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CONTRACT 3566 Settlement Agreement3 5 6 6 - :71 SETTLEMENT AND MUTUAL GENERAL RELEASE AGREEMENT 1. This Settlement and Mutual General Release Agreement ( "AGREEMENT ") is made and executed as of January 24, 2006, by and between PATRICIA BRESSI ( "BRESSI "), on the one hand, and the CITY OF EL SEGUNDO ( "CITY "), CONCENTRA HEALTH SERVICES, INC., a Nevada corporation, ( "CONCENTRA "), and OCCU -MED, INC., a Delaware corporation, ( "OCCU- MED "), on the other, with reference to the following facts and circumstances: (a) Prior to January 2002, CITY contracted with OCCU -MED to design and create pre - employment medical examination profiles for various CITY positions. OCCU -MED designed, created and prepared pre - employment medical examination profiles for various CITY positions and delivered same to CONCENTRA. Pursuant thereto, CONCENTRA administered post -offer pre - employment medical examinations ( BRESSI disputes that the pre - employment medical examination she received was post- offer) to prospective CITY employees and reported the results thereof to OCCU -MED. Following receipt of the examination results, OCCU -MED advised the CITY whether the prospective employee was medically qualified for the subject position. (b) In January 2002, in accordance with CITY procedures, BRESSI underwent a pre - employment medical examination for a CITY library assistant — part- time /no benefits reference desk position at CONCENTRA. The medical examination profile for this position was designed and created by OCCU -MED. Following receipt of her examination results, OCCU -MED informed the CITY that BRESSI was medically qualified for the position of part time library assistant. Thereafter, BRESSI was employed by the CITY as a part time library assistant and worked in that capacity until July 2002, when her CITY employment ended. (c) Disputes have arisen between BRESSI, on the one hand, and the CITY, CONCENTRA and OCCU -MED on the other ( "DISPUTES ") reflected in two (2) actions filed by BRESSI in the Superior Court of California, Los Angeles County, entitled "Pat Bressi v. City of El Segundo, City Council and City Manager of the City of El Segundo, Concentra Health Services Inc., Occu -Med, Inc. and Does 1 through 20, inclusive" and numbered as BC 288292 9000 - 002/9000 -003 Page 1 of 21 3566•,,,1 ( "Bressi I") and "Pat Bressi v City of El Segundo Concentra Health Services, Inc., OCCU- MED INC Dina Cramer, and Does 1 through 20 inclusive," and numbered as BC 288293 ( "Bressi II ") (collectively "CIVIL ACTIONS "; Dina Cramer is hereafter referred to as "CRAMER "). (d) BRESSI, CITY, CONCENTRA and OCCU -MED are collectively referred to herein as "Parties." (e) The Parties understand that these DISPUTES and the CIVIL ACTIONS are for money damages, equitable and other relief and relate to BRESSI's allegations, among other things, that her privacy and civil rights were violated in conjunction with her pre- employment medical examination, that she protested against these violations and that she was retaliated against and wrongfully terminated. The purpose of this AGREEMENT is to fully, finally and comprehensively settle the DISPUTES and the CIVIL ACTIONS and to release fully and completely all the claims that BRESSI now has or has ever had, individually or collectively, conjunctively and disjunctively, against CITY, its employee, CONCENTRA and OCCU -MED, including without limitation any of its and their related and affiliated entities, clinics, current and former elected and appointed officials, employees, officers, directors and representatives, so as to allow CITY, its employee, CONCENTRA and OCCU -MED to continue their pursuits having fully, finally, comprehensively and conclusively resolved the DISPUTES, the CIVIL ACTIONS and all the underlying contentions and allegations. 