MACOMB CIRCUIT COURT CASE EVALUATOR APPLICATION. (Not to be used by ADR Mediator Applicants)

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1 MACOMB CIRCUIT COURT CASE EVALUATOR APPLICATION I a 3 / / 7 (Not to be used by AR Mediator Applicants) New application Renewal Application Name on R. Berscbback P# on R. Berschback, Attorney at Law Firm name or Business address Street City Jefferson Avenue St. Clair Shores MI State and Zip Telephone: _...(_5_8_6_, 77_7_-_0_4_00 Fax Panel sought (select one) :!Kk General Civil Personal Injury ( Plaintiff Neutral efense) 2. Have you served as a case evaluator? ~ Yes No. If yes, please describe on an attachment. 3. When were you admitted to the practice of law (month/day/year)? March 26, Are you a member in good standing of the State Bar of Michigan? ~Yes No 5. o you qualify for service in this jurisdiction by (a) residing in Macomb County (b) IZJ maintaining an office in Macomb County, or (c) an active practice in Macomb County? 6. Please provide factual support for your qualification(s) under question 5 by providing your Macomb County address (if different than your business address above) or a description of your "active practice" on an attachment. SEE ATTACHE LETTERHEA 7. Please demonstrate that a substantial portion of your practice for the last 5 years has been devoted to civil litigation matters as required by MCR 2.404(B)(2)(c) on an attachment. If you are applying for service on the Personal Injury List pursuant to MCR 2.404(8)(4), please answer the following questions. All others skip to the certification section. (9/27/06) 1

2 1. In your practice, do you primarily represent: Plaintiffs? efendants? Not identifiable? 2. Please demonstrate that you have had an active practice in personal injury for at least the last 3 years as required by MCR 2.404(B)(2)(d) on an attachment. 3. How many cases on average have you handled during MCR case evaluation as counsel for a party over the last three years? _ 4. How many cases on average have you arbitrated as counsel for a party over the last three years? 5. How many cases on average have you participated in facilitation or mediation as counsel for a party over the last three years? 6. How many days of the year have you acted as a case evaluator under MCR over the past three years, in personal injury cases? 7. How many days of the year have you acted as an arbitrator over the past three years, in personal injury cases? 8. How many days of the year have you acted as a facilitator over the past three years, in personal injury cases? 9. How many personal injury cases did you resolve by way of settlement over the past three years on an annual basis? 10. How many personal injury cases did you try to a verdict in the past three years? 11. Within your practice, what percentage of your cases are: A. Personal injury? % B. Products Liability? % C. Professional malpractice? %. Employment? % CASE EVALUATOR ELIGIBILITY CERTIFICATION I certify, pursuant to MCR 2.404(8)(1 ), that I meet the requirements for service under the Macomb County Circuit Court's selection plan and that I will not discriminate against parties, attorneys, or other case evaluators on the basis of race, ethnic origin, gender, or other protected personal characteristic. ate (9/27/06) 2

3 GENER/RACE/ETHNICITY INFORMATION - OPTIONAL In order to evaluate our efforts to provide bias free case evaluators and diversity, we ask you to voluntarily identify your gender/race/ethnicity. This information will be maintained separately from the other pages of the application. Name (First, Middle initial, last. Print or write legibly) P Bar No. I o ) s-/ Please check the appropriate box: Gender (6- Male Female Race/Ethnicity American Indian or Alaskan Native Asian or Pacific Islander Black/African American (non-hispanic) ~ Caucasian (non-hispanic) Hispanic Please specify Return this application to: Macomb Circuit Court Case Evaluation Clerk 40 N. Main, 5th Floor Mt. Clemens, Ml (9/27/06) 3

4 ON R. BERSCHBACK ATTORNEY AN COUNSELOR AT LAW JEFFERSON AVENUE ST. CLAIR SHORES, MICHIGAN (586) FAX (586) OF COUNSEL CHARLES T. BERSCHBACK September 23, 2014 Macomb Circuit Court Case Evaluation Clerk 40 N. Main Street, 5th Floor Mt. Clemens, MI RE. Renewal Application as Case Evaluator ear Case Evaluation Clerk: I have enclosed a cover letter along with the required three pages of renewal application. I have been a mediator/facilitator in the Macomb County Court system for almost 35 years. I practice as an advocate that has resulted in approximately 97% of my cases being settled and not proceeding to trial. In addition, I serve as a case evaluator in Wayne County as a neutral and have served in that capacity for over 20 years. In Wayne County, I generally sit as an evaluator approximately five times per year. In addition to serving as a mediator in Macomb and Wayne County Circuit Courts, I am a MERC arbitrator, fact finder, and grievance hearings officer. If you need anything further, please do not hesitate to call me. Very truly yours, RB:nrng Enclosures

5 ON R. B E R SCHBACK ATTORNEY AN COUNSELOR AT LAW JEFFERSON AVENUE ST. CLAIR SHORES, MICHIGAN (586) FAX (586) donberschback@yahoo.com OF COUNSEL CHARLES T. BERSCHBACK September 23, 2014 Macomb Circuit Court Case Evaluation Clerk 40 N. Main Street, 5th Mt. Clemens, MI RE. Case Evaluation Application ear Ms. Phillips: Enclosed please find my renewal application in accordance with a letter I received dated September 16, 2014 from Jennifer M. Phillips. I do note that this mail was received by my office on September 23, If there are any questions, please call me. RB:nmg Enclosures / ON R. BERSCHBACK

6 C%lose Sea %rch Search Criteria %Clear %Open %Save %Print Attorney Name BERSCHBACK, ON R. Party Type All Party Last Name Party First Name Party Company Name > Case Type All Case Number Case Status All Exclude ismissed Attorneys File ate Range Begin 01/01/2012> End 12/19/2014> Search Results Party Type EFENANT Party Name JONES CAMPBELL, CATHY A PLAINTIFF WUERZ, EUGENE MICHAEL AffiliatioCase Number File atestatus n O 03/26/201C M 08 / 28/201C 2

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