Mejia v. O'Neill Group-Dutton, LLC
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Opinion
UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK ELIZABETH V. MEJIA as Administrator of the Estate of MAXIMILIANO SABAN, and ELIZABETH V. MEJIA, Individually, Plaintiff, DOCKET NO. 7:18-CV-6483 -against- O'NEILL GROUP-DUTTON, LLC and ONEKEY, LLC, COMPROMISE ORDER Defendants. O'NEILL GROUP-DUTTON, LLC and ONEKEY, LLC, Third-Party Plaintiff, -against- SESI CONSULTING ENGINEERS, P.C., KENNETH J. QUAZZA, P.E., NEW GENERATIONS MASONRY, MG COMMERCIAL CONCRETE, BONDED CONCRETE, INC., Third-Party Defendant.
Upon reading and filing the annexed affidavit of Plaintiff, ELIZABETH V. MEJIA as Administrator of the Estate of MAXIMILIANO SABAN (with exhibits), duly sworn to on the 28" day of August 2020, and the affirmation of MICHAEL C. ZWAL (without exhibits), dated the 29" day of July 2020; and it appearing to the satisfaction of the Court that it would be in the best interest of the Estate to compromise and settle, pursuant to Local Civil Rule 83.2(b)(), the claim for wrongful death of MAXIMILIANO SABAN, deceased, for the total sum of $2,800,000.00,
NOW, on motion of BAMUNDO ZWAL & SCHERMERHORN, LLP, attorneys for Plaintiff, it is hereby ORDERED, that ELIZABETH V. MEJIA, as Administrator of the goods, chattels and credits which were of MAXIMILIANO SABAN, deceased, be and hereby is authorized and permitted to compromise and settle the claim for wrongful death of MAXIMILIANO SABAN, deceased, against the Defendants O'NEILL GROUP-DUTTON, LLC and ONEKEY, LLC for a sum of $2,500,000.00; Third-Party Defendants SESI CONSULTING ENGINEERS, P.C. and KENNETH J. QUAZZA, P.E. for a sum of $180,000.00; Third-Party Defendants NEW GENERATIONS MASONRY and MG COMMERCIAL CONCRETE by PENN-AMERICA INSURANCE COMPANY for a sum of $100,000.00; and Third-Party Defendant BONDED CONCRETE, INC. for a sum of $20,000.00, and to execute and deliver any and all papers necessary to effectuate the settlement, and it is further ORDERED, that Defendants and Third-Party Defendants pay to BAMUNDO ZWAL & SCHERMERHORN, LLP as and for their disbursements the sum of $23,585.38, payable from the proceeds of the settlement, and it is further ORDERED, that Defendants and Third-Party Defendants pay to BAMUNDO ZWAL & SCHERMERHORN, LLP as and for their attorneys’ fee the sum of $933,333.33, payable from the proceeds of the settlement; and it is further ORDERED, that the Workers’ Compensation lien held by BERKSHIRE HATHAWAY
GUARD INSURANCE COMPANIES be paid by BAMUNDO ZWAL & SCHERMERHORN, LLP out of the settlement proceeds in the sum of $39,569.82; and it is further
ORDERED, that Defendants and Third-Party Defendants pay to ELIZABETH V. MEJIA, the sum of $501,755.73; and it is further ORDERED, that a total of $1,300,000.00 will be used to fund the deferred benefits portion of the settlement for the benefit of ELIZABETH V. MEJIA, GREYSI SABAN, an Infant, and NATHALY SABAN VICENTE, an Infant. Those deferred benefits shall be payable as follows: I. $450,000.00 will be used for Structured Settlement Benefits payable to ELIZABETH V. MEJIA as follows: a, $1,958.95, payable monthly, guaranteed for 12 years, beginning on January 1, 2021, with the last guaranteed payment on December 1, 2032; b. $250,000.00 payable at age 40 on October 2, 2032; Il. $425,000.00 will be used for Structured Settlement Benefits payable to GREYSI SABAN as follows: a. $25,000.00 payable annually, guaranteed for 4 years, beginning on August 18, 2028, with the last guaranteed payment on August 18, 2031, b. $1,257.16 payable monthly beginning on August 18, 2032 for life with 30 years guaranteed; Ill. $425,000.00 will be used for Structured Settlement Benefits payable to NATHALY SABAN VICENTE as follows: a, $25,000.00 payable annually, guaranteed for 4 years, beginning on August 28, 2032, with the last guaranteed payment on August 28, 2035; b. $1,459.35 payable monthly beginning on August 28, 2036 for life with 30 years guaranteed.
ORDERED, that the projected funding date of the periodic payments set forth herein is August 7, 2020. In the event the periodic payments are not funded on or before that date, the amounts and/or timing of the payments may be changed without need for further Court approval, to ensure the individual costs do not exceed those indicated, for a total cost of $1,360,000.00. Any changes to payment amounts and/or timing shall be reflected in the Settlement Agreement and Release and the Qualified Assignment and Release to be executed by the parties; and it is further ORDERED, that Defendant, Third-Party Defendant, and/or Insurer (Assignor) shall either make the periodic payments to ELIZABETH V. MEJIA, GREYSI SABAN, and NATHALY SABAN VICENTE or be and is hereby permitted to assign to MetLife Assignment Company (the Assignee) through a Qualified Assignment under §130 (c) of the Internal Revenue Code, the obligation to make the periodic payments, and it is further ORDERED, that MetLife Assignment Company shall fund the obligation assumed through the purchase of an annuity from Metropolitan Tower Life Insurance Company, licensed to do business in New York and rated “A+” by A.M. Best rating agency; and it is further ORDERED, that the performance of MetLife Assignment Company will be guaranteed by Metropolitan Tower Life Insurance Company; and it is further ORDERED, that the future periodic payments cannot be accelerated, deferred, increased or decreased and no payee shall have the right or power to sell, encumber, assign or transfer the above-mentioned future periodic payments; and it is further ORDERED, that the Defendants and Third-Party Defendants fund the structured settlements within 30 days of the executed Order; and it is further
ORDERED, that if the structures are not funded within 30 days the dates of the payments may be delayed based on the number of days the funding is delayed; and it is further ORDERED, that the balance of the settlement of GREYSI SABAN, in the sum of
$877.87, shall be paid by the Defendants and Third-Party Defendants, to ELIZABETH V.
MEJIA, as mother and natural guardian of GREYSI SABAN, an Infant, jointly with an officer of
Achieve Financial Credit Union located at 450 West Main Street, New Britain, CT 06052, telephone number (860) 828-2790, to be deposited in the said bank in an account, or accounts, yielding the highest rate of interest available, in the name of the natural guardian, in trust for the Infant and for the sole use and benefit of the Infant; and that the time deposit accounts and certificate of deposit accounts shail be continuously renewed at maturity at the highest rate of interest then available, but the date of maturity thereof shall not extend beyond the date upon which the Infant attains the age of eighteen (18) years; and that when no such time deposit or certificate of deposit account is available, then the accumulated funds shall be placed in the bank's insured money market account; and that no withdrawals shall be made from said account, or accounts, before the Infant reaches the age of eighteen (18) years, except upon further order of any court with jurisdiction; and it is further ORDERED, that the balance of the settlement of NATHALY SABAN VICENTE, the
sum of $877.87, shall be paid by the Defendants and Third-Party Defendants, to ELIZABETH V.
MEJIA, as mother and natural guardian of NATHALY SABAN VICENTE, an Infant, jointly with an officer of Achieve Financial Credit Union located at 450 West Main Street, New Britain,
CT 06052, telephone number (860) 828-2790, to be deposited in the said bank in an account, or
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UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK ELIZABETH V. MEJIA as Administrator of the Estate of MAXIMILIANO SABAN, and ELIZABETH V. MEJIA, Individually, Plaintiff, DOCKET NO. 7:18-CV-6483 -against- O'NEILL GROUP-DUTTON, LLC and ONEKEY, LLC, COMPROMISE ORDER Defendants. O'NEILL GROUP-DUTTON, LLC and ONEKEY, LLC, Third-Party Plaintiff, -against- SESI CONSULTING ENGINEERS, P.C., KENNETH J. QUAZZA, P.E., NEW GENERATIONS MASONRY, MG COMMERCIAL CONCRETE, BONDED CONCRETE, INC., Third-Party Defendant.
Upon reading and filing the annexed affidavit of Plaintiff, ELIZABETH V. MEJIA as Administrator of the Estate of MAXIMILIANO SABAN (with exhibits), duly sworn to on the 28" day of August 2020, and the affirmation of MICHAEL C. ZWAL (without exhibits), dated the 29" day of July 2020; and it appearing to the satisfaction of the Court that it would be in the best interest of the Estate to compromise and settle, pursuant to Local Civil Rule 83.2(b)(), the claim for wrongful death of MAXIMILIANO SABAN, deceased, for the total sum of $2,800,000.00,
NOW, on motion of BAMUNDO ZWAL & SCHERMERHORN, LLP, attorneys for Plaintiff, it is hereby ORDERED, that ELIZABETH V. MEJIA, as Administrator of the goods, chattels and credits which were of MAXIMILIANO SABAN, deceased, be and hereby is authorized and permitted to compromise and settle the claim for wrongful death of MAXIMILIANO SABAN, deceased, against the Defendants O'NEILL GROUP-DUTTON, LLC and ONEKEY, LLC for a sum of $2,500,000.00; Third-Party Defendants SESI CONSULTING ENGINEERS, P.C. and KENNETH J. QUAZZA, P.E. for a sum of $180,000.00; Third-Party Defendants NEW GENERATIONS MASONRY and MG COMMERCIAL CONCRETE by PENN-AMERICA INSURANCE COMPANY for a sum of $100,000.00; and Third-Party Defendant BONDED CONCRETE, INC. for a sum of $20,000.00, and to execute and deliver any and all papers necessary to effectuate the settlement, and it is further ORDERED, that Defendants and Third-Party Defendants pay to BAMUNDO ZWAL & SCHERMERHORN, LLP as and for their disbursements the sum of $23,585.38, payable from the proceeds of the settlement, and it is further ORDERED, that Defendants and Third-Party Defendants pay to BAMUNDO ZWAL & SCHERMERHORN, LLP as and for their attorneys’ fee the sum of $933,333.33, payable from the proceeds of the settlement; and it is further ORDERED, that the Workers’ Compensation lien held by BERKSHIRE HATHAWAY
GUARD INSURANCE COMPANIES be paid by BAMUNDO ZWAL & SCHERMERHORN, LLP out of the settlement proceeds in the sum of $39,569.82; and it is further
ORDERED, that Defendants and Third-Party Defendants pay to ELIZABETH V. MEJIA, the sum of $501,755.73; and it is further ORDERED, that a total of $1,300,000.00 will be used to fund the deferred benefits portion of the settlement for the benefit of ELIZABETH V. MEJIA, GREYSI SABAN, an Infant, and NATHALY SABAN VICENTE, an Infant. Those deferred benefits shall be payable as follows: I. $450,000.00 will be used for Structured Settlement Benefits payable to ELIZABETH V. MEJIA as follows: a, $1,958.95, payable monthly, guaranteed for 12 years, beginning on January 1, 2021, with the last guaranteed payment on December 1, 2032; b. $250,000.00 payable at age 40 on October 2, 2032; Il. $425,000.00 will be used for Structured Settlement Benefits payable to GREYSI SABAN as follows: a. $25,000.00 payable annually, guaranteed for 4 years, beginning on August 18, 2028, with the last guaranteed payment on August 18, 2031, b. $1,257.16 payable monthly beginning on August 18, 2032 for life with 30 years guaranteed; Ill. $425,000.00 will be used for Structured Settlement Benefits payable to NATHALY SABAN VICENTE as follows: a, $25,000.00 payable annually, guaranteed for 4 years, beginning on August 28, 2032, with the last guaranteed payment on August 28, 2035; b. $1,459.35 payable monthly beginning on August 28, 2036 for life with 30 years guaranteed.
ORDERED, that the projected funding date of the periodic payments set forth herein is August 7, 2020. In the event the periodic payments are not funded on or before that date, the amounts and/or timing of the payments may be changed without need for further Court approval, to ensure the individual costs do not exceed those indicated, for a total cost of $1,360,000.00. Any changes to payment amounts and/or timing shall be reflected in the Settlement Agreement and Release and the Qualified Assignment and Release to be executed by the parties; and it is further ORDERED, that Defendant, Third-Party Defendant, and/or Insurer (Assignor) shall either make the periodic payments to ELIZABETH V. MEJIA, GREYSI SABAN, and NATHALY SABAN VICENTE or be and is hereby permitted to assign to MetLife Assignment Company (the Assignee) through a Qualified Assignment under §130 (c) of the Internal Revenue Code, the obligation to make the periodic payments, and it is further ORDERED, that MetLife Assignment Company shall fund the obligation assumed through the purchase of an annuity from Metropolitan Tower Life Insurance Company, licensed to do business in New York and rated “A+” by A.M. Best rating agency; and it is further ORDERED, that the performance of MetLife Assignment Company will be guaranteed by Metropolitan Tower Life Insurance Company; and it is further ORDERED, that the future periodic payments cannot be accelerated, deferred, increased or decreased and no payee shall have the right or power to sell, encumber, assign or transfer the above-mentioned future periodic payments; and it is further ORDERED, that the Defendants and Third-Party Defendants fund the structured settlements within 30 days of the executed Order; and it is further
ORDERED, that if the structures are not funded within 30 days the dates of the payments may be delayed based on the number of days the funding is delayed; and it is further ORDERED, that the balance of the settlement of GREYSI SABAN, in the sum of
$877.87, shall be paid by the Defendants and Third-Party Defendants, to ELIZABETH V.
MEJIA, as mother and natural guardian of GREYSI SABAN, an Infant, jointly with an officer of
Achieve Financial Credit Union located at 450 West Main Street, New Britain, CT 06052, telephone number (860) 828-2790, to be deposited in the said bank in an account, or accounts, yielding the highest rate of interest available, in the name of the natural guardian, in trust for the Infant and for the sole use and benefit of the Infant; and that the time deposit accounts and certificate of deposit accounts shail be continuously renewed at maturity at the highest rate of interest then available, but the date of maturity thereof shall not extend beyond the date upon which the Infant attains the age of eighteen (18) years; and that when no such time deposit or certificate of deposit account is available, then the accumulated funds shall be placed in the bank's insured money market account; and that no withdrawals shall be made from said account, or accounts, before the Infant reaches the age of eighteen (18) years, except upon further order of any court with jurisdiction; and it is further ORDERED, that the balance of the settlement of NATHALY SABAN VICENTE, the
sum of $877.87, shall be paid by the Defendants and Third-Party Defendants, to ELIZABETH V.
MEJIA, as mother and natural guardian of NATHALY SABAN VICENTE, an Infant, jointly with an officer of Achieve Financial Credit Union located at 450 West Main Street, New Britain,
CT 06052, telephone number (860) 828-2790, to be deposited in the said bank in an account, or
accounts, yielding the highest rate of interest available, in the name of the natural guardian, in trust for the Infant and for the sole use and benefit of the Infant; and that the time deposit accounts and certificate of deposit accounts shall be continuously renewed at maturity at the highest rate of interest then available, but the date of maturity thereof shall not extend beyond the date upon which the Infant attains the age of eighteen (18) years; and that when no such time deposit or certificate of deposit account is available, then the accumulated funds shall be placed in the bank's insured money market account; and that no withdrawals shall be made from said
account, or accounts, before the Infant reaches the age of eighteen (18) years, except upon further order of any court with jurisdiction; and it is further ORDERED, that all claims currently pending against the Defendants and Third-Party Defendants are hereby dismissed with prejudice and without costs; and it is further ORDERED, that ELIZABETH V. MEJIA as Administrator of the Estate of MAXIMILIANO SABAN, be and hereby is authorized to deliver releases and any and all papers necessary to effectuate such settlement and collect such monies herein, and attorneys are hereby authorized to deliver Stipulations of Dismissal of the above-entitled action to the said Defendants and Third-Party Defendants; and it is further ORDERED, that the filing of a bond is dispensed with. Date: Sx at : | U DOD U) ( SO ORDERED: ny | OP
HON. LISA MARGARET SMITH--—-~~ United States Magistrate Jiidge
UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK ELIZABETH V. MEJIA as Administrator of the Estate of MAXIMILIANO SABAN, and ELIZABETH V. MEJIA, Individually, Plaintiff, DOCKET NO, 7:18-CV-6483 -against- O'NEILL GROUP-DUTTON, LLC and ONEKEY, LLC, Defendants, O'NEILL GROUP-DUTTON, LLC and ONEKEY, LLC, Third-Party Plaintiff, -against- SESI CONSULTING ENGINEERS, P.C., KENNETH J. QUAZZA, P.E., NEW GENERATIONS MASONRY, MG COMMERCIAL CONCRETE, BONDED CONCRETE, INC, Third-Party Defendant.
