Request DismissalCal. Super. - 6th Dist.March 30, 202121 CV381 528 Santa Clara - Civil ClV-1 1 0 ATTORNEY 0R PARTY WITHOUT ATTORNEY (Name, Stare Bar number, and address): Robert E. Wall (SBN 108114) The Grunsky Law Firm PC ~ 240 Westgate Drive Watsonville, CA 95076 TELepHoNE m: (831) 722-2444 E-MAIL ADDRESS (Optional): rewall@grunskylaw.com STREET ADDRESS: 191 North First Street MAILING ADDRESS: CITY AND zun CODE; San Jose, CA 95 1 13 FAX No‘ (Optional): (83 1) 722-6 1 53 _ATr0RNEY FOR (game).- Plaintiff, California Mutual Insurance SUPERIOR COURT 0F CALIFORNIA. COUNTY 0F SANTA CLARA __ > ?RANCH NAME: PLAINTIFF/PETITIQNER: CKIIIFORNIA MU T UKE INSURANCE COMPANY DEFENDANT/RESPONDENT: JOHNSON CONTROLS plc., ET AL. FOR COURT USE ONLY Electronically Filed by Superior Court of CA, County of Santa Clara, on 7/6/2021 3:45 PM Reviewed By: F. Miller Case #21CV381528 Envelope: 6788144 REQUEST FOR DISMISSAL CASE NUMBER: 21CV381528 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)D With prejudice (2)m Without prejudice b. (1)D Complaint (2)D Petition (3)D Cross-complaint filed by (name): (4)D Cross-complaint filed by (name): (5)D Entire action of all parties and all causes of action on (date): on (date): (6) Other (specify):* As t0 defendant, JOHNSON CONTROLS plc., a foreign public limited company, only. 2. (Complete in all cases except family law cases.) The court Ddid mdid not waive court fees and costs for a party in this case. (This information may be obtained fmm the clerk. If court fees and costs were waived, the declaration on the back of this form must be co plated). Date: July 6, 2021 Robert .E...Wall ................................................................. (TYPE 0R PRINT NAME 0F m ATTORNEY D PARTY WITHOUT ATTORNEY) " If dismissal requested is of specified parties om? of specified causes of action only. or of specified cross-complalnts onl , so_ s éte and identify the parties, causes of action. or cross-complamts to e dismissed. 3. TO THE CLERK: Consent to the above dismissal is hereby given." Date: (TYPE 0R PRINT NAME 0F D ATrORNEYD PARTY WITHOUT ATrORNEY) "‘ If a crogs-complaint - or Response (Family Law) seeking affirmative relief - ,Is on file. the attqrne for the cross;cpmplainant respondent)_must srggfhzs conseni If requsre by Code of CIVII Procedure section 581(1) or . (To be completed by clerk) 4. Dismissal entered as requested on (date): 7/6/2021 3:45 PM as to only (name):5. D Dismissal entered on (date): (SIGNATURE) Attorney or party without attorney for: Eglllflgggg aggrtllfiilny m Plaintiff/Petitioner D Defendant/RespondentD Cross-Complainant b (SIGNATURE) Attorney or party without attorney for:D PIaintiff/Petitioner D Defendant/RespondentD Cross-Complainant 6. D Dismissal not entered as requested for the following reasons (specify): 7. a. m Attorney or party without attorney notified on (date): b. D Attorney or party without attorney not notified. Filing party failed to provideD a copy to be conformed D means to return conformed copy Clerk of Court Clerk. by REQUEST FOR DISMISSAL Date: 7/6/2021 3:45 PM Form Adopted for Mandatory Use Judicial Council of California CEB’ Essential cab. CIv-1 1o [Rem Jan. 1. 201a) mm EJ Forms- 7/6/2021 3:45 PM /s/ F. Miller , Deputy Page 1 of 2 Code of Civil Procedure, § 581 at seq; Gov. Code. § 68637(c); Cal. Rules of Court, rule 3.1390 www.murfsca.gov Americas Best (CMSU 25767) ClV-1 10 PLAINTIFF/PETITIONER: CALIFORNIAMUTUAL CASE NUMBER; DEFENDANT/RESPONDENT: JOHNSON CONTROLS plc. 2107381528 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 the lien is satisfied. (Gov. Code, § 68637.) Declaration Concerning Waived Court Fees 1. The court waived fees and costs in this action for (name): 2. The person 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.) v 3. D All court fees and costs that were waived in this action have been paid to the court (check one): D Yes D No l declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: D (TYPE OR PRINT NAME OF D ATTORNEY D PARTY MAKING DECLARATION) (SIGNATURE) ClV-110 [Rev. January 1. 2013] CrB‘ Essentia| REQUEST FOR DISMISSAL PInoZofz ""L‘°"‘ ELM Americas Best (CMSU 25767)