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sheets,(with or without case identification)nor with any other entity whatsoever without the prior <br /> written consent of the Releasees. The only exceptions to this agreement regarding total <br /> confidentiality are(1)plaintiff is allowed to advise any financial planner and or accountant regarding <br /> the settlement proceeds; (2) defendants may disclose the information regarding the settlement to <br /> those institutionally associated with defendants who reasonably need to know such information as <br /> part of normal business operations;and(3)defendants may disclose the information to MediCare or <br /> MediCal or any other governmental agency that so requires. Violation of these terms will be subject <br /> to all possible methods of litigation and is a material breach of this Release. The Parties agree that <br /> these confidentiality provisions are material provisions of this Agreement, and that any breach of <br /> them shall be a material breach of this Agreement,which would cause irreparable harm and damages <br /> which would be inherently uncertain or difficult to calculate, and thus necessitate the award of <br /> liquidated damages in the amount of$2,500. The parties stipulate that the agreed upon sum is not a <br /> penalty,but rather a reasonable measure of damages,based on the parties'experience and given the <br /> nature of the losses that may result from a breach of confidentiality. <br /> It is also hereby stipulated that the sum of$1,000.00 out of the total settlement funds was in <br /> consideration for the above confidentiality provision. <br /> 20. MediCare. This settlement is based upon a good faith determination of the parties to <br /> resolve a disputed claim. The parties have not shifted responsibility of medical treatment to <br /> Medicare in contravention of 42 U.S.C. Sec. 1395y(b). The parties resolved this matter in <br /> compliance with both state and federal law. The parties made every effort to adequately protect <br /> Medicare's interest and incorporate such into the settlement terms. <br /> Plaintiff represents he is not a Medicare beneficiary.The details of this settlement—including <br /> the identities of plaintiff,certain personal information about plaintiff,the amount of the settlement, <br /> the date of the settlement,and the injuries alleged—may be reported to the Centers for Medicare& <br /> Medicaid Services (CMS), as well as certain agent(s) necessary to facilitate reporting to CMS, <br /> pursuant to the responsible reporting entity's duty to comply with Section 111 of the Medicare, <br /> Medicaid& SCHIP Extension Act of 2007 (Section 111). <br /> Plaintiff acknowledges his duty to cooperate with Defendants in order to allow the <br /> Responsible Reporting Entity to fulfill the obligation to comply with Section 111. Plaintiff agrees <br /> to provide Defendants with any and all information necessary for Defendants to comply with Section <br /> 111 of the MMSEA. <br /> Plaintiff further agrees to waive any and all future actions against Defendants,including but <br /> not limited to any private cause of action for damages pursuant to 42 U.S.C.Section 1395y(b)(3)(A) <br /> et seq. <br /> 21. Authority to Sign.Each of the Parties to this Agreement covenants,agrees,represents <br /> and warrants that the persons executing this Agreement are authorized and empowered to enter into <br /> and execute this Agreement for and on behalf of the person or entity they represent. This Agreement <br /> is binding upon and shall inure to the benefit of the Parties' heirs, successors, and assigns. <br /> 22. Severability. If any paragraph or subparagraph of this Agreement is found to be <br /> unenforceable,the other paragraphs and subparagraphs shall remain fully valid and enforceable. <br /> 142855791.1 5 '.. <br />