Civil Case Cover SheetCal. Super. - 6th Dist.February 8, 2021CM-010 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name. sate Bar number and address) FOR COURT useO&Y _ YourLogalNamo: s: \v \Ok MQO/fitl Mob YourAddress “5g ngfloficn Wkrbq r1 I b. TELEPHONE NO r FAX NO moans Fon (Name; Seu-nepresentea summon count or CALIFORNIA. coum'v 0F Santa Clara I I E STREET ADDRESS 191 North First Street MLINGADDRESS 191 North First Street carvmozlpcooe san Jose, CA 95113 FEB " 8 2021mm NAME Civil Courthouse 4’46 ‘ . urtww MumzW < mCIVIL CASE C&VER SHEET Complex Case Designation Unlimited Limited (Amount (Amount a counter a Jounaer DOE 2 1 c H fig 93 5 3 demanded demanded is Filed with first appearance by defendant J” 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 Ton Contract Provlslonally Complex Clvll Litigation a Auto (22) Breach of contract/warranty (06) Cal. Rules o! Court. rules 1400-1403)Uninsured motorist (46) Rule 3.740 collections (09) Antitrust/Trade regulation (03) Other collections (09) Construction defect (10) Other PI/PDIWD (Pononal InjurylPropony Insurance coverage (18) Mass ton (40)Damagelwrongm' Death) Ton Other contract (37) Securities litigation (28) Asbestos (04) ‘ ‘ Product liability (24) Real Property Enwonmemamox'c tor? (30) ‘ . . . . ‘ Insurance coverage claims ansmg from the Medical malpractice (45) D Eminent domalnllnverse above “s‘ed provisional” comp.” case Other Pl/PD/WD (23) condemnation (14) types (41) Wrongful eviction (33) Non'P'IPPIWD (0th").Ton. . Other real property (26) Enforcement of Judgment Busmess tortlunfalr busmess practlce (07) D Enforcement ofjudgmem (20) Civil rights (08) Unlawful Detalner Defamation (13) Commercial (31) Mlscellaneous Civil Complaint Fraud (16) Residential (32) a RICO (27)IntellectuaI property (19) Drugs (38) Other complaint (not specified above) (42) Eggsjfifiap'lfsgxlgvg‘gt‘igg Judicial Review Miscellaneoug CIvII Pomlon Asset forfeiture (05) Partnership and corporate governance (21) Employment Petition re: arbitration award (11) 5’1 Other petition (not specified above) (43) Wrongful lamination (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 wull 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 Remedies sought (check al/ that apply) a D monetary b n;onmonetary declaratory or injunctive relief c D punitive Number of causes of actions ec/fy) This case D is is not a class action suit. If there are any known related cases file and serve a notice of related case. (You may use form CM-015.) Date. 02__\org\ Lou g§\\;7u K\\)N$’\‘ 5‘1WW 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 parties 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. mwpw Page 1 o! 2 %%mquwé&§¥u “mm“ ~ CIVIL CASE COVER SHEET Cal Rgasggagggpdsnggmagmfifiéfifiagéo I I C XII 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 Rage 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 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 mone 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. The 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.ln com lex 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-designafion 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 Injury/Propeny DamageNVrongful Death Uninsured Motorist (46) (if the case involves an uninsured motorist claim subject to arbitration. check this item instead of Auto) Other PIIPDMID (Personal Injury! Ptopeny DamageIWrongful Death) Tort Asbestos (04) Asbestos Property Damage Asbestos Personal Injury/ Wrongful Death Product Liability (not asbestos or toxic/envimnmenlal) (24) Medical Malpractice (45) Medical Malpractice- Physicians 8. Surgeons Other Professional Health Care MaIpractice Other PIIPDNVD (23) Premises Liability (e.g., slip and fall) Intentional Bodily Injury/PDNVD (e.g.. assault. vandalism) Intentional Infliction of Emotional Distress Negligent Infliction of Emotional Distress Other PI/PD/WD Non-Pl/PDIWD (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) CASE TYPES AND EXAMPLES Contract Breach of Contract/Warranty (06) Breach of RentallLease Contract (not unlawful detainer or wrongful eviction) Contract/Warranty Breach-Seller Plaintiff (no! fraud or negligence) Negligent Breach of Contract! Warranty Other Breach of ContracWVarranty Collections (e.g., money owed. open book accounts) (09) Collection Case-Seller Plaintiff Other Promissory Note/Collections Case Insurance Coverage (no! provisionally complex) (1 8) Au‘o 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 (not eminent domain, landlord/tenant, or foreclosure) Unlawful Detalnor Commercial (31) Residential (32) Drugs (38) (if the case involves illegal drugs, check this item; otherwise, report as Commercial or Residential) Judlclal Review Asset F orfeiture (05) Petition Re: Arbitration Award (1 1) Writ of Mandate (02) Provisionally Complex Civil Litigation (Cal. Rules of Court Rules 3.4004403) AntitrustlTrade 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- domest/‘c relations) Sister State Judgment Administrative Agency Award (not unpaid (axes) Petition/Cenificalion of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Mlscollaneous Clvll Complaint RICO (27) Other Complaint (no! specified above) (42) Declaratory Relief Only Injunctive Relief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-torr/non-complex) Other Civil Complaint (non-ton/non-complex) Mlscellanoous Clvil Petition Partnership and Corporate Governance (21) Other Petition (not specified above) (43) Civil Harassment Workplace Violence meigglnflarrggtfiigce (25) Writ-Administrative Mandamus Eldengfeendem Adu" . . Wn‘t-Mandamus on Limited Court Hectic” Come“Other Profgssmnal Malpractice Case Mane, Petition {or Name Change("Of madlcal or legal) Wm-Othef Limited Court case p t'f { R l' [fr L tomer Non-PI/PD/wo Tort (35) Review e ' 3"“. °' e 'e 0'“ a e Employment Other Judicial Review (39) Other gml petition Wrongful Termination (36) Review of Health Officer Order Other Employment (1 5) Notice of Appeal-Labor Commissioner Appeals WW"- Jwv 1- 20°71 CIVIL CASE COVER SHEET P-v-wzc . WM W issmw mus-