Defendant Dan Douglas has retained the Law Office of Cardozo & Traynor, located at 5610 Blackrobe Way, Walnut Creek, CA 94545. The attorney representing Defendant is Ann Attorney, State Bar No. 192563. Please prepare the following documents using judicial council forms:

Answer with verification

Due: 09/20/22

Please use the attached Summons & Complaint for completing the Answer.

SUMMONS (CITACION JUDICIAL) NOTICE TO DEFENDANT: (A VISO AL DEMANDADO): DAN DOUGLAS YOU ARE BEING SUED BY PLAINTIFF: (LO ESTA DEMANDANDO EL DEMANDANTE): PAUL PETERSON SUM-100 FOR COURT USE ONLY (SOLO PARA USO OE LA CORTE) NOTICE! You have been sued. The court may decide against you without your being heard unless you respond within 30 days. Read the information below. You have 30 CALENDAR DAYS after this summons and legal papers are served on you to file a written response at this court and have a copy served on the plaintiff. A letter or phone call will not protect you. Your written response must be in proper legal form if you want the court to hear your case. There may be a court form that you can use for your response. You can find these court forms and more information at the California Courts Online Self-Help Center (www.courtinfo.ca.gov/selfhe/p), your county law library, or the courthouse nearest you. If you cannot pay the filing fee, ask the court clerk for a fee waiver form. If you do not file your response on time, you may lose the case by default. and your wages. money, and property may 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 want to call an attorney referral service. If you cannot afford an attorney, you may be eligible for free legal services from a nonprofit legal services program. You can locate these nonprofit groups at the California Legal Services Web site (www.fawhelpcafifomia.org), the California Courts Online Self-Help Center (www.courtinfo.ca.gov/selfhefp), or by contacting your local court or county bar association. NOTE: The court has a statutory lien for waived fees and costs on any settlement or arbitration award of $10,000 or more in a civil case. The court's lien must be paid before the court will dismiss the case. /AVISOI Lo han demandado. Si no responde dentro de 30 dfas, fa corte puede decidir en su contra sin escuchar su versi6n. Lea fa informaci6n a continuaci6n. Tiene 30 DIAS DE CALENDAR/O despues de que le entreguen es/a citaci6n y papeles legates para presenter una respuesta por escrito en esta corte y hacer que se entregue una copia al demandante. Una carta o una 1/amada telef6nica no lo protegen. Su respuesta por escrito tiene que estar en formato legal correcto si desea que procesen su caso en fa corte. Es posible que haya un formufario que usted pueda usar para su respuesta. Puede encontrer estas formularios de la corte y mas informaci6n en el Centro de Ayuda de las Cortes de California (www.sucorte.ca.gov}, en la biblioteca de /eyes de su condado o en fa corte que le quede mas cerca. Si no puede pagar la cuota de presentaci6n. pida al secretario de la corte que le de un formulario de exenci6n de pago de cuotas. Si no presenta su respuesta a tiempo, puede perder el caso por incumplimiento y la corte le podra quitar su sue/do, dinero y bienes sin mas advertencia. Hay otros requisitos legales. Es recomendable que /lame a un abogado inmediatamente. Si no conoce a un abogado, puede /lamar a un servic,o de remision a abogados. Si no puede pagar a un abogado, es posible que cumpla con los requisitos para obtener servicios Iegales gretuitos de un programa de servicios legales sin fines de Iucro. Puede encontrar estos grupos sin fines de /ucro en el sitio web de California Legal Services, /www.lawhelpcalifornia.org), en el Centro de Ayuda de las Cortes de California, (www.sucorte.ca.gov) o poniendose en contacto con la corte o el colegia de abogados locales. A