AFFIDAVIT OF ELIZABETH V. MEJIA
ELIZABETH V. MEJIA, being duly sworn, deposes and says:
1, I am the spouse and Administrator of the Estate of MAXIMILIANO SABAN, the above-named decedent, and presently reside at 70 Oak Street, Ist Floor, New Britain, Connecticut 06051, and I am a U.S, Citizen. 2. The decedent died a resident of Hartford County of the State of Comnecticut on August 3, 2017, and resided at 70 Oak Street, 1st Floor, New Britain, Connecticut 06051 at the time of his death,
3, On November 1, 2017 Letters of Administration of the Goods, Chattels and Credits, which were of MAXIMILIANO SABAN, deceased, were issued to me by the Berlin Probate Court, State of Connecticut (see Exhibit A). To date, said Letters have not been revoked and are presently in full force and effect. No bond was required of me to to cover any probable amount to be realized from said claim. 4, The decedent at the time of death was an undocumented immigrant and was working as a laborer. 5. The decedent at the time of death was 28 years of age having been born on May 16, 1989. 6. The claims being settled arose on August 3, 2017 at a construction project which involved the conversion of a former lumber yard into a multiple building, mixed commercial and residential property. On that day, the decedent was working for Third-Party Defendants, MG COMMERCIAL CONCRETE and/or NEW GENERATIONS MASONRY at this construction site. He was crushed and killed when an improperly constructed wall retaining a pile of soil collapsed and buried him beneath the concrete blocks of the wall and the soil it was supposed to retain. 7. It is my understanding that a lawsuit was commenced in this Court on July 18, 2018 against Defendants, O'NEILL GROUP-DUTTON, LLC and ONEKEY, LLC. On September 6, 2018, Defendants impleaded Third-Party Defendants, SES] CONSULTING ENGINEERS, P.C., KENNETH J. QUAZZA, P.E., NEW GENERATIONS MASONRY, MG COMMERCIAL CONCRETE, BONDED CONCRETE, ENC. I further understand that the lawsuit has been progressing and that the litigation has reached a point where some of the depositions have been
completed. 8. I am aware that efforts to settle this case were ongoing for some time, including an unsuccessful mediation, held on March 6, 2020, to try and settle the case, I know that negotiations continued between the parties with the assistance of the mediator until the Defendants and Third- Party Defendants made a final combined offer of $2,800,000.00 to settle all claims which are before this Court (see copy of the settlement agreement annexed hereto as Exhibit B). Defendants O'NEILL GROUP-DUTTON, LLC and ONEKEY, LLC will contribute $2,5000,000,00; Third- Party Defendants SESE CONSULTING ENGINEERS, P.C. and KENNETH J. QUAZZA, P.E. will contribute $180,000.00; Third-Party Defendants NEW GENERATIONS MASONRY and MG COMMERCIAL CONCRETE by PENN-AMERICA INSURANCE COMPANY will contribute $100,000.00; and Third-Party Defendant BONDED CONCRETE, INC. will contribute $20,000.00 to the total settlement. 9. My attorneys have explained the significant risks inherent in a trial of this case, including a jury’s reaction to evidence concerning my marital relationship and the decedent’s immigration status, arid I understand that there would be a risk of receiving a smaller recovery and even the risk of a defense verdict. 10. Under the circumstances of this case, I believe the settlement and proposed distribution is in the best interest of the Estate’s distributees. I consent to the settlement and
proposed distribution, the payment of disbursements and attorneys’ fees and request the Court’s
approval of the settlement of this claim against Defendants O'NEILL GROUP-DUTTON,
LLC and ONEKEY, LLC., and Third-Party Defendants SESI CONSULTING ENGINEERS,
P,C., KENNETH J. QUAZZA, P.E., NEW GENERATIONS MASONRY, MG COMMERCIAL
CONCRETE, BONDED CONCRETE, INC. 11. . I was advised that the proceeds of a claim for wrongful death are being apportioned pursuant to Connecticut law, under which the surviving spouse receives the first one hundred thousand ($100,000.00) dollars plus one-half of the balance of the intestate
_ estate and the remaining balance is divided equally among the decedent’s dependents. At the time of his death, the decedent left the following distributees: NAME AND ADDRESS RELATIONSHIP DATEOFBIRTH PRESENT AGE Elizabeth V. Mejia Spouse 10/02/1992 27 70 Oak Street, 1st Floor New Britain, CT 06051 Greysi Saban Infant-Daughter 08/18/2010 10 70 Oak Street, 1st Floor New Britain, CT 06051 Nathaly Saban Vicente Infant-Daughter 08/28/2014 70 Oak Street, 1st Floor New Britain, CT 06051
That the foregoing are of sound mind, are citizens of the United States, and are under no legal disability, except that GREYSI SABAN and NATHALY SABAN VICENTE are Infants under the age of fourteen years old, 12, The decedent left surviving no other child or children, either in or out of wedlock, no issue of any pre-deceased child or children, and no other person interested herein or of whom the Court is required to have information.
13. The decedent died intestate, and there are presently no other assets or funds in the estate to be administered. 14, Decedent's funeral bill was paid in full and reimbursement is not being sought.
15. There are no medical bills or hospital bills outstanding, and there are no assignments, compensation claims or liens filed with Plaintiff as administrator except for the following: a) Workers’ Compensation lien held by Berkshire Hathaway Guard: $39,569.82 (see Exhibit C).
16. BAMUNDO ZWAL k SCHERMERHORN, LLP was retained by me on or about September 25, 2017 for the purpose of pursuing a wrongfal death claim on behalf of the estate and beneficiaries of the decedent, MAXIMILIANO SABAN (see copies of the retainer agreement and retainer statements annexed hereto as Exhibit D), In light of my retainer agreement, the work done and the result achieved, I request the Court approve the payment of foes pursuant to 22 NYCRR 806.27(b) Schedule B as follows: one-third (33 1/3%) of the gross settlement of $2,800,000.00, or $933,333.33, plus attorneys’ disbursements in the sum of $23, 585.38; which together amount to a total compensation of $956,973.72. A list of attorneys’ disbursements is attached hereto as Exhibit E, 17. The only persons interested in this proceeding entitled to notice thereof are the following: NAME RELATIONSHIP ADDRESS Elizabeth V. Mejia Spouse 70 Oak Street, ist Floor □ New Britain, CT 06051 Greysi Saban Infant-Daughter 70 Oak Street, ist Floor New Britain, CT 06051 Nathaly Saban Vicente Infant-Daughter 70 Oak Street, Ist Floor New Britain, CT 06051 Berkshire Hathaway Guard Lien Holder P.O, Box 1368 Wilkes-Barre, PA 18703
18. The distributees herein are not recipients of any Federal, State or local welfare or public assistance. 19, [respectfully request that the Court approve the proposed distribution of the settlement proceeds as follows: a) to ELIZABETH V. MEJIA as and for her share as spouse of the decedent the sum of $501,755.73; and b) to MetLife Assignment Company, the sum of $450,000.00 to fund a structured settlement annuity for ELIZABETH V. MEJIA. The future payments shall be as follows:
- $1,958.95, payable monthly, guaranteed for 12 years, beginning on January 1, 2021, with the last guaranteed payment on December 1, 2032; - $250,000.00 payable at age 40 on October 2, 2032;
. Annexed hereto are Exhibit F are the following documents relating to the above structured settlement annuity: Structured Settlement Affidavit, Proposed Settlement Agreement, Proposed Assignment Agreement, Proposed Sample Annuity Contract, Proposed Guaranty Agreement, and Rejected Alternative and/or competing proposals,
c) to MetLife Assignment Company, the sum of $425,000.00 to fund a structured settlement annuity for GREYS] SABAN. The future payments shall be as follows:
- $25,000.00 payable annually, guaranteed for 4 years, beginning on August 18, 2028, with the last guaranteed payment on August 18,
2031; - $1,257.16 payable monthly beginning on August 18, 2032 for life with 30 years guaranteed; Annexed hereto are Exhibit F are the following documents relating to the above
structured settlement annuity: Structured Settlement Affidavit, Proposed Settlement Agreement, Proposed Assignment Agreement, Proposed Sample Annuity Contract, Proposed Guaranty Agreement, and Rejected Alternative and/or competing proposals. d) to ELIZABETH V, MEJIA, as mother and natural guardian of GREYSI
SABAN, an Infant, jointly with an officer of Achieve Financial Credit Union located at 450
West Main Street, New Britain, CT 06052, telephone number (860) 828-2790, the sum of
$877.87, to be deposited in the said bank in an account, or accounts, yielding the highest rate of
interest available, in the name of the and natural guardian, in trust for the Infant and for the sole
use and benefit of the Infant; and that the time deposit accounts and certificate of deposit accounts shall be continuously renewed at maturity at the highest rate of interest then available,
but the date of maturity thereof shall not extend beyond the date upon which the Infant attains
the age of eighteen (18) years; and that when no such time deposit or certificate of deposit
account is available, then the accumulated funds shall be placed in the bank's insured money market account; and that no withdrawals shall be made from said account, or accounts, before
the Infant reaches the age of eighteen (18) years, except upon further order of this Court; e) to Metlife Assignment Company, the sum of $425,000.00 to fund a
structured settlement annuity for NATHALY SABAN VICENTE, The future payments shall be
as follows:
- $25,000.00 payable annually, guaranteed for 4 years, beginning on August 28, 2032, with the last guaranteed payment on August 28, 2035; - $1,459.35 payable monthly beginning on August 28, 2036 for life with 30 years puaranteed; Annexed hereto are Exhibit F are the following documents relating to the above structured settlement annuity: Structured Settlement Affidavit, Proposed Settlement Agreement, Proposed Assignment Agreement, Proposed Sample Annuity Contract, Proposed Guaranty Agreement, and Rejected Alternative and/or competing proposals. f) to ELIZABETH V. MEJIA, as mother and natural guardian of NATHALY SABAN VICENTE, an Infant, jointly with an officer of Achieve Financial Credit Union located at 450 West Main Street, New Britain, CT 06052, telephone number (860) 828-2790, the sum of $877.87, jointly with an officer of Achieve Financial Credit Union located at 450 West Main Street, New Britain, CT 06052, telephone number (860) 828-2790, to be deposited in the said □ bank in an account, or accounts, yielding the highest rate of interest available, in the name of the and natural guardian, in trust for the Infant and for the sole use and benefit of the Infant; and that the time deposit accounts and certificate of deposit accounts shall be continuously renewed at maturity at the highest rate of interest then available, but the date of maturity thereof shall not extend beyond the date upon which the Infant attains the age of eighteen (18) years; and that
when no such time deposit or certificate of deposit account is available, then the accumulated
funds shall be placed in the bank's insured money market account; and that no withdrawals shall
be made from said account, or accounts, before the Infant reaches the age of eighteen (18) years,
except upon further order of this Court; g) to BAMUNDO ZWAL & SCHERMERHORN, LLP as and for their
disbursements the sum of $23,585.38; h) to BAMUNDO ZWAL & SCHERMERHORN, LLP as and for their
attorneys’ fee the sum of $933,333.33; i) to BERKSHIRE HATHAWAY GUARD INSURANCE COMPANIES
in full satisfaction of Workers’ Compensation lien the sum of $39,569.82. 20. Plaintiff has not become interested in the within matter at the instance of the
Defendant or Third-Party Defendants or anyone acting on Defendants’ or Third-Party Defendants’ behalf, directly or indirectly. 21. No other action or proceeding has been commenced on behalf of the distributees
as a result of the within claim for conscious pain and suffering or wrongful death.
WHEREFORE, I respectfully request an Order of this Court approving the settlement of the claim against the Defendants O'NEILL GROUP-DUTTON, LLC and ONEKEY, LLC for a
sum of $2,500,000.00; Third-Party Defendants SESI CONSULTING ENGINEERS, P.C. and KENNETH J. QUAZZA, P.E. for a sum of $180,000.00; Third-Party Defendants NEW GENERATIONS MASONRY and MG COMMERCIAL CONCRETE by PENN-AMERICA
INSURANCE COMPANY for a sum of $100,000.00; and Third-Party Defendant BONDED CONCRETE, INC. for a sum of $20,000.00, for a total of $2,800,000.00; apportioning the settlement as set forth above, approving the payment of counsel fees and disbursements as well asliens, and dismissing this action against the Defendants and Third-Party Defendants. Dated: August 28,2020 □ □
" \ " * be Vv. META?
Sworn to before me this 28" day of August 2020 . - A. RUIZ oo - Notary ate of New York ot” No. OIRUGZI TERS Notary Public = cone ol
YZ Signature of Attorney: Priut Name: MICHAEL C. ZWAL Firm Name: BAMUNDO ZWAL & SCHERMERHORN, LLP (212) 608-8840 Address of Attorney: 11] JOHN STREET, SUITE 1100, NEW YORK, NY 10038
VERIFICATION
STATE OF NEW YORK) COUNTY OF NEW YORK. } ELIZABETH V. MEJIA, being duly swom, deposes and says: That she is the Plaintiff named im the foregoing petition, that she duly executed the same, and that the contents of said petition are true to her own knowledge except as to the facts alleged upon information and belief, and that as to those facts she believes saine to be true. . 7g ce ciple v, sani
Sworn to before me this _ day of August 2020
Notary Che 2
IZAGELA A. RUIZ lic, State of Naw York Notary No. of RUBE 1006 ens con ettee esas Sept 28, 202 |
Exhibit A
ADMINISTRATION OR” agers STATE OF CONNECTICUT +> eters pee ae ee □□ PROBATE OF WILL PC-260 REV. 1/13 COURT OF PROBATE COURT OF PROBATE, Berlin Probate Court DISTRICT NO, PDOS ESTATE OF Maximiliano Saban (17-00864) DECEASED
FIDUCIARY'S NAME AND ADDRESS ‘ POSITION OF TRUST Elizabeth Vicente Mejia, 70 Oak Street, New Britain, CT 06051 Administratrix court of probate held at the place and time of hearing set by the court, together with any continuances thereof, as of record appears, on the petitioner's application for letters of administration be granted on said estate, all as in the application more fully appears. PRESENT: Hon . Walter A. Clebowicz After due hearing, THE COURT FINDS that: above-named decedent died on the following date August 03, 2017, domiciled at the time of death at 70 Oak Street, New CT 06051 and having estate whereof administration appertains to this court, and administration of the estate ought to be
Notice was given in accordance with any order of notice previously entered. The fiduciary named above has accepted the position of trust designated above. Probate bond waived due to Jack of assets. it is ORDERED AND DECREED that: ‘The application is approved, administration of the estate is granted to the fiduciary named above, and letters of administration are hereby issued to the fiduciary. The court dispenses with the requirement of a probate bond. □
it is further ORDERED AND DECREED that: Within two months from the date hereof, the fiduciary shall file a true and complete inventory of all property of the estate of the deceased. Within six months from the decedent’s date of death, the fiduciary shall file the Connecticut Estate Tax Returm. The fiduciary is allowed twelve months within which to settle the estate. All claims against the above estate be presented pursuant to the provisions of C.G.S. Ch. 802b, Part VII. Notice of this decree be given by the judge, clerk or assistant clerk by regular mail, not more than TEN days from the date hereof. at New Britain, Connecticut, on November 01, 2017.