2. WHEREFORE, in full and complete settlement of the DISPUTES and the CIVIL ACTIONS, the Parties agree as follows: A. The DISPUTES and the CIVIL ACTION. MONETARY CONSIDERATIONS: (1) CITY shall cause to be paid to BRESSI the sum of $110,000.00 within ten (10) days of the EFFECTIVE DATE of this AGREEMENT. These settlement funds shall be payable to "DALE M. FIOLA, ATTORNEY AT LAW, IN TRUST FOR PATRICIA BRESSI" and shall be in full satisfaction and settlement of all of BRESSI's claims (as defined in ¶3 below) 9000 - 002/9000 -003 Page 2 of 21 against the CITY and CRAMER, individually or collectively, conjunctively and disjunctively. This payment shall be accompanied by a release, originally executed by Dina Cramer, in favor of BRESSI in the form of Exhibit "C ", hereto. (2) CONCENTRA shall cause to be paid to BRESSI the sum of $60,000.00 within ten (10) days of the EFFECTIVE DATE of this AGREEMENT. These settlement funds shall be payable to "DALE M. FIOLA, ATTORNEY AT LAW, IN TRUST FOR PATRICIA BRESSI" and shall be in full satisfaction and settlement of all of BRESSI's claims (as defined in ¶3 below) against CONCENTRA, individually or collectively, conjunctively and disjunctively. (3) OCCU -MED shall cause to be paid to BRESSI $75,000.00 within ten (10) days of the EFFECTIVE DATE of this AGREEMENT. These settlement funds shall be payable to "DALE M. FIOLA, ATTORNEY AT LAW, IN TRUST FOR PATRICIA BRESSI" and shall be in full satisfaction and settlement of all of BRESSI's claims (as defined in ¶3 below) against OCCU -MED, individually or collectively, conjunctively and disjunctively. NON - MONETARY CONSIDERATIONS (4) Concurrent with the payment referenced in 2(A)(1) above, CITY shall provide to BRESSI the original of the letter that is Exhibit "A" hereto signed by the Mayor and provide a separate letter solely confirming her dates of employment (1/28/02 — 7/17/02). (5) Concurrent with the receipt of the payment referenced in 2(A)(1) above, BRESSI shall provide to CITY the original of the letter of resignation, executed by Bressi, that is Exhibit `B" hereto and CITY shall place said executed resignation letter in its personnel file respecting BRESSI, revise all references therein from involuntary termination to voluntary resignation and remove her July 2002 City of El Segundo Employee Performance Review. (6) BRESSI shall provide to CITY, CONCENTRA, CRAMER and OCCU -MED an executed dismissal with prejudice of the CIVIL ACTIONS within fifteen (15) business days after the EFFECTIVE DATE of this AGREEMENT. 9000 - 002/9000 -003 Page 3 of 21 3 E. " �., ,, B. Attorneys' Fees and Costs. The Parties shall each bear their own attorneys' fees and costs incurred in connection with the DISPUTES, the CIVIL ACTIONS and this AGREEMENT. 3. Upon performance of the covenants set forth in paragraph 2, BRESSI, on one hand, and the CITY, CONCENTRA and OCCU -MED, on the other, hereby absolutely and forever release and discharge the other, individually and collectively, conjunctively and disjunctively, together with all of their affiliated and related entities, their respective elected and appointed officials, officers, directors, agents, representatives, employees (including without limitation CRAMER), attorneys, and assigns, and each of them, and all persons and entities acting by, through, under, or in concert with any of them, and each of them, of and from any and all claims, rights, demands, complaints, covenants, agreements, contracts, representations, warranties, promises, liens, accounts, debts, torts, liabilities, expectancies, damages, wages, benefits, expenses, employment discrimination claims, attorney fees, costs and causes of action of every kind and nature including, without limitation and merely by way of reference, claims for violation of the California Fair Employment & Housing Act (California Gov't Code § §12900 et seq.), violation of 42 U.S.C. §1983, invasion of privacy, violation of the California Confidentiality of Medical Information Act (California Civil Code §§ 56 et seq.), violation of the First and Fourth Amendments to the U.S. Constitution, wrongful termination, intentional infliction of emotional distress, malicious prosecution, abuse of process and the award of attorneys fees against BRESSI, whether known or unknown, suspected or unsuspected, anticipated or unanticipated; at law or in equity, which each party now has or has ever had, relating to or arising out of any act, omission, occurrence, condition, event, transaction, or thing which was done, omitted to be done, occurred or was in effect at any time from the beginning of time through and including the EFFECTIVE DATE of this AGREEMENT (hereinafter collectively referred to as CLAIMS) against the other, or