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  • MACHUCA VS GENERAL MOTORS, LLC06-CV Breach of Contract/Warranty-Civil Unlimited document preview
  • MACHUCA VS GENERAL MOTORS, LLC06-CV Breach of Contract/Warranty-Civil Unlimited document preview
  • MACHUCA VS GENERAL MOTORS, LLC06-CV Breach of Contract/Warranty-Civil Unlimited document preview
  • MACHUCA VS GENERAL MOTORS, LLC06-CV Breach of Contract/Warranty-Civil Unlimited document preview
  • MACHUCA VS GENERAL MOTORS, LLC06-CV Breach of Contract/Warranty-Civil Unlimited document preview
  • MACHUCA VS GENERAL MOTORS, LLC06-CV Breach of Contract/Warranty-Civil Unlimited document preview
  • MACHUCA VS GENERAL MOTORS, LLC06-CV Breach of Contract/Warranty-Civil Unlimited document preview
  • MACHUCA VS GENERAL MOTORS, LLC06-CV Breach of Contract/Warranty-Civil Unlimited document preview
						
                                

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Mary ARENS MCBRIDE, Esq. (SBN: 282459) ALEXANDRIA O. PAPPAS, ESQ. (SBN 326149) THE ERSKINE LAW GROUP, PC. 1592 N. BATAVIA ST., SUITE 1A ORANGE, CA 92867 TEL: (949) 777-6032 FAx: (714) 844-9035 eservice-ca@erskinelaw.com apappas@erskinelaw.com Attorneys for Defendant GENERAL MOTORS LLC SUPERIOR COURT OF THE STATE OF CALIFORNIA FOR THE COUNTY OF KERN 10 FERNANDO MACHUCA. ’ Case No. BCV-22-101117 11 Plaintiff, 12 Hon. Thomas S. Clark v Dept. 17 13 GENERAL MOTORS LLC; and DOES 1 DECLARATION OF ALEXANDRIA 14 through 10, inclusive, PAPPAS IN SUPPORT OF GENERAL MOTORS LLC’S OPPOSITION TO 15 Defendants. COUNSEL’S MOTION FOR ATTORNEYS’ FEES 16 Date: April 3, 2023 17 Time: 8:30 am. Dept: 17 18 19 20 21 22 23 24 25 26 27 28 DECLARATION OF ALEXANDRIA PAPPAS IN SUPPORT OF GM’S OPPOSITION TO COUNSEL’S MOTION FOR ATTORNEYS’ FEES DECLARATION OF ALEXANDRIA PAPPAS J, ALEXANDRIA PAPPAS, declare as follows: 1 I am an attorney at law licensed to practice before all courts of the State of California, and an attorney with the law firm of Erskine Law Group, APC, counsel of record for General Motors LLC (“GM”), defendant in this litigation. I am familiar with the records and pleadings on file in this action and if called as a witness, I could and would competently testify to the matters set forth below. 2. Plaintiff bought a 2020 GMC Sierra 2500 in September 2020. 3 Approximately 20 months later, in May 2022, Plaintiff sued GM, asserting five 10 Song-Beverly claims. In the Complaint, Plaintiff sought a repurchase, the maximum civil penalty, 11 plus attorney fees and costs. 12 4 GM filed its answer on June 22, 2022. 13 5 On June 22, 2022, GM served its initial written discovery on Plaintiff. Plaintiff 14 responded to GM’s written discovery on July 26, 2022 with templated objections—the same 15 responses that that Counsel serves in every GM case. Compare Exhibit A, discovery responses in 16 this case, with Exhibit B, discovery responses from another of Counsel’s Song-Beverly cases. Lead 17 Counsel billed 3.7 hours ($1,905.50) for this cut-and-paste work. (Moore Decl. Ex. 23, p. 32). 18 6. Counsel served its standard, template-based “set one” discovery July 28, 2022. 19 Counsel IgSs «6, set one” discovery included form interrogatories, special interrogatories, requests for 20 admission, and requests for production - the same requests that Counsel serves GM in every Song- 21 Beverly matter that Counsel files against GM. (See e.g., attached hereto as Exhibit C, discovery 22 requests from this case, and Exhibit D, discovery requests Counsel served in another GM case.) 23 Counsel billed another 3.7 hours ($1,295) for “drafting” this discovery. (Moore Decl., Ex. 23, p. 24 33.) 25 7 Counsel also served a Notice of Deposition for GM’s Person Most Qualified 26 27 28 DECLARATION OF ALEXANDRIA PAPPAS IN SUPPORT OF GM’S OPPOSITION TO COUNSEL’S MOTION FOR ATTORNEYS’ FEES (“PMQ”), unilaterally scheduling the deposition. See e.g., attached as Exhibit E, PMQ deposition notice from this case, and Exhibit F, PMQ deposition notice served in another case.) GM timely objected to the notice on September 15, 2022, stating that GM would be willing to produce its PMQ at a mutually agreeable time and place on certain categories within the scope of the issues in Plaintiff's case. 8 GM responded to Plaintiffs’ discovery requests on October 4, 2022. Neither Plaintiffs’ requests nor GM’s responses to those requests were novel nor varied significantly from prior cases. Indeed, Plaintiffs’ requests and GM’s responses vary so little from case-to-case that Counsel can readily deploy fill-in-the-blank meet-and-confer letters. Attached as Exhibit G are 10 discovery responses from this case and Exhibit H, another GM case for comparison). 