Preview
SUM-100
SUMMONS cot Se ane
{CITACION JUDICIAL)
NOTICE TO DEFENDANT: -
(AVISO AL DEMANDADO):
SHON J. HARBARTH; and DOES | through 100, Inclusive
YOU ARE'BEING SUED BY PLAINTIFF;
(LO ESTA DEMANDANDO EL DEMANDANTE):
DUSTIN D. BEFFORD
NOTICE! You have been sued. The court may decide against you wilhout your being heard unless you respond within 30 days. Read the information
below. .
You have 30 CALENDAR DAYS after this summons and legal papers are served on you to file a written response at this court and have a copy
served on the plaintiff. A letter or phone call will not protect you. Your written response must be in proper legal form if you want the court to hear your
case. There may be a court form that you can use for your response. You can find these court forms and more information at the California Courts
Online Self-Help Center (www.courtinfo.ca.gov/selthelp), your county law library, or the courthouse nearest you, If you cannot pay the filing fee, ask
the court clerk for a fee waiver form: If you do not file your response an lime, you may lose the case by default, and your wages, money, and property
may be taken without further warning from the cour.
‘There are other legal requirements, You may want to call an attomey right away. If you do not know an attomey, you may Want to call an attomey
referral service. If you cannot afford an attorney, you may be eligible for free legal services from a nonprofit legal services program. You can locate
these nonprofit groups at the California Legal Services Web site (www.lawhelpcalifomia.org), the California Courts Online Self-Help Center
(www.courtinfo.ca.gov/selfhelp), or by contacting your local court or county bar association, NOTE: The court has a statutory llen for walved fees and
costs on any settlement or arbitration award of $10,000 or more in a civil case. The court's len must be paid before the court will dismiss the case.
JAVISO! Lo han demandado. Sino responde dentro de 30 dias, la corte puede decidir en su contra sin escuchar su versién. Lea la informacién a
continuacién,
Tiene 30 DIAS DE CALENDARIO después de que le entrequen esta citacién y papeles legales para presentar una respuesta por escrito en esta
corte y hacer que se entregue una copia al demandante. Una carta o una llamada telefénica no lo protegen. Su respuesta por escrito tiene que estar
en formato legal correcto si desea que procesen su caso en la corte. Es posible que haya un formulario que usted pueda usar para su respuesta.
Puede encontrar estos formularios de la corte y més informacién en el Centro de Ayuda de las Cortes de California (wwiw.sucorle.ca.gav), en /a
biblioteca de leyes de su condado 0 en la corte que le quede mas cerca. Si no puede pagar la cuota de presentacién, pida al secreterio de'la corte
que le dé un formulario de exencién de pago de cuotas. Si no presenta su respuesta a tiempo, puede perder el caso por inoumplimiento y fa corte le
podté quitar su sueldo, dinero y bienes sin mas advertencia.
Hay otros requisitos legales. Es recomendable que llame a un abogado inmediatamente, Si no conoce a un abagado, puede llamar a un servicio de
remision a abogados. Si no puede pagar a un abogado, es posible que cumpla con los requisitos para obtener servicios legales gratuitos de un
programa de servicios legales sin fines de lucro, Puede encontrar estos grupos sin fines de lucro en él sitio web de California Legal Services,
(vrww Jawhelpcalifornia.org), en el Centro de Ayuda de las Cortes de California, (www.sucorte.ca.gov) 0 poniéndose en contacto con la corte o ef
colegio de abogados locales. AVISO: Por ley, la corte tiene derecho a reclamar las cuotas y los costes exentos por imponer un gravamen sobre
cualquier recuperacién de $10,000 6 mas de valor recibida mediante un acuerdo o una concesién de arbitraje en un caso de derecho civil, Tiene que
pagar el gravamen de la corte antes de que la corte pueda desechar el caso.
The name and address of the court is: JUNBER:
(El nombre y direccién de la corte es): Gee. 2 0 > 5 8 2 0 ? 8
SAN FRANCISCO SUPERIOR COURT “
400 McAllister Street, San Francisco, CA 94102
The name; address, and telephone number of plaintiffs attorney, or plaintiff without an attorney, is:
(El nombre, la direccién y el nimero de teléfono del abogado del demandante, o del demandante que no tiene abogado, es):
James J. Romag, Esq., SBN: 241887; Michael S, Smith, Esq., SBN: 268 N- Grindgtaff, Esq., SBN: 34
Brown, Koro & Romag, LLP, 2440 Camino Ramon, Ste. 385, § fon, CA 945835 P: 925.5
DATE: Cle)
(Fecha) JAN 87 2020 CLERK y
(For proof of service of this summons, use Proof of Service of Sua O10).) REA ossaly
(Para prueba de entrega de esta citatién use el formulario Proof of
NOTIGE TO THE PERSON SERVI
1. as an individual defendant.
2 as the person sued under the.