any of the releasees named herein, jointly and severally, directly and indirectly, arising out of the DISPUTES, the CIVIL ACTIONS, and the bringing and maintaining of the DISPUTES and the CIVIL ACTIONS. In 9000 - 002/9000 -003 Page 4 of 21 3666 • . . this connection, each party hereby waives and releases any rights which she or it may have, directly or indirectly, against the other jointly or severally, conjunctively and disjunctively, under the provisions of California Civil Code section 1542, or any similar law of any state or jurisdiction, which reads in sum, substance or substantial part as follows: A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS FAVOR AT THE TIME OF EXECUTING THE RELEASE, WHICH IF KNOWN BY HIM MUST HAVE MATERIALLY AFFECTED HIS SETTLEMENT WITH THE DEBTOR. The Parties acknowledge that the facts with respect to which they give each other this release may turn out to be different from the facts they now believe to be true. The Parties hereby assume the risk of the facts turning out to be different and agree that this AGREEMENT shall in all respects be effective and not subject to termination or rescission because of any such difference in facts. 4. The "EFFECTIVE DATE" of this AGREEMENT shall be the first business day after all parties have signed the AGREEMENT and seven (7) days have passed since BRESSI's execution. 5. CITY agrees that, consistent with legal requirements, it will expressly require, by written notification to its service providers, that CITY related pre - employment medical examination profiles be revised to expressly prohibit the use of laboratory tests that would result in testing for sexually transmitted diseases including syphilis. CONCENTRA and OCCU -MED agree that they will review and revise their forms and procedures, as necessary, to insure compliance with all laws including, without limitation, the California Confidentiality of Medical Information Act (e.g. see Attachments D and E). 6. The Parties understand and expressly agree that the consideration being given and exchanged pursuant hereto is being given and exchanged to compromise disputed claims and that the entry into and performance of this AGREEMENT, including said exchange of consideration, is not intended as and shall not be considered or asserted to be any admission of liability or of 9000 - 002/9000 -003 Page 5 of 21 3F66. 77 the validity or invalidity of any of BRESSI's position (s) or contention(s). CITY, CONCENTRA and OCCU -MED deny that they have any liability to BRESSI, jointly or individually, and assert that this AGREEMENT and the consideration exchanged hereby and action taken pursuant hereto are done solely and exclusively to avoid further expense of litigation and buy their peace. 7. BRESSI hereby covenants and warrants that she owns and has not assigned nor sold any of her CLAIMS released hereby and hereby agrees to indemnify and hold CITY, CONCENTRA and OCCU -MED, and all of their affiliated and related entities, elected and appointed officials, officers, directors, agents, representatives, and/or employees harmless as against any claim, debt, liability, demand, obligation, cost, expense, suit, action, or cause of action based on, relating to, arising out of, or in connection with any transfer or assignment or purported transfer or assignment of her CLAIMS. BRESSI hereby represents and warrants that, except for the CIVIL ACTIONS, she has not filed nor will she file in the future any complaint, charge, claim, legal action, or proceeding arising out of the DISPUTES, the CIVIL ACTIONS or her CLAIMS released hereby with any court, agency, board, hearing officer or tribunal against CITY, CONCENTRA and/or OCCU -MED or any of its and their affiliated and related entities, clinics, or elected or appointed officials, directors, officers, representatives, agents, attorneys, employees, or other persons acting on their behalf. 9. BRESSI represents that she has been represented in the CIVIL ACTIONS and in connection with the negotiation and drafting of this AGREEMENT by Dale M. Fiola of Anaheim, California, who is an attorney at law of her own choosing. BRESSI has read this AGREEMENT and has had the terms used herein and the consequences thereof explained by her above -named attorney of choice. 