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POS-010
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY
Christian J. Gascou (Bar # 100895)
Gascou Hopkins LLP
9696 Culver Blvd., , Culver City, CA 90232
TELEPHONE NO.: (310) 785-9149 FAX NO. (Optional):
E–MAIL ADDRESS (Optional):
ATTORNEY FOR (Name): Insurance Company Of The West, a California corporation,
SUPERIOR COURT OF CALIFORNIA, COUNTY OF KERN
STREET ADDRESS: 1215 Truxton Avenue
MAILING ADDRESS:
CITY AND ZIP CODE: Bakersfield, CA 93301
BRANCH NAME: Bakersfield
PLAINTIFF/PETITIONER: Insurance Company Of The West, a California CASE NUMBER:
corporation
DEFENDANT/RESPONDENT: Kern Alternative Care, Inc., A California Corporation, et al. BCV-23-103703
Ref. No. or File No.:
PROOF OF SERVICE OF SUMMONS 444-5
(Separate proof of service is required for each party served.)
1. At the time of service I was at least 18 years of age and not a party to this action.
2. I served copies of:
a. X summons
b. X complaint
c. X Alternative Dispute Resolution (ADR) package
d. X Civil Case Cover Sheet (served in complex cases only)
e. cross-complaint
f. X Exhibit 1, Notice Of Case Assignment Notice Of Order To Show Cause
other (specify documents):
And Order Of Case Management Conference
3. a. Party served (specify name of party as shown on documents served):
Alternative Care, Inc., An Unknown Business Entity;
b. 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):
4. Address where the party was served: 13303 Nantucket Place,
Bakersfield, CA 93314
5. I served the party (check proper box)
a. by personal service. I personally delivered the documents listed in item 2 to the party or person authorized to
receive service of process for the party (1) on (date): (2) at (time):
b. X by substituted service. On (date): 12/14/2023 at (time): 5:07 PM I left the documents listed in item 2 with or
in the presence of (name and title or relationship to person indicated in item 3):
Susana Reyes - Care Giver
(1) X (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. I informed him or her of the general nature of the papers.
(2) (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. I informed him or her of the general nature of the papers.
(3) (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. I informed
him or her of the general nature of the papers.
(4) X I 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). I mailed the documents on
(date):12/15/2023 from (city): Bakersfield, CA or a declaration of mailing is attached.
(5) X I attach a declaration of diligence stating actions taken first to attempt personal service.
Page 1 of 2
Form Adopted for Mandatory Use Code of Civil Procedure, § 417.10
Judicial Council of California
PROOF OF SERVICE OF SUMMONS
POS-010 [Rev. January 1, 2007] LexisNexis® Automated California Judicial Council Forms
PLAINTIFF/PETITIONER: Insurance Company Of The West, a California corporation CASE NUMBER:
DEFENDANT/RESPONDENT:
BCV-23-103703
Kern Alternative Care, Inc., A California Corporation, et al.
5. c. by mail and acknowledgment of receipt of service. I mailed the documents listed in item 2 to the party, to the
address shown in item 4, by first-class mail, postage prepaid,
(1) on (date): (2) from (city):
(3) with two copies of the Notice and Acknowledgment of Receipt and a postage-paid return envelope addressed
to me. (Attach completed Notice and Acknowledgement of Receipt.) (Code Civ. Proc., § 415.30.)
(4) to an address outside California with return receipt requested. (Code Civ. Proc., § 415.40.)
d. by other means (specify means of service and authorizing code section):
Additional page describing service is attached.
6. The "Notice to the Person Served" (on the summons) was completed as follows:
a. as an individual defendant.
b. as the person sued under the fictitious name of (specify):
c. as occupant.
d. X On behalf of (specify): Alternative Care, Inc., An Unknown Business Entity
under the following Code of Civil Procedure section:
416.10 (corporation) X 415.95 (business organization, form unknown)
416.20 (defunct corporation) 416.60 (minor)
416.30 (joint stock company/association) 416.70 (ward or conservatee)
416.40 (association or partnership) 416.90 (authorized person)
416.50 (public entity) 415.46 (occupant)
other:
7. Person who served papers
a. Name: Raquel Quarnstrom Ace Process Service
b. Address: 5950 Imperial Highway #10, South Gate, CA 90280
c. Telephone number: (310) 641-8864
d. The fee for service was: $ 587.00
e. I am:
(1) not a registered California process server.
