proof of service of summonsCal. Super. - 1st Dist.September 15, 2021PROOF OF SERVICE OF SUMMONS Form Adopted for Mandatory Use Judicial Council of California POS-010 [Rev. July 1, 2004] POS-010 PROOF OF SERVICE OF SUMMONS ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF PLAINTIFF/PETITIONER: DEFENDANT/RESPONDENT: CASE NUMBER: ATTORNEY FOR (Name): TELEPHONE NO.: Code of Civil Procedure, § 417.10 Ref. No. or File No.: none , none Jen Baue 6165 E ILIFF AVE D322 DENVER, CO 80222 3035649040 Real Parties in Interest CGC-20-583549 BY FAX1. At the time of service I was a citizen of the United States, at least 18 years of age and not a party to this action. Summons, Complaint, Civil Case Cover Sheet, Amended Complaint, Alternative Dispute Resolution (ADR) Information Package 3. a. Party served: Zuckerberg San Francisco General Hospital San Francisco 2016-0001247 Todd Christian Brenneck Jennifer Blaue Zuckerberg San Fran General Hospital, Dr. Berlin b. Person Served: Dr. Raviv Berlin - Person Authorized to Accept Service of Process 07/09/2020 4. Address where the party was served: 1001 Portrero Ave #20, 3rd Fl - Risk Management 3300 San Francisco, CA 94110 5. I served the party at (time): 6. The "Notice to the Person Served" (on the summons) was completed as follows: 8. I declare under penalty of perjury under the laws of the United States of America and the State of California that the foregoing is true and correct. b. by substituted service. On (date): 07/09/2020 2:36PM I left the documents listed in item 2 with or in the presence of: Tess Marstaller - Person Authorized to Accept (1) (business) a person at least 18 years of age apparently in charge at the office or usual place of business of the person to be served. I informed him or her of the general nature of the papers. Zuckerberg San Francisco General Hospital $ 2. I served copies of: Person who served papers7. a. Name: e. I am: d. The fee for service was: c. Telephone number: b. Address: (3) registered California process server. (ii) Registration No. (iii) County (i) Employee or independent contractor. Date: (SIGNATURE)(NAME OF PERSON WHO SERVED PAPERS) d. on behalf of: under: Other: Business Organization Form Unknown (4) A declaration of mailing is attached. [ ev. Jan 1, 2007] Todd Christian Brenneck One Legal - P-000618-Sonoma 1400 North McDowell Blvd, Ste 300 Petaluma, CA 94954 415-491-0606 104.00 Superior Court of California, San Francisco County 400 McAllister Street San Francisco, CA 94102 OL# 14525013 et al. ELECTRONICALLY F I L E D Superior Court of California, County of San Francisco 07/16/2020 Clerk of the Court BY: YOLANDA TABO-RAMIREZ Deputy Clerk ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): TELEPHONE NO.: FOR COURT USE ONLY ATTORNEY FOR (Name): Ref. No. or File No. Insert name of court, judicial district or branch court, if any: PLAINTIFF: DEFENDANT: PROOF OF SERVICE BY MAIL none , none 3035649040 Jen Baue 6165 E ILIFF AVE D322 Real Parties in Interest San Francisco-McAllister 400 McAllister Street San Francisco, CA 94102 Jennifer Blaue Zuckerberg San Fran General Hospital, Dr. Berlin CGC-20-583549 BY FAX I am a citizen of the United States, over the age of 18 and not a party to the within action. My business address is 1400 N. McDowell Blvd, Petaluma, CA 94954. On 07/10/2020, after substituted service under section CCP 415.20(a) or 415.20(b) or FRCP 4(e)(2)(B) or FRCP 4(h)(1)(B) was made (if applicable), I mailed copies of the: Summons, Complaint, Civil Case Cover Sheet, Amended Complaint, Alternative Dispute Resolution (ADR) Information Package Zuckerberg San Francisco General Hospital Dr. Raviv Berlin 1001 Portrero Ave #20, 3rd Fl - Risk Management 3300 San Francisco, CA 94110 I am readily familiar with the firm's practice for collection and processing of documents for mailing. Under that practice, it would be deposited within the United States Postal Service, on that same day, with postage thereon fully prepaid, in the ordinary course of business. I am aware that on motion of the party served, service is presumed invalid if postal cancellation date or postage meter date is more than one (1) day after date of deposit for mailing in affidavit. Fee for Service: $ Eloi Garcia I declare under penalty of perjury under the laws of the United States of America and the State of California that the foregoing is true and correct and that this declaration was executed on 07/09/2020 at Petaluma, California. to the person to be served at the place where the copies were left by placing a true copy thereof enclosed in a sealed envelope, with First Class postage thereon fully prepaid, in the United States Mail at Petaluma, California, addressed as follows: 104.00 CASE NUMBER: OL# 14525013 One Legal - P-000618-Sonoma 1400 North McDowell Blvd, Ste 300 Petaluma, CA 94954 DENVER, CO 80222 I