Proof of Service: YVETTE DARLENE PEREZ VS INLAND EMPIRE HEALTH PLAN, ET AL.

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                                Electronically FILED by Superior Court of California, County of Los Angeles on 04/08/2019 05:10 PM Sherri R. Carter, Executive Officer/Clerk of Court, by M. Gonzalez,Deputy Clerk

                                                                                                                                                                            POS-010
            ATTORNEY OR PARTY WfTHOUI'ATTORNEY (Name Sra(e aar number, aad address)                                                           FOR COURT USE ONLY
            Shegerian 8 Associates, inc.
            CARNEY R SHEGERIAN (SBN 150461)
            225 Santa Monica Blvd. Suite 700
            Santa Monica, CA 90401
                  TELEPHONE NO: (310) 860-0770                            FAX N 0 iopiiaaai)


            ATTDRNEYFDR(Nameh      Plaintiff
            sUPERIQR coURTDF cALIFoRNIA,CDUNTYDF Los Angeles
              51REETADDRESS: 111 North Hill Street
            MAILINGADDRESS:
            CITYANDZIPCODE: Los Angeles,90012
               BRANCH NAME;    Superior Court of California, County of Los Angeles, Stanley Mosk Courthouse
               PLAINTIFF/PETITIONER; YVETTE DARLENE PEREZ                                                                     CASE NUMBER:
            DEFENDANT/RESPONDENT:    INLAND EMPIRE HEALTH PLAN; ET AL.                                                        I 9STCVI 0629               Dept. 78
                                                                                                                              Ref. No. or File Noc
                                               PROOF OF SERVICE OF SUMMONS
                                                                                                                              3225828
                                                              (Separate proof of service is required for each party servedd
       1.     At the time of service   I   was at least 18 years of age and not a party to this action.
       2.     I served copies of.

              a. ~X      Summons
              b.   ~X    Complaint
              c.   ~X    Alternative Dispute Resolution(ADR) Package
                         Civil Case Cover Sheet (served in camp(ex cases aniy)
              d.
              e.
              f.
                   ~
                   ~X

                   ~X
                         Cross-Complaint
                         Other (specify documents):    CIVIL CASE COVER SHEET ADDENDUM AND STATEMENT OF LOCATION; NOTICE OF CASE ASSIGNMENT;
                                                       VOLUNTARY EFFICIENT LITIGATION STIPULATIONS
       3.     a.   Party served (specify name af party as shown on documents served):

              b.   ~
                   INLAND EMPIRE HEALTH PLAN
                          Person (other than the party in item 3a) served on behalf of an entity or as an authorized agent (and not a person under item 5b on
                          whom substituted service was made) (specify name and relationship to the party named in item 3a).'

       4.     Address where the party was served:
              10801 6TH STREET SUITE 210, RANCHO CUCAMONGA, CA 91730
       5.
              a.   ~
              I served the party(check proper hox)

                          by personal service. I personally delivered the documents listed in item 2 to the party or person authorized to
                          receive service of process for the party (I) on (date):                                     (2) at (time):
              b. ~X       by substituted service. On (dare): Wed, Apr 03 2019                          at (time)i 04:31 PM                left the documents listed in
                         item 2 with or in the presence of(name and title or relationship to person indicated in item 3):
                          Elsie Hernandez, Legal Secretary- Person in Charge
                         (I) ~X (business) a person at least 18 years of age apparently in charge at the office or usual place ofbusiness of the person to

                         (2) ~         be served. I informed him or her of the general nature of the papers.
                                      (home) a competent member of the household (at least 18 years ofage) at the dwelling house or usual place of abode of

                         (3) ~        the party. I informed him or her of the general nature of the papers.
                                      (physical address unknown) a person at least 18 years of age apparently in charge at the usual mailing address of the
                                      person to be served, other than a United States Postal Service post office box. I informed him or her of the general nature

                         (4) ~        ofthe papers.
                                      I thereafter mailed (by first-class, postage prepaid) copies of the documents to the person to be served at the place
                                      where the copies were left (Code Civ. Proc., 6 415.20). I mailed the documents on (date):
                                      from (city):                                                                         or ~X a declaration of mailing is attached.
                         (5) ~        I attach a declaration of diligence stating actions taken first to attempt personal service.




      POS-010 [Rev.January I, 2007]                                       PROOF OF SERVICE OF SUMMONS                                                                      Page   I of2
      Job:3225828                                                                                                                                    Code of Civil Procedure,   8 41710