Preview
) ATTORNEY_ORPARTYWITHOUTATTORNEY
e
(Name,
State Bar number,
and address):
e@ jweagaynun
FURCUURI USEUNLY
— James Hawkins, SBN 192925
Isandra Fernandez,SBN 220482
JAMES HAWKINS APLC ’
9880 Research Dr., Suite200 Irvine,CA 92618 FIT ED
TELEPHONENO: ae 387-7200 Faxno.:(949) 387-6676 . Med
ATTORNEYFOR(Name): BELYN UGALE ALAMEDA COUNTY
SUPERIOR COURT OF CALIFORNIA,COUNTY OF Alameda
STREETADDRESS: 1225 Fallon St. MAR | Q 2 024
MAILING
ADDRESS:
cityanozip cove:
Oakland, 94612 OF THE SUPERIOR
prancyname: Rene C. Davidson Courthouse COUR’
CASE NAME: peer |
Ugale v. Stanford Health Care XC JOM UA) De
CIVIL CASE COVER SHEET Complex Case Designation CASENUMBER: T >
Unlimited [1] Limited [J counter [CJ Joinder Zanr\ CAR Qty
v . » . = /
(Amount (Amount JUDGE: S
demanded demanded is Filed
with first
appearance bydefendant ‘
exceeds $25,000) $25,000 orless) (Cal.Rules of Court,rule3.402) DEPT:
Items 1-6 below must be completed (see instructions
on page 2).
1. Check one box below forthecase type thatbestdescribes thiscase:
Auto Tort Contract Provisionally
Complex Civil
Litigation
Breach (06)
of contractiwarranty (Cal.RulesofCourt,rules3.400—3.403)
[|] Auto(22)
UUW
Uninsuredmotorist
(46) Rule3.740collections
(09) CL] AntitrusTraderegulation
(03)
Other PI/PD/WD (PersonalInjury/Property Othercollections
(09) [] Construction
defect(10)
Damage/Wrongful Death)Tort Insurancecoverage(18) Mass tort
(40)
Asbestos(04) Othercontract
(37) Securities
litigation
(28)
Productliability
(24) RealProperty C_] Environmental/Toxic
tort
(30)
Medicalmalpractice
(45) [__] Eminentdomain/inverse insurancecoverageclaimsarising
from the
OtherPIPDAWD (23) condemnation(14) above listed
provisionally
complex case
Non-PI/PDAWD (Other)Tort [_] wrongful
rongful eviction
(33 (3 )
eviction types(41)
|__} Businesstort/unfair
business
practice
(07) LJ] otherrealproperty
(26) Enforcement ofJudgment
L__} (08)
rights
Civil UnlawfulDetainer CJ Enforcement (20)
of judgment
|__] Defamation(13) Commercial (31) MiscellaneousCivilComplaint
|__| Fraud(16) {_] Residential
(32) CL] RICO (27)
T] intettectual
property(19) C] Drugs(38) Othercomplaint(not
specified
above)(42)
[} Professional
negligence
(25) JudicialReview MiscellaneousCivilPetition
L_] othernon-PYPDWD tort
(35) [_] Assetforfeiture
(05) Partnership
and corporate
governance(21)
Employment Petition
re:
arbitration
award (11) | Otherpetition
(not
specified
above)(43)
ro Wrongfultermination
(36) | Writof mandate(02)
Otheremployment (15) C Otherjudicial
review(39)
2. Thiscase LY} is L_] isnot complex under rule3.400 of theCaliforniaRulesof Court.If the
case iscomplex, mark the
factorsrequiringexceptionaljudicial
management:
a.CI Large number ofseparatelyrepresented parties d. Large number of witnesses
b. Extensive motion practiceraising
difficult
or novel —e.
CJ Coordinationwith relatedactionspending inone or more courts
issuesthat will
be time-consuming to resolve inother counties,states,
or countries,
or ina federalcourt
c.Lv] Substantialamount ofdocumentary evidence f._ Substantialpostjudgment judicial
supervision
Remedies sought (check all
thatapply): aLy] monetary b. nonmonetary; declaratoryor injunctive
relief —c.
