HomeMy WebLinkAbout13-5591 Supreme Court of Penn sylvania WWRN 20212861 C Y Jer TVdI
Cout of Common Pleas
. � N d
v ii C oyer Sheet For Prothoaotan' L +se Orrh':
C UMBERLAND` - COU riff: Docket No:
13 -5541 Ctv
The information collected on this form is used solely for com'r administration purposes. This fort? does not
supplement or replace the filing and service of pleadings or other papers as required by lari! or rules of court.
Commencement of Action:
S M Complaint ❑ Writ of Surnmons ❑ Petition
E ❑ Transfer from Another Jurisdiction ❑ Declaration of Takin
C Lead Plaintiffs Name: Lead Defendant's Name:
T ALLSTATE INSURANCE COMPANY ANDRE FACTEAU
I
0 Are money damages requested? ® Yes ❑ No Dollar Amount Requested: ® within arbitration limits
N (check one) [] outside arbitration limits
Is this a Class Action Suit? ❑ Yes Q No Is this an MDJ Appeal? ❑ Yes Ed No
A
Name of Plaintiff /Appellant's Attorney: Michael J. Dougherty,76046
❑ Check here if you have no attorney (are a Self- Represented [Pro Se) Litigant)
Nature of the Case Place an "X" to the left of the ONE case category that most accurately describes your
PRIMARY CASE. If you are making more than one type of claim, check the one that
you consider most important.
TORT (do not include Mass Tort) CONTRACT (do not include Judgments) CIVIL APPEALS
• Intentional ❑ Buyer Protection Administrative Agencies
• Malicious Prosecution ❑ Debt Collection: Credit Card ❑ Board of Assessment
❑ Motor Vehicle ❑ Debt Collection: Other ❑ Board of Elections
❑ Nuisance ❑ Dept. of Transportation
S ❑ Premises Liability ❑ Statutory Appeal: Other
E ❑ Product Liability (does not include El Employment Dispute
Mass tort) Discrimination
C ❑ Slander /Libel /Defamation ❑ Employment Dispute: Other ❑ Zoning Board
`I' Other: ❑ Other:
O
❑ Other:
N MASS TORT
❑ Asbestos
$ ❑ Tobacco REAL PROPERTY MISCELLANEOUS
❑ Toxic Tort - DES ❑ Ejectment ❑ Common Law /Statutory Arbitration
❑ Toxic Tort — Implant ❑ Eminent Domain /Condemnation ❑ Declaratory Judgment
❑ Toxic Waste ❑ Ground Rent ❑ Mandamus
❑ Other: ❑ Landlord/Tenant Dispute ❑ Non - Domestic Relations
❑ Mortgage Foreclosure: Residential Retraining Order
❑ Mortgage Foreclosure: Commercial ❑ Quo Waranto
❑ Partition ❑ Replevin
PROFESSIONAL LIABILITY ❑ Quiet Title ❑ Other:
• Dental ❑ Other:
• Legal
❑ Medical
❑ Other Professional:
Updated 1/]/2011
M ao
:z M r -
�; 'O C7
i.— N `D
-<> � ,,
r-- C"
> f--?
CD
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION
ALLSTATE INSURANCE COMPANY
Plaintiff No: 43 -JSQ� ��V ►F1`rrm
vs.
COMPLAINT IN CIVIL ACTION
ANDRE FACTEAU
Defendant FILED ON BEHALF OF
Plaintiff
COUNSEL OF RECORD OF
THIS PARTY:
Michael J. Dougherty,76046
WELTMAN, WEINBERG & REIS CO., L.P.A.
325 CHESTNUT STREET SUITE 501
PHILADELPHIA, PA 19106 -2614
215- 599 -1500
FAX: 215- 599 -1505
20212861 C Y Jer TWI
AT
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
' CIVIL DIVISION
ALLSTATE INSURANCE COMPANY
Plaintiff
VS. Civil Action No
ANDRE FACTEAU
Defendant
COMPLAINT AND NOTICE TO DEFEND
You have been sued in court. If you wish to defend against the
claims set forth in the following pages, you must take action within
twenty (20) days after this 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 other claim or relief requested by the plaintiff. You may lose
money property or other rights important to you.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT
HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET
FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE
TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL
SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.