VISO: Por fey, la corte tiene derecho a rec/amar las cuotas y /os costos exentos por imponer un gravamen sabre cualquier recuperecion de $10,000 6 mas de valor recibida mediante un acuerdo o una concesi6n de arbitraje en un caso de derecho civil. Tiene que pagar el gravamen de fa corte antes de que Ia corte pueda desechar el caso. The name ancl aclclress of the court is: (El nombre y direcci6n de la corle es): Superior Court of California County of Contra Costa County 725 Court Street, Martinez, California 94553 CASE NUMBER: (NUmero de/ Caso). The name, aclclress, ancl telephone number of plaintiff's attorney, or plaintiff without an attorney, is: MWSC22-0000I (El nombre, la direcci6n y el numero de telefono de/ abogado de/ demandante, o de/ demandante que no tiene abogado, es): I.M. Barrister; Nordquist, Kelly & Suzuki;2536 William Bart Way; Concord, CA 94705 (925) 123-4576 Clerk, by C 1:::::--= DATE: January 10, 2022 (Fecha) (Secretario) (For proof of service of this summons, use Proof of Service of Summons (form POS-010).) , Deputy (Adjunto) (Para prueba de entrega de esta citati6n use el formulario Proof of Service of Summons, (POS-010)). ISEAL] -. ' Gllo\i : ScftL-' . ' Fonn Adopted for Mandatory Use Judicial Council of Galifornia SUM-,00 (Rev. July 1, 2009) NOTICE TO THE PERSON SERVED: You are served 1. [ZJ as an individual defendant. 2. D as the person sued under the fictitious name of (specify): 3. D on behalf of (specify): under: D CCP 416.10 (corporation) D CCP 416.20 (defunct corporation) D CCP 416.40 (association or partnership) D other (specify). 4. D by personal delivery on (date): SUMMONS D D D CCP 416.60 (minor) CCP 416.70 (conservatee) CCP 416.90 (authorized person) Pa e1of1 Code of Civil Procedure 412.20, 465 www.oourtinfo.ca.gov PLD-Pl-001 ATTORNEY OR PARTY WITHOUT A HORNEY (Name, State Bar number, and address); - I.M. Abarrister, SBN: 178796 Law Office of Nordquist, Kelly and Suzuki 2536 William Bart Way Concord, CA 94705 TELEPHONE NO. (925) 123-4576 FAX NO. (Optional) E-MAIL ADDRESS (Optional): i..r@nksllp.com ATTORNEY FOR (Name): Paul Peterson SUPERIOR COURT OF CALIFORNIA, COUNTY OF Contra Costa County STREET ADDRESS: 725 Court Street MAILING ADDRESS: CITY AND ZIP CODE: Martinez, CA 94553 BRANCH NAME: Martinez Superior Court PLAINTIFF: PAUL PETERSON DEFENDANT: DAN DOUGLAS [ZJ DOES1 TO 50 COMPLAINT-Personal Injury, Property Damage, Wrongful Death 0 AMENDED (Number): Type (check all that apply): [ZJ MOTOR VEHICLE D OTHER (specify): [ZJ Property Damage D Wrongful Death [ZJ Personal Injury D Other Damages (specify): FOR COURT USE ONLY Jurisdiction (check all that apply): CASE NUMBER: 0 ACTION IS A LIMITED CIVIL CASE Amount demanded D does not exceed $10,000 D exceeds $10,000, but does not exceed $25,000 [ZJ ACTION IS AN UNLIMITED CIVIL CASE (exceeds $25,000) 0 ACTION IS RECLASSIFIED by this amended complaint D from limited to unlimited D from unlimited to limited 1. Plaintiff (name or names): PA UL PETERSON alleges causes of action against defendant (name or names): DAN DOUGLAS 2. This pleading, including attachments and exhibits, consists of the following number of pages: 6 3. Each plaintiff named above is a competent adult a. D except plaintiff (name): (1) D a corporation qualified to do business in California (2) D an unincorporated entity (describe): (3) D a public entity (describe): (4) D a minor D an adult MWSC 22-0000 I (a) D for whom a guardian or conservator of the estate or a guardian ad I item has been appointed (b) D other (specify). (5) D other (specify): b. D except plaintiff (name): (1) D a corporation qualified to do business in California (2) D an unincorporated entity (describe). (3) D a public entity (describe): (4) D a minor CJ an adult (a) CJ for whom a guardian or conservator of the estate or a guardian ad !item has been appointed (b) D