a □ Walter A. Clebowicz, Judge
As used in this decree, the word fiduciary includes the plural, where the context so requires, DECREE GRANTING ADMINISTRATION OR PROBATE OF WILL
einen ee Ese. GWEN Piaf, ah | SG A es Sg a ea SE ee eee ee, ie del □□ □□□□□ □□□ PLAUMBERS ceil cee Ee eA : rie CFS al Gabe AES I) dee □□□□ □□□□ □□ Volpe See Gas SAU THA GRACE tr: ye MEGS Age ROL, Sede □□□ □□ □□ APART ee os UCERTIFICATE OF;DEATH, fn OO ce □□□□□□ . 1 HAME FIRS] MIDE ay UST uo 2c. A DATE OF DENTE, aan □ □□□□ | 3 a. DOMME PEANALE ONT 6 □□ Te NCHS. rea aS i ih Lin “ge : Saba if Pete ele OE. ete, oft, le 2d Bsn. [OES Zo 163.36: □□ TERY GAC PLACE OF DEATIES HOSPOTAL “HOSPITAL: 2: HOSPITAL NURSING! Sc-PAIVATE 3° HOSPIGE. 15150618, 1:10908-0003 WHEREAS, the Parties and their Insurers are desirous of ending the Mejia action, the Penn- America action and forever resolving all related existing or future litigation in any manner related thereto, thus, FOR GOOD, VALUABLE AND MUTUAL CONSIDERATION, THE RECEIPT OF WHICH IS HEREBY ACKNOLWEDGED, THE PARTIES AND THEIR INSURERS DO HEREBY AGREE AS FOLLOWS: 1. Mejia will accept a total of $2.8 million to be paid as follows: (a) Onekey $2.5 million, SESI $180,000, MG $50,000, NG $50,000, and Bonded $20,000. Note that a portion of this settlement will be paid over time by employing the use of Structured Settlement Annuities which correspond with that portion's present cost. These Annuities will be facilitated through an A or A+ rated insurance carrier approved to do business in the states of New York and Connecticut. The specific terms of these Structured Settlement Annuities are detailed in an Addendum to Settlement Agreement and Release for Elizabeth V. Mejia, as Administrator of the Estate of Maximilio Saban ("Addendum"), which is incorporated by reference and made a part hereof, 2, Upon receipt of the payments referenced above by counsel for Mejia, The Parties and the Parties’ Respective Insurers all release and forever discharge each other and all other insurers from any and all claims that were asserted, or that could or should have been asserted, in the two litigations filed in the United States District Court, Southern District of New York under Docket Numbers 7:18-CV-6483 and 7:19-CV-02315, and as to any potential related future claims between the Parties’ Insurer(s), and these Mutual Releases between and among The Parties and their Insurers include, but are not limited to: (a) all claims of any type by Mejia arising out of the accident that occurred on or about August 3, 2017 at One Dutchess Avenue, Poughkeepsie, New York, (b) all claims of any type by any of The Parties against any of the other Parties for common law or contractual contribution or indemnity arising out of the alleged accident, (c) all claims of any type for insurance coverage from Penn, howsoever denominated, and as now or as may in the future exist arising out of the alleged accident, and (d) all claims of any type by Penn and/or Onekey and Onekey’ s Insurers against any other insurer or Party for subrogation, breach of contract, contribution, indemnity, additional insured obligations, contractual indemnity, bad faith, or equitable subrogation, as related to policies of insurance issued to any of the Parties, the contracts between the Parties, and/or in any manner related to the Mejia action. 3. The rights and obligations of The Parties pursuant this Settlement Agreement also apply equally to (a) all Members, successors, principals, directors, owners, employees, agents, representatives, heirs, and assigns of The Parties, as well as, (b) the insurance carriers that provided coverage for claims in this litigation, provided a defense for any Party, with or without reservation of rights, and/or contributed to this settlement on behalf of any Party hereto, including but not limited to, (a) Technology Insurance Company and Amtrust Group, N.A. for Bonded Concrete, (b) Southwest Marine and General Insurance Company; Markel Service, 15150828,.1:20908-0003 Incorporated as claims manager for Evanston Insurance Company, and, Evanston Insurance Company for Onekey, and (c) Penn-America for MG and NG. 4. Upon receipt by counsel for Mejia of the settlement payments referenced above, counsel for all of the Parties shall execute for filing with the United Stated District Court, Southern District of New York all appropriate Stipulations of Dismissal with Prejudice, with each Party to bear their own attorney’s fees, and without costs, 5. It is hereby stipulated that the partiés have sought to protect the interest of Medicare, and, therefore, it is not the purpose of this settlement agreement to shift responsibility of medical care in this matter to the Medicare program, The Plaintiff’s decedent was not entitled to Medicare benefits and the plaintiff is not presently entitled to Medicare benefits. The Plaintiff asserts that this is true and correct, The Defendants are relying on the Plaintiffs assertion that plaintiff's decedent was not Medicare eligible and that she is not Medicare eligible. In the event that the Plaintiff is misrepresenting her Medicare eligibility, or that of plaintiff's decedent, the Plaintiff agrees to resolve any and all Medicare issues, including but not limited to Medicare Part A, B, C and/or D liens for past and future conditional payments, and the Plaintiffs counsel, if represented at the time of settlement, will act as a liaison between the Plaintiff and Medicare, The Plaintiff will hold harmless and indemnify The Defendants herein from any right of recovery asserted by Medicare for non-payment of any Medicare lien. It is further understood and agreed that the Plaintiff will indemnify, hold harmless and defend The Defendants of and from any and all liability, actions, judgments or demands arising from or in any way connected to or with any subrogation claims, liens, or statutory liens (federal or state, specifically including, but not limited to, Medicare Part A/B/C/D liens for conditional payments or Medicaid liens or any other lien which may be made in the future against the payments described above for any service that may ultimately be provided in the future) for any compensation or medical payments due or claimed to be due now, or hereinafter, or paid under any law (state or federal), regulation (including but not limited to 42 C.F.R. § 411.24 et seq.) or contract arising as a result of or pertaining in any way to the matters referred to in this Release. The Plaintiff further agrees to pay any judgments, costs, and attorneys’ fees resulting therefrom any actions, judgments and/or demands as described herein, The Plaintiff also agrees to waive any and all potential/future claims against The Defendants arising out of any state or federal statute relating to medical care payments, including but not limited to any and all potential/future claims against Defendants pursuant to The Medicare Secondary Payer Act, 42 U.S.C, § 1395y(b) et seq. 6. The Recitals set forth above are expressly: (a) adopted into this Agreement, and (b) expressly made a part of this Agreement, and (c) accepted by The Parties to this Agreement. 7. To the fullest extent permitted by law, The Parties agree that the existence, nature and terms of this Agreement are strictly confidential. No Party shall discuss, comment upon, disparage, or 15150818.1:10903-0003 disclose, directly or indirectly, any information regarding the negotiation or the events leading up to this Agreement, the substance of this Agreement, including, but not limited to, the consideration set forth herein, except (i) to The Parties’ respective attorneys, accounting and financial advisors, taxing authorities, regulators, reinsurers or lenders; (ii) as otherwise required by law, or (iii) to enforce any provision of this Agreement, The Parties understand and agree that the confidentiality provision is a material element of this Agreement and that any breach of this Agreement would cause another Party irreparable injury. In the event that legal action is brought to enforce this confidentiality provision, the losing Party shall pay the prevailing Party’s attorneys’ fees and costs. 8, This Agreement is the product of arms-length negotiations and is not intended to, nor shall it be construed as, an admission of fault or liability by any Party or any Insurer as to its coverage obligations. The Parties and their Insurers agree that they are entering into this Agreement solely as a business accommodation for the purpose of settling certain issues between them and to avoid the cost of litigation or other proceedings, and without prejudice to their respective positions. The Parties and the Insurers agree that they shall not be deemed to have made any admission of any kind. 9. No change or modification of this Agreement shall be valid unless it is in writing and signed by The Parties and their Insurers. 10. INTENTIONALLY OMITTED 11. The Parties shall not make any oral or written, intentionally false statements to the public at large, or to the media, or on any web site on the internet, or on social media, for the express intended purpose of damaging the professional reputation and/or business of any other Party to this Agreement. The non-disparagement clause does not apply in any manner to any written and/or oral statements made by any of The Parties required by law which the Party has a good faith belief is true, including but not limited to, in connection with current and/or future litigation, arbitration, administrative proceedings, government regulatory inspections or hearings (including applications relative to permits, approvals and similar matters relating to the development of the “One Dutchess Project”), or legal proceedings of any kind whatsoever. . This provision applies to all of The Parties, their principals, officers and shareholders, project managers and superintendents. In the event that legal action is brought to enforce this provision, the losing Party shall pay the prevailing Party’s reasonable attorneys’ fees and costs. 12, This Agreement shall be governed by and shall be construed in accordance with the laws of the State of New York, 15180818,1:10908-0003 13, Bich Party-and its Insurer expressly wartaits thet they presently hold the rights released herein and have not sssigned-any rights that are the subject of this Settlement Agreement and Releaseto others, 14, No Party shell axsign or transfer theit Interest in: this Agreement without the. written consent of all of The Parties, 15. This Agreement shall be-a complete defense barring any further Iitigation. arising out of the ‘Mejia action, the Penn-Amerioa action, or any clains between any of the Insurers in any manner related to the litigation, the accident, the contracts between the parties, or thé insurance policies. 16. If any provision of this Agreement or any portion of any provision of this Agreement is declared vold or unenforceable by any Court or titunal haying jurisdiction, then, such provition or atch portion, df a provision shall be donsideted sapatate-atid apatt ftom the reniaindsr of this Agtecnent, which shall retuain in full force and effect. "47. This Agreement may. be executed in multiple counterparts, and all such counterparts shall collectively constitute one nnd the same Agreenient, PDF signatures shall be deemed originals, The individuals who have exeouted this Agrésment on behalf of the respective Pattles expressly represent and warrant that-they aro-authorized.to sign-on bebalf of each Party. This Agreement shall be bindingapon and shal] hiure-to the benefit of The Parties. aid their Insurers, 18. This Agreemant, including the Addendum,,constitutes the enti. agreement beltaen The Patties and their Insurem with respect to the subjestimatter hereof and. superiedes all other prior discussions, agreements and understatidings, both, written and oral, between The Parties and their ‘Inautexe with ceapect thereto, afd’ shall iniixe:to-the benefit of The Parties referenced hexcin, jointly and -soverally, and the executors; administrators, persohal represititabives, heirs, and pocedsars and Insuters of cach, No xeptasentitions, warranties, or proritises have'beén made ar relied npon by any Party o¢ their Insurers. other than as expreasly, set: forth herein. Counsel fox each Party has participated in the drafting of this Agreement, and the language of this Agteement shall not presumptively be construed in favor of or against either of the Parties hereto or referenced herein. 19, Sigzus ares nt pod By: Chea co Med tA Date: _ We 22 ta Elizabeth V, Mujia-on bebslfiof Mejia Oy By: Date: . ‘Finbar O'Neill on behalf of Onekey 13. Each Party and its Insurer expressly warrants that they presently hold the rights released herein and have not assigned any rights that ate the subject of this Settlement Agreement and Release to others, 14, No Party shall assign or transfer their interest in this Agreement without the written consent of all of The Parties. 15. This Agreement shall bo a complete defense barring any further litigation arising out of the Mejia action, the Penn-America action, or any claims between any of the Insurers in any manner related to the litigation, the accident, the contracts between the patties, or the insurance policies, 16. If any provision of this Agreement or any portion of any provision of this Agreement is declared void or unenforceable by any Court or tribunal having jurisdiction, then such provision or such portion of a provision shall be considered separate and apart from the remainder of this Agreement, which shall remain in fall force and effect. 17. This Agreement may be executed. in multiple counterparts, and all such counterparts shall collectively constitute one and the same Agreement. PDF signatures shall be deemed originals. The individuals who have executed this Agreement on behalf of the respective Parties expressly represent and warrant that they are authorized to sign on behalf of each Party. This Agreement shall be binding upon and shall inure to the benefit -of The Parties and their Insurers, 18, This Agreement, including the Addendum, constitutes the entire agreement between The Parties and their Insurers with respect to the subject matter hereof and supersedes all other prior discussions, agreements and understandings, both written and oral, between The Parties and their Insurers with respect thereto, and shall inure fo the benefit of The Parties referenced’ herein, jointly and severally, and the executors, administrators, pérsonal representatives, heirs, and successors and Insurers of cach. No representations, warranties, or promises haye been made-or relied upon by any Party or their Insurers other than es expressly set forth herein. Counsel for each Party has participated in the drafting of this Agreement, and the language of this Agreement shall not presumptively be construed in favor of or against either of the Parties hereto or referenced herein, 19, Signatures By: ge Date: _ Elizabeth V. Mejia on bglialf of Mejia By: CK \ WU Date: 20D Anon? IOZO Finbar O’Neill on behalf of Onekey 15150818.1:10908-0003 By: a pil | □□ Date: 4 Pe fv Gost 202 Finbar 0’ Neill on behalf of The O’Neill Group-Dutton, LLC By: Date: _ _ Steve Byszewski on behalf of SESI By: Date: Kenneth Quazza , individually By: co □ Date: Thomas A. Clemente on behalf of Bonded . By: ve Date: ee Guido Gonzaleson behalf of MG By: __ Date: Javier DeMattoon behalf of NG By: __. Date: Pat Greeleyon behalf of Penn By: Date: . JoAnne McGovern on behalf of Southwest Marine and General Insurance Company By: . Date: Sheri-Ann Marcinkiewicz on behalf of Evanston Insurance Company. END OF DOCUMENT 15250818,3;20908-6003 By: Date: Finbar O’ Neill on behalf of The O'Neill , Group-Dutton, LLC Sr rks By: ST _. □□ Date: 08/03/2020 Steve Byszewski on behalf of SESI By: Date: Kenneth Quazza , individually By: Date: Thomas A. Clemente on behalf of Bonded By: Date: Guido Gonzaleson behalf of MG By: Date: Javier DeMattoon behalf of NG By: Date: Pat Greeleyon behalf of Penn By: Date JoAnne McGovern on behalf of Southwest Marine and General Insurance Company By: Date: Sheri-Ann Marcinkiewicz on behalf of Evanston Insurance Company. $5150818,1:10908-0003 By: Date: Finbar O'Neill on behalf of The ONeill Group-Dutton, LLC By: Date: Steve Byszew, ep). SESI By: of ¢ ic — Date: &y (5 20 22 Kenneth Quazaza , individually By: Date: Thomas A. Cleinerite.on behalf of Bonded By: Date: Guido Gonzaleson behalf of MG By: Date: . Javier DeMattoon behalf of NG By: _ Date: Pat Greeleyon behalf of Penn By: . Date: JoAnne McGoveri on behalf of Southwest Marine and General Insurance Company By: Date: Sheri-Ann Mareinkiewicz on behalf of Evanston Insurange Company. '15150818,1; 10908-0003 Finbar O'Neill on behalf of The O'Neill Group-Dutton, LLC By: . Date; Steve Byszewski on behalfof SESI By: Date: Kenneth Quazza, jadividually 4 Fd Ay he aaa Pf? &/Z 2. By: NCS ie Date; / / Cif & LD Thomas A, Clemente on behalf-of Bonded / By: . __ Date: . Guido'Gonzaleson behalf of MG. □ By: Date; Javier DeMattoon- behalf of NG By! Date: . Pat Greeloyon behalf of Penn: □ Byi pees Dates. JoAnne McGovern on behalf of Southwest Marine-and General Insurance. Company By: Date: Sheri-Arin. Marcinkiewicz on bebalf of Bvanston Insurance Company. END:OF DOCUMENT LEGALG0908-0003 /15150B18.1 By? _ Date: Finbar O'Neill on behalf of ONeill Group-Dutton, LLC By: ee Date: ce Steve Byszewski on behalf of SES! By: Date: _ Kenneth Quazza , individually Bye. ee □□ Thomas A. Clemente-on pehalt of Bonded BIN d LL repr rnnernen ener tone pf il BBB wnanatrnnnnne Guido Gonéales on'behalf of MG BY Date: _ Javier DeMatto ofi behalf of NG By: ue Date: __. Pat Greeley on behalf of Penn By: _ Date: _ . JoAnne McGovern on behalf of Southwest Marine and General Insurance Company By: __ Date: Sheri-Ann Marcinkiewicz on behalf of Evanston Insurance Cotipany. END OF DOCUMENT . b|Pege cee be tetequese cee wee we cutie gtr ae meat □□ eR aera caeteS Hoa Fee cae By; Dates Finbar O'Neill on belialf of ONeill Group-Dutton, LLC By: Date; Steve Byszewski on behalf of SESI By: . Date; Kenneth Quazza , individually Byrn Date; ‘Thomas A. Clemente on behalf of Bonded. By: . Dates Guido Gongaleson behalf of MG By: {Wie Date: 07/3 0, CO) Javier on behalf of NG By: . _ Dates ~ Pat Greeley-on:- behalf of Penn: . By: ___ Datei _ JoAnne McGovern.on. behalf of Southwest Marine.and General Insurance Company: By Date; Sheri-Ann Mareinkiewicz on behalf of Evanston Insurance Company, \) END-OF DOCUMENT Pane By: La Date: Finbar O’ Neill on behalf of The O’Neill Group-Dutton, LLC By: Date: Steve Byszewski on behalf of SESI By: Date: Kenneth Quazza , individually By: Date: Thomas A. Clementeon behalf of Bonded By: Date: . Guido Gonzaleson behalf of MG By: Date: Javier DeMattoon behalf of NG py: festa Ah AS. fala Date:_ 47” plow Pat Greeley on behalf of Perf . wo” By: Date: _ . JoAnne McGovern on behalf of Southwest Marine and General Insurance Company By: Date: _ Sheri-Ann Marcinkiewicz on behalf of Evanston Insurance Company. 15450818,1:10908-0003 By: Date: Finbar O’ Neill on behalf of ONeill Group-Dutton, LLC By: Date: Steve Byszewski on behalf of SESI By Date: Kenneth Quazza , individually By: Date: Thomas A, Clemente on behalf of Bonded By: Date: Guido Gonzales on behalf of MG By: Date: Javier DeMatto on behalf of NG By: Date: Pat Greeley on behalf of Penn By: Ge Jeans. 