[punitive
Aah w
Number ofcauses ofaction(specify):6
This case is {_) isnot aclass actionsuit. ws
. If there
are any known relatedcases,fileand servea noticeof relatedcase. (Youmay use formCM-015.) ,
Date: March 19, 2021
Isandra Fernandez
(TYPE
OR PRINTNAME) (SIGNATURE
OFPARTYOR ATTOBHRY FOR
PARTY)
ZF
NOTICE
« Plaintiff
must file
thiscover sheetwiththe first
paper filed
in theactionor proceeding (exceptsmall claimscases orcases filed
under the Probate Code, FamilyCode, orWelfare and Institutions
Code).(Cal. Rulesof Court,rule3.220.)Failuretofilemay result
insanctions.
* Filethiscover sheetin addition
to any cover sheetrequired bylocalcourtrule.
© If this
case iscomplex under rule3.400 etseq. ofthe California
Rules of Court,you must serve acopy of this
cover sheet on all
otherpartiesto theactionor proceeding.
e Unless thisisa collections
case under rule3.740 or acomplex case,thiscover sheetwillbe used forstatistical
purposes only. bor?
‘age 1
ol
FormAdopted
for Mandatory
Use Cal.
Rutes
of Court,
rules 2.30,
3.220,
3.4G0-3.403,
3.740;
Judicial Council
of Califomia CIVIL CASE COVER SHEET Cal. Standards
of Judicial Administration,
std. 3.10
CM-010
(Rev,
July
1, 2007} www.courtinio.ca.gov
CM-01
INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET 0
To Plaintiffs
and Others FilingFirst Papers. Ifyou are filing
a firstpaper (forexample, a complaint)in a civil
case, you must
complete and file,
along withyour first
paper,the Civil
Case Cover Sheet contained on page 1. Thisinformationwillbe used tocompile
statistics
about thetypes and numbers of cases filed.
You must complete items 1through 6 on the sheet. In item1, you must check
one box forthe case type thatbestdescribes thecase. If the
case fits
both a generaland amore specific
type ofcase listedinitem 1,
check the more specificone. Ifthecase has multiplecauses ofaction,check the box thatbest indicates
the primary cause of action.
To assistyou incompleting the sheet,examples ofthe cases thatbelong under each case type initem 1 areprovided below. A cover
sheet must be filedonlywithyour initial
paper.Failureto filea coversheetwith thefirst
paper filedina civil
case may subject aparty,
itscounsel,or bothtosanctions under rules2.30 and 3.220of theCaliforniaRules ofCourt.
To Partiesin Rule 3.740 Collections Cases. A “collections
case” under rule3.740 isdefined as an action forrecovery ofmoney
owed ina sum stated tobe certainthatisnot more than $25,000, exclusiveofinterestand attorney's
fees, arising
from a transactionin
which property,services,ormoney was acquired on credit.A collections
case does notincludean action seekingthe following:(1)tort
damages, (2) punitive damages, (3) recovery of realproperty, (4) recovery of personal property,or (5) a prejudgment writ of
attachment. The identification
of a case as a rule3.740 collectionscase on thisform means that it
willbe exempt from the general
time-for-service
requirements and case management rules,unless adefendant files
a responsive pleading. A rule3.740 collections
case willbesubject tothe requirementsforserviceand obtaining ajudgment inrule3.740.
To Parties in Complex Cases. Incomplex cases only,partiesmust alsouse the CivilCase Cover Sheet to designate whether the
case iscomplex. If
a plaintiff
believesthe case iscomplex under rule 3.400of the California
Rules of Court,thismust be indicatedby
completing theappropriate boxes initems 1and 2.If a
plaintiff
designatesa case as complex, the cover sheetmust beserved with the
complaint on allpartiesto theaction. A defendant may file
and serve no laterthan thetime of itsfirst
appearance a joinderin the
plaintiffs
designation,acounter-designationthatthe case isnot complex, or,if the
plaintiff
has made no designation,a designationthat
the case iscomplex.
CASE TYPES AND EXAMPLES
Auto Tort Contract Provisionally
Complex CivilLitigation
(Cal.
