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bR counruss o~Lv
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA I
STREET ADDRESS: 191 North First Street
MAILING ADDRESS: 191 NorthFirst Street
CITY AND ZIP CODE:
BRANCH NAME:
PLAINTIFF/PErITIONER:
San JoseiCA 951 13
Downtown Courthouse --Civil
Division FaiLED AUG 0 6 2018
Diana Blum. MD
»,_v Clerk of the Court
DEFENDANTIRESPONDENT: GA G'eu'hiy'
é'eufl é?
nrlnr 91 Santa Clara
DEPUW
Sutter Health et al
C E NUMBER.
NOTICE OF UNDOCUMENTED ACTION 201 5- 1-CV-277582
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Date; 0810612018 I
i
D $ Sanctions received from
:
D $ Bail received from
a
D $ Payment received for denied application for waiver of Co filing fees
.Ilrt from
applicant/s i
D $ Payment for complex fee designation received from partyis
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U $ Filing fee paid for
D Receipt from transfer returned and filed.
m Other, $2480 Reporter Transcript fee paid for Diana Blum by Atty. Louderback'on check no. 227947
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incl.$50 admin. fee paid on check 227948
RESET FORM
GV-5025REV 5/06 NOTICE OF UNDOCUMENTED ACTION Page1of 1
ill
LOUDERBACK gl
LAW GROUP
44 MONTGOMERY ST
Sum: 2970
'
SAN FRANCISCO I
CALIFORNIA
94104
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415-615-0200 ’I
415-7954775 F,
August 3, 201 8 '
VIA HAND DELIVERY
Court Clerk
Appeals Unit
Santa Clara Superior Court
191 North First Street
San Jose, CA 951 13 .
'
Re: Blum v. Sutter Health, ct a1. (Case N0. 2015-1-cv-277582) v,
Fees for Appellant’s Notice of Designating Record on Appeal 'I
Dear Court Clerk: t
:
Please see enclosed three checks m the amount of (1) $1 00 (deposit made payable t0 1
the “Clerk of the Superior Court”); (2) $2, 480 for the approximate cost of transcribing the
designated proceedings within Appellant Diana P. Blum’ s Notice Designating Record on
Appeal as provided
deposit 1n trust.
m CRC
In addition,
Rule 8.130(b)(1), and (3)
please see enclosed a
Record 0n Appeal which was e-filed on August 2,
$50 for the Superior Court t0 hold this
copy of Appellant’ s Notice Desigri'ating
201 8 (envelope no. 1794092). Thalnk you.
m
—
Very truly yours,
LOUDERBACK LAW GROUP
_
—
éfiua
Charles M.
$71
Louderback
”Affildivzk
_
Attorneyfor PlaintiflandAppgllant Diana P.
Cc
Blum, MD.
n
m
(via email only):
m
Al(omeysfor Respondenl/Defendanl
Marcie I. Fitzsimmons
Hieu Williams
—
0002 2473 v3
m
_
2015—1-CV-277582
Santa Clara —Civil
II
-
APmaapang
ArronNEV 0R PARTY wnHour ATTORNEY STATE BAR N0;
NAME:Charles M. Louderback (SEN 88788); Theresa Barta (SEN 150995). BARTA LAW
LOUDERBACK LAW GROUP
FIRM NAME: Electronically}; Filed
STREETADDRESS:44 Montgomery 2970
Street, Sulle by Superior Court of CA,
cm';San Francl'sco CA
STATE: 941 o4
zup cone:
County of Santa Clara,
TELEPHONE N0;(415) 61 5-0200 233.4775
FAX No; (41 5)
on 8/2/2018 2. 54 PM
EMAIL nooness: clouderback@louderbackgroup.com
Reviewed By: E. Fang
ATTORNEY ron
(name): DIANA
Plaintiff P. BLUM. MD.
Case #2015- 1-CV-277582
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA
STREETADDRESS; 191 North Flrst‘Street
Envelope. 1794092
MAILENG ADDRESS:191 North First Street
San Jose, CA
1
CITYANnzxp cone: 951 13
BRANCH NAME: Downtown Courthouse l
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PLAINTIFFIPETITIONERI Diana P. Blum, M.D. 1
DEFENDANTIRESPONDENTI Palo Alto Foundation Medical Group, Inc.