11 9 Upon receiving GM’s responses to Plaintiffs’ discovery requests, Counsel sent GM 12 a templated letter masquerading as “meet and confer” correspondence complaining about GM’s 13 discovery responses. The letter is nearly identical to letters Counsel has sent in other cases and did 14 not aim to resolve any disputes; it simply listed so-called deficiencies in GM’s responses and 15 production making no effort to engage GM in good faith about the scope of discovery. (Compare 16 Exhibit I and Exhibit J.) 17 10. Plaintiff sent another email request on November 28, 2022, asking for deposition 18 dates for GM’s PMQ. The parties exchanged emails throughout December 2022, with GM 19 agreeing to seek a mutually agreeable time and place for the PMQ deposition. 20 ll. Despite GM GM’s willingness to produce its PMQ witness, Counsel went ahead 21 and filed his standard “cut and paste” Motion to Compel GM’s Person Most Qualified on February 22 29, 2023. Counsel’s motion and reply brief were not drafted from scratch; they are virtually 23 identical to motions that Counsel filed in scores of other cases against GM. (Compare Exhibit K 24 and Exhibit L.) The Court granted later granted the motion in part, but Plaintiffs motion 25 succeeded only in achieving what GM had already agreed to provide. Counsel “billed” 11.3 hours 26 ($3,955.00 ) related to this work (Moore Decl. Ex. 23, pp. 20-23, 25). 27 2 28 DECLARATION OF ALEXANDRIA PAPPAS IN SUPPORT OF GM’S OPPOSITION TO COUNSEL’S MOTION FOR ATTORNEYS’ FEES 12. On March 20, 2023, GM sent Plaintiff a Code-compliant Section 998 Offer, proposing to settle this entire lawsuit by paying Plaintiff's $109,100.00, plus $10,000.00 for attorney fees and costs (or fees by Motion). Plaintiff rejected the offer. 13. Beyond its basic canned discovery to GM, Counsel also served several “fill-in-the- form” deposition subpoenas on a non-party dealership, Motor City Buick. In September 2022, Plaintiffs served unilaterally scheduled deposition subpoenas on Motor City Buick’s person(s) most qualified, and two separate dealership technicians. The dealer employees and representative were non-party witnesses, not employed by GM, and separately represented, and GM made no attempt to block those depositions. No depositions of Motor City Buick or its employees ever took place, 10 and therefore this work did nothing to advance Plaintiff's case. Nevertheless, Counsel “billed” 1.7 11 hours ($875.50) for this work. (Moore Dec. Ex. 23, p.32.) 12 14. Plaintiff deposed GM’s PMK in July 2023. Incredibly, Counsel claims that he 13 devoted 17.7 hours ($6,195.00) to prepare for and take this deposition. (Moore Decl. Ex. 23, pp.12- 14 16.) 15 15. The case settled January 16, 2024 after a Mandatory Settlement Conference, for 16 $80,000, with attorney fees to be decided by motion. The settlement agreement was signed in 17 January 2024. 18 16. Plaintiff filed his Memorandum of Costs on February 15, 2024. On March 1, 2024, 19 GM filed its Motion to Strike Counsel’s Memorandum of Costs, asserting that Counsel’s costs 20 should be reduced by $336.41 to $1,653.20 in costs. 21 17. Plaintiffs’ Counsel’s fee demand in this case is largely identical to fee motions 22 Counsel has recently filed in other Song-Beverly cases against GM. Attached as Exhibit M is 23 another fee motion that demonstrates the templated nature of the instant fee motion. 24 18. A substantial amount of Counsel’s work is dedicated to breach of warranty actions 25 under Song-Beverly, where the issues presented are virtually identical from case to case. 26 19. In my experience defending cases involving breach of warranty claims, the issues 27 3 28 DECLARATION OF ALEXANDRIA PAPPAS IN SUPPORT OF GM’S OPPOSITION TO COUNSEL’S MOTION FOR ATTORNEYS’ FEES presented in this case were typical and the course of discovery, such as the written discovery, the discovery disputes, and the depositions, was largely routine. This case did not raise complex or novel procedural or substantive issues, and it settled within the statutory remedies for a Song- Beverly claim. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed March 20, 2024, in Orange, California. A lifandeinl? Pagpie: y 10 : Alexandria Pappas, Esq. Attorneys for Defendant 11 GENERAL MOTORS LLC 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 4 28 DECLARATION OF ALEXANDRIA PAPPAS IN SUPPORT OF GM’S OPPOSITION TO COUNSEL’S MOTION FOR ATTORNEYS’ FEES PROOF OF SERVICE I am employed in the County of Orange and my business address is 1592 N. Batavia St., Suite 1A, Orange, California 92867. I am over the age of 18 years and I am not a party to this action. I am readily familiar with the practices of ERSKINE LAW GROUP for the collection and processing of correspondence for mailing with the United States Postal Service. Such orrespondence is deposited with the United States Postal Service the same day in the ordinary course of business. On March 20, 2024, I served the foregoing document(s), bearing the title(s) DECLARATION OF ALEXANDRIA PAPPAS IN SUPPORT OF GENERAL MOTORS LLC’S OPPOSITION TO COUNSEL’S MOTION FOR ATTORNEYS’ FEES on the interested parties in the action as follows: [Xx] by placing [] the original [ X] a true copy thereof enclosed in a sealed envelope addressed as follows: CONSUMER LAW EXPERTS, PC. 10 800 Parkview Drive N El Segundo, CA 90245 11 Ph: 310-442-1410; Fx: 877-566-8828 12 ervice@nolemon.com 13 Ul (BY MAIL SERVICE) I placed such envelopes for collection and to be mailed on this date following ordinary business practices. 14 Q (BY PERSONAL SERVICE) I caused to be delivered such envelope by hand to the 15 office of the addressee. 16 0 (BY FACSIMILE) The document stated herein was transmitted by facsimile transmission and the transmission was reported as complete and without error. A transmission report was properly issued by the transmitting facsimile machine and a copy of said transmission 17 report is attached to the original proof of service indicating the time of transmission. 18 i] (BY NEXT DAY DELIVERY) I caused to be delivered such envelope by hand to the office of the addressee. 19 20 [xX] (BY E-MAIL) I served the above-mentioned document via electronic transmission per agreement of the parties. 21 [X] (State) I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 22 23 a] (Federal) I declare under penalty of perjury that I am employed by a member of the Bar of this Court, at whose direction this service is made. 24 25 Executed on March 20, 2024, at Orange, CA. Uh G5 b Signed: ———— 26 Michael Chung, Paralegal 27 28 DECLARATION OF ALEXANDRIA PAPPAS IN SUPPORT OF GM’S OPPOSITION TO COUNSEL’S MOTION FOR ATTORNEYS’ FEES Exhibit D DISC-001 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address). Benjeman Beck, SBN 268617; Nanzy Zhang SBN 294675; Matt Xie, SBN 317942 CONSUMER LAW EXPERTS, PC 5757 W. Century Blvd. Suite 500 Los Angel California 90045 TELEPHONE NO. (310) 442-1410 FAX NO. (Optional): (877) 566-8828 E-MAIL ADDRESS (Optiona): Matt@nolemon.com ATTORNEY FOR (Name): Plaintiff, SELVIN R. TORRES SUPERIOR COURT OF CALIFORNIA, COUNTY OF Los Angeles 600 E Broadway Glendale, CA 91206 SHORT TITLE OF CASE: TORRES V. GENERAL MOTORS LLC FORM INTERROGATORIES—GENERAL CASE NUMBER, Asking Party: Plaintiff 21GDCV00782 Answering Party: Defendant Set No. One (1) Sec. 1 Instructions to All Parties (c) Each answer must be as complete and straightforward (a) Interrogatories are written questions prepared by a party as the information reasonably available to you, including the to an action that are sent to any other party in the action to be information possessed by your attorneys or agents, permits. If answered under oath. The interrogatories below are form an interrogatory cannot be answered completely, answer it to interrogatories approved for use in civil cases, the extent possible. (b) For time limitations, requirements for service on other (d) If you do not have enough personal knowledge to fully parties, and other details, see Code of Civil Procedure answer an interrogatory, say so, but make a reasonable and sections 2030.010—2030.410 and the cases construing those good faith effort to get the information by asking other persons sections. or organizations, unless the information is equally available to (c) These form interrogatories do not change existing law the asking party. relating to interrogatories nor do they affect an answering (e) Whenever an interrogatory may be answered by party’s right to assert any privilege or make any objection referring to a document, the document may be attached as an exhibit to the response and referred to in the response. If the Sec. 2. Instructions to the Asking Party document has more than one page, refer to the page and (a) These interrogatories are designed for optional use by section where the answer to the interrogatory can be found. parties in unlimited civil cases where the amount demanded (f) Whenever an address and telephone number for the exceeds $25,000, Separate