(2) exempt from registration under Business and Professions Code section 22350(b).
(3) X a registered California process server:
(i) owner employee X independent contractor.
(ii) Registration No.: 685
(iii) County: Kern
8. X I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
or
9. I am a California sheriff or marshal and I certify that the foregoing is true and correct.
Date: December 15, 2023
Raquel Quarnstrom Ace Process Service
(NAME OF PERSON WHO SERVED PAPERS/SHERIFF OR MARSHAL) (SIGNATURE )
POS-010 [Rev. January 1, 2007] Page 2 of 2
PROOF OF SERVICE OF SUMMONS
LexisNexis® Automated California Judicial Council Forms
MC-031
PLAINTIFF/PETITIONER: Insurance Company Of The West, a California corporation CASE NUMBER:
DEFENDANT/RESPONDENT: Kern Alternative Care, Inc., A California Corporation, et al. BCV-23-103703
DECLARATION
(This form must be attached to another form or court paper before it can be filed in court.)
Declaration of Diligence Alternative Care, Inc., An Unknown Business Entity
1. Documents to be served Summons, Complaint Exhibit 1, Notice Of Case Assignment Notice Of Order To
Show Cause And Order Of Case Management Conference, ADR Packet Civil Case Cover Sheet,
2. I Jeff Levine and any employees or independent contractors retained by Ace Process Service are and were on
the dates mentioned herin over the age of eighteen years and not a party to this action Alternative Care, Inc., An
Unknown Business Entity
#1 Business address 13303 Nantucket Place, Bakersfield CA 93314
Date: Time: Results
12/07/23 4:57 PM #1 No one authroized to accept
12/11/23 11:33 AM #1 No one authroized to accept
12/14/23 1:35 PM #1 Sub served documents to Susana Reyes - Care Giver
12/15/23 Mailed documents to Alternative Care, Inc., An Unknown Business Entity
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date: December 15, 2023
Raquel Quarnstrom Ace Process Service
(TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT)
Attorney for Plaintiff Petitioner Defendant
Respondent X Other (Specify): RPS
Form Approved for Optional Use
Judicial Council of California ATTACHED DECLARATION
MC-031 [Rev. July 1, 2005] Page 1 of 1
LexisNexis® Automated California Judicial Council Forms
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POS-010 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY Christian J. Gascou (Bar # 100895) Gascou Hopkins LLP 9696 Culver Blvd., , Culver City, CA 90232 TELEPHONE NO.: (310) 785-9149 FAX NO. (Optional): E–MAIL ADDRESS (Optional): ATTORNEY FOR (Name): Insurance Company Of The West, a California corporation, SUPERIOR COURT OF CALIFORNIA, COUNTY OF KERN STREET ADDRESS: 1215 Truxton Avenue MAILING ADDRESS: CITY AND ZIP CODE: Bakersfield, CA 93301 BRANCH NAME: Bakersfield PLAINTIFF/PETITIONER: Insurance Company Of The West, a California CASE NUMBER: corporation DEFENDANT/RESPONDENT: Kern Alternative Care, Inc., A California Corporation, et al. BCV-23-103703 Ref. No. or File No.: PROOF OF SERVICE OF SUMMONS 444-5 (Separate proof of service is required for each party served.) 1. At the time of service I was at least 18 years of age and not a party to this action. 2. I served copies of: a. X summons b. X complaint c. X Alternative Dispute Resolution (ADR) package d. X Civil Case Cover Sheet (served in complex cases only) e. cross-complaint f. X Exhibit 1, Notice Of Case Assignment Notice Of Order To Show Cause other (specify documents): And Order Of Case Management Conference 3. a. Party served (specify name of party as shown on documents served): Alternative Care, Inc., An Unknown Business Entity; b. 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): 4. Address where the party was served: 13303 Nantucket Place, Bakersfield, CA 93314 5. I served the party (check proper box) a. by personal service. I personally delivered the documents listed in item 2 to the party or person authorized to receive service of process for the party (1) on (date): (2) at (time): b. X by substituted service. On (date): 12/14/2023 at (time): 5:07 PM I left the documents listed in item 2 with or in the presence of (name and title or relationship to person indicated in item 3): Susana Reyes - Care Giver (1) X (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. I informed him or her of the general nature of the papers. (2) (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. I informed him or her of the general nature of the papers. (3) (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. I