l
SUPERIOR coum CASE NUMBER
APPELLANT'S NOTICE DESIGNATING RECORD ON APPEAL
2015- l- CV--2775|82
{UNLIMITED CIVIL CASE)
COURT OF APPEAL CASE NUMBER
known}:
{if
RE: Appeal flied on
(date):July 23,2018
11046045
H
Notice: PIease read form APP-Oo1 before completing this form. This form must be filed In superior court,
{time
not in the-Court of Appeal. 1,
1. RECORD OF THE DOCUMENTS FILED IN THE SUPERIOR COURT
Ielect touse the foilowlng method of providlng the Court
of Appeal with a record of the documents filedInthe supetior- court (check
a,b c,0rd, and fiilin any requimdinfonnation):
a. [:j A clerk's under
transcript ruIe 8.122.(You mus! check (1) or(2)and fillout the clerk’s transcript section on page 2 ofthls
fonn )
(1) E |wlllpay the superior court clerk for this transcript myself when
transcript.
lunderstand that ifI
lreceive the clerk's estimate of the costs 0f this
do not pay forthls transcript. It will not be prepared and proiided to the Court ot
Appeal.
(2)E Irequest that the cterk‘s transcri pt be ptovlded to me at no cost because
lcannot afford topay this
submitted the foilowing document with this notice designating the record (check (a) or (b)).
'l
cost Ihave
(a)
(b)
E
E
An order granting a waiver ofcourt feesand cests under rule 3.50 et seq.: or
An applicatlon for a waiverof court feesvand costs under rule 3.50
et seq.(Use Requeft to WaIve Court Fees
(farm FW001) to prepare and file this application.)
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I
b An appendix under rule 8. 124.
c. D The original superior court file under rute 8 128. (NOTE: Locaimles' In the Court oprpeeI, First} Third, and Fourth
Appellate Districtspenm’tperfles to stipulate to use the original supen'or court file instead of a clerk's transcript; you may
select this option ifyour eppeat Is I'n one of these districts and all (he parties have stipulated to use the ohglnal superior
court file insteadofe case
clerk's transcfipt In this Attach a copy of thls
stipulation. )
d. E] An agreed statement under rule 8.134. (You must complete item 2b(2) below and attach to yourIagreed statement copIes
These'documents are Iisted'In Iute 8. 134(8) )
of aII the documents that ate required to be included I'n the ctelk’s transcript.
RECORD OF ORAL PROCEEDINGS IN THE SUPERIOR COURT I
I
elect toproceed {you must check a orb below):
a
I
I
a WITHOUT a record of the oral proceedings
inthe superior court understand that without a record ot the oral
I
proceedings In thesuperior court theCourt otAppeal wIIInotbe able to consider whetwas said during those proceedings
In determining whether an error was made In the superior court proceedings I
I
I
i
VPagM otd
Form Approved Uso
Optional
for APPELLANT'S NOTICE DESIGNATING RECORD 0N APPEAL I CsL Rutes
ot Court. Iules 3.50.
B.121—8.124. 8.128, 0.130, 8.134, 0.137
Judicin! Council oi CaIiIomIa
APP-OO3lRov. January 1, 2018] (Unlimited cwu Case) I
Imwmurtecagov
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7/
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APP-003
CASE NAME: Blum v. Palo Alto Foundation Medical Group, Inc. summon coum cnsgjuumaen:
2015+l-CV-2775fi2
2. b'.
E
(1)
WITH
[Z]
the following record of the oral proceedings
A reporter's transcript
under ruie 8.130.
ln
(You must fill
mus! check
the superior court (you (3} below):
(1), (2), Ibr
o? page 3 of (his‘fomm
out the reporter's transcript section l
have (check (hat apply).
E
all
(a) Deposited the approximate cost of transcribing the designated proceedings with
thtsnotice as provided in rule
.
(b)
(c)
E
Em
8. 130(b)(1)
Attached a copy of a Transcript Reimbursement Fund application filed under rule 8 130(c)(1)
Attached the reporter' s written waiver of a deposit for (check either
or (w):
(f)
I
(d)
(l)
E
(it)
[:3
élloftho designated proceedings.
part of the deslgnated proceedings.
Attached a certified transcript under
rule 8.130(b)(3)(C).
t
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(2) EE
(a)
An agreed
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statement. (Check and complete
have attached an agreed statement to
either (a) or (b) below.)
thIs-notlce
I
l
(b)E1 Allthe parties have agreedIn writing agree on a statement. (You mustaflach a copy offhis
(stipulated) to try to
must file either the
file the notice of appé'al
I understand that. within 4O days after
stipulation (a this notice.) l |
agreed statement or a notice Indicating the parties ware unable to agree on a statement and a new notlce
deslgnating the record on appeal
DE3
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I
(3) A settled statementunder rule 8.137. (You must check or
(a). (b), (c)below.)
