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ATFORNEY 0R PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
Tm Dolin(s_BN 299910) Sanam Vaziri I
1888 Century Park East, Floor
\1 177384)
19, Los AnMs, CA 90067 \V
F0” “URWSE °””
TELEPHONE No; 310-929-4900 FAX No.(0ptiona/): 310—943-3838 q
F i L E D
E-MAIL ADDRESS: emaiIservices@slpattorney.com $555219; 82:2; ggncfikgglsgm
ATrORNEY FOR (Name): Plaintiffs Manuel Rodriguez and Lucia De La Rosa Davila SAN BERNARDINO DISTRICT
SUPERIOR COURT OF CALIFORNIA, COUNTY 0F SAN BERNARDINO
STREETADDRESS: 247 West Third Street DEC .3 0 2022
MAzLING ADDRESS: 247 West Third Street
CITY AND 2w CODE: San Bernardino, CA 92415 - ' '
BRANCH NAME: San Bernardino Justice Center
.
Sophia .Smith, Deputy
CASE NAME:
Manuel Rodriguez and Lucia De La Rosa Davila v. General Motors, LLC.; et al.
CW"- CASE COVER SHEET CASE NUMBER
E Unlimited
(Amount
E Limited
(Amount
E
.
Complex Case Designation
.
Counter E Joinder ClV SB 2 2 2 8 8 9 l.
. Flled With first appearance by defendant
demanded demanded Is
JUDGE;
exceeds $25,000) ( C a' R ”es °fC °” n 'rue
I I
DEPT-=
3 402 ) I '
$25,000 orless)
Items 1—6 below must be completed (see instructions on page 2).
1. Check one box below for the case type that best describes this case:
Auto Tort
E
D Auto(22)
Contract
E
E Breach of contract/warranty(06)
Provisionally
E
(Cal.
Complex
Rules of Court, rules 3.400—3.403)
Civil Litigation
Uninsured motorist(46)
Other Pl/PDNVD (Personal lnjurylPropeIty
DamageNVrongful Death) Tort
E
E
Rule 3.740 collections(09)
Other collections (09) E
E
Antitrust/Trade regulation (03)
Construction defect (10)
E
E ASbeStOSKM)
E Insurance coverage (18)
E Mass tort (40)
D Productliabinty(24)
_
Other contract(37)
RealProperty
E E
E
Securities litigation (28)
Environmental/Toxic tort (30)
D Medicalmalpractioe(45)
Othe'PI/PD/VVD(23)
E
.
Eminent domaIn/Inverse
condemnation(14)
.
Insurance coverage claims arising from the
above
types (41)
listed provisionally complex case
Non-PllPDNVD(0ther)Tort
E
E Businesstort/unfairbusiness practice(07) E Wrongfuleviction (33)
Otherrealproperty(26)
Enforcement of Judgment
E Enforcement of judgment (20)
E Civil rights (08)
Defamation(13) E
Unlawful Detainer
E Commercia'(31)
Miscellaneous
E RICO
Civil Complaint
[:3 prawns)
E D Residential<32)
DFUQS(38)
D (27)
Other complaint (not specified above) (42)
E
E
Intellectualproperty(19)
Professionalnegligence(25) JUd'c'a'Re"iew
E
Miscellaneous
D
Civil Petition
Partnership and corporate governance (21)
Employment
E:
Other non-PVPDNVD ton (35)
D
E
Asset We'ture (05)
Petition re: arbitration
WTitOf maNdatewz)
award (1 1) E Other petition (not specified above) (43)
N
D E Wrongfultermination(36)
Other employment (15) E Otherjudicial review (39)
This case is
E] is not complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the
management:
a.
b.
E
factors requiring exceptional judicial
E Large number of separately represented parties
Extensive motion practice raising difficult or novel
d.
e.
E
E Large number of witnesses
Coordination with related actions pending in one or more
issues that be time-consuming to resolve
E will courts in other counties. states, or countries, or in a federal
ED
c. Substantial amountof documentary evidence court
E f. Substantial postjudgment judicial supervision
E
$
Remedies sought (check allthatapply):a. monetary b. nonmonetary; declaratory or injunctive relief c. punitive
Number causes of action
E of (specify): Five(5)
9199’
This case is
[E is not a class action suit.
