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Mediation Agreement Form

_______________, referred to as the 1st PARTY, and __________________, referred to as the 2nd PARTY, agree:

A dispute has arisen. The parties herewith agree that each shall forego litigation of the dispute until the date of _____________, and shall submit the dispute to mediation under the terms and conditions set forth herein.

The parties agree that during the period of mediation, and for a period of 30 days after impasse of mediation is declared, the statute of limitations shall be tolled. Provided, however, that any party may assert as a defense that any statute of limitations or other form of issue preclusion through lapse of time which occurred prior to this agreement may be plead and litigated should there be an impasse and litigation ensue.

The parties select ___________________ to act as the Mediator.

This mediation shall be governed by the laws of the State of __________ regarding mediation. In the event that the only laws of the State which relate to mediation pertain to mediation commenced after a suit is filed, such rules shall apply to the extent possible.

In the event that an agreement is reached at the mediation as to any or all of the issues between the parties, the same may be entered as a judgment in any court having jurisdiction between the parties.

In the event that the parties do not reach a settlement, the parties shall retain any and all legal, equitable, jurisdictional or other defenses which they possess, if any.

The mediator shall be compensated as follows:


This is the entire agreement between the parties, and this agreement may only be varied by a writing executed by the parties hereto.

Dated: __________________

First Party

Second Party