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See . TARTAN
Filing # 126436990 E-Filed 05/09/2021 11:36:00 AM
<=
(CHEF FINANCIAL OFFICER
JIMMY PATRONIS
SIATEOF RORIDA
CASE #: 35-2021-CA-000746-AXXX-XX
KRISH DA\ LINGUM COURT: FIFTH CIRCUIT
COUNTY: LAKE
PLAINTIFF(S) DFS-SOP #: 21-000193212
VS.
CLEAR BLUE INSURANCE COMPANY
DEFENDANT(S)
/
SUMMONS, COMPLAINT, DISCOVERY, EMAIL DESIGNATION, FA CR DEPO REQUEST
NOTICE OF SERVICE OF PROCESS
NOTICE IS HEREBY GIVEN of acceptance of Service of Process by the Chief Financial Officer of the
State of Florida. Said process was received in my office by ELECTRONIC DELIVERY on Monday,
May 3, 2021 and a copy was forwarded by ELECTRONIC DELIVERY on Wednesday, May 5, 2021 to
the designated agent for the named entity as shown below.
CLEAR BLUE INSURANCE COMPANY
LYNETTE COLEMAN
1201 HAYS STREET
TALLAHASSEE, FL 32301
*Our office will only serve the initial process(Summons and Complaint) or Subpoena and is not responsible
for transmittal of any subsequent filings, pleadings, or documents unless otherwise ordered by the Court
pursuant to Florida Rules of Civil Procedure, Rule #1.080
pint
Jimmy Patronis
Chief Financial Officer
BROOKE BOLTZ
PIP LAWYERS, P.A.
P.O. BOX 620578
OVIEDO, FL 32762
Office of the General Counsel - Service of Process Section
200 East Gaines Street - P.O. Box 6200 - Tallahassee, FL 32314-6200 - (850)413-4200
FILED: LAKE COUNTY, GARY J. COONEY, CLERK, 05/10/2021 11:03:39 AM35-2021-CA-000746-AXXX-XX
Filing # 125955666 E-Filed 04/30/2021 03:10:20 PM
IN THE CIRCUIT COURT OF THE FIFTH JUDICIAL CIRCUIT IN AND FOR LAKE
COUNTY, FLORIDA
CASE NO.: 2021CA746
JUDGE:
KRISH DARMALINGUM,
Plaintiff(s),
vs.
CLEAR BLUE INSURANCE COMPANY,
Defendant.
/
DEFENDANT’S ADDRESS: PLAINTIFFS’ ATTORNEY ADDRESS:
CLEAR BLUE INSURANCE COMPANY BOLTZ LEGAL
clo SERVICE OF PROCESS SECTION Brooke Boltz, Esq.
FLORIDA DEPARTMENT OF INSURANCE 1221 E. Broadway Street,
P. O. Box 6200 Suite 1011 Oviedo, FL 32765
Tallahassee, FL 32314-6200
PROPOSED SUMMONS
THE STATE OF FLORIDA: TO EACH SHERIFF OF THE STATE:
YOU ARE COMMANDED to serve this summons and a copy of the complaint or petition in this
action on the above-named defendant.
Each defendant is required to serve a copy of written defenses to the complaint or petition on the
above named Plaintiff or Plaintiffs Attorney, within 20 days after service of this summons on that
Defendant, exclusive of the day of service, and to file the original of the defenses with the Clerk
of this Court either before service on plaintiff's attorney or immediately thereafter. If a defendant
fails to do so, a default will be entered against that defendant for the relief demanded in the
complaint or petition.
Natural persons must read the reverse side of this SUMMONS
for important information.
ADDRESS FOR CLERK OF COURTS:
CLERK OF COURTS
550 W. Main St., Tavares, FL 32778
PHONE: (352) 742-4100
IN WITNESS WHEREOF, | hereunto set my hand and Official Sealon the_3rd__day of
May , 2021, in Lake County, Florida
FILED: LAKE COUNTY, GARY J. COONEY, CLERK, 05/03/2021 09:09:30 AMSc. Bento
Deputy Clerk:
Lake County Clerk of Courts
IMPORTANT
A lawsuit has been filed against you. You have 20 calendar days after this summons is served on you to
file a written response to the attached Complaint in this Court. A phone call will not protect you; your written
response, including the above case number and named parties, must be filed if you want the Court to hear
your case. If you do not file your response on time, you may lose the case, and your wages, money, and
property may thereafter be taken without further warning from the Court. There are other legal requirements.
You may want to call an attorney right away. If you do not know an attorney, you may call an attorney
referral service or a legal aid office (listed in the phone book).