6. If there are any known related cases, file and serve a notice of related case. (You may use form CM—015.)
Date: 1 1/30/2022
Tionna Dolin
’
(TYPE 0R PRINT NAME) (SIGNATURE OF PARTY OR ATTORNEY FOR PARTY)
NOTICE
- Plaintiff must paper filed in the action or proceeding (except small claims cases or cases filed
file this cover sheet with the first
under the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules of Court. rule 3.220.) Failure to file may result
in sanctions.
- cover sheet
File this in addition to any cover sheet required by local court rule.
c If this case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on all
other parties to the action or proceeding.
o Unless this is a collections case under rule 3.740 or a complex case. this cover sheet will be used for statistical purposes only.
Page 1 of 2
Form Adopted Mandatory Use Cal. Rules of Court, rules 2,30, 3.220, 3.400—3.403, 3.740;
for
Judicial Council of California
CIVIL CASE COVER SHEET Cal. Standards of Judicial Administration. std. 3,10
‘
INSTRUCTIO' 0N How To COMPLETE THE COVER '
EET CM-010
To Plaintiffs and Othei’s Filing First Papw
you are filing a first paper (for example, a MIaint)’m a civil case, you must
If
complete and file, along with yourl first paper, the Civil Case Cover Sheet contained on page 1. This information will be used to compile
statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check
one box for the case type that best describes the case. If the case fits both a general and a more specific type of case listed in item 1,
check the more specific one. If the case has multiple causes of action, check the box that best indicates the primary cause of action.
To assist you in completing the sheet, examples of the cases that belong under each case type in item 1 are provided below. A cover
sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party,
its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court.
To Parties in Rule 3.740 Collections Cases. A "collections case" under rule 3.740 is defined as an action for recovery of money owed
in a sum stated to be certain that is not more than $25,000, exclusive of interest and attorney's fees, arising from a transaction in which
property, services, or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort
damages, (2) punitive damages. (3) recovery of real property, (4) recovery of personal property, or (5) a prejudgment writ of
attachment. The identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general
time-for-service requirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 collections
case will be subject to the requirements for service and obtaining a judgment'In rule 3. 740.
To Parties in Complex Cases. In complex cases only parties must also use the Civil Case Cover Sheet to designate whether the
case is complex. If a plaintiff believes the case is complex under rule 3. 400 of the California Rules of Court, this must be indicated by
completing the appropriate boxes in items 1 and 2. If a plaintiff designates a case as complex, the cover sheet must be served with the
complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the
plaintiff‘s designation, a counter—designation that the case is not complex, or, if the plaintiff has made no designation, a designation that
the case is complex. CASE TYPES AND EXAMPLES
Contract
Auto Tort Provisionally Complex Civil Litigation (Cal.
Breach of Contract/Warranty (06)
Auto (22)—Personal Injury/Property Rules of Court Rules 3.400—3.403)
Breach of RentaI/Lease
DamageNVrongful Death Antitrust/Trade Regulation (03)
Contract (not unlawful detainer
Uninsured Motorist (46) (if the Construction Defect (10)
or wrongful eviction)
case involves an uninsured Claims Involving Mass Tort (40)
Contract/Warranty Breach—Seller
motorist claim subject to Securities Litigation (28)
Plaintiff (not fraud or negligence)
arbitration, check this item Environmental/Toxic Tort (30)
Negligent Breach of Contract!