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= baatees ot Para es TGRea ATE ee Cee □□ sayy pecan Ey SUET Ercan ah ea Ese Crasiipas Coe: □□□□□ □□ Sareea [ae es eee a Vane sea eset Bae edie eee SSN a eg Remon ie) Sun □ een el ee Spe fue ante “ss □□□□□ □□□ See ae PUSS □□□□ □□□ □□□ □□□ re Kaede ees gee □□ Wee □□□ □□ □□□□ ADDENDUM TO SETTLEMENT AGREEMENT AND RELEASE FOR ELIZABETH V. MEJIA, AS ADMINISTRATOR OF THE ESTATE OF MAXIMILIANO SABAN 1. PAYMENTS In consideration of the Settlement Agreement and Release for Elizabeth V. Mejia, as Administrator of the Estate of Maximiliano Saban (‘Plaintiff’), to which this document is attached, Evanston Insurance Company (“Evanston”), on behalf of OneKey, LLC, agrees to fund the annuity for a cost of One Million Three Hundred Thousand Dollars ($1,300,000.00), which will pay the future periodic payments (“Periodic Payments”), made according to the schedule as follows: i) Payable to Elizabeth V. Mejia (“Payee”): Starting 01/01/2021, the sum of $1,958.95 payable monthly, guaranteed for twelve (12) years, with the last guaranteed payment on 12/01/2032; and Guaranteed lump sum of $250,000.00 payable on 10/02/2032, End of payment schedule for Elizabeth V. Mejia. cs if) Payable to Greysi Saban (“Payee”): Starting 08/18/2028, the sum of $25,000.00 payable annually, guaranteed for four (4) years, with the last guaranteed payment on 08/18/2031; and Starting 08/18/2032, the sum of $1,257.16 payable monthly for life, guaranteed for thirty (30) years. The last guaranteed payment will be made on 07/18/2062; thereafter, payments will continue for the lifetime of Greysi Saban. End of payment schedule for Greysi Saban, iii) Payable to Nathaly Saban Vicente (“Payee”): Starting 08/28/2032, the sum of $25,000.00 payable annually, guaranteed for four (4) years, with the last guaranteed payment on 08/28/2035; and Starting 08/28/2036, the sum of $1,459.35 payable monthly for life, guaranteed for thirty (30) years. The last guaranteed payment will be made on 07/28/2066; thereafter, payments will continue for the lifetime of Nathaly Saban Vicente. End of payment schedule for Nathaly Saban Vicente, 1 . The cost of the Periodic Payments is disclosed above as a condition of settlement. No part of the cost of the Periodic Payments may be paid directly to Plaintiff or any Payee, inasmuch as the parties negotiated for a structured settlement and the Periodic Payments and all other sums set forth herein constitute damages on account of personal physical injuries or sickness, within the meaning of Section 104(a)(2) of the Internal Revenue Code of 1986, as amended. 2. PLAINTIFF’S RIGHTS TO PAYMENTS Plaintiff acknowledges that the Periodic Payments cannot be accelerated, deferred, increased or decreased by Plaintiff or any Payee; nor shall Plaintiff or any Payee have the power to sell, mortgage, encumber, or anticipate the Periodic Payments, or any part thereof, by assignment or otherwise. 3. QUALIFIED ASSIGNMENT Plaintiff acknowledges and agrees that Evanston has elected to make a “qualified assignment,” within the meaning of Section 130(c) of the Internal Revenue Code of 1986, as amended, of Evanston’s liability to make the Periodic Payments set forth above to MetLife Assignment Company, Inc. (“Assignee”). The Assignee’s obligation for payment of the Periodic Payments shall be no greater than that-of Evanston (whether by judgment or agreement) immediately preceding the assignment of the Periodic Payments obligation. Such assignment, when made, shall be accepted by Plaintiff without right of rejection, and shall completely release and discharge Evanston from the Periodic Payments obligation assigned to the Assignee, Plaintiff recognizes that upon such assignment, the Assignee shall be the sole obligor with respect to the Periodic Payments obligation, and that all other releases with respect to the Periodic Payments obligation that pertain to the liability of Evanston shall thereupon become final, irrevocable and absolute. If a qualified assignment as described above is made, Elizabeth V. Mejia, Greysi Saban and Nathaly Saban Vicente shall be secured parties of the Assignee, as described in the Qualified Assignment Release and Pledge Agreement executed among Plaintiff, Evanston and the Assignee to effect the assignment. The qualified funding asset or assets purchased by the Assignee to fund the obligation assumed under the qualified assignment shall serve as security interest for the promise of the Assignee to make such payments. Except for the obligation to provide such security interest, the obligation of the Assignee to make such payments shall be no greater than the obligation of Evanston to make such payments under this Settlement Agreement. 4, RIGHT TO PURCHASE AN ANNUITY Evanston, itself or through the Assignee reserve the right to fund the liability to make the Periodic Payments set forth above through the purchase of an annuity policy from Metropolitan Tower Life Insurance Company (“Annuity Issuer”), Evanston or the Assignee shall be the sole owner of the annuity policy and shall have all rights of ownership. Evanston or the Assignee shall have the 2 . Annuity Issuer mail or electronically transfer payments directly to each of the Payes listed above, Plaintiff and/or each of the Payse listed above shall be responsible for maintaining a current mailing address and, if applicable, bank account information for each of the Payee listed above with the Assignee. BENEFICIARY : . Any payments to be made after death of any Payee pursuant to the tems of this Settlement Agreement shall be made to the Estate of the Payee. After the age of majority, Payeo may submit a change of beneficiary in writing to the Assignee, If no such Beneficiary has been designated, or if no such Contingent Beneficiary is living at the time of a Payee's death, then payments shall be made to the Estate of the deceased Payee, No designation of a Contingent Beneficiary and no revocation of any such designation, shall be effective unless it is in writing, in a form acceptable to the Assignee, as applicable, duly executed by the Payee and delivered to the Assignee, as applicable, 6. DISCHARGE OF OBLIGATION ‘ The obligation assumed by the Assignee to make each Periodic Payment shall be fully discharged upon mailing ofa valid check or electronic equivalent funds transfer in the amount of such payment on or before the due date to the last address or account on record for each of the Payee listed above ox thelr. Beneficiary with the Annuity Issuer, If any of the Payee or Beneficiary notifies the Assignee that any check-or electronic funds transfer was not received, then the Assignee shall direct the Annuity Issuer-to initiate a. stop payment action and, upon confirmation that such check was not previously negotiated or electronic funds transfer deposited, shall have the Anmnity Issuer ptocess a replacement payment. Executed this 2g dayof | Iv ly ,2020. PLAINTIN: Cte age Elizabeth V, Mojia, as Administrator of the _ Estate of Maximiliano Saban Exhibit C eA Subrogation Department w/ Berkshire Hathaway PO Box 1368 Gar GUARD f= 44 West Market Street gma Nid fal Companies Wilkes-Barre, PA 18703 P: 800.673.2465 Michael C, Zwal, Esq. June 19, 2020 Bamundo, Zwal & Schermerhorn 111 John St., Suite 1100 New York, NY 10038 Claimant: Maximiliano Saban Claim #: R2WC852036-001 Employer: MG Commercial Concrete LLC Date of Loss: 08/03/2017 Dear Attorney Zwal, In reference to the captioned workers’ compensation claim, AmGuard Insurance Company hereby consents to the settlement of the third party action by the estate of Maximiliano Saban in the amount of $2,800,00.00, subject to the following terms: AmGuard has made workers’ compensation payments totaling $59,354.73, resulting in a gross Workers’ Compensation lien in the amount of $59,354.73, and that after reducing this lien amount by AmGuard’s responsibility to contribute toward attorney's fees, AmGuard’s enforceable lien is $39,569.82. AmGuard Insurance Company specifically preserves and maintains its right to a future offset/moratorium in the workers' compensation claim against all third party proceeds in accordance with the CT WC Statute and prevailing case law. Upon conclusion of the third party claim, please forward AmGuard’s net share, that being £39,569,82, along with a copy of the executed third party release, to AmGuard Insurance Company, PO Box 1368, Wilkes-Barre, PA 18703. Kindly contact me if you have any questions. Thank you for your professional cooperation. Sincerely, Liva Napershyy Lisa Napersky, AIC, CSRP Subrogation Superviser, Workers Compensation 570-825-9900, ext. 1039 LNapersky@quard.com Page 1 of 1 Exhibit D BAMUNDO, ZWAL & SCHERMERHORN, LLP 111 John Street, Suite 1100 . New York, New York 10038 -RETAINER AGREEMENT □ . ; ay mo, The undersigned,_{ [vabefh He 2 hereby retains Bamundo, Zwal & Schermerhorn, L.L.P., fo prgsecute.or adjust giain for damages arising from personal injuries sustained by the undersigned and/or tase every on , and gives them the exclusive right to take alf legal steps to enforce the said claims and agrees not to se is action in any manner without their written consent and further authorizes all _ checks to be endorsed and deposited into an escrow account pending distribution. — In consideration of the services rendered and to be rendered by them, the undersigned hereby agrees to pay them, and they.are authorized to retain out of the monies that may come into their hands, whether recovered by rtmen es as follows : co ue . /_, One-third (1/3) of the gross recovery. | elect to have Bamundo, Zwal & Schermerhorn, □□□□ the money for costs and expenses. | do not want to be billed for each disbursement as incurred and understand | am entitled to statements. The funds advanced may be borrowed by the Firm from a third party lender, and | will be notified of the interest rate and am entitled to receive statements upon request. | agree that the law firm will be reimbursed by me for all principal, interest and costs related to.such advances at the conclusion of my case. One-third (1/3) of the net recovery. | elect to advance the money for the costs and expenses, | want to be billed for each disbursement incurred, and agree to pay these costs and expenses as they come due. Percentages shall be computed on the net sum recovered after deducting taxable costs and disbursements, Including expenses for Investigative-witness fees, or other services chargeable to the claim or prosecution of the action. in the event that I fail to timely pay these costs and expenses, and Bamundo, Zwal & Schermerhorn, L.L.P, chooses to advance these costs, | agree to be charged a legal fae of One-third (1/3) of the gross recovery, and that the law firni, will be reimbursed by me for all principal, interest and costs related to such advances at the conclusion of my case. These fees are subject to court order: infant or death actions.or application to the Court for greater compensation in the event extraordinary services are required, Liens or assignments or claims for hospital or medical care by doctors or of self-insurers or insured carriers shall nat be deducted in computing the percentages and shall be chargeable to the client. □ This retainer does not require Bamundo, Zwal & Schermerhorn, L.L.P, to undertake any appellate work, In the event any appeal is undertaken then the undersigned shail be liable in advance for all costs of the □□□□□□□ and may be subject to a separate retainer for the purposes of the appeal. If the undersigned retains a new attorney to process the appeal, or substitutes Bamundo,.Zwal & Schermerhorn, L.L.P. , then Bamundo, Zwal & □ Schermerhorn, L.L.P., shall nonetheless be entitled to its fee under this agreement plus all costs and disbursements __ incurred, - ; ‘Dated: New , New York ' . “ie Citi. | oper □□□ ot ‘SUBJECT TO INVESTIGATION. (Please Initial Agreement). _ NUNC PROTUNC RETAINER STATEMENT For Office Use TO: OFFICE OF COURT ADMINISTRATION OF THE STATE OF NEW YORK Post Office Box 2016 6 Church Street Station , New York, NY 10008 1, Date of retainer agreomont: 9/23/2017 2. Terms of compensation: thirty-three and one-third (33 1/3%) per cent of the sum recovered, 3, Name and home address of client: ELIZABETH MBJIA as Administrator ofthe Estate of MAXIMILIANO □ SABAN, 70 Oak Street, Ist Floor, New Britain, CT 06051 □ 4. If engaged by an attorney, name and office address of retaining attormmey: N/A 3. Ifclaim for personal injuries, wrongful death or property damage, date and place of occurrence: August 3, 2017, One Dutchess Avenue, Poughkeepsie, New York 6, Ifa condemnation or change of grade proceeding: N/A 7, Name, address, accupation and relationship of person referring the client: prior client : ‘Dated: New York, New York March 9, 2018 . Yours, etc. □ ‘State of New York ) ws 388. County of New York } Signatyté of Attarney MICHAEL C, ZWAL, affirms the following under MICHAELC.¥WAL penalty perjury, That due to clerical oversight this Attorney Retainer Statement was not timely filed. I hereby request that same be filed nunc pro tune, Bamundo, Zwal & Schermerhamn, LLP 111 John Street, New York, NY 10038 Dated: New York, New York March 9, 2 ‘ ffice and P.O, Address _LDist.i Dept. New York County , MIC LC, ZWAL Our File No: 22937 RR +#Set forth particulars as to the fee arrangement, the type of services fo be rendered in the matter, the code number assigned to the statement of retainer filed by the retaining attomey and the date when said statement of retainer was filed, Exhibit E DISBURSEMENTS Exhibit F UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK. HLIZABETH V. MEJIA as Administeator of the Estate of MAXIMILIANO SABAN, and ELIZABETH Y. MEJIA, Individually, . Plaintiff, DOCKET NO. 7:18-CV-6483 oe -against- O'NEILL GROUP-DUTTON, LLC and ONEKEY, LLC, STRUCTURED SETTLEMENT Defendants. AFFIDAVIT O'NEILL GROUP-DUTTON, LLC and ONEKEY, LLC, Third-Party Plaintiff, -against- SESI CONSULTING ENGINEERS, P.C., KENNETH J. QUAZZA, P.E.,, NEW GENERATIONS MASONRY, MG COMMERCIAL CONCRETE, BONDED CONCRETE, INC., Third-Party Defendant. STATE OF NEW YORK COUNTY OF ROCKLAND I, Brett Newman, from The Newman Structured Settlement Group, acting as structured settlement consultant in the within matter hereby watrant and represent, under oath, having first been duly sworm, the following facts to be true, complete and accurate to the best of my knowledge, information and belief: 1. ~ No tebates, service fees, administrative fees, or other financial consideration of any kind or in any amount has been paid; will be paid or has been promised to be paid to any party, insurer, attorney, guardian ad litem, or any other person, firm or corporation associated with this case by me or by my above stated company, either directly or indirectly, by virtue of the structured settlement, or otherwise, relating to this matter; 2. The cost to the defendants and/or casualty insurers of the structured settlement portion of the - gettlement in this case is ONE MILLIONS THREE HUNDREND THOUSAND DOLLARS ($1,300,000, 00) inclusive of any applicable qualified assignment fee; and this cost to purchase the proposed annuity was arrived at after a survey of the market of annuity providers in order to confirm and obtain the best value (ptice/quality) for the periodic payment plan now recommended, 3. The defendant and/or Insurer will make the following future periodic payments as follows: OL $450,000.00 will be used for Structured Settlement Benefits payable to Elizabeth Mejia as follows: . a. $1,958.95, payable monthly, guaranteed for 12. years, beginning on January 1, 2021, with the last guaranteed payment on December 1, 2032. b, $250,000.00 payable at age 40 on October 2, 2032 Il. $425,000.00 will be used for Structured Settlement Benefits payable to Greysi Saban as follows: a, $25,000.00 payable annually, guaranteed for 4 years, beginning on August 18, 2028, with the last guaranteed payment on August 18, 2031 b. $1,257.16 payable monthly beginning on August 18, 2032 for life with 30 years guaranteed . TI, $425,000.00 will be used for Structured Settlement Benefits payable to Nathaly Saban as follows: a. $25,000.00 payable annually, guaranteed for 4 years, beginning on August 28, 2032, with the last guaranteed payment on August 28, 2035 b. $1,459.35 payable monthly beginning on August 28, 2036 for life with 30 years guaranteed 4, The obligation of defendant and/or Insurer to make the above future periodic payments will be assigned to Metlife Assignment Company, the assignee may fund the obligation assumed by the purchase of an annuity from Metropolitan Tower Life Insurance Company, an A.M Best Company rates A+ insurer, A guarantee letter will be issued by Metropolitan Tower Life Insurance Company to guarantee the performance of such assignee, 5. The Annuity Issuer company above-named is licensed to issue insurance annuity products in the State of New York, , 6. The standard industry commission that The Newman Structured Settlement Group is receiving in this case is based on 2% of the premium of $1,300,000.00 and Brant Hickey Settlements is receiving commission based on 2% of the premium of $1,300,000.00, This commission will be paid by Metropolitan Tower Life Insurance Company the life insurer issuing the policy. - 7. The annuities being provided in this case are based upon guaranteed life contingent payments - for the infant plaintiffs Greysi Saban and Nathaly Saban who are presently 10 and 6 respectively, having been born on August 18, 2010 and August 28, 2014. The annuity cost set forth in paragraph “3” above reflects this life contingent annuity cost. 8, No medical underwriting was provided on this case as there are no mortality issues for the life contingent benefits, . No present value calculations were provided in this case. All illustrations provided were based on actual cost only; 10. Neither I nor The Newman Structured Settlement Group is an in-house broker of any party or casualty carrier involved in the settlement; nor am I or said company affiliated with or an “exclusive” broker of any party or casualty carrier involved in the settlement herein. 11. Neither I nor the Newman Structured Settlement Group will, without the express consent of the plaintiff and/or the plaintiff's representative and the prior written approval of this court: a. Provide any information about this settlement to any factoring company for any purpose; or b. Solicit the plaintiff or the plaintiff's family on behalf of any factoring company for any purpose, including but not limited to, the proposed sale of plaintiff's future periodic payments nor will The Newman Structured Settlement Group participate, assist, promote or aid in such solicitation by any ‘person, □□□□□ corporation or entity; or c. Seek or accept any consideration, financial or otherwise, directly or indirectly from a factoring company. 12, The following documents have been annexed as exhibits to the application made to this court for the approval of the recommended settlement proposal: Exhibit A Proposed Settlement Agreement Exhibit B Proposed Assignment Agreement Exhibit C Proposed Sample Annuity Contract Exhibit D Proposed Guaranty Agreement Exhibit E Rejected Alternative and/or competing proposals THIS STRUCTURED SETTLEMENT AFFIDAVIT IS PROVIDED TO THE PARTIES TO THE SETTLEMENT HEREIN WITHOUT COST AND WITH THE EXPRESS PURPOSE OF INDUCING THE PLAINTIFF(S), THE DEFENDANT(S), AND ALL PARTICIPATING INSURERS TO ENTER INTO AND/OR PARTICIPATE IN FUNDING THE STRUCTURED SETTLEMENT AGREED UPON IN THIS CASE. THE STATEMENTS SET FORTH HEREIN CONSTITUTE AFFIRMATIVE REPRESENTATIONS AND WARRANTIES BY THE . UNDERSIGNED STRUCTURED SETTLEMENT CONSULTANT, i NEWMAN ‘ Sworn to before me this _L day of _Tvly __, 2020 AMIE VALOIS Notary Pubiic, State of New York . 