Auto(22)—Personal
Injury/Property Breachof Contract(Warranty
(06) Rules ofCourtRules 3.400-3.403)
Damage/Wrongful Death Breachof Rental/Lease Antitrust/Trade
Regulation(03)
UninsuredMotorist
(46)(/f the Contract
(notunlawful
detainer Construction
Defect(10)
case involves
an uninsured or wrongful
eviction) Claims Involving
Mass Tort(40)
motorist
claimsubjectto Contract(Warranty
Breach—Seller Securities
Litigation
(28)
arbitration,
checkthis
item Plaintiff
(notfraudornegligence) Environmental/Toxic
Tort(30)
insteadof Auto) Negligent
Breach ofContract/ InsuranceCoverage Claims
Other PI/PD/WD(Personal Injury/ Warranty (arising
from provisionally
complex
PropertyDamage/Wrongful Death) OtherBreach of Contract/Warranty casetypelisted
above)(41)
Tort Collections
(e.g.,
money owed, open Enforcement ofJudgment
Asbestos(04) book accounts)
(09) Enforcementof Judgment(20)
AsbestosPropertyDamage Collection
Case—Seller
Plaintiff Abstractof Judgment(Outof
Asbestos Personal
Injury/ OtherPromissoryNote/Collections County)
WrongfulDeath Case Confessionof Judgment(non-
ProductLiability
(not
asbestosor InsuranceCoverage(notprovisionally domesticrelations)
toxic/environmental)
(24) complex)(18) Sister
StateJudgment
MedicalMalpractice
(45) Auto Subrogation Administrative
Agency Award
MedicalMalpractice— OtherCoverage (not
unpaid taxes)
Physicians& Surgeons Other Contract
(37) Petition/Certification
ofEntryof
Other Professional
HealthCare Contractual
Fraud Judgmenton UnpaidTaxes
Matpractice OtherContractDispute OtherEnforcementofJudgment
OtherPI/PDMWD (23) RealProperty ase
PremisesLiability
(e.g.,
slip EminentDomain/Inverse MiscellaneousCivilComplaint
and fall) Condemnation(14) RICO (27)
Intentional
BodilyInjury/PD/WD WrongfulEviction
(33) Other Complaint(not
specified
(e.g.,
assault,
vandalism) above)(42)
Other RealProperty
(e.g.,
quiettitle)
(26)
Intentional
Infliction
of Declaratory
Relief
Only
WritofPossessionofRealProperty
EmotionalDistress Injunctive
ReliefOnly(non-
MortgageForeclosure
Negligent
infliction
of harassment)
QuietTitle
EmotionatDistress MechanicsLien
OtherReal Property
(noteminent
OtherP/PDAWD OtherCommercial Complaint
domain,landiordftenant,
or
Non-PUPD/WD (Other)Tort foreclosure) Case (non-tort/non-complex)
OtherCivil
Complaint
BusinessTort/Unfair
Business UnlawfulDetainer
(non-tort/non-complex)
Practice(07) Commercial(31)
MiscellaneousCivilPetition
Civil
Rights(e.g.,
discrimination, Residential
(32) Partnership
and Corporate
falsearrest)
(not
civil Drugs(38)(if the
caseinvolvesillegal Governance (21)
harassment)(08) drugs,checkthis
item;otherwise, Other Petition
(notspecified
Defamation(e.g.,
slander,
libel) report
as Commercialor Residential) above)(43)
(13) JudicialReview Civil
Harassment
Fraud(16) AssetForfeiture
(05)
WorkplaceViolence
Intellectual
Property(19) Petition
Re: Arbitration
Award(11) Elder/Dependent
Adult
Professional
Negligence(25) Writ
of Mandate(02) Abuse
LegalMalpractice Writ-Administrative
Mandamus
Election
Contest
OtherProfessional
Malpractice Writ-Mandamus on Limited
Court
Petition
for
Name Change
(notmedicalor legal) Case Matter Petition
