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 <ro.JS44 (Rev J2107)
UD
nU
Case 2:11-cv-03435-HB Document 1-1
CIVIL COVER SHEET
Filed 05/26/11 Page 1 of 5
; 11 3435
The JS 44 CIVil cover sheet and the mfonnatlOn contained herem neither replace nor supplement the filmg and service ofpleadings or other papers as required by law, except as provided
by local rules of court. Thisfonn, approved by the Judicial Conference ofthe United States m September 1974, is reqUlred or the use ofthe Clerk ofCourt for the purpose ofmitiatmg
the civil docket sheet. (SEE INSTRUCTIONS ON THE REVERSE OF THE FORM.) .

I. (a) PLAINTIFFS DEFENDANTS

Fuji Film Smart surfaces~ ~arr Creek Marina

to.! MAY 2b P b: t '-l
(b) County of Residence ofFirst Listed Pia' County of Residence of First Listed Defendant .; ;B.; ;e; . r.".go.;e.; ;n.;. :._N.; ;.; ;J______
(EXCEPT IN u.s. PL (IN u.s. PLA!fiItr.I.FFCASIlS ONLY)

NOTE: INLAND CONDEMNATlcrlS~~~~ATION OF THE

LAND INVOLVED....W\..."-L~, f ".

(c) Attorney's (Firm Name, Address, and Telephon Attorneys (IfKnown)

Palmer Biezup & Henderson, 190 N. Indep~~i'8e"'MaffweSC--'"

Phila. PA 19106 215.625.9900
II. B ASIS OF JURISDICTION (pllleC an "X" in One Box Only) L P ARTIES(place an "X" in One Box for Plaintiff
and One Box for Defendant)
o 1 U.S. Government o 3 Federal Question DEF PTF DEF
Plaintiff (U.S. Government Not a Party) Citizen of This State 01 0404

o 4 Diversity o 2 l!!I 2 rated and Principal Place o o 5

usiness In Another State
(Indicate Citizenship of Parties in Item III)
1 Nation o 6 0 6

lace an "X" in One Box Only

o llOIn NUlce PERSONAl" INJURY PERSONAL INJURY 0610Agricuiture o 422 Appeal 28 USC 158 0 400 State Reapportionment
Oil 120 arine 0 310 Airplane 0 0 620 Other Food & Drug
362 Personal Injury - 0 423 Withdrawal 0 410 Antitrust
o J3 fillerAct 0 315 Airplane Product Med.Malpractice o 625 Drug Related Seizure 28USC 157 0 430BanksandBanking
o 0 Negotiable Inatrument Liabilily 0 365 Personal Injury - ofProperty 21 USC 881 0 450 Commerce
150 Recovery ofOverpayment 0 320 Assault, Libel & Product Liability
0 630 Liquor Laws S:;,1P "<'WRalY' 0 460 Deportation
& EllforcementofJudgment Slander 0 368 Asbestos Personal0 640 RR. & Truck 0 820 Copyrights 0 470 Racketeer Influenced and
·1·Medicare Act 0 330 Federal Employers' Injury Product 0 650 Airline Regs. 0 830 Patent Corrupt Organizations
o 152 Recovery ofDefaulted LiabiIiIy Liability o 660 Occupational o 840 Trademark 0 480 Consumer Credit

Student Loans 0 340 Marine PERSONAL PROPERTY SafetylHealth 0 490 Cable/Sat TV

(Ex.i. Veterans) 0 345 Marine Product 0 370 Other Fraud 0 690 Other 0 810 Selective Service

