On February 13, 2020 a
90987Reque00e80b
was filed
involving a dispute between
Pavletich Electric & Communications, Inc.,
Zurich American Insurance Company,
and
Pavletich Electric & Communications, Inc.,
for 23-CV Other PI/PD/WD - Civil Unlimited
in the District Court of Kern County.
Preview
CIV-110
ATTORNEY OR PARTY WITH OUT ATTORNEY (Name, Stale Bar number, and address):
Hugo Gomez FOR COURT USE ONLY
1025 Mable Aven u e
Ba k ersfield , CA 93307
TELEPHONE NO.: ( 6 61 ) 889-6305 FAX NO. (Opllona/) :
E-MAIL ADDRESS (Opllonal):h . gomez36 7@yahoo.com
ATTORNEY FOR (Name): In Pro Per
SUPERIOR COURT OF CALIFORNIA, COUNTY OF KERN
STREET ADDRESS: 12 15 T r uxtun Ave
MAILING ADDRESS:
CITY AND ZIP CODE: Bakersfie l d CA 9330 1
BRANCH NAME:
PLAINTIFF/PETITIONER: HU GO GOMEZ
DEFENDANT/RESPONDENT: PAVLETICH ELECTRIC & COMMUNI CATI ONS, INC.
REQUEST FOR DISMISSAL CASE NUMBER:
BCV-20-100473
A conformed copy will not be returned by the clerk unless a method of return is provided with the document.
This form may not be used for dismissal of a derivative action or a class action or of any party or cause of action in a
class action. (Cal. Rules of Court, rules 3.760 and 3.770.)
1. TO THE CLERK: Please dismiss this action as follows :
a. (1) [D With prejudice (2) D Without prejudice
b. (1) W Complaint (2) D
Petition
(3) D Cross-complaint filed by (nam e): on (date):
(4) D Cross-complaint filed by (nam e) : on (date) :
(5) D Entire action of all parties and all causes of action
(6) 0 Other (specify) :* Plaintiff HUGO GOMEZ Complaint in Intervention again s t PAVLETICH ELECTRIC & COMMUllICATIOllS , rue., e a ch party to b ea r their own cost s
2. (Complete in all cases except family law cases.)
The court D
did Q did not waive court fees and costs for a party in this case. (This information may be obtained from
the clerk. If court fees and costs were waived, the declaration on the back t~ s form mus pleted).
Date: January 5 , 2024
HUGO GOMEZ
(~~E-;R·P~ iN~ ~;~E·O·F . d ~~;~~E~ . t~j ~~~~~;T~~~T·A~~;RNEY) (SIGNATURE)
Jt r ey or party without attorney for:
*If dismissal reguested is of specified parties only of specified causes of action
only, or of specified cross-complaints on ly, so state and identify the parties ,
causes of action, or cross-complai nts to be dismissed . 1D 1
x Plaintiff/Petitioner
Cross-Complainant
D
Defendant/Respondent
3. TO THE CLERK: Consent to the above dismissal is hereby given.**
Date:
â–º
(TYPE OR PRINT NAME OF D ATTORNEY D PARTY WITHOUT ATTORNEY) (SIGNATURE)
** If a cross-complaint - or Response (Family Law) see king affirmative Attorn ey or party without attorney for:
relief - is on file, the attorney for cross-complainant (responden t) must
si gn this consent if required by Code of Civil Proced ure section 581 (i) D Plaintiff/Petitioner D Defendant/Respond ent
or U).
D Cross-Complainant
(To be completed by clerk)
4. D Dismissal entered as requested on (date):
5 D Di sm issa l entered on (date): as to only (name):
6. D Dismissal not entered as requested for the following reasons (specify) :
7. a. D Attorney or party without attorney notified on (date) :
b. D Attorney or party without attorney not notified. Filing party failed to provide
D a copy to be conformed D means to return conformed copy
Date: Clerk, by _ _ _ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ , Deputy
Page 1 of 2
Form Adopted for Mandatory Use
Judicia l Council of California
CIV-110 (Rev. Jan. 1, 2013]
REQUEST FOR DISMISSAL CfB
www.ceb.com
Code of Civil Procedure,§ 581 et seq.;
Gov. Code,§ 68637(c); Cal. Rules of Court, rule 3. 1390
www.courts.ca.gov
CIV-110
PLAINTIFF/PETITIONER: HUGO GOMEZ CASE NUMBER:
DEFENDANT/RESPONDENT: PAVLETICH ELECTRIC & COMMUNICATIONS, INC. BCV-20-100473
COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS
If a party whose court fees and costs were initially waived has recovered or will recover $10,000 or
more in value by way of settlement, compromise, arbitration award, mediation settlement, or other
means, the court has a statutory lien on that recovery. The court may refuse to dismiss the case until
the lien is satisfied. (Gov. Code, § 68637.)
Declaration Concerning Waived Court Fees
1. The court waived court fees and costs in this action for (name):
2. The person named in item 1 is (check one below):
a. D not recovering anything of value by this action.
b. D recovering less than $10,000 in value by this action.
c. D recovering $10,000 or more in value by this action. (If item 2c is checked, item 3 must be completed.)
3. D All court fees and court costs that were waived in this action have been paid to the court (check one): D Yes D No
I declare under penalty of perjury under the laws of the State of California that the information above is true and correct.