forReliefFromLate
OtherNon-PI/PDWD Tort(35) Writ-OtherLimited
CourtCase
Employment Claim
Review OtherCivil
Petition
WrongfulTermination
(36)
OtherJudicial
Review (39)
OtherEmployment (15)
Review ofHealthOfficer
Order
Noticeof Appeal—Labor
CommissionerAppeals
CM-010
[Rev. July 1, 2007) Page2 of 2
CIVIL CASE COVER SHEET
* UnifiedRulesof the
superio( of California,
County of Alameda
al F.ADDENDUM TO CIVILCASE COVER SHEET
ShortTitle:Ugale v. Stanford Health Care ’
Case Number:
CIVIL CASE COVER SHEET ADDENDUM
THIS FORM ISREQUIRED INALL NEW UNLIMITED CIVILCASE FILINGS IN THE
SUPERIOR COURT OF CALIFORNIA, COUNTY OF ALAMEDA
[ ]Hayward HallofJustice (447)
[X] Oakland, Rene C. Davidson Alameda County Courthouse (446) [
Civi 75 eres Ee =
AutoTort Autotort(22) 34 Autotort(G)
Isthisan uninsuredmotoristcase? [ ]yes [ }no
OtherPI/PD / Asbestos(04) [ ] 75 Asbestos(D) ©
WD Tort Productliability
(24) {] 89 Productliability
(notasbestosortoxic
tort/environmental)
(G)
Medicalmalpractice
(45) [ J 97 Medicalmalpractice
(G) ,
OtherPI/PD/WD tort(23) tL] 33. OtherPI/PD/WD tort
(G) °
Non - PI/PD/ Bus tort / unfair
bus.practice
(07) [ J 79 ~~Bus tort
/ unfair
bus.practice
(G)
WD Tort Civil
rights
(08) [ ] 80 Civil
rights
(G)
Defamation(13) [ ] 84 Defamation(G)
Fraud(16) { ] 24 ~=Fraud
(G)
Intellectual
property(19) { ] 87 Intellectual
property(G)
Professional
negligence
(25) { ] 59 Professional
negligence
- non-medical
(G)
Othernon-Pl/PD/WD tort
(35) LJ 03 Othernon-Pl/PD/WD tort
(G)
Employment Wrongfultermination
(36) [ ] 38 Wrongfultermination
(G)
Otheremployment (15) (x 85 Otheremployment (G)
[] 53 Laborcomm award confirmation
[ J 54 _Notice
ofappeal- L.C.A.
Contract Breachcontract/ Wrnty
(06) [.] 04 Breachcontract
/ Wrenty
(G)
Collections
(09) -t)] 81 Collections
(G)
Insurancecoverage(18) { ] 86 Ins.
coverage - non-complex
(G)
Othercontract
(37) L.] 98 Othercontract
(G)
RealProperty Eminentdomain / Inv
Cdm (14) [ } 18 Eminentdomain / Inv
Cdm (G)
Wrongfuleviction
(33) [ } 17 Wrongfuleviction
(G)
Otherrealproperty
(26) {J 36 Otherrealproperty
(G)
UnlawfulDetainer |Commercial(31) [ } 94 UnlawfulDetainer
- commercial \sthedeft.inpossession
Residential
(32) [ ] 47 UnlawfulDetainer
- residential ofthe property?
Drugs (38) LJ 21 Unlawfuldetainer
- drugs []Yes [ ]No
Judicial
Review Assetforfeiture
(05) { ] 41‘ Assetforfeiture
Petition
re:
arbitration
award (11) [ ] 62 ‘Pet.
re:
arbitration
award
WritofMandate (02) { ] 49 Writofmandate
Isthis a CEQA action(Publ.Res.Codesection21000 etseq) [ ] Yes [ ]No
Otherjudicial
review
(39) [} 64 Otherjudicial
review
Provisionally Antitrust
/ Traderegulation
(03) { ] 77 ~~‘Antitrust
/ Traderegulation
Complex Construction
defect(10) [ ] 82 Construction
defect
Claimsinvolving
mass tort
(40) [ ] 78 Claimsinvolving
mass tort
Securities
litigation
(28) [.] 91 Securities
litigation
Toxictort
/ Environmental
(30) [ ]. 93 ‘Toxic
tort/ Environmental
Inscovrgfromcmplx casetype(41) L J 95 _Ins
covrgfromcomplex casetype
Enforcementof Enforcementof judgment(20) [ ] 19 Enforcementof judgment
Judgment L] 08 Confessionof judgment
MiscComplaint RICO (27) []. 90 RICO(G)
Partnership
/ Corp.
