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ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and ‘ CM-O1 0
address):
Teresa Straley/SBN 248299;Luis Duenas/SBN 271 873 FOR COURT USE ONLY
Persolve Legal Group, LLP
9301 Corbin Ave Ste 1600, Northridge, CA 91324
F L ED
TELEPHONENO; 818-534—3100
E-MAIL ADDRESS: ConformedCopy@persolv
mm (cpfionau-818-534-3140
cowrsyggfiggg 8033,57
I
e.com SAN BERNARDNO WSATfiReggro
ATTORNEY FOR (Name): UHG LLC l,
SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F
STREETADDRESS: 247
CITY
CASE NAME:
3RD ST
MAIUNG ADDRESS:
AND ZIP CODE:
BRANCH NAME;
UHG
W
SAN BERNARDINO, CA 92415-0210
SAN BERNARDINO JUSTICE CENTER
l, LLC vs. CRAIG VLIEGER
SAN BERNARDINO ,
BY JM- a
NOV 0 l 2:021
DEPUTY
DCIVIL CASE CO\aR SHEET Complex Case Designation CASE
NUMBERSB
Unlimited
(Amount
demanded demanded is
Limited
(Amount D Counter D .
Jomder
JUEEN
l ‘ 3 1 3 0 6
Filed with first appearance by defendant '
exceeds $25,000) $25,000 or less) (Cal. Rules of Coun, rule 3.402) DEPT;
Items 1—6 below must be completed (see instructions on page
2).
1. Check one box below for the case type that best describes this case:
Auto Tort Contract Provisionally Complex Civil Litigation
Auto (22) Breach of contract/warranty (06) (Cal. Rules of Court, rules 3.400—3.403)
Uninsured motorist (46) Rule 3.740 collections (09) Antitrust/Trade regulation (03)
Other PIIPDIWD (Personal Injury/Property Other collections (09) Construction defect (1 0)
DamageIWrongful Death) Tort Insurance coverage (18) Mass tort (40)
Asbestos (04) Other contract (37) . . .
Securities litigation (28)
. .
. .. .
.
Product Inability (24) Real Property Envuronmental/Toxm tort (30)
.
Medical malpractice (45)
Other PI/PD/WD (23)
.
D ,
Emlnent domaIn/Inverse
condemnation (14)
,
Insurance coverage claims ansmg from {he
above listed p rovisiona”
y
. . .
com p lex case
WrOngful eviction (33) types (41)
Non-PIIPDNVD (Other) Tort
Business Other real property (26) Enforcement of Judgment
Civil rights (08)
Defamation (13)
tort/unfair business practice (07)
Unlawful Detainer
Commercial (31)
D Enforcement ofjudgment (20)
Miscellaneous Civil Complaint
Fraud (16) Residential (32) RICO
Intellectual property (19)
gzfigersjgonfigllrggxggfgfigg) Judicial
Drugs (38)
Review
a (27)
Other complaint (notspecified above) (42)
Miscellaneous Civil Petition
Asset forfeiture (05) Partnershlp and corporate governance (21)
Employment
Wrongful termination (36)
Petition re: arbitration
Writ of mandate (02)
award (1 1) a Other petition (not specified above) (43)
Other employment (1 5) Other judicial review (39)
2. This case is D is not
factors requiring exceptional judicial
E complex under
management:
rule 3.400 of the California Rules of Court. lf the case is complex, mark the
a. Large number of separately represented panies d. Large number of witnesses
b. Extensive motion practice raising difficult or novel
issues that will be time—consuming to resolve
B
e. Coordination with related actions pending in one or more
courts in other counties, states, or countries, or in a federal
D court
DD
c. Substantial amountof documentary eVIdence
3.
4.
Remedies sought (check
Number of causes of action s
all that apply): a. m monetary b.
f_Substantial postjudgmemjudicial supervision
nonmonetary; declaratory or injunctive relief c.
D punitive
5.
6.
