On October 02, 2017 a
Summons
was filed
involving a dispute between
Century-National Insurance Company,
and
Bear Transport Inc.,
Rodriguez Geny,
Salazar Denice Erika Jimenez,
for Insurance Coverage (not complex) (General Jurisdiction)
in the District Court of Los Angeles County.
Preview
Be @ @
POS-010
ATTORNEY OR PARTY WITHOUT ATTORNEY (Namo, State Gar number, and addrass):
JEFFREY A. DOLLINGER, ESQ. (SBN 146582) FOR COURT USE ONLY
[ WOOLLS PEER DOLLINGER & SCHER, A Professional Corporation
Sy
FILED
624 S. GRAND AVENUE, 22ND FLOOR lor Court of Califomia
LOS ANGELES, CA 90017 unt nf Line Annalas
a. TELEPHONE NO.: (213) 629-1600 FAX NO. (Optionay: (213) 629-1660
E-MAIL ADDRESS (Optional): jdollinger@wpdslaw.com OCT 20 2017
ATTORNEY FOR (Name): PLAINTIFF. herrR.
SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES By. secuuve Oficet/Clerk
‘STREET ADDRESS: UILN. HILL STREET s len
MAILING ADDRESS: SAME AS ABOVE
CITY AND ZIP CODE: LOS ANGELES, CA 90012
= BRANCH NAME: CENTRAL DISTRICT
‘CASE NUMBER:
— PLAINTIFF/PETITIONER: CENTURY-NATIONAL INSURANCE COMPANY
DEFENDANT/RESPONDENT: BEAR TRANSPORT, INC.; et al. BC678216 4
Ref. No. or Fila No
PROOF OF SERVICE OF SUMMONS WOOPE-0108251.GE
(Separate proof of service is required for each party served.)
At the time of service | was at least 18 years of age and not a party to this action.
I served copies of:
Summons
Complaint for Declaratory Relief and Recoupment raAcED
Alternative Dispute Resolution (ADR) Package
Civil Case Cover Sheet
Cross-Complaint
Other (specify documents): CIVIL CASE: COVER SHEET ADDENDUM AND STATEMENT OF LOCATION; NOTICE OF CASE
ASSIGNMENT - UNLIMITED CIVIL. CASE, VOLUNTARY E! LENT LITIGATION STIPULATIONS
Party served (specify name of party as shown on documents served):
SAMANTHA ALEXA BOIZO, a minor by and through her Guardian Ad Litem ALEJANDRO GARCIA BOIZO
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):
DENISE ERIKA JIMENEZ SALAZAR, MOTHER
Address where the party was served: 930 W. 2ND STREET, POMONA, CA 91766
| served the party (check proper box)
a YW by personal service. | personally delivered the documents listed item 2 to the party or person authorized to
receive service of process for the party (1) on (date): 10/16/2017 (2) at (time): 6:55 PM
b. by substituted service. On(date): at (time): | left the documents listed in item 2 with or
in the presence of (name and tile or relationship to person indicated in item 3):
mM (business) a person at least 18 years of age apparently in charge at the office or usual place of business
of the person to be served. | informed him or her of the general nature of the papers.
(2) Oo (home) a competent member of the household (at least 18 years of age) at the dwelling house or usual
place of abode of the party. | informed him or her of the general nature of the papers.
@® oO (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. | informed
him or her of the general nature of the papers.
© ao | 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., § 415.20). | mailed the documents:on
bo (date): from (city): or a declaration of mailing is attached.
wat
(5) .{£] ‘attach a declaration of diligence stating actions taken firstto attempt personal service.
bo Page 1 of 2
Form Adopted4or Mandatory Uso PROOF OF SERVICE OF SUMMONS Code of Cll Procedure, § 417.10
sudiciat C¢ cli of Catfornia
POS-010 [Rev. January 1, 2007]
Document Filed Date
October 20, 2017
Case Filing Date
October 02, 2017
Category
Insurance Coverage (not complex) (General Jurisdiction)
Status
Request for Dismissal - Before Trial not following ADR or more than 60 days since ADR 11/30/2018
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