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  • ROBERT ROSS et al VS. C.C. MOORE & CO. ENGINEERS ASBESTOS document preview
  • ROBERT ROSS et al VS. C.C. MOORE & CO. ENGINEERS ASBESTOS document preview
						
                                

Preview

— DO NOT FILE WITH THE COURT — ClV-050 — UNLESS YOU ARE APPLYING FOR A DEFAULT JUDGMENT UNDER CODE OF CIVIL PROCEDURE § 585 — TELEPHONE NO. (415) 898-1555 PAX NO (415) 898-1247 [ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): DAVID R. DONADIO, ESQ. (Bar # 154436) BRAYTON*PURCELL LLP 222 Rush Landing Road BRANCH NAME: Novato, California 94948-6169 ELECTRONICALLY ATTORNEY FOR (name): Plaintiff(s) FILED SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO Supertor Court of Caitfornia, srarerappress: 400 McAllister Street County of San Francisco MAILING ADDRESS: 10/14/2015 city anpzipcove; San Francisco 94102 Clerk of the Court BY:T3 MOROHOSHI Deputy Clerk PLAINTIFF: © ROBERT ROSS and JEAN ROSS DEFENDANT: C.C. MOORE & CO. ENGINEERS, et al. STATEMENT OF DAMAGES CASENINEER (Personal Injury or Wrongful Death) CGC-10-275731 To (name of one defendant only): MARINE ENGINEERING AND SUPPLY COMPANY Plaintiff (name of one plaintiff only): JEAN ROSS seeks damages in the above-entitled action, as follows: 1. General damages AMOUNT a. O Pain, suffering, and inconvenience ....... 60. ccc ccc cette eee tenet nents b. oO Emotional distress 0.0... eee teenies c. PX Loss of consortium. 0... 6c cece cece cece eee e eee eee e bebe beeen t tees ence ees $ __ 250,000.00 d. oO Loss of society and companionship(wrongful death actions only) e. O Other (specify) . f. O Other (specify) . g. Oo Continued on Attachment 1.g. 2. Special damages a. oO Medical expenses (fo date). 6... eens b. O Future medical expenses (present value)... . 2... 6.2 eee c. oO Loss of earnings (to date)... 6.6 eens $ d. Oo Loss of future earning capacity (present value)... 2... eee e. oO Property damage. 2... een eee eee eee eee f. O Funeral expenses (wrongful death actions only) $ g. oO Future contributions (present value) (wrongful death actions only). . h. Oo Value of personal service, advice, or training (wrongful death actions only)..............6065- $ i. oO Other (specify) 0.00. eee eee tenn eens j. C0 other (specify) 0... ooo cece cece eee c cece eee eeeeveeeeeeeeeeveterteneees $ k. Oo Continued on Attachment 2.k. 3, J punitive damages: Plaintiff reserves the right to seek punitive damages in the amount of (specify)... .. $ 5,000,000.00 when pursuing a judgment in the suit filed against you. Date: December 21, 2011 David R. Donadio > CO} aM: (TYPE OR PRINT NAME) (Proof of service on reverse) STATEMENT OF DAMAGES (Personal Injury or Wrongful Death) Form Adopted for Mandatory Use Judicial Council of California CIV-050 [Rev. January 1, 2007] (SIGNATURE OF PLAINTIFF OR ATTORNEY FOR PLAINTIFF) Code of Civil Procedure, §§ 425.11, 425.115 ‘wivw.courtini.ca. gov LexisNexis® Automated California Judicial Council Forms