Civil Case Cover SheetCal. Super. - 6th Dist.March 8, 2021Anon: Ev 0F! PA RTY wm-Iour ArrORNEWName Stare Barnumber and address) FOR COURT use ONLY _. Your Legal Name: Ffpfq L(S \ a V \ L\ - _ gYourAddress: l°°° H U y]\(,\l\) C/JFN a; 3;”? F fl L MaTELEPHONE No; mt ArrORNEY FORIName): Self-Repl’esented C/PCQ gj 03 S r MAR _ 8 2021SUPERIOR COURT 0F1céAIi1FfianrfEOEyw€FStSantta Clara ClSTREET ADDRESS; O [rs fee er 0f MAILING ADDRESS: 1 91 North Fll’St Street SW9d” CO 0f C 331390108“U” CITYANDZIPCODE San Jose, CA 951 1 3 BY ante C'a'a BRANcH NAME Civil Courthouse 05w CASE NAME: A , I _ ' d)TWPMV US C/ks-Pcn c.la fig} ”Mn o CIVIL CASE COVER SHEET Complex Case Designation caé’mufissp‘l : {T Lg]? u {)3 r'“ ,. ‘0m Unlimited D Limited a Counter a J , d e; yr - x 5:3 é(Amount (Amount om er I “ ” w7-' 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 belowfor the case type that best describes this case: Auto Tort Contract Provisionally Complex Civil Litigation a Auto (22) Breach of contracL/warranty (06) Cal. Rules of Court, rules 3.400-3.403)Uninsured motorist (46) Rule 3.740 collections (09) AntitrusUTrade regulation (03) Other collections (09) Construction defect (1D)gther PUPD’WD (Personal InjuryIPmpeny Insurance coverage (18) Mass ton (40)amagelWrongful Death) Tort .. H . Asbestos (04) Otherconlract (37) Secyntnes litigatlon.(28) Product liability (24) Real Property [Em’mnmen‘awc’xm 1""? (3°? . f m Medical malpractice (45) D Eminent domain/IHVEI’SB anUIaTF? goverag? C alllms anslng rem e Other PIIPD/WD (23) condemnation (14) tayp‘z’seéjf p'°"'s'°“a y °°mp 9" “53 Non-PIIPDIWD (Other) Tort gfiznrgfullewcnon (3:)6 E f t H d t Business ton/unfair business practice (07) e rea ”Oped“ ) fiorgefmen o tufgrgen t 20 Civil rights (08) Unlawtutoetatner ” meme” ° J” gme“ ( ) Defamation (13) Commercial (31) Miscellaneous Civil Complaint Fraud (1 6) Residential (32) RICO (27) Intellectual property (19) Drugs (38) Other complaint (no! specified above) (42) Professional negligence (25) . . . Judicial Review Miscellaneous Clvil Petmon Other non‘PUPDfWD ton (35) Asset forfeiture (05) Partnership 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 (15) Otherjudicial review (39) 2. This case a is m is not complex under rule 3.400 0f the California Rules of Court. lfthe 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 t0 resolve in other counties states or countries or In a federal court c. D Substantial amount of documentary evidence D Substantial postjudgmentjudiciat supervision 3. Remedies sought (check alf {hat appiy). a. D monetary b.fm nonmonetary; declaratory or injunctive relief c D punitive 4. Number of causes of actionseoify). 5. This case D is is not a class action suit. 6. lfthere are any known related cases, file and serve a notice of related case.(You may use form CM-015J Date:_145-1! , Afr; (TvaomanmAME) PA ~ A I p NOTICE Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small ciaims cases or cases fi1ed 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. [f this case is complex under rule 3.400 et seq. 6f the California Rules of Court. you must serve a copy of this cover sheet on all other parties to the action or proceeding. Untess this is a coltections case under rule 3.740 or a complex case, this cover sheet will be used for statistical purposes only. Page 1 ot 2 F Ad ldf M dt U . . ClRui fC r1 | 2.30 3220W3400-3403 37400 gfi$5°§§nfi°§t§ag§§g $6 umom C'V'L CASE COVER SHEET a cségmnazrammé,Ammo: $56310 0VV U ‘Y w Essmmfuum“ pm» 4{’21}flu ,Z 3/ y/g/ CM-010 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, ou must complgte and file, along with your first pa er, the Civil Case Cover Sheet contained on statrstlcs about the types and numbers o cases fired. You must complete items 1 throug age 1. This information will e used to compile 6 on the sheet. In item 1, you must check one box for the case type that best describes the case. Ifthe case fits both a generat and a more specific type of case listed in item 1. check the mor_e specific pne. Ifthe case has multiple causes 0f action. check the box that best indicates the primary cause of action. To assnst 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 counsei, 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" unde§ ruie 3.740 is defined as an action for recovery of money ow_ed In a sum stated to be certaln that Is nopmore than $25,000. excluswe of interest and attorney's