other (specify). (5) D other (specify) D Information about additional plaintiffs who are not competent adults is shown in Attachment 3. Page 1 of 3 Form Approved for Optional Use Judicial Councl of California PLD-Pl-001 [Rev. January 1, 2007] COMPLAINT-Personal Injury, Property Damage, Wrongful Death Code of Civil Procedure, 425.12 www.courtmfo.ca.gov PLD-Pl-001 SHORT TITLE: PETERSON v. DOUGLAS 4. D Plaintiff (name): is doing business under the fictitious name (specify): and has complied with the fictitious business name laws. 5. Each defendant named above is a natural person a. D except defendant (name): (1) D a business organization, form unknown (2) D a corporation (3) D an unincorporated entity (describe): (4) D a public entity (describe): (5) D other (specify): b. D except defendant (name): (1) D a business organization, form unknown (2) D a corporation (3) D an unincorporated entity (describe): (4) D a public entity (describe): (5) D other (specify): CASE NUMBER: MWSC 22-0000I c. D except defendant (name): (1) D a business organization, form unknown (2) D a corporation (3) D an unincorporated entity (describe): (4) D a public entity (describe): (5) D other (specify). d. D except defendant (name): (1) D a business organization, form unknown (2) D a corporation (3) D an unincorporated entity (describe): (4) D a public entity (describe). (5) D other (specify) D Information about additional defendants who are not natural persons is contained in Attachment 5. 6. The true names of defendants sued as Does are unknown to plaintiff. a. [ZJ Doe defendants (specify Doe numbers): 50 were the agents or employees of other named defendants and acted within the scope of that agency or employment. b. [ZJ Doe defendants (specify Doe numbers): 50 are persons whose capacities are unknown to plaintiff. 7. D Defendants who are joined under Code of Civil Procedure section 382 are (names): 8. This court is the proper court because a. W at least one defendant now resides in its jurisdictional area. b. D the principal place of business of a defendant corporation or unincorporated association is in its jurisdictional area. c. [ZJ injury to person or damage to personal property occurred in its jurisdictional area d. D other (specify): 9. D Plaintiff is required to comply with a claims statute, and a. D has complied with applicable claims statutes, or b. D is excused from complying because (specify): PLD-Pl-001 [Rev. January 1, 2007] COMPLAINT-Personal Injury, Property Damage, Wrongful Death Page 2 of 3 PLD-Pl-001 SHORT TITLE: CASE NUMBER: PETERSON v. DOUGLAS MWSC22-00001 10. The following causes of action are attached and the statements above apply to each (each complaint must have one or more causes of action attached): a. [ZJ Motor Vehicle b. [ZJ General Negligence c. D Intentional Tort d. D Products Liability e. D Premises Liability f. D Other (specify): 11. Plaintiff has suffered a. [ZJ wage loss b. [ZJ loss of use of property c. [ZJ hospital and medical expenses d. [ZJ general damage e. [ZJ property damage f. [ZJ loss of earning capacity g. D other damage (specify): 12. D The damages claimed for wrongful death and the relationships of plaintiff to the deceased are a. D listed in Attachment 12. b. D as follows: 13. The relief sought in this complaint is within the jurisdiction of this court. 14. Plaintiff prays for judgment for costs of suit; for such relief as is fair, just, and equitable; and for a. (1) [ZJ compensatory damages (2) D punitive damages The amount of damages is (in cases for personal injury or wrongful death, you must check (1)): (1) [ZJ according to proof (2) D in the amount of: $ 15. D The paragraphs of this complaint alleged on information and belief are as follows (specify paragraph numbers): Date January 4, 2022 I.M. Abarrister (TYPE OR PRINT NAME) Pl[)..Pl-001 [Rav, January 1. 