Request DismissalCal. Super. - 6th Dist.April 1, 202121 CV381459 Santa Clara - Civil CIV-1 1 0 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): Brian M. Wong, Esq., SBN 303161 Law Offices of Robert A. Stutman, P.C. TELEPHONE NO-I (951) 387-4700 FAX No. (Optional): (951) 963-1 298 E-MAIL ADDRESS (Optional): WongB@Stutmanlaw.com ATrORNEY F0R(Name): Plaintiff Philadelphia Indemnity Insurance Company SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F Santa Clara STREETADDRESS: 191 North First Street CITYAND ZIP CODE: San Jose 951 13 BRANCH NAME: Downtown Superior Court PLAINTIFF/PETITIONER: Philadelphia Indemnity Insurance Company DEFENDANT/RESPONDENT: Aegis Fire Systems, LLC; and 1 to 10, inclusive 1260 Corona Pointe Court, Suite 306 Electronically Filed Corona- CA 92879 by Superior Court of CA, County of Santa Clara, on 6/23/2021 8:35 AM eviewed By: R. Nguyen Case #21 CV381459 MAILINGAooaess: 191 North First Street Envel°pe: 6703824 FOR COURT USE ONLY R. Ng REQUEST FOR DISMISSAL CASE NUMBER: 21 CV381 459 A conformed copy will not be returned by the clerk unless a method of return is provided with the document. class action. (Cal. Rules of Court, rules 3.760 and 3.770.) This form may not be used for dismissal of a derivative action or a class action or of any party or cause of action in a 1. TO THE CLERK: Please dismiss this action as follows: a. (1) g With prejudice (2) D Without prejudice b. (1) D Complaint (2) D Petition (3) D Cross-complaintfiled by (name): (4) D Cross-complaintfiled by (name): (5) E Entire action of all parties and all causes of action (6) D Other (specify):* 2. (Complete in all cases except family law cases.) The court D did E did not waive court fees and costs for a pany in this case. (This information may be obtained from the clerk. If court fees and costs were waived, the declaration on the back of this form must be completed). Date: June 21, 2021 Brian M. Wong > flM/wW ‘ a on (date): on (date): (TYPE OR PRINT NAME OF E ATI'ORNEY D PARTY WITHOUT ATTORNEY) (SIGNATURE) *If dismissal requested is of specified parties only of specified causes of action Attorney or party w'thOUt attorney for: only, or of specified cross-complaints only, so state and identify the parties, causes - - - - of action, or cross-complaints to be dismissed. E Plamtlfi/Petltloner D Cross-Complainant TO THE CLERK: Consent to the above dismissal is hereby given.** Date: D Defendant/Respondent (TYPE OR PRINT NAME OF D ATTORNEY D PARTY WITHOUT A'ITORNEY) (SIGNATURE) ** If a cross-complaint - or Response (Family Law) seeking affirmative Attorney 0r party Without attorney for: relief - is on file. the attorney for cross-complainant (respondent) must . . . . sign this consent if required by Code of Civil Procedure section 581 (i) or D Plamt'fi/Pet'tloner (i)- D Cross-Complainant D Defendant/Respondent (To be completed by clerk) 4. E Dismissal entered as requested on (date): 6/23/2021 8:35 AM 5 D Dismissal entered on (date): as to only (name): 6. D Dismissal not entered as requested for the following reasons (specify): 7. a. E Attorney or party without attorney notified on (date): 6’23/2021 8335 AM b. D Attorney or party without attorney not notified. Filing party failed to provide D a copy to be conformed D means to return conformed copy Date: 6/23/2021 8:35 AM Clerk, by R- Nguyen Form Adopted for Mandatory Use Judicial Council ofCaIifornia REQUEST FOR DISMISSAL ClV-1 10 [Rev. Jan. 1, 2013] , Deputy Paje 1 of 2 Code of Civil Procedure, § 581 et seq.; Gov. Code, § 68637(c); Cal. Rules of Court, rule 3.1390 WWW.COU"S. Ca. gOV uyen CIV-1 1 0 PLAINTIFF/PETITIONER: Philadelphia Indemnity Insurance Company DEFENDANT/RESPONDENT: Aegis Fire Systems, LLC; and 1 to 10, inclusive CASE NUMBER: 21 CV381459 the lien is satisfied. (Gov. Code, § 68637.) COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS If a party whose court fees and costs were initially waived has recovered or will recover $10,000 or more in value by way of settlement, compromise, arbitration award, mediation settlement, or other means, the court has a statutory lien on that recovery. The court may refuse to dismiss the case until Declaration Concerning Waived Court Fees 1. The court waived court fees and costs in this action for (name): 2. The person named in item 1 is (check one below): a. D not recovering anything of value by this action. b. D recovering less than $10,000 in value by this action. c. D recovering $10,000 or more in value by this action. (Ifitem 20 is checked, item 3 must be completed.) 3. D All court fees and court costs that were waived in this action have been paid to the court (check one): D Yes D No | declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: (TYPE 0R PRINT NAME 0FD ATTORNEYD PARTY MAKING DECLARATION) (S'GNATURE) CIv-1 1o [Rem January 1, 2013] REQUEST FOR DISMISSAL Page 2 ofz American LegalNet, Inc. www.FormsWorkFlow.com .
