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  • CENTURY-NATIONAL INSURANCE COMPANY VS BEAR TRANSPORT INC ET Insurance Coverage (not complex) (General Jurisdiction) document preview
  • CENTURY-NATIONAL INSURANCE COMPANY VS BEAR TRANSPORT INC ET Insurance Coverage (not complex) (General Jurisdiction) document preview
						
                                

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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]