Civil Case Cover SheetCal. Super. - 6th Dist.February 4, 2021CM-01 0 Anemia 0R Mgw wamout A oausv (Name. stale ear number, and Mass) ran counr us: ouv r Your Legal Name: kLERJE 'L. I AH L-OL W CH Your Address: l+1§$W6A&M ad D. gANTH I TELEPHONE ~o ‘ FAx No. mommy Foam”) SeIf-Represented J ESUPERIOR COURT or CALIFORNIA. cougmr 0F Santa Clara L STREET ADDRESS 191 North Fll'St Street UV EN MAILING ADDRESS 191 North FlfSt Street FEB - 4 2021 CITY AND ZIP CODE g?nrlcosertfiA 951 1 3 BRANCH NAME IVI OU ouse CASE NAME Cler 0f the Ctosutztta Clara 1 C ounly o a ‘17:196K- Vs 7:le Bfuwmrcwn f‘ DEPUTY mCIVIL CASE CfiVER SHEET Complex Case Designation msmmaea VVV Unlimited Limited . (Amount (Amount D Counter D Jounder JUDGE 2 10 nM88 J; 9 demanded demanded is Filed with first appearance by defendant exceeds $25,000) $25,000 or less) (Cal. Rules of Court. rule 3.402) oepr. 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 Clvll thlgatlon Auto (22) Breach of contract/warranty (06) Cal. Rules of Court, rules 1400-3403) Uninsured motorist (46) Rule 3.740 collections (09) AntitrustITrade regulation (03) Other collections (09) Construction defect (10) Other PIIPD’WD (Personal '"jurylpmpefly Insurance coverage (18) Mass tort (40) DamageMIrongful Death) Tort O . . A ‘ .ther contract (37) Secuntles litigation (28) Asbestos (04) . . ‘ , , Enwronmental/Toxnc tort (30) Product Inability (24) Real Property . . . , ‘ . . Insurance coverage claims ansmg from the Medical malpractice (45) D Eminent domaIn/lnverse above listed rovisionany com lex case Other PI/PD/wo (23) condemnation (14) types (41) p p Non-PI/Polwo (Other) Tort W'°"9f”' e‘"°"°” (33) , . . . Other real property (26) Enforcement of Judgment Busmess tort/unfalr busmess practice (07) D Enforcement of .ud mem (20) Civil rights (08) Unlawful Demlnor ‘ 9 Defamation (13) Commercial (31) Miscellaneous Civll Complalnt Fraud (16) Residential (32) B Rlco (27)Intellectual property (19) Dmgs (38) Other complaint (not specified above) (42) Professional negligence (25) Judicial Rovlew Miscellaneous Civll Petition Other non'PllpD/WD ton (35) Asset forfeiture (05) a Partnership and corporate governance (21)Employment Petition re: arbitration award (11) Other petition (no! 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 couns 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 that 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 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.) Date FEBWMH 3 LOU \(Aeacm L/mu ’ Vj’gfiél gGYMNAME) NOTICE 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 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 o! iu'cio ounalot Morn "Leg flog -O1O Rev Jay .20071U fl CIVIL CASE COVER SHEET Cal Rum oiCoun rue3230 3220 3..3¢oo-3403Cd StandardsofJuotual Admruslrauon nd 3 10 wwwcoucoumnfoca gov SHC/dtik ted for Mandatorx [$361M HIM!” 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 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 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. services, or moneg was acquired on credit. A collections case does not include an action seeking the following: (1) ton damages, (2 punitive damages, ( ) recovery of real property. (4) recovery of personal property, or (5) a prejudgment wnt 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 otime-for-service requirements and case management rules, unless a defendant files a responsive p|eading. A rule 3.740 c case will be subject to the requirements for service and obtaining a judgment in rule 3.740. lections To Parties in Complex Cases. In com Iex 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 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 lnjury/Property DamageNVrongful Death Uninsured Motorist (46) (if the case involves an uninsured motorist claim subject to arbitration, check this item instead of Auto) Other PI/PD/WD (Personal Injury! Property DamagolWrongful 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 Pl/PDNVD (23) Premises Liability (e.g.. slip and fall) Intentional Bodily Injury/PDIWD (e.g.. assault. vandalism) Intentional Infliction of Emotional Distress Negligent Infliction of Emotional Distress Other Pl/PD/WD Non-PI/PD/WD (Other) Tort Business Ton/Unfair Business Practice (O7) Civil Rights (e.g.. discrimination. ialse arrest) (not civil harassment) (08) Defamation (e.g.. slander. libel) (13) Fraud (16) Intellectual Property (1 9) Professional Negligence (25) Legal Malpractice Other Professional Malpractice (not medical or legal) Other Non-PI/PDNVD Ton (35) Employment Wrongful Termination (36) Other Employment (1 5) CASE TYPES AND EXAMPLES Contract Breach of Contract/Warranty (06) Breach of Rental/Lease Contract (not unlawful detainer or wrongful eviction) ContracWVarranty Breach-Seller Plaintiff (no! 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/Couections 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) Writ o! Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (not eminent domain, landlord/tenanl, or foreclosure) Unlawful Detalner 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 Writ-Mandamus on Limited Court Case Matter Writ-Other Limited Court Case Review Other Judicial Review (39) Review o! Health Officer Order Notice of Appeal-Labor Commissioner Appeals valslonally Complex Clvll 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) Environmentalfl'oxic Ton (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/Certification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Miscellaneous Civil Complaint RICO (27) Other Complaint (no! specified above) (42) Declaratory Relief Only Injunctive Relief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-ton/non-complex) Other Civil Complaint (non-tON/non-camplex) Miscellaneous Civil Petition Partnership and Corporate Governance (21) Other Petition (no! specified above) (43) Civil Harassment Workplace Violence EIder/Dependen! Adult Abuse Election Contest Petition for Name Change Petition for Relief from Late Claim Other Civil Petition ammo (Rev, Jay 1, 2007] g6) "59.90.99 .. BSIiiIhiTiiW’ CIVIL CASE COVER SHEET Pogo 2 of 2