LAWYER REFERRAL SERVICE
CUMBERLAND COUNTY BAR ASSOCIATION
32 SOUTH BEDFORD STREET
CARLISLE, PA 17013
(717) 249 -3166
WELTMAN, WEINBERG & REIS CO., L.P.A.
BY: Michael J. Dougherty, Esquire Attorney for Plaintiff(s)
Pa. Identification No. 76046
325 Chestnut Street, Suite 501
Philadelphia, PA 19106
Phone: 215.599.1500
Fax: 215.599.1505
File #20212861
}
ALLSTATE INSURANCE COMPANY } Court of Common Pleas
} Cumberland County
}
}
vs. }
ANDRE FACTEAU } NO. 13 _� Cwt I Ef m
CIVIL ACTION — COMPLAINT
1. Plaintiff is a business organization licensed and authorized to conduct
business in the State of Virginia with a place of business located at 3800 Electric Road,
Roanoke, Virginia 24018.
2. Defendant is an adult individual who at all time pertinent hereto resided at
1162 Omer Beloeil, Quebec, Canada 3GOH6.
3. Allstate issued a policy of motor vehicle insurance whereby Allstate
agreed to insure the motor vehicle involved in this incident ( "Insured Vehicle "), owned by
Plaintiff's insured.
4. On or about April 10, 2013, Defendant was the operator of a motor
vehicle which vehicle did negligently, recklessly and /or carelessly collide with the Plaintiff
Insured's vehicle: at or near the Flying J Travel Plaza, Carlisle, Pennsylvania.
5. The negligence and /or carelessness of the Defendant consisted of the
following:
a. Failing to have his motor vehicle under such control as the situation
warranted;
b. Operating his motor vehicle in complete disregard of the point and
position of Plaintiffs vehicle;
c. Failing to keep a proper lookout;
d. Traveling too fast for conditions;
e. Disregarding traffic control devices;
f. Failing to abide by the Rules of the Road and the Motor Vehicle Code of
Pennsylvania;
g. Being otherwise negligent under the circumstances; and,
h. Being negligent as a matter of law as may be relevant through discovery
and /or at the time of trial.
6. As a direct and proximate result of Defendant's negligence, the Allstate
Insured's vehicle sustained property damage and /or incurred rental charges in the total
amount of $4,135.47. See attached as Exhibit 1" a copy of the damage documentation
which documents Plaintiff further intends to introduce at the arbitration in this matter.
7. Pursuant to the insurance policy issued by Allstate and as a result of the
aforesaid payment, Allstate became subrogated to the claim of its Insured against
Defendant.
WHEREFORE, Plaintiff demands Judgment against Defendant in the amount of
$4,135.47 plus interest and costs.
WELTMAN, WEINBERG & REIS, CO., L.P.A.
Micha J. Dougherty, Esquire
PA A. # 76046
32 Chestnut Street
Suite 501
Philadelphia, PA 19106
(215) 599 -1500
WWR #09227865
EXHIBIT 1
Report Date: 06/19/2013
Payment Ledger
Policy Holder: ALFRED SCHULTER Total Amount Paid $4,135.47
Participant: ALFRED SCHULTER Medical Deductible: $0.00
Date of Loss: 04/10/2013 Co-payment Amount $0.00
Claim Number: 0282844489
Payment/Credit Payee/Payor Check# Amount
Date
05/02/2013 ALFRED SCHULTER and BOAT N RV 521249925 Y 4,135.47
SUPERSTORE
Comsearch, Inc.