I
v
the superior court Were not reported by a court reporter.
I
(a) The orat proceedings in
(b) [j The oral proceedings in the superiorcourt were reported by a court reporter. but the ap'pellant has an order
waiving his 0r her court fees and is unable to pay for a reportefs transcfipt.
(c) E |am requesting to use a settled statement for reasons other then those
motion required under rule 8. 137(b) to this form. )
or
listed in (a)(b).(You musiati'ach the
3 RECORD OF AN ADMINISTRATIVE PROCEEDING T0 BE TRANSMITTED T0 THE REVIEWING COURT
D |
that was admitted Into evidence
I
request that the clerk transmit to the reviewing court under rule 8. 123 the record of the following administrative proceedlng
refused. or lodged'In the superior couxt (give the title and date or dates o! the administrative
proceeding).
TIIIe orAdmtnlstrative Proceedlng | l
[Date or Dates ]
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I
4 NOTICE DESIGNATING CLERK'S TRANSCRIPT
l
(You must complete thissection ifyou checked item 1a above indicating that you elect to use a clem's tm hsen‘pt as the record o!
thedocuments flied'In the superior court )
a. Required documents. The clerk will automaticaliy include the following items in the clerk's transcript. hut you must provide the
date each document was filed, or if that is not evaltable. the date the document was signed.
'
Document Titleend Description Date ofFlllng l
[
(1) Notice of appeal |
(2) Notice designating record on appeal(thisdocument)
(3) Judgment or erder appeated from
(4) Notice of entry of Judgment (Ilany)
(5) move
Notice of intention to fornew trialor motion to vacate the judgment, forjudgment
notwithstanding the verdict, or for reconsideration of an appealed order (ifany)
(6) Ruling on one or more of the items listed in (5)
l
(7) Register of actions or docket (ifany)
l
APPW [Rem January201B]
1,
APPELLANT'S NOTICE DESIGNATING RECORD ON APPEAL I
Pagan)”
(Unlimited Civll Case)
'I
:
\
x _—‘ v.
/
I APP-003
CASE'NAMEI Blum v. Palo Alto Foundation Medical Group, Inc. suramon coonr casafuuusaa:
2015-l-CV-2775. 3'2
I
4. NOTICE DESIGNATING CLERK'S TRANSCRIPT
l
b. Additional documents. (Ifyau want any documents {mm the supadar noun pmaeeéfing in addilion items listed in-4a.
(o: (he
above (o be included In (he clerk's (mascn'p't, you must Identify those documents hers. )
m lrequest that the clerk in'ctude the following documents from the superior court proceeding in the transcript. (You must
each document you wan! Included bylts title and provide the date it was filed or if lhat'Is not available, the data
identify
the document was signed.)
I
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Document Titleand Description _] I
Dateof Flllng-
(5)
(9)
(10)
(1 1)
(12)
E Additionaldocuments are listedon Attachment 4b beginning wlth number (1 3).
0. Exhlblts to be Included In clerk's transcript
E lrequest that the clerk include In the‘transcrlpt t_he-folIowlng exhibits that were admitted In evldenee. refused. or‘lodged in
the superior coun (for each exhibit. give {he exhibit number; such'as Plaintiff’s #1 or Defendant? ' A, and a briefdescription
o! the exhibit. Indicate whether or not the court admitted the exhibit into evidence):
|
Exhlblt Number H Deacrlptlbn [
Admitted (YeeINo) I
(1)
(2)
(3)
(4)
(5)
D on Attachment 4t: heglnning wlth number (6).
Additional exhiblts are listed
I
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5. NOTICE DESIGNATING REPORTER'S TRANSCRIPT
Yeu must complete both a and b in this section tryou checked item 2b(1) above indicating that you elect! e use a reporter‘s
transcriptes the record of the oral proceedings tn the superior court. Please nemember that you must pay :torthe cost ofpmpan'ng
the reporters transcript.
I request that the reporters provide (check one):
(1) E My copy of the reporter's transcript In electronic format.
(2) D My-copy of the paper format.
reporter‘s transcript In
(3) E My copy Ofth'e and a second copy
reporter‘s transcript In electronic format Inpaper format.
(Code CW. Pmc.. § 271.)
APWIRW-JMWW APPELLANT's NOTICE DESIGNAnNe RECORD 0N APPEAL Page a o! 4
(Unlimited Civtl Case)
\j- \/ i.
