r I Fax ( 313 ) ;i_.. 2~3a ~ Neutral D Defense) 3. When were you admitted to the practice of law (month/day/year)? 7 7

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1 Rl2c S[p MACOMB CIRCUIT COURT CASE EVALUATOR APPLICA~jdtf1~LU.4r10 N / ;;) 3 J / 7 (Not to be used by AR Mediator Applicants) New application ~ Renewal Application P# / EJ d,b Firm name or Business address Street ~ ~t::j r I t/ /?P/~ A.Z2 City Telephone: ( 313 ) ~~,;?. - J /C;(j State and Zip Fax ( 313 ) ;i_.. 2~3a 1. Panel sought (select one): fg General Civil Personal Injury ( Plaintiff ~ Neutral efense) 2. Have you served as a case evaluator? Ike Yes No. If yes, please describe on an attachment. 3. When were you admitted to the practice of law (month/day/year)? Are you a member in good standing of the State Bar of Michigan? ~es No 5. o you qualify for service in this jurisdiction by (a)~ residing in Macomb County (b) ~ 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. 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. 1

2 1. In your practice, do you primarily represent: Plaintiffs? efendants? \Q Not identifiable? 2. Please demonstrate that you have had an active practice in personal i,n~ry for at least the last 3 years as required by MCR 2.404(B)(2)(d) on an attachment..n'/ti 3. How many cases on average have you handled during MCR case evaluation as counsel for a party over the last three years? / ; How many cases on average have you arbitrated as counsel for a party over the last three years? tj IA. I 5. How many cases on average have you participated in facilitation or mediation as counsel for a party over the last three years? / :L 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. Si 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. Please check the appropriate box: Gender 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

4 BELLANCA I LABARGE ATTORNEYS AN COUNSELORS Anthony.I. Bellanca address: abel la11ca@bellanca.co 111 irect i al: Anthony J. Bellanca Jam es V. Bellanca, Jr. Costanzo Z. Lijoi James C. Zeman Joseph R. Kramer Steven J. G robbel James V. Bellanca, III Jay R. LaBarge J. Russell LaBarge, Jr. Sharon A. ewaele Patricia Irving Cwiek Ted]. Cwiek Of Co1msel September 26, 2014 Ms. Jennifer M. Phillips Court Administrator Macomb County Circuit Court 40 North Main Street, 5th Floor Mount Clemens, MI Re: Case Evaluator Application ear Ms. Phillips: Please let this letter serve as my attachment to the application to be re-appointed as a case evaluator. In response to item two on page one: I have served as a case evaluator since the inception of that concept and prior to that served on mediation panels for more than 20 years. In response to item number six: my home address is Schooner Court, Chesterfield, Michigan I have been a resident of Macomb County since We also maintain a satellite office for our firm and for my use, located at 85 Macomb Place, Mount Clemens, MI In addition, for more than 40 years I have been actively engaged in a practice of civil law to the degree that I estimate that 95% of my work has been in the courts of Macomb County. These have involved everything from trying family law matters, to trying civil matters of every description, except personal injury, i.e., contract litigation, all aspects of real estate litigation from sales, subdivision development, subdivision and condominium associations, and condominium documents, as well as partnership dissolution, and corporate shareholder disputes, and have even tried two family law cases. In response to item number seven: in recent years, although, I have continued to work in the same areas as above set forth, I have not tried any matters, but have been involved in motion practice, discovery, depositions and the like. I also participated in "settlement week" and settled all cases. In response to item two on page two: I have not practiced personal injury law for many years and have not applied to be a personal injury case evaluator for that reason. I was previously on a personal injury case evaluation panel, but asked to be transferred to the general civil docket. In response to item four on page two: I have arbitrated cases as counsel for a party many, many times during my career, however, not in the last three years. In response to item eleven on page two: I do not work in any of the areas listed in this question, however, I have mediated an estimated 15 cases per year for the past 10 years. I realize that this is Bellanca LaBarge, P. C. I Vernier Road Harper Woods, MI I TEL: (3 13) FAX: (3 13) ( OCX } www. bellanca.com

5 Ms. Jem1ifer M. Phillips Court Administrator Macomb County Circuit Court September 26, 2014 Page 2 not an application to be appointed as a mediator, but as a case evaluator. I submit that I have a wealth of experience in evaluating cases based upon the work which is described in this application and feel that I am qualified to continue as a case evaluator. AJB/km { OCX}