2007) (SIGNATURE OF PLAINTIFF OR ATTORNEY) COMPLAINT-Personal Injury, Property Damage, Wrongful Death Page 3 of 3 PLD-Pl-001 (1) SHORT TITLE: CASE NUMBER: PETERSON v. DOUGLAS MWSC 22-0000 I FIRST CAUSE OF ACTION-Motor Vehicle (number) ATTACHMENT TO W Complaint O Cross- Complaint (Use a separate cause of action fonn for each cause of action.) Plaintiff (name): PAUL PETERSON MV- 1. Plaintiff alleges the acts of defendants were negligent; the acts were the legal (proximate) cause of injuries and damages to plaintiff; the acts occurred on (date). May 15, 2020 at (place): Intersection of Oak Grove Road & Y gnacio Valley Blvd. in Walnut Creek, California. MV- 2. DEFENDANTS a. W The defendants who operated a motor vehicle are (names): DAN DOUGLAS W Does 1 to 50 ------ b. W The defendants who employed the persons who operated a motor vehicle in the course of their employment are (names): W Does ------ 1 to -- 50 ---- c. W The defendants who owned the motor vehicle which was operated with their permission are (names): W Does 1 to ------ 50 d. W The defendants who entrusted the motor vehicle are (names): W Does ------ 1 to ------ 50 e. W The defendants who were the agents and employees of the other defendants and acted within the scope of the agency were (names): W Does 1 to 50 f. D The defendants who are liable to plaint-iff_s _fo_r_o-th_e_r-re_a_sons _ and the reasons for the liability are D listed in Attachment MV-21 D as follows: D Does to Page 4 Page 1 of 1 Form Approved tor Optional Use Judicial Council of Ga!ifomia PLD-Pl-001(1)1Rev. January 1, 2007] CAUSE OF ACTION-Motor Vehicle Code of Civil Procedure 425.12 www.courtinfo_ca.gov PLD-Pl-001 (2) SHORT TITLE: CASE NUMBER PETERSON v. DOUGLAS MWSC22-0000 I SECOND CAUSE OF ACTION-General Negligence Page __ 5 __ (number) ATTACHMENT TO [ZJ Complaint O Cross - Complaint (Use a separate cause of action fonn for each cause of action) GN-1. Plaintiff (name). PAUL PETERSON alleges that defendant (name). DAN DOUGLAS W Does ----- I to ----- 50 was the legal (proximate) cause of damages to plaintiff. By the following acts or omissions to act, defendant negligently caused the damage to plaintiff on (date) May 15, 2020 at (place): Walnut Creek, CA (description of reasons for liability): Defendant Dan Douglas operated his motor vehicle in a reckless and negligent manner. On or about May 15, 2020, defendant drove his motor vehicle through a red light at a controlled intersection striking plaintiffs vehicle causing severe damage to plaintiff. Defendant was also driving at an excessive rate of speed and did not properly brake his motor vehicle causing the collision with plaintiff. Defendant failed to operate his vehicle in a safe and reasonable manner. As a result of defendant's failure to operate his vehicle with reasonable care, plaintiff has suffered severe injury to his person and property. Fann Approved for Optional Use Judicial Council of California PLD-Pl-001(2) [Rev. January 1, 2007) CAUSE OF ACTION-General Negligence Page 1 of 1 Code of Civil Procedure 425.12 www.courtinfo.ca.gov 1 2 3 4 5 6 7 8 VERIFICATION Verification of Pleading (Code Civ. Proc., 446) Declaration under Penalty of Perjury Form (Code Civ. Proc., 446, 2015.5) 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PAUL PETERSON v. DAN DOUGLAS Case Number: MWSC20-00001 I, PAUL PETERSON, declare: I am the plaintiff in the above-entitled matter. I have read the foregoing COMPLAINT - Personal Injury, Property Damage,Wrongful Death and know the contents thereof. The same is true of my own knowledge, except as to those matters which are therein stated on information and belief, and, as to those matters, I believe it to be true. Executed on, January 4, 2022, at Concord, Contra Costa County, California. I declare (or certify) under penalty of perjury that the foregoing is true and correct.