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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-050 — UNLESS YOU ARE APPLYING FOR A DEFAULT JUDGMENT UNDER CODE OF CIVIL PROCEDURE § 585 — "ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Adress): TELEPHONE NO. DAVID R. DONADIO, ESQ. (Bar # 154436) (41S) 898-1555 BRAYTON*PURCELL LL! FAK NO. 222 Rush Landing Road (415) 898-1247 Novato, California 94948-6169 ATTORNEY FOK (camey Plaintiffs} SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO street anpress: 400 McAllister Street MAILING ADDRESS: crv ano ze cone: San Francisco 94102 BRANCH NAME: PLAINTIFF: | ROBERT ROSS and JEAN ROSS DEFENDANT: C.C. MOORE & CO. ENGINEERS, et al. ELECTRONICALLY FILED Superior Court of California, County of San Francisco AUG 19 2011 Clerk of the Court BY: ELLA YIP Deputy Clerk _| STATEMENT OF DAMAGES (Personal Injury or Wrongful Death) ‘CASE NUMBER: CGC-10-275731 To (name of one defendant only): MARINE ENGINEERING AND SUPPLY COMPANY Plaintiff (name of one plaintiff only): ROBERT ROSS seeks damages in the above-entitled action, as follows: 1. General damages AMOUNT a. BQ Pain, suffering, and inconvenience . 0.20.00... cece eve eeeeee ee cece ccc eee $__ 500,000.00 pb. EX Emotional distress 2.0.0.2... eet reece tte b cette ete e ees $__ 250,000.00 c. OF Loss ofconsortium 0.0.0.0. cece cece cee e entree eee er ees Dooce cece eee $ d. O Loss of society and companionship(wrongful death actions only) ©... 6 ee $ e. O other (specify) $ ¢ 0 other (specify) $ ga. © Continued on Attachment 1.9. 2. Special damages a. BX medical expenses (to date) 6... cece ce cece cence eeete ee ee eter eeeteeecnenrs $ __ 100,000.00 pb. EX Future medical expenses (present value)... ce eee eee $_ 100,000.00 c. F Loss of earnings (fo date)... 2.0... eee eet eee eee $ d. B® Loss of future earning capacity (present Value) occ cree terete ener eens $ _1.000,000.00 e. O Property damage cece ete eee eee $ i O Funerai expenses (wrongful death actions only) . . . $ 9. O Future contributions (present vafue) (wrongful death actions only) - - $ h. oO Value of personal service, advice, or training (wrongful death actions only) ...........2..-25- $ i El other (specify) LOSS OF HOUSEHOLD SERVICES ..... 20.050... 00 cc cece e eee eee $__ 50,000.00 j. FD other (specify) oon bocce bette bet etee teens $ k. 1 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: AUG 1 1 20if David R. Donadio > Ode ade (TYPE OR PRINT NAME) {Proof of service on reverse) (SIGNATURE OF PLAINTIFF OR ATTORNEY FOR PLAINTIFF) Form Adopted for Magcatory se STATEMENT OF DAMAGES: ciV050 Rov danwant 2007] (Personal Injury or Wrongful Death) Cade of Civil Procedure, §§ 426.17, 425.128 ‘www courtinta.ca gov LexisNexis® Automated California Judicial Council Forms