3. on behalf of (specify):
under: [—] CCP 416.10 (corporation) CCP 416.60 (minor)
(“7] CCP 416.20 (defunct corporation) ([_] CCP 416.70 (conservates)
CCP 416.40 (association or partnership) CCP 416,90 (authorized person)
other (specify): . :
4, by personal delivery on (date):
: Paget of 4
"fide aunt ofcalona SUMMONS Cane otc rst 13
‘SUMO0 (Rev. Jy 1, 2005)
[American LegalNet Ine
ww. FormsWorkfow.com|PLD-PI-001
ATTORNEY ‘OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and:
James J. Romag, Esq., SBN: 241887 / ‘Michael S. 8. “Smith, Esq., SBN: 268756 /
Ashley N. Grindstaff, Esq., SBN: 300964
BROWN, KORO & ROMAG, LLP
2440 Camino Ramon, Suite 385, San Ramon, CA 94583
TELEPHONE NO: 925-830-4878 FAXNO. (Optional: 925-830-4879
E-MAIL ADDRESS (Optional):
arrorney For (Name): Plaintiff, Dustin D. Befford
streeraooress: 400 McAllister Street
mains aooress: 400 McAllister Street
cvanozpcone: San Francisco, CA 94102
aranc name: Civic Center Courthouse
PLAINTIFF: Dustin D. Befford
DEFENDANT: Shon J. Harbarth
| 12) noes 1 to 100, Inclusive
‘SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO “|
| COMPLAINT—Personal Injury, Property Damage, Wrongful Death
[) AMENDED (Number):
Type (check ail that apply):
[4] MOTOR VEHICLE OTHER (specify):
(1 Property Damage [__] Wrongful Death
[4] Personal Injury (7) Other Damages (specify): Wage Loss
FOR COURT USE ONLY
Jurisdiction (check all that apply):
[-) ACTION IS A LIMITED CIVIL CASE
Amount demanded [_] does not exceed $10,000 :
{] exceeds $10,000, but does not exceed $25,000
[7] ACTION IS AN UNLIMITED CIVIL CASE (exceeds $25,000)
I ACTION IS RECLASSIFIED by this amended complaint
[2 from limited to unlimited
{__] from unlimited to limited
‘CASE NUMBER:
PSC-20-58 2028
4. Plaintiff (name or names): Dustin D. Befford
alleges causes of action against defendant (name or names):
Shon J, Harbarth and DOES | to 100, Inclusive.
2. This pleading, including attachments and exhibits, consists of the following number of pages: 5
3. Each plaintiff named above is a competent adult
a. [__] except plaintiff (name):
(1) [] 2 corporation qualified to do business in California
(2) [__} an unincorporated entity (describe):
(3) a public entity (describe):
(4) [_] aminor [_) an adult
(a) [_] for whom a guardian or conservator of the estate or a guardian ad litem has been appointed
(b) [) other (specify):
(5) (—] other (Specify):
b. [_] except plaintiff (name):
(1) [__] a corporation qualified to do business in California
(2) [] an unincorporated entity (describe):
(3) [) a public entity (describe):
(4) [] aminor [J an adult
(a) for whom a guardian or conservator of the estate or a guardian ad litem has been appointed
(b) [_] other (specify):
(6) [J other (specify):
[1 information about additional plaintiffs who are not competent adults is shown in Attachment 3.
Page tof3
Fe 2d for Optional Us | Code of Ci ft Procodh 426.12
OO ae or eaifomia’. COMPLAINT—Personal Injury, Property oie of Proce, 25.12
PLO-PI-001 (Rev, January 1, 2007} Damage, Wrongful Death
[American LegaiNet, nc.
www. Forms Workfiow.comPLD-PI-004
SHORT TITLE: CASE NONBER:
BEFFORD v. HARBARTH, et al.
4, ([__] Plaintiff (name):
is doing business under the fictitious name (specify):
and has complied with the fictitious business name laws.
5. Each defendant named above is a natural person
a. except defendant (name): «ef] except defendant (name):
(1) (_] a business organization, form unknown (1) a business organization, form unknown
(2) a corporation (2) (_) acorporation .
(3) [] an unincorporated entity (describe): (3) an unincorporated entity (describe):
(4) [) a public entity (describe): (4) [) a public entity (describe):
(5) [_] other (specify): (8) [] other (specify):
b. (J) except defendant (name): d. () except defendant (name):
(4) [7 a business organization, form unknown (1) () a business organization, form unknown
(2) [J] a corporation (2) (_) a corporation
(3) [) anunincorporated entity (describe): (3) [_] an unincorporated entity (describe):
(4) a public entity (describe): (4) a public entity (describe):
(5) [J other (specify): (8) [) other (specify):
Information about additional defendants who are not natural persons is contained in Attachment 5.
The true names of defendants sued as Does are unknown to plaintiff.
a. Doe defendants (specify Doe numbers): | to 50 were the agents or employees of other
named defendants and acted within the scope of that agency or employment.
b. [Z1] Doe defendants (specify Doe numbers): 51 to 100 are persons whose capacities are unknown to
plaintiff.
Defendants who are joined under Code of Civil Procedure section 382 are (names):
This court is the proper court because
a. [7] at least one defendant now resides in its jurisdictional area.
b. the principal place of business of a defendant corporation or unincorporated association is in its jurisdictional area.
c. [7] injury to person or damage to personal property occurred in its jurisdictional area.
d .
[J other (specify):
[© Plaintiff is required to comply with a claims statute, and
a. has complied with applicable claims statutes, or
b. is excused from complying because (specify):
PLD-FL-004 [Rev. January 1, 2007] COMPLAINT—Personal Injury, Property Page 2 ofS
Damage, Wrongful DeathPLD-P1-001
‘SHORT TITLE: ‘CASE NUMBER:
BEFFORD v. HARBARTH, et al.
40. The following causes of action are attached and the statements above apply to each (each complaint must have one or more
causes of action attached):
[1 Motor Vehicle
LY _} General Negligence
[__] Intentional Tort
(1 Products Liability
{J Premises Liability
Other (specify):
ro ao se
11. Plaintiff has suffered
a, CZ] wage loss
b. loss of use of property
c. hospital and medical expenses
d. [7] general damage
e. [7] property damage
f. (2) loss of earning capacity
9.
other damage (specify):
Past and future loss of earnings, employment benefits, loss of earning capacity, loss of ability to
provide household services and attendant care damages, loss of use damages, prejudgment interest
according to Civil Code section 3291.
12. [__] The damages claimed for wrongful death and the relationships of plaintiff to the deceased are
a. [_] listed in Attachment 12.
b. [] as follows:
43. The relief sought in this complaint is within the jurisdiction of this court.
44, Plaintiff prays for judgment for costs of suit; for such relief as is fair, just, and equitable; and for
a. (1) (Z] compensatory damages
(2) [] punitive damages
The amount of damages Is (in cases-for personal injury or wrongful death, you must check (1)):
(1) [4] according to proof
(2) in the amount of: $
45. [__] The paragraphs of this complaint alleged on information and belief are as follows (specify paragraph numbers):
Date: 01/06/2020
James J. Romag, Esq.