Date: - - - - - - - - - - -
â–º
(TYPE OR PRINT NAME OF D ATTORNEY D PARTY MAKING DECLARATION) (SIGNATURE)
CIV-110 [Rev. January 1, 2013)
REQUEST FOR DISMISSAL CfB
www.ceb.com
Page 2 of 2
Document Filed Date
January 30, 2024
Case Filing Date
February 13, 2020
Category
23-CV Other PI/PD/WD - Civil Unlimited
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CIV-110 ATTORNEY OR PARTY WITH OUT ATTORNEY (Name, Stale Bar number, and address): Hugo Gomez FOR COURT USE ONLY 1025 Mable Aven u e Ba k ersfield , CA 93307 TELEPHONE NO.: ( 6 61 ) 889-6305 FAX NO. (Opllona/) : E-MAIL ADDRESS (Opllonal):h . gomez36 7@yahoo.com ATTORNEY FOR (Name): In Pro Per SUPERIOR COURT OF CALIFORNIA, COUNTY OF KERN STREET ADDRESS: 12 15 T r uxtun Ave MAILING ADDRESS: CITY AND ZIP CODE: Bakersfie l d CA 9330 1 BRANCH NAME: PLAINTIFF/PETITIONER: HU GO GOMEZ DEFENDANT/RESPONDENT: PAVLETICH ELECTRIC & COMMUNI CATI ONS, INC. REQUEST FOR DISMISSAL CASE NUMBER: BCV-20-100473 A conformed copy will not be returned by the clerk unless a method of return is provided with the document. This form may not be used for dismissal of a derivative action or a class action or of any party or cause of action in a class action. (Cal. Rules of Court, rules 3.760 and 3.770.) 1. TO THE CLERK: Please dismiss this action as follows : a. (1) [D With prejudice (2) D Without prejudice b. (1) W Complaint (2) D Petition (3) D Cross-complaint filed by (nam e): on (date): (4) D Cross-complaint filed by (nam e) : on (date) : (5) D Entire action of all parties and all causes of action (6) 0 Other (specify) :* Plaintiff HUGO GOMEZ Complaint in Intervention again s t PAVLETICH ELECTRIC & COMMUllICATIOllS , rue., e a ch party to b ea r their own cost s 2. (Complete in all cases except family law cases.) The court D did Q did not waive court fees and costs for a party in this case. (This information may be obtained from the clerk. If court fees and costs were waived, the declaration on the back t~ s form mus pleted). Date: January 5 , 2024 HUGO GOMEZ (~~E-;R·P~ iN~ ~;~E·O·F . d ~~;~~E~ . t~j ~~~~~;T~~~T·A~~;RNEY) (SIGNATURE) Jt r ey or party without attorney for: *If dismissal reguested is of specified parties only of specified causes of action only, or of specified cross-complaints on ly, so state and identify the parties , causes of action, or cross-complai nts to be dismissed . 1D 1 x Plaintiff/Petitioner Cross-Complainant D Defendant/Respondent 3. TO THE CLERK: Consent to the above dismissal is hereby given.** Date: ► (TYPE OR PRINT NAME OF D ATTORNEY D PARTY WITHOUT ATTORNEY) (SIGNATURE) ** If a cross-complaint - or Response (Family Law) see king affirmative Attorn ey or party without attorney for: relief - is on file, the attorney for cross-complainant (responden t) must si gn this consent if required by Code of Civil Proced ure section 581 (i) D Plaintiff/Petitioner D Defendant/Respond ent or U). D Cross-Complainant (To be completed by clerk) 4. D Dismissal entered as requested on (date): 5 D Di sm issa l entered on (date): as to only (name): 6. D Dismissal not entered as requested for the following reasons (specify) : 7. a. D Attorney or party without attorney notified on (date) : b. D Attorney or party without attorney not notified. Filing party failed to provide D a copy to be conformed D means to return conformed copy Date: Clerk, by _ _ _ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ , Deputy Page 1 of 2 Form Adopted for Mandatory Use Judicia l Council of California CIV-110 (Rev. Jan. 1, 2013] REQUEST FOR DISMISSAL CfB www.ceb.com Code of Civil Procedure,§ 581 et seq.; Gov. Code,§ 68637(c); Cal. Rules of Court, rule 3. 1390 www.courts.ca.gov CIV-110 PLAINTIFF/PETITIONER: HUGO GOMEZ CASE NUMBER: DEFENDANT/RESPONDENT: PAVLETICH ELECTRIC & COMMUNICATIONS, INC. BCV-20-100473 COURT'S RECOVERY OF WAIVED COURT FEES AND COSTS If a party whose court fees and costs were initially waived has recovered or will recover $10,000 or more in value by way of settlement, compromise, arbitration award, mediation settlement, or other means, the court has a statutory lien on that recovery. The court may refuse to dismiss the case until the lien is satisfied. (Gov. Code, § 68637.) Declaration Concerning Waived Court Fees 1. The court waived court fees and costs in this action for (name): 2. The person named in item 1 is (check one below): a. D not recovering anything of value by this action. b. D recovering less than $10,000 in value by this action. c. D recovering $10,000 or more in value by this action. (If item 2c is checked, item 3 must be completed.) 3. D All court fees and court costs that were waived in this action have been paid to the court (check one): D Yes D No I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: - - - - - - - - - - - ► (TYPE OR PRINT NAME OF D ATTORNEY D PARTY MAKING DECLARATION) (SIGNATURE) CIV-110 [Rev. January 1, 2013) REQUEST FOR DISMISSAL CfB www.ceb.com Page 2 of 2