Summons Issued FiledCal. Super. - 6th Dist.April 1, 2021AMENDED SUM-100 SUMMONS FOR COURT USE ONLY (SOLO PARA USO DE LA CORTE) (CITACION JUDICIAL) E_ ILED NOTICE To DEFENDANT: 5/1 0021 3220 PM (Awso AL DEMANDADO): CI rk of Court Su erior Court of CA,HYATT CORPORATION, a Corporation (Additional Parties Attachment Form is Attached) Co nty Of Santa Clara YOU ARE BEING SUED BY PLAINTIFF: 21 V381458 (Lo ESTA’ DEMANDANDO EL DEMANDANTE): Re iewed By: y_ Chavez TORI D. MOSES, an individual En elope: 6645278 NOTICE! You have been sued. The court may decide against you without your being heard unless you respond within 30 days. Read the information below. You have 30 CALENDAR DAYS after this summons and legal papers are served on you to file a written response at this court and have a copy served on the plaintiff. A letter or phone call wi|| not protect you. Your written response must be in proper legal form if you want the court to hear your case. There may be a court form that you can use for your response. You can find these court forms and more information at the California Courts Online Self-Help Center (www.courtinfo.ca.gov/selfhelp), your county law library, or the courthouse nearest you. If you cannot pay the filing fee, ask the court clerk for a fee waiver form. If you do not file your response on time, you may lose the case by default, and your wages, money, and property may be taken without further warning from the court. There are other legal requirements. You may want to call an attorney right away. If you do not know an attorney, you may want to call an attorney referral service. If you cannot afford an attorney, you may be eligible for free legal services from a nonprofit legal services program. You can locate these nonprofit groups at the California Legal Services Web site (www.lawhelpcalifornia.org), the California Courts Online Self-Help Center (www.courtinfo.ca.gov/selfhelp), or by contacting your local court or county bar association. NOTE: The court has a statutory lien for waived fees and costs on any settlement or arbitration award of $10,000 or more in a civil case. The court's lien must be paid before the court wi|| dismiss the case. [A VISO! Lo han demandado. Si no responde dentro de 30 dias, la corte puede decidir en su contra sin escuchar su versio'n. Lea la informacio’n a continuacio’n. Tiene 30 DI'AS DE CALENDARIO después de que Ie entreguen esta citacio’n y papeles Iegales para presenter una respuesta por escrito en esta corte y hacer que se entregue una copia al demandante. Una carta o una Ilamada telefénica no Io protegen. Su respuesta por escrito tiene que estar en fonnato legal correcto si desea que procesen su caso en la code. Es posib/e que haya un formulan’o que usted pueda usar para su respuesta. Puede encontrar estos formularios de la corte y ma’s informacién en el Centro de Ayuda de Ias Cortes de California (www.sucorte.ca.gov), en Ia biblioteca de [eyes de su condado o en la corte que le quede ma’s cerca. Si no puede pagar la cuota de presentacic’zn, pida al secretario de la corte que le dé un formulario de exencién de pago de cuotas. Si no presenta su respuesta a tiempo, puede perder el caso por incumplimiento y la corte le podra’ quitar su sueldo, dinero y bienes sin ma’s advertencia. Hay otros requisites Iegales. Es recomendable que llame a un abogado inmediatamente. Si no conoce a un abogado, puede llamar a un sen/icio de remisio’n a abogados. Si no puede pagar a un abogado, es posible que cumpla con Ios requisites para obtener servicios Iegales gratuitos de un programa de servicios Iegales sin fines de lucro. Puede encontrar estos grupos sin fines de lucro en el sitio web de California Legal Services, (www.lawhelpcaliforniaorg), en el Centro de Ayuda de Ias Cortes de California, (www.sucorte.ca.gov) o poniéndose en contacto con Ia cone o el colegio de abogados locales. AVISO: Por Iey, la corte tiene derecho a reclamarlas cuotas y los costos exentos por imponer un gravamen sobre cualquier recuperacio’n de $10,000 o' ma’s de valor recibida mediante un acuerdo o una concesic’zn de arbitraje en un caso de derecho civil. Tiene que pagar e/ gravamen de la corte antes de que la corte pueda desechar e/ caso. The name and address of the court is: CASE NUMBER: (NL'Imero del Caso): (SAWH Swéfieloédma 00'19 es): 21CV381458 191 North First Street San Jose, CA 951 13 The name, address, and telephone number of plaintiff's attorney, or plaintiff without an attorney, is: (El nombre, la direccio’n y el nL'Imero de teléfono del abogado del demandante, o del demandante que no tiene abogado, es): Yana G. Henriks, Esq., McMurray Henriks, LLP, 811 Wilshire Blvd., Suite 1640, Los Angeles, CA 90017; (323) 931-6200 DATE: Clerk, by . Deputy (Fem) 6/1 4/2021 3:20 PM Clerk of Court (Secretan-o) Y- Chavez (Aoyunto) (For proof of service of this summons, use Proof of Service of Summons (form POS-010).) (Para prueba de entrega de esta citatio’n use el formulario Proof of Service of Summons, (POS-010).) [SEAL] NOTICE TO THE PERSON SERVED: You are served 1. E as an individual defendant. 2. E as the person sued under the fictitious name of (specify): 3. E on behalf of (specify): under:E CCP 416.10 (corporation) E CCP 416.60 (minor)E CCP 416.20 (defunct corporation) E CCP 416.70 (conservatee)E CCP 416.40 (association or partnership) E CCP 416.90 (authorized person)E other (specify): 4. E by personal delivery on (date) Page 1 of1 Form Adopted for Mandatory Use SUMMONS Code of Civil Procedure §§ 412.20, 465 Judicial Council of California www.coults.ca.gov SUM-100 [Rev. July 1, 2009] SUM-200(A) SHORT TITLE: Tori D. Moses v. Hyatt Corporation, et al. CASE NUMBER: 21 CV381 458 INSTRUCTIONS FOR USE 9 This form may be used as an attachment to any summons if space does not permit the listing of all parties on the summons. 9 Ifthis attachment is used, insert the following statement in the plaintiff or defendant box on the summons: "Additional Parties Attachment form is attached." List additional parties (Check only one box. Use a separate page for each type ofparty.): E Plaintiff Defendant E Cross-Complainant E Cross-Defendant PALMETTO HOSPITALITY OF MOUNTAIN VIEW LLC d/b/a “HYATT CENTRIC MOUNTAIN VIEW,” a Corporation; OTO DEVELOPMENT, LLC, a Corporation; LUSARDI CONSTRUCTION COMPANY, a Corporation; SIMMONS GLASS & WINDOW, |NC., a Corporation; CKB INDUSTRIES CO., LIMITED, a Corporation; DOES 1-100, inclusive; and MANUFACTURER DOES 1-100, inclusive. Form Adopted for Mandatory Use Judicial Council of California SUM-200(A) [Rev. January 1, 2007] ADDITIONAL PARTIES ATTACHMENT Attachment to Summons Page 2 of 2 Page 1 of1