(TYPE OR PRINT NAME)
PLO-PI-001 (Rev. January 4, 2007] COMPLAINT—Personal Injury, Property Page Sof 3
Damage, Wrongful DeathPLD-PI-001(4)
SHORT TITLE: ‘CASE NUMBER:
BEFFORD y. HARBARTH, et al.
FIRST CAUSE OF ACTION—Motor Vehicle
(number)
ATTACHMENT TO CZ] Complaint [] Cross - Complaint
(Use a separate cause of action form for each cause of action.)
Plaintiff (name): DUSTIN D, BEFFORD
MV- 1. Plaintiff alleges the acts of defendants were negligent; the acts were the legal (proximate) cause of injuries
and damages to plaintiff; the acts occurred
on (date): 07/15/19
at (place):
approximately 4:30 p.m., at or near the intersection of 25th Street and Tennessee Street, in the City
and County of San Francisco, State of California.
MV- 2. DEFENDANTS
(4) The defendants who operated a motor vehicle are (names):
SHON J. HARBARTH
Does 1 to 100 Inclusive
The defendants who employed the persons who operated a motor vehicle in the course of their employment
are (names):
[TZ does 1 to 100 Inclusive
c. [7] The defendants who owned the motor vehicle which was operated with their permission are (names):
SHON J. HARBARTH
Does 1 to 100 Inclusive
defendants who entrusted the motor vehicle are (names):
SHON J. HARBARTH
Y] Does I to 100 Inclusive
e. [1] The defendants who were the agents and employees of the other defendants and acted within the scope
of the agency were (names):
SHON J. HARBARTH
7} Does 1 to 100 Inclusive ’
f. L¥] The defendants who are liable to plaintiffs for other reasons and the reasons for the liability are
listed in Attachment MV-2f [7] as follows:
DOES 1 TO 100 INCLUSIVE are liable to Plaintiff, the reasons therefore and the nature
and extent of which has not yet been ascertained.
[7] Does 1 to 100 Inclusive Page 4
: Page tof
Form Approved for Opional U —
om proved er Opal se CAUSE OF ACTION—Motor Vehicle Cedet Gt Preeau 2512
PLO-PI-001(1) (Rev. January 1, 2007]
[American LegalNet, Inc.
war. Forms Workflow.comPLD-PI-004 (2)
SHORT TITLE: , CASE NONE ‘
BEFFORD vy. HARBARTH, et al.
SECOND CAUSE OF ACTION—General Negligence Page __5
(number)
ATTACHMENT TO [7X] Complaint Cross - Complaint
(Use a separate cause of action form for each cause of action.)
GN-1. Plaintiff (name): DUSTIN D. BEFFORD
alleges that defendant (name): SHON J. HARBARTH
DX] Does 1 to 100, Inclusive
was the legal (proximate) cause of damages to plaintiff. By the following acts or omissions to act, defendant
negligently caused the damage to plaintiff
on (date): 07/15/19
at (place): approximately 4:30 p.m., at or near the intersection of 25th Street and Tennessee
* Street, in the City and County of San Francisco, State of California.
(description of reasons for liability):
The Defendants, SHON J. HARBARTH and DOES | through 100, Inclusive, negligently
and carelessly entrusted, managed, maintained, and supervised the operation of, drove and !
operated their motor vehicle so as to cause an accident with a 2007 Suzuki motorcycle being
operated and occupied by Plaintiff.
That as a direct and proximate result of the negligence of said Defendants, and each of them, and
by reason of the accident thereby caused, Plaintiff sustained injuries to his head, body and limbs,
all to his damage in a sum that is unknown to him; and any necessary medical expenses in an
amount not yet fully ascertainable,
That as a direct and proximate result of the negligence of said Defendants, and each of them, and
by reason of the accident thereby caused, Plaintiff sustained property damage in an amount not
yet fully ascertainable.
That as a direct and proximate result of the negligence of said Defendants, and each of them,
and by reason of the accident thereby caused, Plaintiff has been unable, and will continue in the
future to be unable to attend to his normal occupation, resulting in a loss of earnings and
earnings capacity, to his damage, in an amount not yet fully ascertainable.
Page 1 of 4
orm prover tx Optical ee CAUSE OF ACTION—General Negligence . ooo ON Fearne
PLOPLOOHG) Row dara 1, 2007 !
[American LegalNet, Inc.
weaw.FormsWorkdiow.comCM-010
“Tames J Roman Esq, SBN: 2418877 Michael 8, Smith, Esq,, SBN: 268756 /
] FOR COURT USE ONLY
Ashley N. Grindstaff, Esq., SBN: 300964
BROWN, KORO & ROMAG, LLP
2440 Camino Ramon, Suite 385, San Ramon, CA 94583
TELEPHONE NO: 925-830-4878 Faxno: 925-830-4879 e ff
arronnev ron wane). Plaintiff, Dustin D. Befford 5 SN ran h £, my
UPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO. “Sco Coe, BB :
svaeet aooress: 400 McAllister Street Derios
uauns coress: 400 Me lister Street YAN gy ure
city anp 2p cove: San Francisco, CA 94102 2029
arancu wwe: Civic Center Courthouse by: Chie :
CASE NAME: ‘
Dustin D. Befford v. Shon J. Harbarth; et al.
CIVIL CASE COVER SHEET Complex Case Designation CASE NUMBER: "Ply Gog
aus Oo lanont 4 Counter Oo Joinder .
JUDGE:
demanded demanded is Filed with first appearance by defendant 8 ? 2 '
exceeds $25,000) $25,000 or less) (Cai. Rules of Court, rule 3.402) DEPT: ~ q 8
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 Litigation
¥] auto (22) [_] Breach of contractwarranty (06) (Cal. Rules of Court, rules 3.400~3.403) .