o 153 Recovery of Overpayment Liability 0 371 Truth in Lending '1IW O(l>IAX,SE@ 0 850 Securities/Commodities!
of Veteran's Benefits 0 350MotorVehicle 0 3800therPersonaJ o 710 Fair Labor Standards 0861 HIA(l395ff) Exchange
o 160 Stockholders' Suits 0 355 Motor Vehicle Property Damage Act 0 862 Black Lung (923) 0 875 Customer Challenge
o 190 Other Contract Product Liability 0 385 Property Damage 0 720 LaborlMgml. Relations 0 863 DlWCDIWW (405(g» 12 USC 3410
o 195 Contract Product Liability 0 360 Other Personal Product Liability 0 730 LaborfMgml.Reporting 0 864 ssm Title XVI 0 890 Other Statutory Actions
o 1% Franchise In' & Disclosure Act 0 865 RSI 405( » 0 891 Agricultural Acts
,';:::~:i'i~REA:l1jJROJ>lllR;1'Y,,;!>;:;;i~i "i'\i"''lli~ (1irs:?1!f~"2'~%" ",llIUSONER':i!ErFrlllONS::{' 0 740 Railway Labor Act ;.:;r'*E®Dl!lRAN;rAXlS 0 892 Economic Stabilization Act
o 210 Land Condemnation 0 441 Voting 0 5J 0 Motions to Vacate 0 790 Other Labor Litigation 0 870 Taxes (U.S. Plaintiff 0 893 Environmental Maners
o 220 Foreclosure 0 442 Employment Sentence 0 791 EmpJ. Ret Inc. or Defendant) 0 894 Energy Allocation Act
o 230 Rent Lease & Ejectment 0 443 Housing! HabeaS Corpus: Security Act 0 871 IRS-Third Party 0 895 Freedom ofInformation
o 240 Tons to Land Accommodations 0 530 General 26 USC 7609 Act
o 245 Tort Product Liability 0 444 Welfare 0 535 Death Penalty 0 900Appeal ofFee Determination
o 290 All Other Real Property 0 445 Amer. wlDisabilities ­ 0 540 Mandamus & Other 0 462 Naturali71ltion Application Under Equal Access
Employment 0 550 Civil Righls 0 463 Habeas Corpus ­ to lustice
o 446 Amer. w/Disabilities ­ 0 555 Prison Condition Alien Detainee 0 950 Constitutionalitv of
Other 0 465 Other Immigration State Statutes •
o 440 Other Civil Rights Actions

(place an "X' in One Box Only) Appeal to District

o 2 Removed from 0 3 Remanded from o 4 Reinstated or
Reopened
0 5 Transferr~d :from 0 6
anoth.er dlstnct
Multidistrict
litigation
o 7 Judge from
Magistrate
State Court Appellate Coun
Cl Ju ment
Citeme.U.S Civil Statute under which you are filing (Do not cite jurisdictional statutes unless diversity):
AOmlral'y
t
Brief description of cause:
propertY damage to yaCht by subrogated unaerwriters.
VII. REQUESTED IN LJ CHECK IF TIllS IS A CLASS ACTION DEMAND $
COMPLAINT: UNDERF.R.C.P.23 98,000.00
VIII. RELATED CASE(S)
(See instructions):
IF ANY

DATE
05/26/2011
.'OR OFFICE USE ONLY

RECEIPT #
-------- AMOUNT
------------- APPLYINO IFP JUDGE MAG. JUDGE
 Case 2:11-cv-03435-HB Document 1-1 Filed 05/26/11 Page 2 of 5

UNITED STATES DISTRICT COURT 11 3435

FOR THE EASTERN DISTRICT OF PENNSYLVANIA - DESIGNATION FORM to be used by counsel to indicate the category of tbe
case for the purpose of assigrunent to appropriate calendar. '

Address of Plaintiff: 436 Walnut Street, Philadelphia, PA 19106

Address of Defendant: 40 Boroline Rd., Allendale, NJ 07401 and 89 Bennion Rd., Annapolis, MD 21402

Place of Accident, Incident or Transaction: Annapolis, MD

(Use Reverse Side For Additional Space)

Does this civil action involve a nongovernmental corporate party wilb any parent corporation and any publicly held corporation owning 10% or
more of its stock? ~
(Auach two copies of the Disclosure Statement Form in accordance with Fed.R.Civ.P. 7. 1(a» Ye [E) NoD

Does this case involve multidismct litigation possibilities? Yes 0 No x

RELATED CASE, IF ANY: none
Case Number: _ _ _ _ _ _ _ _ _ _ _ Judge _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date Terminated:

Civil cases are deemed related when yes is answered to any of the following questions:

1. Is this case related to propeny included in an earlier numbered suit pending or within one year previously terminated action in Ibis coon?
YesO No [E)
2. Does tbis case involve the same issue of fact or grow out of the same transaction as a prior suit pending or witbin one year previously
terminated action in tbis coun?

YesO No[E)
3. Does tbis case involve the validity or infringement of a patent already in suit or any earlier numbered case pending or within one year

previously terminated action in this coon? Yes 0 No [E)

4. Is this case a second or successive habeas corpus, social security appeal, or pro se civil rights case filed by the same individual?

