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HomeMy WebLinkAbout08-1328IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NATIONWIDE MUTUAL INSURANCE CO., a/s/o Helen Michaels, Plaintiff, VS. ELAINE WOOD, an adult individual Defendant. Civil Division No. 6 9- J,3.2 ,P CSI 7?1, Code No. COMPLAINT IN CIVIL ACTION Filed on behalf of Plaintiff: Nationwide Mutual Insurance Co. Counsel of Record for this Party: Shawn T. Flaherty Pa. I.D. #43697 William F. Rogel, Esquire Pa. I.D. #203348 FLAHERTY FARDO, LLC Firm #527 5541 Walnut St. Pittsburgh, PA 15232 Telephone: (412) 802-6666 Facsimile: (412) 802-6667 Email: stf@pghfirm.com IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NATIONWIDE MUTUAL INSURANCE CO., Civil Division a/s/o Helen Michaels, Plaintiff, No. VS. Code No. ELAINE WOOD, an adult individual Defendant. NOTICE TO DEFEND You have been sued in Court. If you wish to defend against the claims set forth in the following papers, you must take action within twenty (20) days after the Complaint and Notice are served by entering a written appearance personally or by an attorney and filing in writing with the Court your defenses or objections to the claims set forth against you. You are warned that if you fail to do so, the case may proceed without you and a judgment may be entered against you by the Court without further notice for any money claimed in the Complaint or for any claims or relief requested by the Plaintiff. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A OR KNOW A LAWYER, THEN YOU SHOULD GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP: Cumberland County Bar Association 32 South Bedford Street Carlisle, PA 17013 Lawyer Referral Service (717) 249-3166 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NATIONWIDE MUTUAL INSURANCE CO., Civil Division a/s/o Helen Michaels, Plaintiff, No. 0,7• /3J P Cil-Ll 7-e vs. ELAINE WOOD, an adult individual Defendant. Code No. COMPLAINT IN CIVIL ACTION AND NOW, comes the Plaintiff, Nationwide Mutual Insurance Company, by and through its attorney, Shawn T. Flaherty, Esquire of Flaherty Fardo, LLC, and brings this Complaint in Civil Action and in support thereof avers as follows: PARTIES 1. The Plaintiff, Nationwide Mutual Insurance Company is a nationwide insurance and casualty company incorporated in the state of Iowa whose principal place of business is 1100 Locust Street, Dept. 2019, Des Moines, Iowa 50391. 2. The Defendant, Elaine Wood, is a citizen of the Commonwealth of Pennsylvania who resides at 3504 Derry Street Apt. A, Harrisburg, PA 17111. 3. Plaintiff is the assignor and subrogee of Helen Michaels, a citizen of the Commonwealth of Pennsylvania who resides at 864 Hilltop Road, Lemoyne, PA 17043. FACTUAL BACKGROUND 4. On or about the 28th of October, 2006, the Plaintiff's insured, Helen Michaels was properly and carefully operating her white 2005 Chevrolet Uplander. 5. On or about the same time and date, the Defendant, Elaine Wood, was negligently, carelessly, and recklessly operating her blue 1988 Ford Aerostar. 6. On this same time and date the weather was clear and there were no adverse conditions. 7. On or about the same time and date, Plaintiff was driving west on Hartzdale Drive and had stopped to make a left turn into the driveway for the establishments of Kathie's Christmas and Theo's Bar and Grille. 8. Plaintiff used her left hand turning signal to indicate her intention to turn left. 9. Defendant was also driving west on Hartzdale Drive behind the Plaintiff. 10. Defendant negligently, carelessly, and recklessly failed to see Plaintiff's stopped vehicle in time to avoid a collision. 11. A copy of the Police Report from the aforementioned accident is attached hereto as Exhibit A and has been incorporated herein by reference. 12. Plaintiff's insured was caused to suffer damages as a sole, direct, and proximate result of the negligence, recklessness and carelessness of the Defendant, generally and the following particulars: a. in failing to have her vehicle under proper control; b. in failing to keep proper lookout; c. in being inattentive; d. in failing to observe the Plaintiff's insured's position on the road; e. in operating her vehicle without due regard to the rights, safety, and position of the Plaintiff s insured; f. in failing to watch the road in front of her; g. in failing to stop, slow down, steer around, or otherwise avoid striking the Plaintiff's insured; h. in failing to observe with reasonable care the traffic and road conditions, including the location of the Plaintiff s insured; and i. in failing to operate the breaks and steering mechanisms of the vehicle in such a manner as to avoid colliding with the Plaintiff s insured. DAMAGES 13. The averments of Paragraphs 1 through 12 are incorporated herein by reference. 