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.APP-OOS
CASE NAME! Blum v. Palo Alto-FoundationMcdical Group, Inc. SUPER!” COURT W‘séjflumm
20 15-1‘-CV-27758iI2
I
5. b. Proceedlngs J. .
"ou must identify each
cou'n be included in the reponer‘s-transcript. (
I request lhal the following proceedings in the superior
pmceeding you want included by its date, the department in which ll took place, a description of thepmceedlngs—for example.
the examinatfon'ofjumm, motions before trial, (ha taking of-testlmony, or the giving ofjury tnstructtonsfl—and the name of the
court reporter who mcarded- the proceedings (if known], and whethera certified tmnscdpt‘of (he'designjated proceeding was
previously prepared.)
[I
I
Date [Department|FulllPartlal-DayI Descriptlon |
Reporter‘s Namé Prev. prepared? |
.
(1)_01/08/18 16 PartialDay Motions before trial Susan F. Magee ! E YES?
D No
(2) 01/09/18 16 PartialDay Motions hcfore-trial; ruling-on Susan F. Magee
:
E Yes D N0
bifurcatio'n. I
(3) 01/10/18 16 PartialDay Hearing befone‘trial Susan F. Magee I
[>3
Yes.
D N0
(4) 01/16/18 16 FullDay Motions, preliininary Susan F. Magee
l
E: 'Yes
D No
owning
E
'
ihstructions, statements.
‘
on Attachment 5b beginning-wlth number
Additiohai proceedlngs are listed (5);
6. NOTICE DESIGNATING PROCEEDINGS TO BE INCLUDED IN SETTLED STATEMENT i
(You must complete this sectioniryou checked item above
211(3) a settled statement.) [request that
u‘_se‘
Indicating you elect ta
the following proceedingsin the superior court De.lnclud'ed in the settte'd'statement. (You must [dentififeach pmcaedihg youI
wantinctuded by its date. .th'e depattment In which it too'k-place, a description ofthe~pmceedlngs-forléxample. the-examination
ofjurors, motions before tn'al, the taktng of testimony, or the givingiofjmy lnstmch'Ons— and; It‘appllcab/e, the name of the court
reporter who recorded the pmceedings fitk'nown], and whether a= certified transcript of the designated?mceedlng was
pmvious/ypmpated.) I
Date |Department|FulltPamal Day] Descrlpflon I
Reporter‘sName |
Prev.pre'pa_red? |
|
' '
(1)
'
I
E Yes U N0
(2) E Yes:
D No
E
'
(3) I
E Yes D No
(4) E Yes:
E No
E
i
Addltional proceedings are=llsted=on Attachment 6 beginning with number (5).
7. a'. The proceedings designated in'5b or 6
the designated proceedings
E include m do not include
D0 NOT include all'of the testimony.
allotthe'testlmonjy In the superior court.
you intend
state the points that on a‘ppea‘l'nu/e
to :ratse
b. It
on motion, the mvtewtng-ceurt penntts
130(a)(2) provides that‘your appeal will 'be Ilmited-to these points unless, otherwise)..
D
6.
Points are settonh: Below [j 0n AttachmentY. I
‘
Date: Au ust 2,2018
Charles M. Louderback p . ,1 .
mes on PRINT NAME) (steNATunE oe-Appeumr on ?noauev)
t
Page 4 014
"PWIWV-‘am‘aW-m'al APPELLANT‘S NOTICE DESIGNATING RECORD ON APPEAL
‘
(Unltmlted Civil Case)
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l,
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PLAINTIFF/PETITIONER: DIANA P. BLUM, M.D. easeNa: [
DEFENDANT/RESPONDENT: PALO ALTO FOUNDATION 2015-1-CV-277582
MEDICAL GROUP, INC. I
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Attachment 2° 1mm) f
i
l
00023456 v1 APPELLANT'S NOTICE 0F DESIGNATING RECORD 0N APPEAL
ATTACHMENT
Theresa J. Bart'a, SBN 150995
BARTA LAW
4041 Macarthur Blvd., Ste. 280
Newport: Beach, CA 92660-2537
Telephone: (949) 833-3383
Facsimile: (949) 209-2530
Email: theresa@barta-law.com
\OOOQGUI-hWNu—n
Charles M. Louderback, SBN 88788
Stacey L. Pratt, SBN 124892
LOUDERBACK LAW GROUP
44 Montgomery Street, Suite 2970
San Francisco,'CA 94-104
Telephone: (4'1 S)615-0200
Facsimile: (415.) 795-4775
E-Mail: clouderback@louderbackgroup.com
spratt@louderbackgroup.com
Attorneys for Plaintiff
-
DIANA P; BLUM, M.D.
