Order: DORIS MAYS VS. CITY AND COUNTY OF SAN FRANCISCO OFFICE OF THE

• 
• 
• 
• 
• 
• 
• 
• 

						
                                
Preview
                                Plaintiff's Claim and ORDER
to Go to Small Claims Court

Notice to the person being sued:

You are the defendant if your name is listed in ® on page 2 of this form.
The person suing you is the plaintiff, listed in (A) on page 2.

You and the plaintiff must go to court on the trial date listed below. If you
do not go to court, you may lose the case.

If you lose, the court can order that your wages, money, or property be
taken to pay this claim.

Bring witnesses, receipts, and any evidence you need to prove your case.

+ Read this form and all pages attached to understand the claim against you

and to protect your rights.

Aviso al Demandado:

Usted es el Demandado si su nombre figura en (2) de la pagina 2 de este
formulario. La persona que lo demanda es el Demandante, la que figura en
@ de la pagina 2.

Usted y el Demandante tienen que presentarse en la corte en la fecha del
juicio indicada a continuacién. Si no se presenta, puede perder el caso.

Si pierde el caso la corte podria ordenar que le quiten de su sueldo, dinero u
otros bienes para pagar este reclamo.

Lleve testigos, recibos y cualquier otra prueba que necesite para probar su
caso.

Clerk stamps date here when form is filed.

el

Francisoo Co,

hi 5 2020
t 4e COUR

>t
Denuty Clay

Fill in court name and street address:

Superior Court of California, County of

SMALL CLAIMS

SUPERIOR COURT
400 McALLISTER, ROOM 103
SAN FRANCISCO, CALIFORNIA 94102

Court fills in case number when form is filed.

“CSM 20 863506

Case Name:

nty Be ‘
NY Superior Cokri

RT

MAMAS) ES: ECSE

Lea este formulario y todas las paginas adjuntas para entender la demanda en su contra y para proteger sus derechos.

foe Tm Ce Cre om eres

The people in (4) and (2) must go to court: (Clerk fills out section below.)

> Date Time Department Name and address of court, if different from above
yo f[t5/z0 532mm 506 Sth Floor
2
3.
Date:__AUG-5 20a Clerk, by _<>>_ FY FS, Deputy

Instructions for the person suing:

You are the plaintiff. The person you are suing is the defendant. .

Before you fill out this form, read form SC-100-INFO, Information for the Plaintiff, to know your rights. Get SC-100-
INFO at any courthouse or county law library, or go to www.courts.ca.gov/smallclaims/forms.

Fill out pages 2 and 3 of this form. Then make copies of all pages of this form. (Make one copy for each party named in
this case and an extra copy for yourself.) Take or mail the original and these copies to the court clerk’s office and pay

the filing fee. The clerk will write the date of your trial in the box above.

You must have someone at least 18—not you or anyone else listed in this case—give each defendant a court-stamped
copy of all five pages of this form and any pages this form tells you to attach. There are special rules for “serving,” or
delivering, this form to public entities, associations, and some businesses. See forms SC-104, SC-104B, and SC-104C.

Go to court on your trial date listed above. Bring witnesses, receipts, and any evidence you need to prove your case.

Judicial Council of California, www.courts.ca.gov

Revised January 1, 2020, Mandatory Form

Code of Civil Procedure, §§ 116.110 et seq.,

116.220(¢), 116.340(9)

(Small Claims)

Plaintiff's Claim and ORDER
to Go to Smail Claims Court

SC-100, Page 1 of 5

—>Plaintiff (list names): }) ORIis WAYS Case Number:

@) The plaintiff (the person, business, or public entity that is suing) is:

Name: Do Ris AAAYS Phone: Yt =
Street address: 962 Goedtingen sé. Sau Francisco C4
Street City State Zip
Mailing address (if different):
Street City State Zip
If more than one plaintiff, list next plaintiff here:
Name: Phone:
Street address:
Street City State Zip
Mailing address (if different):
Street City State Zip

OO Check here if more than two plaintiffs and attach form SC-100A.

Check here if either plaintiff listed above is doing business under a fictitious name. If so, attach form SC-103.