governance (21) [ ] 88 Partnership
/ Corp.
governance(G)
Othercomplaint(42) tL] 68 Allother
complaints(G)
Misc.Civil
Petition| Otherpetition
(43) { ] 06 Change ofname
{J 69 Otherpetition
202-19(5/1/00) A-13
Preview
) ATTORNEY_ORPARTYWITHOUTATTORNEY e (Name, State Bar number, and address): e@ jweagaynun FURCUURI USEUNLY — James Hawkins, SBN 192925 Isandra Fernandez,SBN 220482 JAMES HAWKINS APLC ’ 9880 Research Dr., Suite200 Irvine,CA 92618 FIT ED TELEPHONENO: ae 387-7200 Faxno.:(949) 387-6676 . Med ATTORNEYFOR(Name): BELYN UGALE ALAMEDA COUNTY SUPERIOR COURT OF CALIFORNIA,COUNTY OF Alameda STREETADDRESS: 1225 Fallon St. MAR | Q 2 024 MAILING ADDRESS: cityanozip cove: Oakland, 94612 OF THE SUPERIOR prancyname: Rene C. Davidson Courthouse COUR’ CASE NAME: peer | Ugale v. Stanford Health Care XC JOM UA) De CIVIL CASE COVER SHEET Complex Case Designation CASENUMBER: T > Unlimited [1] Limited [J counter [CJ Joinder Zanr\ CAR Qty v . » . = / (Amount (Amount JUDGE: S demanded demanded is Filed with first appearance bydefendant ‘ exceeds $25,000) $25,000 orless) (Cal.Rules of Court,rule3.402) DEPT: Items 1-6 below must be completed (see instructions on page 2). 1. Check one box below forthecase type thatbestdescribes thiscase: Auto Tort Contract Provisionally Complex Civil Litigation Breach (06) of contractiwarranty (Cal.RulesofCourt,rules3.400—3.403) [|] Auto(22) UUW Uninsuredmotorist (46) Rule3.740collections (09) CL] AntitrusTraderegulation (03) Other PI/PD/WD (PersonalInjury/Property Othercollections (09) [] Construction defect(10) Damage/Wrongful Death)Tort Insurancecoverage(18) Mass tort (40) Asbestos(04) Othercontract (37) Securities litigation (28) Productliability (24) RealProperty C_] Environmental/Toxic tort (30) Medicalmalpractice (45) [__] Eminentdomain/inverse insurancecoverageclaimsarising from the OtherPIPDAWD (23) condemnation(14) above listed provisionally complex case Non-PI/PDAWD (Other)Tort [_] wrongful rongful eviction (33 (3 ) eviction types(41) |__} Businesstort/unfair business practice (07) LJ] otherrealproperty (26) Enforcement ofJudgment L__} (08) rights Civil UnlawfulDetainer CJ Enforcement (20) of judgment |__] Defamation(13) Commercial (31) MiscellaneousCivilComplaint |__| Fraud(16) {_] Residential (32) CL] RICO (27) T] intettectual property(19) C] Drugs(38) Othercomplaint(not specified above)(42) [} Professional negligence (25) JudicialReview MiscellaneousCivilPetition L_] othernon-PYPDWD tort (35) [_] Assetforfeiture (05) Partnership and corporate governance(21) Employment Petition re: arbitration award (11) | Otherpetition (not specified above)(43) ro Wrongfultermination (36) | Writof mandate(02) Otheremployment (15) C Otherjudicial review(39) 2. Thiscase LY} is L_] isnot complex under rule3.400 of theCaliforniaRulesof Court.If the case iscomplex, mark the factorsrequiringexceptionaljudicial management: a.CI Large number ofseparatelyrepresented parties d. Large number of witnesses b. Extensive motion practiceraising difficult or novel —e. CJ Coordinationwith relatedactionspending inone or more courts issuesthat will be time-consuming to resolve inother counties,states, or countries, or ina federalcourt c.Lv] Substantialamount ofdocumentary evidence f._ Substantialpostjudgment judicial supervision Remedies sought (check all thatapply): aLy] monetary b. nonmonetary; declaratoryor injunctive relief —c. [punitive Aah w Number ofcauses ofaction(specify):6 This case is {_) isnot aclass actionsuit. ws . If there are any known relatedcases,fileand servea noticeof relatedcase. (Youmay use formCM-015.) , Date: March 19, 2021 Isandra Fernandez (TYPE OR PRINTNAME) (SIGNATURE OFPARTYOR ATTOBHRY FOR PARTY) ZF NOTICE « Plaintiff must file thiscover sheetwiththe first paper filed in theactionor proceeding (exceptsmall claimscases orcases filed under the Probate Code, FamilyCode, orWelfare and Institutions Code).