On September 27, 2019 a
Summons
was filed
involving a dispute between
Standard Insurance Company,
and
David Tefera,
for Civil-Roseville
in the District Court of Placer County.
Preview
_ a
ATTORNEYOR PARTY
POS-010
WITHOUTATTORNEY (Name,
State Bar number,
and address):
FORCOURT USEONLY
|_Jordan S. Altura/Margaret M. Drugan 209431/175324
Gordon Rees Scully Mansukhani, LLP
.633 West FifthStreet, 524 Floor
Los Angeles, California 90071
TELEPHONENO.: 213.576.5000 FAXNO.(Optional):
E-MAIL
ADDRESS(Optional):
ATTORNEYFOR (Name):Plaintiff,
STANDARD INSURANCE COMPANY
SUPERIOR COURT OF
ny 4% 9N4
CALIFORNIA, COUNTY OF PLACER N( UVyy
Lv Zui
‘ STREETADDRESS: 10820 Justice Center Drive
JaKE UnNnatie
ADDRESS:
MAILING
=xecutive ViTice
cityanozipcope: Roseville 95678 By:y E.
t
KaeKouvdos, De i
BRANCH NAME: Hon. Howard G. Gibson Courthouse
PLAINTIFF/PETITIONER: STANDARD INSURANCE COMPANY CASENUMBER:
SCV0043710
DEFENDANT/RESPONDENT: BAVID TEFERA, etc.,et al.
Ref.
No.or File No.:
PROOF OF SERVICE OF SUMMONS
(Separate proof of serviceisrequiredforeach partyserved.)
At thetime ofservice | wasat least18 years ofage and nota partyto thisaction.
_
2. | servedcopies of:
a. summons
WOOORR
complaint
AlternativeDispute Resolution (ADR) package
CivilCase Cover Sheet (served incomplex cases only)
cross-complaint
other (specifydocuments): CivilCase Cover Sheet and Notice ofCase Management Conference
. Party served (specifyname of partyas shown on documents served): AMANUEL TEFERA, a minor, by hisguardian ad -
o
»
— litem
b.[] Person (otherthanthe party initem 3a)served on behalf ofan entityor asan authorized agent (and not a person
under iter 5b on whom substituted servicewas made) (specifyname and relationshipto theparty named initem 3a):
4. Address where the party'was served:
5. | servedthe party(check proper box)
a.] by personal service. |personallydelivered thedocuments listedinitem 2 tothe partyor person authorized to
receive serviceof process forthe party(1)on (date): (2)at (time):
b.(]_ by substituted service. On (date): at(time): |left
the documents listedinitem 2 withor
inthe presence of (name and title
orrelationshiptoperson indicated initem 3):
a) (business) a person atleast18 years of age apparentlyin charge atthe officeorusual place ofbusiness
ofthe person to be served. | informedhim orher ofthe general nature ofthe papers.
(2) LJ (home) a competent member ofthe household (atleast18 years ofage) atthe dwelling house or usual
place ofabode ofthe party.| informedhim or herof thegeneral nature ofthe papers.
(3) Oo (physical address unknown) a person atleast18 years of age apparently incharge at theusual mailing
address of the person tobe served, otherthan a United StatesPostal Service post officebox.| informed
him or herof thegeneral nature ofthe papers.
(4) (1) | thereaftermailed (byfirst-class,
postage prepaid)copies of thedocuments tothe person tobe served
atthe place where the copies were left(Code Civ.Proc., §415.20). |mailed the documents on
(date): from (city): or[_] a declarationofmailing isattached.
(5) (J attach adeclaration ofdiligence statingactions takenfirsttoattempt personal service.
Page1 of 2
FormAdopted
for Mandatory
Judicial Council
Use
of California PROOF OF SERVICE OF SUMMONS Cageohanime any8 ANE
POS-010
[Rev.
January
1, 2007]
PLAINTIFF/PETITIONER: STANDARD INSURANCE COMPANY CASENUMBER:
SCV0043710
|DEFENDANT/RESPONDENT: DAVID TEFERA, etc.,et al.
