On April 22, 2016 a
Proof of Service
was filed
involving a dispute between
Applied Underwriters Captive Risk Assurance,
California Insurance Company,,
Silver Autumn Hotel,
Warwick Amusements Corporation,,
Warwick California Corporation,
Warwick Denver Corporation,,
Warwick Melrose Dallas Corporation,
Wsf Beverage Corporation,,
and
Applied Risk Services, Inc.,,
Applied Underwriters Captive Risk Assurance,
Applied Underwriters, Inc., A Nebraska Corporation,
California Insurance Company,,
Continental Indeminty Company, An Iowa Corporation,
Does 1 Through 50, Inclusive,
Insurance Commissioner In His Capacity,
Willis Of New York, Inc.,
Willis Of New York, Inc., A New York Corporation,
for civil
in the District Court of San Francisco County.
Preview
POS-01
‘ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) FOR COURT USE ONLY
| NICHOLAS P. ROXBOROUGH, ESQ, | SBN: 113540
ROXBOROUGH, POMERANCE, NYE & ADREANI, LLP
5820 CANOGA AVENUE, SUITE 250
WOODLAND HILLS, CA 913
TELEPHONE NO. zt SFbo8h 1Eax NO. | E-sMait ADDRESS (Optional) ELECTRONICALLY
ATTORNEY FOR (Name): Plants: FILED
Supertor Court of California,
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO ‘County of San Francisco
street apoREss: 400 MCALLISTER STREET 06/06/2016
MAILING ADDRESS: Clerk of the Court
crry ano 21P cone: SAN FRANCISCO, CA 94102 EP ePer he Bealay eis:
BRANCH Name: CIVIL DIVISION
PLAINTIFF/PETITIONER: WARWICK AMUSEMENTS CORPORATION, ETC., ET AL. | case NuMBER
DEFENDANT/RESPONDENT: APPLIED UNDERWRITERS, INC., ETC. ET AL. CGC-16-551614
PROOF OF SERVICE OF SUMMONS re 6007.01 WARWICK VS, APPLIED
(Separate proof of service is required for each party served.)
1. At the time of service | was at least 18 years of age and not a party to this action.
2. | served copies of:
Summons
Complaint
Alternative Dispute Resolution (ADR) package
Civil Case Cover Sheet
Cross-complaint
f. other (specify documents): SUMMONS - FIRST AMENDED COMPLAINT; FIRST AMENDED COMPLAINT
3. a. Party served (specify name of party as shown on documents served):
CALIFORNIA INSURANCE COMPANY, A CALIFORNIA CORPORATION
eaocn
b. Person (other than the party in item 3a) served on behalf of an entity or as an authorized agent (and not a person under
item 5b on whom substituted service was made) (specify name and relationship to the party named in item 3a):
MICHAEL K. PERKINS - AGENT FOR SERVICE OF PROCESS
4, Address where the party was served: 80 STONE PINE ROAD, SUITE 210
HALF MOON BAY, CA 94019
5. | served the party (check proper box)
a. Ol by personal service. | personally delivered the documents listed in item 2 to the party or person authorized to
receive service of process for the party (1) on (date): (2) at (time):
b. by substituted service. On (date): 05/26/2016 at (time): 04:10 pm | left the documents listed in item 2 with or
in the presence of (name and title or relationship to person indicated in item 3b):
JULIE DARE - PARALEGAL
(1) {X] (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. | informed him of her of the general nature of the papers.
(2) [) (home) a competent member of the household (at least 18 years of age) at the dwelling house or usual place of
abode of the party. | informed him or her of the general nature of the papers.
(3) (2) (physical address unknown) a person at least 18 years of age apparently in charge at the usual mailing address
of the person to be served, other than a United States Postal Service post office box. | informed him of her of the
general nature of the papers.
(4) (11 | thereafter mailed (by first-class, postage prepaid) copies of the documents to the person to be served at the
place where the copies were left (Code Civ. Proc., §415.20). | mailed the documents on
(date): from (city): or [X] a declaration of mailing is attached.
(5) C Jattach a dectaration of diligence stating actions taken first to attempt personal service.
Page 1 of 2
‘scat Es 9 Catt PROOF OF SERVICE OF SUMMONS, eee
POS-010 (Rev. January 1, 2007) POS010-1/856663CAPETITIONER: WARWICK AMUSEMENTS CORPORATION, ETC., ET AL. CASE NUMBER:
CGC-16-551614
RESPONDENT: APPLIED UNDERWRITERS, INC., ETC. ET AL.
