Civil Case Cover SheetCal. Super. - 6th Dist.February 3, 2021; CM-o1o ATTORNEY OR PARTY WITHOUT ATTORNEY (Name Stare Bar number and address): FOR COURT USE ONLY _ Your Legal Name: Ladéx Ll 1&4 L‘ Kvgfll kw YourAddress: [a (.VHYlt HUfl $01” J: u 03H ?w UL Wind?) TELEPHONE N0; FAX N0; ATTORNEY FOR (Name): SQlf-Represented SUPERIOR COURT 0F CALIFORNIA, couryTY 0F Santa Clara STREETADDRESS;191 North First Street MAJLJNGADDRESS 191 North First Street FEB "3 2021 CITYANDZIPCODE:san Jose, CA 951 1 3 BRANCHNAME: CIVII Courthouse Clerk the Court 0/9 CASE NAME: ~ _ BY en I CA County of SanISEcgjalE-Y %ffixUflfr/x “Puma: / chwaJv CIVIL CASE COVER SHEET Complex Case Designation QA§E yuugaa: _ , 4.. Hm unl'm'ted D L'm'ted a Counter DJoinder (:1; i A 3“; ‘_ I i a ff D(Amount (Amount -- e w ‘ n L; kc; J {UP mg demanded demanded is Filed with first appearance by defendant JUDGE u "b’ exceeds $25,000) $25,000 0r less) (Cal. Rules of Court, rule 3.402) 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 Provisionally Complex Civil Litigation B Auto (22) Breach of contract/warranty (06) Cal. Rules of Court, rules 3.400-3.403)Uninsured motorist (46) Rule 3.740 collections (09) AntilrusUTrade regulation (03) Other collections (09) Construction defect (10)”Other PIIPDM'D (Personal lnjurylProperty Damage/Wrongful Death) Tort Asbestos (04) Insurance coverage (18) Mass tort (40) Other contract (37) Securities litigation (28) Environmentah’Toxic tort (30) Productliability(24) Real Property Insurance CO era e I A 5 K _ f m Medica1 malpractice (45) D Eminentdomainllnverse abo elm d Vr .g. calf" ans;ng mm eOtherPuPD/wmzs) condemnation(14) V ' e p°V'5‘°”ay°°mp ex case Wrongful eviction (33) types (41) Other real property (26) Enforcement of Judgmenta Enforcement ofjudgmenl (20) Non-PUPDIWD (Other) Tort Business tort/unfair business practice (07) Civil rights (08) Unlawful Detalner Defamation (1 3) Commercial (31) Miscellaneous Civil Complaint Fraud (16) Residentia1 (32) a Rico (27)Intellectual property (19) Drugs (38) Other compIainl (not specified above) (42) Professional negligence (25) Judicial Review Miscellaneous Civil Petition Other non'PHPD/WD um (35) Asset forfeiture (05) Q Partnership and corporate governance (21)Employment Petition re: arbitration award (11) Other petition (nor specified above) (43) Wrongful termination (36) Writ of mandate (02) Other employment (15) Otherjudicial review (39) 2. This case D is m is not complex under rule 3.400 ofthe 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 ofwitnesses 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 ofdocumentary evidence D Substantial postjudgmentjudicial supervision Remedies sought (check ail that appIy). a D monetary b {m nonmonetary; deciaratory 0r injunctive relief c. a punitive Number of causes of actions ecify): This case a is fl is not a class action suit If there are any known related cases file and serve a notice of related case (Youm y e fonn CM-015.) Date a olfmfizl NOTICE o Plaintiffmust 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, Famny 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 ruie. o lfthis case is complex under rule 3.400 et seq. 0f the California Rules 0f Court, you must serve a copy 0fthis cover sheet on all other parties to the action or proceeding. o Unless this i5 a collections case under rule 3.740 0r a complex case, this cover sheetwill be used for statistical purposes only. @999 Page 1 or F Ad 1dr M dl U CIR! chn l 2W303220 1.40034033740; ésfifigféegim.°a§ag$°g SB cgw C'V'L CASE COVER SHEET - a &:S§tand:rawimlAmmmnmw m [ ev July 7]a M BiEm-IM FURMSW mvwcoumn m.gov FVfrzl‘J/MJC CM-O10 INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET To Plaintiffs and Others Filing First Papers. Ifyou 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 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 that best describes the case. If the case fits both a genera] and a more specific type ofcase listed in item 1. check the more speci c one. Ifthe case has multipte 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 sheetwith the first paper filed in a civil case may subject a party, its counset. or both to sanctions under rules 2.30 and 3.220 ofthe 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. 