Settlement Authority Document

SETTLEMENT AUTHORITY DOCUMENT

This Settlement Authority Document (the Agreement) is made on Effective Date: by and between Client Name: with address: ("Client"), and Authorized Representative Name: of Firm/Entity: with address: ("Representative"). Claim or File No.: .

Recitals

WHEREAS, the Client has asserted claims and demands against the opposing party or parties arising out of the facts and circumstances identified in the Claim or File No. set forth above; and

WHEREAS, the Representative has advised the Client concerning the risks and benefits of settlement and has been retained or designated to negotiate and conclude settlement on behalf of the Client; and

WHEREAS, the Parties desire to set forth the scope and limitations of authority granted to the Representative to effect settlement, execute release documents, and to allocate proceeds as provided herein.

NOW, THEREFORE

In consideration of the mutual promises contained herein and other good and valuable consideration, the receipt and sufficiency of which are acknowledged, the Parties agree as follows:

1. Definitions

For purposes of this Agreement, the following terms have the meanings ascribed to them:

"Settlement" means any agreement, compromise, or disposition resolving any or all claims in the Claim or File No. specified above. "Net Proceeds" means the gross settlement consideration less court-awarded fees, agreed attorney fees, statutory liens, and reasonable costs and disbursements as set forth in Section 5.

2. Grant of Authority

The Client hereby grants the Representative authority to negotiate and conclude a Settlement on behalf of the Client subject to the limitations set forth in this Agreement. Such authority specifically includes the power to accept monetary and non-monetary terms, to execute releases and settlement agreements, and to take all actions reasonably necessary to effectuate the Settlement.

Authority is: Full authority to settle within the monetary cap below Limited authority — Representative must obtain Client's prior written approval for any settlement exceeding the monetary cap

3. Limits and Conditions of Authority

Representative shall not execute any Settlement that (a) imposes injunctive obligations on the Client without Client's prior written consent, (b) requires Client to admit liability, or (c) obligates the Client to future payments not expressly described in the Settlement documents, unless such terms are expressly approved in writing by the Client.

Representative shall promptly notify the Client in writing of any material offer and shall provide a copy of the proposed settlement documents. If the authority is limited, Representative must obtain Client's written approval prior to execution when the proposed settlement exceeds the Monetary Cap.

4. Settlement Terms and Allocation

Attorney's Fees and Costs: Attorney Fee Percentage or Amount: . Client hereby authorizes deduction of agreed fees, costs, and statutory liens from settlement proceeds as required by law or agreement.

5. Execution of Release and Related Documents

The Representative is authorized to execute, deliver, and, where necessary, notarize releases, settlement agreements, acknowledgments and other documents reasonably necessary to effectuate the Settlement, provided such documents are consistent with the terms approved under this Agreement. Representative shall ensure that any release language is limited to the claims expressly intended to be released by the Client.

6. Confidentiality

Unless otherwise agreed in writing, any confidentiality terms in a Settlement shall be binding only if expressly accepted in writing by the Client. Representative shall not waive the Client's right to disclose details of the Settlement except upon the Client's prior written consent.

7. Representations and Warranties

Each Party represents and warrants that: (a) it has full capacity and authority to enter into this Agreement; (b) all statements and acknowledgments made to the other Party regarding authority to settle are true and complete; and (c) there are no existing agreements, assignments, or liens that would prevent or impair the distribution of Net Proceeds except as disclosed to the Representative in writing.

8. Indemnification

The Client agrees to indemnify and hold harmless the Representative from and against any claims, liabilities, losses, or expenses (including reasonable attorneys' fees) arising out of the Representative's good faith performance of the authority granted hereunder, except to the extent resulting from Representative's willful misconduct or gross negligence.

9. Notices

All notices required under this Agreement shall be in writing and shall be deemed given when delivered personally, sent by certified mail, return receipt requested, or by confirmed delivery to the addresses set forth above or such other addresses as a Party may designate in writing.

10. Amendments; Waiver; Counterparts

This Agreement may be amended only by a written instrument signed by both Parties. No failure or delay by any Party in exercising any right shall operate as a waiver thereof. This Agreement may be executed in counterparts and by facsimile or electronic signature, each of which shall be deemed an original and all of which together shall constitute one instrument.

11. Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the State of , without regard to its conflict of laws principles.

12. Entire Agreement; Severability

This Agreement constitutes the entire agreement between the Parties with respect to the subject matter hereof and supersedes all prior agreements and understandings, whether written or oral. If any provision of this Agreement is held invalid or unenforceable, the remaining provisions shall remain in full force and effect.

13. Acknowledgment

The Client acknowledges that the Client has read this Agreement, understands its terms, has had the opportunity to consult with counsel of Client's choosing, and accepts the limits of authority granted herein.

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