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SUMMONS - CIVIL Ei
For information on STATE OF CONNECTICUT
JD-pM-4., Rev, 2-20 ADA accommodations,
CG u§ 51-346, 51-947, §1-349, §1-360, 52-45a, 52-48, 52-259; SUPERIOR COURT
contact a court clerk or www. jud.ct. gov
P.B, §§ 3-1 through 3-21, 8-1, 10-13 go to: www.jud.ct.gov/ADA, SS
Instructions are on page 2.
J Select if amount, legal interest, or property in demand, not including interest and costs, is LESS than $2,500.
Select if amount, legal interest, or property in demand, not including interest and costs, is $2,500 or MORE.
1] Select if claiming other relief in addition to, or in place of, money or damages.
TO: Any proper officer
By authority of the State of Connecticut, you are hereby commanded to make due and legal service of this summons and attached complaint.
‘Address of court clerk (Number, street, town and zip code) Telephone number of clerk Return Date (Must be a Tuesday)
20 Franklin Square, New Britain, CT 06051
‘At (City/Town)
(860 ) 515 — 5180 te2/19/ 20>
[x] Judicial District Case type code (See list on page 2)
(J Housing Session oO Number: New Britain Major: C Minor: 20
For the plaintiff(s) enter the appearance of:
Name and address of attorney, law firm or plaintiff if self-represented (Number, street, town and zip code) ‘Juris number (if afforney or Taw firm)
iam C. Rivera, Esq., The Rivera Law Group, 17 Walnut Street, New Britain, CT 06051 431600
Telephone number ‘Signature of plaintiff (if self-represented)
(860 ) 223 - 6699
The attorney or law firm appearing for the plaintiff, or the plaintiff if E-mail address for delivery of papers under Section 10-13 of the
self-represented, agrees to accept papers (service) electronically Connecticut Practice Book (if agreed)
in thi is case under Section 10-13 of the Connecticut Practice Book. [XJ Yes [(] No trig.personalinjury@gmail.com
Parties Name (Last, First, Middle Initial) and address of each party (Number; street; P.O. Box; town; state; zip; country, if not USA)
First Name: Rosario, Saturnino
P-01
plaintiff Address: 46 Melrose Street, Bristol, CT 06010
Additional Name: Rosario, Zoila
P02
plaintiff Address: 198 McClintock Street, U-2, New Britain, CT 06053
First Name: Progressive Casualty Insurance Co., 2200 Hartford Ave., Ste 150, Johnston, RI 02919
D-01
defendant Address: : C/o Connecticut Insurance Commissioner, 153 Marketplace, Hartford, CT 06103
Additional Name:
defendant Address: D-02
Additional Name:
defendant Address: D-03
Additional Name:
defendant Address: D-04
Total number of plaintiffs: 2 Total number of defendants: 1 (LJ Form JD-CV-2 attached for additional parties
Notice to each defendant
1 You are being sued. This is a summons in a lawsuit. The complaint attached states the claims the plaintiff is making against you.
2. To receive further notices, you or your attorney must file an Appearance (form JD-CL-12) with the clerk at the address above. Generally,
it must be filed on or before the second day after the Return Date. The Return Date is not a he fg date. You do not have to come to
court on the Return Date unless you receive a separate notice telling you to appear.
\f you or your attorney do not file an Appearance on time, a default judgment may be entered against you. You can get an Appearance
form at the court address above, or on-line at https://jud.ct.gov/webforms/,
!f you believe that you have insurance that may cover the claim being made against you in this lawsuit, you should immediately contact
your insurance representative. Other actions you may take are described in the Connecticut Practice Book, which may be found in a
superior court law library or on-line at https:/Awww.jud.ct.gov/pb.htm.
5. If you have questions about the summons and complaint, you should talk to an attorney.
The court staff is not allowed to give advice on legal matters.
Date Signed (Gign and select proper box) 6 [x] Commissioner of Superior Court _| Name of person signing
W793 | Wihein C Reson oO Clerk William C. Rivera
If this summons is signed by a Clerk: For Court Use Only
a The signing has been done so that the plaintiff(s) will not be denied access to the courts. File Date
b It is the responsibility of the plaintiff(s) to ensure that service is made in the manner provided by law.
c. The court staff is not permitted to give any legal advice in connection with any lawsuit.
d The Clerk signing this summons at the request of the plaintiff(s) is not responsible in any way for any
errors or omissions in the summons, any allegations contained in the complaint, or the service of the
summons or complaint.
