Clerk Notice: Admiral Insurance Company -v- Fusion Pacific, Inc. et al Print

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                             SUPERIOR COURT 0F               CALIFORNIA,        COUNTY 0F         SAN    BERNARDINO

             Admiral   Insurance   Company                                       CASE     NO_:
                                                                                                 —G"V‘SB_2‘T                  0 9  9      9
                                                                                                                                      9
                                   vs.                                           CERTIFICATE         0F ASSIGNMENT
             Fusion   Pacific, Inc.



            A civil action or proceeding presented for filing      must be accompanied       by  this Certificate.  Ifthe ground    isthe
            residence of a party,    name and residence shall be stated.

            The   undersigned     declares    that the   above—entitled     matter  is filed for  proceedings     in the
            San Bemardino                          District  of the  Superior Court under Rule 404 of this            court  for the

  GET;
            checked     reason:
                     E   General                       D   Collection


                        Nature of Action               Ground
             D      1. Adoption                       Petitioner resides within the district                    .




             D      2. Conservator                    Petitioner or conservatee resides within the district.
             D      3. Contract                       Performance     in the district isexpressly provided     for.

             D      4.  Equity                        The cause of action arose within the district.
             D      5. Eminent Domain                 The property is    located within the district.
             D      6. Family Law                     Plaintiff,defendant,   petitioner or respondent resides within the district.
             D      7. Guardianship                   Petitioner or  ward resides within the district or has property within the district.
             D      8. Harassment                     Plaintiff,defendant,   petitioner or respondent resides within the district.
             D      9. Mandate                        The defendant functions wholly within the        district.

             D      10. Name Change                   The petitioner resides within the district.
             D      11. Personal   injury             The injury occurred within the district.
             D      12. Personal   Property           The property is located within the district.
             D     13.  Probate                       Decedent resided or resides       within the district or had  property   within the
                                                      district.

             D     14.  Prohibition                   The defendant functions wholly within the district.
             D     15.  Review                        The defendant functions wholly within the district.
             D     16.  Title to Real  Property       The property is located within the district.
             D     17.  Transferred Action            The lower court is located within the district.
             D     18.  Unlawful   Detainer           The property is located within the district.
             D     19.  Domestic Violence             The petitioner, defendant,     plaintiff or respondent resides    within the district.
                   20_  Other                          |nsurance Coverage Dispute

                   21.  THIS   FILING   WOULD        NORMALLY       FALL WITHIN      JURISDICTION OF SUPERIOR              COURT
            The address of the    accident,  performance,     party, detention,  piace of business, or other factor which qualifies
            this case  for filing in the above-designed      district is:
               Fusion Pacific,
                           Inc;                                                                    17129 Koala Road
              NAME — INDICATETITLE0R OTHER QUALIFYING FACTOR                                      ADDRESS
              Adelanto                                                           CA                                 92301
              CITY                                                               STATE                             ZIP CODE

            ldeclare,  under penalty of perjury, that the foregoing       istrue  and  correct and   that this declaration  was executed
            0n  April6,2021                             at San Diego                                                             California
                                                                                                                                ,




                                                                                                  Signature of Attorney/Party




                                                       CERTIFICATE         OF ASSIGNMENT
            13— 1 6503—360,
            Rev 06-2014 Mandatory