« LI by mail and acknowledgment of receipt of service. | mailed the documents listed in item 2 to the party, to the address
shown in item 4, by first-class mail, postage prepaid,
(1) on (date): (2) from (city):
(3) (0 with two copies of the Notice and Acknowledgment of Receipt and a postage-paid return envelope addressed to me.
(Attach completed Notice and Acknowledgement of Receipt.) (Code Civ. Proc., § 415.30.)
(4) (1 toan address outside California with return receipt requested. (Code Civ. Proc., § 415.40.)
a by other means (specify means of service and authorizing code section):
(1 Additional page describing service is attached.
6. The "Notice to the Person Served" (on the summons) was completed as follows:
a as an individual defendant.
b. as the person sued under the fictitious name of (specify):
a as occupant.
d. On behalf of (specify): CALIFORNIA INSURANCE COMPANY, A CALIFORNIA CORPORATION
under the following Code of Civil Procedure section:
[XK] 416.10 (corporation) 415.95 (business organization, form unknown)
(2) 416.20 (defunct corporation) (2 416.60 (minor)
(2) 416.30 (oint stock company/association) bs 416.70 (ward or conservatee)
Oo
oO
(1) 416.40 (association or partnership) 416.90 (authorized person)
(2) 416.50 (public entity) 415.46 (occupant)
C1 other:
7. Person who served papers
a, Name: KRIS VORSATZ C/O Nationwide Legal, LLC (12-234648)
b. Address: 1609 James M. Wood Bivd., 2nd Fl Los Angeles, CA 90015
c. Telephone number: (213) 249-9999
d. The fee for service was:
e. lam:
(2) exempt from registration under Business and Professions Code section 22350(b).
(3) registered California process server:
@ owner employee {X] independent contractor.
(ii) Registration No.: 1160
(iii) County: SANTA CLARA
(4) E not a registered California process server.
8. [X] I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
or
9. C] 1am a California sheriff or marshal and | certify that the foregoing is true and correct.
Date: 06/02/2016
Nationwide Legal, LLC Na tonaiee
1609 James M. Wood Bivd., 2nd FI
Los Angeles, CA 90015.
(213) 249-9999
www.nationwideasap.com
KRIS VORSATZ b \G
(NAME OF PERSON WHO SERVED PAPERS/SHERIFF OR MARSHAL) (7 (SIGNATURE)
Poe tae dey 1 com PROOF OF SERVICE OF SUMMONS PotlalivbadaneraAttomey or Party without Attomey:
NICHOLAS P, ROXBOROUGH, ESQ., SBN: 113540
ROXBOROUGH, POMERANCE, NYE & ADREANI, LLP
5820 CANOGA AVENUE, SUITE 250
WOODLAND HILLS, CA 91367
TELEPHONE No.: (818) 992-9999
E-MAIL ADDRESS (Optional):
FAX No. (Optional)
Attorney for: Plaintiffs:
Ref No. or Filo No.:
(6007.01 WARWICK VS. APPLIE!
insert name of Court, and Judicial District and Branch Court:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO - CIVIL DIVISION
Piainttt: WARWICK AMUSEMENTS CORPORATION, ETC., ET AL.
Defendant: APPLIED UNDERWRITERS, INC., ETC. ET AL.
FOR COURT USE ONLY
HEARING DATE: TIME: DEPT:
‘CASE NUMBER;
CGC-16-551614
1. | am over the age of 18 and not a party to this action. | am employed in the county where the mailing occured.
2. | served copies of the SUMMONS - FIRST AMENDED COMPLAINT; FIRST AMENDED COMPLAINT
3. By placing a true copy thereof enclosed in a sealed envelope, with First Class postage thereon fully prepaid, in the United
States Mail at LOS ANGELES, California, addressed as follows:
a. Date of Mailing:
b. Place of Mailing:
c. Addressed as follows:
May 27, 2016
LOS ANGELES, California
CALIFORNIA INSURANCE COMPANY, A CALIFORNIA CORPORATION
ATTENTION: MICHAEL K. PERKINS - AGENT FOR SERVICE OF PROCESS
80 STONE PINE ROAD, SUITE 210
HALF MOON BAY, CA 94019
{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 at LOS
ANGELES, California in the ordinary course of business.
| declare under penalty of
Fee for Service:
yanonyjet Nationwide Legal, LLC (12-234648)
: 1609 James M. Wood Bivd., 2nd FI
Los Angeles, CA 90015
(213) 249-9999
www.nationwideasap.com
service fees is true a
Signature:
contained in the return/of s
f peru under the laws of the
The State of eet he foregoing information
ice ad statement of
corfect and|that this declaration
was executed on "t 2,2016. | /
PROOF OF SERVICE BY MAIL
ANGELA pAgrinpvn
7
Order#: 856663CA/mailproof