Preview
POS-040
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
|_ Lindbergh Porter, Bar No. 100091 Maiko Nakarai-Kanivas Bar No. 271710
Littler Mendelson, P.C. “FILED
333 Bush Street, 34th Floor 12112018 1:39 PM
San Francisco, CA 94104
FOR COURT USE ONLY
lerk of Court
TeLEPHONENO: (415) 433-1940 Fax no. (optionay: (415) 723-7247 uperior Court of CA
E-MAIL ADDRESS (Optionay: Lporter@littler.com / MNakaraiKanivas@littler.com ‘county of Santa Clara
ATTORNEY FOR (Namo): Defendants Sutter Health and Palo Alto Medical Foundation y
SUPERIOR COURT OF CALIFORNIA, COUNTY OF Santa Clara 015-1-CV-277582
ae ‘eviewed By: V. Taylor
street appress: 191 N. First Street :4239788
MAILING ADDRESS: nvelope “ 78:
city Ano zip cove: San Jose, CA 95113
BRANCH NAME:
PLAINTIFF/PETITIONER: Diana P. Blum, M.D.
DEFENDANT/RESPONDENT: Sutter Health, et al. CASE NUMBER:
115-CV-277582
PROOF OF SERVICE—CIVIL
Check method of service (only one):
IDGE:
C1 By Personal Service 1 py mail By Overnight Delivery u
C1 By Messenger Service By Fax By Electronic Service vepr.:8
(Do not use this proof of service to show service of a Summons and complaint.)
1. At the time of service | was over 18 years of age and not a party to this action.
2. My residence or business address is:
Littler Mendelson, P.C., 1255 Treat Boulevard, Suite 600, Walnut Creek, CA 94597
3. KJ The fax number or electronic service address from which | served the documents is (complete if service was by fax or
electronic service): mamartinez@littler.com
4. On (date): February 21, 2018 | served the following documents (specify):
MEMORANDUM OF COSTS (SUMMARY); MEMORANDUM OF COSTS (WORKSHEET)
[1 The documents are listed in the Attachment to Proof of Service—Civil (Documents Served) (form POS-040(D)).
5. | served the documents on the person or persons below, as follows:
a. Name of person served: Theresa J. Barta; Marcie Isom Fitzsimmons; Hieu Tran Williams
b. (Complete if service was by personal service, mail, overnight delivery, or messenger service.)
Business or residential address where person was served:
Law Offices of Theresa Barta, 5160 Campus Drive, Newport Beach, CA 92660
Gordon & Rees, LLP, 275 Battery Street, Suite 2000, San Francisco, CA 94111
c (Complete if service was by fax or electronic service.)
(1) Fax number or electronic service address where person was served:
theresa@barta-law.com; Mlsom@grsm.com; htran@grsm.com
(2) Time of service:
The names, addresses, and other applicable information about persons served is on the Attachment to Proof of
Service—Civil (Persons Served) (form POS-040(P)).
. The documents were served by the following means (specify): E-MAIL.
a. By personal service. | personally delivered the documents to the persons at the addresses listed in item 5. (1) Fora
party represented by an attorney, delivery was made to the attorney or at the attorney's office by leaving the documents,
in an envelope or package clearly labeled to identify the attorney being served, with a receptionist or an individual in
charge of the office, between the hours of nine in the morning and five in the evening. (2) For a party, delivery was made
to the party or by leaving the documents at the party's residence with some person not younger than 18 years of age
between the hours of eight in the morning and six in the evening.
Pago 1 of 3
Fapereee i oeara PROOF OF SERVICE—CIVIL Gove rey ering 81708, 1011 a
POS-040 [Rev. July 1, 2044] (Proof of Service) ‘wanw.courts.ca.govPOS-040
‘CASE NAME CASE NUMBER:
Diana P. Blum, M.D. v. Sutter Health, et al. 115--CV-277582
6.b. 0 By United States mail. | enclosed the documents in a sealed envelope or package addressed to the persons at the
addresses in item 5 and (specify one):
(1) deposited the sealed envelope with the United States Postal Service, with the postage fully prepaid.