(Cal. Rulesof Court,rule3.220.)Failuretofilemay result insanctions. * Filethiscover sheetin addition to any cover sheetrequired bylocalcourtrule. © If this case iscomplex under rule3.400 etseq. ofthe California Rules of Court,you must serve acopy of this cover sheet on all otherpartiesto theactionor proceeding. e Unless thisisa collections case under rule3.740 or acomplex case,thiscover sheetwillbe used forstatistical purposes only. bor? ‘age 1 ol FormAdopted for Mandatory Use Cal. Rutes of Court, rules 2.30, 3.220, 3.4G0-3.403, 3.740; Judicial Council of Califomia CIVIL CASE COVER SHEET Cal. Standards of Judicial Administration, std. 3.10 CM-010 (Rev, July 1, 2007} www.courtinio.ca.gov CM-01 INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET 0 To Plaintiffs and Others FilingFirst Papers. Ifyou are filing a firstpaper (forexample, a complaint)in a civil case, you must complete and file, along withyour first paper,the Civil Case Cover Sheet contained on page 1. Thisinformationwillbe used tocompile statistics about thetypes and numbers of cases filed. You must complete items 1through 6 on the sheet. In item1, you must check one box forthe case type thatbestdescribes thecase. If the case fits both a generaland amore specific type ofcase listedinitem 1, check the more specificone. Ifthecase has multiplecauses ofaction,check the box thatbest indicates the primary cause of action. To assistyou incompleting the sheet,examples ofthe cases thatbelong under each case type initem 1 areprovided below. A cover sheet must be filedonlywithyour initial paper.Failureto filea coversheetwith thefirst paper filedina civil case may subject aparty, itscounsel,or bothtosanctions under rules2.30 and 3.220of theCaliforniaRules ofCourt. To Partiesin Rule 3.740 Collections Cases. A “collections case” under rule3.740 isdefined as an action forrecovery ofmoney owed ina sum stated tobe certainthatisnot more than $25,000, exclusiveofinterestand attorney's fees, arising from a transactionin which property,services,ormoney was acquired on credit.A collections case does notincludean action seekingthe following:(1)tort damages, (2) punitive damages, (3) recovery of realproperty, (4) recovery of personal property,or (5) a prejudgment writ of attachment. The identification of a case as a rule3.740 collectionscase on thisform means that it willbe exempt from the general time-for-service requirements and case management rules,unless adefendant files a responsive pleading. A rule3.740 collections case willbesubject tothe requirementsforserviceand obtaining ajudgment inrule3.740. To Parties in Complex Cases. Incomplex cases only,partiesmust alsouse the CivilCase Cover Sheet to designate whether the case iscomplex. If a plaintiff believesthe case iscomplex under rule 3.400of the California Rules of Court,thismust be indicatedby completing theappropriate boxes initems 1and 2.If a plaintiff designatesa case as complex, the cover sheetmust