instead ofAuto) Insurance Coverage Claims
Warranty
Other PI/PDNVD (Personal Injuryl (arising from provisionally complex
Other Breach of Contract/Warranty
Property DamageIWrongful Death) case type listed above) (41)
Collections (e.g., money owed, open
Tort Enforcement of Judgment
book accounts) (09) Enforcement of Judgment (20)
Asbestos (04)
Collection Case—Seller Plaintiff
Asbestos Property Damage Abstract of Judgment (Out of
Other Promissory Note/Collections
Asbestos Personal Injuryl County)
Wrongful Death
Case Confession of Judgment (non-
Insurance Coverage (notprovisionally
Product Liability (not asbestos or domestic relations)
complex) (1 8) Sister State Judgment
toxic/environmental) (24)
Auto Subrogation
Medical Malpractice (45) Administrative Agency Award
Other Coverage
Medical Malpractice— (not unpaid taxes)
Other Contract (37)
Physicians & Surgeons Petition/Certification of Entry of
Contractual Fraud
Other Professional Health Care Judgment on Unpaid Taxes
Other Contract Dispute Other Enforcement of Judgment
Malpractice
Real Property Case
Other PI/PDNVD (23)
Eminent Domain/lnverse Miscellaneous Complaint
Premises Liability (e.g., slip Civil
Condemnation (14) RICO
and fall) (27)
Wrongful Eviction (33) Other Complaint (not specified
Intentional Bodily Injury/PDNVD
Other Real Property (e.g., quiet title) (26)
(e.g., assault, vandalism) above) (42)
Writ of Possession of Real Property
Intentional lnfliction of Declaratory Relief Only
Mortgage Foreclosure Injunctive Relief Only (non—
Emotional Distress
Quiet Title
Negligent lnfliction of harassment)
Other Real Property (not eminent Mechanics Lien
Emotional Distress
domain, landlord/tenant, or Other Commercial Complaint
Other Pl/PD/WD
foreclosure)
Non-PIIPDIWD (Other) Tort Case (non-tort/non-comp/ex)
Unlawful Detainer Other Complaint
Business Tort/Unfair Business Civil
Commercial (31) (non-tort/non-complex)
Practice (O7)
Residential (32)
Civil Rights (e.g., discrimination, Miscellaneous Civil Petition
Drugs (38) (if the case involves illegal Partnership and Corporate
false arrest) (not civil
drugs, check this item; otherwise, Governance
harassment) (08) (21)
reporf as Commercial or Residential) Other Petition (not specified
Defamation (e.g., slander, libel)
Judicial Review above) (43)
(13)
Asset Forfeiture (05) Civil Harassment
Fraud (16)
Petition Re: Arbitration Award (1 1)
Workplace Violence
Intellectual Property (19)
Writ of Mandate (02) EIder/Dependent Adult
Professional Negligence (25)
Writ—Administrative Mandamus Abuse
Legal Malpractice
Writ—Mandamus on Limited Court
Election Contest
Other Professional Malpractice
Case Matter Petition for Name Change
(not medical or legal)
Writ—Other Limited Court Case From Late
Other Non-PI/PDNVD Ton (35) Petition for Relief
Review Claim
Employment
Other Judicial Review (39) Other Civil Petition
Wrongful Termination (36)
Review of Health Officer Order
Other Employment (15)
Notice of Appe_a|—Labor
Commissioner Appeals
CMmo (Rev. Page 2 of 2
September 1, 2021]
CIVIL CASE COVER SHEET
Preview
ATFORNEY 0R PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): Tm Dolin(s_BN 299910) Sanam Vaziri I 1888 Century Park East, Floor \1 177384) 19, Los AnMs, CA 90067 \V F0” “URWSE °”” TELEPHONE No; 310-929-4900 FAX No.(0ptiona/): 310—943-3838 q F i L E D E-MAIL ADDRESS: emaiIservices@slpattorney.com $555219; 82:2; ggncfikgglsgm ATrORNEY FOR (Name): Plaintiffs Manuel Rodriguez and Lucia De La Rosa Davila SAN BERNARDINO DISTRICT SUPERIOR COURT OF CALIFORNIA, COUNTY 0F SAN BERNARDINO STREETADDRESS: 247 West Third Street DEC .3 0 2022 MAzLING ADDRESS: 247 West Third Street CITY AND 2w CODE: San Bernardino, CA 92415 - ' ' BRANCH NAME: San Bernardino Justice Center . Sophia .Smith, Deputy CASE NAME: Manuel Rodriguez and Lucia De La Rosa Davila v. General Motors, LLC.; et al. CW"- CASE COVER SHEET CASE NUMBER E Unlimited (Amount E Limited (Amount E . Complex Case Designation . Counter E Joinder ClV SB 2 2 2 8 8 9 l. . Flled With first appearance by defendant demanded demanded Is JUDGE; exceeds $25,000) ( C a' R ”es °fC °” n 'rue I I DEPT-= 3 402 ) I ' $25,000 orless) Items 1—6 below must be completed (see instructions on page 2). 