1 Check here if any plaintiff is a “licensee” or “deferred deposit originator” (payday lender) under Financial
Code sections 23000 et seq.

@) The defendant (the person, business, or public entity being sued) is:

Name: City 4 County of S.F office of the City Att o ney Phone: 41S 55Y- 42 73
Street address: |BGo Mavket 3t, 7h ry SE CA P4162

Street City State Zip
Mailing address (if different):

Street City State Zip

If the defendant is a corporation, limited liability company, or public entity, list the person
or agent authorized for service of process here:

Name: Greey Glenn Job title, if known: C\aim Adjuster
Address: 1390 Mirke? st 3.6. CA 94/02
Street City State Zp

() Check here if your case is against more than one defendant, and attach form SC-100A.

) Check here if any defendant is on active military duty, and write his or her name here:

eect . 10,000.40 TS
@) The plaintiff claims the defendant owes $ Loreto (Explain below):
Bu

a. Why does the defendant owe the plaintiff money?

SEE AtHCHMENT

When did this happen? (Date):
b. If no specific date, give the time period: Date started: Through:

c. How did you calculate the money owed to you? (Do not include court costs or fees for service.)

Shoulder And Pain and Suffeving. Medicat Bins

O) Check here if you need more space. Attach one sheet of paper or form MC-031 and write “SC-100, Item 3” at
the top.

panied ley adaeo Plaintiff's Claim and ORDER to Go to Small Claims Court SC-100, Page 2 of 5
(Small Claims) >Plaintiff (list names): De mis mays Case Number:

(4) You must ask the defendant (in person, in writing, or by phone) to pay you before you
sue. If your claim is for possession of property, you must ask the defendant to give you

the property. Have you done this?
[Yes [No If no, explain why not:
BY Phone and Wrighting

@) Why are you filing your claim at this courthouse?
This courthouse covers the area (check the one that applies):

a. (1) Where the defendant lives or does business. (4) Where a contract (written or spoken) was made,
(2) Where the plaintiff's property was damaged. signed, performed, or broken by the defendant or
(3) Where the plaintiff was injured. where the defendant lived or did business when the

defendant made the contract.
b. CL) Where the buyer or lessee signed the contract, lives now, or lived when the contract was made, if this claim,
is about an offer or contract for personal, family, or household goods, services, or loans. (Code Civ. Proc.,
§ 395(b).)
Where the buyer signed the contract, lives now, or lived when the contract was made, if this claim is about a
retail installment contract (like a credit card). (Civ Code, § 1812.10.)
d. () Where the buyer signed the contract, lives now, or lived when the contract was made, or where the vehicle is
permanently garaged, if this claim is about a vehicle finance sale. (Civ Code, § 2984.4.)
e. () Other (specify):

oO

List the zip code of the place checked in (5) above (if you know): 94/02.

Is your claim about an attorney-client fee dispute? [] Yes [Xj No

If yes, and if you have had arbitration, fill out form SC-101, attach it to this form, and check here: (

Are you suing a public entity? ki Yes [J No

If yes, you must file a written claim with the entity first. [] A claim was filed on (date): 3-20. 20

If the public entity denies your claim or does not answer within the time allowed by law, you can file this form.

Have you filed more than 12 other small claims within the last 12 months in California?

Ol Yes [No _ I/fyes, the filing fee for this case will be higher.

Is your claim for more than $2,500? [Yes [1] No

If yes, I have not filed, and understand that I cannot file, more than two small claims cases for more than $2,500 in

California during this calendar year.

(an) | understand that by filing a claim in small claims court, | have no right to appeal this
claim.

I declare, under penalty of perjury under California State law, that the information above and on any attachments to this

form is true and correct.

© C©

® ©

Date: Dogis Mays > a

Plaintiff types or prints name here Plaintiff sighs here
Date:

Second plaintiff types or prints name here Second plaintiff signs here

Requests for Accommodations

Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter
services are available if you ask at least five days before the trial. Contact the clerk’s office for form
MC-410, Request for Accommodations by Persons With Disabilities and Response. (Civ. Code, § 54.8.)

Rowsed January 1, 2020 Plaintiff's Claim and ORDER to Go to Small Claims Court SC-100, Page 3 of 5
(Small Claims) >«

“Plauntif ft: Doris MAYS

page2ots $C 100
#3 The plaintiff claims the defendant owes $25,000.00.