5. c. J by mail and acknowledgment of receiptof service. | mailed
the documents listedinitem 2 tothe party,to the
address shown in item4, by first-class
mail,postage prepaid,
(1)on (date): (2)from (city):
(3) EX) with twocopies of theNotice and Acknowledgment ofReceipt and a postage-paid return envelope addressed
to me. (Attachcompleted Notice and Acknowledgement of Receipt.)(Code Civ. Proc.,§ 415.30.)
(4) (1) to an address outside California
with returnreceiptrequested. (Code Civ.Proc.,§ 415.40.)
d. [] by other means (specifymeans of serviceand authorizingcode section):
[-] Additionalpage describingservice isattached.
6. The "Notice tothe Person Served" (on thesummons) was completed as follows:
as an individualdefendant.
ooo
b as theperson sued under the fictitious
name of (specify):
c. as occupant.
d On behalf of(specify):
under the followingCode ofCivilProcedure section:
(-] 416.10 (corporation) 415.95
OOOOOO (business organization,form unknown)
[] 416.20 (defunct corporation) 416.60 (minor)
C1] 416.30 (jointstockcompany/association) 416.70 (ward or conservatee)
[-] 416.40 (association orpartnership) 416.90 (authorized person)
(-] 416.50 (publicentity) 415.46 (occupant)
other:
7. Person who served papers
a. Name: Monine Zerby
Address: 633 West Fifth Street,52" Floor,Los Angeles, California 90071
oangs
Telephone number: 213.576.5000
The fee forservice was: $
| am:
(1) KX] nota registeredCaliforniaprocess server.
(2) CO exempt from registration
under Business and Professions Code section22350(b).
(3) [J aregistered Californiaprocess server:
() (1 owner [J employee [] independent contractor.
(ii) RegistrationNo.:
(iii) County:
8. [XI declare under penalty of perjuryunder the laws ofthe Stateof California
thatthe foregoing istrueand correct.
or
9. [] lama California-sheriffor marshal and | certify
thatthe foregoingistrue and correct.
Date: November 14,2019
(NAMEOFPERSON WHO SERVEDPAPERS/SHERIFF
OR MARSHAL) ‘T
POS-010
[Rev.
January
1,2007] PROOF OF SERVICE OF SUMMONS Page2of2
American
LegaiNet,
Inc.
www.FormsWorkflow.com
Document Filed Date
November 15, 2019
Case Filing Date
September 27, 2019
Status
Closed Motion for Judgment Granted 03/29/2022
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_ a ATTORNEYOR PARTY POS-010 WITHOUTATTORNEY (Name, State Bar number, and address): FORCOURT USEONLY |_Jordan S. Altura/Margaret M. Drugan 209431/175324 Gordon Rees Scully Mansukhani, LLP .633 West FifthStreet, 524 Floor Los Angeles, California 90071 TELEPHONENO.: 213.576.5000 FAXNO.(Optional): E-MAIL ADDRESS(Optional): ATTORNEYFOR (Name):Plaintiff, STANDARD INSURANCE COMPANY SUPERIOR COURT OF ny 4% 9N4 CALIFORNIA, COUNTY OF PLACER N( UVyy Lv Zui ‘ STREETADDRESS: 10820 Justice Center Drive JaKE UnNnatie ADDRESS: MAILING =xecutive ViTice cityanozipcope: Roseville 95678 By:y E. t KaeKouvdos, De i BRANCH NAME: Hon. Howard G. Gibson Courthouse PLAINTIFF/PETITIONER: STANDARD INSURANCE COMPANY CASENUMBER: SCV0043710 DEFENDANT/RESPONDENT: BAVID TEFERA, etc.,et al. Ref. No.or File No.: PROOF OF SERVICE OF SUMMONS (Separate proof of serviceisrequiredforeach partyserved.) At thetime ofservice | wasat least18 years ofage and nota partyto thisaction. _ 2. | servedcopies of: a. summons WOOORR complaint AlternativeDispute Resolution (ADR) package CivilCase Cover Sheet (served incomplex cases only) cross-complaint other (specifydocuments): CivilCase Cover Sheet and Notice ofCase Management Conference . Party served (specifyname of partyas shown on documents served): AMANUEL TEFERA, a minor, by hisguardian ad - o » — litem b.