14. As a result of the negligence of the Defendant, the Plaintiff sustained damages in the amount of $4,595.44, including $4,095.44 in property plus a $500.00 deductible. 15. As a result of the negligence complained of herein, in as much as the Defendant struck the Plaintiff's vehicle, the Defendant is responsible for the sum total of damages in the minimum amount of $4,595.44. WHEREFORE, Plaintiff respectfully requests judgment be entered in its favor and against Defendant, Elaine Wood, in the minimum amount of $4,595.44 and such other relief as the Court may deem appropriate, plus costs of the action. RESPECTFULLY SUBMITTED: FLAHERTY FARDO, LLC Dated: ,7-/ // , 2008 B Pnnt C;KS P0672464 CAIN OF PENNSMANIA POLICE CRAM REPORTING FORM AA 500 2 IN- w 0* _-1 Page 2 of 9 Crab Number Pays: P0672464 0 T r 11" Vel in Q Hit R Run Vehicle Q R kgaPeel Transport O LeaNy Parked Q Non -Motorized Cornmerrlat vehicle r WNt Pedestrian on Skates. Disabled From Q Pedestrian (] in Vftelchair, etc O Previous Crash L] Train O Phantom Petrick Q Yes ONO pl 'Pedestrian' or 'Pedestrian on Skater in Wheelchair etc' C okte Form, M, Section 2 (If Ye; C Complete form p urdt No First Noma O1 ELAINE MI Date of "IMM-DD-YYYY) I ? 03 22 1966 Dek1e7 Last Ntrere Te1e hone Number O WOOD 7175580659 Address I J State Z11 3504 DERRY ST HARRISBURG PA 17111 Driver License Number 22175602 S glass PA AlaohoLDnras Suspected Driver or Pedestrian Physical Carokilon Q No Q Ykgal Drugs Q Medication O ?grPrnet y O 1,4e l Drug O Fat gue Q Medication O Alcohol O Alcohol and Drugs O Unknown Had Been Drinkin O Sick O Asleep O "-own Akoho/ Tear Tvoe O Test Not Given Q Breath Q Other !mart' Veh?de Cork ywadoe Charged? O Blood O urine O Unkt Govt Tes 75 / 3714 CARELESS DRIVIN O Yes O No A T efiAesdis O Test Refused O Rt Q Con Test Gminiven,ed Results Itaat Ork- Presence t=Driver Operated 3=Driver fed Scene Vehicle 4=Hit and Run 2-No Driver 9=Unknown Owner/Driver 00=Not Applicable 01 01.Pnvate Veh le Owned/ leased by Driver 02.Pnvale Vehicle Not OwneM-sed by Driver 03=1ented Vehicle 04=State Poke Vehicle 07=Municipal Police Veh D5-PENNDOT Vehicle 08.0dw Municipal 06.0ther state Gov Veh Government Vehicle W-Federal Gov Veh 98-Other 99-Unknown San* at wwnw nm Name Owner laft None or Business Name (if Pedestrian, skip this Section) Driver O ELAINE WOOD Address J City / State / ZIP Vehicle Make *Make Code 3504 DERRY ST HARRISBURG PA 171117111 Ford 12 VIN Model Year Vehicle ModeI (? play) I FMCA I I U I JZA00390 1988 rAEROSTAR license date Reg. State Est Speed Vehicle Towed Towed B FMP3634 PA 999 O Yes O No A,qA Mss ftwome Insurance Company ---- ?? Policy No .2 ) Yes Yes O 0 Q kn - ---? k no wn T T l.Towing Pass. Veh 4=MobiWModular Home 7-Serni.7railer itingNo. of Q ? 2=Towing Truck 5=Camper 8=Other Units . 3.Towing Utility Trailer 6=FuN Trailer 9-Unknown Tay No T Year Tag St Lj $ of a • VehWe Pasltion F) •it4ovemenr Ol '? spedal maw oveday Vehide Color VtNde Tvoe 05=large Truck 20=Unicycle. Bicycle X10 12-Corfvrrercial UI 06=Yellow 07=59ver Ot=AUtomobie 07 02=Motorcyr)e 06•SUV 07=Van , Tricycle 21 Ather Pedakyde Passenger OO1N0t APPIKabk Carrier 08-Gold OI .Slue 09=Brown 03-Bus 04=Small Truck 10-Snowmobile 11=Farrri Equip 22-Horse d @ugpy 23=Horse 6 R+det 01=lire Veh 13-Taxi 02-Ambulance 21-Tractor Trader 02=Red 1D=Orange 03=Whit t P Of '02', Complete Form 12=Construction Equip 24=Train 03=Poke Z2-Twin Trailer e 1 = urple 04-Green 12=Other ( Section 26) 13.A7V 254rolley 08-DOW Emergency 23=Tripe Trailer Vehi l 05=e1ack 99.Unknown Of '20' or '21'. Complete form +14 Section 27) 18=Other Type Spec Veh 19-Unk Type Spec Veh 98-Other 99=LMknown c e 31-Modified Veh 1 t-Pupit Transport 9g=Unknown iddrl>/ anaacr Pant Damage Wkator Gradient 3=Downhill Road AllareeeW 1 00-Non-Collision 14.Undacaniage 01.12=Clock Points 1S=Towed Unit 3 0-None 2.functional 1-Mirror 3=Disabling D 1=Level 4=Bottom of Hill S.Topof Hill i=Strt a 2=Curv d 13.Top 99-Unknown enru...a_e.v. .e..?. 9-Unknown I• Lk" 9=Unknown e 9•lkdtnown rte. -- VyFI http://www.dot6.state.pa.uslicons/Print imageslXmI Fi lesl2006l l 2253 1 21 1 02admin72O070... 