(2) LJ placed the envelope for collection and mailing, following our ordinary business practices. | am readily familiar
with this business's practice for collecting and processing correspondence for mailing. On the same day that
correspondence is placed for collection and mailing, it is deposited in the ordinary course of business with the
United States Postal Service, in a sealed envelope with postage fully prepaid.
| am a resident or employed in the county where the mailing occurred. The envelope or package was placed in the mail at
(city and state): Walnut Creek, CA
By overnight delivery. | enclosed the documents in an envelope or package provided by an overnight delivery
carrier and addressed to the persons at the addresses in item 5. | placed the envelope or package for collection
and overnight delivery at an office or a regularly utilized drop box of the overnight delivery carrier.
By messenger service. | served the documents by placing them in an envelope or package addressed to the persons
at the addresses listed in item 5 and providing them to a professional messenger service for service. (A declaration by
the messenger must accompany this Proof of Service or be contained in the Declaration of Messenger below.)
By fax transmission. Based on an agreement of the parties to accept service by fax transmission, | faxed the documents
to the persons at the fax numbers listed in item 5. No error was reported by the fax machine that | used. A copy of the
record of the fax transmission, which | printed out, is attached.
By electronic service. Based on a court order or an agreement of the parties to accept electronic service, | caused the
documents to be sent to the persons at the electronic service addresses listed in item 5.
| declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date: February 21, 2018
(if item 6d above is checked, the declaration below must be completed or a separate declaration from a messenger must be
5
Monica A. Martinez (Nc. /.
(TYPE OR PRINT NAME OF DECLARANT) (SIGNATURE OF DECLARANT) <
attached.)
DECLARATION OF MESSENGER
o By personal service. | personally delivered the envelope or package received from the declarant above to the persons at the
addresses listed in item 5. (1) For a party represented by an attorney, delivery was made to the attorney or at the attorney's
office by leaving the documents in an envelope or package, which was clearly labeled to identify the attorney being served,
with a receptionist or an individual in charge of the office, between the hours of nine in the morning and five in the evening. (2)
For a party, delivery was made to the party or by leaving the documents at the party's residence with some person not younger
than 18 years of age between the hours of eight in the morning and six in the evening.
At the time of service, | was over 18 years of age. | am not a party to the above-referenced legal proceeding.
| served the envelope or package, as stated above, on (date):
| declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(NAME OF DECLARANT) (SIGNATURE OF DECLARANT)
Page 2 of 3
POS-040 [Rev. July 1, 2011] PROOF OF SERVICE—CIVIL
(Proof of Service)
Preview
POS-040 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): |_ Lindbergh Porter, Bar No. 100091 Maiko Nakarai-Kanivas Bar No. 271710 Littler Mendelson, P.C. “FILED 333 Bush Street, 34th Floor 12112018 1:39 PM San Francisco, CA 94104 FOR COURT USE ONLY lerk of Court TeLEPHONENO: (415) 433-1940 Fax no. (optionay: (415) 723-7247 uperior Court of CA E-MAIL ADDRESS (Optionay: Lporter@littler.com / MNakaraiKanivas@littler.com ‘county of Santa Clara ATTORNEY FOR (Namo): Defendants Sutter Health and Palo Alto Medical Foundation y SUPERIOR COURT OF CALIFORNIA, COUNTY OF Santa Clara 015-1-CV-277582 ae ‘eviewed By: V. Taylor street appress: 191 N. First Street :4239788 MAILING ADDRESS: nvelope “ 78: city Ano zip cove: San Jose, CA 95113 BRANCH NAME: PLAINTIFF/PETITIONER: Diana P. Blum, M.D. DEFENDANT/RESPONDENT: Sutter Health, et al. CASE NUMBER: 115-CV-277582 PROOF OF SERVICE—CIVIL Check method of service (only one): IDGE: C1 By Personal Service 1 py mail By Overnight Delivery u C1 By Messenger Service By Fax By Electronic Service vepr.:8 (Do not use this proof of service to show service of a Summons and complaint.) 1. At the time of service | was over 18 years of age and not a party to this action. 2. My residence or business address is: Littler Mendelson, P.C., 1255 Treat Boulevard, Suite 600, Walnut Creek, CA 94597 3. KJ The fax number or electronic service address from which | served the documents is (complete if service was by fax or electronic service): mamartinez@littler.com 4. On (date): February 21, 2018 | served the following documents (specify): MEMORANDUM OF COSTS (SUMMARY); MEMORANDUM OF COSTS (WORKSHEET) [1 The documents are listed in the Attachment to Proof of Service—Civil (Documents Served) (form POS-040(D)). 