This case
If
D is
thereewnZkWWated cases, file and serve a
fl ecify):
is not
Three (3): Money Lent, AccountStated, Breach of Contract
a class action suit.
notice of related case. (Y a use form CM.—<0\1\. ,
Date:
Teresa Stinky ESQ
(TYPE OR PRINT NAME) D (SIGNATURE OF PARTY 0R ATI'O R PARTY)
NOTICE
o Plaintiff must file this cover sheet with the
first paper filed in the action or proceeding (except
small claims cases or cases filed
under the Probate Code, Family Code, or Welfare and Instituti
ons Code). (Cal. Rules of Court, rule 3.220.) Failure to file
in sanctions. may result
File this cover sheet addition to
any cover sheet required by local court rule.
in
If this case is complex under
rule 3.400 et seq. of the California Rules of
Court, you must serve a copy of this cover sheet on aH
other parties to the action or proceeding.
o Unless this is a collections case under rule 3.740 or a complex
case, this cover sheet will be used for statistical purposes
only.
Page 1 of 2
Form Adopted for Mandalor Use
Judicial Council of Califorr¥ia
CM-010 (Rev. September 1. 2021] HCEB> Essenfial CIVIL CASE COVER SHEET Calv Rules of Coun. rules 2.30, 3.220. 3.400~33.403, 3.740,
Cal. Standards of Judicial Administration, $th 3.10
ceb.com EFOYMS _
www.courrsca gov
CM-010
INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET
a complaint) in a civil case, you must
To Plaintiffs Filing First Papers. lf you are filing a first paper (for example,
and Others
Case Cover Sheet contained on page 1. This information will be used to compile
complete and file, along with your first paper, the Civil
must complete items 1 through 6 on the sheet. In item 1, you
must check
statistics about the types and numbers of cases
filed. You
case both a general and a more specific type of case listed in item 1,
one box for the case type that best describes thepase. If the fits
check the boxt hat best indicates the primary cause of action.
check the more speci c one. If the case has multiple causes of action,
I
below. A cover
completing the sheet, examples of the cases that belong under each case type in item 1 are provided
To assist you in
with the first paper filed in a civil case may subject a party,
with your paper. Failure to file a cover sheet
sheet must be filed only initial
,its counsel, or both to sanctions
under rules 2.30 and 3.220 ofthe California Rules of Court.
case" under rule 3.740 is defined as an action for recovery of money owed
To‘Parties in Rule 3.740 Collections Cases. A "collections in which
exdusive of interest and attorney‘s fees, arising from a transaction
in a sum stated t0 be certain that is notmo??th migfipoo, tort
was acquir'ed n bged A colfe’ctio‘ns case does not include an action seeking the following: (1)
property, services, or money .
of personal property, or (5) a prejudgment writ of
damages, (2) punitive damages, (3) recovery of real property, (4) recovery general
3.740 collections case on this form means that it will be exempt from the
attachment. The identification of a case as a rule
pleading. A rule 3.740 collections
a defendant files a responsive
time—for-service requirements and case management rules, unless
case will be subject to the requirements for service
and obtaining a judgment in rule 3.740.
designate whether the
To Parties in Complex Cases. complex cases only, parties must also use the Civil Case Cover Sheet to
In
under 3.400 ofthe California Rules of Court, this must be indicated by
case is complex. lf a plaintiff believes the case is complex rule
a case as complex, the cover sheet must be served with the
completing the appropriate boxes in items 1 and 2. If a plaintiff designates in the
the action. A defendant may file and serve no later than the time of its first appearance a joinder
complaint on all parties to that
counter—designation that the case is not complex, or, ifthe plaintiff has made no designation, a designation
plaintiff‘s designation, a
the case is complex.
CASE TYPES AND EXAMPLES
Contract Provisionally Complex Civil Litigation (Cal.