Uninsured motorist (46) Rule 3.740 collections (09) [_] AntitrusTrade regulation (03)
Other PUPDAWD (Personal Injury/Property Other collections (09) [_} construction defect (10) :
Damage/Wrongful Death) Tort Insurance coverage (18) [_} Mass tort (40)
Asbestos (04) [1] other contract (37) LJ securities litigation (28)
Product liability (24) Real Property EnvironmentalToxic tort (30)
L_.| Medical malpractice (48) Eminent domain/Inverse Insurance coverage claims arising from the
(J other pvepiwn (23) “condemnation (14) above listed provisionally complex case
Non-PI/PD/WD (Other) Tort Wrongful eviction (33) types (41)
Business tortlunfair business practice (07) Other real property (26) Enforcement of Judgment :
CJ civi rights (08) Unlawful Detainer (1 Enforcement of judgment (20) \
[J petamation (13) LJ] Commercial (31) Miscellaneous Civil Complaint
L_] Fraud (16) L_] Residential (82) (J) rico 27)
[__] intetiectual property (19) Drugs (38) Other comptaint (not specified above) (42)
[_] Professional negligence (25) Judicial Review
mC Miscellaneous Civil Petition
Other non-PI/PDWD tort (35) Asset forfeiture (05) [_] Partnership and corporate governance (21)
Employment (J Petition e: arbitration award (11) [=] other petition not specified above) (43)
ej Wrongful termination (36) (1 writ of mandate (02)
Other employment (15) [_] other judicial review (39)
2 Thiscase [is [¥Jisnot complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the
factors requiring exceptional judicial management: :
a Large number of separately represented parties d. Large number of witnesses
b.[_] Extensive motion practice raising difficult or novel e. Coordination with related actions pending in one or more courts
issues that will be time-consuming to resolve . in other counties, states, or countries, or in a federal court
c Substantial amount of documentary evidence f. Substantial postjudgment judicial supervision '
. Remedies sought (check all that apply): a.[7] monetary ».[__] nonmonetary; declaratory or injunctive relief __c. [—_]punitive
. Number of causes of action (specify): Two
3.
4
5. Thiscase [_lis isnot aclass action suit.
6.
Date: 01/06/2020
James J. Romag, Esq.
(IYPE OR PRINT NAME)
NOTICE
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.
@ If this case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on all
other parties to the action or proceeding. . '
* Unless this is a collections case under rule 3.740 or a complex case, this cover sheet will be used for statistical purposes only.
Form Adopted for Mandatory Use Cal, Rules of Court, rules 2.30, 3,220, 3.400-3.4 '
“odtial Counel of Caferria CIVIL CASE COVER SHEET Cal. Standards of Judicial Administration, std, 3.10
att0 (Rew duly 1, 2007) va coud ago
[American LegaiNet, Inc.
www. FormsWorkfiow.comINSTRUCTIONS ON 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 indidates 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 of the 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 attomey'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 tule 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. If 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 designation, a designation that
the case is complex.
Auto Tort
‘Auto (22)-Personal Injury/Property
Damage/Wrongful Death
Uninsured Motorist (46) (if the
case involves an uninsured
motorist claim subject to
arbitration, check this item
instead of Auto)
Other PI/PDIWD (Personal Injury!
Property Damage/Wrongful Death)
Tort
‘Asbestos (04)
Asbestos Property Damage
Asbestos Personal Injury/
Wrongful Death
Product Liability (not asbestos or
toxic/environmental) (24)
Medical Malpractice (45)
Medical Malpractice—
Physicians & Surgeons
Other Professional Health Care
Malpractice
Other PUPDIWD (23)
Premises Liability (e.g., slip
and fall)
Intentional Bodily injury/PD/WD
(e.g., assault, vandalism)
Intentional infliction of
Emotional Distress
Negligent Infliction of
Emotional Distress
Other PUPD/WD-
Non-PI/PDIWD (Other) Tort
Business TorvUnfair 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 or legal)
Other Non-PUPDAWD Tort (35)
Employment
Wrongful Termination (38)
Other Employment (15)
CASE TYPES AND EXAMPLES
Contract
Breach of ContractWarranty (06)
Breach of Rental/Lease
Contract (not unlawful detainer
or wrongful eviction)
ContraclWarranty Breach—Seller
Plaintiff (not fraud or negligence)
Negligent Breach of Contract!
Warranty
Other Breach of ContractWarranty
Collections (e.g., money owed, open
book accounts) (09)
Collection Case—Seller Plaintiff
Other Promissory Note/Collections
ase
Insurance Coverage (not provisionally
complex) (18)
Auto Subrogation
Other Coverage
Other Contract (37)
Contractual Fraud
Other Contract Dispute
Real Property
Eminent Domain/Inverse
Condemnation (14)
Wrongful Eviction (83)
Other Real Property (e.g. quiet title) (26)
‘Writ of Possession of Real Property
Mortgage Foreclosure
Quiet Title
Other Real Property (not eminent
domain, landlordtenant, 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 (11)
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 Appeal-Labor
Commissioner Appeals
‘CM-010 [Rev. July 1, 2007)
Provisionally Complex Civil Litigation (Cal.