If you choose to file a written response yourself at the same time you file your written response to the Court,
you must also mail or take a carbon copy or photocopy of your written response to the "Plaintiff/Plaintiff's
Attorney” named below
IMPORTANTE
Usted ha sido demandado legalmente. Tiene veinte (20) dias, contados a partir del recibo de esta
notificacion, para contestar la llamada telefonica no lo protegera; si usted desea que el tribunal incluyendo
el numero del caso y las partes interesadas en dicho caso. Si usted no contesta la demanda a tiempo,
pudiese perder el caso y podria ser despojado de sus ingresos y propiedades, o privado de sus derechos,
sin previo eviso del tribunal. Existen otros requistitos legales. Si lo desea, puede abogado, puede llamar a
una de las oficinas de asistencia legal que aparencen en la guia telefonica.
Si desea responder a la demanda por su cuenta, al mismo tiempo en que presenta su respuesta ante el
tribunal, debera usted enviar por correo o entregar una copia de su respuesta a la persona denominada
abajo como "Plaintiff/Plaintiffs Attorney." (Demandate o Abogado del Demanadante)
IMPORTANT
Des poursuites judiciaries ont eta entreprises contre vous. Vous avez 20 jours consecutifs a partir de la
date de l'assignation de cette citation pour deposer une reponse ecrita a la plainte ci-jointe aupres de ce
Tribunal. Un simple coup de le telphone est insuffisant pour vous proteger; vous etes oblige de deposer
votre reponse ecrite, evec mention du numero de dossier ci-dessus et du nom des parties nommees ici, si
vous souhaitez que le Tribunal entende votre cause. Si vous ne deposez pas votre reponse ecrite dans le
relai requis, vous risquez de perdre la cause ainsi que votre salaire, votre argent, et vos biens peuvent etre
saisis par la uite, sans aucun preavis ulterieur du Tribunal. Il y a d'autres obligations juidiques et vour
pouvez requerir les services immediats d'un avocat. Si your ne connaissez pas d'avocat, yous pourriez
telephoner a un service de reference d'avacoats ou a un bureau d'assistance juridique (figurant a l'annuaire
de telephones).
Si vous choisissez de deposer vous-meme une reponse ecrite, il yous faudra egalement, en meme temps
que cette formalite, faire parvenir ou expedier une copie au carbone ou une photocipie de votre reponse
ecrite au "Plaintiff/Plaintiff's Attorney" (Plaignant ou a son avocat) namme ci-dessous.
s/ Brooke Boltz
Brooke Boltz, Esq.
Boltz Legal1221 E. Broadway Street
Suite 1011, Oviedo, FL 32765
Preview
See . TARTAN Filing # 126436990 E-Filed 05/09/2021 11:36:00 AM <= (CHEF FINANCIAL OFFICER JIMMY PATRONIS SIATEOF RORIDA CASE #: 35-2021-CA-000746-AXXX-XX KRISH DA\ LINGUM COURT: FIFTH CIRCUIT COUNTY: LAKE PLAINTIFF(S) DFS-SOP #: 21-000193212 VS. CLEAR BLUE INSURANCE COMPANY DEFENDANT(S) / SUMMONS, COMPLAINT, DISCOVERY, EMAIL DESIGNATION, FA CR DEPO REQUEST NOTICE OF SERVICE OF PROCESS NOTICE IS HEREBY GIVEN of acceptance of Service of Process by the Chief Financial Officer of the State of Florida. Said process was received in my office by ELECTRONIC DELIVERY on Monday, May 3, 2021 and a copy was forwarded by ELECTRONIC DELIVERY on Wednesday, May 5, 2021 to the designated agent for the named entity as shown below. CLEAR BLUE INSURANCE COMPANY LYNETTE COLEMAN 1201 HAYS STREET TALLAHASSEE, FL 32301 *Our office will only serve the initial process(Summons and Complaint) or Subpoena and is not responsible for transmittal of any subsequent filings, pleadings, or documents unless otherwise ordered by the Court pursuant to Florida Rules of Civil Procedure, Rule #1.080 pint Jimmy Patronis Chief Financial Officer BROOKE BOLTZ PIP LAWYERS, P.A. P.O. BOX 620578 OVIEDO, FL 32762 Office of the General Counsel - Service of Process Section 200 East Gaines Street - P.O. Box 6200 - Tallahassee, FL 32314-6200 - (850)413-4200 FILED: LAKE COUNTY, GARY J. COONEY, CLERK, 05/10/2021 11:03:39 AM35-2021-CA-000746-AXXX-XX Filing # 125955666 E-Filed 04/30/2021 03:10:20 PM IN THE CIRCUIT COURT OF THE FIFTH JUDICIAL CIRCUIT IN AND FOR LAKE COUNTY, FLORIDA CASE NO.: 2021CA746 JUDGE: KRISH DARMALINGUM, Plaintiff(s), vs. CLEAR BLUE INSURANCE COMPANY, Defendant. / DEFENDANT’S ADDRESS: PLAINTIFFS’ ATTORNEY ADDRESS: CLEAR BLUE INSURANCE COMPANY BOLTZ LEGAL clo SERVICE OF PROCESS SECTION Brooke Boltz, Esq. FLORIDA DEPARTMENT OF INSURANCE 1221 E. Broadway Street, P. O. Box 6200 Suite 1011 