A. Why does the defendant owe the plaintiff money? | was walking on Shrader Street | approached
the corner of Shrader and Grove Streets near 1 Shrader Street San Francisco, CA 94117. | tripped
and fell on the Yellow Curb Ramp. The damaged to the curb ramp and sidewalk caused me to
Injure my Left Knee, Right Hand and Right Shoulder.

The City and County of San Francisco, CA is totally responsible for the up keep and maintenance
for that Yellow Curb Ramp. For my and the public safety. Grace Glenn (claim Adjuster) sent me a
letter and we had a phone conversation. She stated the City and County of San Francisco was
responsible for maintaining that Yellow Curb Ramp and sidewalk at (1 Shrader St. S. F., CA 94117.RY ory Et] Information for the defendant (the person being sued)

"Small claims court” is a special court where clairns for
$10,000 or less are decided. Individuals, including “natural
persons" and sole proprietors, may claim up to $10,000.
Corporations, partnerships, public entities, and other ousinesses
are limited to claims of $5,000. (See below for exceptions.") The
process is quick and cheap. The rules are simple and informai.

You are the defendant—the person being sued. The person who is

suing you is the plaintiff.

Do | need a lawyer? You may talk to a lawyer before or after
the case. But you may not have a lawyer represent you in court
(unless this is an appeal from a small claims case).

How do | get ready for court? You don't have to file any

papers before your trial, unless you think this is the wrong court for

your case. But bring to your trial any witnesses, receipts, and
evidence that supports your case. And read “Be Prepared for Your
Trial” at www.courts.ca.gov/smaliclaims/prepare.

What if | need an accommodation? If you have a

disability or are hearing impaired, fill out form MC-410, Request for

Accommodations. Give the form to your court clerk or the ADA/
Access Coordinator.

What if I don’t speak English well? Ask the court clerk
as soon as possible for a court-provided interpreter. You may use
form INT-300 or local court form to request an interpreter. If a
court interpreter is not available at the time of your trial, it may be
necessary to reschedule your trial. You cannot bring your own
interpreter for the trial unless the interpreter has been approved
by the court as a certified, registered, or provisionally qualified
interpreter. (See Cal. Rules of Court, rule 2.893, and form
INT-140.)

Where can | get the court forms | need? Go to any

courthouse or your county law library, or print forms at www.

courts.ca.gov/smaliclaims/forms.

What happens at the trial? The judge will listen to both

sides. The judge may make a decision at your trial or mail the

decision to you later.

What if I lose the case7If you lose, you may appeal. You'll

have to pay a fee. (Plaintiffs cannot appeal their own claims.)

« If you were at the trial, file form SC-140, Notice of Appeal. You
must file within 30 days after the clerk hands or mails you the
judge's decision (judgment) on form SC-200 or form SC-130,
Notice of Entry of Judgment.

~ If you were not at the trial, fill out and file form SC-135, Notice of

Motion to Vacate Judgment and Declaration, to ask the judge to
cancel the judgment (decision). If the judge does not give you a
new trial, you have 10 days to appeal the decision. File form
SC-140.
For more information on appeals, see www.courts.ca.gov/
smaliclaims/appeals.

Do | have options?
Yes. If you are being sued, you can:

* Settle your case before the trial. If you and the
plaintiff agree on how to settle the case, the plaintiff must file
form CIV-110, Request for Dismissal, with the clerk. Ask the
Small Claims Advisor for help. .

* Prove this is the wrong court. Send a letter to the court
before your trial explaining why you think this is the wrong court.
Ask the court to dismiss the claim. You must serve (give) a copy
of your letter (by mail or in person) to all parties. (Your letter to
the court must say you have done so.)

Go to the trial and try to win your case. Bring
witnesses, receipts, and any evidence you need to prove your
case. To have the court order a witness to go to the trial, fill out
form SC-107 (Small Claims Subpoena) and have it served on
the witness.

