COUNSEL CERTIFICATION FORM Pursuant to SJC RULE 1:18 DOCKET NUMBERCASE NAME: Trial Court of MassachusettsThe Superior Court COURT NAME & ADDRESSVS I hereby certify that in accordance with Rule 5 of the Supreme Judicial Court Uniform Rules on Dispute Resolution (SJC Rule 1:18), I have complied with the requirements of the rule requiring that I provide my clients with information about court- connected dispute resolution services and discuss with them the advantages and disadvantages of the various methods of dispute resolution. rev: 01/09/2019County Signature:Dated: Print name: Address: BBO #: I am attorney of record for plaintiff defendant in the above-entitled matter.Clerk of Courts American LegalNet, Inc. www.FormsWorkFlow.com