IN AND FOR THE STATE OF CALIFORNIA
COUNTY 0F SANTA CLARA- UNLIMITED JURISDICTION
DIANA P. BLUM, M.D., Civil. Case No. 2015-l—C‘ 7—277582
NOTICE 0F DEPOSIT
'
Plaintiff,
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Preview
bR counruss o~Lv SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA I STREET ADDRESS: 191 North First Street MAILING ADDRESS: 191 NorthFirst Street CITY AND ZIP CODE: BRANCH NAME: PLAINTIFF/PErITIONER: San JoseiCA 951 13 Downtown Courthouse --Civil Division FaiLED AUG 0 6 2018 Diana Blum. MD »,_v Clerk of the Court DEFENDANTIRESPONDENT: GA G'eu'hiy' é'eufl é? nrlnr 91 Santa Clara DEPUW Sutter Health et al C E NUMBER. NOTICE OF UNDOCUMENTED ACTION 201 5- 1-CV-277582 l Date; 0810612018 I i D $ Sanctions received from : D $ Bail received from a D $ Payment received for denied application for waiver of Co filing fees .Ilrt from applicant/s i D $ Payment for complex fee designation received from partyis | U $ Filing fee paid for D Receipt from transfer returned and filed. m Other, $2480 Reporter Transcript fee paid for Diana Blum by Atty. Louderback'on check no. 227947 i incl.$50 admin. fee paid on check 227948 RESET FORM GV-5025REV 5/06 NOTICE OF UNDOCUMENTED ACTION Page1of 1 ill LOUDERBACK gl LAW GROUP 44 MONTGOMERY ST Sum: 2970 ' SAN FRANCISCO I CALIFORNIA 94104 | 415-615-0200 ’I 415-7954775 F, August 3, 201 8 ' VIA HAND DELIVERY Court Clerk Appeals Unit Santa Clara Superior Court 191 North First Street San Jose, CA 951 13 . ' Re: Blum v. Sutter Health, ct a1. (Case N0. 2015-1-cv-277582) v, Fees for Appellant’s Notice of Designating Record on Appeal 'I Dear Court Clerk: t : Please see enclosed three checks m the amount of (1) $1 00 (deposit made payable t0 1 the “Clerk of the Superior Court”); (2) $2, 480 for the approximate cost of transcribing the designated proceedings within Appellant Diana P. Blum’ s Notice Designating Record on Appeal as provided deposit 1n trust. m CRC In addition, Rule 8.130(b)(1), and (3) please see enclosed a Record 0n Appeal which was e-filed on August 2, $50 for the Superior Court t0 hold this copy of Appellant’ s Notice Desigri'ating 201 8 (envelope no. 1794092). Thalnk you. m — Very truly yours, LOUDERBACK LAW GROUP _ — éfiua Charles M. $71 Louderback ”Affildivzk _ Attorneyfor PlaintiflandAppgllant Diana P. Cc Blum, MD. n m (via email only): m Al(omeysfor Respondenl/Defendanl Marcie I. Fitzsimmons Hieu Williams — 0002 2473 v3 m _ 2015—1-CV-277582 Santa Clara —Civil II - APmaapang ArronNEV 0R PARTY wnHour ATTORNEY STATE BAR N0; NAME:Charles M. Louderback (SEN 88788); Theresa Barta (SEN 150995). BARTA LAW LOUDERBACK LAW GROUP FIRM NAME: Electronically}; Filed STREETADDRESS:44 Montgomery 2970 Street, Sulle by Superior Court of CA, cm';San Francl'sco CA STATE: 941 o4 zup cone: County of Santa Clara, TELEPHONE N0;(415) 61 5-0200 233.4775 FAX No; (41 5) on 8/2/2018 2. 54 PM EMAIL nooness: clouderback@louderbackgroup.com Reviewed By: E. Fang ATTORNEY ron (name): DIANA Plaintiff P. BLUM. MD. Case #2015- 1-CV-277582 SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREETADDRESS; 191 North Flrst‘Street Envelope. 1794092 MAILENG ADDRESS:191 North First Street San Jose, CA 1 CITYANnzxp cone: 951 13 BRANCH NAME: Downtown Courthouse l | PLAINTIFFIPETITIONERI Diana P. Blum, M.D. 1 DEFENDANTIRESPONDENTI Palo Alto Foundation Medical Group, Inc. l SUPERIOR coum CASE NUMBER APPELLANT'S NOTICE DESIGNATING RECORD ON APPEAL 2015- l- CV--2775|82 {UNLIMITED CIVIL CASE) COURT OF APPEAL CASE NUMBER known}: {if RE: Appeal flied on (date):July 23,2018 11046045 H Notice: PIease read form APP-Oo1 before completing this form. This form must be filed In superior court, {time not in the-Court of Appeal. 1, 1. RECORD OF THE DOCUMENTS FILED IN THE SUPERIOR COURT Ielect touse the foilowlng method of providlng the Court of Appeal with a record of the documents filedInthe supetior- court (check a,b c,0rd, and fiilin any requimdinfonnation): a. [:j A clerk's under transcript ruIe 8.122.