UNITED STATES DISTRICT COURT WESTERN DISTRICT OF NEW YORK Plaintiff, -vs- MEDIATION CERTIFICATION -CV- Defendants. I hereby certify that: G G Case has settled prior to scheduling first session. Case has settled prior to session scheduled for _________________________. G Mediation session was held on ______________________________________. G Case has settled. The parties have agreed that ___________________________ will prepare the settlement agreement and stipulation for dismissal and that the stipulation will be filed no later than _____________________________________. Case has not settled. Mediation will continue on _______________________. (specific date) Case has not settled. The parties may schedule another session at a later date. Case has not settled. Mediation is complete. The case will proceed toward trial pursuant to the Court's scheduling order. G G G Date: ________________________ __________________________________ Mediator Additional Comments: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com