informed him or her of the general nature of the papers. (4) X I 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). I mailed the documents on (date):12/15/2023 from (city): Bakersfield, CA or a declaration of mailing is attached. (5) X I attach a declaration of diligence stating actions taken first to attempt personal service. Page 1 of 2 Form Adopted for Mandatory Use Code of Civil Procedure, § 417.10 Judicial Council of California PROOF OF SERVICE OF SUMMONS POS-010 [Rev. January 1, 2007] LexisNexis® Automated California Judicial Council Forms PLAINTIFF/PETITIONER: Insurance Company Of The West, a California corporation CASE NUMBER: DEFENDANT/RESPONDENT: BCV-23-103703 Kern Alternative Care, Inc., A California Corporation, et al. 5. c. by mail and acknowledgment of receipt of service. I mailed the documents listed in item 2 to the party, to the address shown in item 4, by first-class mail, postage prepaid, (1) on (date): (2) from (city): (3) with two copies of the Notice and Acknowledgment of Receipt and a postage-paid return envelope addressed to me. (Attach completed Notice and Acknowledgement of Receipt.) (Code Civ. Proc., § 415.30.) (4) to an address outside California with return receipt requested. (Code Civ. Proc., § 415.40.) d. by other means (specify means of service and authorizing code section): Additional page describing service is attached. 6. The "Notice to the Person Served" (on the summons) was completed as follows: a. as an individual defendant. b. as the person sued under the fictitious name of (specify): c. as occupant. d. X On behalf of (specify): Alternative Care, Inc., An Unknown Business Entity under the following Code of Civil Procedure section: 416.10 (corporation) X 415.95 (business organization, form unknown) 416.20 (defunct corporation) 416.60 (minor) 416.30 (joint stock company/association) 416.70 (ward or conservatee) 416.40 (association or partnership) 416.90 (authorized person) 416.50 (public entity) 415.46 (occupant) other: 7. Person who served papers a. Name: Raquel Quarnstrom Ace Process Service b. Address: 5950 Imperial Highway #10, South Gate, CA 90280 c. Telephone number: (310) 641-8864 d. The fee for service was: $ 587.00 e. I am: (1) not a registered California process server. (2) exempt from registration under Business and Professions Code section 22350(b). (3) X a registered California process server: (i) owner employee X independent contractor. (ii) Registration No.: 685 (iii) County: Kern 8. X I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. or 9. I am a California sheriff or marshal and I certify that the foregoing is true and correct. Date: December 15, 2023 Raquel Quarnstrom Ace Process Service (NAME OF PERSON WHO SERVED PAPERS/SHERIFF OR MARSHAL) (SIGNATURE ) POS-010 [Rev. January 1, 2007] Page 2 of 2 PROOF OF SERVICE OF SUMMONS LexisNexis® Automated California Judicial Council Forms MC-031 PLAINTIFF/PETITIONER: Insurance Company Of The West, a California corporation CASE NUMBER: DEFENDANT/RESPONDENT: Kern Alternative Care, Inc., A California Corporation, et al. BCV-23-103703 DECLARATION (This form must be attached to another form or court paper before it can be filed in court.) Declaration of Diligence Alternative Care, Inc., An Unknown Business Entity 1. Documents to be served Summons, Complaint Exhibit 1, Notice Of Case Assignment Notice Of Order To Show Cause And Order Of Case Management Conference, ADR Packet Civil Case Cover Sheet, 2. I Jeff Levine and any employees or independent contractors retained by Ace Process Service are and were on the dates mentioned herin over the age of eighteen years and not a party to this action Alternative Care, Inc., An Unknown Business Entity #1 Business address 13303 Nantucket Place, Bakersfield CA 93314 Date: Time: Results 12/07/23 4:57 PM #1 No one authroized to accept 12/11/23 11:33 AM #1 No one authroized to accept 12/14/23 1:35 PM #1 Sub served documents to Susana Reyes - Care Giver 12/15/23 Mailed documents to Alternative Care, Inc., An Unknown Business Entity I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: December 15, 2023 Raquel Quarnstrom Ace Process Service (TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT) Attorney for Plaintiff Petitioner Defendant Respondent X Other (Specify): RPS Form Approved for Optional Use Judicial Council of California ATTACHED DECLARATION MC-031 [Rev. July 1, 2005] Page 1 of 1 LexisNexis® Automated California Judicial Council Forms