INSTRUCTIONS 0N 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 gage 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 for the case pe thatvbest 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. 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 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 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. semces, or money was acquired on 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 0f a_ttacvhment. ' he ideqtification ofa case as a rule 3.740 collections case on this form means that it will be exempt from the eneral tlme-for-serwce requ1rements and case management ruIes, 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 Cases. In complex cases only, pafiies must also use the Civil Case Cover Sheet to designate whether the case is complex. If a plaintiff believes the case is complex under rule 3.400 0f the California Rules of Court, this must be indicated by completing the appropriate boxes in items 1 and 2. lfa plaintiff designates a case as complex, the cover sheet must be served with the complaint on ali 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, ifthe plaintiff has made no designation. a designation that the case is complex. Auto Ton Auto (22)-Persona| lnjurylProperty DamageIWrongfui Death Uninsured Motorist (46) (ifrhe case involves an uninsured motorist claim subject to arbitration, check this item instead of Auto) Other PllPD/WD (Personal Injury! Property DamagelWrongful Death) Tort Asbestos (04) Asbestos Property Damage Asbestos Personal Injury! Wrongful Death Product Liabi1ity (nor asbestos or toxidenvironmenfal) (24) Medical Malpractice (45) Medical Matpractice- Physicians & Surgeons Other Professional Health Care Malpractice Other PI/PDNVD (23) Premises Liability (e.g.. slip and fa“) Intentional Bodily Injury/PD/WD (8.9., assault. vandalism) Intentional lnfiiction of Emotional Distress Negligent lnfliction of Emotional Distress Other PI/PD/WD Non-PIIPDIWD (Other) Tort Business Tom'Unfair Business Practice (07) Civil Rights (3.9.. discrimination. false arrest) (nor civil harassment) (08) Defamation (e.g., slander. libel) (13) Fraud (16) Intellectual Propedy (19) Professional Negligence (25) Legal Ma1practice Other Professional Malpractice (nor medical or legal) Other Non-PI/PD/WD Tort (35) Employment Wrongful Termination (36) Other Employment (1 5) CASE TYPES AND EXAMPLES Contract Breach of Contractharranty (06) Breach of RentaULease Contract (nor unlawful detainer or wrongful evictt'on) Contract/Warranty Breach-Seller Plaintiff (not fraud or negh‘gence} 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 NotelCollections Case ‘ Insurance Coverage (nor provisr'onafly complex) (1 8) 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) Writ of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (nor eminent domain, Iandlord/renant, or foreclosure) Unlawful Detainer Commercial (31) Residential (32) Drugs (38) (if the case invoives illegal drugs, check this item; otherwise, report as Commercial or Residentia!) Judicial Review Asset Forfeiture (05) Petition Re: Arbitration Award (1 1) Writ of Mandate (02) Writ-Administrative Mandamus Writ-Mandamus on Limited Court Case Matter Writ-Other Limited Court Case Review Olher Judicial Review (39) Review of Health Officer Order Notice of Appeal~Labor CommissionerAppeals Provisionally Complex Civil Litigation (Cal. Rules of Court Rules 3.400-3.403) Antitrustfl'rade Regulation (03) Construction Detect (1 D) Claims Involving Mass Tort (40) Securities Litigation (23) Environmentalffoxic Tort (30) Insurance Coverage Claims (arising from provisionally complex case type listed above) (41 ) Enforcement of Judgment Enforcement 0f Judgment (20) Abstract of Judgment (Out of County) Confession of Judgment (non- domestic relations) Sistey State Judgment Administrative Agency Award (nor unpaid (axes) Petition/Cenification of Entry of Judgment on Unpaid Taxes Other Enforcement 0f Judgment Case Miscellaneous Civil Complaint RICO (27) Other Complaint {nor 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-tort/non-complex) Miscellaneous Civil Petition Partnership and Corporate Governance (21) Other Petition (nor specified above) (43) Civil Harassment Workplace Violence Elder/Dependent Adult Abuse Election Contest Petition for Name Change Petition for Relief from Late Claim Other Civil Petition cmmo [Rem July 1. 20071 I . 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