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FILED: NEW YORK COUNTY CLERK 02/18/2019 12:16 PM INDEX NO. 151071/2018
NYSCEF DOC. NO. 5 RECEIVED NYSCEF: 02/18/2019
REQUEST FOR JUDICIAL INTERVENTION For Court Clerk Use Only:
UCS-840 (7/2012)
IAS Entry Date
New York Supreme COURT, COUNTY OF New York
Judge Assigned
Index No: 151071/2018 Date Index Issued: 02/08/2018
Enter the complete case caption. Do not use et al or et ano. If more space is required, RJI Date
CAPTION: attach a caption rider sheet.
TOWER INSURANCE COMPANY a/s/o 838 Jefferson Realty LLC
Plaintiff(s)/Petitioner(s)
-against-
CONSOLIDATED EDISON COMPANY OF NEW YORK, INC.
Defendant(s)/Respondent(s)
NATURE OF ACTION OR PROCEEDING: Check ONE box only and specify where indicated.
MATRIMONIAL COMMERCIAL
☐ Contested ☐ Business Entity (including corporations, partnerships, LLCs, etc.)
NOTE: For all Matrimonial actions where the parties have children under the ☐ Contract
age of 18, complete and attach the MATRIMONIAL RJI Addendum. For
Uncontested Matrimonial actions, use RJI form UD-13. ☐ Insurance (where insurer is a party, except arbitration)
☐ UCC (including sales, negotiable instruments)
TORTS
☐ Other Commercial:
☐ Asbestos
NOTE: For Commercial Division assignment requests [22 NYCRR § 202.70(D)],
complete and attach the COMMERCIAL DIV RJI Addendum.
☐ Breast Implant
REAL PROPERTY: How many properties does the application include?
☐ Environmental:
☐ Condemnation
☐ Medical, Dental, or Podiatric Malpractice
☐ Mortgage Foreclosure: ☐ Residential ☐ Commercial
☐ Motor Vehicle Property Address:
NOTE: For Mortgage Foreclosure actions involving a one- to four-family, owner-
☐ Products Liability:
occupied, residential property, or an owner-occupied condominium, complete and
attach the FORECLOSURE RJI Addendum.
☐ Other Negligence:
☐ Tax Certiorari - Section: Block: Lot:
☐ Other Professional Malpractice:
☐ Tax Foreclosure
☒ Other Tort: PROPERTY DAMAGE
☐ Other Real Property:
OTHER MATTERS SPECIAL PROCEEDINGS
☐ Certificate of Incorporation/Dissolution [see NOTE under Commercial] ☐ CPLR Article 75 (Arbitration) [see NOTE under Commercial]
☐ Emergency Medical Treatment ☐ CPLR Article 78 (Body or Officer)
☐ Habeas Corpus ☐ Election Law
☐ Local Court Appeal ☐ MHL Article 9.60 (Kendra's Law)
☐ Mechanic's Lien ☐ MHL Article 10 (Sex Offender Confinement-Initial)
☐ Name Change ☐ MHL Article 10 (Sex Offender Confinement-Review)
☐ Pistol Permit Revocation Hearing ☐ MHL Article 81 (Guardianship)
☐ Sale or Finance of Religious/Not-for-Profit Property ☐ Other Mental Hygiene:
☐ Other: ☐ Other Special Proceeding:
STATUS OF ACTION OR PROCEEDING: Answer YES or NO for EVERY question AND enter additional information where indicated.
YES NO
Has a summons and complaint or summons w/notice been filed? ☒ ☐ If yes, date filed: 02/08/2018
Has a summons and complaint or summons w/notice been served? ☒ ☐ If yes, date served: 02/15/2018
Is this action/proceeding being filed post-judgment? ☐ ☒ If yes, judgment date:
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FILED: NEW YORK COUNTY CLERK 02/18/2019 12:16 PM INDEX NO. 151071/2018
NATURE
NYSCEF DOC.OF NO. JUDICIAL
5 INTERVENTION: RECEIVED NYSCEF: 02/18/2019
Check ONE box only AND enter additional information where indicated.
☐ Infant's Compromise
☐ Note of Issue and/or Certificate of Readiness
☐ Notice of Medical, Dental, or Podiatric Malpractice Date Issue Joined:
☐ Notice of Motion Relief Sought: Return Date:
☐ Notice of Petition Relief Sought: Return Date:
☐ Order to Show Cause Relief Sought: Return Date:
☐ Other Ex Parte Application Relief Sought:
☐ Poor Person Application
☒ Request for Preliminary Conference
☐ Residential Mortgage Foreclosure Settlement Conference
☐ Writ of Habeas Corpus
☐ Other:
RELATED CASES: List any related actions. For Matrimonial actions, include any related criminal and/or Famiy Court cases. If
additional space is required, complete and attach the RJI Addendum. If none, leave blank.
Case Title Index/Case No. Court Judge (if assigned) Relationship to Instant Case
PARTIES: For parties without an attorney, check "Un-Rep" box AND enter party address, phone number and e-mail
address in space provided. If additional space is required, complete and attach the RJI Addendum.
Parties: Attorneys and/or Unrepresented Litigants:
List parties in caption order and indicate Provide attorney name, firm name, business address, phone number and e- Issue
Un-
Rep
party role(s) (e.g., defendant; 3rd-party mail address of all attorneys that have appeared in the case. For Joined Insurance Carrier(s):
plaintiff). unrepresented litigants, provide address, phone number and e-mail address. (Y/N):
Name: TOWER INSURANCE COMPANY ROBERT SHEPS, SHEPS LAW GROUP, P.C., 25 High Street , Huntington, TOWER INSURANCE
a/s/o 838 Jefferson Realty LLC NY 11743, 631-249-5600, RSheps@shepslaw.com COMPANY
☐ Role(s): Plaintiff/Petitioner
YES
Name: CONSOLIDATED EDISON Nadine Rivellese, Consolidated Edison Company, 4 Irving Place, New York, UNKNOWN
COMPANY OF NEW YORK, INC. NY 10003, 212-460-4600
☐ Role(s): Defendant/Respondent
YES
Name:
☐ Role(s):
Name:
☐ Role(s):
Name:
☐ Role(s):
I AFFIRM UNDER THE PENALTY OF PERJURY THAT, TO MY KNOWLEDGE, OTHER THAN AS NOTED ABOVE, THERE
ARE AND HAVE BEEN NO RELATED ACTIONS OR PROCEEDINGS, NOR HAS A REQUEST FOR JUDICIAL
INTERVENTION PREVIOUSLY BEEN FILED IN THIS ACTION OR PROCEEDING.
Dated: 02/18/2019 ROBERT C SHEPS
SIGNATURE
2718237 ROBERT C SHEPS
ATTORNEY REGISTRATION NUMBER PRINT OR TYPE NAME
This form was generated by NYSCEF
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