(You mus! check (1) or(2)and fillout the clerk’s transcript section on page 2 ofthls fonn ) (1) E |wlllpay the superior court clerk for this transcript myself when transcript. lunderstand that ifI lreceive the clerk's estimate of the costs 0f this do not pay forthls transcript. It will not be prepared and proiided to the Court ot Appeal. (2)E Irequest that the cterk‘s transcri pt be ptovlded to me at no cost because lcannot afford topay this submitted the foilowing document with this notice designating the record (check (a) or (b)). 'l cost Ihave (a) (b) E E An order granting a waiver ofcourt feesand cests under rule 3.50 et seq.: or An applicatlon for a waiverof court feesvand costs under rule 3.50 et seq.(Use Requeft to WaIve Court Fees (farm FW001) to prepare and file this application.) - | I b An appendix under rule 8. 124. c. D The original superior court file under rute 8 128. (NOTE: Locaimles' In the Court oprpeeI, First} Third, and Fourth Appellate Districtspenm’tperfles to stipulate to use the original supen'or court file instead of a clerk's transcript; you may select this option ifyour eppeat Is I'n one of these districts and all (he parties have stipulated to use the ohglnal superior court file insteadofe case clerk's transcfipt In this Attach a copy of thls stipulation. ) d. E] An agreed statement under rule 8.134. (You must complete item 2b(2) below and attach to yourIagreed statement copIes These'documents are Iisted'In Iute 8. 134(8) ) of aII the documents that ate required to be included I'n the ctelk’s transcript. RECORD OF ORAL PROCEEDINGS IN THE SUPERIOR COURT I I elect toproceed {you must check a orb below): a I I a WITHOUT a record of the oral proceedings inthe superior court understand that without a record ot the oral I proceedings In thesuperior court theCourt otAppeal wIIInotbe able to consider whetwas said during those proceedings In determining whether an error was made In the superior court proceedings I I I i VPagM otd Form Approved Uso Optional for APPELLANT'S NOTICE DESIGNATING RECORD 0N APPEAL I CsL Rutes ot Court. Iules 3.50. B.121—8.124. 8.128, 0.130, 8.134, 0.137 Judicin! Council oi CaIiIomIa APP-OO3lRov. January 1, 2018] (Unlimited cwu Case) I Imwmurtecagov I I 7/ l APP-003 CASE NAME: Blum v. Palo Alto Foundation Medical Group, Inc. summon coum cnsgjuumaen: 2015+l-CV-2775fi2 2. b'. E (1) WITH [Z] the following record of the oral proceedings A reporter's transcript under ruie 8.130. ln (You must fill mus! check the superior court (you (3} below): (1), (2), Ibr o? page 3 of (his‘fomm out the reporter's transcript section l have (check (hat apply). E all (a) Deposited the approximate cost of transcribing the designated proceedings with thtsnotice as provided in rule . (b) (c) E Em 8. 130(b)(1) Attached a copy of a Transcript Reimbursement Fund application filed under rule 8 130(c)(1) Attached the reporter' s written waiver of a deposit for (check either or (w): (f) I (d) (l) E (it) [:3 élloftho designated proceedings. part of the deslgnated proceedings. Attached a certified transcript under rule 8.130(b)(3)(C). t I' | 'I (2) EE (a) An agreed | statement. (Check and complete have attached an agreed statement to either (a) or (b) below.) thIs-notlce I l (b)E1 Allthe parties have agreedIn writing agree on a statement. (You mustaflach a copy offhis (stipulated) to try to must file either the file the notice of appé'al I understand that. within 4O days after stipulation (a this notice.) l | agreed statement or a notice Indicating the parties ware unable to agree on a statement and a new notlce deslgnating the record on appeal DE3 | I (3) A settled statementunder rule 8.137. (You must check or (a). (b), (c)below.) I v the superior court Were not reported by a court reporter. I (a) The orat proceedings in (b) [j The oral proceedings in the superiorcourt were reported by a court reporter. but the ap'pellant has an order waiving his 0r her court fees and is unable to pay for a reportefs transcfipt. (c) E |am requesting to use a settled statement for reasons other then those motion required under rule 8. 