Capson Physicians Insurance Company v. MMIC Insurance Inc

Filing 52

ORDER granting 51 Joint MOTION for Protective Order. Signed by Judge D. P. Marshall Jr. on 6/13/2014. (Attachments: # 1 Exhibit A)(jak)

Case 3:13-cv-00157-DPM

Document 51-1 Filed 06/03/14 Page 12 of 13

EXHIBIT A

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Case 3:13-cv-00157-DPM Document 51-1 Filed 06/03/14 Page 13 of 13

UNITED STATES DISTRICT COURT
FOR THE EASTERN DISTRICT OF ARKANSAS
JONESBORO DIVISION
CAPSON PHYSICIANS INSURANCE COMPANY,

PLAINTIFF,

Case No. 3:13-CV-157 DPM

vs.
MMIC INSURANCE, INC.,

DEFENDANT/THIRD-PARTY
PLAINTIFF,

vs.
KARL J. HASIK, M.D.; LILLIAN WILSON,
INDIVIDUALLY AND AS SPECIAL
ADMINISTRATRIX FOR THE ESTATE OF JACK
ALLEN WILSON, DECEASED; SAMANTHA RAY
AND DERECKRAY, INDIVIDUALLY, AS NEXT
FRIENDS AND GUARDIANS OF ANNABELL
LOUISE RAY, A MINOR; AND ANNABELL LOUISE
RAY, A MINOR.

THIRD-PARTY DEFENDANTS.

AGREEMENT
I have been asked to serve as a

in this Action on behalf of

_ _ _ _ _ _ _ _ _ _,one of the parties to the Action. I acknowledge that I have
received and read the Confidentiality Agreement and Protective Order ("Confidentiality Order")
attached hereto. I agree to be bound by the terms of the Confidentiality Order.
I hereby submit to the jurisdiction of this Court solely for the purpose of enforcement of
the Confidentiality Order in this Action.
Dated this_ day of _______, 2014.

By:

-------------------

Subscribed and sworn to before me
this _ _ day of
, 2014.
Notary Public

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