interrogatories, Form same person are requested in more than one interrogatory, Interrogatories—Limited Civil Cases (Economic Litigation) you are required to furnish them in answering only the first (form DISC-004), which have no subparts, are designed for interrogatory asking for that information use in limited civil cases where the amount demanded is $25,000 or less; however, those interrogatories may also be (g) If you are asserting a privilege or making an objection to an interrogatory, you must specifically assert the privilege or used in unlimited civil cases. state the objection in your written response. (b) Check the box next to each interrogatory that you want the answering party to answer. Use care in choosing those (h) Your answers to these interrogatories must be verified interrogatories that are applicable to the case. dated, and signed. You may wish to use the following form at (c) You may insert your own definition of INCIDENT in the end of your answers: Section 4, but only where the action arises from a course of | declare under penalty of perjury under the laws of the conduct or a series of events occurring over a period of time. State of California that the foregoing answers are true and (d) The interrogatories in section 16,0, Defendant’ correct. Contentions—Personal Injury, should not be used until the defendant has had a reasonable opportunity to conduct an (DATE) (SIGNATURE) investigation or discovery of plaintiff's injuries and damages. (e) Additional interrogatories may be attached. Sec. 4. Definitions Sec. 3. Instructions to the Answering Party Words in BOLDFACE CAPITALS in these interrogatories (a) An answer or other appropriate response must be are defined as follows: given to each interrogatory checked by the asking party. (a) (Check one of the following). (b) As a general rule, within 30 days after you are served (1) INCIDENT includes the circumstances and with these interrogatories, you must serve your responses on events surrounding the alleged accident, injury, or the asking party and serve copies of your responses on all other occurrence or breach of contract giving rise to other parties to the action who have appeared. See Code of this action or proceeding Civil Procedure sections 2030.260—2030.270 for details. Page 1 of 8 Form Approved for Optional Use Code of Civil Procedure, Judicial Council of California FORM INTERROGATORIES—GENERAL §§ 2030.010-2030,410, 203.710, DISC-001 [Rev January 1, 2008] www.courtinfo.ca.gov DISC-001 oO (2) INCIDENT means (insert your definition here or 1.0 Identity of Persons Answering These Interrogatories on a separate, attached sheet labeled “Sec. 1.1 State the name, ADDRESS, telephone number, and 4a) (2)’): relationship to you of each PERSON who prepared or assisted in the preparation of the responses to these interrogatories. (Do not identify anyone who simply typed or reproduced the responses.) 2.0 General Background Information—individual (b) YOU OR ANYONE ACTING ON YOUR BEHALF LD 2:1 state: includes you, your agents, your employees, your insurance (a) your name; companies, their agents, their employees, your attorneys, your (b) every name you have used in the past; and accountants, your investigators, and anyone else acting on (c) the dates you used each name. your behalf. (c) PERSON includes a natural person, firm, association, oO 2.2 State the date and place of your birth. organization, partnership, business, trust, limited liability company, corporation, or public entity. [J 2.3 At the time of the INCIDENT, did you have a driver's license? If so state: (d) DOCUMENT means a writing, as defined in Evidence (a) the state or other issuing entity; Code section 250, and includes the original or a copy of (b) the license number and type; handwriting, typewriting, printing, photostats, photographs, (c) the date of issuance; and electronically stored information, and every other means of (d) all restrictions. recording upon any tangible thing and form of communicating 2.4 At the time of the INCIDENT, did you have any other or representation, including letters, words, pictures, sounds, or permit or license for the operation of a motor vehicle? If so, symbols, or combinations of them. state: (e) HEALTH CARE PROVIDER includes any PERSON (a) the state or other issuing entity; referred to in Code of Civil Procedure section 667.7(e)(3). (b) the license number and type; (c) the date of issuance; and (f) ADDRESS means the street address, including the city, (d) all restrictions. state, and zip code. Sec. 5. Interrogatories LL 25 state: (a) your