Laserfiche WebLink
DocuSign Envelope ID: B15AAEBD-74AB-4EFF-B97F-0776E33BOD86 A-202 <br />3-060-03 <br />EXHIBIT K <br />Subdivision Participation and Release Form <br />Will your subdivision or special district be signing the settlement participation form for the CVS <br />Settlement at this time? <br />[)(] Yes [ ] No <br />Governmental Entity: Santa Ana city <br />State: CA <br />Authorized Signatory: Kristine Ride City Manager <br />Address 1: 20 Civic Center Plaza <br />Address 2: P.O. Box 1988 <br />City, State, Zip: Santa Ana, CA 92702 <br />Phone: 714-647-5222 <br />Email: kridge@santa-ana.org <br />The governmental entity identified above ("Governmental Entity"), in order to obtain and in <br />consideration for the benefits provided to the Governmental Entity pursuant to the Settlement <br />Agreement dated December 9, 2022 ("CVS Settlement"), and acting through the undersigned authorized <br />official, hereby elects to participate in the CVS Settlement, release all Released Claims against all <br />Released Entities, and agrees as follows. <br />1. The Governmental Entity is aware of and has reviewed the CVS Settlement, understands that all <br />terms in this Participation and Release Form have the meanings defined therein, and agrees that <br />by executing this Participation and Release Form, the Governmental Entity elects to participate <br />in the CVS Settlement and become a Participating Subdivision as provided therein. <br />2. The Governmental Entity shall promptly, and in any event no later than 14 days after the <br />Reference Date and prior to the filing of the Consent Judgment, dismiss with prejudice any <br />Released Claims that it has filed. With respect to any Released Claims pending in In re <br />National Prescription Opiate Litigation, MDL No. 2804, the Governmental Entity authorizes <br />the Plaintiffs' Executive Committee to execute and file on behalf of the Governmental Entity a <br />Stipulation of Dismissal with Prejudice substantially in the form found at <br />https://nationalol2ioidsefflement.com. <br />3. The Governmental Entity agrees to the terms of the CVS Settlement pertaining to Participating <br />Subdivisions as defined therein. <br />4. By agreeing to the terms of the CVS Settlement and becoming a Releasor, the Governmental <br />Entity is entitled to the benefits provided therein, including, if applicable, monetary payments <br />beginning after the Effective Date. <br />5. The Governmental Entity agrees to use any monies it receives through the CVS Settlement <br />solely for the purposes provided therein. <br />®.s <br />