Rules of Court Rules 3.400-3.403)
Antitrust/Trade Regulation (03)
Construction Defect (10)
Claims Involving Mass Tort (40)
‘Securities Litigation (28)
Environmental/Toxic Tort (30)
Insurance Coverage Claims
{arising trom provisionally complex
case type listed above) (41)
Enforcement of Judgment
Enforcement of Judgment (20)
Abstract of Judgment (Out of
NUT
Confession of Judgment (non-
domestic relations)
Sister State Judgment
Administrative Agency Award
{not unpaid taxes)
Petition/Certification of Entry of
Judgment on Unpaid Taxes
Other Enforcement of Judgment
Miscellaneous Civil Complaint
RICO (27)
Other Complaint (not specified
above) (42)
Declaratory Rellef Only
injunctive Relief Only (non-
harassment)
Mechanics Lien
Other Commercial Complaint
Case (non-tort/non-complex)
Other Civil Complaint
(non-tortnon-complex)
Misceltaneous Civil Petition
Partnership and Corporate
Govemance (21)
Other Petition (not specified
above) (43)
Civil Harassment
Workplace Violence
Elder/Dependent Adult
‘Abuse
Election Contest
Petition for Name Change
Petition for Relief From Late
Claim
Other Civil Petition
CIVIL CASE COVER SHEET
Page 2of
Preview
SUM-100 SUMMONS cot Se ane {CITACION JUDICIAL) NOTICE TO DEFENDANT: - (AVISO AL DEMANDADO): SHON J. HARBARTH; and DOES | through 100, Inclusive YOU ARE'BEING SUED BY PLAINTIFF; (LO ESTA DEMANDANDO EL DEMANDANTE): DUSTIN D. BEFFORD NOTICE! You have been sued. The court may decide against you wilhout your being heard unless you respond within 30 days. Read the information below. . You have 30 CALENDAR DAYS after this summons and legal papers are served on you to file a written response at this court and have a copy served on the plaintiff. A letter or phone call will not protect you. Your written response must be in proper legal form if you want the court to hear your case. There may be a court form that you can use for your response. You can find these court forms and more information at the California Courts Online Self-Help Center (www.courtinfo.ca.gov/selthelp), your county law library, or the courthouse nearest you, If you cannot pay the filing fee, ask the court clerk for a fee waiver form: If you do not file your response an lime, you may lose the case by default, and your wages, money, and property may be taken without further warning from the cour. ‘There are other legal requirements, You may want to call an attomey right away. If you do not know an attomey, you may Want to call an attomey referral service. If you cannot afford an attorney, you may be eligible for free legal services from a nonprofit legal services program. You can locate these nonprofit groups at the California Legal Services Web site (www.lawhelpcalifomia.org), the California Courts Online Self-Help Center (www.courtinfo.ca.gov/selfhelp), or by contacting your local court or county bar association, NOTE: The court has a statutory llen for walved fees and costs on any settlement or arbitration award of $10,000 or more in a civil case. The court's len must be paid before the court will dismiss the case. JAVISO! Lo han demandado. Sino responde dentro de 30 dias, la corte puede decidir en su contra sin escuchar su versién. Lea la informacién a continuacién, Tiene 30 DIAS DE CALENDARIO después de que le entrequen esta citacién y papeles legales para presentar una respuesta por escrito en esta corte y hacer que se entregue una copia al demandante. Una carta o una llamada telefénica no lo protegen. Su respuesta por escrito tiene que estar en formato legal correcto si desea que procesen su caso en la corte. Es posible que haya un formulario que usted pueda usar para su respuesta. Puede encontrar estos formularios de la corte y més informacién en el Centro de Ayuda de las Cortes de California (wwiw.sucorle.ca.gav), en /a biblioteca de leyes de su condado 0 en la corte que le quede mas cerca. Si no puede pagar la cuota de presentacién, pida al secreterio de'la corte que le dé un formulario de exencién de pago de cuotas. Si no presenta su respuesta a tiempo, puede perder el caso por inoumplimiento y fa corte le podté quitar su sueldo, dinero y bienes sin mas advertencia. Hay otros requisitos legales. Es recomendable que llame a un abogado inmediatamente, Si no conoce a un abagado, puede llamar a un servicio de remision a abogados. Si no puede pagar a un abogado, es posible que cumpla con los requisitos para obtener servicios legales gratuitos de un programa de servicios legales sin fines de lucro, Puede encontrar estos grupos sin fines de lucro en él sitio web de California Legal Services, (vrww Jawhelpcalifornia.org), en el Centro de Ayuda de las Cortes de California, (www.sucorte.ca.gov) 0 poniéndose en contacto con la corte o ef colegio de abogados locales. AVISO: Por ley, la corte tiene derecho a reclamar las cuotas y los costes exentos por imponer un gravamen sobre cualquier recuperacién de $10,000 6 mas de valor recibida mediante un acuerdo o una concesién de arbitraje en un caso de derecho civil, Tiene que pagar el gravamen de la corte antes de que la corte pueda desechar el caso. The name and address of the court is: JUNBER: (El nombre y direccién de la corte es): Gee. 2 0 > 5 8 2 0 ? 8 SAN FRANCISCO SUPERIOR COURT “ 400 McAllister Street, San Francisco, CA 94102 The name; address, and telephone number of plaintiffs attorney, or plaintiff without an attorney, is: (El nombre, la direccién y el nimero de teléfono del abogado del demandante, o del demandante que no tiene abogado, es): James J. Romag, Esq., SBN: 241887; Michael S, Smith, Esq., SBN: 268 N- Grindgtaff, Esq., SBN: 34 Brown, Koro & Romag, LLP, 2440 Camino Ramon, Ste. 385, § fon, CA 945835 P: 925.5 DATE: Cle) (Fecha) JAN 87 2020 CLERK y (For proof of service of this summons, use Proof of Service of Sua O10).) REA ossaly (Para prueba de entrega de esta citatién use el formulario Proof of NOTIGE TO THE PERSON SERVI 1. as an individual defendant. 