10. CITY represents that it has been represented in the CIVIL ACTIONS and in connection with the negotiation and drafting of this AGREEMENT by Bridges & Bridges of Pasadena, California, who are attorneys at law of its own choosing. CITY has read this 9000 - 002/9000 -003 Page 6 of 21 3566..Y:! AGREEMENT and has had the terms used herein and the consequences thereof explained by its above -named attorneys of choice. 11. CONCENTRA represents that it has been represented in the CIVIL ACTIONS and in connection with the negotiation and drafting of this AGREEMENT by Beam, Brobeck & West, LLP, of Santa Ana, California, who are attorneys at law of its own choosing. CONCENTRA has read this AGREEMENT and has had the terms used herein and the consequences thereof explained by its above -named attorneys of choice. 12. OCCU -MED represents that it has been represented in the CIVIL ACTIONS and in connection with the negotiation and drafting of this AGREEMENT by Parker Stanbury, LLP of Los Angeles, California, who are attorneys at law of its own choosing. OCCU -MED has read this AGREEMENT and has had the terms used herein and the consequences thereof explained by its above -named attorneys of choice. 13. This AGREEMENT is freely and voluntarily executed and given without any duress or undue influence on the part of any person, firm, corporation or entity, public or private, and after each party having been apprised of all relevant information and data by that party's above -named attorneys of choice. The Parties acknowledge and represent that in executing this AGREEMENT each is relying solely upon facts obtained from their own investigation and advice received from their own above -named counsel and not upon any statement or representation of any nature by any other party, counsel for any other party, attorney or person. 14. Specific Acknowledgement and Waiver of Claims Under ADEA and OWBPA. The Age Discrimination in Employment Act of 1967 ( "ADEA," 29 U.S.C. sections 621, et seq.) makes it illegal for an employer to discharge any individual or otherwise discriminate with respect to the nature and privileges of an individual's employment on the basis that the individual is age forty (40) or older. The Older Workers Benefit Protection Act ( "OWBPA," 29 U.S.C. sections 621, 623, 626, and 630, Pub. L. 101 -433, 104 Stat. 978 (1990)) further augments the ADEA and prohibits the waiver of any right or claim under the ADEA, unless the waiver is knowing and voluntary. By entering into this AGREEMENT, BRESSI 9000 - 002/9000 -003 Page 7 of 21 •^fv f., � v acknowledges that she knowingly and voluntarily, for adequate consideration, waives and releases any rights she may have under the ADEA and/or OWBPA. BRESSI further acknowledges that she has been advised and understands, pursuant to the provisions of the ADEA and OWBPA, that: (a) This waiver /release is written in a manner understood by BRESSI; (b) BRESSI is aware of, and /or has been advised of, her rights under the ADEA and OWBPA, and of the legal significance of her waiver of any possible claims she currently may have under the ADEA, OWBPA and/or similar age discrimination laws; (c) BRESSI is entitled to a reasonable time of at least twenty -one (21) days within which to review and consider this AGREEMENT and the waiver and release of any rights she may have under the ADEA, the OWBPA and similar age discrimination laws; but may, in the exercise of her own discretion, sign or reject this AGREEMENT at any time before the expiration of the twenty -one (21) days; (d) The waivers and releases set forth in this AGREEMENT shall not apply to any rights or claims that may arise under the ADEA and /or OWBPA, or any claims whatsoever that arise or occur after the EFFECTIVE DATE of this AGREEMENT; (e) BRESSI has been advised by this writing that she should consult with an attorney prior to executing this AGREEMENT; (f) BRESSI has seven (7) days following her execution of this AGREEMENT to revoke the AGREEMENT; (g) Notice of revocation within the seven (7) day revocation period must be provided, in writing, to CITY, CONCENTRA and OCCU -MED pursuant to Paragraph 23 herein, 9000 - 002/9000 -003 Page 8 of 21 3666 and must state, "I hereby revoke my acceptance of our `Settlement and Mutual General Release Agreement; "' and, 15. This AGREEMENT shall not be effective until all parties have signed the AGREEMENT and seven (7) days have passed since BRESSI's execution (the `EFFECTIVE DATE "). 