fees, arising from a transaction in which property, serwces, or moneg was acqwred 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 ofpersonal property, or (5) a prejudgmentwrit of attachment. The identification of a case as a rule 3.740 collections case on this form means that it wi1l be exempt from the general ttme-for-servrce requnrements 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 ajudgment in rule 3.740. To Parties in Complex .Cajsean com Iex cases only, parties must also use the Civil Case Cover Sheet to designate whether the case Is complex. If a plalntlf'f believest e case is complex under rule 3.400 ofthe 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 cn.all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the plaintlfi’s desrgnatlon, a counter-designafion that the case is not complex, 0r, if the plaintiff has made no designation. a designation that the case is complex. Auto Tort Auto (22)-Personal InjuryIPropeny DamageIWrongful Death Uninsured Motorist (46) (ifthe case involves an uninsured motorist claim subject to arbitration, check this item instead ofAuro) Other PIIPDIWD (Personal lnjury.‘ Property Damage/Wrongful Death) Tort Asbeslos (04) Asbestos Property Damage Asbestos Personal Injury! Wrongful Death Product Liability (not asbestos or toxic/environmental) (24) Medical Malpractice (45) Medical Malpractice- Phys‘lcians & Surgeons Other Professional Heallh Care Ma1practice Other Pl/PD/WD (23) Premises Liability (8.9.. sfip and fall) Intentional Bodily InjurylPDlWD (e.g.. assault, vandalism) Intentional lnfliction of Emotiona1 Distress Negligent Infliction of Emotional Distress Other PllPD/WD Non-PIIPDIWD (Other) Tort Business Tort/Unfair Business Practice (07) Civil Rights (e.g.. discrimination, false arrest) (nor civil harassment) (08) Defamation (e_g.. slander, libel) (13) Fraud (16) Intellectual Propeny (19) Professional Negligence (25) Legal Malpractice Other Professional Maipractice (nor medical orlegaf) Other Non-PIIPD/WD Tort (35) Employment Wrongful Terminalion (36) Other Employment (1 5) CASE TYPES AND EXAMPLES Contract Breach of Contract/Warranty (06) Breach of ReniaL/Lease Contract (not unlawful defainer or wrongful eviction) ContracUWarranty Breach-Seller Plaintiff (nor fraud or negligence) Negligent Breach of Contract! Wananty Other Breach of Contract/Warranty Colleclions (e.g.. money owed. open book accounts) (09) Collection Case-SeIIer Plaintiff Other Promissory NoteICollections Case - Insurance Coverage (not provisionaI/y w complex) (18) Auto Subrogafion Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Property Eminent Domainflnverse Condemnation (14) Wrongfu1 Eviction (33) Other Real Property (e.g.. quiet tiHe) (26) Wn’l of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Propeny (not eminent domain, landlord/fenant, or foreclosure) Unlawful Detainer Commercial (3‘1) Residential (32) Drugs (38) (if the case invoives illegal drugs. check this ifem; otherwise, report as Commercial or Residentiafl Judicial Review Asset Forfeiture (05) Petition Re: Arbitration Award (11) Writ of Mandate (02) Wril-Administrative Mandamus Wfit-Mandamus on Limited Court Case Matter Wn‘l-Other Limited Coud Case Review Other Judicial Review (39y Review of Health Officer Order Notice of Appeal-Labor CommissionerAppeals Provisionally Complex Civil Litigation (Cal. Rules of Court Rules 3.400-3.403) AntitrusUTrade Regulation (03) Construction Defect (10) Claims Involving Mass Ton (40) Securities Litigation (28) EnvironmentallToxic Tort (30) Insurance Coverage Claims (arising from provisionally complex case type listed above) (41) Enforcement ofJudgmant 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/Cedificaliun of Entry of Judgment 0n Unpaid Taxes Other Enforcement of Judgment Case Miscellaneous Civil Complaint RICO (27) Other Complaint (nor specified above) (42) Declaratory Relief On1y Injunctive Reiief On1y(non- harassment) Mechanics Lien Other Commercial Complaint Case (non-tort/nomcompfex) Other Civil Complaint {non-tort/non-comp/ex) Miscellaneous Civil Petition Partnership and Corporate Governance (21) Other Petition (nor specified above) (43) Civil Harassment Workplace Violence ElderlDependenl Adult Abuse Election Coniesl Petition for Name Change Petition for Relief from Late Claim Other Civil Petition CM-Om [Rem July T. 2007] 5,) .‘hminfl'mr! 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