Free Verdict Sheet - District Court of Delaware - Delaware

_ Case 1 :04-cv-01275-KAJ Document 107 Filed 03/02/2006 Page 1 of 3
IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
Don's Hydraulics, Inc. :
Plaintiff : Civil Action N0.: 04-1275 KAJ
vs. __ l ·‘
Colony Insurance Company and `
Truck Tech Industries, Inc., and :
Tipco Technologies, Inc. ‘ :
Defendants. :
DEFENDANT QQLONY IN§QRAN§§ QQMPANY'§
JQRY m]j§ggQGA’l'QRIE§
We the Jury Find: -
l. Do you find, by a preponderance ofthe evidence, that leaking hoses caused the
failure ofthe hydraulic power unit manufactured by Plaintiff for Fieldale Farms?
___ YES
- _____ NO
If yes, proceed to Question 2.
If no, proceed to Question 5.
- 2. Do you find that the leaking hoses were caused bythe negligence of Tipeo
Technologies, Inc.? _ ‘
___ YES
__ NO
3. Do you find that the leaking hoses were caused by the negligence of Truck Tech
Industries, Inc.? A
___ YES .
._.. NO

Case 1:04-cv-01275-KAJ E Document 107 Filed O3/O2/2006 Page 2 of 3
4. If you answered YES to questions 2 and 3 above, list the percentage of fault you
assign to each Defendant for the leaking hoses,
% Tipco Technologies, inc.
% Truck Tech. Industries, lne.
5. Do you find, by a preponderance ofthe evidence, that Plaintiff suffered damages
as a result of leaking hoses?
__ YES .
__ NO ‘
6. lf you answered YES to question 5 above, please enter the dollar amount that
Plaintiff proved, by a preponderance ofthe evidence, it suffered as a result of the
leaking hoses.
$ _______________
7. Do you find, by a preponderance of the evidence, that the $16,569.60 Colony
Insurance Company paid to Ficldale Farms on behalf of Don's Hydraulics for the
oil hltering expense, was incurred as a result of leaking hoses?
_ ___ YES
.._ N0 .
If yes, proceed to Questions 8, 9 and 10.
If no, stop, sign the form and return it to the Judge.
8. If you answered YES to question 7 above, do you find, by a preponderance of
the evidence, that the $16,569.60 Colony Insurance Company paid to Fieldale
Farms on behalf of Don's I-iydraulics for the oil filtering expense, was incurred
. as a result of negligence on the part of Tipco Technologies, Inc. in
manufacturing and assembling the hoses?
_ ___ YES
____ NO A.
2 .

Case 1:04-cv-01275-KAJ Document 107 Filed O3/O2/2006 Page 3 of 3
l 9. If you answered YES to question 7 above, do you Gnd, by a preponderance of
the evidence, that the $16,569.60 Colony Insurance Company paid to Fieldale
Farms on behalf of D0n's Hydraulics for the oil filtering expense was incurred as
a result of negligence on the part of Truck Tech Industries, Inc.
____ YES
_ NO .
‘ 10. If you answered YES to questions 8 and 9 above, list the percentage offault you
Q assign to each Defendant for the $16,569.60 in oil filtering expense.
% Tipco Technologies, Inc.
% Truck Tech Industries, Inc.
Dated: 9
Jury Foreman
3