Sue the person who is suing you. if you have a claim
against the plaintiff, and the claim is appropriate for small claims
court as described on this form, you may file Defendant's Claim
(form SC-120) and bring the claim in this action. If your claim is
for more than allowed in small claims court, you may still file it in
small claims court if you give up the amount over the small
claims value amount, or you may file a claim for the full value of
the claim in the appropriate court. If your claim is for more than
allowed in small claims court and relates to the same contract,
transaction, matter, or event that is the subject of the plaintiffs
claim, you may file your claim in the appropriate court and file a
motion to transfer the plaintiff's 's claim to that court to resolve
both matters together. You can see a description of the amounts
allowed in the paragraph above titled “Small Claims Court.”

Agree with the plaintiff's claim and pay the
money. Or, if you can't pay the money now, go to your trial
and say you want to make payments.

Let the case "default." If you don’t settle and do not go to
the trial (default), the judge may give the plaintiff what he or she
is asking for plus court costs. If this happens, the plaintiff can
legally take your money, wages, and property to pay the
judgment.

What if | need more time?

You can change the trial date if:

You cannot go to court on the scheduled date (you will have to
pay a fee to postpone the trial), or

You did not get served (receive this order to go to court) at least
15 days before the trial (or 20 days if you live outside the
county), or

You need more time to get an interpreter. One postponement is
, allowed, and you will not have to pay a fee to delay the trial.
Ask the Small Claims Clerk about the rules and fees for
postponing a trial. Or fill out form SC-150 (or write a letter) and
mail it to the court and to all other people listed on your court
papers before the deadline. Enclose a check for your court fees,
unless a fee waiver was granted.

Need help?
Your county's Small Claims Advisor can help for free.

4
i)

—
L_

Or go to www.courts.ca.gov/smaliclaims/advisor.

* Exceptions: Different limits apply in an action against a defendant who is a guarantor. (See Code Civ. Proc., § 116.220(c).)

Revised January 1, 2020

Plaintiff's Claim and ORDER to Go to Small Claims Court

SC-100, Page 4 of 5

(Small Claims)iy

Po} Otay ft!) Informacién para el demandado (la persona demandada)

La “Corte de reclamos menores” es una corte especial donde se
deciden casos por $10,000 o menos. Los individuos, 0 sea las
“personas fisicas” y los propietarios por cuenta propia, pueden
reclamar hasta $10,000. Las corporaciones, asociaciones, entidades
publicas y otras empresas solo pueden reclamar hasta $5,000. (Vea
abajo para las excepciones.*) El proceso es rapido y barato. Las
teglas son sencillas e informales. Usted es el Demandado—la
persona que se esta demandando. La persona que lo esta
demandando es el Demandante.

gNecesito un abogado? Puede hablar con un abogado antes 0
después del caso. Pero no puede tener a un abogado que lo
represente ante la corte (a menos que se trate de una apelacion de un
caso de reclamos menores).

~Como me preparo para ir a la corte? No tiene que presentar
ningunos papeles antes del juicio, a menos que piense que ésta es la
corte equivocada para su caso. Pero lleve al juicio cualquier testigos,
recibos y pruebas que apoyan su caso. Y lea “Esté preparado para su
juicio” en www.courts.ca.gov/reclamosrnenores/preparese.

~Qué hago si necesito una adaptacién? Si tiene una discapacidad
0 tiene impedimentos de audicién, llene el formulario MC-410,
Request for Accomodations. Entregue el formulario al secretario de la
corte o al Coordinador de Acceso/ADA de su corte.

~Qué pasa si no hablo bien inglés? Solicite un intérprete al
secretario de la corte lo mas pronto posible. Puede usar el formulario
INT-300 0 un formulario de su corte local. Si no esta disponible un
intérprete de la corte para su juicio, es posible que se tenga que
cambiar la fecha de su juicio. No puede llevar su propio intérprete
para el juicio a menos que el intérprete haya sido aprobado por la
corte como un intérprete certificado, registrado, o provisionalmente
calificado. (Vea la regla 2.893 de las Reglas de la Corte de California,
y el formulario INT-140.)

~Dénde puedo obtener los formularios de la corte que necesito?
Vaya a cualquier edificio de la corte, la biblioteca legal de su condado,
9 imprima los formularios en www.courts.ca.gov/ smallclaims/forms
(pagina esta en inglés).