beserved with the complaint on allpartiesto theaction. A defendant may file and serve no laterthan thetime of itsfirst appearance a joinderin the plaintiffs designation,acounter-designationthatthe case isnot complex, or,if the plaintiff has made no designation,a designationthat the case iscomplex. CASE TYPES AND EXAMPLES Auto Tort Contract Provisionally Complex CivilLitigation (Cal. Auto(22)—Personal Injury/Property Breachof Contract(Warranty (06) Rules ofCourtRules 3.400-3.403) Damage/Wrongful Death Breachof Rental/Lease Antitrust/Trade Regulation(03) UninsuredMotorist (46)(/f the Contract (notunlawful detainer Construction Defect(10) case involves an uninsured or wrongful eviction) Claims Involving Mass Tort(40) motorist claimsubjectto Contract(Warranty Breach—Seller Securities Litigation (28) arbitration, checkthis item Plaintiff (notfraudornegligence) Environmental/Toxic Tort(30) insteadof Auto) Negligent Breach ofContract/ InsuranceCoverage Claims Other PI/PD/WD(Personal Injury/ Warranty (arising from provisionally complex PropertyDamage/Wrongful Death) OtherBreach of Contract/Warranty casetypelisted above)(41) Tort Collections (e.g., money owed, open Enforcement ofJudgment Asbestos(04) book accounts) (09) Enforcementof Judgment(20) AsbestosPropertyDamage Collection Case—Seller Plaintiff Abstractof Judgment(Outof Asbestos Personal Injury/ OtherPromissoryNote/Collections County) WrongfulDeath Case Confessionof Judgment(non- ProductLiability (not asbestosor InsuranceCoverage(notprovisionally domesticrelations) toxic/environmental) (24) complex)(18) Sister StateJudgment MedicalMalpractice (45) Auto Subrogation Administrative Agency Award MedicalMalpractice— OtherCoverage (not unpaid taxes) Physicians& Surgeons Other Contract (37) Petition/Certification ofEntryof Other Professional HealthCare Contractual Fraud Judgmenton UnpaidTaxes Matpractice OtherContractDispute OtherEnforcementofJudgment OtherPI/PDMWD (23) RealProperty ase PremisesLiability (e.g., slip EminentDomain/Inverse MiscellaneousCivilComplaint and fall) Condemnation(14) RICO (27) Intentional BodilyInjury/PD/WD WrongfulEviction (33) Other Complaint(not specified (e.g., assault, vandalism) above)(42) Other RealProperty (e.g., quiettitle) (26) Intentional Infliction of Declaratory Relief Only WritofPossessionofRealProperty EmotionalDistress Injunctive ReliefOnly(non- MortgageForeclosure Negligent infliction of harassment) QuietTitle EmotionatDistress MechanicsLien OtherReal Property (noteminent OtherP/PDAWD OtherCommercial Complaint domain,landiordftenant, or Non-PUPD/WD (Other)Tort foreclosure) Case (non-tort/non-complex) OtherCivil Complaint BusinessTort/Unfair Business UnlawfulDetainer (non-tort/non-complex) Practice(07) Commercial(31) MiscellaneousCivilPetition Civil Rights(e.g., discrimination, Residential (32) Partnership and Corporate falsearrest) (not civil Drugs(38)(if the caseinvolvesillegal Governance (21) harassment)(08) drugs,checkthis item;otherwise, Other Petition (notspecified Defamation(e.g., slander, libel) report as Commercialor Residential) above)(43) (13) JudicialReview Civil Harassment Fraud(16) AssetForfeiture (05) WorkplaceViolence Intellectual Property(19) Petition Re: Arbitration Award(11) Elder/Dependent Adult Professional Negligence(25) Writ of Mandate(02) Abuse LegalMalpractice Writ-Administrative Mandamus Election Contest OtherProfessional Malpractice Writ-Mandamus