16. This AGREEMENT, together with Exhibits A through C and Attachments D and E, constitutes the entire agreement between the Parties pertaining to the subject matter hereof and supersedes all prior or contemporaneous agreements and understandings between them. 17. This AGREEMENT has been jointly reviewed and drafted by counsel for BRESSI, the CITY, CONCENTRA and OCCU -MED and shall be construed as a whole, according to its fair meaning and not strictly for or against any party. 18. This AGREEMENT shall inure to the benefit of and be binding upon the respective officers, directors, trustees, and assigns of the Parties and their respective successors in interest, if any. 19. This AGREEMENT shall in all respects be interpreted, enforced and governed by the laws of the State of California. 20. The undersigned natural persons executing this AGREEMENT expressly warrant and represent that they are duly authorized by the entities they represent to do so and to bind the entity for which they sign to this AGREEMENT. 21. This AGREEMENT may be executed in counterparts, which counterparts when taken together shall constitute but one entire AGREEMENT. 22. All parties shall receive a fully executed copy of this AGREEMENT. 23. Any and all notices given to any party under this AGREEMENT shall be given as provided in this paragraph. All notices given to a party shall be made by certified or registered United States mail, or by personal delivery, at the noticing party's discretion, and addressed to the parties as set forth below. Notices shall be deemed for all purposes to have been given on the 9000- 002/9000 -003 Page 9 of 21 3 %136. date of personal service or five (5) consecutive calendar days following deposit of the same in the United States mail. As to BRESSI: Patricia Bressi c/o Dale M. Fiola, Esq. 200 North Harbor Blvd, Suite 217 Anaheim, CA 92805 As to CONCENTRA: Richard Parr Executive Vice President and General Counsel Concentra Health Services, Inc. 5080 Spectrum Drive, #1200 West Tower Addison, TX 75001 As to CITY: Mark D. Hensley City Attorney City of El Segundo 350 Main Street El Segundo, CA 90245 As to OCCU -MED: James Johnson President /CEO Occu -Med, Inc. 7050 N. Fresno Street, Suite 210 Fresno, CA 93720 With copy to: Dale M. Fiola, Esq. Law Offices of Dale M. Fiola 200 North Harbor Boulevard, Suite 217 Anaheim, CA 92805 With copy to: Charles W. Matheis, Jr., Esq. Beam, Brobeck & West LLP 600 W. Santa Ana Boulevard., Suite 1000 Santa Ana, CA 92701 With copy to: Harold A. Bridges, Esq. Bridges & Bridges 35 S. Raymond Ave., Suite 415 Pasadena, CA 91105 With copy to: Douglass H. Mori, Esq. Parker Stanbury LLP 444 S. Flower Street 19t' Fl Los Angeles, CA 90071 WHEREFORE, by affixing his /her /its signature below, each of the persons signing this AGREEMENT represents that s /he /it has read and understands this AGREEMENT, that s /he /it is authorized to sign this AGREEMENT and bind the party for whom s /he /it 9000 - 002/9000 -003 Page 10 of 21 3566... signs, and that the party on behalf of whom s /he /it signs agrees to be, and is, bound by its terms. PATRICIA BRESSI Patricia Bressi CITY OF EL SEGUNDO: J tewart, City Manager APPROVED AS TO FORM: LAW OFFICES OF DALE M. FIOLA By: Dale M. Fiola, Attorney for Plaintiff PATRICIA BRESSI BEAM, BROBECK & WEST LLP am Charles W. Matheis, Jr., Attorneys for Defendant CONCENTRA HEALTH SERVICES, INC. CONCENTRA HEALTH SERVICES, INC.: Richard Parr, Executive Vice President and General Counsel OCCU -MED, INC.: James Johnson. President /CEO BRIDGES & BRIDGES Harold A. Bridges, Attorneys for Defendant /Cross - complainant CITY OF EL SEGUNDO and Defendant DINA CRAMER PARKER STANBURY LLP I� 9000 - 002/9000 -003 Page 11 of 21 Douglass H. Mori, Attorneys for Defendant OCCU -MED, INC. Exhibit A to Bressi Settlement And Mutual General Release Agreement [Mayor's Letterhead] January _, 2006 Patricia Bressi c/o Dale M. Fiola, Esq. 200 North Harbor Blvd, Suite 217 Anaheim, CA 92805 Dear Ms. Bressi: 3566 - . . I write to reaffirm our conversation on September 29, 2005 and to express in writing my regret and sympathy for the difficulties, angst and distress you experienced