7) |r lrrin Quailfied in Rockland County No, 07VA6270781 otaty Public Comission Expires Commission Expires October 22, 2020 SETTLEMENT AGREEMENT AND RELEASE WHEREAS, on or about July 18, 2018 Elizabeth V. Mejia as Administrator of the Estate of Maximiliano Saban filed a complaint in the United States District Court, Southern District of New York under Docket No. 7:18-CV-06483, and then on or about August 27, 2018 an amended complaint was filed against The O’Neill Group-Dutton, LLC and Onekey, LLC (hereinafter collectively “Onekey”) on behalf of Elizabeth V. Mejia, as Administrator of the Estate of Maximiliano Saban, and Elizabeth V. Mejia, Individually (hereinafter collectively “Plaintiffs” or “The Plaintiffs” or “Mejia), and WHEREAS, subsequently Onekey filed an answer to the amended complaint, as well as, third patty complaints against SES] Consulting Engineers PC, and Kenneth J Quazza, P.E. (hereinafter collectively “SESI”), and New Generations Masonry (hereinafter “NG”), and MG Commercial Conerete (hereinafter “MG”), and Bonded Concrete Inc., (hereinafter “Bonded”), and WHEREAS, subsequently the above-referenced third party defendants filed answers to the third party complaints with counter and cross-claims, WHEREAS, Penn-America Insurance Company ("Penn"), issued an insurance policy or policies to NG and/or MG, but denied that any coverage applied to the claims brought against NG or MG by Onekey, or to Onckey as to the claims against them by Plaintiffs or Third-Party Defendants, and thus, Penn filed a declaratory judgment lawsuit also in United States District Court, Southern District of New York under Docket No. 7:19-CV-02315 (the “Penn-America action”), and WHEREAS, Onekey, SESI, NG, MG, Bonded and Penn are collectively referred to as “Defendants” or “The Defendants”, and WHEREAS, the litigation under Docket No. 7:18-CV-6483, and the litigation under Docket No.: 7:19-CV-02315 were not consolidated, but they were case managed together by the Honorable Lisa Margaret Smith, U.S.M.J., and WHEREAS, Mejia, Onekey, SESI, NG, MG, and Bonded (hereinafter "Parties" or "The Parties") and the Parties’ insurers are desirous of settling any and all claims between and among The Parties as well as existing or potential future claims arising out of the insurance policies and/or indemnity obligations arising out of the alleged incident, and WHEREAS, The Parties all agreed to submit this matter to non-binding mediation before Kenneth Grundstein from National Arbitration and Mediation ("NAM"), and WHEREAS, as a result of a mediation session conducted on March 6, 2020, along with multiple communications between and among NAM, The Parties and their insurers, thereafter, The Parties were able to achieve a settlement of all of the claims between and among the Parties and their Insurers , and 15150818.1:40908-0003 WHEREAS, the Parties and their Insurers are desirous of ending the Mejia action, the Penn- America action and forever resolving all related existing or future litigation in any manner related thereto, thus, FOR GOOD, VALUABLE AND MUTUAL CONSIDERATION, THE RECEIPT OF WHICH IS HEREBY ACKNOLWEDGED, THE PARTIES AND THEIR INSURERS DO HEREBY AGREE AS FOLLOWS: 1, Mejia will accept a total of $2.8 million to be paid as follows: (a) Onekey $2.5 million, SESI $180,000, MG $50,000, NG $50,000, and Bonded $20,000. Note that a portion of this settiement will be paid over time by employing the use of Structured Settlement Annuities which cotrespond with that portion's present cost. These. Annuities will be facilitated through an A or At rated insurance carrier approved to do business in the states of New York and Connecticut. The specific terms of these Structured Settlement Annuities are detailed in an Addendum to Settlement Agreement and Release for Elizabeth V. Mejia, as Administrator of the Estate of Maximilio Saban ("Addendum"), which is incorporated by reference and made a part hereof. 2. Upon receipt of the payments referenced above by counsel for Mejia, The Parties and the Parties’ Respective Insurers all release and forever discharge each other and all other insurers from any and all claims that were asserted, or that could or should have been asserted, in the two litigations filed in the United States District Court, Southern District of New York under Docket Numbers 7:18-CV-6483 and 7:19-CV-02315, and as to any potential related future claims between the Parties’ Insurer(s), and these Mutual Releases between and among The Parties and’ their Insurers include, but are not limited to: (a) all claims of any type by Mejia arising out of the accident that occurred on or about August 3, 2017 at One Dutchess Avenue, Poughkeepsie, New York, (b) all claims of any type by any of The Parties against any of the other Parties for common law or contractual contribution or indemnity arising out of the alleged accident, (c) all claims of any type for insurance coverage from Penn, howsoever denominated, and as now or as may in the future exist arising out of the alleged accident, and (d) all claims of any type by Penn and/or Onekey and Onekey’ s Insurers against any other insurer or Party for subrogation, breach of contract, contribution, indemnity, additional insured obligations, contractual indemnity, bad faith, or equitable subrogation, as related to policies of insurance issued to any of the Parties, the contracts between the Parties, and/or in any manner related to the Mejia action. 3. The rights and obligations of The Parties pursuant this Settlement Agreement also apply equally to (a) all Members, successors, principals, directors, owners, employees, agents, representatives, heirs, and assigns of The Parties, as well as, (b) the insurance carriers that provided coverage for claims in this litigation, provided a defense for any Party, with or without reservation of rights, and/or contributed to this settlement on behalf of any Party hereto, including but not limited to, (a) Technology Insurance Company and Amtrust Group, N.A. for Bonded Concrete, (b) Southwest Matine and General Insurance Company; Markel Service, 15150818,1:10908-0003 Incorporated as claims manager for Evanston Insurance Company, and, Evanston Insurance Company for Onekey, and (c) Penn-America for MG and NG. 4, Upon receipt by counsel for Mejia of ihe settlement payments referenced above, counsel for all of the Parties shall execute for filing with the United Stated District Court, Southern District of New York all appropriate Stipulations of Dismissal with Prejudice, with each Party to bear their own attorney’s fees, and without costs, 5. It is hereby stipulated that the partiés have sought to protect the interest of Medicare, and, therefore, it is not the purpose of this settlement agreement to shift responsibility of medical care in this matter to the Medicare program. ‘The Plaintiff's decedent was not entitled to Medicare benefits and the plaintiff is not presently entitled to Medicare benefits. The Plaintiff asserts that this is true and correct. The Defendants are relying on the Plaintiff's assertion that plaintiff's decedent was not Medicare eligible and that she is not Medicare eligible. In the event that the Plaintiff is misrepresenting her Medicare eligibility, or that of plaintiff's decedent, the Plaintiff agrees to resolve any and all Medicare issues, including but not limited to Medicare Part A, B, C and/or ID liens for past and future conditional payments, and the Plaintiffs counsel, if represented at the time of settlement, will act as a liaison between the Plaintiff and Medicare. The Plaintiff will hold harmless and indemnify The Defendants herein from any right of recovery asserted by Medicare for non-payment of any Medicare lien. It is further understood and agreed that the Plaintiff will indemnify, hold harmless and defend The Defendants of and from any and all liability, actions, judgments or demands arising from or in any way connected to or with any subrogation claims, liens, or statutory liens (federal or state, specifically including, but not limited to, Medicare Part A/B/C/D liens for conditional payments ot Medicaid liens or any other lien which may be made in the future against the payments described above for any service that may ultimately be provided in the future) for any compensation or medical payments due or claimed to be due now, or hereinafter, or paid under any law (state or federal), regulation (including but not limited to 42 C.F.R. § 411.24 et seq.) or contract arising as a result of or pertaining in any way to the matters referred to in this Release, The Plaintiff further agrees to pay any judgments, costs, and attorneys’ fees resulting therefrom any actions, judgments and/or demands as described herein. The Plaintiff also agrees to waive any and all potential/future claims against The Defendants atising out of any state or federal statute relating to medical care payments, including but not limited to any and all potential/future claims against Defendants pursuant to The Medicare Secondary Payer Act, 42 U.S.C. § 1395y(b) et seq. 6. The Recitals set forth above are expressly: (a) adopted into this Agreement, and (b) expressly made a part of this Agreement, and (c) accepted by The Parties to this Agreement. 7. To the fullest extent permitted by law, The Parties agree that the existence, nature and terms of this Agreement are strictly confidential. No Party shall discuss, comment upon, disparage, or 45150818,1:10908-0003 disclose, directly or indirectly, any information regarding the negotiation or the events leading up to this Agreement, the substance of this Agreement, including, but not limited to, the consideration set forth herein, except (i) to The Parties’ respective attorneys, accounting and financial advisors, taxing authorities, regulators, reinsurers or lenders; (ii) as otherwise requited by law, or (iii) to enforce any provision of this Agreement. The Parties understand and agree that the confidentiality provision is a material element of this Agreement and that any breach of this Agreement would cause another Party irreparable injury. In the event that legal action is brought to enforce this confidentiality provision, the losing Party shall pay the prevailing Party’s attorneys’ fees and costs. 8. This Agreement is the product of arms-length negotiations and is not intended to, nor shall it be construed as, an admission of fault or liability by any Party or any Insurer as to its coverage obligations. The Parties and their Insurers agree that they are entering into this Agreement solely as a business accommodation for the purpose of settling certain issues between them and to avoid the cost of litigation or other proceedings, and without prejudice to their respective positions. The Parties and the Insurers agree that they shall not be deemed to have made any admission of any kind. 9. No change or modification of this Agreement shall be valid unless it is in writing and signed by The Parties and their Insurers. 10. INTENTIONALLY OMITTED 11. The Parties shall not make any oral or written, intentionally false statements to the public at large, or to the media, or on any web site on the internet, or on social media, for the express intended purpose of damaging the professional reputation and/or business of any other Party to this Agreement. The non-disparagement clause does not apply in any manner to any written and/or oral statements made by any of The Parties required by law which the Party has a good faith belief is true, including but not limited to, in connection with current and/or future litigation, arbitration, administrative proceedings, government regulatory inspections or hearings (including applications relative to permits, approvals and similar matters relating to the development of the “One Dutchess Project”), or legal proceedings of any kind whatsoever, This provision applies to all of The Parties, their principals, officers and shareholders, project managers and superintendents. In the event that legal action is brought to enforce this provision, the losing Party shall pay the prevailing Party’s reasonable attorneys’ fees and costs. 12. This Agreement shall be governed by and shall be construed in accordance with the laws of the State of New York. 13, Bich Party and its Insurer expressly warcants that thoy presently hold the rights released herein and have not assigned any tights that are the subject of this Settlement Agreement and Relaaseto others, "44, No Party shell assign or transfer theit interest in this Agreement without the wrlttex consent of all of The Parties. 15, This Agreement shall be-a complete defense barring any durther titigation. arlsing out of the Mejia action, the Penn-America action, or any claims between any of the Insurers in atiy manner yoluted to the Htipation, the avoident, the dontracts between the parties, or the insurance policies. 16. Tf any provision of this Agreement or any portion of any provision. of this Agreement is declared vold or unenforceable by any Coust or tribunal having jurisdiction, then, such provisiott or such portion, of a provision shall-é consideréd-saparkte-anid apatt from the remainder of this Agteenterit, whlch shall rengain in: full forte and offeot: | 17. This Agreement may be-exceuted in multiple counterparts, aud all such counterparts shall collectively conatitute one and the sate Agreement. PDF signatures shall be dearer originals, ‘The individuals who have executed this Agriemient on behalf of the respective Parties expressly represent and warrant that.they are-authorized:to sign on behalf of cach Party. This Agreement shall bo binding-upon and shal] inure to the benefit of The Parties and their Insurers, 18. This Agroment,. including, the Addéndom, constitutes the entire agreement between, The Parties and their Insurers with respect to-the subject matter hexsof and supersedés all othar prior discussions, agreements and understandings, Both written and oral, between The Parties and thei Thaurers with respect thereto, and:shall ioure to the benefit of The Parties referenved hervin, jointly and severally, and the executors, administrators, personal representatives, hehe, and suocessons and Insurers of each. No reptasdntitions, warranties, or promised have been made ox selied upon by any Party or their Insurers. other ‘than aa expressly, set forth herein. Counsel for each Party has participated in the dralting of this Agréemeit, and the latiguago of this Agrecnient shall not presumptively be construed in favor of or against ether of the Parties hereto or referenced herein. 19, Signatures. eg By: 7b Ah wl Ve, Maeda U. Tae Datar thse WEI LO. Elizabeth: Melia on behalf of Majia ff Finbar O'Neill on behalf of Onekey 13, Each Party and its Insurer expressly warrants that they presently hold the rights. released herein and have not assigned any rights that are the subject of this Settlement Agreement and Release to others. 14. No Party shall assign or transfer their interest in this Agreement without the written consent of all of The Parties. 15, This Agreement shall be a complete defense barring any further litigation arising out of the Mefia action, the Penn-Anierica action, or any claims between any of the Insurers in any manner related to the litigation, the accident, the contracts between the parties, or the insurance policies. 16. If any provision of this Agreement or any portion of any provision of this Agreement is declared void or unenforceable by any Court or tribunal having jurisdiction, then such provision or such portion of a provision shall be considered separate and apart from the remainder of this Agreement, which shall remain in full force and effect. 17. This Agreement may be executed in multiple counterparts, and all such counterparts shall collectively constitute ohe and the same Agreement, PDF signatures shall be deemed originals. . The individuals who have executed this Agreement on behalf of the respective Parties expressly represent and warrant that they are authorized to sign on behalf of each Party. This Agreement shall be binding upon and shall inure to the benefit-of The Parties and their Insurers, 18, This Agreement, including the Addendum, constitutes the entire agreement between The Parties and their Insurers with respect to the subject matter hereof and supersedes all other prior discussions, agreements and understandings, both written and oral, between The Parties and their Insurers with respect thereto, and shall inure to the benefit of The Parties referenced herein, jointly and severally, and the executors, adrninistrators, petsonal representatives, heirs, and successors and Insurers of each. No representations, warranties, or promises have been made or relied upon by any Party or their Insurers other than as expressly set forth herein. Counsel for each Party has participated in the drafting of this Agreement, and the language of this Agreement shall not presumptively be construed in favor of or against either of the Patties hereto or referenced herein. 19. Signatures Elizabeth, V. Mejia on behalf of Mejia By: oe Ny VY Date: □ 2D A F MC 2 Finbar O'Neill on behalf of Onekey 15150848.1:10908-0003 By: ul lh | _— Date: 2Pee fv GOST 202 Finbar O’ Neill on behalf of The O’Neill Group-Dutton, LLC By: Date: Steve Byszewski on behalf of SESI By: Date: Kenneth Quazza , individually By: —_ _ Date: Thomas A. Clemente on behalf of Bonded By: pee Date: Guido Gonzaleson behalf of MG By: Date Javier DeMattoon behalf of NG By: _ Date: _ _. Pat Grecleyon behalf of Penn By: Date: JoAnne McGovern on behalf of Southwest Marine and General Insurance Company By: Date: _. Sheri-Ann Marcinkiewicz on behalf of Evanston Insurance Company. . END OF DOCUMENT 15150818,4:10908-0003 By: Date: Finbar O’ Neill on behalf of The O’Neiil , Group-Dutton, LLC < Sls" SPR OGL By wii IS Date: 08/03/2020 Steve Byszewski on behalf of SESI By: Date: Kenneth Quazza , individually By: Date: Thomas A. Clemente on behalf of Bonded By: Date: Guido Gonzaleson behalf of MG By: Date: Javier DeMattoon behalf of NG By: Date: Pat Greeleyon behalf of Penn By: . Date: JoAnne McGovern on behalf of Southwest Marine and General Insurance Company By: Date: Sheti-Ann Marcinkiewicz on behalf of Evanston Insurance Company. 15150818,.1:10908-0003 By: Date: Finbar O'Neill on behalf of The O’ Neill Group-Dutton, LLC By: Date: . Steve Byszewski YP) "Of SESI By: Geirys Date: _Ofsfore Kenneth Quazza , indiVidually By: Date: Thomas A. Clemente on behalf of Bonded. By: Date: Guido Gonzaleson behalf.of MG By: Date! _ Javier DeMattoon behalf of NG By: □□ Date: Pat Greeleyou behalf of Penn By: Date: JoAnne MeGovern on behalf of Southwest Marine and General Insurance Company By; Dater_ Sheri-Ann Marcinkiewicz on behalf of Evanston Insurance Company. □□□□□□□□□□□□□□□□□□□□□□ Finbar O'Neill ‘behalf of The-O’Neill Group-Dutton, LLC By: Date Steve Byszewski on behalf □□ SHSI BY Dates Kenneth Quazza,, individually 7 By: Cot #* Dates (70 Y CED Thomas.A, Clemente on behalf of Bonded / By: Date Guido Gonzaleson behalf-of MG By:. Date: _ Javier DeMattoon behalf of NG By: Date: __ Pat Greeleyon, behalf of Penn. By: Dato: . JoAnne McGovern on behalf of Southwest Marine and General Insurance:Company By: Date: Sheri-Anin Marcinkiewicz on behalf of Evanston Insurance Company, END: OF DOCUMENT □□□□□□□□□□□□□□□□□□□□□□□□□ By Date: Finbar O'Neill on behalf of ONeill Group-Dutton, LLC By Date: Steve Byszewski on behalf of SEST By: Date: _ Kenneth Quazza , individually bys. ow tune oe □ a Date □□ □□ Thomas A, Clemente on penal of Bonded . he Le rnsnannrnnmagher ef PiOBEE Guido Gonfales on‘behalf of MG By: Date: Javier DeMatto oft behalf of NG By: ae Date: _ Pat Greeley on. behalf of Penn By: _ □□ Date: a JoAnne McGovern. on behalf of Southwest Marine and General Insurance Company By: __ a Date: Sheri-Ann Marcinkiewiez on behalf of Evanston Insuranee Cortipatiy. [Page be tute atta tte te cunts ya meat ta qe vaiigaviparial Gitiig ae waumenp ov anne ase By Dates Finbar O'Neill on behalf. of ONeill Group-Dutton, LLC . By: Dates _. Steve Byszewski on bchalfof SESI By: _ Date: Kenneth Quazza , individually By: een Dates a ‘Thomas A,.Clemente.on behalf‘of Bonded. By: Date: . Guido Gonzales.on behalf of MG . Javier nf Gehalf of NG- □□ Dates _ __ Pat Greeley behalf of Penn. JoAnne McGovern on behalfcf Southivest Marine.and General Insurance :Gompany Bye Date:. Sheri-Ann Marcinkiewicz on behalf of Evanston Insurance Company. ©) END OF DOCUMENT . 