2 as the person sued under the. 3. on behalf of (specify): under: [—] CCP 416.10 (corporation) CCP 416.60 (minor) (“7] CCP 416.20 (defunct corporation) ([_] CCP 416.70 (conservates) CCP 416.40 (association or partnership) CCP 416,90 (authorized person) other (specify): . : 4, by personal delivery on (date): : Paget of 4 "fide aunt ofcalona SUMMONS Cane otc rst 13 ‘SUMO0 (Rev. Jy 1, 2005) [American LegalNet Ine ww. FormsWorkfow.com|PLD-PI-001 ATTORNEY ‘OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and: James J. Romag, Esq., SBN: 241887 / ‘Michael S. 8. “Smith, Esq., SBN: 268756 / Ashley N. Grindstaff, Esq., SBN: 300964 BROWN, KORO & ROMAG, LLP 2440 Camino Ramon, Suite 385, San Ramon, CA 94583 TELEPHONE NO: 925-830-4878 FAXNO. (Optional: 925-830-4879 E-MAIL ADDRESS (Optional): arrorney For (Name): Plaintiff, Dustin D. Befford streeraooress: 400 McAllister Street mains aooress: 400 McAllister Street cvanozpcone: San Francisco, CA 94102 aranc name: Civic Center Courthouse PLAINTIFF: Dustin D. Befford DEFENDANT: Shon J. Harbarth | 12) noes 1 to 100, Inclusive ‘SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO “| | COMPLAINT—Personal Injury, Property Damage, Wrongful Death [) AMENDED (Number): Type (check ail that apply): [4] MOTOR VEHICLE OTHER (specify): (1 Property Damage [__] Wrongful Death [4] Personal Injury (7) Other Damages (specify): Wage Loss FOR COURT USE ONLY Jurisdiction (check all that apply): [-) ACTION IS A LIMITED CIVIL CASE Amount demanded [_] does not exceed $10,000 : {] exceeds $10,000, but does not exceed $25,000 [7] ACTION IS AN UNLIMITED CIVIL CASE (exceeds $25,000) I ACTION IS RECLASSIFIED by this amended complaint [2 from limited to unlimited {__] from unlimited to limited ‘CASE NUMBER: PSC-20-58 2028 4. Plaintiff (name or names): Dustin D. Befford alleges causes of action against defendant (name or names): Shon J, Harbarth and DOES | to 100, Inclusive. 2. This pleading, including attachments and exhibits, consists of the following number of pages: 5 3. Each plaintiff named above is a competent adult a. [__] except plaintiff (name): (1) [] 2 corporation qualified to do business in California (2) [__} an unincorporated entity (describe): (3) a public entity (describe): (4) [_] aminor [_) an adult (a) [_] for whom a guardian or conservator of the estate or a guardian ad litem has been appointed (b) [) other (specify): (5) (—] other (Specify): b. [_] except plaintiff (name): (1) [__] a corporation qualified to do business in California (2) [] an unincorporated entity (describe): (3) [) a public entity (describe): (4) [] aminor [J an adult (a) for whom a guardian or conservator of the estate or a guardian ad litem has been appointed (b) [_] other (specify): (6) [J other (specify): [1 information about additional plaintiffs who are not competent adults is shown in Attachment 3. Page tof3 Fe 2d for Optional Us | Code of Ci ft Procodh 426.12 OO ae or eaifomia’. COMPLAINT—Personal Injury, Property oie of Proce, 25.12 PLO-PI-001 (Rev, January 1, 2007} Damage, Wrongful Death [American LegaiNet, nc. www. Forms Workfiow.comPLD-PI-004 SHORT TITLE: CASE NONBER: BEFFORD v. HARBARTH, et al. 4, ([__] Plaintiff (name): is doing business under the fictitious name (specify): and has complied with the fictitious business name laws. 5. Each defendant named above is a natural person a. except defendant (name): «ef] except defendant (name): (1) (_] a business organization, form unknown (1) a business organization, form unknown (2) a corporation (2) (_) acorporation . (3) [] an unincorporated entity (describe): (3) an unincorporated entity (describe): (4) [) a public entity (describe): (4) [) a public entity (describe): (5) [_] other (specify): (8) [] other (specify): b. (J) except defendant (name): d. () except defendant (name): (4) [7 a business organization, form unknown (1) () a business organization, form unknown (2) [J] a corporation (2) (_) a corporation (3) [) anunincorporated entity (describe): (3) [_] an unincorporated entity (describe): (4) a public entity (describe): (4) a public entity (describe): (5) [J other (specify): (8) [) other (specify): Information about additional defendants who are not natural persons is contained in Attachment 5. The true names of defendants sued as Does are unknown to plaintiff. a. Doe defendants (specify Doe numbers): | to 50 were the agents or employees of other named defendants and acted within the scope of that agency or employment. b. [Z1] Doe defendants (specify Doe numbers): 51 to 100 are persons whose capacities are unknown to plaintiff. Defendants who are joined under Code of Civil Procedure section 382 are (names): This court is the proper court because a. [7] at least one defendant now resides in its jurisdictional area. b. the principal place of business of a defendant corporation or unincorporated association is in its jurisdictional area. c. [7] injury to person or damage to personal property occurred in its jurisdictional area. d . [J other (specify): [© Plaintiff is required to comply with a claims statute, and a. has complied with applicable claims statutes, or b. is excused from complying because (specify): PLD-FL-004 [Rev. January 1, 2007] COMPLAINT—Personal Injury, Property Page 2 ofS Damage, Wrongful DeathPLD-P1-001 ‘SHORT TITLE: ‘CASE NUMBER: BEFFORD v. HARBARTH, et al. 40. The following causes of action are attached and the statements above apply to each (each complaint must have one or more causes of action attached): [1 Motor Vehicle LY _} General Negligence [__] Intentional Tort (1 Products Liability {J Premises Liability Other (specify): ro ao se 11. Plaintiff has suffered a, CZ] wage loss b. loss of use of property c. hospital and medical expenses d. [7] general damage e. [7] property damage f. (2) loss of earning capacity 9. other damage (specify): Past and future loss of earnings, employment benefits, loss of earning capacity, loss of ability to provide household services and attendant care damages, loss of use damages, prejudgment interest according to Civil Code section 3291. 