as a result of your pre - employment medical examination and employment with the City of El Segundo. As we discussed, I have been following this dispute since it came to my and the City's attention and I am very pleased that all the parties have now found a way to amicably resolve their differences so this unpleasant matter can be closed, appropriate changes made and we can all move forward. Ironically, coming to this agreement as we end this holiday season seems appropriate since it will allow all of us to put the unpleasantness of the past and this dispute behind and enter 2006 on a new and better course. Happy New Year to you and your family! Sincerely, Kelly McDowell, Mayor 9000 - 002/9000 -003 Page 12 of 21 Exhibit B to Bressi Settlement And Mutual General Release Agreement July 17, 2002 Human Resources Department City of El Segundo 350 Main Street El Segundo, CA 90245 To Whom It May Concern: 350" 6 Please be advised that I hereby voluntarily resign my employment with the City of El Segundo effective as of July 17, 2002. Sincerely, Patricia Bressi 9000 - 002/9000 -003 Page 13 of 21 Exhibit C to Bressi Settlement And Mutual General Release Agreement RELEASE This Release is made and executed by Dina Cramer ( "CRAMER ") as against Patricia Bressi (`BRESSI ") with reference to the following facts and circumstances: (a) Disputes have arisen between BRESSI and CRAMER ( "DISPUTES ") reflected in an action filed by BRESSI in the Superior Court of California, Los Angeles County, entitled "Pat Bressi v City of El Segundo Concentra Health Services Inc., OCCU -MED, INC., Dina Cramer, and Does 1 through 20 inclusive," and numbered as BC 288293 (hereafter `Bressi II" or "CIVIL ACTION ") (b) Additional disputes have arisen between BRESSI, on the one hand, and the City of El Segundo ( "CITY "), Concentra Health Services, Inc. ( "CONCENTRA ") and Occu- Med Inc.( "OCCU - MED "), on the other, reflected in an action filed by BRESSI in the Superior Court of California, Los Angeles County, entitled "Pat Bressi v. Cif of El Segundo, City Council and City Manager of the City of El Segundo Concentra Health Services Inc., Occu- Med Inc. and Does I through 20, inclusive" and numbered as BC 288292 ( "Bressi I "). Over the course of the preceding months, BRESSI, the CITY, CONCENTRA and OCCU -MED have participated in settlement discussions with the aid of private mediator Nancy Warren, Esq. This Release is given in contemplation of, and is only activated by, BRESSI's execution of, and faithful performance under, a mutually agreed written settlement agreement ( "Settlement and Mutual General Release Agreement ") memorialized and entered into by and between BRESSI, on the one hand, and the CITY, CONCENTRA and OCCU -MED, on the other, by which 9000 - 002/9000 -003 Page 14 of 21 3v _ CRAMER is released of all CLAIMS, as defined in the Settlement and Mutual General Release Agreement. (c) The purpose of this Release is, in exchange for BRESSI's execution and faithful performance under the Settlement and Mutual General Release Agreement, to release fully and completely all the claims that CRAMER now has or has ever had against BRESSI, so as to allow the parties in Bressi I and Bressi II to continue their pursuits having fully, finally, comprehensively and conclusively resolved the DISPUTES, the CIVIL ACTION, and all the underlying contentions and allegations. 2. In exchange for BRESSI's execution and faithful performance under the Settlement and Mutual General Release Agreement, CRAMER, for herself and on behalf of her heirs, representatives, successors, and assigns, absolutely and forever releases, acquits and discharges BRESSI of and from any and all claims, rights, demands, complaints, covenants, agreements, contracts, representations, warranties, promises, liens, accounts, debts, torts, liabilities, expectancies, damages, expenses, benefits, wages, attorney fees, costs and causes of action of every kind and nature whether known or unknown, suspected or unsuspected, anticipated or unanticipated, at law or in equity, relating to or arising out of any act, omission, occurrence, condition, event, transaction, or thing which was done, omitted to be done, occurred or was in effect at any time from the beginning of time up to and including the EFFECTIVE DATE of