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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 ~ DO 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 Addrass}: ‘TELEPHONE NO. DAVID R. DONADIO, ESQ. Bar # 154436) 415) 898-1555 BRAYTON#PURCELL LL ( ) 15) FAX NO. ELECTRONICALLY 222 Rush Landing Road (415) 898-1247 FILED Superior Court of California, County of San Francisco SEP 28 2011 Clerk of the Court Novato, California 94948-6169 ATTORNEY FOR (neme: Plaintiff(s) SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO. streer appress: 400 McAllister Street MATING ADDEESS BY: EDNALEEN JAVIER cnvanozp cove: San Francisco 94102 Deputy Cler ‘BRANCH NAME: PLAINTIFF: |§ ROBERT ROSS and JEAN ROSS DEFENDANT: C.C. MOORE & CO. ENGINEERS, et al. STATEMENT OF DAMAGES eee (Personal Injury or Wrongful Death) CGC-10-275731 To (name of one defendant only): MCCLURE ELECTRIC INC Plaintiff (name of one plaintiff only): JEAN ROSS seeks damages in the above-entitled action, as follows: 1. General damages AMOUNT a 1 pain, suffering, and inconvenience ., $ b. C1 Emotional distress oo 0.0.00 cece ccc cece cece e eee c eee e cs teeeeevvreeeertenteens $ c. BD Loss ofconsortium ooo. .c ccc ce cece sees eee ee bene eteteteevenceeestci lentes $ __ 250,000.00 d. oO Loss of society and companionship(wrongful death actions only)... 6... ee $ ec. 00 other (specify) 0.000. cc cece evceeueseeeeeceeveeteceeveereveteniiecreeves $ f. Oo Other (specify)... eee eee eens ee eee $ g. oO Continued on Attachment 1.g. 2. Special damages a. o Medical expenses (fo date} oe ene $ bd, o Future medical expenses (present value)... ee $ c. O1 Loss of earings (to date) 000 cece cee v ev ec avec cevneevevevvevvesenes $ a. Oo Loss of future earning capacity (present value) $ e OU Property damage 6. eee c eee tree nett b beer eee $ f. oO Funeral expenses (wrongful death actions only)... eee tee ene $ g. oO Future contributions (present value) (wrongful death actions only) oo... ce ee $ h O Value of personal service, advice, or training {wrongful death actions only) . . a $ i. OD other (speci) ec eee eee reece eet et tet ites er en tntins $ j oO Other (specify) 66. cece teen e bent ener eben en eee . $ k. 01 Continued on Attachment 2.k, 3. 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: SEP 97 201 David R. Donadio > (TYPE OR PRINT NAME) {SIGNATURE OF PLAINTIFF OR ATTORNEY FOR PLAINTIFF) (Proof of service on reverse} : Form Adapted for Mandatory Use STATEMENT OF DAMAGES Code of Givi! Procedure, $5 425.11, 428.115 CROSS tee Jencanrt Bur 2007} (Personal injury or Wrongful Death, onetinTD 8 BO PD isNexis® Automated California Judicial Council Forms