Auto Tort Breach of ContractIWarranty (06)
Auto (22)—Personal Injury/Property Rules of Court Rules 3.400—3.403)
Breach of Rental/Lease Antitrust/Trade Regulation (03)
DamageNVrongful Death Contract (not unlawful detainer
Uninsured Motorist (46) (if the Construction Defect (10)
or wrongful eviction)
case involves an uninsured Claims Involving Mass Tort (40)
Contract/Warranty Breach—Seller
motorist claim subject to Securities Litigation (28)
Plaintiff (not fraud or negligence)
arbitration, check this item
Environmental/Toxic Tort (30)
Negligent Breach of Contract!
instead of Auto) Insurance Coverage Claims
Warranty (arising from provisionally complex
Other PllPD/WD (Personal lnjuryl Other Breach of Contract/Warranty case type listed above) (41)
Collections (e.g., money owed, open
Property DamageNVrongful Death) Enforcement of Judgment
Tort book accounts) (09)
Collection Case—Seller Plaintiff Enforcement of Judgment (20)
Asbestos (04) Abstract of Judgment (Out of
Asbestos Property Damage Other Promissory Note/Collections
Case County)
Asbestos Personal Injury/ Confession of Judgment (non-
Wrongful Death Insurance Coverage (not provisionally
complex) (1 8) domestic relations)
Product Liability (not asbestos or Sister State Judgment
toxic/environmental) (24) Auto Subrogation
Administrative Agency Award
Medical Malpractice (45) Other Coverage
Other Contract (37) (not unpaid taxes) ,
Medical Malpractice— Petition/Certification of Entry of
Physicians & Surgeons Contractual Fraud
Other Contract Dispute Judgment on Unpaid Taxes
Other Professional Health Care
Other Enforcement of Judgment
Malpractice Real property '
Case
Other PVPD/Wp (2?) ‘
Eminent Domain/lnverse ’Miscellaneous Civil Complaint
Premises Liability (e.g., 5le Condemnafion (14)
RICO (27)
and fa") Wrongful Eviction (33) Other Complaint (not specified
Intentional Bodily Injury/PDNVD Other Real Property (e.g., quiet title) (26) above) (42)
(e.g., assault, vandalism) Writ of Possession of Real Property Declaratory Relief Only
Intentional Infliction of Mortgage Foreclosure lnjunctive Relief Only (non-
Emotional Distress Quiet Title harassment)
Negligent Infliction of Other Real Property (not eminent '
Meqh LCS Li I' a
Emotional Distress domain, Iandlord/tenant, or mgciajc
‘
Other Pl/PDNVD
iJflhgljg
foreclosure) Ca'§e (non-ton/rfig-pfl:%
o leg E
Non-PIIPDNVD (Other) Tort Unlawful Detainer Other Civil Complaint
Business Tort/Unfair Business Commercial (31) (non-tort/non-complex)
Practice (07) Residential (32)
Miscellaneous Civil Petition
Civil Rights (e.g., discrimination, Drugs (38) (if the case involves illegal Partnership and Corporate '
r _
false arrest) (not civil drugs, check this item; otherwise,
H Govgmanceafl ‘ .,
t
"
report as Commercial or Residential)
‘
harassment) (08) Petition’(rfot‘"s'pecifi‘e,dl"_ J"
_
Other
Defamation (e‘g., slander, Ilbel)
Review
‘
‘
Judicial aboEIe) (43)
(13) Asset Forfeiture (05) Harassment
Civil
Fraud (16) Petjtion Re: Arbitration Award (1 1) Workplace Violence. ‘
Intellectua| property (19)
WV“ 0f MaHda§e_(02)_ EIder/Dependent Adult
Professional Negligence (25)
Wrgt—Qdmémstratlve ||\_l!ar}tdadmézs Abuse
Legal Malpractice r - an a mu s on 'm' e 0“ n Election C‘pnfesty‘ q,
I ,\
‘
t"
Other Professional Malpractice Case Matter Pe’titionfor’Ngyfe Cha’nge
.