1. Check one box below for the case type that best describes this case: Auto Tort E D Auto(22) Contract E E Breach of contract/warranty(06) Provisionally E (Cal. Complex Rules of Court, rules 3.400—3.403) Civil Litigation Uninsured motorist(46) Other Pl/PDNVD (Personal lnjurylPropeIty DamageNVrongful Death) Tort E E Rule 3.740 collections(09) Other collections (09) E E Antitrust/Trade regulation (03) Construction defect (10) E E ASbeStOSKM) E Insurance coverage (18) E Mass tort (40) D Productliabinty(24) _ Other contract(37) RealProperty E E E Securities litigation (28) Environmental/Toxic tort (30) D Medicalmalpractioe(45) Othe'PI/PD/VVD(23) E . Eminent domaIn/Inverse condemnation(14) . Insurance coverage claims arising from the above types (41) listed provisionally complex case Non-PllPDNVD(0ther)Tort E E Businesstort/unfairbusiness practice(07) E Wrongfuleviction (33) Otherrealproperty(26) Enforcement of Judgment E Enforcement of judgment (20) E Civil rights (08) Defamation(13) E Unlawful Detainer E Commercia'(31) Miscellaneous E RICO Civil Complaint [:3 prawns) E D Residential<32) DFUQS(38) D (27) Other complaint (not specified above) (42) E E Intellectualproperty(19) Professionalnegligence(25) JUd'c'a'Re"iew E Miscellaneous D Civil Petition Partnership and corporate governance (21) Employment E: Other non-PVPDNVD ton (35) D E Asset We'ture (05) Petition re: arbitration WTitOf maNdatewz) award (1 1) E Other petition (not specified above) (43) N D E Wrongfultermination(36) Other employment (15) E Otherjudicial review (39) This case is E] is not complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the management: a. b. E factors requiring exceptional judicial E Large number of separately represented parties Extensive motion practice raising difficult or novel d. e. E E Large number of witnesses Coordination with related actions pending in one or more issues that be time-consuming to resolve E will courts in other counties. states, or countries, or in a federal ED c. Substantial amountof documentary evidence court E f. Substantial postjudgment judicial supervision E $ Remedies sought (check allthatapply):a. monetary b. nonmonetary; declaratory or injunctive relief c. punitive Number causes of action E of (specify): Five(5) 9199’ This case is [E is not a class action suit. 6. If there are any known related cases, file and serve a notice of related case. (You may use form CM—015.) Date: 1 1/30/2022 Tionna Dolin ’ (TYPE 0R PRINT NAME) (SIGNATURE OF PARTY OR ATTORNEY FOR PARTY) NOTICE - Plaintiff must paper filed in the action or proceeding (except small claims cases or cases filed file this cover sheet with the first under the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules of Court. rule 3.220.) Failure to file may result in sanctions. - cover sheet File this in addition to any cover sheet required by local court rule. c If this case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on all other parties to the action or proceeding. o Unless this is a collections case under rule 3.740 or a complex case. this cover sheet will be used for statistical purposes only. Page 1 of 2 Form Adopted Mandatory Use Cal. Rules of Court, rules 2,30, 3.220, 3.400—3.403, 3.740; for Judicial Council of California CIVIL CASE COVER SHEET Cal. Standards of Judicial Administration. std. 3,10 ‘ INSTRUCTIO' 0N How To COMPLETE THE COVER ' EET CM-010 To Plaintiffs and Othei’s Filing First Papw you are filing a first paper (for example, a MIaint)’m a civil case, you must If complete and file, along with yourl first paper, the Civil Case Cover Sheet contained on page 1. This information will be used to compile statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check one box for the case type that best describes the case. If the case fits both a general and a more specific type of case listed in item 1, check the more specific one. If the case has multiple causes of action, check the box that best indicates the primary cause of action. To assist you in completing the sheet, examples of the cases that belong under each case type in item 1 are provided below. A cover sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party, its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court. To Parties in Rule 3.740 Collections Cases. A "collections case" under rule 3.740 is defined as an action for recovery of money owed in a sum stated to be certain that is not more than $25,000, exclusive of interest and attorney's fees, arising from a transaction in which property, services, or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages, (2) punitive damages. (3) recovery of real property, (4) recovery of personal property, or (5) a prejudgment writ of attachment. The identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general time-for-service requirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 collections case will be subject to the requirements for service and obtaining a judgment'In rule 3. 