5/29/2007 Pnnt CKS P0672464 J CO LTH OF rMNSYLVANA PPOLKE CRASH VEPOMM FOMM. •1119.: AA 500 2 "°``e are o"'' FT-] .Page 3 of 9 111111AMI Crash Number P0672464 O Motor Vehicle in Hit 8 Run Vehicle Q Negally Parted O Legally Parked O Non • Motorized Corarnerdal Veldde Transport O Yes ONO Pedestrian oi? Skates. Wh tc O PrDisabled From evious Crash O Train O Phantom Vehicle Urd! Q Pedestrian O l h ir l in ee c a , e 2 (if Y4% Comp ete Form 0 V (if 'Pedestrian' or '1'edesfrbn on Shave; in Meekhak, W. Saplete Form i11 Section UNt No First Naar MI Date of Birth (MM-DD-YYYY) 02 HELEN P? 10 10 1926 Last Name Tale horse Number - Delete ? MICHAELS 7177373521 O Address I Otir I State 864 HILLTOP RD LEMOYNE PA 17043 Driver License Number state Claw 06854580 PA St?oected Driver, or Pcdestdan Mwsful Con?ek?r r Q No O Illegal Drugs Q Mediation O ?maently O dal Drug 0 Fatigue Q Medication O Alcohol O Alcohol and Drugs Q Unknown Ben O S?ttc O Asleep 0 Unknown Q D nn Akohoi Test Tvoe Prirrravy Vehkk Code Violation Charged? $ O Test Not Given Q Breath O Other Q Yes No ? `. r0 Blood Q Urine O Te Test Gene if i > Unknown Alcohol Test Results Q Test Refused 0 Results Driver Presence 1.13river Operated 3.Drivei Fled Scene Vehicle 4=Hit and Run O Test Given. l ? 1 Unknown 9 i N D Contaminated Resu ts . = r ver o 2= Osvrrent)rive? 00-Not Applicade 02=Private Vehicle Not 04=State Poke Vehicle 07=Muniopat Police Veh 09.Federai Gov Veh 01.Private Vehicle DwnedJ Owned0ased by Driver 05-PENNDOT Vehicle 08=0ther Municipal 98.01her 01 Leased by Driver 03=1itented vehicle 06.0ther State Gov Veh Government Vehicle 99.Unknown Owner First Name Owner Last Name or Business Name (If Pedestrian, skip this Section} a0 HELEN -? MICHAELS Address J city I State / Zip Vehfde Make 'Make Code let 20 Chev ro 864 HILLTOP RD LEMOYNE PA 170437043 WN Model Year Vehicle Model (see overlay) 1GNDV33L25D158177 2005 J UPLANDER License Plate Reg. State Est Speed Vehicle Towed Towed By FTH3616 FPT? [060 l? O Yes O No Insurance insurance Company Policy No - 1 5837D435477 NATIONWIDE C :)Yes C :)NO p known tz yra?r? 1=Towing PASS. Veh 4=Mobik/Morlular Horne 7=Semi-Trailer Tag No Tag Year Tag St Other C - ?? 9 l T No. of I a 2.ToNn? Truck S. Ririe iratkng 9= Unknown u f T k . ya r ra 3.7ow Utility Trailer fi• ol Units: Oin?cti*"` Of - M "hide Aosition 01 'Movevnent 03 t>*See rla Spedal Usage 7W ,7 ve y I VehJde Color Vehicle Type 05=Large Truck 20-Unicycle, Bicycle. I 12= Passenge ?I 06= Yellow 03 07=Silver 01.Autoniobile 06•SUV Tricycle 06 02ddotorcyde 07=Van 21-Other Pedalcyde 00=Not Applicable Carrier 01-Fire Veh 13-Taxi a 08=Gold 03-Bus 10-SnowmotWe 22=Horse & Buggy 0Ambulance 2T Trailer 01=0lue D9=Brown 04=Small Truck 11-Farm Equip 23=Horse & Rider in, T 033=Poli(e 22-Twin, Trailer 02=Red 10=Orange IH'02 , Complete Form 12=Construction Equip 24=Tram ATV 25•1toll 13 08.01hK Emergency Z3=Tnpie Trailer 03=white I t.Purple " = M, Section 26} Vehicle 31.1006fied Veh 04=Green 12=Other 0 91 k k Of ^20' or 21 ^, Complete I8=Other Type Spec Veh 98.Othei 19.Unk Type Spec Veh 99-Unknown I t=Pupil Transport 99.Unknown nown ac 99=Un 5= form M, section 27 kaw M wad Point Damage Indkifor G wd 3=Downhill good AAgrraent © DO.Noo-Ccifton 14-Undercarriage i d 0 None 2:1'unctional 1=Minor 3=Disabling , .Level 4=Bottom of Hill 5=Top of Hal 1 1=Straight 2-curved Un t 01-12•C lock Points 15-Towe 9-Unknown : 2Uphill 9.Unknown 9=unknown 13•TOp 99=Unknown Is I FONM • M-500 (12V" PENNDOT COPY http://www.dot6.state.pa.usliconsIPrintlmagesfXm] Fi lesl2006 l l 2253121 l 02admin72O070... 5/29/2007 Print CKS P0672464 J COMMONWEALTH OF PENNSYLVANIA POLICE CRASH REPOIl FORM AA 500 3 "°11eONy h? Q ;D?ne?? Dastc??er/pccrpant E oo-None used / Nor e 7?edestr'?an i 8 vwm&-. 02-Front Seat Middle Position 01-Shoulder Belt 02= Belt used Used .Ot cY 9-Unknown 03-front Seat Right Side 04-Second Row - Leh Side of 03-LV And Shoulder Belt Used 04=Chid Safety Seat Used Moar r OS.Set t Rows Middta pmtm 0 , ri, - inet used • ht 06=5ecord Raw' Right Side 10 B n le. 07 -Third Now Or Greater - Left Sid . BeN Used I I-Child Safety Seat used k?npro M.Male U Unknown e OBI Row Or Greater • pr e 1290?esstr?ai th dr T 44 Middle Position 09-ThW Row Or Greater nt e . ype n U 99Unkrown Right Side Skqw E" a d Trutktat, i°= F o? . thed Nol A ppGubk snot rnNrea 1 =Killed 2 M Other n Pauri ger Or Cargo Area 0t-Front Air Bag Deployed (For This Seat) 02-Side Air Bag Deptoved (For This Se" - ayor f^1WY 3. M oderate 12-11 Open Area (flack Of Pickup. Etc) 03_-other Type Air Bad Depktyed 04=MA Air B t7epbyed r y Iryr? <:Mnor i aMUry 3-Traill Unit 1 daFl On Vehicle Exterior r 05-Motorcycle EyeProtection D(6-Bil Wearing Ewow/KneeWPads 8-try Sevell t??hI assen9N 10a1iW Bag Not Dill Switch On 9=U nknown if f 99=Unknown I I-M Bag Not Deployed. Switch oft 17-A r Bag Not Deployed Mwy . Unk Switch Seth I3=Air B.S. Rerroved?Prior To Crash) 19-Unknown If Air Bag Deployed 99=Unknown Page 4 of 9 1I01I1f Gash Number P0672464 G >=laot Edo H I-Thoy de Not opening Applicable 2=Through Side Widow 3-Through Windshield Back Door 5=Through Back Door Ta%e Opening III unroll/ 7=Through l??ng) (Convertible Top Up) 9=Unknown O=Not 1-Not Extricated 2-Extricated By Meehan cal means 3-Freed by Non - Mechanical Means B-other. 