On October 22, 2020 a
Civil Cover Sheet - Amount: $50,001.00
was filed
involving a dispute between
Haven Group Inc,
and
Citizens Property Insurance Corporation,
for Other - Insurance Claim
in the District Court of Broward County.
Preview
Case Number: CACE-20-017617 Division: 09
Filing # 115461869 E-Filed 10/22/2020 03:20:27 PM
IN THE CIRCUIT COURT OF THE
17™ JUDICIAL CIRCUIT IN AND
FOR BROWARD COUNTY,
FLORIDA
HAVEN GROUP, INC., CASE NO:
Plaintiff,
vs.
CITIZENS PROPERTY INSURANCE
CORPORATION,
Defendant.
/
CIVIL COVER SHEET
II. Please indicate the estimated amount of the claim, rounded to the nearest dollar.
$68,532.00
Ill. TYPE OF CASE:
__ Condominium __ Homestead residential foreclosure $0-
$50,000
___ Contracts and indebtedness __ Homestead residential foreclosure $50,001 -
$249,999
__ Eminent domain __ Homestead residential foreclosure $250,000
or more
__ Auto negligence __ Nonhomestead residential foreclosure $ 0 -
$50,000
__ Negligence - other __ Nonhomestead residential foreclosure
__ Business governance $50,001 - $249,999
__ Business torts __ Nonhomestead residential foreclosure
$250,000 or more
__ Environmental / Toxic tort ___ Other real property actions $0 - $50,000
__ Third party indemnification ___ Other real property actions $50,001 -
$249,999
___ Construction defect __ Other real property actions $250,000 or more
__ Mass tort __ Professional malpractice
___ Negligent security __ Malpractice - business
__ Nursing home negligence ___ Malpractice - medical
__ Premises liability - commercial __ Malpractice - other professional
___ Premises liability - residential __ Other
__ Products liability __ Antitrust / Trade regulation
__ Real property / Mortgage foreclosure __ Business transactions
___ Commercial foreclosure $0 - $50,000 __ Constitutional challenge - statute or
ordinance
__ Commercial foreclosure __ Libel / Slander
*** FILED: BROWARD COUNTY, FL BRENDA D. FORMAN, CLERK 10/22/2020 03:20:25 PM.****$50,001 - $249,000 __ Shareholder derivative action
___ Commercial foreclosure __ Securities litigation
$250,000 or more __ Trade secrets
__ Constitutional challenge - __ Trust litigation
proposed amendment
__ Corporate trusts
__ Discrimination - employment or other
_X_ Insurance claims
__ Intellectual property
Il. REMEDIES SOUGHT:
_X Monetary;
__ Nonmonetary declaratory or injunctive relief;
__ Punitive
Iv. NUMBER OF CAUSES OF ACTION: [2]
(specify) Breach of Contract & Petition for Declaratory relief
Vv. IS THIS CASE A CLASS ACTION LAWSUIT?
__ Yes
_XNo
Vi HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
_XNo
__ Yes - If “yes” list all related cases by name, case number, and court.
VIL IS JURY TRIAL DEMANDED IN COMPLAINT?
X Yes
__No
I CERTIFY that the information I have provided in this cover sheet is accurate to the best
of my knowledge and belief.
Signature FL Bar No.: 328928
Attorney or Party (Bar number, of attorney)
PETER MINEO JR. October 22, 2020
Print Name Date
Document Filed Date
October 22, 2020
Case Filing Date
October 22, 2020
Category
Other - Insurance Claim
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Case Number: CACE-20-017617 Division: 09 Filing # 115461869 E-Filed 10/22/2020 03:20:27 PM IN THE CIRCUIT COURT OF THE 17™ JUDICIAL CIRCUIT IN AND FOR BROWARD COUNTY, FLORIDA HAVEN GROUP, INC., CASE NO: Plaintiff, vs. CITIZENS PROPERTY INSURANCE CORPORATION, Defendant. / CIVIL COVER SHEET II. Please indicate the estimated amount of the claim, rounded to the nearest dollar. $68,532.00 Ill. TYPE OF CASE: __ Condominium __ Homestead residential foreclosure $0- $50,000 ___ Contracts and indebtedness __ Homestead residential foreclosure $50,001 - $249,999 __ Eminent domain __ Homestead residential foreclosure $250,000 or more __ Auto negligence __ Nonhomestead residential foreclosure $ 0 - $50,000 __ Negligence - other __ Nonhomestead residential foreclosure __ Business governance $50,001 - $249,999 __ Business torts __ Nonhomestead residential foreclosure $250,000 or more __ Environmental / Toxic tort ___ Other real property actions $0 - $50,000 __ Third party indemnification ___ Other real property actions $50,001 - $249,999 ___ Construction defect __ Other real property actions $250,000 or more __ Mass tort __ Professional malpractice ___ Negligent security __ Malpractice - business __ Nursing home negligence ___ Malpractice - medical __ Premises liability - commercial __ Malpractice - other professional ___ Premises liability - residential __ Other __ Products liability __ Antitrust / Trade regulation __ Real property / Mortgage foreclosure __ Business transactions ___ Commercial foreclosure $0 - $50,000 __ Constitutional challenge - statute or ordinance __ Commercial foreclosure __ Libel / Slander *** FILED: BROWARD COUNTY, FL BRENDA D. FORMAN, CLERK 10/22/2020 03:20:25 PM.****$50,001 - $249,000 __ Shareholder derivative action ___ Commercial foreclosure __ Securities litigation $250,000 or more __ Trade secrets __ Constitutional challenge - __ Trust litigation proposed amendment __ Corporate trusts __ Discrimination - employment or other _X_ Insurance claims __ Intellectual property Il. REMEDIES SOUGHT: _X Monetary; __ Nonmonetary declaratory or injunctive relief; __ Punitive Iv. NUMBER OF CAUSES OF ACTION: [2] (specify) Breach of Contract & Petition for Declaratory relief Vv. IS THIS CASE A CLASS ACTION LAWSUIT? __ Yes _XNo Vi HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED? _XNo __ Yes - If “yes” list all related cases by name, case number, and court. VIL IS JURY TRIAL DEMANDED IN COMPLAINT? X Yes __No I CERTIFY that the information I have provided in this cover sheet is accurate to the best of my knowledge and belief. Signature FL Bar No.: 328928 Attorney or Party (Bar number, of attorney) PETER MINEO JR. October 22, 2020 Print Name Date