Santa Clara — CV-5057*

Source: https://santaclara.courts.ca.gov/system/files/forms/cv-5057_rem.pdf

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA FOR COURT USE ONLY STREET ADDRESS: 191 North First Street MAILING ADDRESS: 191 North First Street CITY AND ZIP CODE: San José, CA 95113 BRANCH NAME: Downtown Courthouse – Civil Division

PLAINTIFF:

DEFENDANT:

CASE NUMBER:

AWARD OF ARBITRATOR

Name of Arbitrator:

The undersigned, designated Attorney Arbitrator, having heard the case on (date) , makes the following award:

Plaintiff(s)

Shall recover from the defendant(s)

the sum of $ .

The claim(s) of plaintiff(s)

is/are denied as to defendant(s)

.

Cross-Complainant(s)

shall recover from cross-defendant(s)

the sum of $ .

The claim(s) of cross-complainant(s)

is/are denied as to cross-defendant(s)

.

Statutory costs are awarded to

Other:

Date: Arbitrator’s Signature

CV-5057 NEW 07/11/11 AWARD OF ARBITRATOR Page 1 of 2

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA FOR COURT USE ONLY COURT ADDRESS: 191 North First Street MAILING ADDRESS 191 North First Street CITY AND ZIP CODE: San José, California 95113 BRANCH NAME: Downtown Courthouse

PLAINTIFF:

DEFENDANT:

CASE NUMBER:

PROOF OF SERVICE

PERSONAL SERVICE - FIRST CLASS MAIL

I served a signed copy of the award of arbitration on the following persons:

Date of Service:

I declare under penalty of perjury that the foregoing is true and correct.

Executed on at

Arbitrator:

CV-5057 NEW 07/11/11 PROOF OF SERVICE Page 2 of 2 PERSONAL SERVICE - FIRST CLASS MAIL (Award of Arbitrator)