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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 — CIV-056 - UNLESS You ARE APPLYING FOR A DEFAULT JUDGMENT UNDER CODE OF CIVIL PROGEDURE § 585 — ATTORNEY OR PARTY WITHOUT AYTORNE (Homme and Address): TELEPHONE NO. DAVID R. DONADIO, ESQ, (Bar # 154436) (415) 898-1555 BRAY TON#PURCELL LL FAX NO, 222 Rush Landing Road (415) 898-1247 Novato, California 94948-6169 ‘ATTORNEY FoR (nam): Plaintiff(s) SUPERIOR COURT OF CALIFORNIA, GOUNTY OF SAN FRANCISCO ssneetappaess: 400 McAllister Street ELECTRONICALLY FILED Superior Court of California, County of San Francisco SEP 06 2011 Clerk of the Court MAILING ADDRESS, . BY: YOLANDA TABO-RAMIREZ cry axpzipcove, San Francisco 94102 Deputy Clerk| BRANCH NAME: PLAINTIFe: | ROBERT ROSS and JEAN ROSS OEFENDANT: C.C. MOORE & CO. ENGINEERS, et al. STATEMENT OF DAMAGES COClt (Personal Injury or Wrongful! Death) CGC-10-275731 To (name of one defendent only); DORN REFRIGERATION AND AIR CONDITIONING Plaintiff (name of one plaintiff only): ROBERT ROSS seeks damages in the above-entitled action, as follows: 4. General damages AMOUNT a. Dl Pain, suffering, and inconvenience ©... 6... ccc c cece cece ccc ve cece ceneeec ease $ __500,000.00 vp, Bl Emotional distress $ __250,000.00 c. o Loss of cansortium ... . $ d. Oo Loss of saciety and campanionship(wrongful death actions only) 66... ee eee $ e. oO Other (SPBCIY) ee nee tenet e tenner $ t O0 other (specify) oo... econ ence reece eee b ence ene eet er ne ne ter nena $ g. o Continued on Attachment 1.g. 2. Special damages a ED mesicat expenses (to date) cece cents een enees $ ___100.000.00 b. El Future medical expenses (present value)... 0... 00 c cece cvevecsevvevevevvaevevnees $__100.000.00 c OF toss of earnings (to date)... ccc eee cence vente etn en te tenes $ d BY Loss of future eaming capacity (present value)... ect eee $ _1,000,000.00 e. ao Property damage «1. ee teen f. Oo Funeral expenses (wrongfu death actions only) 6... 000 eee 9. oO Future contributions (present value) (wrongful death actions only) 0... 0206 ee h. Oo Value of perscnal service, advice, or training (wrongful death actions only) . i EX other (specify) LOSS OF HOUSEHOLD SERVICES 2.0... c eee cc eee eee ji OD other (gpecity) oe eco e cece cee ce eveevcevceervveeeresvees k. Oo Continued on Attachment 2.k. 3. EX 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: 5 EP David R. Donadio 96 207 > (TYPE OR PRINT NAME) (Proof of service ort teverse) {SIGNATURE OF PLAINTIFF OR ATTORNEY FOR PLAINTIFF} Fors Adepl ot Mandatory Use STATEMENT OF DAMAGES Coxe of Civil Procadire, $5 425,11, 425 115 O(V080 (Rev, January 1, 2007) (Personal Injury or Wrongful! Death) woe. courtinta £2.gov LexisNexis” Automated California Judicial Council Forms