308 Market St.
Warren, Rr 02885
Phone: (800)966 -7334
Fax: (800)285 -9307
Date: 4/26/2013 Year: 2008
Name: Schulter, Alfred Make: Forest River
Address: Model: Work and play
City /State /Zip: Style:
Phone: VIN: 4X4FWP83385009740
Cell Phone: Plate /State:
Fax: Unit #:
Purchase Order: Mileage:
R0 Color:
Reference Number: 1163000651 Date Of loss: 4/10/2013
Estimated By: Bill Burns Authorized By:
Claim Contact: Claim Number: 0282844489
Contact Title: Contact Email:
Contact Phone:
Operation Description Part # Labor Paint ---- - - - - -- P arts----- - - - --- Sublet
-- - - - - -- Calculated Values --------
-Replace Buff marks on RT side 1.50 $0.00
...................................................... ...............................
^Replace Fender flare 1.50 1 @ $183.70 $183.70
^Replace
.torx s.......crew...s .................................................................... .......................... $3 ..... ....... ... ...........
1 @ 0 .06 6 $--
^ Replace crate fee 1 @ $35.00 $35.00
.................................................................................................•........... ...............................
'Replace Trail air decal 2 @ $10.84 $21.68
.. : ............................................................................................... ...............................
^Replace Silicone 2 @ $12.39 $24.78
^Replace 21' 9100 power awning 2.00 1 @ $783.23 $783.23
^Replace Hardware 1 @ $551.00 $551.00
............................................................................................................. ...............................
^Replace control switch 1 @ $27.85 $27.85
............................................................................................................. ...............................
^Replace chrome exterior lock 1.00 10 $33.50 $33.50
^Replace axle
. axle & _..leaf ..--springs -- ' ......................... ............................... 2..00 .................. 1 $918........ 9'18. *25 25....... $-918.91- ---............
s @ ..
^ Replace Door holder 0.20 1 @ $14.92 $14.92
................................................................... .......................... .. . . - .........
- Replace 235/80R Road rider radial tire 0.30 10 $234.36 $234.36
16" ............:....... .....................I......... ...........2222................ .. ..... .........
.. ......... 2222 ......... .......... ..
^Replace Wheel 16" 1 @ $72.68 $72.68
............................................................................ ...............................
'Replace center cap 1 @ $14.72 $14.72
............................................................... ...............................
^Replace Balance 1 @ $15.00 $15.00
.............................................................................. ............................... .............
Shop Supplies $50.00
........ ..... .......................... ..................................................................... ...............................
Estimate Notes:
AdjustRitel" Copyright 0 2013 PPG Industries. All rights reserved. Page 1 of 3
ComSearch, Inc.
308 Market St.
Warren, RI 02885
Phone: (800)966 -7334
Fax: (800)285 -9307
Reference #: 1163000651 Year: 2008
Date: 4/26/2013 Make: Forest River
Name: Schulter, Alfred Model: Work and play
Insurance Co: Allstate Next Gen VIN: 4X4FWP83386009740
Estimated By: Bill Burns Unit #:
Operation Description Part # Labor Paint ---- - - - - -- Parts----- - - - - -- Sublet
TERMS & CONDITIONS Summary Hours Disc Rate Total
* *PLEASE NOTE ** Body Labor 8.50 $105.00 $892.50
1. THIS IS A DAMAGE ASSESMENT ONLY - THIS IS NOT Paint Labor 0.00 $_
AN AUTHORIZATION TO REPAIR - NOT A Mechanical $- $0.00
CONFIRMATION OF COVERAGE /LIABILITY. Frame $- $0.00
2. NO SUPLLEMENTS WITHOUT PRIOR APPROVAL.
3. ALL SUPPLEMENTS MUST BE DIRECTED THROUGH Miscellaneous $- $0.00
THE ALLSTATE SUPPLEMENT HOTLINE. Parts $3,010.73 $3,010,73
#215- 293 -8584 Sublet
Tax Detail: Sub -total $3,903.23
*This estimate has been prepared on the use of Sales Tax $232.24
aftermarket crash parts. If the use of aftermarket Total $4,135.47
crash parts voids the existing warranty on the part State (Labor, Pam, h4ateriaIs)
being replaced or any other part, the aftermarket $3,903.23 (a 5.95Wo: $232.24 Betterment $0.00
crash part shall have a warranty equal to or better Deductible $0.00
than the remainder of the existing warranty. Grand Total $4,135.47
Warranties applicable to aftermarket crash parts are
provided by the manufacturer or the distributor of
these parts not the original manufacturer of your
vehicle.