on Limited Court Petition for Name Change (notmedicalor legal) Case Matter Petition forReliefFromLate OtherNon-PI/PDWD Tort(35) Writ-OtherLimited CourtCase Employment Claim Review OtherCivil Petition WrongfulTermination (36) OtherJudicial Review (39) OtherEmployment (15) Review ofHealthOfficer Order Noticeof Appeal—Labor CommissionerAppeals CM-010 [Rev. July 1, 2007) Page2 of 2 CIVIL CASE COVER SHEET * UnifiedRulesof the superio( of California, County of Alameda al F.ADDENDUM TO CIVILCASE COVER SHEET ShortTitle:Ugale v. Stanford Health Care ’ Case Number: CIVIL CASE COVER SHEET ADDENDUM THIS FORM ISREQUIRED INALL NEW UNLIMITED CIVILCASE FILINGS IN THE SUPERIOR COURT OF CALIFORNIA, COUNTY OF ALAMEDA [ ]Hayward HallofJustice (447) [X] Oakland, Rene C. Davidson Alameda County Courthouse (446) [ Civi 75 eres Ee = AutoTort Autotort(22) 34 Autotort(G) Isthisan uninsuredmotoristcase? [ ]yes [ }no OtherPI/PD / Asbestos(04) [ ] 75 Asbestos(D) © WD Tort Productliability (24) {] 89 Productliability (notasbestosortoxic tort/environmental) (G) Medicalmalpractice (45) [ J 97 Medicalmalpractice (G) , OtherPI/PD/WD tort(23) tL] 33. OtherPI/PD/WD tort (G) ° Non - PI/PD/ Bus tort / unfair bus.practice (07) [ J 79 ~~Bus tort / unfair bus.practice (G) WD Tort Civil rights (08) [ ] 80 Civil rights (G) Defamation(13) [ ] 84 Defamation(G) Fraud(16) { ] 24 ~=Fraud (G) Intellectual property(19) { ] 87 Intellectual property(G) Professional negligence (25) { ] 59 Professional negligence - non-medical (G) Othernon-Pl/PD/WD tort (35) LJ 03 Othernon-Pl/PD/WD tort (G) Employment Wrongfultermination (36) [ ] 38 Wrongfultermination (G) Otheremployment (15) (x 85 Otheremployment (G) [] 53 Laborcomm award confirmation [ J 54 _Notice ofappeal- L.C.A. Contract Breachcontract/ Wrnty (06) [.] 04 Breachcontract / Wrenty (G) Collections (09) -t)] 81 Collections (G) Insurancecoverage(18) { ] 86 Ins. coverage - non-complex (G) Othercontract (37) L.] 98 Othercontract (G) RealProperty Eminentdomain / Inv Cdm (14) [ } 18 Eminentdomain / Inv Cdm (G) Wrongfuleviction (33) [ } 17 Wrongfuleviction (G) Otherrealproperty (26) {J 36 Otherrealproperty (G) UnlawfulDetainer |Commercial(31) [ } 94 UnlawfulDetainer - commercial \sthedeft.inpossession Residential (32) [ ] 47 UnlawfulDetainer - residential ofthe property? Drugs (38) LJ 21 Unlawfuldetainer - drugs []Yes [ ]No Judicial Review Assetforfeiture (05) { ] 41‘ Assetforfeiture Petition re: arbitration award (11) [ ] 62 ‘Pet. re: arbitration award WritofMandate (02) { ] 49 Writofmandate Isthis a CEQA action(Publ.Res.Codesection21000 etseq) [ ] Yes [ ]No Otherjudicial review (39) [} 64 Otherjudicial review Provisionally Antitrust / Traderegulation (03) { ] 77 ~~‘Antitrust / Traderegulation Complex Construction defect(10) [ ] 82 Construction defect Claimsinvolving mass tort (40) [ ] 78 Claimsinvolving mass tort Securities litigation (28) [.] 91 Securities litigation Toxictort / Environmental (30) [ ]. 93 ‘Toxic tort/ Environmental Inscovrgfromcmplx casetype(41) L J 95 _Ins covrgfromcomplex casetype Enforcementof Enforcementof judgment(20) [ ] 19 Enforcementof judgment Judgment L] 08 Confessionof judgment MiscComplaint RICO (27) []. 90 RICO(G) Partnership / Corp. governance (21) [ ] 88 Partnership / Corp. governance(G) Othercomplaint(42) tL] 68 Allother complaints(G) Misc.Civil Petition| Otherpetition (43) { ] 06 Change ofname {J 69 Otherpetition 202-19(5/1/00) A-13