MediatorConsultant
Mediation Statement of Agreement is made on ____/____/____,
The listed participants on this document have obtanied a Mediation Resolution. This Resolution is Binding and Enforceable. This agreement is based on the principles of voluntary participation and Self-Determination by each party as stipulated in the following mutual agreement.
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Client(s) Signature:_____________________________________________________________________
Client(s) Signature:_____________________________________________________________________
Co-Mediator(s) Name:___________________________________________________________________
Co-Mediator(s) Signature:________________________________________________________________
Mediator(s) Name:______________________________________________________________________
Mediator(s) Signature:___________________________________________________________________
MediatorConsultant:
Charlie Williams
Los Angeles Superior Court ADR Mediator 928 North San Fernando Boulevard, Suite J-122
Burbank, California 91504-4350
Phone: (213) 819-4097
Fax-Phone: (818) 951-3663