5. | served the documents on the person or persons below, as follows: a. Name of person served: Theresa J. Barta; Marcie Isom Fitzsimmons; Hieu Tran Williams b. (Complete if service was by personal service, mail, overnight delivery, or messenger service.) Business or residential address where person was served: Law Offices of Theresa Barta, 5160 Campus Drive, Newport Beach, CA 92660 Gordon & Rees, LLP, 275 Battery Street, Suite 2000, San Francisco, CA 94111 c (Complete if service was by fax or electronic service.) (1) Fax number or electronic service address where person was served: theresa@barta-law.com; Mlsom@grsm.com; htran@grsm.com (2) Time of service: The names, addresses, and other applicable information about persons served is on the Attachment to Proof of Service—Civil (Persons Served) (form POS-040(P)). . The documents were served by the following means (specify): E-MAIL. a. By personal service. | personally delivered the documents to the persons at the addresses listed in item 5. (1) Fora party represented by an attorney, delivery was made to the attorney or at the attorney's office by leaving the documents, in an envelope or package clearly labeled to identify the attorney being served, with a receptionist or an individual in charge of the office, between the hours of nine in the morning and five in the evening. (2) For a party, delivery was made to the party or by leaving the documents at the party's residence with some person not younger than 18 years of age between the hours of eight in the morning and six in the evening. Pago 1 of 3 Fapereee i oeara PROOF OF SERVICE—CIVIL Gove rey ering 81708, 1011 a POS-040 [Rev. July 1, 2044] (Proof of Service) ‘wanw.courts.ca.govPOS-040 ‘CASE NAME CASE NUMBER: Diana P. Blum, M.D. v. Sutter Health, et al. 115--CV-277582 6.b. 0 By United States mail. | enclosed the documents in a sealed envelope or package addressed to the persons at the addresses in item 5 and (specify one): (1) deposited the sealed envelope with the United States Postal Service, with the postage fully prepaid. (2) LJ placed the envelope for collection and mailing, following our ordinary business practices. | am readily familiar with this business's practice for collecting and processing correspondence for mailing. On the same day that correspondence is placed for collection and mailing, it is deposited in the ordinary course of business with the United States Postal Service, in a sealed envelope with postage fully prepaid. | am a resident or employed in the county where the mailing occurred. The envelope or package was placed in the mail at (city and state): Walnut Creek, CA By overnight delivery. | enclosed the documents in an envelope or package provided by an overnight delivery carrier and addressed to the persons at the addresses in item 5. | placed the envelope or package for collection and overnight delivery at an office or a regularly utilized drop box of the overnight delivery carrier. By messenger service. | served the documents by placing them in an envelope or package addressed to the persons at the addresses listed in item 5 and providing them to a professional messenger service for service. (A declaration by the messenger must accompany this Proof of Service or be contained in the Declaration of Messenger below.) By fax transmission. Based on an agreement of the parties to accept service by fax transmission, | faxed the documents to the persons at the fax numbers listed in item 5. No error was reported by the fax machine that | used. A copy of the record of the fax transmission, which | printed out, is attached. By electronic service. Based on a court order or an agreement of the parties to accept electronic service, | caused the documents to be sent to the persons at the electronic service addresses listed in item 5. | declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: February 21, 2018 (if item 6d above is checked, the declaration below must be completed or a separate declaration from a messenger must be 5 Monica A. Martinez (Nc. /. (TYPE OR PRINT NAME OF DECLARANT) (SIGNATURE OF DECLARANT) < attached.) DECLARATION OF MESSENGER o By personal service. | personally delivered the envelope or package received from the declarant above to the persons at the addresses listed in item 5. (1) For a party represented by an attorney, delivery was made to the attorney or at the attorney's office by leaving the documents in an envelope or package, which was clearly labeled to identify the attorney being served, with a receptionist or an individual in charge of the office, between the hours of nine in the morning and five in the evening. (2) For a party, delivery was made to the party or by leaving the documents at the party's residence with some person not younger than 18 years of age between the hours of eight in the morning and six in the evening. At the time of service, | was over 18 years of age. | am not a party to the above-referenced legal proceeding. | served the envelope or package, as stated above, on (date): | declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (NAME OF DECLARANT) (SIGNATURE OF DECLARANT) Page 2 of 3 POS-040 [Rev. July 1, 2011] PROOF OF SERVICE—CIVIL (Proof of Service)