On December 16, 2019 a
Miscellaneous
was filed
involving a dispute between
Mcdougal, Ginger,
Mcdougal, James,
and
Certain Underwriters At Lloyds,
for INSURANCE CLAIM
in the District Court of Bay County.
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Filing # 100343459 E-Filed 12/16/2019 10:26:48 AM
FORM 1.997. CIVIL COVER SHEET
The civil cover sheet and the information contained herein neither replace nor supplement the filing and service of
pleadings or other papers as required by law. This form shall be filed by the plaintiff or petitioner for the use of the
Clerk of Court for the purpose of reporting judicial workload data pursuant to Florida Statutes section 25.075. (See
instructions for completion.)
IL CASE STYLE
IN THE CIRCUIT COURT OF THE 14th JUDICIAL CIRCUIT, IN AND FOR
BAY COUNTY, FLORIDA
JAMES MCDOUGAL
AND GINGER
MCDOUGAL,
Plaintiff
vs.
Case #; 19004523CA
Judge: FISHEL, JOHN L II (JDG)
CERTAIN UNDERWRITERS AT LLOYDS, LONDON SUBSCRIBING TO CERTIFICATE NUMBER
ACA080027600-01
Defendant
IL. TYPE OF CASE
(If the case fits more than one type of case, select the most definitive category.)
If the most descriptive label is a subcategory (is indented under a broader
category), place an x in both the main category and subcategory boxes.
0 Condominium
X Contracts and indebtedness
C Eminent domain
ou Auto negligence
U Negligence—other
G Business governance
Business torts
c Environmental/Toxic tort
O Third party indemnification
© Construction defect
C Mass tort
CO Negligent security
U Nursing home negligence
O Premises liability—commercial
U Premises liability—residential
O Products liability
U Real property/Mortgage foreclosure
c Commercial foreclosure $0 - $50,000
c Commercial foreclosure $50,001 - $249,999
c Commercial foreclosure $250,000 or more
Homestead residential foreclosure $0 - $50,000
Homestead residential foreclosure $50,001 - $249,999
Homestead residential foreclosure $250,000 or more
' Nonhomestead residential foreclosure
$0 - $50,000
Nonhomestead residential foreclosure
$50,001 -$249,999
Nonhomestead residential foreclosure
$250,000 or more
Other real property actions $0 - $50,000
Other real property actions $50,001 - $249,999
Other real property actions $250,000 or more
) Professional malpractice
Malpractice—business
< Malpractice—medical
Malpractice—other professional
) Other
| Antitrust/Trade regulation
) Business transactions
“ Constitutional challenge—statute or ordinance& Constitutional challenge—proposed amendment Libel/Slander
c Corporate trusts
G Discrimination—employment or other
C Insurance claims
C Intellectual property
Shareholder derivative action
Securities litigation
Trade secrets
Trust litigation
Til. REMEDIES SOUGHT (check all that apply):
X monetary;
UC nonmonetary declaratory or injunctive relief;
C punitive
Iv. NUMBER OF CAUSES OF ACTION: [1]
(specify),
Vv. IS THIS CASE A CLASS ACTION LAWSUIT?
DB yes
Xno
VIL HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
Xno
0 yes If “yes,” list all related cases by name, case number, and court.
VIL. IS JURY TRIAL DEMANDED IN COMPLAINT?
X yes
ono
I CERTIFY that the information I have provided in this cover sheet is accurate to the best of my knowledge and
belief.
Signature /s/ Kimesha S. Smith
Attorney or party
KIMESHA S. SMITH, Esq.
(type or print name)
Signature /s/ J. Patrick Floyd
Attorney or party
J. PATRICK FLOYD, Esq.
(type or print name)
Fla. Bar # 1005601
(Bar # if attorney)
December 16, 2019
Date
Fla. Bar # 257001
(Bar # if attorney)
December 16, 2019
Date
Document Filed Date
December 16, 2019
Case Filing Date
December 16, 2019
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Filing # 100343459 E-Filed 12/16/2019 10:26:48 AM FORM 1.997. CIVIL COVER SHEET The civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other papers as required by law. This form shall be filed by the plaintiff or petitioner for the use of the Clerk of Court for the purpose of reporting judicial workload data pursuant to Florida Statutes section 25.075. (See instructions for completion.) IL CASE STYLE IN THE CIRCUIT COURT OF THE 14th JUDICIAL CIRCUIT, IN AND FOR BAY COUNTY, FLORIDA JAMES MCDOUGAL AND GINGER MCDOUGAL, Plaintiff vs. Case #; 19004523CA Judge: FISHEL, JOHN L II (JDG) CERTAIN UNDERWRITERS AT LLOYDS, LONDON SUBSCRIBING TO CERTIFICATE NUMBER ACA080027600-01 Defendant IL. TYPE OF CASE (If the case fits more than one type of case, select the most definitive category.) If the most descriptive label is a subcategory (is indented under a broader category), place an x in both the main category and subcategory boxes. 0 Condominium X Contracts and indebtedness C Eminent domain ou Auto negligence U Negligence—other G Business governance Business torts c Environmental/Toxic tort O Third party indemnification © Construction defect C Mass tort CO Negligent security U Nursing home negligence O Premises liability—commercial U Premises liability—residential O Products liability U Real property/Mortgage foreclosure c Commercial foreclosure $0 - $50,000 c Commercial foreclosure $50,001 - $249,999 c Commercial foreclosure $250,000 or more Homestead residential foreclosure $0 - $50,000 Homestead residential foreclosure $50,001 - $249,999 Homestead residential foreclosure $250,000 or more ' Nonhomestead residential foreclosure $0 - $50,000 Nonhomestead residential foreclosure $50,001 -$249,999 Nonhomestead residential foreclosure $250,000 or more Other real property actions $0 - $50,000 Other real property actions $50,001 - $249,999 Other real property actions $250,000 or more ) Professional malpractice Malpractice—business < Malpractice—medical Malpractice—other professional ) Other | Antitrust/Trade regulation ) Business transactions “ Constitutional challenge—statute or ordinance& Constitutional challenge—proposed amendment Libel/Slander c Corporate trusts G Discrimination—employment or other C Insurance claims C Intellectual property Shareholder derivative action Securities litigation Trade secrets Trust litigation Til. REMEDIES SOUGHT (check all that apply): X monetary; UC nonmonetary declaratory or injunctive relief; C punitive Iv. NUMBER OF CAUSES OF ACTION: [1] (specify), Vv. IS THIS CASE A CLASS ACTION LAWSUIT? DB yes Xno VIL HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED? Xno 0 yes If “yes,” list all related cases by name, case number, and court. VIL. IS JURY TRIAL DEMANDED IN COMPLAINT? X yes ono I CERTIFY that the information I have provided in this cover sheet is accurate to the best of my knowledge and belief. Signature /s/ Kimesha S. Smith Attorney or party KIMESHA S. SMITH, Esq. (type or print name) Signature /s/ J. Patrick Floyd Attorney or party J. PATRICK FLOYD, Esq. (type or print name) Fla. Bar # 1005601 (Bar # if attorney) December 16, 2019 Date Fla. Bar # 257001 (Bar # if attorney) December 16, 2019 Date