Confidentiality Agreement And Nonrepresentation Acknowledgment {MED-004}

STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE SIXTEENTH JUDICIAL CIRCUIT KANE COUNTY, ILLINOIS THIS IS AN ARBITRATION CASE Case No. Plaintiff(s) Defendant(s) Plaintiff(s) Atty. Judge A copy of this order Plaintiff Atty. Defendant(s) Atty. Court Reporter should be sent has been sent Defense Atty. Other Deputy Clerk File Stamp CONFIDENTIALITY AGREEMENT AND NONREPRESENTATION ACKNOWLEDGMENT IT IS HEREBY AGREED by and between the mediation participants and , Mediator, that all matters discussed during any and all mediation sessions shall remain confidential and shall not be disclosed by the participants or the mediator in any court of law. All oral and written communication occurring during the mediation, other than executed settlement agreements, shall be confidential, exempt from discovery, and inadmissible as evidence in the underlying cause of action unless all parties agree otherwise. The parties and mediation participants further acknowledge that the Mediator, and all members of his/her law firm, , have never represented any party in this case and will not afford or provide any legal advice to any such party or participant. Date: Plaintiff(s): Mediator: Defendant(s): , Plaintiff(s) Attorney: Defendant(s) Attorney: Representative(s): Representative(s): MED-004 (02/10) American LegalNet, Inc. www.FormsWorkFlow.com