*The attached estimate represents an appraisal of
the cost of the repair for the visible damage to the
vehicle noted at the time of inspection necessary to
return the vehicle to predamaged condition. Costs
above the appraised amount may be the
responsibility of the vehicle owner. There is no
requirement that the vehicle owner use any specified
repair shop. Information regarding repair facilities
which will be able to repair the vehicle for the
appraised amount may be available from the
insurance company. If used parts are specified, the
are required to be like kind and quality to those
being replaced. Incindental charges such as towing,
protective care, custody, storage, depreciation,
battery replacement are noted when applicable,
IMPORTANT INFORMATION ABOUT ALLSTATE'S
CHOICE OF PARTS POLICY.
This estimate may list parts for use in the
repair of your vehicle that are manufactured by a
company other than the original manufacturer of
your vehicle. These parts are commonly referred to
aftermarket parts or competitive parts, and would be
designated on this estimate as "QUAL REPL PART" or
AdjustRite— Copyright 0 2013 PPG Industries. All rights reserved. Page 2 of 3
ComSearch, Inc.
308 Market St.
Warren, 111 02885
Phone: (800)966 -7334
Fax: (800)285 -9307
Reference #: 1163000651 Year: 2008
Date: 4/26/2013 Make: Forest River
Name: Schulter, Alfred Model: Work and play
Insurance Co: Allstate Next Gen VIN: 4X4FWP8338B009740
Estimated By: Bill Burns Unit #:
Operation Description Part # Labor Paint ---- - - - - -- Parts---- - - - --- Sublet
"QRP CAPA ". Such parts may include cosmetic outer
body crash parts such as hoods, fenders, bumper
covers, etc. Allstate guarantees the fit and corrosion
resistance of any aftermarket /competitive outer body
crash parts that are listed on this estimate and
actually used In the repair of your vehicle for as long
as you own it. If a problem develops with the fit or
corrosion resistance of these parts, they will be
repaired or replaced at Allstate's expense. This
guarantee is limited to the repair or replacement of
the part.
However, if you choose not to use one or
more of the aftermarket /competitive outer body
crash parts that may be listed on this estimate In the
repair of your vehicle, Allstate will specify the use of
original equipment manufacturer parts, either new or
recycled at Allstate's option, at no additional cost to
you. Allstate does not separately guarantee the
performance of original equipment manufacturer
parts, and makes no representation about the
availability of any manufacturer's guarantee.
* *WARNING **
ANY PERSON WHO KNOWINGLY, AND WITH INTENT
TO INJURE, DEFRAUD OR DECEIVE ANY INSURER,
MAKES ANY CLAIM FOR THE PROCEEDS OF AN
INSURANCE POLICY CONTAINING ANY FALSE,
INCOMPLETE MISLEADING INFORMATION IS GUILTY
OF A FELONY.
Signed Date
An ""' Indicates user change of database part and ' ^' Indicates manually entered or custom database rows.
AdjustRite'^ Copyright 0 2013 PPG Industries. All rights reserved. Page 3 of 3
VERIFICATION
I, Michael J. Dougherty, Esquire, attorney for the Plaintiff(s) do hereby swear and
affirm that the averments in the attached Complaint are true and correct to the best of
my knowledge, information and /or belief. These averments are made subject to the
penalties of 18 Pa.C.S.A. §4904 relating to unsworn falsifi tion to authorities.
Mi ael J. Dougherty
Date / /
WELTMAN, WEINBERG & REIS CO., L.P.A.