the Settlement and Mutual General Release Agreement, against BRESSI, directly and indirectly, arising out of the DISPUTES, the CIVIL ACTION, the bringing and maintaining of the DISPUTES and the CIVIL ACTION, BRESSI's employment with CITY and the termination thereof. In this connection, CRAMER hereby waives and releases any rights which she may have, directly or indirectly, under the provisions of California Civil Code section 1542, or any similar law of any state or jurisdiction, which reads in sum, substance or substantial part as follows: 9000 - 002/9000 -003 Page 15 of 21 A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS FAVOR AT THE TIME OF EXECUTING THE RELEASE, WHICH IF KNOWN BY HIM MUST HAVE MATERIALLY AFFECTED HIS SETTLEMENT WITH THE DEBTOR. CRAMER acknowledges that the facts with respect to which she gives this release may turn out to be different from the facts she now believes to be true. CRAMER hereby assumes the risk of the facts turning out to be different and agrees that this AGREEMENT shall in all respects be effective and not subject to termination or rescission because of any such difference in facts. DATE: DINA CRAMER 9000 - 002/9000 -003 Page 16 of 21 3F(`q Attachment D to Bressi Settlement And Mutual General Release. Agreement Concentra Health Services, Inc. Authorization for the Use and Disclosure of Protected Health Information 1. 1 hereby authorize Concentra Health Services, Inc. ( "CHS ") to use and disclose protected health information from the record(s) of: Patient's Address: Birth Social Security No. Name: date: 2. Copies of the following records shall be used and disclosed: Medical records relevant to the purpose of services rendered on and all other records related to that visit. 3. 1 understand that copies of the records indicated above will be: A. Used by members of CHS' workforce; and 9000 - 002/9000 -003 Page 17 of 21 B. Disclosed to: Name Employer /Company: Address: City: State: 3566. of Zip Code: Confirmation Telephone Number: 4. 1 understand that to the extent any recipient of this information, as identified above, is not a health care provider and /or is not a "Covered Entity" under Federal or State Law, the information may no longer be protected by Federal or State privacy laws once it is disclosed to the recipient and, therefore, may be subject to re- disclosure by the recipient. Nevertheless, I hereby authorize disclosure to the above - identified recipient(s). 5. 1 understand that the purpose of the use and disclosure of my medical records is per request of my employer for a (circle one) [pre- employment exam] [job- related injury exam /treatment] [drug screening] 9000 - 002/9000 -003 Page 18 of 21 [DOT certification] [fitness 3�r�. for duty exam] 6. 1 understand that I may revoke this authorization in writing at any time except to the extent that CHS has already relied on this authorization. I understand that I may revoke this authorization by sending or faxing a written notice stating my intent to revoke this authorization to: 90045 Name of contact person at CHS: Center Administrator CHS address: 6033 W. Century Blvd., #200, Los Angeles, CA CHS fax number: 310/215 -0783 7. Unless otherwise revoked, I understand that the specific date or event upon which this authorization expires is (enter date one year from exam date) 8. 1 understand that CHS may not condition treatment on my completion of this authorization form except when the provision of health care is solely for the purpose of creating protected health information for disclosure to a third party. For example, CHS may have a contract with a third party (e.g., employer) to provide fitness for duty exams. CHS may refuse to conduct the exam if you do not sign this authorization to permit CHS to release the applicable results of the exam to the employer. 9. 1 understand that I am entitled to receive a copy of this authorization. 