740. To Parties in Complex Cases. In complex cases only parties must also use the Civil Case Cover Sheet to designate whether the case is complex. If a plaintiff believes the case is complex under rule 3. 400 of the California Rules of Court, this must be indicated by completing the appropriate boxes in items 1 and 2. If a plaintiff designates a case as complex, the cover sheet must be served with the complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the plaintiff‘s designation, a counter—designation that the case is not complex, or, if the plaintiff has made no designation, a designation that the case is complex. CASE TYPES AND EXAMPLES Contract Auto Tort Provisionally Complex Civil Litigation (Cal. Breach of Contract/Warranty (06) Auto (22)—Personal Injury/Property Rules of Court Rules 3.400—3.403) Breach of RentaI/Lease DamageNVrongful Death Antitrust/Trade Regulation (03) Contract (not unlawful detainer Uninsured Motorist (46) (if the Construction Defect (10) or wrongful eviction) case involves an uninsured Claims Involving Mass Tort (40) Contract/Warranty Breach—Seller motorist claim subject to Securities Litigation (28) Plaintiff (not fraud or negligence) arbitration, check this item Environmental/Toxic Tort (30) Negligent Breach of Contract! instead ofAuto) Insurance Coverage Claims Warranty Other PI/PDNVD (Personal Injuryl (arising from provisionally complex Other Breach of Contract/Warranty Property DamageIWrongful Death) case type listed above) (41) Collections (e.g., money owed, open Tort Enforcement of Judgment book accounts) (09) Enforcement of Judgment (20) Asbestos (04) Collection Case—Seller Plaintiff Asbestos Property Damage Abstract of Judgment (Out of Other Promissory Note/Collections Asbestos Personal Injuryl County) Wrongful Death Case Confession of Judgment (non- Insurance Coverage (notprovisionally Product Liability (not asbestos or domestic relations) complex) (1 8) Sister State Judgment toxic/environmental) (24) Auto Subrogation Medical Malpractice (45) Administrative Agency Award Other Coverage Medical Malpractice— (not unpaid taxes) Other Contract (37) Physicians & Surgeons Petition/Certification of Entry of Contractual Fraud Other Professional Health Care Judgment on Unpaid Taxes Other Contract Dispute Other Enforcement of Judgment Malpractice Real Property Case Other PI/PDNVD (23) Eminent Domain/lnverse Miscellaneous Complaint Premises Liability (e.g., slip Civil Condemnation (14) RICO and fall) (27) Wrongful Eviction (33) Other Complaint (not specified Intentional Bodily Injury/PDNVD Other Real Property (e.g., quiet title) (26) (e.g., assault, vandalism) above) (42) Writ of Possession of Real Property Intentional lnfliction of Declaratory Relief Only Mortgage Foreclosure Injunctive Relief Only (non— Emotional Distress Quiet Title Negligent lnfliction of harassment) Other Real Property (not eminent Mechanics Lien Emotional Distress domain, landlord/tenant, or Other Commercial Complaint Other Pl/PD/WD foreclosure) Non-PIIPDIWD (Other) Tort Case (non-tort/non-comp/ex) Unlawful Detainer Other Complaint Business Tort/Unfair Business Civil Commercial (31) (non-tort/non-complex) Practice (O7) Residential (32) Civil Rights (e.g., discrimination, Miscellaneous Civil Petition Drugs (38) (if the case involves illegal Partnership and Corporate false arrest) (not civil drugs, check this item; otherwise, Governance harassment) (08) (21) reporf as Commercial or Residential) Other Petition (not specified Defamation (e.g., slander, libel) Judicial Review above) (43) (13) Asset Forfeiture (05) Civil Harassment Fraud (16) Petition Re: Arbitration Award (1 1) Workplace Violence Intellectual Property (19) Writ of Mandate (02) EIder/Dependent Adult Professional Negligence (25) Writ—Administrative Mandamus Abuse Legal Malpractice Writ—Mandamus on Limited Court Election Contest Other Professional Malpractice Case Matter Petition for Name Change (not medical or legal) Writ—Other Limited Court Case From Late Other Non-PI/PDNVD Ton (35) Petition for Relief Review Claim Employment Other Judicial Review (39) Other Civil Petition Wrongful Termination (36) Review of Health Officer Order Other Employment (15) Notice of Appe_a|—Labor Commissioner Appeals CMmo (Rev. Page 2 of 2 September 1, 2021] CIVIL CASE COVER SHEET