On February 07, 2022 a
SKMBT_42322021717430
was filed
in the District Court of Sonoma County.
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Attorney or Party without Attorney (Name, Address, Telephone, Fax, Court Use Only
State Bar membership number):
Lawrence D. Murray (SBN 77536), Murray & Associates
650 5th Street, Suite 514, Sah Francisco, CA 94107, 415-673-0555
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN MATEO
Hsi( of Justice and Records
400 County Center
Redwood City, CA 94063-1655 (650) 261-5100
Plaintiff(s): Case number;
Grace Santos
21-C IV-03731
Defendant(s): Current CMC Date;
Kohl's Inc.
STIPULATION AND ORDER TO APPROPRIATE DISPUTE RESOLUTION
Plaintiff will file this stipulation with the Clerk's Deice 10 days prior to or 3 weeks following the first
Case Management Conference or Order to ADR unless directed otherwise by the Court and ADR
Department [Local Rule 3.904(b)]. Please attach a Service List.
T he parties hereby stipulate that all claims in this action shall be submitted to (select one):
'oluntary Mediation 0 Binding Arbitration(private)
0 Neutral Evaluation Settlement Conference (private)
O Non-Binding Judicial Arbitration CCP 1141.12 Summary Jury Trial OO Other:
Personal InjurY
Case
C T
Type:
Neutral's name and telephone number: charlohe venner; 415-302-1060 Date o f session:
(Ret(uired for continuance of CMC except for non-binding judicial arbitration)
Identifyby name the parties to attend ADR session: Grace Snntns nnd Kohl's
Inc.
Original Signator~a
Lawrence D. Murray
Q Party without ettomey
Type or print name of Q Attorrey for
Crystal L. Van
Q Defendant/Respondent/Contestant
El Plsintiff/Pethtoner
Der Putten
"n~v'---" I
Q Party without nttomey I3 Attorney
Tyne or print name of for (Signeture)
Q Plsintiff/Petinoner El Defendant/Respondent/Contestant Attorneyor Party without ettnmey
Q Party without ettemey
Type or print name of LJ Attorney for (Signetute)
Q Defendent/Respondent/Centestent
Q Plsuttiff/Pentinner Attorney or Party without ettomey
T QPsrty without sttnmey
e or pnnt name of Q Attorneyfor (Signeture)
Q DefendenuRespendent/Centestnnt
Plsintitr/Petitioner
Attorneynr without
Party ettumey
IT IS SO ORDERED:
Date: Judicial Officer of the Superior Court of Ssn Mateo County
Form ADR-CV-1 [Rev. July 2021]
1 PROOF OF SERVICE
1 am employed in the City and County of San Francisco, State of California. I am over the age ol
18 and not a party to the within action. My business address is 650 5'" Street, Suite 514, San Francisco,
California 94107; (415) 673-0555. On this date, I served the following document(s): STIPULATION
AND ORDER TO ADR on the interested parties in this action as follows:
Crystal L. Van Der Putten
Livingston Law Firm
1600 S. Main Street, Suite 280
Walnut Creek, CA 94596
Tel: (925) 952-9880
Fax: (925) 952-9881
10 cvandernutten@livinustonlawvers.corn
mramirezRlivinastonlawvers.corn
12
[ ] [BY PERSONAL SERVICE] I caused such envelope(s) to be delivered by hand to the above
13 address(es).
[XX] [BY EMAIL] 1 caused such document(s) to be served on the parties listed in this action via
email to the email addresses shown above.
[ ] [BY MAIL] I caused envelope(s) with postage thereon fully prepaid to be placed in the
United States mail at San Francisco, California, addressed as shown above.
17
1S
[XX] [BY E-SERVICE] I caused such document(s), as required by the Court's Order Mandating
Electronic Filing and Service, to be served on the parties listed in this action via e-service. The
transmission was reported as complete and without error. A copy of the filing receipt will be
maintained with the document(s) in our file.
20
21 [ ] [BY PERSONAL SERVICE BY FAX] I caused the above entitled document(s) to be
personally served on the above shown parties by facsimile transmission on the date shown below
22 by confirming the fax phone number with the law office shown above then (a) transmitting it via
the fax machine within this office, and (b) receiving a receipt from the machine within this office
23 confirming all documents sent were in fact properly received.
24
I declare under penalty of perjury under the laws of the State of California that the above is true
and correct. Executed in San Francisco, California, on February 17, 2022.