6|Pape By: Date: Finbar O’Neili on behalf of The O’Neill Group-Dutton, LLC By: Date: Steve Byszewski on behalf of SESI By: Date Kenneth Quazza , individually By: Date: Thomas A. Clementeon behalf of Bonded By: Date: Guido Gonzaleson behalf of MG By: Date: _ Javier DeMattoon behalf of NG py: Gata hl A}. Asluy Date: dy plow Pat Greeley on behalf of Pen . By: Date: JoAnne McGovern on behalf of Southwest Marine and General Insurance Company By: Date: Sheri-Ann Marcinkiewicez on behalf of Evanston Insurance Company. 15150818,1;10908-0003 By: Date: . Finbar O* Neill on behalf of ONeill Group-Dutton, LLC By: Date: Steve Byszewski on behalf of SESI By: Date: Kenneth Quazza , individually By: Date: Thomas A, Clemente on behalf of Bonded By: Date: Guido Gonzales on behalf of MG By: Date: Javier DeMatto on behalf of NG By: Date: Pat Greeley on behalf of Penn By: Ge Loansee lege LOU Date: 07/17/2020 JoAnn#’McGovern on behalf of Southwest Marine and General Insurance Company By: Date: Sheri-Ann Marcinkiewicz on behalf of Evanston Insurance Company. sipase ee □□ ben en te cee een cite veut fats antate ae te kee] Mg ieee pie att iy ore orp ene aac ont ae HERG Raa dal ECE RH Fit rata a □□□ □□ A nae a earns here yg eau □□ mee PELE a ee tity ps eae Te Reba yOpau tnag eaten Rett a gee eae ae a lik eps ME ee OO PR etn ama ea Hey Wer po ee ae ee □ Co cn □□ Oe □ □ a SN Beara Cs Een Saas RUT anu ania rf SREAGS □□ AUS Tee GE ah eas RE □□□□ Gil ep ECA a CREA ANSTO es Reni pec ee dent tate Ses ene □□ AeA: DE ce papa ryt ods meine □□□□ □□ arm Oe eee NC caer ehairen magnereed ure Uy i eee ye iereno alee ai Bre eT OE eu eg es Goa □ □□ stan yee A UE rie AL RE ate Sar Rou Pe sear ariel Barls □□□ Sree Ue SR once ine □□□□□ □□ areas ree PER Rap eat □□□ aaeea anni LRT anal Uys aierad Hoe So ge Rea! duty □□□□ □□□ □□ TARE: Gap Cn cMerer et Ge ener ty □□ enc Eee SE SPC UR ee □□□ □□ □□□ □□□ al giab einer aster se err on Say ha pete see pee Hiaag ie oa ee ch etsa ee SUNT a cere Re SN enue Nein limes Be ae Gn aed ctr ee ee □□ □ ee PEN ar ai Bite ber pabercea eee Anca eae BG Soe ch iat Uist □□□□□□ □□□ □ □□□ srg ne rage WPA tena ea caput pearihen nerd ifdoctare ape chguiy Seay 4 capes Sore ie elit tes ela y SG aa □□□ Gat □□ □□ □□ ra CECE Ma Gear Big Sunes alee estan cara yee Son 3 Na pegs ee eS UE ea eta □□ □□□□ □□□ a radars nope pil eee ee hie eee eas oe ose ee Laer eC ae □□ □□ ony Ae ui Recs are na mer More ple MR a ean eerie □□□□ □□ □□□□ Pier tens Bitar BT ArT oat arene eres eet arenas cota Hoste jaa Wa SS aah conte Pie ee □□□ ale Pek □□ □□□ □□ □□ □□□□ □□□ CINE re ae Hee teiliieee nd grees See ae) aati ei ee rec Jeans htoasmiph □□□□ □□□□□ □□□ □□□□ LB Nt REARS ADS HAE Eres Rhee sen teeta ia Pe See Ot a RE et eee □□ □□ □□□□ □□□□ POE RE ERT Etre a EURO wee eae Ces □□ eA te ee aA EeRE Tans □□ aL ee SPM Tea □□ □□□ □□□ eC ea ee ie a bee aa tere ae eee □□□ □□ PANS SG PA Sierra □□□ □ oe Seemann er oe eee □□□ Ah onan nn eee So lane ene □□ Cena □□□ ACHTOUDSEAU Ole oe hee aes ae ee See Hane □□ ee oP nara na iene □□ Dearie Dey path eRe ress Gee Reeve giana Sate em et ie □□ □□□ □□□□ □ Rea enetee See eo Ut tee □□□ tele ere, ee pe Mar oes ie oe He NG of Coe □□□ □□ □□□□ iepreste ty Nee Sure pues □□ uras □□□ □□□ Acar anita oUt hee EI □□ ae eee SGU se ceine se tr □□□ □□ □□□□□□□ GUN Care meg ener rata aCe re one area Rte □□ ence gE Peel aise su en Ret ence □□ OTe SU te □□□ □□ □□□ a anal □□□ oe en Eee Pe Soe pepe ca ea ROE Bab ater Sanath anaes sure Seared seca □□□ USSR □ □□ □ ee eee eniue a Penang HEEL □□□ ee aa Sra Seas □□ BEERS ete SG □□□□□ □□ □□ oF Ae Pes Cant eet Pusan PSU EN Seer tee als vate ess eee See Maree pe reer ONS ASU AS □□ eC ae tegen ONAL Pe ee aie Geet aay Pea eerie fe He eat PE a □ eee a eee eer ereenieo eee a ue ee a Peas Lee one une Dat Ps as □□ □□□ eed rent reat BR ae eee ee i ea SCA emer idifeanbe sees ae meas Shots inane □□□□□□ □□□□ SCLC ee ubeiee nd eer ie Me Pa aes Pe □ □ Sens HAW ay □□□ See ee ete re Rosine □□ SEAL aes LrAl ea kas bec Rhos Mola taren ee □□□ ee Geren ereseua age! ee tac a ae a Ee nee Oe a Bene peru yencidy Prete lp rani eos Ucn liga ateee a EE □□□ □□□□ □□□□ ae So ee a ee □□ Cippanatey eres pee tay □□ neuear ciara ore petiaigis eries det ees nace ee □□□ SEE NT ie cay aa □□ □□ □□ pees Pip aca ees Ri arma er otras Pensa ae Uniaty Serer pt peace eerie Haar ene OIG anuan Mg nh are) □□□□ □□ □□ □□□ eet iat ani U ee am Terk ken RTE Person acter aCe it erin ST esr aamiey ge tebe le Bilan ryote PRES Pace □□□ □□□ ar sea Petals aredes canner Re ee are a aia ge guimron BLE Clic eas ec ei □□□□□ □□ □□□ □□□ pone tr renee eran aac □□□ Ae eee Pate oa NOE AL Ln yet Peace ee Sue ae neler ae □□□□ □□ ee Se ey atte? 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MEJIA, AS ADMINISTRATOR OF THE ESTATE OF MAXIMILIANO SABAN 1. PAYMENTS In consideration of the Settlement Agreement and Release for Elizabeth V. Mejia, as Administrator of the Estate of Maximiliano Saban (‘Plaintiff’), to which this document is attached, Evanston Insurance Company (“Evanston”), on behalf of OneKey, LLC, agrees to fund the annuity for a cost of One Million Three Hundred Thousand Dollars ($1,300,000.00), which will pay the future periodic payments (“Periodic Payments”), made according to the schedule as follows: i) Payable to Elizabeth V. Mejia (“Payee”): Starting 01/01/2021, the sum of $1,958.95 payable monthly, guaranteed for twelve (12) years, with the last guaranteed payment on 12/01/2032; and Guaranteed lump sum of $250,000.00 payable on 10/02/2032, End of payment schedule for Elizabeth V. Mefia. ii) Payable to Greysi Saban (“Payee”): Starting 08/18/2028, the sum of $25,000.00 payable annually, guaranteed for four (4) years, with the last guaranteed payment on 08/18/2031; and Starting 08/18/2032, the sum of $1,257.16 payable monthly for life, guaranteed for thirty (30) years. The last guaranteed payment will be made on 07/18/2062; thereafter, payments will continue for the lifetime of Greysi Saban. End of payment schedule for Greysi Saban. iii) Payable to Nathaly Saban Vicente (“Payee”): Starting 08/28/2032, the sum of $25,000.00 payable annually, guaranteed for four (4) years, with the last guaranteed payment on 08/28/2035; and Starting 08/28/2036, the sum of $1,459.35 payable monthly for life, guaranteed for thirty (30) years, The last guaranteed payment will be made on 07/28/2006; thereafter, payments will continue for the lifetime of Nathaly Saban Vicente. End of payment schedule for Nathaly Saban Vicente. The cost of the Periodic Payments is disclosed above as a condition of settlement. No part of the cost of the Periodic Payments may be paid directly to Plaintiff or any Payee, inasmuch as the parties negotiated for a structured settlement and the Periodic Payments and all other sums set forth herein constitute damages on account of personal physical injuries or sickness, within the meaning of Section 104(a)(2) of the Internal Revenue Code of 1986, as amended. 2. PLAINTIFF’S RIGHTS TO PAYMENTS Plaintiff acknowledges that the Periodic Payments cannot be accelerated, deferred, increased or decreased by Plaintiff or any Payee; nor shall Plaintiff or any Payee have the power to sell, mortgage, encumber, or anticipate the Periodic Payments, or any part thereof, by assignment or otherwise. 3. QUALIFIED ASSIGNMENT Plaintiff acknowledges and agrees that Evanston has elected to make a “qualified assignment,” within the meaning of Section 130(c) of the Internal Revenue Code of 1986, as amended, of Evanston’s liability to make the Periodic Payments set forth above to MetLife Assignment Company, Inc, (“Assignee”). The Assignee’s obligation for payment of the Periodic Payments shall be no greater than that of Evanston (whether by judgment or agreement) immediately preceding the assignment of the Periodic Payments obligation. Such assignment, when made, shall be accepted by Plaintiff without right of rejection, and shall completely release and discharge Evanston from the Periodic Payments obligation assigned to the Assignee. Plaintiff recognizes that upon such assignment, the Assignee shall be the sole obligor with respect to the Periodic Payments obligation, and that all other releases with respect to the Periodic Payments obligation that pertain to the liability of Evanston shall thereupon become final, irrevocable and absolute. If a qualified assignment as described above is made, Elizabeth V. Mejia, Greysi Saban and Nathaly Saban Vicente shall be secured parties of the Assignee, as described in the Qualified Assignment Release and Pledge Agreement executed among Plaintiff, Evanston and the Assignee to effect the assigoment, The qualified funding asset or assets purchased by the Assignee to fund the obligation assumed under the qualified assignment shall serve as security interest for the promise of the Assignee to make such payments. Except for the obligation to provide such security interest, the obligation of the Assignee to make such payments shall be no greater than the obligation of Evanston to make such payments under this Settlement Agreement. 4. RIGHT TO PURCHASE AN ANNUITY Evanston, itself or through the Assignee reserve the right to fund the liability to make the Periodic Payments set forth above through the purchase of an annuity policy from Metropolitan Tower Life Insurance Company (“Annuity Issuer”), Evanston or the Assignee shall be the sole owner of the annuity policy and shall have all rights of ownership. Evanston or the Assignee shall have the Annuity Igsuer mail or electronically transfer payments direotly to each of the Payee listed above. Plaintiff and/or each of the Payee listed above shall be responsible fot maintaining a current mailing address and, if applicable, bank account information for each of the Payee listed above with the Assignee. 5, BENEFICIARY . Any payments to be made after death of any Payee pursuant to the terms of this Settlement Agreement shall be made to the Estate of the Payee. After the age of majority, Fayee may submit a change of beneficiary in writing to the Assignee, If no such Beneficiary has been designated, ox if no such Contingent Beneficiary is living at the time of a Payee's death, then payments shall be made to the Bstate of the deceased Payee, No designation of a Contingent Beneficiary and no revocation of any such designation, shall be effective unless it is in writing, in a form acceptable to the Assignes, as applicable, duly executed by the Payee and delivered to the Assignee, as applicable, 6. DISCHARGE OF OBLIGATION . The obligation assumed by the Assignee to make each Periodic Payment shall be fully discharged upon mailing of a valid check or electronic equivalent funds transfer jn the amnount of such payment on or before the due date to the last address or account on recard for each of the Payee listed above or their Beneficiary with the Annuity Issuer. [f any of the Payee or Beneficiary notifies the Assignee that any check or electronic funds transfer was not received, then the Assignee shel] direct the Annuity Issuer to initiate a, stop payment action and, upon confirmation that such check was not previously negotiated or electronic funds transfer deposited, shall have the Annuity Issuer process a replacement payment. _‘Bxecuted this 24 dayof | Iv ly 52020. PLAINTIFF: hyat (I. Hoje Elizabeth ¥, Mejia, as Administrator of the _ Estate of Maximiliano Saban i. NEWMAN SETTLEMENT “ee eit Be GS fi So SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR ELIZABETH MEJIA Claimant's D.0.B: 10/02/92 Funding Date: 08/05/20 Today's Date: 06/29/20 Life Insurance Co: METLIFE (At) □ Normal * Life . Certain Expected FINAL OPTION _ Payout Payout Cost l. STRUCTURED SETTLEMENT BENEFITS $450,000 A. Monthly Benefit $1,958.05 per month beginning Jan-1-2021 for 12 $282,089 $282,089 years certain only : B. Deferred Lump Sums $260,000.00 at age 40 (Oct-2-2032) $250,000 $250,000 Approx Tax Free Internal Rate of Retumn= 1.90% Taxable Gauivatent Yield 15% Tax Bracket 2.24% 25% Tax Bracket 2.53% 28% Tax Bracket 2.64% 33% Tax Bracket 2.84% 35% Tax Brackat 2.92% H. TOTALS . . $532,080 «$592,089 $450,000 □ *Normal Expacted Payout only differs from Certain Payout when lifetime payments are Involved, Normal Expected Payout reflects the amount of money that would be paid to the claimant If he or she were receiving a lifetime payment and lived his or her normal life expectancy as predicted by the Annully Mortality Table 1983¢a). Assumptions: 1. The date of birlh shown above is corract (if lifetime payments ara involved). i, The annuity premium is recelved on or before thie above funding date. il. Any structured settlement contract would be for physical Injury payments as definad in IRG Seo, 104(a){2) and assigned under Sec. 130, ‘V7, This ts an illustration...not a contract. Should It contain any clerical errors, we reserve the right to correct them, V. Quote is only valid for 7 days. Benefits may vary after that time. In event of a rate change during the 7 day perlod, a signed iock-in may be needed within 24 hours to guarantee the benefits. & NEWMAN SETTLEMENT SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR NATHALY SABAN . eeee————Eo ee eee Claimant's D.O.B: 0a/2en4 Funding Date: 08/05/20 Today's Dafe: 06/29/20 Life Insurance Co: METLIFE {A+} Normal * Life Certain Expected FINAL OPTION Payout Payout Cost L STRUCTURED SETTLEMENT BENEFITS $425,000 A. College Edueation Fund $25,000.00 per year beginning at age 18 (8/28/2032) $100,000 $100,000 for 4 years certain only B, Lifetime Monthly Benefit $1,459.35 per month beginning at age 22 (8/28/2038) $525,366 $1,112,025 for life with 30 years cartain Approx Tax Free internal Rate of Retura= 2.66% □ Taxable Equivatent Yield 15% Tax Bracket 3.13% 25% Tax Bracket 3.55% 28% Tax Bracket 3.60% 33% Tax Bracket 3.97% . 35% Tax Bracket 4.09% li. TOTALS $625,366 $1,212,025 $425,000 *Normal Expected Payout only differs from Certain Payout when IIfelime payments are involved. Normal Expected Payout reflects the amount of money that would be paid to the claimant if he or she were receiving a lifetime payment and Bved his or her normal fife expectancy as predicted by the Annuity Mortality Table 1983({a), Assumptions: |, The date of birth shown above is correct (if Ilfetime payments are involved). . I. The annuiy premium is received on or before lhe above funding date, HI. Any structured settlement contract would be for physical Injury payments as defined In IRC Sec. 104{a}(2) and assigned under Sec. 130, KV. This is an Illustration..not a contract. Should it cantain any clerical errors, wa reserve the right to correct them. V. Quote Is only valid for 7 days. Benefits may vary after that time. In evant of a rate change during the 7 day period, a signed lock-in may be needed within 24 hours to guarantee the banefits. & ® NEWMAN SETTLEMENT ana —~ i aie : - a, 7 = ‘—n'. mr SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR GREYS! SABAN Glaimant's D.0.B: 08/18/10 Funding Date: 08/05/20 Today's Date: 06/29/20 Life insurance Co: METLIFE (A+) Normal * Life : Certain Expected FINAL OPTION Payout Payout Cost |. STRUCTURED SETTLEMENT BENEFITS $425,000 A. College Education Fund . $25,000.00 per year beginning at age 18 (8/18/2028) $100,000 $160,000 for 4 years certain only B. Lifetime Monthly Benefit □ $1,257.16 per month beginning at age 22 (8/18/2032) $452,578 $957,956 -for life with 30 years certain Approx Tax Free Intemal Rate of Return= 2.67% Taxable Equivalent Yield 15% Tax Bracket 3.07% 25% Tax Bracket 3.48% 28% Tax Brackat 3.63% 33% Tax Bracket 3.90% 35% Tax Bracket 402% | □ H. TOTALS $552,578 $1,057,956 $425,000 a St ‘Normal Expected Payout only differs fram Certain Payoul when Iifellme payments afe Involved. Normal Expected Payout reflects the amount of money that would be paid to the claimant if he or she were recelving a lifetime payment and fved his or her normal life expectancy as predicted by the Annuity Morlallty Table 1983(a). Assumptions: }. The date of birth shown above [s correct {if lifetime payments are involved). fl. The annuity pramlum Is received on or before the above funding date. {I Any structured seillement contract would be for physical Injury payments as defined in IRGC Sec. 104{a)(2) and assigned under Sec. 130. IV, This is an Ilustration,..not a contract. Should it contain any clerical errors, we reserve the right to correct them, ¥. Quote is only valld for 7 daye. Beneflls may vary after that time, in event of a rate change during the 7 day period, a signed fock-In may ba needed within 24 hours to guarantee the benefits. EXHIBITB Qualified Assignment, Release and Pledge Agreement in Accordance With Internal Revenue Code Section 130 □□ "Glalmant(s)-Secured Party": Elizabeth V, Meiia, as Administrator of the Estate of Meximiliano Saban “Assignor": Evanston Insuratice Company “Settiement Agreement) — Pate and title of Sstilement Agreement, Order or other document embodying Agsidnors obligation to make the agreed periodic payments] “Assignee”: MetLife Asslanment Company, Ing “Annuity issuer’: “Metropoitan Tower kife insurance Company “Effective Date”: ___, This Qualitied Assignment, Release and Pledge Agreement is made and entered Into as of the Effective Date by and among the undersigned parties with reference to the following facts: A, Glaimant(s)-Secured Parly and Assignor are parties to or are otherwise subject to or entitled to receive payments under the above-referenced Settlement Agreement, under which Assignor has liablity to make certaln periodic payments to or for the banefit of Claimant(s)}-Seoured Party as specified ar . referrad to in paragraph 15 of this Agreement (the “Periodlc Payments”); B. Assigner and Assignes-Debtor wish to effect a “qualified assignment” within the meaning and subject to the conditions af Sebtion 130(9) of the Internal Revenue Code of 1986, as amended (the “Gode”}, and C, Assignee-Debtor desires to grant to Claimant(a)-Secured Party a seourlty Interest to secure the liability being assumed by Assignee-Debtor to make the Periodic Payments. "Now, therefore, in consideration of the foregoing and for other good and valuable consideration, the parties agree as follaws: : 1. Assignment and Assumption; Release of Assignor. Assignor hereby assigns fo Assignee, and Assignee hereby accepts and assumes, ail of Assignor's liability to make the Periodic Payments. Each Claimant hereby accepts and consents to such assignment by Assignor and assumption by Assignes. Effective on the Effective Date, each Claimant hereby releases and dlecharges Agsignor fram ail liability to make the Periodic Payments, 2. Nature of Periodic Payments. The Periodic Payments constitute |. damages (other than punitive damages), whether by sult or agreement, or i. compensation under a workers’ compensation act, on account of personal injury or sicknees int a case Involving physical injury or physical sickness, within - □□□ meaning of Sections 130(c) and 104(a) of the Gade. □ . 3, Extent of Assignee’s Liabillty. Asslgnee-Debtor’s liability to make the Periodic Payments shail be no greater than the liab}lity ‘of Assignor immediately prior ta the Effective Date. Assignes assumes no ability other than the Ilability to make the Periodic Payments described In Paragraph 15. Assignee's lability to make the Periodic Payments shall be unaffected by any bankruptey or insolvency of Assignar. 