(”0t med’ca’ 0r legal) Writ—Other Limited Court Case Petitio‘n {gr Reliéf {tom ‘Late
" '
‘
*
Other Non-PI/PDNVD Tort (35) Review Claim
Employment Other Judicial Review (39) Other Civil Petition
Wrongful Termination (36) Review of Health Officer Order
Other Employment (1 5) Notice of AppeaI—Labor
Commissioner Appeals
Page 2 of 2
CM‘°‘°‘R” Sep‘embe‘1' 202”
Ices Essemial
ceb.com EEQIESS
V CIVIL CASE COVER SHEET
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ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and ‘ CM-O1 0 address): Teresa Straley/SBN 248299;Luis Duenas/SBN 271 873 FOR COURT USE ONLY Persolve Legal Group, LLP 9301 Corbin Ave Ste 1600, Northridge, CA 91324 F L ED TELEPHONENO; 818-534—3100 E-MAIL ADDRESS: ConformedCopy@persolv mm (cpfionau-818-534-3140 cowrsyggfiggg 8033,57 I e.com SAN BERNARDNO WSATfiReggro ATTORNEY FOR (Name): UHG LLC l, SUPERIOR COURT 0F CALIFORNIA, COUNTY 0F STREETADDRESS: 247 CITY CASE NAME: 3RD ST MAIUNG ADDRESS: AND ZIP CODE: BRANCH NAME; UHG W SAN BERNARDINO, CA 92415-0210 SAN BERNARDINO JUSTICE CENTER l, LLC vs. CRAIG VLIEGER SAN BERNARDINO , BY JM- a NOV 0 l 2:021 DEPUTY DCIVIL CASE CO\aR SHEET Complex Case Designation CASE NUMBERSB Unlimited (Amount demanded demanded is Limited (Amount D Counter D . Jomder JUEEN l ‘ 3 1 3 0 6 Filed with first appearance by defendant ' exceeds $25,000) $25,000 or less) (Cal. Rules of Coun, rule 3.402) DEPT; Items 1—6 below must be completed (see instructions on page 2). 1. Check one box below for the case type that best describes this case: Auto Tort Contract Provisionally Complex Civil Litigation Auto (22) Breach of contract/warranty (06) (Cal. Rules of Court, rules 3.400—3.403) Uninsured motorist (46) Rule 3.740 collections (09) Antitrust/Trade regulation (03) Other PIIPDIWD (Personal Injury/Property Other collections (09) Construction defect (1 0) DamageIWrongful Death) Tort Insurance coverage (18) Mass tort (40) Asbestos (04) Other contract (37) . . . Securities litigation (28) . . . .. . . Product Inability (24) Real Property Envuronmental/Toxm tort (30) . Medical malpractice (45) Other PI/PD/WD (23) . D , Emlnent domaIn/Inverse condemnation (14) , Insurance coverage claims ansmg from {he above listed p rovisiona” y . . . com p lex case WrOngful eviction (33) types (41) Non-PIIPDNVD (Other) Tort Business Other real property (26) Enforcement of Judgment Civil rights (08) Defamation (13) tort/unfair business practice (07) Unlawful Detainer Commercial (31) D Enforcement ofjudgment (20) Miscellaneous Civil Complaint Fraud (16) Residential (32) RICO Intellectual property (19) gzfigersjgonfigllrggxggfgfigg) Judicial Drugs (38) Review a (27) Other complaint (notspecified above) (42) Miscellaneous Civil Petition Asset forfeiture (05) Partnershlp and corporate governance (21) Employment Wrongful termination (36) Petition re: arbitration Writ of mandate (02) award (1 1) a Other petition (not specified above) (43) Other employment (1 5) Other judicial review (39) 2. This case is D is not factors requiring exceptional judicial E complex under management: rule 3.400 of the California Rules of Court. lf the case is complex, mark the a. Large number of separately represented panies d. Large number of witnesses b. Extensive motion practice raising difficult or novel issues that will be time—consuming to resolve B e. Coordination with related actions pending in one or more courts in other counties, states, or countries, or in a federal D court DD c. Substantial amountof documentary eVIdence 3. 4. Remedies sought (check Number of causes of action s all that apply): a. m monetary b. f_Substantial postjudgmemjudicial supervision nonmonetary; declaratory or injunctive relief c. D punitive 5. 