BY: Michael J. Dougherty, Esquire
I.D. No. 76046
325 Chestnut Street, Suite 501
Philadelphia, PA 19106
Phone: 215.599.1500
Fax: 215.599.1505
File # 20212861
Attorney for Plaintiffs)
�lC�it`es��LSh�l! '`` .
ALLSTATE INSURANCE COMPANY
vs.
ANDRE FACTEAU
CUMBERLAND County
Court of Common Pleas
No.: 13 5591 CIVIL TERM
PRAECIPE TO FILE AFFIDAVIT OF SERVICE
TO THE PROTHONOTARY:
At the request of the undersigned attorney for the Plaintiff, you are
requested to file the attached Affidavit of Service for the above referenced case number.
WELTMAN, WEIN : ERG & REIS CO., L.P.A.
By
M - ael J. Dougherty, Esquire
Attorney for Plaintiff
CERTIFICATE
ATTESTATION
The undersigned authority has the honour to certify, in conformity with article 6 of the Convention,
L'autorite soussignee a ! honneur d'attester conformement a !'article 6 de ladite Convention,
1) that the document has been served *
1) que !a demande a eta executee t,� s1,,
— the (date) -- le (date) oit 'e- / or AP/er'L O°i/ 4 g ' 00 PM
-- at (place, street, number) - a (localite, rue, numero)
1/6 a- pit .4.4,911 4dcd
— in one of the following methods authorized by article 5:
-- dans une des formes suivantes prevues a Particle 5:
❑ (a) in accordance with the provisions of sub -paragraph (a) of the first paragraph of article 5 of the Convention*.
a) selon les formes legates (article 5. alinea premier, lettre a)
❑ (b) in accordance with the following particular method:
b) selon la forme particuliere suivante:
❑ (c) by delivery to the addressee, who accepted it voluntarily.*
c) par remise simple.
The documents referred to in the request have been delivered to:
Les documents mentionnes dans la demande ont ete remis a:
- (identity and description of person)
- (ldentite et qualite de la personne)
- relationship to the addressee family, business or other
- liens de parents de subordination ou autres avec le destinataire de l'acte:
2) that the document has not been served, by reason of the following facts*:
2) que la demande n'a pas ete executee, en raison des faits suivants:
e 5:44-01 S€44- Ats plowed_ -ed_ to 4-1 e aJti. of
lie w,' //»,¢,4 c Osu-de
In conformity with the second paragraph of article 12 of the Convention, the applicant is requested to pay or reimburse
the expenses detailed in the attached statement*
Conformement a l'article 12, alinea 2, de ladite Convention, le requerant est prie de payer ou de rembourser les frais
dont le detail figure au memoire ci joint.
ANNEXES
Annexes
Documents returned:
Pieces renvoyees
kOtti-r a,,,td
In appropriate cases, documents establishing the service:
Le cas echeant, les documents justificatifs de l'execution:
Done at / `e4 °"� , theU /
Fait a , le (9.0 7
Signature and/or stamp
Signature et/ou cachet
.CANADA, PROVINCE DE QUEBEC PROCES-VERBAL DE DEMARCHE
MICHAEL DOUGHERTY
Partie Demanderesse
ANDRE FECTEAU
Partie Defenderesse
RAPPORT
SOUS -TOTAL
TPS
TVQ
TOTAL
50,00 $
50,00 $
2,50 $
4,99 $
57,49 $
Je soussigne(e), Sylvain Poissant, Huissier de justice de la province
de Quebec, ayant un bureau d'affaires au 1600 Rue Girouard Ouest
#103, Saint -Hyacinthe, QC, CANADA, J2S 2Z8, certifie sous mon
serment d'office que:
le 14 avril 2014 a 14:00,
au 1162 OMER-ADAM, BELOEIL, QC, CANADA
la etant, j'ai signifie LA PRESENTE DEMANDE (STATEMENT)
a: ANDRE FECTEAU
en laissant copie certifiee conforme de ladite procedure QUE LE
DESTINATAIRE DE L'ACTE EST DEMENAGE. DE PLUS, J'AI
LOCALISE UNE NOUVELLE ADRESSE, A SAVOIR 248 WILLIAM
COWANSVILLE 514-775-1173
j'ai note au verso de ladite copie certifiee conforme, sous ma signature,
la date et I'heure de signification
Ie totale de mes honoraires et debourses s'eleve a 57.49$
Routes supplementaires:
20/03/2014 a 12:45 heures, 0 KM
03/04/2014 a 16:00 heures, 0 KM
11/04/2014 a 10:00 heures, 0 KM
* Tarif d'honoraires professionnels, article 4, adopte par le Conseil
d'administration de la Chambre des huissiers du Quebec sous I'autorite
du paragraphe 12 de ('article 86.0.1 du code des professions (L.R.Q.,c.
