Civil Case Cover SheetCal. Super. - 6th Dist.March 30, 2021Electronically Filed by Superior Court of CA, County of Santa Clara, on 3/30/2021 9:25 AM Reviewed By: Y. Chavez Case #21CV381465 Envelope: 6135368 21CV381465 CM-010 ATrORNEY 0R PARTY WITHOUT ATTORNEY (Name, Stale Bar number. and address): YHabbas, Nasseri, & Associates FOR COURTUSEONL Jeff Atterbury #229462 675 North First St, San Jose, CA 951 12 TELEPHONE No.: 408 278-0480 FAX No‘ (Optional): ATTORNEY FOR (Name): Anne Chaney SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREET ADDRESS: 191 N. First St. MAILING ADDRESS: 191 N, First St. CITY AND ZIP CODE: San Jose, CA 951 12 BRANCH NAME: Civil Division CASE NAME: Chaney v. Marriott International, Inc. CIVIL CASE COVER SHEET Complex Case Designation CASE NUMBERE Unlimited D Limited E Counter E Joinder Amount . . éemanded 82:11::ng is Filed Wlth first appearance by defendant JUDGE: (Cal. Rules of Court, rule 3.402) .exceeds $25,000) $25,000) 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 Civil LitigationE Auto (22) E Breach of contractlwarranty (06) (cal- RUIes 0f CW": ””95 3-400'3-403)E Uninsured motorist (46) E Rule 3.740 collections (09) E AntithSWrade regulation (03) Other PIIPDMID (Personal InjuryIProperty E Other collections (09) E Construction defect (10) Damagemrongfu' Death) Tort E Insurance coverage (18) E Massmnwo)E Asbestos: (0.4-) E Other contract (37) E Securities litigation (28)E PFOdUCtl'ab'l'tY(24) Real Property E Environmental/Toxictort(30)E Medical malpractice (45) E Eminent domain/lnverse E Insuran.ce covera_g_e claims arising fromthe Other PIIPDMID (23) condemnation (14) gztgesfitfd provnsmnally complex case Non-PIIPDMID (Other)Tort E Wrongful eviction (33) Enforcement 0f JudgmentE Business tort/unfair business practice (07) Elwrofiher re-al PFOperlY (25) E Enforcement of judgment (20)E C'V” ”gms (08) U" a u Detam_er Miscellaneous Civil ComplaintE | Defamation (13) El Ezgiirtfallalg) E RICO (27)E FraUd (16) D 38 E Other complaint (not specified above) (42)E Intel'ecmal PFODBFTHW) %cialr;::i(ew) Miscellaneous Civil Petition | | Professional negligence (25) . . Partnershl and cor orate overnance 21D Other non-PI/PD/WD tort (35) E Asset forfeiture (05) E f p _ g ( ) Emp|oyment E Petition re: arbitration award (1 1) E O‘her pem'o” (”°t Spec’fle" above) (43)E Wrongful termination (36) E WV" 0f manda‘e (02)D Other employment (15) E Otherjudicial review (39) 2. This caseD is E is not complex under rule 3.400 ofthe California Rules of Court. If the case is complex, mark the factors requiring exceptional judicial management: a. E Large number of separately represented parties d. E Large number of witnesses b. E Extensive motion practice raising difficult or novel e. E Coordination with related actions pending in one or more issues that will be time-consuming to resolve courts in other counties, states, or countries, or in a federal c. E Substantial amount of documentary evidence court f. E Substantial postjudgmentjudicial supervision 3. Remedies sought (check all that apply): a. monetary b.D nonmonetary; declaratory or injunct relief c. E punitive 4. Number of causes of action (specify): One 5. This caseD is E 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 for CM- Date: 3-29-21 Jeff Atterbury ’ (TYPE OR PRINT NAME) @OR PARTY)N(NOTICE I‘ ° 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. - lfthis case is complex under rule 3.400 et seq. ofthe California Rules of Court, you must serve a copy ofthis coversheet on all other parties to the action or proceeding. 0 Unless this is a collections case under rule 3.740 or a complex case, this cover sheet will be used for statistical purposes orgly. 1 f2age o Form Adopted for Mandatory Use CIVIL CASE COVER SHEET Cal. Rules of Court. rules 2.30. 