GREY v. ACE AMERICAN INSURANCE COMPANY complaint

8/9/2019 GREY v. ACE AMERICAN INSURANCE COMPANY complaint

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UNITED STATES DISTRICT COURT

FOR

THE EASTERN DISTRICT OF PENNSYLVANIA - DESIGNATION

FORM

to be used by counsel to indicate the category

of

the case for the purpose

of

assignment to

appropriate

calendar.

Address of Plaintiff:

James Grey 2543 Finley Avenue Bensalem

PA

19020

Address of Defendant: Ace American Insurance Company 1 Beaver Valley Road Wilmington DE

19808

Place of Accident, Incident or Transaction:

Bristol Township PA

ny

publicly held corporation owni

re

of

its

stock?

YesD

Yeso

Date Ter inated: February 6 2015

1. ls

this ase related

to

property included in

an

earlier numbered suit pending or within one year previ sly terminated action in this court?

2.

3.

Does this case involve the validity or infringen

terminated action in this court?

YesD Noll

pending or within one year previously terminated

YeslD

NoD

of

a patent already

in

suit or any earlier numbered case pending or within one year previously

YesD NolD

4. ls this case a second or successive habeas co 1s, social security appeal, or

prose

civil rights case filed by the same individual?

CIVIL:

(Place

V

in ONE CATEGORY ON

A Federal Question Cases:

I. o Indemnity Contract, Marine Cc

2.

o FELA

3. o Jones Act-Person al Injury

4. o Antitrust

5. o Patent

6. o Labor Management Relations

7. o Civil Rights

8. o Habeas Corpus

9. o Securities Act(s) Cases

I0. o Social Security Review Cases

11. o All other Federal Question Cases

ct, and All Other Contracts

(Please spec i fy

YesD NolJ<

B.

Diversity Jurisdiction Cases:

I. o Insurance Contract and Other Contracts

2. o Airplane Personal Injury

3. o Assault, Defamation

4. o Marine Personal Injury

s © o t o r

Vehicle Personal Injury

6. o

Other

Personal Injury (Please specify)

7.

o Products Liability

8. o Products Liability - Asbestos

9.

o All other Diversity Cases

(Please specify)

ARBITRATION

CERTIFICATION

Check Appropriate Category)

I, Robert S. Miller Esquire counsel of record by certify:

o Pursuant

to

Local Civil Rule 53.2, Section 3(c)(2), that

tot

e damages recoverable

in

this civil action case exceed the sum

of

$150,000.00 exclusive of interest and costs;

o Relief other than monetary damages is sought

DATE: _13_12_ _1_5

4

Attomeyl.D.#

NOTE:

reviously termi nated action in this

court

except as noted above.

DATE: _4_13_12_ _1_5

Attorney I.D.#

CJV.

609 (5/2012)

Case 2:15-cv-01939-WB Document 1 Filed 04/14/15 Page 2 of 12


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GREY v. ACE AMERICAN INSURANCE COMPANY complaint

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