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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

CIV-050 — CBO NOT FILE WITH THE COURT — ~ UNLESS YOU ARE APPLYING FOR A DEFAULT JUDGMENT UNDER CODE OF CIVIL PROCEDURE § 585 — ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address}: TELEPHONE NO. DAVID R. DONADIO, ESQ. (Bar # 154436) (415) 898-1555, BRAYTON®PURCELL LD FAK NO 222 Rush Landing Road (415) 898-1247 ELECTRONICALLY Novato, h Landing Re 94948-6169 ATTORNEY FOR (name. Plaintiff(s) SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO streeraoress: 400 McAllister Street MAILING ADDRESS. city anpzipcove; San Francisco 94102 BRANCH NAME: PLAINTIFF: | ROBERT ROSS and JEAN ROSS DEFENDANT: C.C. MOORE & CO. ENGINEERS, et al. STATEMENT OF DAMAGES (Personal Injury or Wrongful Death) To (name of one defendant only): ROLLIE R. FRENCH, INC. Plaintiff (name of one plaintiff only): JEAN ROSS seeks damages in the above-entitled action, as follows: FILED Superior Court of California, County of San Francisco APR 05 2012 Clerk of the Court BY: EDNALEEN JAVIER Deputy Clerk CASE NUMBER: CGC-10-275731 1. General damages AMOUNT a. C1 Pain, suffering, and inconvenience 000.0... 000s cece eee cecee sete nents eeeereeees $ b. oO Emotional distress c & Loss of consortium d. o Loss of society and companionship(wrongful death actions only) $ e. 0 other (specityy $ t 1 other (specify $ g. a Continued on Attachment 1.g. 2. Special damages a. C1 Medical expenses (fo date)... 0. o cece cece cee cete ee eee ee eee ec eeneeeeeee ees $ b. Oo Future medical expenses (present value) . . $ c. o Loss of earnings (to date} $ d. Oo Loss of future earning capacity (present value} $ e O Property damage 20.2... ene eee e een eee eee ee eeeee $ £ 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)... 6.0.0.6 eee eee $ i O otner (SPOCHY) cnn ee en enn eee eee e eee e tees $ O other (SPOCHY) cence ended eet e bene nee $ k [1 Continued on Attachment 2k. 3, El 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: November 21, 2011 David R. Donadio > (TYPE OR PRINT NAME} (SIGNATURE OF PLAINTIFF OR ATTORNEY FOR PLAINTIFF) (Proof of service on reverse) Form Adopted for Mandatory Use STATEMENT OF DAMAGES Code of Civil Procacuse, 96 426.11, 425.115 civ-OSS Row Jamun 1 2007] (Personal Injury or Wrongful Death) cournfo.ca.gov LexisNexis® Automated California Judicial Council Forms