12. [__] The damages claimed for wrongful death and the relationships of plaintiff to the deceased are a. [_] listed in Attachment 12. b. [] as follows: 43. The relief sought in this complaint is within the jurisdiction of this court. 44, Plaintiff prays for judgment for costs of suit; for such relief as is fair, just, and equitable; and for a. (1) (Z] compensatory damages (2) [] punitive damages The amount of damages Is (in cases-for personal injury or wrongful death, you must check (1)): (1) [4] according to proof (2) in the amount of: $ 45. [__] The paragraphs of this complaint alleged on information and belief are as follows (specify paragraph numbers): Date: 01/06/2020 James J. Romag, Esq. (TYPE OR PRINT NAME) PLO-PI-001 (Rev. January 4, 2007] COMPLAINT—Personal Injury, Property Page Sof 3 Damage, Wrongful DeathPLD-PI-001(4) SHORT TITLE: ‘CASE NUMBER: BEFFORD y. HARBARTH, et al. FIRST CAUSE OF ACTION—Motor Vehicle (number) ATTACHMENT TO CZ] Complaint [] Cross - Complaint (Use a separate cause of action form for each cause of action.) Plaintiff (name): DUSTIN D, BEFFORD MV- 1. Plaintiff alleges the acts of defendants were negligent; the acts were the legal (proximate) cause of injuries and damages to plaintiff; the acts occurred on (date): 07/15/19 at (place): approximately 4:30 p.m., at or near the intersection of 25th Street and Tennessee Street, in the City and County of San Francisco, State of California. MV- 2. DEFENDANTS (4) The defendants who operated a motor vehicle are (names): SHON J. HARBARTH Does 1 to 100 Inclusive The defendants who employed the persons who operated a motor vehicle in the course of their employment are (names): [TZ does 1 to 100 Inclusive c. [7] The defendants who owned the motor vehicle which was operated with their permission are (names): SHON J. HARBARTH Does 1 to 100 Inclusive defendants who entrusted the motor vehicle are (names): SHON J. HARBARTH Y] Does I to 100 Inclusive e. [1] The defendants who were the agents and employees of the other defendants and acted within the scope of the agency were (names): SHON J. HARBARTH 7} Does 1 to 100 Inclusive ’ f. L¥] The defendants who are liable to plaintiffs for other reasons and the reasons for the liability are listed in Attachment MV-2f [7] as follows: DOES 1 TO 100 INCLUSIVE are liable to Plaintiff, the reasons therefore and the nature and extent of which has not yet been ascertained. [7] Does 1 to 100 Inclusive Page 4 : Page tof Form Approved for Opional U — om proved er Opal se CAUSE OF ACTION—Motor Vehicle Cedet Gt Preeau 2512 PLO-PI-001(1) (Rev. January 1, 2007] [American LegalNet, Inc. war. Forms Workflow.comPLD-PI-004 (2) SHORT TITLE: , CASE NONE ‘ BEFFORD vy. HARBARTH, et al. SECOND CAUSE OF ACTION—General Negligence Page __5 (number) ATTACHMENT TO [7X] Complaint Cross - Complaint (Use a separate cause of action form for each cause of action.) GN-1. Plaintiff (name): DUSTIN D. BEFFORD alleges that defendant (name): SHON J. HARBARTH DX] Does 1 to 100, Inclusive was the legal (proximate) cause of damages to plaintiff. By the following acts or omissions to act, defendant negligently caused the damage to plaintiff on (date): 07/15/19 at (place): approximately 4:30 p.m., at or near the intersection of 25th Street and Tennessee * Street, in the City and County of San Francisco, State of California. (description of reasons for liability): The Defendants, SHON J. HARBARTH and DOES | through 100, Inclusive, negligently and carelessly entrusted, managed, maintained, and supervised the operation of, drove and ! operated their motor vehicle so as to cause an accident with a 2007 Suzuki motorcycle being operated and occupied by Plaintiff. That as a direct and proximate result of the negligence of said Defendants, and each of them, and by reason of the accident thereby caused, Plaintiff sustained injuries to his head, body and limbs, all to his damage in a sum that is unknown to him; and any necessary medical expenses in an amount not yet fully ascertainable, That as a direct and proximate result of the negligence of said Defendants, and each of them, and by reason of the accident thereby caused, Plaintiff sustained property damage in an amount not yet fully ascertainable. That as a direct and proximate result of the negligence of said Defendants, and each of them, and by reason of the accident thereby caused, Plaintiff has been unable, and will continue in the future to be unable to attend to his normal occupation, resulting in a loss of earnings and earnings capacity, to his damage, in an amount not yet fully ascertainable. Page 1 of 4 orm prover tx Optical ee CAUSE OF ACTION—General Negligence . ooo ON Fearne PLOPLOOHG) Row dara 1, 2007 ! [American LegalNet, Inc. weaw.FormsWorkdiow.comCM-010 “Tames J Roman Esq, SBN: 2418877 Michael 8, Smith, Esq,, SBN: 268756 / ] FOR COURT USE ONLY Ashley N. Grindstaff, Esq., SBN: 300964 BROWN, KORO & ROMAG, LLP 2440 Camino Ramon, Suite 385, San Ramon, CA 94583 TELEPHONE NO: 925-830-4878 Faxno: 925-830-4879 e ff arronnev ron wane). Plaintiff, Dustin D. Befford 5 SN ran h £, my UPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO. “Sco Coe, BB : svaeet aooress: 400 McAllister Street Derios uauns coress: 400 Me lister Street YAN gy ure city anp 2p cove: San Francisco, CA 94102 2029 arancu wwe: Civic Center Courthouse by: Chie : CASE NAME: ‘ Dustin D. Befford v. Shon J. Harbarth; et al. CIVIL CASE COVER SHEET Complex Case Designation CASE NUMBER: "Ply Gog aus Oo lanont 4 Counter Oo Joinder . JUDGE: demanded demanded is Filed with first appearance by defendant 8 ? 2 ' exceeds $25,000) $25,000 or less) (Cai. Rules of Court, rule 3.402) DEPT: ~ q 8 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 Litigation ¥] auto (22) [_] Breach of contractwarranty (06) (Cal. Rules of Court, rules 3.400~3.403) . Uninsured motorist (46) Rule 3.740 collections (09) [_] AntitrusTrade regulation (03) Other PUPDAWD (Personal Injury/Property Other collections (09) [_} construction defect (10) : Damage/Wrongful Death) Tort Insurance coverage (18) [_} Mass tort (40) Asbestos (04) [1] other contract (37) LJ securities litigation (28) Product liability (24) Real Property EnvironmentalToxic tort (30) L_.