9=Unknown ENDS Agency: LOWER ALLEN TOWNSHIP Medlical Facility: unit No Person No Date of Birth (MM-DD-YYYY) A 8 C D E F G H ( 01 0} Delete? 03 - 22 - 1966 E] n® p) 100 -l?a L--) L_J Name 1 add ress /Phone Q ??r WOOD, ELAINE S 3504 DERRY ST HARRISBURG PA 17111 7175588 EMS Transport O Yes 0 No Unit No Person No Date of Birth (MM-DD-YYYY) A B C D Dehl F G H 1 01 02 p 08 - 18 - 198 } ? n 0 E 03 03 Name I Address i phone a Q?easr REDMAN, REBECCA URSULA 3504 DERRY ST HARRISBURG PA 17111 EMS Transport O Yes Q No unit No ?erson No Dab d Birt MM-DD YYYY) A B C -?-`: E F G H J 01 03 O 7 ?? _ 15 - 1983 2n FlJ OS 02 P --? I-J L_ J Name !Add a a 0D h L 1 ress /P one - - Q Same x WOOD, MELISSA 3504 DERRY ST HARRISBURG PA 17111 71755886 operator EMS Transport O Yes O No th,ft No Person No Date of Births (MM-DD YYYY) Dews? A B C D F F G H [ 01 0 ?_ 19 - 2001 aM n 09 ??a0 0 Name I Add f Pl ress roere ? San* WOOD, MICHAEL 3504 DERRY ST HARRISBURG PA 17l 11 71755886 EMS Transport Oyes ON, Unit no rerson No Doh of Birth (MM DD YYYY) A B C D E F 02 01 p 7 10 - } 0 - 1926 1? Fn OLJ O 1 03 12 Name I A id G H I I? pa 0? c ness I Pjw* Q sarat ramr MICH III HELEN P 864 HILLTOP RD LEMOYNE PA 17043 717737 EMS Transport O Yes O No Unit No person No Dews? Date of Birth (MM-pp-YYYY) A 8 C D E F 02 02 0 03 - 08 - 1956 2? F? 4E-J © 03 12 Name f Addr ! Ph G H l D D a E j ess one [] Soma as MC NO A 13 A Operator EMS Transport 0 Yes 0 No FOwr P A&&w (rnrar r. PEpBkDOT COPY http://www.dot6.state.pa.usliconsIPrintlmagmlXrnIFiles/20061 i 2253 1 2 1 1 02admin72O070... 5/29/2007 PrInt CKJ PU672464 I COMMONWEALTH OF PENNSYLVANIA POLICE CRASH REPORTING FORM AA 500 3 1 polm uw 0* Page S of 9 Tt 11 Crash Number Pape © P0672464 A D Pa/occupant o i Md W E Do-None /Not AyokaWe G O-Not Applicable d 1 bl B t E t d 01 h U Sh ld 1:Dr ver -A es 2¦Passcnpe7 7 V =Pedestrwn 02.Frortt Seat Middle Position = tcc e er se o ou e 024ap BAR Used 2-Tocally E 8=other 03=front Seat t Sde ? 03-Lap And Shoulder Belt Used 3-Parti leh Side Or 9wUnknown 04=Seeond Row Motorcycle Passenger i ' 04--Chid Safety Seat used 9-lnkno . Heirm Used D5=Motorccy k i Posit on OS=Secad Row - M v He UStd path.- 06--Second Row • Right Side Sex: 07=Thud Row Or Greater - B F =? rnale 10-Sa Belt tJSCd tnpropery ed / Not Applicable 1 t=Chd Safety Seat Used krrpropedy 1=Through Side Door Opining M-Male Leh Side U =Unknown OB=Third Row Or Greater . 124tekrtet Used hrroraoaM 2=Through Side tNndow 9D=Restraint Used, yp! Unknown 3=Thugh Wndshield Middle Position D%Third Row Or Greater - Right Side 99.Unknown 4--Through Bade Door 541xough Back Door Ta' to Opening p 6=Thr Root °p rSunrooif ? 10=Sleeper Section of Trucktab Injures l1-tn otlxr Encbsed F oo= oAPPk" ConvveeM* Top Down) ) 01 -Front Air Bag Deployed (For This Seat) 7=Through Roof Opening Korwernbk F Thi id k' * l d S t 1=1Cilkd Passenger Or Cargo Area 2=Major Injury Quin Open Area d Of Pi k B Et ) or e A Bag p oye s ea 02=S ( ) To 03=Other Type Air Depbyed 9=Ur known lti i Ba 04 M k s ed a c up. c. 3=Moderate ( Injury 13-Traikog Unit _ p u g y j OS-Motorcycle Eye Protection 4.Mina injury 14-Ai - On Vehicle Earerior t3dryury. t k 1 S=Bus xsenger 06.8ky" Wearing Elbow/KneeMads 10. Au Bsg Not Oepbyed, Switch On 0Extrication + Not App acabk 98=0ther 9=Unknown If 99=Unknown II"r Bag Not Degged. Switch Off 1?Not Extricated 12"r sag Not Deployed. 2=Exukated By Mechanical Means Injury Lh* Switch Sett' n?nci 3-freed By Non . Mechanical Means 13=Air Bag RernoYedr To Crash) 8-Other I %Unknown H Air Bag Deployed 9=Unknown 99=Unknown EMS Agency. LOWER ALLEN TOWNSHIP j M dki9 FadRty: - Unit No Person No Delete? Dale of Birth (MM-DD-YYYY) A B C D E F G H 1 02 43 p I Q - 08 - 1962 2D FD 03 00 lD OD OD Name / Address / Plmw EMS Transport [) Same as HOPKINS, DEBORAH S 1325 CHARLES ST STATE COLLEGE PA 1680 p Yes O No Operator Unit No Parson No _ Date of Birth (MM-DD-YYYY) A 8 C D E F G H 1 02 p T 09 - 12 - 1924 2D FD OD 06 03 lD OD Name / Address / Phone EMS Transport E] Same as KLECKNER, BETTY P 561 LOVEVILLE RD WARRIORS MARK PA 1687 O Yes O No Operator Unit No Person No Date of Birth (MM-OD-YYYY) A C D E F G 1 DCD o? CD-D-ODDDD=DDDD Name / Address /Phone EMS Transport Some as Operator p Yes O No Unit No Person No Date of Birth (MM-DD•YYYY) A 8 C D E F G H 1 "D °0`? D-L?-?DUH1 1" ]DDD Name / Address / Phone EMS Transport oppewtfor p Yes ONO Unit No Person No Date of Birth (MM-DO-YYYY) A B C 0 E f G H I D D Dele"T D-[?