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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 Adaress): TELEPHONE NO. BADR AOMADIO.SG, able Ga eas ELECTRONICALLY 222 Rush Landing Road (415) 898-1247 FILED Novato, California 94948-6169 Superior Court of California, ATTORNEY FOR (rane): Plaintiff{s) County of San Francisco SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN FRANCISCO AUG 03 2011 stecerapsess) 400 McAllister Street Clerk of the Court MAILING ADDRESS: BY: EDNALEEN JAVIER cry anpziecons: San Francisco 94102 Deputy Clerk BRANCH NAME: pLaiInTiFF: ROBERT ROSS and JEAN ROSS DEFENDANT: C.C. MOORE & CO. ENGINEERS, et al. STATEMENT OF DAMAGES ee (Personal Injury or Wrongful Death) CGC-10-275731 . To (name of ane defendant only): BARNES CONSTRUCTION CO. Plaintiff (name of one plaintiff only): ROBERT ROSS seeks damages in the above-entitied action, as follows: 1. General damages AMOUNT a & $__500,000.00 », & $_250,000.00 c. F1 Loss of consortium $ a oO Loss of society and companionship(wrongfu! death actions only} $ e. DD other tspecityy oo cece cece ee reb eee ee ne rene beet ieee een es $ t. CD otter (spectty) occ eect ete e eb ee reer ee ntne centers eres $ g. © Continued on Attachment t.g. 2. Special damages a. Medical expenses (fo date) $ __ 106,000.00 b. EX Future medical expenses (present value) $ 160,000.00 c« © tessof earnings (to date} cnn eet b ant b nent ees $ d. BX Loss of future earning capacity (present value) $ _1,000,000.00 e. o Property damage $ f o Funeral expenses (wrongful death actions only) we $ g. oO Future contributions (present value) (wrongfut death actions only) 006 ee $ h. oO Value of personal service, advice, or training (wrongful death actions only)... 0.6.00. 00 ee $ i Other (specify) LOSS OF HOUSEHOLD SERVICES ................. deveesceeeee $ ___ 50,000.00 jp TD other (gpecity) ooo ccc c ccc cee ccc cece ceueevesteviteveeevereeerees $ k. oO Continued on Attachment 2.k. 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 suil filed against you. Date: AUG 3 20n David R. Donadio > {TYPE OR PRINT RAME). (Proof of service on reverse) (SIGNATURE OF PLAINTIFF OR ATTORNEY FOR PLAINTIFF) Form Adopted for Mandatory Use ~~~ STATEMENT OF DAMAGES Gods of Cn Procedse, 69 425.19, 2538 “Judieiat Counct of Colifor GN050 flow. danuaty 1, 2007} - {Personal Injury or Wrongful Death) ‘wivw.courtin’a.ca gov LexisNexis® Automated California Judicial Council Forms