4, Qualified Funding Asset. Assignee-Debtor will fund the Periodic Payments by purchasing trom Annulty Issuer a "qualified funding asset,” as defined in Seotion 130(d) of the Code, In the form of an annuity contract (the “Annulty”) iasued by Annuity issuer and providing for payments corresponding to the Periodic Payments. Assignee-Debtor shall be designated as the owner of the Annulty, All rights of legal ownership and control of the Annuity shall (subject to patagraph 12 of this Agreement) be and remain vested exclusively In Assignes-Debtor; provided, however, that the Annuity shall be used by Assignee-Debtor to fund the Periodio Payments and shall at all times be designated by Assignee- Debtor on Its records as being teken into account, under Section 130 of the Code, with respect to this Agreement. Notwithstanding anything to the contrary contained In this Agreement, neither any Claimant nor any Successor Payse shall have any rights wlih respect to the Annulfy of the payments thereunder that would cause any amount attributable to the Annuity to be currently includlble In the reciplant’s income or would otherwise affect the determination of when any recipient is treated as having tecaived any payment for income tax purposes, or would otherwise prevent this Agreement from satlsfying all of the conditions for 4 “qualified assignment" within the meaning of Section 130(c) of the Code, 5, Delivery of Payments. Assignee-Debtor may have Annuity issuer send payments directly to a Clalmant(s)-Secured Party, or, if applicable, to a Successor Payee {as defined in paraoraph 8 of this Agreement), or deliver payments by electronia funds transfer to a depasitory Institution In the United , States for credit (directly or indirectly) to an Insured account in the name of such Claimant(s)-Secured Party or Successor Payee. Such direction of payments under the Annuity shall not be deemed to afford the Claimant(s}-Securad party or any Successor Payee any rights of ownership or control of the Annuity. Each Clatmant(s)-Secured Parly and any Successor Payee shall af all times keep Annuity Issuer apprised of such Claimant(s)-Seoured Party's ar Successor Payea's current street addrees and telephone number and, if such Claimani(¢) —Secured Party or Successor Payee receives payments by slactronie funds transfer, the name, address, bank identifier number (BIN) and telephone number of the applicable depository Institution and the acoount number of the account to which the payments are to be credited. 6. Discharge of Liability. The Assignee-Debtor's lability to make each Periodic Payment to the Claimant{s)-Secured Parly or Successor Payee designated to receive such payment shail be discharged automatically at such time as a corresponding payment is made to such Glaimant(s)- Secured Party of Successor Payee by the Annuity Issuer. 7. Acceleration, Transfer of Payment Rights, None of the Perlodie Payments and no rights to ar intarest In any of the Perlodic Payments (all of the foregoing being hereinafter collectively referrad to as “Payment Rights") can be . Accelerated, deferred, Increased or decreased by any recipient of any of the Periodic Payments; . or ll Sold, assigned, pledged, hypothecated ar otherwise transferred of ancumbered, either directly or indirectly, unless such sale, assignment, pledge, hypothecation or other transfer or encumbrance (any such transaction being herelnafter referred to as @ “Trahsfer’)} has been approved In advance in a “Qualified Order’ as defined in Section 5891(b)(2) of the Code (a “Qualified Order") and otherwise complies with applicable state law, Including without limitation any applicable state structured settlement protection statute, . No Claimant(s)-Seoured Parly or Successor Payee shall have the power to effect any Transfer of Payment Rights except as provided in sub-paragraph (il) above, and any other purported Tranefer of Payment Rights shall be wholly void. If Payment Rights under this Agreement become the subject of a Transfer approved in accordance with sub-paragraph (ii) above the rights of any direct or indirect transferee of such Transfer shall be subject to the terme of this Agreement and any defense or claim in recoupment ariging hereunder. § Beneficiaries, Any Periodic Paymenis to be made after the death of any Claimant{s)-Secured Party or. Successor Payee shall be made to such party as shall have been designated In, or iri accordance with, ihe Settement Agreement or, if the Settlement Agreement dogs not provide for such designation, then to the party designated in conformity with this paragraph 8 Any party so designated is referred to In this Agreement as a" Beneficiary.” If no Beneficiary is living at the time of the death of a Clalmant(s)- Secured Party or Successor Payee, payment shall be made to the decedent's estate. As used in this agreement the term "Successor Payae” refers to a Beneficiary or an estate that has become entitled to receive Periodic Payments following the death of a Claimant(s)-Secured Party or a Suogessor Payee. Excopt ag otherwise provided in the Settlement Agreement, no designatlon or change of designation Page 2 ofa Beneficiary shali be effective unlaas auch change (l) is requested In a written request submitted to Assignee (or its authorized agent) In accordance with Assignes’s customary procedures for processing such requests; and (ii) is confirmed by Assignee (or Its authorized agent). Except for a designation that ls expressly identified In the Settlement Agreement as Irrevocable, any designation of a Beneficiary - ghall be deamed to be revocable; and no party that is designated as e Beneficiary {other than # party Iravacably dealgnated as a Beneficiary In the Settlement Agreement) shall, solely by virtue of its designation as a Beneficiary, be deemed to have any cognizable Interest in any Periodic Paymanis. - §, Assignee-Debtor hereby pledges and grants to Claimant(s)-Secured Party a Hen en and security interast in all of Assignea-Debtor's right, title, and interest in the Annutty and all payments therefrom In order to secure the obligation of Assignee-Debtor to make the Periodic Payments. Assignee-Debtor and Claimant(s)-Seoured Party shall notify Annuity issuer of the llen created under this Agreement and Assignee-Debtor shail deliver the Annuity to Claimant-Seoured Party upon execution of this agreement and receipt by Assignee-Debtor of the Annulty from Annuity lssuer. Assignee-Debtor shallhave no obligation fo perform any other acts In connection with the pledge and grant of sald security interest other than as expressly provided In this paragraph 9 of this Agraement. 40. Agsignee-Debtor shall have all rights of Ownership and control In the Annuity; including the right to raceive ‘and retain all benefits under the Annuity, which are hot inconsistent with the security interest granted under paragraph 9, and Claimani(s)-Secured Party shall have no right to anticipate, sell, assign, nledgo, encumber, or otherwise exercise any right with respect to the Annuity, so long 4s Assignee- Debtor has not failed due'to insolvency or bankruptey to make any of the Periodic Payments. If sucha failure occurs and Is coritinding, Claimant(s)-Secured Party shall have all of the rights and remadias of a secured party under the law then In effect in the State of Delaware. 11.The Annuity will bear the following legend: “NOTICE” “This annuity contract has been delivered to the possession of Elizabeth V. Melia, Gravel Saban and Nathaly Saban Vicente (Claimant-Sequred Party’) for the sole purpose of perfecting a lien and security Interest of such person in this contract. Clalmant-Seoured Party is not the owner of, and has ne ownership rights In, this coniract and may nat __ anticipate, sell, assign, pledge, encumber, of otherwise use this contract as any form of collateral. Please contact the issuer of this contract for further Information.” 12, Failure to Satisfy Section 130{c). If at any time prior to completion of the Periodic Payments, the Sattlement Agreement Is declared terminated in a final, non-appeslabla order of a court of competent Jurisdiction (or in the case of a workers’ compensation settlement, a final order of the applicable workers’ compensation authority) or If it is determined in any such final order that the requirements of Section 130(¢) of the Code have not been satisfied in connection with this Agreement: (|) the assignment by Assignor to Asaignee-Debtor of the liability to make the Perlodis Payments, Assignee's acceptance of suoh assignment and the release by Claimant -Secured Party(s) of Aselgnor's {lability shall be of no force or effect; iii) Assignee -Debtor shall be conolusively deemed fo be acting as the agent of Assignor; (ill) the Annuity shail be owned by Assignor, which shall retain the [lability to make the Periodic Payments; {iv) Assignae-Debtor shall have no liability to make any Periodic Payments; and (v} the parties hereto agree to cooperate in taking such actions as may ba necessary or appropriate to Implement the foregoing. 43, Governing Law; Disclosure of Gertain Tax information; Binding Effect. (} This Agreement shall be governed by and interpreted in accordance with the internal iaws of the Siate of New York provided, however, that any Transfer of Payment Rights under this Agreement may be subject to the laws of other states in addition to the state designated above. (it) This Agreement shail be binding upon the parties hereto and thelr respective successors, heirs, executors, administrators and permitted assigns, Inoluding without limitation any party asserting an interest in Payment Rights. Page & 14, Advice, Comprehension of Agraement. [n entering into this Agreement, each Clabnant-Seoured Party represents and watrante that (I) such Claimant hes relied solaly upon the legal and tax advice of puch Clalmant(sy-Secured Party's own aitorneya and ofhar advisors, whe are the attorneys and advisers of such Clalmante’ choice, concerning the legal and income tex consequences of this Agreement; and (il) the terms of thta Agreement have been completely read by and explained to such Clalment and are fully understood and voluntarily accepted by suoh Clalmant. 45, Deseription of Perladia Payments. The Periodic Payments are as sot forth immediately below ar (if . not set forth below) aa set forlh In attached Addendum No, 4, which Is hereby Incorporated in and □ Thade a part af ihis Agreement. □ Resoription of Periodic Payments: This Qualified Assiqnment and Refease Agreement is signed In one or more sountarparts a0 of the Effective Date by the following: . Agsignor: Evanston insurance Gompany Assignee: MetLife Assianmant Gempany, Inc, By: __ By: : ! Authorized Representative | Authorized Representative er | Title pe Claimants) Sorted Party: Elizabeth V. Melia, _f . Greys! Saban, and Nathaly Saban Vicente Approvert ax fo Forgtand Content: Leer “s EZ By: □ Atte for Clalmant-Secured Party iabeth V, Mella, as Administrator of MLicKt#tl ZeeyFe- the Extate of Maximiliano Saben - Pagead. : Addendum No, 1 : Description of Periodic Payments Chaimnant Elizabeth V, Mojla : Claimant Address! 70 Oak Street, lat Floor New Britain, Connecticut 06051 Claimant Social Security Number: = 222-82-4199 Date of Birth: 10/02/1992 Payee Name: _ Elizabeth V. Melia Payee Address: 70 Oak Street, Ist Floor New Britain, Connecticut 06051 Benefit(s): '{, Period Certain Annuity - $1,958.93 payable monthly, guaranteed for 12 year(s), beginaing on 01/01/2021, with last uarenieed payment on 2, Guaranteed Lanmp Sw - $250,000.00 paid as a lump sum on 10/02/2032 guaranteed. Claimant (2): Graysl Saban Claimant scene 70 Onk Street, lat Floor New Britain, Conneotiont 06051 . Claimant Social Security Number; 044-15-9570 Date of Birth: 08/18/2010 Payee Nana: Greys! Saban Payée Addrexs: 76 Oak Streat, let Floor New Britain, Conneaticut 06051 Benefit(a): 1. Period Certain Annuity - $24,000,00 payable annually, guaranteed for 4 . year(s), begining on 8/2028, with the last gnatasitcen payment on 2, Life with Certata Fexiod Annuity - $1,257.16 for life, payable monthly, guaranteed for 30 Fourth bapinning on 03/18/2032, with the last guaranteed payment on 07/18/2062, Claimant @) Nathaly Saban Vicente Clatmant Address: 706 Oak Street, lat Floor New Britain, Connentiout 06051 Claimant Social Seourlty Number: 016-65-7675 + Dateof Birth: 08/29/2014 Initials Assignor: ponerse ‘ _ Assignes-Debtor; = ——— Claimant(s) □ Secured Party: FAM . Attorney for . Clainaant- Me Seonred Party: : Page 4 ADDENDUM.No, 1 (continued) □ Payee Name: Nathaly Saban Vicente . Bayes Address: 70 Osk Street, lstFlear + New Britain, Connecticut 06051 : Henefit(s): 1, Period Certain Annuity - $25,000.00 payable annually, guarmiteed for 4 . year(s), beginning on 08/28/2032, with the last guaranteed payment an 2. Life with Certata Pertod Annuity ~ $1,459,535 for life, pa able monthly, guaranteed fot 30 yeasts) paging on 08/28/2036, with ihe last guaranteed payment ont 07/28/2066. Iniéfals Assignor: ee : Assignee-Debtor; —____. Claimant(s) : . , Secured Party: CNM Attorney for Claimatit- u / Secured Party: Page 6 EXHIBITC MetLife Metropolitan Life Insurance Company New York, NY Metropolitan Life Insurance Company (herein called MetLife) certifies that it will make the payments described in this certificate. Group Annuity Contract No. . 8298 □ Certificate No. XXXX Measuring Life Jane Doe Date of Birth of Measuring Life _ October 25, 1964 Owner METLIFE TOWER RESCURCES GROUP, INC, Annuity Commencement Date July 15, 2005 Beneficiary (if any) Primary: Kim , John Doe & Jack Doe Equally Or To The Survivor Contingent: Mary Doe, Sister, Sam Doe, Brother, & Jackie Doe, Sister NOTICE This annuity contract has been delivered to the possession of Jane Doe for the sole purpose of perfecting a lien and security interest of such person in this contract. Jane Doe is not the owner of, and has no ownership rights in, this contract and may not anticlpate, seil, assign, pledge, encumber, or atherwise use this contract as any form of collateral. Please contact the issuer of this contract for further information. Form G.4324A _ Rights of Owner: The Owner owns the annuity described in this certificate. The Owner will have the right at any time to designate the payee, including the Beneficiary, to whom benefits are payable under the annuity. However, unless the Owner otherwise directs, MetLife will make all payments under the annuity to the person(s) named in the certificate, In addition, at any time after the death of the Measuring Life, the Owner may direct MetLife to pay, in lieu of any term certain annuity payments described in this certificate, the commuted value of all remaining term certain annuity payments in a single sum to a payee named by the Owner. The commuted value of such annuity payments will □□ calculated using the same interest rate(s) as that used in determining the purchase price of the annuity. No such change in payee or terms of payment will be effective until written notice of the change is received by MetLife. However, any change in a Beneficiary designation will take effect as of the date the request was signed but without prejudice to MetLife on account of any payment made by it before receipt of the request. When contacting MetLife the Owner should mention the Contract number and the name and certificate number of the Measuring Life. Proof of Living: MetLife may require proof that the Measuring Life, the Beneficiary or other payee, as the case may be, is living on the date on which any annuity payment is to be made. If proof is requested, no payment will be made until the proof has been received by MetLife. - Beneficiary: If two or more Beneficiaries are designated and their respective interests are not specified, their interests will be several and equal. Change or Waiver: No sales representative or other person, except an authorized officer of MetLife, may make or change any certificate or make any binding promises about any certificate on behalf of MetLife. Any amendment, modification or waiver of any provision of this certificate will be in writing and may be made effective on behalf of MetLife only by an authorized officer of MetLife. Misstatements: If the age or sex of the Measuring Life or any other relevant fact has been misstated, MetLife will not pay a greater amount of annuity than that. provided by the actual amount received to purchase the annuity and the correct information. Any overpayment of annuity will, together with interest, be deducted from future annuity payments. Any underpayment of an annuity will, together with interest, be paid immediately upon receipt of the corrected information. The interest rate(s) will be that used in determining the purchase price of the annuity. Nonassignability; Claims of Creditors: This certificate and the payments provided under it are nonassignable and will be exempt from the claims of creditors to the maximum extent permitted by law. Form G.4324A (2} Payment of Annuity: MetLife will make payments under this certificate as follows: On and after July 15, 2005 and while the Measuring Life is living, but in any case up to and including June 15, 2025, MetLife will pay monthly annuity payments to the payee’ named by the Owner. If the Measuring Life dies before June 15, 2025, and unless the Owner directs otherwise, MetLife will pay to the Beneficiary, up to and including June 15, 2025, the monthly annuity payments that are payable after the death of the Measuring Life. The rate of the monthly annuity payments is shown in item (1) below. (i) Monthly Rate of Annuity; $2,013.00. On and after October 25, 2019 and while the Measuring Life is living, but in any case up to and including September 25, 2039, MetLife will pay monthly annuity payments to the payee named by the Owner, If the Measuring Life dies before September 25, 2039, and unless the Owner directs otherwise, MetLife will pay to the Beneficiary, up to and including September 25, 2039, the monthly annuity payments that are payable after the death of the Measuring Life. The rate of the monthly annuity payments is shown in item (2) below. (2) Monthly Rate of Annuity: $914.00. Form G.4324A (3) ! e a MetLife Metropolitan Life Insurance Company 200 Park Avenue, New York, NY 10166 ENDORSEMENT Notwithstanding any provisions to the contrary, this certificate is hereby endorsed as of its issue date as follows: This certificate is not assignable. !t cannot be transferred, assigned or pledged as collateral for a loan. Payments under this certificate cannot be changed or accelerated and paid before the payment due date. No annuity payments payable under this certificate are payable in a single-sum, except as provided below: if MetLife is presented with a court order which is a “qualified order’ within the meaning of Section 5891 of the Internal Revenue Code of 1986, as subsequently amended, (the “Cade”) which orders the commutation of all or a portion of the remaining guaranteed payments to be paid under a structured settlement for which this certificate has been issued as a funding asset, MetLife will pay to a payee named by the owner a commuted payment. . MetLife will calculate the amount of the commuted payment using 95 percent of its annuity purchase rates in effect on the date of the court order, for the same or similar certificates. Only the remaining guaranteed payments will be commuted. If such annuity rates are not available, the commuted payment will equal the present value of such guaranteed payments, and calculated using the following interest rate: the annual effective yield based on the current 30-year LIBOR swap rate plus 120 basis points (Source: Federal Reserve Statistical Release H.15) at the close of business on the date of the court order. If this date is nota business day, we will use the interest rates reported on the next following business day, Any remaining portions of such guaranteed payments that are not commuted will be made on their specified due dates. All requests for a commutation payment will be subject to MetLife's approvai which will not be unreasonably withheld. Metropolitan Life Insurance Company . Gwenn L. Carr Senior Vice President and Secretary Form G.20247-571B EXHIBITD © MetLife Metropolitan Tower Life Insurance Company Lincoln, NE | Evidence of Guarantee Pursuant to authority granted by its Board of Directors, □ Metropolitan Tower Life Insurance Company (“Met Tower Life”) has agreed to guarantee any payment or other obligation required to be made or performed by MetLife Assignment Company, [nc., a wholly owned subsidiary of MetLife, on or after May 15, 2017 in connection with the purchase of annuities from Met Tower Life. — Tim Brown Senior Vice President Metropolitan Tower Life Insurance Company EXHIBITE NEWMAN SETTLEMENT ea? TS Pee ITS WS SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR _ ELIZABETH MEJIA Claimant's D,O.B: | 40/02/92 Funding Date: . 