-??DDDC?DDDC7D Name / Address I Phone EMS Transport 0 some as Operator F Yes O No ?il Unit No Parson No DoleteT Date of Birth (MM-DD-Y" A B C D E F G H 1 J DD o =-D-C_DDDDDDDDD Name I Address / Phone EMS Transport SOper-W-a to o r O Yes ONO r:orrr a AA-see (lave) PE WDOT COPY http://www.dot6. state.pa.usliconsIPrinti m ages/XmIFilesl2006l l 2253121102admin72O070... 5/2912007 Pnnt C:KS P0672464 J COMMONWEALTH OF PENNSYLVANIA POLICE CRASFF REPORTING FORM AA 500 4 rem-0* --? I_ J GasA oesh *0,, ion Mind On unow End 3-%w.0 Q- U.On Trawl Lanes 3.MAan 2-Shoulder 4.ROadaide 11hanhWtion D 1• T4cWow C Page 6 of 9 C h W ba P0672464 54.Ang1e i? Dieotbn) B.FIR Pedaoien (Sttme DYiclionl 7dfit fizad Oblecl ?r S.Oulaide Trelkway 7.Gom (Ramp Inkortection) 6.In Patting lane 1--unkl sm 3.Sbd (?Bq 5=Fog 1.8noar fiJ1W t 8 Fa, O=Dry 2-e Mud. Dirl, t=Wet 3 -Snow Covered 4-SNsA •-- -- SAN -Hamdid Erenls fNamr Errol 01-Hit Unit t o2.Hh Unit 2 03=Hit Unit 3 04=HA Unit 4 05cAt tint 5 06-Hit Other Traffic Unit 07=Hit Deer 06=Hit Other Animal 09.Cion VMh Other Non Fined Object 11.Strud By Unit I 12=5mNdt By Unit 2 13-Struck By Unit 3 14=Struck By UM 4 lS=Snuck by Unit 5 I6-Struck By Other Traffic Unit 21.HA Tree Or Shrubbery 22-HA Embankment 24-HA tAtlitr Pole 1a=H4 Traffic 25.HA Guard RRQW 26=Hd Guard Rail End 27=Hk Curb 28.14A Concrete Or LW - inal Barrier 29dtit 7.SMd i Fog 9•lfiknonn 8=Other t3?ce Patdtet WOW 3D-M Fence or Wal - 31=M Lu%w 32=HrM Cr 34=14N Parapet Pler EEndOt Abutment 35.Hit Nidge Rail 36=HA Boulder Or Obstacle 37.M lnrpact tlerhwla on 38:*M Fire Hydrant 39-M Roadway Equipment 4D-Nit Mai Roe 4"it TrMfic Island 42-mtSnow Bane 43-144 Temporary Construction RaAnier 48=H Other Fired Obect 49-HA Unknown F' Object 50=0renu *J Over 51=? By Thrown Or Fading 52-Fol Holes Or Other Pavement Irregularities 53.lacknb S4.Fve in Vehicle 58 Other Non-Collision 99--Unkntrwn HamW Event Unk No t 02 O 1 0! 2=?o E., Alampu' 3 = ? F? Errgts to O Sevuentia! 4 O Orde $ Hann Event L/8' Most? Utility Fbte Number UnitIlo t 13R O l --? ? 02 2 F-1 ? O F a 3 O Sequential order -s= El O first Unit No Harm Event Mole Unit No Harm Event Ol 02 O 1 02 Do not.re. tAC +b.uim m iwAipk ppn PotenNa! factors ffAU 1 OO 2 ; 00=None I I-Slippery Road Conditons (ke6n%v) 01.Wmdy Conditions 12=Substance On Roadway 02--Sudden weather Conditions 13-Potholes 03-aher Weather Conditions 14Aroken Or Cracked Pavement 04.Oeew In Roadway tS-TCD Obstructed OS-Obstade On Rwdv ay 16-Solt Shoulder Or Shakier Drop OH 06-Other Animal in Roadway Z OOW Roadway Factor 07 Glare 29=Otw Envw menW Factor 08-VAA Zone Related 99-Unknown fosuble vehicle iarltwes M 12.wipers 00-None 06.Eehawt 13=Driver Seats gKontroi E 01-Tres 07=Hexv*ts I body, Doors. Hood. Etc 02?rake System OB=y?'gr?al tgMs IS Tgiler H tch g' ?S rhg System 09.Other tights IfUheels 05 Power lrr&n IaMrrors 1 U u veil tads wog O1 1 00 2 Trailer Load 20.Impntper Tow(rngg 21 =Obstructed Wrndshieki Ur it t ®2 99-Unknown avdintrd /Mime factor - -- Unit No fatter Code 00.01, ?"" ""n"'n°" ° Ol O 1 Eta V 0 D O 000 TIf EIR At the Prmne Factor ype, leave UM No blank rows r,u-tae Ito" oO--NO Contributing Action ttad ir9 On Roadway 01.Orirer Was Distracted 18=grrrq On The wrong S d OI R 02 Dme i d + . ng Us e oa ng Hand HM Phone 03.Dritrg UW- Hands Fite Phone 19=Aaakug knpr4pv 04-- akksg FUl 0 U-lurn Entrance To Highway 05-knpropnKbreleu Turnin 2D=Makin r Im E s g g oper p m 06=Turning From Wrong Lane From Highway Ppawk rark^9N in9 Ckaza?nce After Stop 22A1rde 08'3tunnin9 Slop 5q CoaWnsation Al Curve % 09d1u n Re 19 2-Swedwg 4 r ?e 2 .privirg Too Fast For Conditions 0tJstr Tra ntroll 11=T 25=haws To Maintain Proper Speed 1 2. 26 13=Ieegelly St On 1 ence IPd Chase) -Driver 2B=Failue To Use SpeciailaW 14=Change Passe Or Lane 92.ANected By Physical o"dt? N I Wasting In No Paarg Zara 98=Other IrnOroPer Drneng Actions 16.Orrv rig The INrrwtg µray on 9 ^ s 1 -way Street Unk 01 T -- 2? 3? 4= No 02 1? 2? g? 4? fbdesetarr Action (P) 03:-Working ?I 00-NMW 04-Pushing Vehicle ONEntering Or Crossing At 05-Approacting Or Lea" Veh de Spe<ihed Location DrwWorking On Vehicle Running, 1099in4 07 rig 01•of 4 9%Unknown 9 Unit NO 01 OO Unit No 02 PENNDOT COPY http://www.dot6.state.pa. us/icons/PT intlmages/XmiFiles/2006112253121102admin720070... 5/29/2007 Print C:KS P0672464 I COMMONWEALTH OF PENNSYLVANIA POLICE CRASH REPORTING FORM AA 500 5 ft" - * Page - - - - P0672464 Page'/ of 9 Crash Number I Narrative and additional witnesses: Acddent Investigation Notification hwedt Q Property Damage 0 This Officer was dispatched to a crash with reported injuries in the area of Kathie's Christmas. 