[ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS] FOR COURT USE ONLY TELEPHONE NO.: ATTORNEY FOR (NAME): FAX NO: (Optional) AMADOR COUNTY SUPERIOR COURT 500 ARGONAUT LANE JACKSON, CA 95642 (209) 257-2603 PLAINTIFF: CASE MANAGEMENT CONFERENCE DATE DEFENDANT: STIPULATION AND ORDER TO MEDIATION AMADOR RULE OF COURT §8.14 CASE NUMBER: The parties and their attorneys stipulate that the claims in this action shall be submitted to the following mediation process: Type of Mediation (select one): 1. Court Mediation. Per Local Rule 8.14(D) Mediators on the court's approved panel have agreed to the court's payment schedule of $150.00 for 3 hours of mediation. In the event the mediation will extend beyond 3 hours, the parties will be responsible for compensating the Mediator in an amount as set by the Mediator. 2. Court Mediation in lieu of previously ordered Arbitration. Per Local Rule 8.14(D) Mediators on the court's approved panel have agreed to the court's payment schedule of $150.00 for 3 hours of mediation. In the event the mediation will extend beyond 3 hours, the parties will be responsible for compensating the Mediator in an amount as set by the Mediator. 3. Private Mediation. The cost of mediation must be borne by the parties equally unless the parties agree otherwise. Parties will be charged an amount as set by the Mediator. 4. Private Mediation in lieu of previously ordered Arbitration. The cost of mediation must be borne by the parties equally unless the parties agree otherwise. Parties will be charged an amount as set by the Mediator. Neutral Court Neutral Selected: (If type of Mediation selected above is option 1 or 2) Name _____________________________________________________ Name _____________________________________________________ Name _____________________________________________________ Name _____________________________________________________ Alternate Court Neutral Selected: (If type of Mediation selected above is option 1 or 2) Alternate Court Neutral Selected: (If type of Mediation selected above is option 1 or 2) Private Neutral Selected: (If type of Mediation selected above is option 3 or 4) Other Stipulations Discovery to remain open 30 days prior to trial. Additional Stipulations: ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ 04/08 STIPULATION AND ORDER TO MEDIATION Civ 025 1 American LegalNet, Inc. www.FormsWorkflow.com STPULATION AND ORDER TO MEDIATION PLAINTIFF: DEFENDANT: CASE NUMBER: Name of Party Stipulating Name of Party or Attorney Executing Stipulation Signature of Party or Attorney Plaintiff Name of Party Stipulating Defendant Cross-Complainant Cross-Defendant Dated: Signature of Party or Attorney Name of Party or Attorney Executing Stipulation Plaintiff Name of Party Stipulating Defendant Cross-Complainant Cross-Defendant Dated: Signature of Party or Attorney Name of Party or Attorney Executing Stipulation Plaintiff Name of Party Stipulating Defendant Cross-Complainant Cross-Defendant Dated: Signature of Party or Attorney Name of Party or Attorney Executing Stipulation Plaintiff Defendant Cross-Complainant Cross-Defendant Dated: Additional Signature Page(s) Attached ORDER The foregoing stipulation having been read and considered, and good cause appearing, now therefore: Stipulation and Order to Mediation deferred to Case Management Conference. The Court orders the parties to enter mediation as stipulated above. Previously scheduled Case Management Conference is vacated. Previous order to Arbitration is vacated and appointment of Arbitrator rescinded. day jury court trial set for at 9:00 a.m. in Department 2. Mandatory Settlement Conference set for __________________at 8:30 a.m. in Department 2. It is further ordered that: DATED: JUDGE OF THE SUPERIOR COURT 04/08 STIPULATION AND ORDER TO MEDIATION Civ 025 2 American LegalNet, Inc. www.FormsWorkflow.com STPULATION AND ORDER TO MEDIATION (Additional Signature Page) PLAINTIFF: DEFENDANT: CASE NUMBER: Name of Party Stipulating Name of Party or Attorney Executing Stipulation Signature of Party or Attorney Plaintiff Name of Party Stipulating Defendant Cross-Complainant Cross-Defendant Dated: Signature of Party or Attorney Name of Party or Attorney Executing Stipulation Plaintiff Name of Party Stipulating Defendant Cross-Complainant Cross-Defendant Dated: Signature of Party or Attorney Name of Party or Attorney Executing Stipulation Plaintiff Name of Party Stipulating Defendant Cross-Complainant Cross-Defendant Dated: Signature of Party or Attorney Name of Party or Attorney Executing Stipulation Plaintiff Name of Party Stipulating Defendant Cross-Complainant Cross-Defendant Dated: Signature of Party or Attorney Name of Party or Attorney Executing Stipulation Plaintiff Name of Party Stipulating Defendant Cross-Complainant Cross-Defendant Dated: Signature of Party or Attorney Name of Party or Attorney Executing Stipulation Plaintiff Name of Party Stipulating Defendant Cross-Complainant Cross-Defendant Dated: Signature of Party or Attorney Name of Party or Attorney Executing Stipulation Plaintiff Name of Party Stipulating Defendant Cross-Complainant Cross-Defendant Dated: Signature of Party or Attorney Name of Party or Attorney Executing Stipulation Plaintiff Defendant Cross-Complainant Cross-Defendant Dated: 04/08 STIPULATION AND ORDER TO MEDIATION Civ 025 3 American LegalNet, Inc. www.FormsWorkflow.com