~Qué pasa en el juicio? El juez escuchara a ambas partes. El juez
puede tomar su decisién durante la audiencia o enviarsela por correo
después.

zQué pasa si pierdo el caso? Si pierde, puede apelar. Tendré que
pagar una cuota. (El Demandante no puede apelar su propio reclamo.)
. Si estuvo presente en el juicio, llene el formulario SC-140, Aviso de
apelaci6n (Notice of Appeal). Tiene que presentarlo dentro de 30
dias después de que el secretario le entregue o envie la decision
(fallo) del juez en el formulario SC-200 0 SC-130, Aviso de
publicacién del fallo (Notice of Entry of Judgment).

Si no estuvo en el juicio, Ilene y presente el formulario SC-135,
Aviso de peticién para anular el fallo y Declaraci6n para pedirle al
juez que anule el fallo (decisién). Sila corte no le otorga un nuevo
juicio, tiene 10 dias para apelar la decision. Presente el formulario
SC-140.

Para obtener mas informacién sobre las apelaciones, vea www.
courts.ca.gov/reclamosmenores/apelaciones.

zTengo otras opciones? Si. Silo estan demandando, puede:

. Resolver su caso antes del juicio. Si usted y el Demandante se
ponen de acuerdo en como resolver el caso, el Demandante tiene
que presentar el formulario CIV-110, Solicitud de desestimacion
(Request for Dismissal) ante el secretario de !a corte. Pidale al
Asesor de Reclamos Menores que lo ayude.

. Probar que es la corte equivocada. Envie una carta a la corte
antes del juicio explicando por qué cree que es la corte
equivocada. Pidale a la corte que despida el reclamo.Tiene que
entregar (dar) una copia de su carta (por correo 0 en persona) a
todas las partes. (Su carta a la corte tiene que decir que hizo la
entrega.)
Ir al juicio y tratar de ganar el caso. Lleve testigos, recibos y
cualquier prueba que necesite para probar su caso. Si desea que
la corte emita una orden de comparecencia para que los testigos
vayan al juicio, Ilene el formulario SC-107, Citatorio de reclamos
menores (Small Claims Subpoena) y entrégueselo legalmente al
testigo.

. Demandar a la persona que lo demandé. Si tiene un reclamo
contra el Demandante, y el reclamo se puede presentar en la
corte de reclamos menores, tal como se describe en este
formulario, puede presentar el formulario SC-120, Reclamo del
demandado (Defendant's Claim) y presentarlo en este mismo
caso. Si su reclamo excede el limite permitido en la corte de
reclamos menores, puede igualmente presentarlo en la corte de
reclamos menores si esta dispuesto a limitar su reclamo al
maximo permitido, o puede presentar un reclamo por el monto
total en la corte apropiada. Si su reclamo excede el limite
permitido en fa corte de reclamos menores y esta relacionado con
el mismo contrato, transaccion, asunto o acontecimiento que el
reclamo del Demandante, puede presentar su reclamo en la corte
apropiada y presentar una mocién para transferir el reclamo del
Demandante a dicha corte, para poder resolver los dos reclamos
juntos. Puede ver una descripcién de los montos permitidos en el
parrafo anterior titulado “Corte de reclamos menores”.

. Aeptar el reclamo del Demandante y pagar el dinero. O, sino
puede pagar en ese momento, vaya al juicio y diga que quiere
hacer los pagos.

. Noir al juicio y aceptar el fallo por falta de comparecencia. Si
no llega a un acuerdo con el Demandante y no va al juicio (fallo
por falta de comparecencia), el juez le puede otorgar al
Demandante lo que esta reclamando mas los costos de la corte.
En ése caso, el Demandante legalmente puede tomar su dinero,
su suéldo 0 sus bienes para cobrar el fallo.