3309 Hartzdale Drive. Upon our arrival, both of the involved vehicles were in the driveway to Kathie's Christmas! Theo's Bar and Grille. There was debris and fluids in the westbound lane of Ha rtzdale Drive. The only injured person was identified as Pamela McDonough. McDonough was complaining of back pain and also advised that she had recently had surgery, non-back related. I advised McDonough to remain seated and avoid unnecessary movement of her neck and spine until she was examined by Emergency Medical Technicians, who were arriving at this time. I identified the operator of each vehicle, Elaine Wood and Helen Michaels, and obtained the documents required for the completion of a receipt of collision investigation. The assisting Officers (Police, Community Service and Public Safety) cleared the debris, contained fluid spills and identified passengers. No witnesses came forth. Michaels was west on Hartzdale Drive and had stopped to make a left turn in to the aforementioned driveway. Michaels did signal her intended turning movement. Wood, who was also westbound, admits that she did not see Michaels' stopped vehicle in time to avoid a collision. Wood also admitted to be unrestrained at the lime of the crash. Michaels' vehicle sustained minor damage however, was operable. Wood's vehicle sustained damage to the radiator which caused the fluid loss. Wood also admitted MNNDOT COPY http://www.dot6.state.pa.us/icons/Printlmages/XmIFi les/2006l l 2253121102admin720070... 5/2912007 Pnnt C;KS P0672464 I C?tlC9 OF PEWdMVAfdtA FOLIKE ESN I111ro 4lm Pow AA 500 N N-°M0* O Now 111011 ® PQ6724ti4 O c Page 8 of 9 Crash IlMnba Narrative and addhimat wMmswL that some of the damage observed on her vehicle was from a previous crash. Wood stated that the cracked windshield and the front bumper being pushed down was all previous damage. All of the other front end damage was from this crash. After being evaluated by Lower Allen Township's EMTs, McDonough signed a waiver and decided to go to the hospital in Michaels' v ehicle. Michaels and Wood were both provided with a copy of the receipt of collision investigation. Wood's violations, careless driving and failure to wear restraint system, were noted and citations will be issued. Wood had reque steel that AAA be contacted to tow her vehicle. AAA provided a forty-five minute estimated time of arrival for an unspecified towing service. Since Wood's vehicle could be mov ed out of the driveway and further in to the parking lot, all Officers Geared.. Supplemental comments added by 18-21 11/9/2006 This Officer had received a phone message from Cindy French (?) of Nationwide Insurance. Cindy stated that she had learned that Elaine Wood's Safe Auto policy had been cancelled. Cindy added that the phone number listed in the complaint for Wood has been disconnected. On 11/812006, 1 phoned the number that Wood had provided and received a message that the phone had been disconnected. No other information was available. Despite research, I was un able to locate any other phone number for Wood. A January 2006 METRO dispatch for a 911 hang up in Paxtang Borough verifies the phone number as having been accurate. I phoned Safe Auto and spoke with Erica. Erica confirmed that Woods policy had been cancelled in May 2006. While Wood's registration is not showing a suspension for insurance cancellation, Wood did represent to this Officer that the Safe Auto policy was valid and that she had no other insurance coverage. A supplemental page to the Police Crash Reporting Form was completed showing the change in the status of Wood's insurance coverage. I also left a message for Cindy advising of the updated information. An additional summary traffic citation will be filed charging Wood with Req uired financial responsibility 7511786(f) Fowe 1?J?ONMIND PENNDOT COPY http://www.dot6.state.pa.us/iconsIPrintimageslXm]Fi lesl2006 l l 2253 1 2 1 1 02admin720O70... 5/29/2007 Pnnt C KS P0672404 Crash Number: P0672464 Incident Number: 20061001400 Hartzdale Plaza 3300 C '=r J c N 0 OJ M c? Page 9 of 9 A? 14 T4 SCALE Kathys Christmas 3309 Theo's Grille 3315 http://www.dot6.state.pa.usliconsIPfintlmageslXmiFi 1 esl2006l l 2253121102admin720O70... 5/29/2007 o ° T?1 SHERIFF'S RETURN - OUT OF COUNTY CASE NO: 2008-01328 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND NATIONWIDE MUTUAL INSURANCE CO VS WOOD ELAINE R. Thomas Kline Sheriff or Deputy Sheriff who being duly sworn according to law, says, that he made a diligent search and and inquiry for the within named DEFENDANT to wit: WOOD ELAINE but was unable to locate Her deputized the sheriff of DAUPHIN serve the within COMPLAINT & NOTICE County, Pennsylvania, to On March 26th , 2008 , this office was in receipt of the attached return from DAUPHIN Sheriff's Costs: Docketing 18.00 Out of County 9.00 Surcharge 10.00 Dep Dauphin County 37.25 Postage 1.82 76.07 ? 