6. This case If D is thereewnZkWWated cases, file and serve a fl ecify): is not Three (3): Money Lent, AccountStated, Breach of Contract a class action suit. notice of related case. (Y a use form CM.—<0\1\. , Date: Teresa Stinky ESQ (TYPE OR PRINT NAME) D (SIGNATURE OF PARTY 0R ATI'O R PARTY) NOTICE o Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed under the Probate Code, Family Code, or Welfare and Instituti ons Code). (Cal. Rules of Court, rule 3.220.) Failure to file in sanctions. may result File this cover sheet addition to any cover sheet required by local court rule. in If this case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on aH other parties to the action or proceeding. o Unless this is a collections case under rule 3.740 or a complex case, this cover sheet will be used for statistical purposes only. Page 1 of 2 Form Adopted for Mandalor Use Judicial Council of Califorr¥ia CM-010 (Rev. September 1. 2021] HCEB> Essenfial CIVIL CASE COVER SHEET Calv Rules of Coun. rules 2.30, 3.220. 3.400~33.403, 3.740, Cal. Standards of Judicial Administration, $th 3.10 ceb.com EFOYMS _ www.courrsca gov CM-010 INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET a complaint) in a civil case, you must To Plaintiffs Filing First Papers. lf you are filing a first paper (for example, and Others Case Cover Sheet contained on page 1. This information will be used to compile complete and file, along with your first paper, the Civil must complete items 1 through 6 on the sheet. In item 1, you must check statistics about the types and numbers of cases filed. You case both a general and a more specific type of case listed in item 1, one box for the case type that best describes thepase. If the fits check the boxt hat best indicates the primary cause of action. check the more speci c one. If the case has multiple causes of action, I below. A cover completing the sheet, examples of the cases that belong under each case type in item 1 are provided To assist you in with the first paper filed in a civil case may subject a party, with your paper. Failure to file a cover sheet sheet must be filed only initial ,its counsel, or both to sanctions under rules 2.30 and 3.220 ofthe California Rules of Court. case" under rule 3.740 is defined as an action for recovery of money owed To‘Parties in Rule 3.740 Collections Cases. A "collections in which exdusive of interest and attorney‘s fees, arising from a transaction in a sum stated t0 be certain that is notmo??th migfipoo, tort was acquir'ed n bged A colfe’ctio‘ns case does not include an action seeking the following: (1) property, services, or money . of personal property, or (5) a prejudgment writ of damages, (2) punitive damages, (3) recovery of real property, (4) recovery general 3.740 collections case on this form means that it will be exempt from the attachment. The identification of a case as a rule pleading. A rule 3.740 collections a defendant files a responsive time—for-service requirements and case management rules, unless case will be subject to the requirements for service and obtaining a judgment in rule 3.740. designate whether the To Parties in Complex Cases. complex cases only, parties must also use the Civil Case Cover Sheet to In under 3.400 ofthe California Rules of Court, this must be indicated by case is complex. lf a plaintiff believes the case is complex rule a case as complex, the cover sheet must be served with the completing the appropriate boxes in items 1 and 2. If a plaintiff designates in the the action. A defendant may file and serve no later than the time of its first appearance a joinder complaint on all parties to that counter—designation that the case is not complex, or, ifthe plaintiff has made no designation, a designation plaintiff‘s designation, a the case is complex. CASE TYPES