3.220, 3400-3403, 3.740;Judicial Council of California Cal. Standards of Judicial Administration, std. 3.10 CM-010 [Rev. July 1, 2007] www.courts,ca.gov INSTRUCTIONS 0N How To COMPLETE THE COVER SHEET CM-010 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 paper, the Civil Case Cover Sheet contained on page 1. This information will be used to compile statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check one box for the case type 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 specific 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 ofthe 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 money was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages, (2) punitive damages, (3) 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. 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. lf 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 plaintiff‘s designation, a counter-designation that the case is not complex, or, if the plaintiff has made no desi nation, a designation that9 the case is complex, CASE TYPES AND EXAMPLES Auto Tort Contract Auto (22)_personal Injury/Property Breach of ContracUWarranty (06) DamageIWrongful Death Breach of Rental/Lease . Uninsured Motorist (46) (irthe Contract ("0t unlawfél’ detamer case involves an uninsured 0r wrongf", swam”) motorist claim subject to ContracUWarranty Breach-Seller arbitration, check this item Plaintiff (notfraud or negligence) Negligent Breach of Contract! Provisionally Complex Civil Litigation (Cal. Rules of Court Rules 3.400-3.403) Antitrust/Trade Regulation (03) Construction Defect (1 0) Claims Involving Mass Tort (40) Securities Litigation (28) Environmentalfl'oxic Tort (30) instead ofAuto) Warrant Insurance Coverage Claims Other PIIPDNVD (Personal lnjuryl y (arising from provisionally complex Property DamageNVrongful Death) Other Bream 0f comraCtM/arramy case type listed above) (41) Tort Collections (e.g.. money owed. open Enforcement of Judgment Asbestos (04) b°°k accoums) (09) Enforcement of Judgment (20) Collection Case-Seller PlaintiffAsbestos Properly Damage Abstract of Judgment (Out of Asbestos Personal Injury, Other Promissory Note/Collections County) Wrongful Death case ‘ , Confession of Judgment (non- Product Liability (not asbestos or Insurance coverage ("0’ va’s’onal/y domestic relations) toxic/environmental) (24) complex) (1 8) Sister State Judgment Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Medical Malpractice (45) Medical Malpractice- Physicians & Surgeons Other Professional Health Care Administrative Agency Award (not unpaid taxes) Petition/Certification of Entry of Judgment on Unpaid Taxes Malpractice Other comma D'Spme Other Enforcement of Judgment Other PI/PD/WD (23) Rea' PT°PertY . Case Premises Liability (e.g., slip Emment Doma'F/Inverse Miscellaneous Civil Complaint and fa”) Condemnatlon (14) RICO (27) wr°"9f”' EViCfiO" (33) _ , Other Complaint (not specified Other Real Property (e.g., qUIet title) (26) above) (42) Writ of Possession of Real Property Declaratory Relief Only Intentional Bodily Injury/PDNVD (e.g., assault, vandalism) Intentional lnfliction of Emotional Distress Negligent lnfliction of Emotional Distress Other Pl/PD/WD Non-PIIPDIWD (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) Professional Negligence (25) Legal Malpractice Other Professional Malpractice (not medical orlegal) Other Non-Pl/PDNVD Tort (35) Employment Wrongful Termination (36) Other Employment (15) CM-O10 [Rev. July 1, 2007] Mortgage Foreclosure Quiet Title Other Real Property (not eminent domain, landlord/tenant, or foreclosure) Unlawful Detainer Commercial (31) Residential (32) Drugs (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 Court Case Matter Writ-Other Limited Court Case Review Other Judicial Review (39) Review of Health Officer Order Notice of AppeaI-Labor Commxssxoner Appeals CIVIL CASE COVER SHEET 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 Page 2 of 2