[] Person (otherthanthe party initem 3a)served on behalf ofan entityor asan authorized agent (and not a person under iter 5b on whom substituted servicewas made) (specifyname and relationshipto theparty named initem 3a): 4. Address where the party'was served: 5. | servedthe party(check proper box) a.] by personal service. |personallydelivered thedocuments listedinitem 2 tothe partyor person authorized to receive serviceof process forthe party(1)on (date): (2)at (time): b.(]_ by substituted service. On (date): at(time): |left the documents listedinitem 2 withor inthe presence of (name and title orrelationshiptoperson indicated initem 3): a) (business) a person atleast18 years of age apparentlyin charge atthe officeorusual place ofbusiness ofthe person to be served. | informedhim orher ofthe general nature ofthe papers. (2) LJ (home) a competent member ofthe household (atleast18 years ofage) atthe dwelling house or usual place ofabode ofthe party.| informedhim or herof thegeneral nature ofthe papers. (3) Oo (physical address unknown) a person atleast18 years of age apparently incharge at theusual mailing address of the person tobe served, otherthan a United StatesPostal Service post officebox.| informed him or herof thegeneral nature ofthe papers. (4) (1) | thereaftermailed (byfirst-class, postage prepaid)copies of thedocuments tothe person tobe served atthe place where the copies were left(Code Civ.Proc., §415.20). |mailed the documents on (date): from (city): or[_] a declarationofmailing isattached. (5) (J attach adeclaration ofdiligence statingactions takenfirsttoattempt personal service. Page1 of 2 FormAdopted for Mandatory Judicial Council Use of California PROOF OF SERVICE OF SUMMONS Cageohanime any8 ANE POS-010 [Rev. January 1, 2007] PLAINTIFF/PETITIONER: STANDARD INSURANCE COMPANY CASENUMBER: SCV0043710 |DEFENDANT/RESPONDENT: DAVID TEFERA, etc.,et al. 5. c. J by mail and acknowledgment of receiptof service. | mailed the documents listedinitem 2 tothe party,to the address shown in item4, by first-class mail,postage prepaid, (1)on (date): (2)from (city): (3) EX) with twocopies of theNotice and Acknowledgment ofReceipt and a postage-paid return envelope addressed to me. (Attachcompleted Notice and Acknowledgement of Receipt.)(Code Civ. Proc.,§ 415.30.) (4) (1) to an address outside California with returnreceiptrequested. (Code Civ.Proc.,§ 415.40.) d. [] by other means (specifymeans of serviceand authorizingcode section): [-] Additionalpage describingservice isattached. 6. The "Notice tothe Person Served" (on thesummons) was completed as follows: as an individualdefendant. ooo b as theperson sued under the fictitious name of (specify): c. as occupant. d On behalf of(specify): under the followingCode ofCivilProcedure section: (-] 416.10 (corporation) 415.95 OOOOOO (business organization,form unknown) [] 416.20 (defunct corporation) 416.60 (minor) C1] 416.30 (jointstockcompany/association) 416.70 (ward or conservatee) [-] 416.40 (association orpartnership) 416.90 (authorized person) (-] 416.50 (publicentity) 415.46 (occupant) other: 7. Person who served papers a. Name: Monine Zerby Address: 633 West Fifth Street,52" Floor,Los Angeles, California 90071 oangs Telephone number: 213.576.5000 The fee forservice was: $ | am: (1) KX] nota registeredCaliforniaprocess server. (2) CO exempt from registration under Business and Professions Code section22350(b). (3) [J aregistered Californiaprocess server: () (1 owner [J employee [] independent contractor. (ii) RegistrationNo.: (iii) County: 8. [XI declare under penalty of perjuryunder the laws ofthe Stateof California thatthe foregoing istrueand correct. or 9. [] lama California-sheriffor marshal and | certify thatthe foregoingistrue and correct. Date: November 14,2019 (NAMEOFPERSON WHO SERVEDPAPERS/SHERIFF OR MARSHAL) ‘T POS-010 [Rev. January 1,2007] PROOF OF SERVICE OF SUMMONS Page2of2 American LegaiNet, Inc. www.FormsWorkflow.com