03/26/2008 FLAHERTY FARDO LLC Sworn and subscribe to before me this day of in his bailiwick. He therefore So answers: R. Thomas Kl ifl-e Sheriff of Cumberland County 31-P-8108 =&I A. D. In The Court of Common Pleas *4 Cumberland County, Peniisylvahia Nationwide Mutual Insurance Co vs. Elaine Wood 08-1328 civil No. Now, March '6, .:20.08 , I, SHERIFF OF CUMBERLAND COUNTY, PA, do hereby deputize the Sheriff of Dauphin County to execute this Writ, this deputation being made at the request and risk of the Plaintiff. Sheriff of Cumberland County, PA Now, within upon at Affidavit of Service ,20 ,at o'clock M. served the by handing to a and made known to copy of the original So answers, the contents thereof. Sworn and subscribed before me this day of , 20 Sheriff of COSTS SERVICE _ MILEAGE AFFIDAVIT County, PA (Allitt the ?hcrfrj MaRr?y? Eane n der Charle? E Deputy er William T. Tully Michael W. Rinehart Solicitor Assistant Chief Deputy Dauphin County Harrisburg, Pennsylvania 17101 ph: (717) 780-6590 fax: (717) 255-2889 Jack Lotwick Sheriff Commonwealth of Pennsylvania NATIONWIDE MUTUAL INSURANCE CO., A/S/O HELEN MICHAELS VS County of Dauphin ELAINE WOOD Sheriff s Return No. 2008-T-0487 OTHER COUNTY NO. 081328 And now: MARCH 21, 2008 at 8:37:00 AM served the within NOTICE & COMPLAINT upon ELAINE WOOD by personally handing to ELAINE WOOD 1 true attested copy of the original NOTICE & COMPLAINT and making known to him/her the contents thereof at 3504 DERRY STREET APT A HARRISBURG PA 17111 Sworn and subscribed to before me this 21 ST day of March, 2008 A? ? NOTARIAL SEAL RY JANE SNYDER, Notary Publi Highspire, Dauphin County M Commission Expires S t 1, 2010 So Answers, A L. Sheriff of Da 'n Count?a. _ By ? Deputy Sheriff Deputy: T WONG Sheriffs Costs: $37.25 3/10/2008 ,rr '"` IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NATIONWIDE MUTUAL INSURANCE CO., Civil Division a/s/o Helen Michaels, Plaintiff, No. 08-1328 Civil Term VS. ELAINE WOOD, an adult individual Defendant. PRAECIPE TO ENTER DEFAULT JUDGMENT To the Prothonotary: You are hereby directed to enter judgment in favor of the above named Plaintiff and against the above named Defendant in the amount of $4,595.44 Respectfully Submitted, Date: February 11, 2008 I hereby certify that the precise place of business of the Plaintiff is: Nationwide Mutual Insurance Co.. 1100 Locust Street Dept. 2019 Des Moines, Iowa 50391 FLAHERTY FARDO, LLC And that the last known residence of the Defendant is: Elaine Wood 3504 Derry Street Apt. A Harrisburg, PA 17111 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NATIONWIDE MUTUAL INSURANCE CO., a/s/o Helen Michaels, Plaintiff, VS. ELAINE WOOD, an adult individual Defendant. Civil Division No. 08-1328 Civil Term 10-DAY NOTICE OF INTENTION TO FILE DEFAULT JUDGMENT Filed on behalf of Plaintiff: Nationwide Mutual Insurance Co. Counsel of Record for this Party: Shawn T. Flaherty Pa. I.D. #43697 William F. Rogel, Esquire Pa. I.D. #203348 FLAHERTY FARDO, LLC Firm #527 5541 Walnut St. Pittsburgh, PA 15232 Telephone: (412) 802-6666 Facsimile: (412) 802-6667 Email: stf@pghfirm.com . IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NATIONWIDE MUTUAL INSURANCE CO., Civil Division a/s/o Helen Michaels, Plaintiff, No. 08-1328 Civil Term VS. ELAINE WOOD, an adult individual 10-DAY NOTICE OF INTENTION TO FILE DEFAULT JUDGMENT Defendant. To: Elaine Wood 3504 Derry Street Apt. A Harrisburg, PA 17111 DATE: 4/18/2008 IMPORTANT NOTICE YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO FILE A REPLY IN THIS CASE. UNLESS YOU ACT WITHIN TEN (10) DAYS FROM THE DATE OF THIS NOTICE, A JUDGEMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY THEREBY LOSE PROPERTY OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A OR KNOW A LAWYER, THEN YOU SHOULD GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP: Cumberland County Bar Association 32 South Bedford Street Carlisle, PA 17013 Lawyer Referral Service (717) 249-3166 N I-, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NATIONWIDE MUTUAL INSURANCE CO., Civil Division a/s/o Helen Michaels, Plaintiff, VS. ELAINE WOOD, an adult individual Defendant. No. 08-1328 Civil Term Defendant. CERTIFICATE OF SERVICE I, Shawn T. Flaherty, Esquire, hereby certify that I served a true and correct copy of Plaintiff's Praecipe to Enter Default Judgment, on this ?A of May, 2008 via United States First Class Mail, postage prepaid, upon the following Defendant: Elaine Wood 3504 Derry Street, Apt. A Harrisburg, PA 17111 o P-i ly ? "b ` {ry _ 1 w IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NATIONWIDE MUTUAL INSURANCE CO., Civil Division a/s/o Helen Michaels, Plaintiff, No. 08-1328 Civil Term VS. ELAINE WOOD, an adult individual Defendant. NOTICE OF ORDER, JUDGMENT OR DECREE 00 Defendant You are hereby notified that JUDGMENT has been entered against () Plaintiff you on the 1,6VL day of Ma)j , 200$ in the above () Judgment in the amount of $ , plus costs. () Decree in Divorce O Decree Nisi in Equity () Final Decree in Equity () Justice of the Peace Transcript of Judgment in Trespass in the amount of $ , plus costs. () If not satisfied within sixty (60) days, your motor vehicle operator's license will be suspended by the Department of Transportation, bureau of Traffic Safety, Harrisburg, PA. () Entry of Judgment of ( ) Non-Suit or () Non-Pros () Default () Verdict () Arbitration Award () Justice of the Peace Transcript in Assumpsit in the amount of $ , plus costs. Rmpwy Prothonotary li4 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NATIONWIDE MUTUAL INSURANCE CO. a/s/o Helen Michaels, NO: 08-1328 Civil Term Plaintiff, VS. PRAECIPE TO ISSUE WRIT OF EXECUTION ELAINE WOOD, Defendant. Filed on Behalf of Plaintiff: Nationwide Mutual Insurance Co. Counsel of Record for this Party: Shawn T. Flaherty, Esquire Pa. I.D. # 43697 FLAHERTY FARDO, LLC Firm # 527 5541 Walnut Street Pittsburgh, PA 15232 Telephone No.: 412-802-6666 Facsimile No.: 412-802-6667 Email: stf(a,p 1rm.com 'Ab IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION PRAECIPE FOR WRIT OF EXECUTION Caption: ? Confessed Judgment NATIONW100 Al?'rk-R4 ?N1 v?tq,?Lf ? Other A/f/'I ISWAI /1'?t LK/1ELJ File No. C ! -1531 ?s' : Amount Due A I, r 4 5. w? 61,41,4V Wl*1s : Interest Atty's Comm Costs TO THE PROTHONOTARY OF THE SAID COURT: The undersigned hereby certifies that the below does not arise out of a retail installment sale, contract, or account based on a confession of judgment, but if it does, it is based on the appropriate original proceeding filed pursuant to act 7 of 1966 as amended; and for real property pursuant to Act 6 of 1974 as amended. Issue writ of execution in the above matter to the Sheriff of [ ? "f f /i 6AAM County, for debt, interest and costs, upon the following described property of the defendant (s) 4" 0641641- I_41,064 f 00 T" EM'" WOO,* .4r _ 3 S14 be cav Ir4af Afr. .4 9104"t ?Ai j Al 11111 PRAECIPE FOR ATTACHMENT EXECUTION Issue writ of attachment to the Sheriff of County, for debt, interest and costs, as above',"directing attachment against the above-named garabbee(s) for the following prdperty (if real estate, supply six copies of the description; supply four copies of lengthy personalty list) and all other property of the defendant(s) in the possession, custody or•control of the said garnishee(s). ? (Indicate) Index this writ against the garnishee (s) as a lis pendens__. .I 'defendant(s) described in the attached exhibit. Date ! ? S +f1 Signature: Print Name: SK I w,r 7 FLAMFi41Y Address: SM Wwwwr I alo P-rr7j# ,o#, r4 /l,?;Z Attorney for: r1.A1y11'F Telephone: LH IV t®g• W l Supreme Court ID No: y 16 11 E P. ? N f. ? 1 10 (J S 0 ?o r (? LM a 8 ya -OLr i. 4 r ^V + V ra -a c`? q M- ;4 WRIT OF EXECUTION and/or ATTACHMENT COMMONWEALTH OF PENNSYLVANIA) COUNTY OF CUMBERLAND) NO 08-1328 Civil CIVIL ACTION - LAW TO THE SHERIFF OF DAUPHIN COUNTY: To satisfy the debt, interest and costs due NATIONWIDE MUTUAL INSURNACE CO. a/s/o HELEN MICHAELS, Plaintiff (s) From ELAINE WOOD, 6504 Derry Street, Apt A, Harrisburg, PA 17111 (1) You are directed to levy upon the property of the defendant (s)and to sell all personal property of the Defendant, Elaine Wood, at 3504 Derry Street, Apt A, Harrisburg, PA 17111. (2) You are also directed to attach the property of the defendant(s) not levied upon in the possession of GARNISHEE(S) as follows: and to notify the garnishee(s) that: (a) an attachment has been issued; (b) the garnishee(s) is enjoined from paying any debt to or for the account of the defendant (s) and from delivering any property of the defendant (s) or otherwise disposing thereof; (3) If property of the defendant(s) not levied upon an subject to attachment is found in the possession of anyone other than a named garnishee, you are directed to notify him/her that he/she has been added as a garnishee and is enjoined as above stated. Amount Due $4,595.44 Interest L.L. $.50 Atty's Comm % Atty Paid $195.07 Plaintiff Paid Date: 9/22/08 (Seal) REQUESTING PARTY: Name SHAWN T. FLAHERTY, ESQUIRE Address: 5541 WALNUT STREET PITTSBURGH, PA 15232 Attorney for: PLAINTIFF Telephone: 412-802-6666 Supreme Court ID No. 43697 Due Prothy $2.00 Other Costs Deputy