present residence ADDRESS; The following interrogatories have been approved by the (b) your residence ADDRESSES for the past five years; and Judicial Council under Code of Civil Procedure section 2033.710: (c) the dates you lived at each ADDRESS. CONTENTS J 26 state: 1.0 Identity of Persons Answering These Interrogatories (a) the name, ADDRESS, and telephone number of your 2.0 General Background Information—Individual present employer or place of self-employment; and 3.0 General Background Information—Business Entity (b) the name, ADDRESS, dates of employment, job title, 4.0 Insurance and nature of work for each employer or 5.0 [Reserved] self-employment you have had from five years before 6.0 Physical, Mental, or Emotional Injuries the INCIDENT until today. 7.0 Property Damage 8.0 Loss of Income or Earning Capacity 5 27 state: 9.0 Other Damages (a) the name and ADDRESS of each school or other 10.0 Medical History academic or vocational institution you have attended. 11,0 Other Claims and Previous Claims beginning with high school; 12.0 Investigation—General (b) the dates you attended; 13.0 Investigation—Surveillance (c) the highest grade level you have completed; and 14.0 Statutory or Regulatory Violations (d) the degrees received. 15.0 Denials and Special or Affirmative Defenses 16.0 Defendant's Contentions Personal Injury [JJ 2.8 Have you ever been convicted of a felony? If so, for 17.0 Responses to Request for Admissions each conviction state: 18.0 [Reserved] (a) the city and state where you were convicted; 19.0 [Reserved] (b) the date of conviction; 20.0 How the Incident Occurred—Motor Vehicle (c) the offense; and 25.0 [Reserved] (d) the court and case number. 30.0 [Reserved] 40.0 [Reserved] oO 2.9 Can you speak English with ease? If not, what 50.0 Contract language and dialect do you normally use? 60.0 [Reserved] 70.0 Unlawful Detainer [See separate form DISC-003] oO 2.10 Can you read and write English with ease? If not, what 101.0 Economic Litigation [See separate form DISC-004] language and dialect do you normally use? 200.0 Employment Law [See separate form DISC-002] Family Law [See separate form FL-145] DISC-007 (Rev. January 1, 2008) Page 2 of 8 FORM INTERROGATORIES—GENERAL DISC-001 Oo 2.11 Atthe time of the INCIDENT were you acting as an oO 3.4 Are you a joint venture? If so, state: agent or employee for any PERSON? If so, state: (a) the current joint venture name; (a) the name, ADDRESS, and telephone number of that (b) all other names used by the joint venture during the PERSON: and past 10 years and the dates each was used; (b) a description of your duties. (c) the name and ADDRESS of each joint venturer; and (d) the ADDRESS of the principal place of business. 2.12 At the time of the INCIDENT did you or any other person have any physical, emotional, or mental disability or 3.5 Are you an unincorporated association? condition that may have contributed to the occurrence of the If so, state: INCIDENT? If so, for each person state: (a) the current unincorporated association name; (a) the name, ADDRESS, and telephone number; (b) all other names used by the unincorporated association (b) the nature of the disability or condition; and during the past 10 years and the dates each was used; (c) the manner in which the disability or condition an contributed to the occurrence of the INCIDENT. (c) the ADDRESS of the principal place of business. 2.13 Within 24 hours before the INCIDENT did you or any 3.6 Have you done business under a fictitious name during person involved in the INCIDENT use or take any of the the past 10 years? If so, for each fictitious name state: following substances: alcoholic beverage, marijuana, or (a) the name; other drug or medication of any kind (prescription or not)? If (b) the dates each was used; so, for each person state: (c) the state and county of each fictitious name filing; and (a) the name, ADDRESS, and telephone number; (d) the ADDRESS of the principal place of business. (b) the nature or description of each substance; (c) the quantity of each substance used or taken; 3.7 Within the past five years has any public entity regis- (d) the date and time of day when each substance was used tered or licensed your business? If so, for each license or or taken; registration: (e) the ADDRESS where each substance was used or (a) identify the license or registration; taken; (b) state the name of the public entity; and (f) the name, ADDRESS, and telephone number of each (c) state the dates of issuance and expiration. person who was present when each substance