~Qué hago si necesito mas tiempo? Puede cambiar la fecha del

juicio si:

+ No puede ir a la corte en la fecha programada (tendra que pagar
una cuota para aplazar el juicio), o

+ No le entregaron los documentos legalmente (no recibié la orden
para ira la corte) por lo menos 15 dias antes del juicio (6 20 dias
si vive fuera del condado), o

+ Necésita’mas tiempo para conseguir intérprete. (Se permite un
solo aplazamiento sin tener que pagar cuota para aplazar el
juicio).

pdgotls al secretario de reclamos menores sobre las reglas y las

cuotas para aplazar un juicio. O Ilene el formulario SC-150 (0 escriba

una carta) y envielo antes del plazo a la corte y a todas las otras
personas que figuran en sus papeles de la corte. Adjunte un cheque
para pagar los costos de la corte, a menos que le hayan dado una
exenci6n.
Necesita ayuda? El Asesor de Reclamos Menores de su
condado le puede ayudar sin cargo.

O visite www. courts.ca.gov/reclamosmenores/asesores.

* Excepclones: Existen diferentes limites en un reclamo contra un garante. (Vea e! Cédigo de Procadimiento Civil, seccién 116.220 (c).)

Revised January 1, 2020 Reclamo del Demandante y ORDEN SC-100, Page 5 of 5

Para Ir a la Gorte de Reclamos Menores
(Reclamos Menores)

For your protection and privacy, please press the Clear

This Form button after you have printed the form. | Print this form | | Save this form |City AND COUNTY OF SAN FRANCISCO OFFICE OF THE CITY ATTORNEY

DENNIS J. HERRERA Grace Glenn
City Attorney Claims Adjuster

DirRECTDIAL: (415) 554-4273
E-MAIL: GRACE.GLENN@SFCITYATTY.ORG

November 13, 2019

Doris Mays
962 Goettingen Street
San Francisco, CA 94134

RE: — Claim of Doris Mays / Claim Number 20-00720

Department: DPWSTRP DPW Street Repair
Incident Date: August 20, 2019
Claim Filed: October 1, 2019
NOTICE OF ACTION UPON CLAIM PLEASE TAKE NOTICE THAT

An investigation of your claim filed with the City and County of San Francisco has revealed no indication
of liability on the part of the City and County. Accordingly, your claim is DENIED.

WARNING

Subject to certain exceptions, you have only six (6) months from the date this notice was personally
delivered or deposited in the mail to file a court action on this claim. See Government Code section
945.6. This time limitation applies only to causes of action arising under California law for which a claim
is mandated by the California Government Claims Act, Government Code sections 900 et. seq. Other
causes of action, including those arising under federal law, may have shorter time limitations for fi ling.

You may seek the advice of an attorney of your choice in connection with this matter. If you desire to
consult an attorney, you should do so immediately.

Please also be advised that, pursuant to Code of Civil Procedure sections 128.7 and 1038, the City and
County of San Francisco will seek to recover all costs of defense in the event an action is filed in this
matter and it is determined that the action was not brought in good faith and with reasonable cause.

Very truly yours,

DENNIS J. HERRERA

Claims Adjuster

Fox PLAZA -1390 MARKET STREET, 7TH FLOOR SAN FRANCISCO, CALIFORNIA 94102-5408
RECEPTION: (415) 554-3900 - FACSIMILE: (415) 554-8795

n:\claim\cl2019\20-00720\01406475.docxClaim of: Doris Mays Claim Filed: October 1, 2019

I, Grace M. Glenn, say: I am a citizen of the United States, over eighteen years of age,
and not a party to the within action; that I am employed by the City Attorney's Office of San
Francisco, Fox Plaza, 1390 Market Street, 7th Floor, San Francisco, CA 94102.

That on November 13, 2019 I served:
NOTICE OF ACTION UPON CLAIM
by placing a true copy thereof in an envelope addressed to:

Doris Mays
962 Goettingen Street
San Francisco, CA 94134

Following ordinary business practices, I sealed true and correct copies of the above
documents in addressed envelope(s) and placed them at my workplace for collection and mailing
with the United States Postal Service. I am readily familiar with the practices of the San
Francisco City Attorney's Office for collecting and processing mail. In the ordinary course of
business, the sealed envelope(s) that I placed for collection would be deposited, postage prepaid,
with the United States Postal Service that same day.

I declare under penalty of perjury that the foregoing is true and correct.

Executed on November 13, 2019 at San Francisco, California.

Bef

Grfce M. Glenn

DECLARATION OF SERVICE BY MAIL

n:\claim\cl2019\20-00720\01406479.docx