SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO FOR COURT USE ONLY CENTRAL DIVISION, COUNTY COURTHOUSE, 220 W. BROADWAY, SAN DIEGO, CA 92101 EAST COUNTY DIVISION, 250 E. MAIN ST., EL CAJON, CA 92020 NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 92081 SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA 91910 ARBITRATOR PROFILE I. CONTACT INFORMATION Arbitrator Name: Organization/Firm/Company: Address: City: State: Zip: Phone Number: Fax Number: Email: II. TRAINING/EDUCATION Arbitration training (name of training provider, type of training, date, and hours of training): Other Education (institutions, degrees, and dates): III. EXPERIENCE/EXPERTISE I have been a practicing attorney for years. (5 year minimum) During that time, I have represented: Plaintiffs Defendants Both %Plaintiffs %Defendants I am currently licensed to practice law in the State of California: (please check one) YES NO State Bar Member Number: SDSC form CIV-008 (NEW 2/08) ARBITRATOR PROFILE PAGE 1 OF 2 American LegalNet, Inc. www.FormsWorkflow.com Have you ever been subject to any disciplinary action by the State Bar of California or other professional licensing entity in any state? If yes, please describe and provide date(s) of disciplinary action, type of disciplinary action, and probationary status, if any. Please list your areas of expertise: Experience as a neutral (include type of ADR and number of years of experience relative to each type): Other types of ADR services offered: IV. ARBITRATOR FEE INFORMATION Arbitrator hourly rate: Cancellation policy: Deposit policy: Other fees and/or fee policies: V. AVAILABILITY I am available to conduct Please place me on the: Arbitration hearings per month. Personal Injury Panel Non-Personal Injury Panel Both I declare under penalty of perjury that the foregoing is true and correct. Date: SDSC form CIV-008 (NEW 2/08) Signature: ARBITRATOR PROFILE PAGE 2 OF 2 American LegalNet, Inc. www.FormsWorkflow.com