Civil Case Cover SheetCal. Super. - 6th Dist.February 22, 2021. CM-010 [ ATTORNEY 0R PARTY WITHOUT TTORNEY (Name, State Bar number. and address) FOR COURT USEMY - Your Legal Name: Q“QDQ \'\UUM [\{KNQS Your Address: %Q(%GOM \ATuj rd [\p} J5“) TELEPHONE N0 Ob GO) ‘373C FAX No. I L EATTORNEY FOR (Name) SBIf-Repfesented supemon coum' 0F CALIFORNIA. COUNTY 0F Santa Clara FEB 2 2 2021STREET ADDRESS 191 North First street MAILING ADDRESS 191 North Fll'st Street cm AND zlpcooe san JOSB, CA 951 1 3 Clerk COUl‘t BRANCHNAME Civil Courthouse superior Coma wmsanta 0m 8T DEPUTYCASE NAME: ‘ NGU“WM \b- Mmhow K- CIVIL CASE COVER SHEET Complex Case Designation cAse NUMBERm :JAnrgg'thfid D (5432:; D Counter D Joinder 2 1 C H 00 98 7 6 demanded demanded is Filed with first appearance by defendant JUDGE 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 Clvll Litigation Auto (22) Breach of contract/warranty (06) Cal. Rules of Court, rules 3400-3403) Uninsured motorist (46) Rule 3.740 collections (09) Antitrust/Trade regulation (03) Other collections (09) Construction defect (10) Other PIIPDIWD (Personal lnjurylPropeny Damage/Wrongful Death) Tort Asbestos (04) Insurance coverage (18) Mass tort (40) Other contract (37) Securities litigation (28) EnvironmentaI/Toxic ton (30)Pmdum "ability (24) Rea' Pmpem Insurance covera e claims arisin from the Medical malpractice (45) D Eminent domain/lnverse above “s‘ed rovigsionafly com leg case Other Pl/PDIWD (23) condemnation (14) p p Wrongful eviction (33) types (41) Other real property (26) Enforcement of Judgment Enforcement of judgment (20) Non-PIIPD/WD (Other) Ton Business tort/unfair business practice (07) Civil n‘ghts (08) Unlawful Dotalner Defamation (13) Commercial (31) Miscellaneous Clvll Complaint Fraud (16) Residential (32) RICO (27) Intellectual property (19) Drugs (38) Other complaint (no! specified above) (42) meessmnm negfigence (25) Judicial Review Miscellaneous Clvll Petition Other non'PVPD/WD ton (35) Asset forfeiture (05) a Pannership and corporate governance (21)Employment Petition re: arbitration award (1 1) 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 CaIifornia 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 a/I that apply). a D monetary b. n;onmonetary declaratory or injunctive relief c. D punitive 4. Number of causes of actions ecify) 5. This case D is g 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. Ol/\% /2/\ Mafiwkflm R ’ Mgv/zgflwm $s§4fifo~ % o Plaintiff must file this cover sheet with the first paper filed in the acfion or proceeding (except small claims cases or cases filed o File this 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 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. NOTICE under the Probate Code, Family Code, or Welfare and Institutions Code). (Call Rules of Court. rule 3.220.) Failure to file may result in sanctions. other parties to the action or proceeding. Page 1 of Form lad! M d! Cd. Ru fCounrus 2....303220 1.3400440 3740; udioiald§guhalt}! aanl'NWUS. c ) “'"V'm" CIVIL CASE COVER SHEET CaeissotandardsofJudIcaaIAdm'mflrau'on std. 3. 1OM-O‘oR0V J y .2007] "min“ FiIuSw COW" '00! 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 page 1. This information will be used to compile statistics about the types and numbers o cases filed. You must complete items 1 through 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 thai 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 civiI 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) 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 responsnve 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 complex cases only. parties 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 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 Injury/Property DamageNVrongful Death Uninsured Motorist (46) (ifthe case involves an uninsured moton’s! claim subject to arbitration. check (his item instead of Auto) Other PIIPDIWD (Personal Injury! Property DamagoIWrongful Death) Ton Asbestos (04) Asbestos Property Damage Asbestos Personal Injury/ Wrongful Death Produc‘ Liability (not asbestos or toxic/envimnmental) (24) Medical Malpractice (45) Medical Malpractice- Physicians & Surgeons Other Professional Health Care Malpractice Other PIIPDNVD (23) Premises Liability (e.g., slip and fall) Intentional Bodily InjurylPDNVD (e.g.. assault. vandalism) Intentional Infliction of Emotional Distress Negligent lnfliction of Emotional Distress Other PllPD/WD Non-PIIPDIWD (Other) Tort Business Tort/Unfair Business Practice (07) Civil Rights (e.g.. discrimination, false arrest) (no! civil harassment) (08) Defamation (e.g., slander, libel) (13) Fraud (16) Intellectual Property (19) Professional Negligence (25) Legal Malpractice Other Professional Malpractice (not medical or legal) Other Non-Pl/PDIWD Tort (35) Employment Wrongful Termination (36) Other Employment (1 5) CASE TYPES AND EXAMPLES Contract Breach of Contract/Warranty (06) Breach of RentaI/Lease Contract (not unlawful detainer or wrongful eviction) ContractIWarranty Breach-Seller Plaintiff (no! fraud or negligence) Negligent Breach of Contract! Warranty Other Breach of Contract/Warranty ColIections (e.g., money owed. open book accounts) (09) Collection Case-Seller Plaintifi 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 Ptopefly Eminent Domain/lnverse Condemnation (14) Wrongful Eviction (33) Other Rea! Property (e.g.. quiet title) (26) Writ of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (not eminent domain, IandlonMenant. or foreclosure) Unlawful Detainer Commercial (31) Residential (32) Dmgs (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 Coun 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 Clvll thlgatlon (Cal. Rules of Court Rules 3.400-3.403) Antitrust/Trade Regulation (03) Construction Detect (10) Claims Involving Mass Ton (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 Mlscellaneous Clvll 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-tort/non-complex) Miscellaneous Civil 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 CM-O1O [Rem Juiy 1, 2007] r. . 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