certify [have read and_| Sianed (SelF-represented plaintify Date Docket Number
understand the above:
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SUMMONS - CIVIL Ei For information on STATE OF CONNECTICUT JD-pM-4., Rev, 2-20 ADA accommodations, CG u§ 51-346, 51-947, §1-349, §1-360, 52-45a, 52-48, 52-259; SUPERIOR COURT contact a court clerk or www. jud.ct. gov P.B, §§ 3-1 through 3-21, 8-1, 10-13 go to: www.jud.ct.gov/ADA, SS Instructions are on page 2. J Select if amount, legal interest, or property in demand, not including interest and costs, is LESS than $2,500. Select if amount, legal interest, or property in demand, not including interest and costs, is $2,500 or MORE. 1] Select if claiming other relief in addition to, or in place of, money or damages. TO: Any proper officer By authority of the State of Connecticut, you are hereby commanded to make due and legal service of this summons and attached complaint. ‘Address of court clerk (Number, street, town and zip code) Telephone number of clerk Return Date (Must be a Tuesday) 20 Franklin Square, New Britain, CT 06051 ‘At (City/Town) (860 ) 515 — 5180 te2/19/ 20> [x] Judicial District Case type code (See list on page 2) (J Housing Session oO Number: New Britain Major: C Minor: 20 For the plaintiff(s) enter the appearance of: Name and address of attorney, law firm or plaintiff if self-represented (Number, street, town and zip code) ‘Juris number (if afforney or Taw firm) iam C. Rivera, Esq., The Rivera Law Group, 17 Walnut Street, New Britain, CT 06051 431600 Telephone number ‘Signature of plaintiff (if self-represented) (860 ) 223 - 6699 The attorney or law firm appearing for the plaintiff, or the plaintiff if E-mail address for delivery of papers under Section 10-13 of the self-represented, agrees to accept papers (service) electronically Connecticut Practice Book (if agreed) in thi is case under Section 10-13 of the Connecticut Practice Book. [XJ Yes [(] No trig.personalinjury@gmail.com Parties Name (Last, First, Middle Initial) and address of each party (Number; street; P.O. Box; town; state; zip; country, if not USA) First Name: Rosario, Saturnino P-01 plaintiff Address: 46 Melrose Street, Bristol, CT 06010 Additional Name: Rosario, Zoila P02 plaintiff Address: 198 McClintock Street, U-2, New Britain, CT 06053 First Name: Progressive Casualty Insurance Co., 2200 Hartford Ave., Ste 150, Johnston, RI 02919 D-01 defendant Address: : C/o Connecticut Insurance Commissioner, 153 Marketplace, Hartford, CT 06103 Additional Name: defendant Address: D-02 Additional Name: defendant Address: D-03 Additional Name: defendant Address: D-04 Total number of plaintiffs: 2 Total number of defendants: 1 (LJ Form JD-CV-2 attached for additional parties Notice to each defendant 1 You are being sued. This is a summons in a lawsuit. The complaint attached states the claims the plaintiff is making against you. 2. To receive further notices, you or your attorney must file an Appearance (form JD-CL-12) with the clerk at the address above. Generally, it must be filed on or before the second day after the Return Date. The Return Date is not a he fg date. You do not have to come to court on the Return Date unless you receive a separate notice telling you to appear. \f you or your attorney do not file an Appearance on time, a default judgment may be entered against you. You can get an Appearance form at the court address above, or on-line at https://jud.ct.gov/webforms/, !f you believe that you have insurance that may cover the claim being made against you in this lawsuit, you should immediately contact your insurance representative. Other actions you may take are described in the Connecticut Practice Book, which may be found in a superior court law library or on-line at https:/Awww.jud.ct.gov/pb.htm. 5. If you have questions about the summons and complaint, you should talk to an attorney. The court staff is not allowed to give advice on legal matters. Date Signed (Gign and select proper box) 6 [x] Commissioner of Superior Court _| Name of person signing W793 | Wihein C Reson oO Clerk William C. Rivera If this summons is signed by a Clerk: For Court Use Only a The signing has been done so that the plaintiff(s) will not be denied access to the courts. File Date b It is the responsibility of the plaintiff(s) to ensure that service is made in the manner provided by law. c. The court staff is not permitted to give any legal advice in connection with any lawsuit. d The Clerk signing this summons at the request of the plaintiff(s) is not responsible in any way for any errors or omissions in the summons, any allegations contained in the complaint, or the service of the summons or complaint. certify [have read and_| Sianed (SelF-represented plaintify Date Docket Number understand the above: Page 1 of 2