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FILED: ERIE COUNTY CLERK 02/02/2021 01:32 PM INDEX NO. 809591/2020
NYSCEF DOC. NO. 11 RECEIVED NYSCEF: 02/02/2021
REQUEST FOR JUDICIAL INTERVENTION (re Sªg'g°gig)
Erie Süpic-.a COURT, COUNTY OF Erie
Index No: 809591/2020 Date Index Issued: 09/01/2020 For Court Use Only:
CAlUygg gi g y(tpr t‡ heet. IAS Entry Date
Utica National Insurance Company of Ohio as subrogee of Spili eville-Griffith Central School District
Judge Assigned
-against- PI=inumd/"etit:Gaer(s)
Concept Construction Corp., Arric Corp., Guard Contracting Corp., Stromecki Fnnineers, P.C.
RJIFiled Date
Defendant(s)/Respondent(s)
COMMERCIAL MATRIMONIAL
O Contested
O BusinessEntity (includes corporations, nartnerchips, LLCs,LLPs,etc.)
NOTE: If there are children under the age of 18, complete and attach the
Contract MATRIMONDALRJRAddendum (UCS-840M).
Insurance(where insurance company is a party, except arbitration)
For UncontestedMatn'monialactions, use the UncontestedDivorce RJi(UD-13).
O UCC(includes sales and negotiable instruments)
O Other Commercial(specify):
| TORTS
NOTE: For CommercialDivision aooignmentrequests pursuant to 22 NYCRR202.70(d),
complete and attach the COMMERCIALDEVISIONRJRADDENDUM (UCS-840C).
O Child Victims Act
REAL PROPERTY: Specify how many properties the application includes:
O Condemnation O Medical,Dental, or Podiatric Malpractice
O Mortgage Foreclosure(specify): O Residential O Commercial O Motor Vehicle
Property Address: O Products Liability (specify):
O Other Negligence(specify):
NOTE: For Mortgage Foreclosureactions involving a one to four-family, owner-
occupied residential property or owner-occupiedcondominium, complete and O Other ProfessionalMalpractice (specify):
attach the FORECLDSURERJRADDENDUM (UCS-840F). Other Tort (specify):
O
O Tax Certiorari - Section: Block: Lot:
O Tax Foreclosure | SPECIAL PROCEEDINGS
O Other Real Property (specify): O CPLRArticle 75 (Arbitration) [see NOTE in COMMERCIALsection]
OTHER MATTERS
O CPLRArticle 78 (Body or Officer)
O Election Law
O Certificate of Incorporatior./D:=o:ut!on [see NOTE in COMMERCIALsection] Extreme Risk ProtectionOrder
O Emergency MedicalTreatment MHLArticle 9.60 (Kendra's Law)
O HabeasCorpus O MHLArticle 10 (Sex Offender Confinement-Initial)
O LocalCourt Appeal MHLArticle 10 (Sex Offender C---G------F-Review)
O Mechanic'sLien MHLArticle 81 (Guardianship)
O NameChange O Other Mental Hygiene (specify):
Pistol Permit Revocation Hearing O Other Special Proceeding(specify):
O Saleor Financeof Religious/Not-for-ProfitProperty
O Other (specify):
STATUS OF ACTION OR PROCEEDING: AnswerYESor NOfor every question and enter additional information where indicated.
YES NO
Hasa summons and complaint or summonswith notice been filed? O If yes, date filed: 08/31R020
Hasa summons and complaint or summonswith notice been served? O If yes, date served: 09/19R020
Is this action/proceeding being filed post-judgment? O If yes, judgment date:
NATURE OF JUDICIAL INTERVENTION: Checkone box only and enter additional info=otion where indicated.
O Infant's Compromise
O Extreme Risk ProtectionOrder Application
O Note of Issue/Certificateof Readiness
O Notice of Medical, Dental, or Podiatric Malpractice Date Issuejoined:
O Notice of Motion Relief Requested: Return Date:
O Notice of Petition Relief Requested: Return Date:
O Order to ShowCause Relief Requested: Return Date:
O Other Ex ParteApplication Relief Requested:
O PoorPersonApplication
O Requestfor Preliminary Confaranca
O ResidentialMortgage ForeclosureSettlement Conference
O Writ of HabeasCorpus
Other (specify): Return date for Notice of Motion
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FILED: ERIE COUNTY CLERK 02/02/2021 01:32 PM INDEX NO. 809591/2020
NYSCEF DOC. NO. 11 RECEIVED NYSCEF: 02/02/2021
RELATED CASES: List any related actions. For Matrimonial cases, list any related criminal or Family Court cases. If none, leave blank. If additional space
is required, complete and attach the RJI Addendum (UCS-840A).
Case Title Index/Case Number Court Judge (if assigned) Relationship to instant case
PARTIES: For parties without an attorney, check the "Un-Rep" box and enter the party's address, phone number and email in the space
provided. If additional space is required, complete and attach the RJI Addendum (UCS-840A).
Parties Attorneys and/or Unrepresented Litigants Issue Joined Insurance
Un-
Rep List parties in same order as listed in the For represented parties, provide attorney's name, firm name, address, phone For each defendant, For each defendant,
caption and indicate roles (e.g., plaintiff, and email. For unrepresented parties, provide party's address, phone and indicate if issue has indicate insurance
defendant; 3rd party plaintiff, etc.) email. been joined. carrier, if applicable.
Name: Utica National Insurance
☐ Company of Ohio
KRIS LAWRENCE, Mura Law Group, PLLC, 930 Rand
Building 14 Lafayette Square, Buffalo, NY 14203, (716) ☒ YES ☐ NO
Role(s): Plaintiff/Petitioner 855-2800, kris.lawrence@muralaw.com
Name: Concept Construction Corp. JAMES GRESENS, Duke, Holzman, Photiadis & Gresens LLP,
☐ 701 Seneca Street, Suite 750 , Buffalo, NY 14210, (716) ☒ YES ☐ NO
Role(s): Defendant/Respondent 855-1111, jwgresens@dhpglaw.com
Name: Arric Corp.
☐ Mark Della Posta, Wash, Roberts & Grace, 400 Rand
Building, 14 Lafayette Square, Buffalo, NY 14203, 716- ☐ YES ☒ NO
Role(s): Defendant/Respondent 856-1636, mdellaposta@walshrobertsgrace.com
Name: Guard Contracting Corp.
☐ RICHARD CLACK, LAW OFFICES OF RICHARD A. CLACK, 37
Franklin St Ste 750 , Buffalo, NY 14202, ☐ YES ☒ NO
Role(s): Defendant/Respondent rclack@clackfirm.com
Name: Stromecki Engineers, P.C.
☐ BRIAN SUTTER, SUGARMAN LAW FIRM LLP, 1600 Rand
Building 14 Lafayette Sq., Buffalo, NY 14203, 716-847- ☒ YES ☐ NO
Role(s): Defendant/Respondent 2523, bsutter@sugarmanlaw.com
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
Name:
☐ ☐ YES ☐ NO
Role(s):
I AFFIRM UNDER THE PENALTY OF PERJURY THAT, UPON INFORMATION AND BELIEF, THERE ARE NO OTHER RELATED ACTIONS OR
PROCEEDINGS, EXCEPT AS NOTED ABOVE, NOR HAS A REQUEST FOR JUDICIAL INTERVENTION BEEN PREVIOUSLY FILED IN THIS
ACTION OR PROCEEDING.
Dated: 02/02/2021 RICHARD A. CLACK
Signature
1170679 RICHARD A. CLACK
Attorney Registration Number Print Name
This form was generated by NYSCEF
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