26
27
28
9f
Document Filed Date
February 17, 2022
Case Filing Date
February 07, 2022
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Attorney or Party without Attorney (Name, Address, Telephone, Fax, Court Use Only State Bar membership number): Lawrence D. Murray (SBN 77536), Murray & Associates 650 5th Street, Suite 514, Sah Francisco, CA 94107, 415-673-0555 SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN MATEO Hsi( of Justice and Records 400 County Center Redwood City, CA 94063-1655 (650) 261-5100 Plaintiff(s): Case number; Grace Santos 21-C IV-03731 Defendant(s): Current CMC Date; Kohl's Inc. STIPULATION AND ORDER TO APPROPRIATE DISPUTE RESOLUTION Plaintiff will file this stipulation with the Clerk's Deice 10 days prior to or 3 weeks following the first Case Management Conference or Order to ADR unless directed otherwise by the Court and ADR Department [Local Rule 3.904(b)]. Please attach a Service List. T he parties hereby stipulate that all claims in this action shall be submitted to (select one): 'oluntary Mediation 0 Binding Arbitration(private) 0 Neutral Evaluation Settlement Conference (private) O Non-Binding Judicial Arbitration CCP 1141.12 Summary Jury Trial OO Other: Personal InjurY Case C T Type: Neutral's name and telephone number: charlohe venner; 415-302-1060 Date o f session: (Ret(uired for continuance of CMC except for non-binding judicial arbitration) Identifyby name the parties to attend ADR session: Grace Snntns nnd Kohl's Inc. Original Signator~a Lawrence D. Murray Q Party without ettomey Type or print name of Q Attorrey for Crystal L. Van Q Defendant/Respondent/Contestant El Plsintiff/Pethtoner Der Putten "n~v'---" I Q Party without nttomey I3 Attorney Tyne or print name of for (Signeture) Q Plsintiff/Petinoner El Defendant/Respondent/Contestant Attorneyor Party without ettnmey Q Party without ettemey Type or print name of LJ Attorney for (Signetute) Q Defendent/Respondent/Centestent Q Plsuttiff/Pentinner Attorney or Party without ettomey T QPsrty without sttnmey e or pnnt name of Q Attorneyfor (Signeture) Q DefendenuRespendent/Centestnnt Plsintitr/Petitioner Attorneynr without Party ettumey IT IS SO ORDERED: Date: Judicial Officer of the Superior Court of Ssn Mateo County Form ADR-CV-1 [Rev. July 2021] 1 PROOF OF SERVICE 1 am employed in the City and County of San Francisco, State of California. I am over the age ol 18 and not a party to the within action. My business address is 650 5'" Street, Suite 514, San Francisco, California 94107; (415) 673-0555. On this date, I served the following document(s): STIPULATION AND ORDER TO ADR on the interested parties in this action as follows: Crystal L. Van Der Putten Livingston Law Firm 1600 S. Main Street, Suite 280 Walnut Creek, CA 94596 Tel: (925) 952-9880 Fax: (925) 952-9881 10 cvandernutten@livinustonlawvers.corn mramirezRlivinastonlawvers.corn 12 [ ] [BY PERSONAL SERVICE] I caused such envelope(s) to be delivered by hand to the above 13 address(es). [XX] [BY EMAIL] 1 caused such document(s) to be served on the parties listed in this action via email to the email addresses shown above. [ ] [BY MAIL] I caused envelope(s) with postage thereon fully prepaid to be placed in the United States mail at San Francisco, California, addressed as shown above. 17 1S [XX] [BY E-SERVICE] I caused such document(s), as required by the Court's Order Mandating Electronic Filing and Service, to be served on the parties listed in this action via e-service. The transmission was reported as complete and without error. A copy of the filing receipt will be maintained with the document(s) in our file. 20 21 [ ] [BY PERSONAL SERVICE BY FAX] I caused the above entitled document(s) to be personally served on the above shown parties by facsimile transmission on the date shown below 22 by confirming the fax phone number with the law office shown above then (a) transmitting it via the fax machine within this office, and (b) receiving a receipt from the machine within this office 23 confirming all documents sent were in fact properly received. 24 I declare under penalty of perjury under the laws of the State of California that the above is true and correct. Executed in San Francisco, California, on February 17, 2022. 26 27 28 9f