was used or taken; and 4.0 Insurance (g) the name, ADDRESS, and telephone number of any HEALTH CARE PROVIDER who prescribed or furnished 4.1 Atthe time of the INCIDENT, was there in effect any the substance and the condition for which it was policy of insurance through which you were or might be prescribed or furnished. insured in any manner (for example, primary, pro-rata, or excess liability coverage or medical expense coverage) for 3.0 General Background Information—Business Entity the damages, claims, or actions that have arisen out of the 3.1 Are you a corporation? If so, state: INCIDENT? If so, for each policy state: (a) the name stated in the current articles of incorporation; (a) the kind of coverage; (b) all other names used by the corporation during the past (b) the name and ADDRESS of the insurance company; 10 years and the dates each was used; (c) the name, ADDRESS, and telephone number of each (c) the date and place of incorporation; named insured; (d) the ADDRESS of the principal place of business; and (d) the policy number; (e) whether you are qualified to do business in California. (e) the limits of coverage for each type of coverage con- tained in the policy; 3.2 Are you a partnership? If so, state: (f) whether any reservation of rights or controversy or (a) the current partnership name; overage dispute exists between you and the insurance (b) all other names used by the partnership during the past company; and 10 years and the dates each was used; (g) the name, ADDRESS, and telephone numberof the (c) whether you are a limited partnership and, if so, under custodian of the policy. the laws of what jurisdiction; (d) the name and ADDRESS of each general partner; and 4.2 Are you self-insured under any statute for the damages, (e) the ADDRESS of the principal place of business. claims, or actions that have arisen out of the INCIDENT? If so, specify the statute. 3.3 Are you a limited liability company? If so, state: (a) the name stated in the current articles of organization; 5.0 [Reserved] (b) all other names used by the company during the past 10 6.0 Physical, Mental, or Emotional Injuries years and the date each was used; (c) the date and place of filing of the articles of organization; (d) the ADDRESS of the principal place of business; and Oo 6.1 Do you attribute any physical, mental, or emotional injuries to the INCIDENT? (/f your answer is “no,” do not (e) whether you are qualified to do business in California. answer interrogatories 6.2 through 6.7). CO 6.2 Identify each injury you attribute to the INCIDENT and the area of your body affected. DISC-001 (Rev. January 1, 2008] FORM INTERROGATORIES—GENERAL Page 3 of 8 DISC-001 Oo 6.3 Do you still have any complaints that you attribute to (c) state the amount of damage you are claiming for each the INCIDENT? If so, for each complaint state: item of property and how the amount was calculated; and (a) a description; (d) if the property was sold, state the name, ADDRESS, and (b) whether the complaint is subsiding, remaining the same, telephone number of the seller, the date of sale, and the or becoming worse; and sale price. (c) the frequency and duration. O 6.4 Did you receive any consultation or examination 7.2 Has a written estimate or evaluation been made for any (except from expert witnesses covered by Code of Civil item of property referred to in your answer to the preceding Procedure sections 2034.210—2034.310) or treatment from a interrogatory? If so, for each estimate or evaluation state: HEALTH CARE PROVIDER for any injury you attribute to (a) the name, ADDRESS, and telephone number of the the INCIDENT? If so, for each HEALTH CARE PROVIDER PERSON who prepared it and the date prepared; state: (b) the name, ADDRESS, and telephone number of each (a) the name, ADDRESS, and telephone number; PERSON who has a copy of it; and (b) the type of consultation, examination, or treatment (c) the amount of damage stated. provided; (c) the dates you received consultation, examination, or treatment; and 7.3 Has any item of property referred to in your answer to (d) the charges to date. interrogatory 7.1 been repaired? If so, for each item state: (a) the date repaired; (b) a description of the repair; [J 65 Have you taken any medication, prescribed or not, as a result of injuries that you attribute to the INCIDENT? If so, (c) the repair cost; for each medication state: (d) the name, ADDRESS, and telephone number of the PERSON who repaired it; (a) the name; (b) the PERSON who prescribed or furnished it; (e) the name, ADDRESS, and