Yes 0 No [E)

CNlL: (Place rI' IN ONE CATEGORY ONLY)

A Federal Question Cases: B. Diversity Jurisdiction Cases:

1. 0 Indemnity Contract, Marine Contract, and All Other Contracts l. 0 Insurance Contract and Other Contracts
2.0 FELA 2. 0 Airplane Personal Injury
3. 0 Jones Act·Personal Injury 3. 0 Assault, Defamation
4. 0 Antitrust 4. 0 Marine Personal Injury
5. 0 Patent 5. 0 Motor Vehicle Personal Injury
6. 0 Labor·Management Relations 6. 0 Other Personal Injury (Please specify)
7. 0 Civil Rights 7. 0 Products Liability
8. 0 Habeas Corpus 8. 0 Products Liability - Asbestos
9. 0 Securities Act(s) Cases 9. 0 All other Diversity Cases

I (Please specify)

ARBITRATION CERTIFICATION
(Check Appropriate Category)
MAY 26 2011
I, Jesse L Kenwonhv ,counsel of record do hereby certify:
o Pursuant to Local Civil Rule 53.2, Section 3(c )(2), that to the best of my knowledge and belief, the daruages recoverable in this civil action
case exceed the sum of $150,000.00 exclusive of interest and costs;
o Relief other thao monetary damages is sought.

PBH364814.1
 Case 2:11-cv-03435-HB Document 1-1 Filed 05/26/11 Page 3 of 5

DATE: Mav 26,2011 208609

/;i Attorney-at-law Attorney 1.D.#
NOTE: A trial de novo will be a trial by jury only if there has been ompliance with F.R.C.P. 38.

I certify that, to my knowledge, the within case is not related to any case now pending or within one year previously terminated action in
this court
except as noted above.
I ~
P/j·
DATE: May 26,2011 (----- / 209609
Attorney 1.D.#
CIV. 609 (6/08)

PBH364814.1
 Case 2:11-cv-03435-HB Document 1-1 Filed 05/26/11 Page 4 of 5

IN THE UNITED STATES DISTRICT COURT

FOR THE EASTERN DISTRICT OF PENNSYLVANIA

CASE MANAGEMENT TRACK DESIGNAlION FORM f

.---------------------------------------------------------------)( 11 3435
ACE AMERICAN INSURANCE COMPANY CNIL ACTION _ __
436 Walnut Street, Philadelphia, PA 19106 alslo
Joseph P. Morris and Marybeth Morris

Plaintiff,

vs.

FUJIFILM SMART SURFACES, LLC IN ADMIRALTY

40 Boroline Rd. Allendale, NJ 07401

And

CARR CREEK MARINA

89 Bennion Road
NSA Annapolis, MD 21402
Defendants.
---------------------------------------------------------------)(
In accordance with the Civil Justice E)(pense and Delay Reduction Plan of this court, counsel for
plaintiff shall complete a Case Management Track Designation Form in all civil cases at the time
of filing the complaint and serve a copy on all defendants. (See § 1:03 of the plan set forth on
the reverse side of this form.) In the event that a defendant does not agree with the plaintiff
regarding said designation, that defendant shall, with its first appearance, submit to the clerk of
court and serve on the plaintiff and all other parties, a Case Management Track Designation
Form specifying the track to which that defendant believes the case should be assigned.

SELECT ONE OF THE FOLLOWING CASE MANAGEMENT TRACKS:

(a) Habeas Corpus Cases brought under 28 U.S.C. § 2241 through § 2255. ( )

(b) Social Security - Cases requesting review of a decision of the Secretary of Health

and Human Services denying plaintiff Social Security Benefits. ( )

(c) Arbitration - Cases required to be designated for arbitration under Local Civil Rule 5

(d) Asbestos Cases involving claims for personal injury or property damage from

PBH364801.1
 Case 2:11-cv-03435-HB Document 1-1 Filed 05/26/11 Page 5 of 5

exposure to asbestos. ( )

(e) Special Management - Cases that do not fall into tracks (a) through (d) that are
commonly referred to as complex and that need special or intense management by
the court. (See reverse side of this form for a detailed explanation of special management
cases.) ( )

(f) Standard Management - Cases that do not fall into anyone of the other tracks. ( )

May 26,2011 Michael B. McCauley Ace American Insurance Company

Date Attorney-at-law Attorney for

215-625-9900 215-625-0185 mccauley@pbh.com

Telephone FAX Number E-Mail Address

(Civ. 660) 10102

PBH364801.1