C-26).
Je dresse en consequence le present proces-verbal de demarche pour
servir et valoir ce que de droit.
Saint -Hyacinthe, 14 avril 2014
Sylvain Poissant, uissier de justice
Permis # 556
MINISTEREDE LA JUSTICE (MINISTERE) No d'inventaire : 6172-1-1-1
a/s : PIERRE-LUC GAGNE
v/d : 2014-0143
li.SP, HUISSIER DE JUSTICE INC
1600 Rue Girouard Ouest # 103
Saint -Hyacinthe, QC, CA, J2S 2Z8
TeI.: (450) 773-2144 Fax : (450) 773-1255
T.P.S. : 806646881 T.V.Q. : 1218993580
CANADA, PROVINCE DE QUEBEC
MICHAEL DOUGHERTY
Partie Demanderesse
ANDRE FECTEAU
Partie Defenderesse
RAPPORT
SOUS -TOTAL
TPS
TVQ
TOTAL
50,00 $
50,00 $
2,50 $
4,99 $
57,49 $
PROCES-VERBAL DE DEMARCHE
Je soussigne(e), Sylvain Poissant, Huissier de justice de la province
de Quebec, ayant un bureau d'affaires au 1600 Rue Girouard Ouest
#103, Saint -Hyacinthe, QC, CANADA, J2S 2Z8, certifie sous mon
serment d'office que:
le 14 avril 2014 a 14:00,
au 1162 OMER-ADAM, BELOEIL, QC, CANADA
la etant, j'ai signifie LA PRESENTE DEMANDE (STATEMENT)
a: ANDRE FECTEAU
en Iaissant copie certifiee conforme de ladite procedure QUE LE
DESTINATAIRE DE L'ACTE EST DEMENAGE. DE PLUS, JAI
LOCALISE UNE NOUVELLE ADRESSE, A SAVOIR 248 WILLIAM
COWANSVILLE 514-775-1173
j'ai note au verso de ladite copie certifiee conforme, sous ma signature,
la date et I'heure de signification
le totale de mes honoraires et debourses s'eleve a 57.49$
Routes supplementaires:
20/03/2014 a 12:45 heures, 0 KM
03/04/2014 a 16:00 heures, 0 KM
11/04/2014 a 10:00 heures, 0 KM
* Tarif d'honoraires professionnels, article 4, adopte par le Conseil
d'administration de la Chambre des huissiers du Quebec sous I'autorite
du paragraphe 12 de Particle 86.0.1 du code des professions (L.R.Q.,c.
C-26).
Je dresse en consequence le present proces-verbal de demarche pour
servir et valoir ce que de droit.
Saint -Hyacinthe, 14 avril 2014
04.
Sylvain Pois
Permis # 55
t, Huissier de justice
MINISTEREDE LA JUSTICE (MINISTERE) No d'inventaire : 6172-1-1-1
a/s : PIERRE-LUC GAGNE
v/d : 2014-0143
ASP, HUISSIER DE JUSTICE INC
1600 Rue Girouard Ouest # 103
Saint -Hyacinthe, QC, CA, J2S 2Z8
Tel. : (450) 773-2144 Fax : (450) 773-1255
T.P.S. : 806646881 T.V.Q.: 1218993580