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 prejudgmentwrit of attachment. he identification of a case as a rule 3.740 collections case 0n thls 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 believest 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 sewed with the 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 plaintiff's designation, a counter-designation that the case is not comptex, or. if the plaintiff has made no designation, a designation that the case is comptex. Auto Tort Auto (22)-Persona| InjuryIProperty Damage/Wrongful Death Uninsured Motorist (46) (if the case involves an uninsured moron'st claim subject to arbitration, check this item instead ofAuto) Other PJIPDIWD (Personal Injury! Property DamageIWrongful Death) Tort Asbestos (04) Asbestos Property Damage Asbestos Persona1 Injury! Wrongful Death Product Liability (not asbestos or toxic/environmenral) (24) Medical Malpractice (45) Medical Malpractice- Physicians 8. Surgeons Other Professional Health Care Malpractice ' Other PrIPDNVD (23) Premises Liability (e.g., slip and fall) Intentional Bodily tnjury/PDIWD (e.g., assault, vandalism) Intentional Inflictjon of EmotionaI Distress Negligent lnfliction of EmotionaI Distress Other PIIPDNVD Non-PIIPDIWD (Other) Tort Business Tort/Unfair Business Practice (07) Civil Rights (6.9.. discriminauon. false arrest) (not civil harassment) (08) Defamation (e.g., slander, libel) (13) Fraud (16) Intellectual Property (1 9) Professional Negligence (25) Legal Malpractice Other Professiona! Ma1practice (not medical or legal) Other Non-Pl/PD/WD Tort (35) Employment Wrongful Termination (36) Other Employment (1 5) CASE TYPES AND EXAMPLES Contract Breach of ContracUWananty (06) Breach of RentallLease Coniracl (not unla wful detainer or wrongfu! eviction} ConlracUWarranly Breach-Seller Plaintiff {nor fraud or negligence) Negligent Breach of Contract! Warranty Olher Breach of ConlracUWarranry Collections (8.9., money owed. open book accounts) (09) Collection Case-Seller Plaintiff omer Promfssory NoteICollections Case Insurance Coverage (nor provisionally complex) (1 8) Auto Subrogation v 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 line) (26) Wn‘t of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (not eminent domain, Iandiord/tenant, or foreclosure} Unlawful 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) Wfit 0f Mandate (02) Writ-Administrative Mandamus Wn't-Mandamus on Limited Court Case Matter Writ-Other Limited Court Case Review Other Judicial Review (39) Review of Health Officer Order Notice of Appeal-Labor Commissioner Appeals Provisionally Complex Civil Litigation (Cal. Rules of Court Rules 3.400-3.403) Antitrust/Trade Regulation (03) Construction Defect (1 O) Claims Involving Mass Tort (40) Securities Litigation (28) EnvironmentallToxic Tort (30) Insurance Coverage Claims {arising from provisionafly complex case type listed above) (41) Enforcement of Judgment Enforcement of Judgment (20) Abstract of Judgment (Out of County) Confession ofJudgmenl (non< domestic relations) Sister State Judgment Administrative Agency Award (not unpaid taxes) PetitionlCeriification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Miscellaneous 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-rort/non-complex) Other Civil CompIaint (non-ton/nonrcomplex) Miscellaneous Civll Petition Partnership and Corporate Governance (21) Other Petition (not specified above) (43) Civil Harassment Workplace Violence Elder/Dependenl Adult Abuse Election Contest Petition for Name Change Petition for Relief from Late Claim Other Civil Petition CM-O1O [Rev‘ July 1. 2007] C _ mm‘nmm ESSEHML HIRMS” CIVIL CASE COVER SHEET Page 2 of 2