| Medical malpractice (48) Eminent domain/Inverse Insurance coverage claims arising from the (J other pvepiwn (23) “condemnation (14) above listed provisionally complex case Non-PI/PD/WD (Other) Tort Wrongful eviction (33) types (41) Business tortlunfair business practice (07) Other real property (26) Enforcement of Judgment : CJ civi rights (08) Unlawful Detainer (1 Enforcement of judgment (20) \ [J petamation (13) LJ] Commercial (31) Miscellaneous Civil Complaint L_] Fraud (16) L_] Residential (82) (J) rico 27) [__] intetiectual property (19) Drugs (38) Other comptaint (not specified above) (42) [_] Professional negligence (25) Judicial Review mC Miscellaneous Civil Petition Other non-PI/PDWD tort (35) Asset forfeiture (05) [_] Partnership and corporate governance (21) Employment (J Petition e: arbitration award (11) [=] other petition not specified above) (43) ej Wrongful termination (36) (1 writ of mandate (02) Other employment (15) [_] other judicial review (39) 2 Thiscase [is [¥Jisnot complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the factors requiring exceptional judicial management: : a Large number of separately represented parties d. Large number of witnesses b.[_] Extensive motion practice raising difficult or novel e. Coordination with related actions pending in one or more courts issues that will be time-consuming to resolve . in other counties, states, or countries, or in a federal court c Substantial amount of documentary evidence f. Substantial postjudgment judicial supervision ' . Remedies sought (check all that apply): a.[7] monetary ».[__] nonmonetary; declaratory or injunctive relief __c. [—_]punitive . Number of causes of action (specify): Two 3. 4 5. Thiscase [_lis isnot aclass action suit. 6. Date: 01/06/2020 James J. Romag, Esq. (IYPE OR PRINT NAME) NOTICE 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. @ If this case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on all other parties to the action or proceeding. . ' * Unless this is a collections case under rule 3.740 or a complex case, this cover sheet will be used for statistical purposes only. Form Adopted for Mandatory Use Cal, Rules of Court, rules 2.30, 3,220, 3.400-3.4 ' “odtial Counel of Caferria CIVIL CASE COVER SHEET Cal. Standards of Judicial Administration, std, 3.10 att0 (Rew duly 1, 2007) va coud ago [American LegaiNet, Inc. www. FormsWorkfiow.comINSTRUCTIONS ON 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 indidates 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 of the 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 attomey'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 tule 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. If 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 designation, a designation that the case is complex. Auto Tort ‘Auto (22)-Personal Injury/Property Damage/Wrongful Death Uninsured Motorist (46) (if the case involves an uninsured motorist claim subject to arbitration, check this item instead of Auto) Other PI/PDIWD (Personal Injury! Property Damage/Wrongful Death) Tort ‘Asbestos (04) Asbestos Property Damage Asbestos Personal Injury/ Wrongful Death Product Liability (not asbestos or toxic/environmental) (24) Medical Malpractice (45) Medical Malpractice— Physicians & Surgeons Other Professional Health Care Malpractice Other PUPDIWD (23) Premises Liability (e.g., slip and fall) Intentional Bodily injury/PD/WD (e.g., assault, vandalism) Intentional infliction of Emotional Distress Negligent Infliction of Emotional Distress Other PUPD/WD- Non-PI/PDIWD (Other) Tort Business TorvUnfair 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 or legal) Other Non-PUPDAWD Tort (35) Employment Wrongful Termination (38) Other Employment (15) CASE TYPES AND EXAMPLES Contract Breach of ContractWarranty (06) Breach of Rental/Lease Contract (not unlawful detainer or wrongful eviction) ContraclWarranty Breach—Seller Plaintiff (not fraud or negligence) Negligent Breach of Contract! Warranty Other Breach of ContractWarranty Collections (e.g., money owed, open book accounts) (09) Collection Case—Seller Plaintiff Other Promissory Note/Collections ase Insurance Coverage (not provisionally complex) (18) Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Property Eminent Domain/Inverse Condemnation (14) Wrongful Eviction (83) Other Real Property (e.g. quiet title) (26) ‘Writ of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (not eminent domain, landlordtenant, 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 (11) 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 Appeal-Labor Commissioner Appeals ‘CM-010 [Rev. July 1, 2007) Provisionally Complex Civil Litigation (Cal. Rules of Court Rules 3.400-3.403) Antitrust/Trade Regulation (03) Construction Defect (10) Claims Involving Mass Tort (40) ‘Securities Litigation (28) Environmental/Toxic Tort (30) Insurance Coverage Claims {arising trom provisionally complex case type listed above) (41) Enforcement of Judgment Enforcement of Judgment (20) Abstract of Judgment (Out of NUT Confession of Judgment (non- domestic relations) Sister State Judgment Administrative Agency Award {not unpaid taxes) Petition/Certification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Miscellaneous Civil Complaint RICO (27) Other Complaint (not specified above) (42) Declaratory Rellef Only injunctive Relief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-tort/non-complex) Other Civil Complaint (non-tortnon-complex) Misceltaneous Civil Petition Partnership and Corporate Govemance (21) Other Petition (not specified above) (43) Civil Harassment Workplace Violence Elder/Dependent Adult ‘Abuse Election Contest Petition for Name Change Petition for Relief From Late Claim Other Civil Petition CIVIL CASE COVER SHEET Page 2of