137(b) to this form. ) or listed in (a)(b).(You musiati'ach the 3 RECORD OF AN ADMINISTRATIVE PROCEEDING T0 BE TRANSMITTED T0 THE REVIEWING COURT D | that was admitted Into evidence I request that the clerk transmit to the reviewing court under rule 8. 123 the record of the following administrative proceedlng refused. or lodged'In the superior couxt (give the title and date or dates o! the administrative proceeding). TIIIe orAdmtnlstrative Proceedlng | l [Date or Dates ] | I 4 NOTICE DESIGNATING CLERK'S TRANSCRIPT l (You must complete thissection ifyou checked item 1a above indicating that you elect to use a clem's tm hsen‘pt as the record o! thedocuments flied'In the superior court ) a. Required documents. The clerk will automaticaliy include the following items in the clerk's transcript. hut you must provide the date each document was filed, or if that is not evaltable. the date the document was signed. ' Document Titleend Description Date ofFlllng l [ (1) Notice of appeal | (2) Notice designating record on appeal(thisdocument) (3) Judgment or erder appeated from (4) Notice of entry of Judgment (Ilany) (5) move Notice of intention to fornew trialor motion to vacate the judgment, forjudgment notwithstanding the verdict, or for reconsideration of an appealed order (ifany) (6) Ruling on one or more of the items listed in (5) l (7) Register of actions or docket (ifany) l APPW [Rem January201B] 1, APPELLANT'S NOTICE DESIGNATING RECORD ON APPEAL I Pagan)” (Unlimited Civll Case) 'I : \ x _—‘ v. / I APP-003 CASE'NAMEI Blum v. Palo Alto Foundation Medical Group, Inc. suramon coonr casafuuusaa: 2015-l-CV-2775. 3'2 I 4. NOTICE DESIGNATING CLERK'S TRANSCRIPT l b. Additional documents. (Ifyau want any documents {mm the supadar noun pmaeeéfing in addilion items listed in-4a. (o: (he above (o be included In (he clerk's (mascn'p't, you must Identify those documents hers. ) m lrequest that the clerk in'ctude the following documents from the superior court proceeding in the transcript. (You must each document you wan! Included bylts title and provide the date it was filed or if lhat'Is not available, the data identify the document was signed.) I | Document Titleand Description _] I Dateof Flllng- (5) (9) (10) (1 1) (12) E Additionaldocuments are listedon Attachment 4b beginning wlth number (1 3). 0. Exhlblts to be Included In clerk's transcript E lrequest that the clerk include In the‘transcrlpt t_he-folIowlng exhibits that were admitted In evldenee. refused. or‘lodged in the superior coun (for each exhibit. give {he exhibit number; such'as Plaintiff’s #1 or Defendant? ' A, and a briefdescription o! the exhibit. Indicate whether or not the court admitted the exhibit into evidence): | Exhlblt Number H Deacrlptlbn [ Admitted (YeeINo) I (1) (2) (3) (4) (5) D on Attachment 4t: heglnning wlth number (6). Additional exhiblts are listed I | 5. NOTICE DESIGNATING REPORTER'S TRANSCRIPT Yeu must complete both a and b in this section tryou checked item 2b(1) above indicating that you elect! e use a reporter‘s transcriptes the record of the oral proceedings tn the superior court. Please nemember that you must pay :torthe cost ofpmpan'ng the reporters transcript. I request that the reporters provide (check one): (1) E My copy of the reporter's transcript In electronic format. (2) D My-copy of the paper format. reporter‘s transcript In (3) E My copy Ofth'e and a second copy reporter‘s transcript In electronic format Inpaper format. (Code CW. Pmc.. § 