Merced — MSC-CV-051

Source: https://www.merced.courts.ca.gov/system/files/forms-and-filings/msc-cv-051-settlement-conference-statement-confidential-ada-comp.pdf

MSC-CV-051 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and address) FOR COURT USE ONLY

Attorney for (Name): MERCED COUNTY SUPERIOR COURT STREET ADDRESS: 627 W. 21st Street 1159 “G” Street CITY, STATE, ZIP: Merced, CA 95340 Los Banos, CA 93635

BRANCH NAME: CIVIL PLAINTIFF/PETITIONER: CASE NUMBER: DEFENDANT/RESPONDENT:

SETTLEMENT CONFERENCE STATEMENT - CONFIDENTIAL

1. Describe the nature of the case:

2. Describe any equitable relief being sought:

   a. The probability of plaintiff receiving a favorable judgment regardless of amount: % The probability of cross-complainant receiving a favorable judgment regardless of amount: %

   b. The minimum and maximum potential judgment according to your evaluation. Minimum $ Maximum $

3. If the case involves a defense(s) of comparative negligence, your assessment of negligence attributable to the parties: Plaintiff %

   Defendant %

   Defendant %

   Defendant %

   Cross-Complainant %

   Cross-Defendant %

   Cross-Defendant %

   For Mandatory Use SETTLEMENT CONFERENCE STATEMENT Page 1 of 3 MSC-CV-051 [Rev. Sept. 20, 2023]

CASE NAME CASE NUMBER

a. Describe the conduct of plaintiff/cross-complainant that will bar or diminish any recovery:

b. Describe the factual basis of any legal defenses that will bar or diminish any recovery by
plaintiff/cross-complaint.

4. If this is a personal injury or wrongful death action, each plaintiff/cross-complainant shall complete the following:

a. Nature and extent of injuries:

b. Permanent injuries being claimed:

c. Nature of any surgical procedures recommended or scheduled:

d. Total medical expenses to date:

e. Future medical expenses:

f. Loss of earnings to date:

g. Future loss of earnings:

h. Other special damages:

For Mandatory Use SETTLEMENT CONFERENCE STATEMENT Page 2 of 3
MSC-CV-051 [Rev. Sept. 20, 2023]

CASE NAME CASE NUMBER

i. General damages:

j. Punitive damages:

5. If this is not a personal injury case, each plaintiff shall state the following with respect to each alleged item of damage:

a. Identify each item of damage supported by documentary evidence (type and amount):

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b. Identify each item of damage not supported by documentary evidence (type and amount):

6. If you are a plaintiff/cross-complainant in this action, state your demand in order to settle this matter:

7. If you are a defendant/cross-defendant in this action, state the terms of your demand in order to settle this matter:

8. Describe the status of any previous settlement negotiations:

   SUBMIT THIS DOCUMENT NO LATER THAN SIX (6) COURT DAYS PRIOR TO THE MANDATORY SETTLEMENT CONFERENCE HEARING PER LOCAL RULE 3.6.

Date: (SIGNATURE OF PARTY OR ATTORNEY)

Attorney for:

For Mandatory Use SETTLEMENT CONFERENCE STATEMENT Page 3 of 3
MSC-CV-051 [Rev. Sept. 20/2023]