9000 - 002/9000 -003 Page 19 of 21 3566... Signature of Patient or Patient's personal Representative: Printed Name of Personal Representative (if any): Representative's Authority to 9000- 002/9000 -003 Page 20 of 21 Act for Patient: 3566.,.; Attachment E to Bressi Settlement And Mutual General Release Agreement 9000- 002/9000 -003 Page 21 of 21 3566... . RELEASE This Release is made and executed by Dina Cramer ( "CRAMER ") as against Patricia Bressi (`BRESSI ") with reference to the following facts and circumstances: (a) Disputes have arisen between BRESSI and CRAMER ( "DISPUTES ") reflected in an action filed by BRESSI in the Superior Court of California, Los Angeles County, entitled "Pat Bressi v City of El Segundo Concentra Health Services, Inc., OCCU -MED, INC., Dina Cramer, and Does 1 through 20 inclusive," and numbered as BC 288293 (hereafter `Bressi II" or "CIVIL ACTION "). (b) Additional disputes have arisen between BRESSI, on the one hand, and the City of El Segundo ( "CITY "), Concentra Health Services, Inc. ( "CONCENTRA ") and Occu- Med Inc.( "OCCU - MED "), on the other, reflected in an action filed by BRESSI in the Superior Court of California, Los Angeles County, entitled "Pat Bressi v. City of El Segundo, City Council and City Manager of the City of El Segundo Concentra Health Services Inc., Occu- Med Inc. and Does I through 20, inclusive" and numbered as BC 288292 (`Bressi I "). Over the course of the preceding months, BRESSI, the CITY, CONCENTRA and OCCU -MED have participated in settlement discussions with the aid of private mediator Nancy Warren, Esq. This Release is given in contemplation of, and is only activated by, BRESSI's execution of, and faithful performance under, a mutually agreed written settlement agreement ( "Settlement and Mutual General Release Agreement ") memorialized and entered into by and between BRESSI, on the one hand, and the CITY, CONCENTRA and OCCU -MED, on the other, by which CRAMER is released of all CLAIMS, as defined in the Settlement and Mutual General Release Agreement. Pagel of 3 9000 -003 3566 .. (c) The purpose of this Release is, in exchange for BRESSI's execution and faithful performance under the Settlement and Mutual General Release Agreement, to release fully and completely all the claims that CRAMER now has or has ever had against BRESSI, so as to allow the parties in Bressi I and Bressi II to continue their pursuits having fully, finally, comprehensively and conclusively resolved the DISPUTES, the CIVIL ACTION, and all the underlying contentions and allegations. 2. In exchange for BRESSI's execution and faithful performance under the Settlement and Mutual General Release Agreement, CRAMER, for herself and on behalf of her heirs, representatives, successors, and assigns, absolutely and forever releases, acquits and discharges BRESSI of and from any and all claims, rights, demands, complaints, covenants, agreements, contracts, representations, warranties, promises, liens, accounts, debts, torts, liabilities, expectancies, damages, expenses, benefits, wages, attorney fees, costs and causes of action of every kind and nature whether known or unknown, suspected or unsuspected, anticipated or unanticipated, at law or in equity, relating to or arising out of any act, omission, occurrence, condition, event, transaction, or thing which was done, omitted to be done, occurred or was in effect at any time from the beginning of time up to and including the EFFECTIVE DATE of the Settlement and Mutual General Release Agreement, against BRESSI, directly and indirectly, arising out of the DISPUTES, the CIVIL ACTION, the bringing and maintaining of the DISPUTES and the CIVIL ACTION, BRESSI's employment with CITY and the termination thereof. In this connection, CRAMER hereby waives and releases any rights which she may have, directly or indirectly, under the provisions of California Civil Code section 1542, or any similar law of any state or jurisdiction, which reads in sum, substance or substantial part as follows: Page 2 of 3 9000 -003 3666•.. A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS WHICH THE CREDITOR DOES NOT KNOW OR SUSPECT TO EXIST IN HIS FAVOR AT THE TIME OF EXECUTING THE RELEASE, WHICH IF KNOWN BY HIM MUST HAVE MATERIALLY AFFECTED HIS SETTLEMENT WITH THE DEBTOR. CRAMER acknowledges that the facts with respect to which she gives this release may turn out to be different from the facts she now believes to be true. CRAMER hereby assumes the risk of the facts turning out to be different and agrees that this AGREEMENT shall in all respects be effective and not subject to termination or rescission because of any such difference in facts. DATE: DINA CRAMER Page 3 of 3 9000 -003