271.) APWIRW-JMWW APPELLANT's NOTICE DESIGNAnNe RECORD 0N APPEAL Page a o! 4 (Unlimited Civtl Case) \j- \/ i. ' .APP-OOS CASE NAME! Blum v. Palo Alto-FoundationMcdical Group, Inc. SUPER!” COURT W‘séjflumm 20 15-1‘-CV-27758iI2 I 5. b. Proceedlngs J. . "ou must identify each cou'n be included in the reponer‘s-transcript. ( I request lhal the following proceedings in the superior pmceeding you want included by its date, the department in which ll took place, a description of thepmceedlngs—for example. the examinatfon'ofjumm, motions before trial, (ha taking of-testlmony, or the giving ofjury tnstructtonsfl—and the name of the court reporter who mcarded- the proceedings (if known], and whethera certified tmnscdpt‘of (he'designjated proceeding was previously prepared.) [I I Date [Department|FulllPartlal-DayI Descriptlon | Reporter‘s Namé Prev. prepared? | . (1)_01/08/18 16 PartialDay Motions before trial Susan F. Magee ! E YES? D No (2) 01/09/18 16 PartialDay Motions hcfore-trial; ruling-on Susan F. Magee : E Yes D N0 bifurcatio'n. I (3) 01/10/18 16 PartialDay Hearing befone‘trial Susan F. Magee I [>3 Yes. D N0 (4) 01/16/18 16 FullDay Motions, preliininary Susan F. Magee l E: 'Yes D No owning E ' ihstructions, statements. ‘ on Attachment 5b beginning-wlth number Additiohai proceedlngs are listed (5); 6. NOTICE DESIGNATING PROCEEDINGS TO BE INCLUDED IN SETTLED STATEMENT i (You must complete this sectioniryou checked item above 211(3) a settled statement.) [request that u‘_se‘ Indicating you elect ta the following proceedingsin the superior court De.lnclud'ed in the settte'd'statement. (You must [dentififeach pmcaedihg youI wantinctuded by its date. .th'e depattment In which it too'k-place, a description ofthe~pmceedlngs-forléxample. the-examination ofjurors, motions before tn'al, the taktng of testimony, or the givingiofjmy lnstmch'Ons— and; It‘appllcab/e, the name of the court reporter who recorded the pmceedings fitk'nown], and whether a= certified transcript of the designated?mceedlng was pmvious/ypmpated.) I Date |Department|FulltPamal Day] Descrlpflon I Reporter‘sName | Prev.pre'pa_red? | | ' ' (1) ' I E Yes U N0 (2) E Yes: D No E ' (3) I E Yes D No (4) E Yes: E No E i Addltional proceedings are=llsted=on Attachment 6 beginning with number (5). 7. a'. The proceedings designated in'5b or 6 the designated proceedings E include m do not include D0 NOT include all'of the testimony. allotthe'testlmonjy In the superior court. you intend state the points that on a‘ppea‘l'nu/e to :ratse b. It on motion, the mvtewtng-ceurt penntts 130(a)(2) provides that‘your appeal will 'be Ilmited-to these points unless, otherwise).. D 6. Points are settonh: Below [j 0n AttachmentY. I ‘ Date: Au ust 2,2018 Charles M. Louderback p . ,1 . mes on PRINT NAME) (steNATunE oe-Appeumr on ?noauev) t Page 4 014 "PWIWV-‘am‘aW-m'al APPELLANT‘S NOTICE DESIGNATING RECORD ON APPEAL ‘ (Unltmlted Civil Case) l | i ! I I l, . PLAINTIFF/PETITIONER: DIANA P. BLUM, M.D. easeNa: [ DEFENDANT/RESPONDENT: PALO ALTO FOUNDATION 2015-1-CV-277582 MEDICAL GROUP, INC. I i | i I i i . Attachment 2° 1mm) f i l 00023456 v1 APPELLANT'S NOTICE 0F DESIGNATING RECORD 0N APPEAL ATTACHMENT Theresa J. Bart'a, SBN 150995 BARTA LAW 4041 Macarthur Blvd., Ste. 280 Newport: Beach, CA 92660-2537 Telephone: (949) 833-3383 Facsimile: (949) 209-2530 Email: theresa@barta-law.com \OOOQGUI-hWNu—n Charles M. Louderback, SBN 88788 Stacey L. Pratt, SBN 124892 LOUDERBACK LAW GROUP 44 Montgomery Street, Suite 2970 San Francisco,'CA 94-104 Telephone: (4'1 S)615-0200 Facsimile: (415.) 795-4775 E-Mail: clouderback@louderbackgroup.com spratt@louderbackgroup.com Attorneys for Plaintiff - DIANA P; BLUM, M.D. IN AND FOR THE STATE OF CALIFORNIA COUNTY 0F SANTA CLARA- UNLIMITED JURISDICTION DIANA P. BLUM, M.D., Civil. Case No. 2015-l—C‘ 7—277582 NOTICE 0F DEPOSIT ' Plaintiff, -