AND EXAMPLES Contract Provisionally Complex Civil Litigation (Cal. Auto Tort Breach of ContractIWarranty (06) Auto (22)—Personal Injury/Property Rules of Court Rules 3.400—3.403) Breach of Rental/Lease Antitrust/Trade Regulation (03) DamageNVrongful Death Contract (not unlawful detainer Uninsured Motorist (46) (if the Construction Defect (10) or wrongful eviction) case involves an uninsured Claims Involving Mass Tort (40) Contract/Warranty Breach—Seller motorist claim subject to Securities Litigation (28) Plaintiff (not fraud or negligence) arbitration, check this item Environmental/Toxic Tort (30) Negligent Breach of Contract! instead of Auto) Insurance Coverage Claims Warranty (arising from provisionally complex Other PllPD/WD (Personal lnjuryl Other Breach of Contract/Warranty case type listed above) (41) Collections (e.g., money owed, open Property DamageNVrongful Death) Enforcement of Judgment Tort book accounts) (09) Collection Case—Seller Plaintiff Enforcement of Judgment (20) Asbestos (04) Abstract of Judgment (Out of Asbestos Property Damage Other Promissory Note/Collections Case County) Asbestos Personal Injury/ Confession of Judgment (non- Wrongful Death Insurance Coverage (not provisionally complex) (1 8) domestic relations) Product Liability (not asbestos or Sister State Judgment toxic/environmental) (24) Auto Subrogation Administrative Agency Award Medical Malpractice (45) Other Coverage Other Contract (37) (not unpaid taxes) , Medical Malpractice— Petition/Certification of Entry of Physicians & Surgeons Contractual Fraud Other Contract Dispute Judgment on Unpaid Taxes Other Professional Health Care Other Enforcement of Judgment Malpractice Real property ' Case Other PVPD/Wp (2?) ‘ Eminent Domain/lnverse ’Miscellaneous Civil Complaint Premises Liability (e.g., 5le Condemnafion (14) RICO (27) and fa") Wrongful Eviction (33) Other Complaint (not specified Intentional Bodily Injury/PDNVD Other Real Property (e.g., quiet title) (26) above) (42) (e.g., assault, vandalism) Writ of Possession of Real Property Declaratory Relief Only Intentional Infliction of Mortgage Foreclosure lnjunctive Relief Only (non- Emotional Distress Quiet Title harassment) Negligent Infliction of Other Real Property (not eminent ' Meqh LCS Li I' a Emotional Distress domain, Iandlord/tenant, or mgciajc ‘ Other Pl/PDNVD iJflhgljg foreclosure) Ca'§e (non-ton/rfig-pfl:% o leg E Non-PIIPDNVD (Other) Tort Unlawful Detainer Other Civil Complaint Business Tort/Unfair Business Commercial (31) (non-tort/non-complex) Practice (07) Residential (32) Miscellaneous Civil Petition Civil Rights (e.g., discrimination, Drugs (38) (if the case involves illegal Partnership and Corporate ' r _ false arrest) (not civil drugs, check this item; otherwise, H Govgmanceafl ‘ ., t " report as Commercial or Residential) ‘ harassment) (08) Petition’(rfot‘"s'pecifi‘e,dl"_ J" _ Other Defamation (e‘g., slander, Ilbel) Review ‘ ‘ Judicial aboEIe) (43) (13) Asset Forfeiture (05) Harassment Civil Fraud (16) Petjtion Re: Arbitration Award (1 1) Workplace Violence. ‘ Intellectua| property (19) WV“ 0f MaHda§e_(02)_ EIder/Dependent Adult Professional Negligence (25) Wrgt—Qdmémstratlve ||\_l!ar}tdadmézs Abuse Legal Malpractice r - an a mu s on 'm' e 0“ n Election C‘pnfesty‘ q, I ,\ ‘ t" Other Professional Malpractice Case Matter Pe’titionfor’Ngyfe Cha’nge . (”0t med’ca’ 0r legal) Writ—Other Limited Court Case Petitio‘n {gr Reliéf {tom ‘Late " ' ‘ * Other Non-PI/PDNVD Tort (35) Review Claim Employment Other Judicial Review (39) Other Civil Petition Wrongful Termination (36) Review of Health Officer Order Other Employment (1 5) Notice of AppeaI—Labor Commissioner Appeals Page 2 of 2 CM‘°‘°‘R” Sep‘embe‘1' 202” Ices Essemial ceb.com EEQIESS V CIVIL CASE COVER SHEET