telephone number of the (c) the date it was prescribed or furnished; PERSON who paid for the repair. (d) the dates you began and stopped taking it; and (e) the cost to date. 8.0 Loss of Income or Earning Capacity 8.1 Do you attribute any loss of income or earning capacity [1 66 Ate there any other medical services necessitated by to the INCIDENT? (/f your answer is “no,” do not answer the injuries that you attribute to the INCIDENT that were not interrogatories 8.2 through 8.8). previously listed (for example, ambulance, nursing, prosthetics)? If so, for each service state: 8.2 State: (a) the nature; (a) the nature of your work; (b) the date; (b) your job title at the time of the INCIDENT; and (c) the cost; and (c) the date your employment began. (d) the name, ADDRESS, and telephone number of each provider. 8.3 State the last date before the INCIDENT that you worked for compensation. O 6.7 Has any HEALTH CARE PROVIDER advised that you may require future or additional treatment for any injuries 8.4 State your monthly income at the time of the INCIDENT that you attribute to the INCIDENT? If so, for each injury and how the amount was calculated. state: (a) the name and ADDRESS of each HEALTH CARE 8.5 State the date you returned to work at each place of PROVIDER; employment following the INCIDENT. (b) the complaints for which the treatment was advised; and (c) the nature, duration, and estimated cost of the 8.6 State the dates you did not work and for which you lost treatment. income as a result of the INCIDENT. 7.0 Property Damage 8.7 State the total income you have lost to date as a result O 7.1 Do you attribute any loss of or damage to a vehicle or of the INCIDENT and how the amount was calculated. other property to the INCIDENT? If so, for each item of property: 8.8 Will you lose income in the future as a result of the (a) describe the property; INCIDENT? If so, state: (b) describe the nature and location of the damage to the (a) the facts upon which you base this contention; property; (b) an estimate of the amount; (c) an estimate of how long you will be unable to work; and (d) how the claim for future income is calculated. DISC-001 (Rev. January 1, 2008} FORM INTERROGATORIES—GENERAL Page 4 of 8 DISC-001 9.0 Other Damages (c) the court, names of the parties, and case number of any action filed; Oo 9.1 Are there any other damages that you attribute to the (d) the name, ADDRESS, and telephone number of any INCIDENT? If so, for each item of damage state: attorney representing you; (a) the nature; (b) the date it occurred; (e) whether the claim or action has been resolved or is (c) the amount; and pending; and (d) the name, ADDRESS, and telephone number of each (f) a description of the injury. PERSON to whom an obligation was incurred. 11.2 In the past 10 years have you made a written claim or demand for workers' compensation benefits? If so, for each 9.2 Do any DOCUMENTS support the existence or amount claim or demand state: of any item of damages claimed in interrogatory 9.1? If so, (a) the date, time, and place of the INCIDENT giving rise to describe each document and state the name, ADDRESS, the claim; and telephone number of the PERSON who has each (b) the name, ADDRESS, and telephone number of your DOCUMENT. employer at the time of the injury; (c) the name, ADDRESS, and telephone number of the workers’ compensation insurer and the claim number; 10.0 Medical History (d) the period of time during which you received workers’ Oo 10.1 At any time before the INCIDENT did you have com- compensation benefits; plaints or injuries that involved the same part of your body (e) a description of the injury; claimed to have been injured in the INCIDENT? If so, for (f) the name, ADDRESS, and telephone number of any each state: HEALTH CARE PROVIDER who provided services; and (a) a description of the complaint or injury; (g) the case number at the Workers’ Compensation Appeals (b) the dates it began and ended; and Board, (c) the name, ADDRESS, and telephone number of each HEALTH CARE PROVIDER whom you consulted or 12.0 Investigation—General who examined or treated you. 12.1 State the name, ADDRESS, and telephone number of each individual 10.2 List all physical, mental, and emotional disabilities you (a) who witnessed the INCIDENT or the events occurring had immediately before the INCIDENT. (You may omit immediately before or after the INCIDENT; mental or emotional disabilities unless you attribute any (b) who made any statement at the scene of the INCIDENT; mental or emotional injury to the INCIDENT.)