Oviedo, FL 32765 Tallahassee, FL 32314-6200 PROPOSED SUMMONS THE STATE OF FLORIDA: TO EACH SHERIFF OF THE STATE: YOU ARE COMMANDED to serve this summons and a copy of the complaint or petition in this action on the above-named defendant. Each defendant is required to serve a copy of written defenses to the complaint or petition on the above named Plaintiff or Plaintiffs Attorney, within 20 days after service of this summons on that Defendant, exclusive of the day of service, and to file the original of the defenses with the Clerk of this Court either before service on plaintiff's attorney or immediately thereafter. If a defendant fails to do so, a default will be entered against that defendant for the relief demanded in the complaint or petition. Natural persons must read the reverse side of this SUMMONS for important information. ADDRESS FOR CLERK OF COURTS: CLERK OF COURTS 550 W. Main St., Tavares, FL 32778 PHONE: (352) 742-4100 IN WITNESS WHEREOF, | hereunto set my hand and Official Sealon the_3rd__day of May , 2021, in Lake County, Florida FILED: LAKE COUNTY, GARY J. COONEY, CLERK, 05/03/2021 09:09:30 AMSc. Bento Deputy Clerk: Lake County Clerk of Courts IMPORTANT A lawsuit has been filed against you. You have 20 calendar days after this summons is served on you to file a written response to the attached Complaint in this Court. A phone call will not protect you; your written response, including the above case number and named parties, must be filed if you want the Court to hear your case. If you do not file your response on time, you may lose the case, and your wages, money, and property may thereafter be taken without further warning from the Court. There are other legal requirements. You may want to call an attorney right away. If you do not know an attorney, you may call an attorney referral service or a legal aid office (listed in the phone book). If you choose to file a written response yourself at the same time you file your written response to the Court, you must also mail or take a carbon copy or photocopy of your written response to the "Plaintiff/Plaintiff's Attorney” named below IMPORTANTE Usted ha sido demandado legalmente. Tiene veinte (20) dias, contados a partir del recibo de esta notificacion, para contestar la llamada telefonica no lo protegera; si usted desea que el tribunal incluyendo el numero del caso y las partes interesadas en dicho caso. Si usted no contesta la demanda a tiempo, pudiese perder el caso y podria ser despojado de sus ingresos y propiedades, o privado de sus derechos, sin previo eviso del tribunal. Existen otros requistitos legales. Si lo desea, puede abogado, puede llamar a una de las oficinas de asistencia legal que aparencen en la guia telefonica. Si desea responder a la demanda por su cuenta, al mismo tiempo en que presenta su respuesta ante el tribunal, debera usted enviar por correo o entregar una copia de su respuesta a la persona denominada abajo como "Plaintiff/Plaintiffs Attorney." (Demandate o Abogado del Demanadante) IMPORTANT Des poursuites judiciaries ont eta entreprises contre vous. Vous avez 20 jours consecutifs a partir de la date de l'assignation de cette citation pour deposer une reponse ecrita a la plainte ci-jointe aupres de ce Tribunal. Un simple coup de le telphone est insuffisant pour vous proteger; vous etes oblige de deposer votre reponse ecrite, evec mention du numero de dossier ci-dessus et du nom des parties nommees ici, si vous souhaitez que le Tribunal entende votre cause. Si vous ne deposez pas votre reponse ecrite dans le relai requis, vous risquez de perdre la cause ainsi que votre salaire, votre argent, et vos biens peuvent etre saisis par la uite, sans aucun preavis ulterieur du Tribunal. Il y a d'autres obligations juidiques et vour pouvez requerir les services immediats d'un avocat. Si your ne connaissez pas d'avocat, yous pourriez telephoner a un service de reference d'avacoats ou a un bureau d'assistance juridique (figurant a l'annuaire de telephones). Si vous choisissez de deposer vous-meme une reponse ecrite, il yous faudra egalement, en meme temps que cette formalite, faire parvenir ou expedier une copie au carbone ou une photocipie de votre reponse ecrite au "Plaintiff/Plaintiff's Attorney" (Plaignant ou a son avocat) namme ci-dessous. s/ Brooke Boltz Brooke Boltz, Esq. Boltz Legal1221 E. Broadway Street Suite 1011, Oviedo, FL 32765