08/05/20 Today's Date: - o7/27/20 Life insurance Co: METLIFE (A+) □ Normal * Life Certain Expected Option f Payout Payout Cost A. Lifetime Monthly Benefit $1,211.43 per month beginning Jan-1-2021 for life $581,436 $835,887 $450,000 with 40 years certain Approx Tax Free Internal Rate of Retura= 2.42% Taxable Equivalent Yield ‘ . : 15% Tax Bracket . 2.85% 25% Tax Bracket 3.23% □ 28% Tax Bracket 3.36% . . 33% Tax Bracket 3.61% 35% Tax Bracket 3.72% li, TOTALS $581,486 $835,887 $450,000 “Normal Expected Payout only differs from Certain Payout when lifetime payments are involved, Normal Expected Payout reflects the amount of money that would be pald to the claimant If he or she were recalving a Iifetlme payment and lived his or her normal life expectancy as predicted by the Annuily Mortality Table 1983(a). Assumptions: |. The date of birth shown above ig correct (If lifetime payments are involved), Tha annuity premium Is received on or before the above funding date. I, Any structured settement contract would be for physical injury payments as defined In IRG Sec. 104(a)(2) and assigned under Sec, 130. us iV. This is an illustration...not a contract. Should it contain any clerical errors, we reserve the right to correct them. V. Quote Is only valid for 7 days. Benefits may vary after that {ime. In event of a rata change during the 7 day perlod, a signed fock-In may be needed wlihin 24 hours to guarantee the benefits. NEWMAN SETTLEMENT SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR ELIZABETH MEJIA oeeEeEeEeEeE———— rr Claimant's D.O.B; 10/02/92 Funding Date: 08/05/20 Today's Date: 07/27/20 Life Insurance Co: METLIFE (A+) SS Pe ey Normal * . Life Certain Expected Option 2 Payout Payout Cost rl I. STRUCTURED SETTLEMENT BENEFITS A. Deferred Lump Sums . $25,000.00 at age 30 (Oct-2-2022) $748,505 $748,505 $450,000 $50,000.00 at age 35 (Oct-2-2027} $100,000.00 at age 40 (Oct-1-2032} - $125,000.00 at age 45 (Oct-2-2037) $150,000.00 at age 66 (Oct-2-2042} $298,504.72 at age 55 (Oct-2-2047) Approx Tax Free Intemal Rate of Return= 2.44% - ‘Taxable Equivalent Yield 16% Tax Bracket 3.11% 26% Tax Bracket 3,52% 28% Tax Bracket 3.67% . . * 38% Tax Bracket 3.94% 35% Tax Bracket 4,08% ll. TOTALS $748,505 $748,505 $450,000 ——=$—<————— ee “Normal Expected Payout only differs from Certaln Payout when {ifetime paymenis are Involved, Normal Expected Payout reflacts the amount of money that would be paid fo ihe claimant if he or she were recelving a lifetime payment and lived his or har normal life expectancy as predicted by the Annuity Mortality Table 1983(a). Assumptions: |. The date of birth shown above Is correct (if lifetime payments are invalved). li, The annuity premium is recelved on or before the above funding date; tl. Any structured settlement contract would be for physical Injury payments as defined In IRC Sec. 104(a)(2} and assigned under Sec. 130. IV. This is an illustration,..not a contract. Should It contain any clerical errors, wa reserve the right to correct them, V. Quote Js only valid for 7 days, Benefits may vary after that tIme. In event of a rate change during the 7 day period, a signed lock-in may be needed within 24 hours to guarantee the benafits. NEWMAN SETTLEMENT ee . So SERVICES GROUP _ CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR ELIZABETH MEJIA . Claimant's D.0.8: 10/02/92 Funding Date: 08/05/20 Today's Date: 07/27/28 Life Insurance Co: METLIFE (A+) Normal * □ Life Certain Expected Ontion3 | Payout Payout . Cost STRUCTURED SETTLEMENT BENEFITS $450,000 A. Monthly Benefit $1,955.69 per month beginning Jan-1-2021 for 12 $281,619 $281,619 years certain only B. Deferred Lump Sums $250,000.00 at age 40 (Oct-2-2032) $250,000 $250,000 Approx Tax Free Internal Rate of Return= 1.90% Taxable Equlvatent Yield 16% Tax Bracket 2.244 25% Tax Bracket 2.59% 28% Tax Bracket 2.64% □ 33% Tax Bracket 2.84% 35% Tax Bracket 2.92% I. TOTALS $531,619 | $531,619 $450,000 *Nermal Expacted Payaut only differs from Gertaln Payout when lifetime payments ate involved, Normal Expected Payout reflects the gmount of money that would be paid to the claimant If he or she were receiving & fifetime payment and ilved his or her normal life expectancy a3 predicted by the Annulty Mortalily Table 1983{a). Assumptions: |. The date of birth shown above Is correct df lifetime payments are Involved). I. The annuity premium is recelved on or before the above funding date, lll. Any structured settlement contract would be for physical Injury payments as defined In IRC Sec, 104 (a}(2} and assigned under Sec, 430, IV. Tals Is an illustration...not a contract. Should it contain any clerical errors, we reserva the right to correct them. V. Quote is only valid for 7 days, Benefits may vary after that time. In event of arate change during the 7 day period, a signed lock-in may be needed within 24 hours to guaranteo the benefits. NEWMAN SETTLEMENT ey SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR ELIZABETH MEJIA Claimant's 0.0.B: 10/02/92 Funding Date: 08/05/20 Today's Date: 07/27/20 Life Insurance Co: METLIFE (A+) Sa i i ihe , Normal * . Life Certain Expected Option 4 Payout Payout Cost STRUCTURED SETTLEMENT BENEFITS A. Monthiy Benefit $1,759.45 per month beginning Jan-1-2021 for 30 $633,402 $633,402 $450,000 years certain only Approx Tax Free internal Rate of Return= 2.40% Taxable Equivalent Yield 15% Tax Bracket 2.82% □ 25% Tax Bracket 3.20% 28% Tax Bracket 3.33% 33% Tax Bracket 3.58% 35% Tax Bracket 3.69% fi. TOTALS $633,402 $633,402 $450,000 SS □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ *Normal Expected Payout only differs from Certain Payout when lifetime payments are Involved. Normal Expected Payout reffects the amount of money that would be pald to the clalmant if he or she were receiving a Ilfatime payment and lived his or her normal life □ expectancy as predicted by the Annuity Mortallty Table 1983{a). Assumptions: |, The date of birth shown above Is correct (if lIfetime payments are involved). ll. The annuity premium ls recelved on or before the above funding date. Hl. Any structured settlement centragt would be for physical injury payments as defined In IRC Sac. 104{a){2} and assigned under Sec. 130. iV. This is an lfustration...not a contract. Should It contain any clerical errors, we reserve the right to correct them, V. Quote ts only valld for 7 days. Genefits may vary after that time. In event of a rate change during the 7 day period, a signed tack-in may be needed within 24 hours to guarantee the benefits, : NEWMAN SETTLEMENT ey SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR ELIZABETH MEJIA Claimant's D.O.B: 40/02/92 Funding Date: 08/08/20 Today's Date: 07/27/20 □ Life Insurance Co: METLIFE (A+) Normal * Life Certain Expected Option 5 Payout Payout Cost A. Monthly Benefit : $1,635.77 per month beginning Jan-1-2021 for 34 $667,394 $667,394 $450,000 years certain only Approx Tax Free Internal Rate of Return= 2.47% . Taxable Equivalent Yield 15% Tax Bracket 2.91% | 25% Tax Bracket 9.29% 28% Tax Bracket 3.43% 33% Tax Bracket 3.69% 35% Tax Bracket 3.80% 1], TOTALS $667,394 $667,394 $450,000 ng “Normat Expected Payout only differs from Cerfaln Payout when lifetime payments are Involved, Normal Expected Payout reflects the . amount of money that would be paid to the claimant If he or she were recelving a lifetime payment and lived his or har normal life expectancy as predicted by the Annuity Mortallty Table 1983{a). Assumptions: |, The date of birth shown above Is correct (f lifetime payments are Involved). li, The annuity premium Is received on or before the above funding date. ‘ WW. Any struclured settfement contract would be for physical injury payments as defined In IRC Sec. 104(a)(2) and assigned under Sec, 130. : IV. This Is an illustration...not a contract. Should it contain any clerical errors, we reserve the right to correct them. ¥, Quote Is only valld for 7 days. Benafits may vary after thal time. In evant of a rate change during the 7 day period, a signed lock-in may be needed within 24 haurs to guarantee the benefits. NEWMAN SETTLEMENT Cee Let . w~ SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR ELIZABETH MEJIA eeees@®«QQug SSS SSS SST Clalmant’s D.0.B8: 10/02/92 Funding Date: GB/05/20 Today's Date: ., 07/27/20 : Life Insurance Co: METLIFE (A+} PS rH Normal * Life Certain Expected Option 6 Payout Payout Cost STRUCTURED SETTLEMENT BENEFITS $456,000 . A. Monthly Benefit $1,496.24 per month beginning Jan-1-2021 for 22 $395,007 $395,007 years certain only B. Deferred Lump Sums : $260,000.00 at age &0 (Oct-2-2042) □ $250,060 $250,000 Approx Tax Free Intarnal Rate of Return= 1,90% Taxable Equivalant Yleld 15% Tax Bracket 2.24% 25% Tax Bracket 2.53% 28% Tax Bracket 2.64% . 33% Tax Bracket 2.84% 35% Tax Bracket 2.92% i. TOTALS $645,007 © $645,007 $450,000 *Normal Expected Payout only differs from Certain Payout when lifetime payments are invelved. Norma! Expected Payout reflects the amount of money that would be paid to the claimant ifhe or she were receiving a lifetime payment and lived hls or har normal life expectancy as predicted by the Annuity Mortalily Table 1983{a). Assumpilons: I. The date of birth shown above is correct {if lifatine payments are involved). Jf. The annulty premium [s received on or before the above funding date. : ifl.. Any structured settlement contract would be for physical injury payments as defined in IRC Sac. 104(a}(2} and assigned under Sec. 130. . iV. This Is an ifustratlon,..nof a contract. Should it contain any clerical errors, we reserve the right to correct them, ‘ V. Quote [s only valid for 7 days. Benefits may vary after that time. in event of a rate change during the 7 day period, a signed lock-in may be needed within 24 hours to guarantee the benefits, NEWMAN SETTLEMENT NW SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR NATHALY SABAN Claimant's D,0.B: 08/28/14 - Funding Date: 08/05/20 Today's Date: o7/27/20 Life Insurance Co; METLIFE (A+) Normal * . Life Certain Expected Qption 1 Payout Payout Cost l. STRUCTURED SETTLEMENT BENEFITS $470,000 A. Gollege Education Fund $50,000.00 per year beginning at age 18 (8/28/2032) $200,000 — $200,000 for 4 years certain only B. Deferred Lump Sums , $100,000.00 at age 25 (Aug-28-2039} $532,860 $532,860 $150,000.00 at age 30 (Aug-27-2044) . $282,860.21 at age 35 (Aug-27-2049} Approx Tax Free internal Rate of Retun= 2,70% Taxable Equlvatent Yield 16% Tax Bracket 3.18% 25% Tax Bracket 3.60% 26% Tax Bracket 3.75% 33% Tax Bracket 403% 35% TaxBracket 4.15% i. TOTALS $732,860 $732,860 $410,000 *Normal Expected Payout only differs from Certain Payout when lifetime payments are involved. Normal Expected Payout reflects the amount of money that would be pald to fhe claimant If he or she were recelving a lifetime payment and lived hls er her normal iife expectancy as predicted by the Annuity Mortality Table 1983{a). Assumptions: |. The date of birth shown above és correct (if iifatime payments are involved). . il. The annuity premium 's recelved on or before the abave funding dale, . ill. Any structured settlement contract woud be for physical injury payments as defined In IRG Sec. 104(a) (2) and assigned under Sec, 730. . iV. This {s an ilustration...nof a conteact, Should it contain any clerical errors, we reserve the right to correct them. V. Quote Is only valid for 7 days. Benefits may vary after that fia. in avent of arale change during the 7 day perlod, a signed fock-In may be needed within 24 hours to guarantee the benefits, fx, NEWMAN SETTLEMENT SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR NATHALY SABAN Claimant's D.0,B: 08/28/14 Funding Date: 08/05/20 ‘Today's Date: 07/27/20 Life Insurance Go: METLIFE (At) i ere SSS ely pS Normal * Life Certain Expected Option 2 Payout Payout Cast A. Lifetime Monthly Benefit $1,471.74 per month beginning at age 18 (8/28/2032) $706,424 $1,192,085 $410,000 for life with 40 years certain Approx Tax Free Internal Rate of Return= 2.64% Taxable Equivalent Yield 15% Tax Bracket 3.11% 25% Tax Bracket 3.62% □ 28% Tax Bracket 3.87% 33% Tax Bracket 3.94% 36% Tax Bracket 4,06% . Ik TOTALS $706,427 $1,192,085 $410,000 ee SS SS *Normal Expected Payaut only differs from Certaln Payout when ilfetime payments are Involved, Normal Expected Payout reflects the amount of money that would be pafd fo the clalmant If he or she were recelving a lifetime payment and jived his or her normal life expectancy as predicted by the Annuity Mortality Table 1983(a). / □□ Assumplions: ‘ |. The date of birth shown above fs correct (If lifetime payments are Involved). □ ll. The annuity premium ts received on or before the above funding date, □ ill. Any structured setttement contract would he for physical injury payments as defined in IRC Sec. 104(a}(2} and assigned under Sec. 430. iV. This fs an illustration...not a contract. Should it contain any clerical errors, we reserve ihe right to correct them. Quote Is only valid for 7 days. Benefits may vary after that tlme.. In event of a rate change during the 7 day period, a signed lock-in may be needed within 24 hours to guarantee the benefits. NEWMAN SETTLEMENT pe SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR | ' NATHALY SABAN . . Claimant's D.0.B: 06/28/14 Funding Date: 08/05/20 □ Today's Date: | O7/27/20 Life Insurance Co: METLIFE (A+) . Normal * Life . Certain Expected Option 3 Payout Payout Cost f. STRUCTURED SETTLEMENT BENEFITS $410,000 © A. College Education Fund □ $25,000.00 per year beginning at age 18 (8/28/2032) $100,000 $100,000 for 4 years certain only B. Lifetime Monthly Benefit $1,383.57 per month beginning at age 22 (8/28/2036) $664,114 = $1,054,280 . for life with 40 years certain Approx Tax Free {ntemal Rate of Return= 2.64% . □ Taxable Eguivatent Yield , 15% Tax Bracket 3.11% : 25% Tax Bracket 3.62% 28% Tax Bracket 3.67% . 93% Tax Bracket 4.94% 35% Tax Bracket 4.06% Il TOTALS $764,174 $1,154,260 $410,000 a ES *Normal Expected Payout only differs from Certain Payout when lifetime payments are Involved. Normal Expacted Payout Taflacts the ameunt of money that would be paid to the claimant if ke or she ware recelving a lifetime payment and fived his or her normal life expectancy as predicted by the Annuity Mortality Table 1982a). Assumpilons: □ L. The date of birth shawn above is correct (if tifetime payments are involved). {. The arnuity premium fs recelved on or before the above funding date, lil, Any structured settlement contract would be for physical injury payments as defined in [RG Sec. 404(a){2) and assigned under Sec, 140, (V. This is an dilustration...not a contract. Should It contain any clerical errors, we reserve the right to correct them. V. Quote Is only vail for 7 days. Benefits may vary after that time. In event ofa rate change during the 7 day perlad, a signed lock-In may be needed within 24 hours to guarantee the benefits. : . NEWMAN SETTLEMENT Sore □ □□ SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR NATHALY SABAN □ —eaaQaQaQaQaQaS SS rr re Claimant's D.O.B: 08/28/14 Funding Date: 08/05/20 Today's Date: 07/27/20 Life Insurance Co: METLIFE (A+) nr erin Normal * Life Certain Expected Option 4 □ Payout Payout Cost 1. STRUCTURED SETTLEMENT BENEFITS $410,000 A. Monthly Benefit $2,794.99 per month baginning at age 18 (8/28/2032) $402,479 $402,479 for 12 years certain only B. Deferred Lump Sums $300,000.00 atage 30 (Aug-28-2044) $300,000 $300,000 Approx Tax Free internal Rate of Return= 2.69% Taxable Equivalent Yield . 15% Tax Bracket 3.16% 25% Tax Bracket 3.69% : 28% Tax Bracket 3.74% : 33% Tax Bracket 4.01% 35% Tax Bracket 4.14% TOTALS $702,479 $702,479 $410,000 IIL SSE a a a re rt *Normal Expected Payout only differs from Cerfain Payout when Hfetime payments are involved. Normal Expected Payout reflects the amount of money that would be pald to the claimant If he or she were recelving a lifetime payment and lived his or her normal life expectancy as predicted by the Annuity Mortality Table 1983(a). Assumplons: |. The date of birth shown above Is correct (if IIfetime payments are Involved). li. The annuity premium js recelved on or before the above funding date. til, Any structured settlement contract would be for physical injury payments as defined in IRC Sec, 104(a){2) and assigned under Sec. 130. IV. This is ar Iilustration...not a contract. Should it contain any clerical erfors, we reserve the right fo carrect them. V. Quote Is only valid for 7 days. Benefits may vary after that Ime. In event of a rate change during the 7 day period, a signed lock-in may be needed within 24 hours fo quarantee tite benefits, : WY SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR NATHALY SABAN Claimant's D.O.B: 08/28/14 Funding Date: 08/05/20 Today's Date: 07/27/20 Life Insurance Co: METLIFE (A+) Norma! * . Life Certain Expected Option 5 . Payout Payout Cost A, Lifetime Monthly Benefit $4,536.62 per month beginning at age 18 (8/28/2092) $553,183 $1,244,662 $425,000 for life with 30 years certain Approx Tax Free Internal Rate of Return= 2.67% □ Taxable Equivalent Yield 15% Tax Bracket 3.14% ' 25% Tax Bracket 3.66% 28% Tax Bracket 3.71% 33% Tax Bracket 3.99% 35% Tax Bracket 441% fi. TOTALS $553,183 $1,244,662 $425,000 nn ‘ . “Normal Expected Payout onty differs from Certain Payout when lifetime payments are Involved. Normal Expected Payout reflects the amount of money that would be pald to the clalmant if he or she were recelving a tifetime payment and llved his or her norma (lfe _ expectancy as predicted by the Annulty Mortality Tabla 1983 (a). Assumptions: - i. The date of bith shown abave Is correct {{f lifetime payments are Involved). il. The annuity premium |s recelved on or before Ihe abave funding date. il, Any structured settlement contract would be for physical injury payments as defined In IRC Sec. 104(a}(2) and assigned under Sec. 130. IV. This is an iflusiration...not a contract. Should it confain any clerical errors, we reserve the right to correct therm. V. Quote is only valid for 7 days. Baneflts may vary after ihat ime. In event of a rate change during the 7 day period, a signed lock-in may be needed within 24 hours to guarantee the benefits, NEWMAN SETTLEMENT ww” SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR NATHALY SABAN oes SE TY Claimant's D.O,B: 08/28/14 Funding Date: 08/05/20 Today's Date: 07/27/20 Life Insurance Co: METLIFE (A+) . . rr SS PPP ili i SR Normal * Life . Certain Expected Option 6 Payout Payout Cost l. STRUCTURED SETTLEMENT BENEFITS $425,000 A. College Education Fund $25,000.00 per year beginning at age 18 (8/28/2032) $190,000 $100,000 far 4 years certain only B. Lifetime Monthly Benefit , $1,457.60 — per month beginning at age 22 (8/28/2036) $524,736 $1,110,694 for lifa with 30 years certain Approx Tax Free Intemal Rate of Retum= 2.66% Taxable Equivalent Yield 16% Tax Bracket 3.13% 26% Tax Bracket 3,58% 28% Tax Bracket 3.69% 33% Tax Bracket 3.97% 35% Tax Bracket 4.09% : H. TOTALS . $624,736 $1,210,694 $425,000 ———=—*_E=_—lllll a rt rere “Normal Expected Payout only differs from Certaln Payout whan lifetime payments are involved. Normal Expected Payou! reflacts the amount of money that would be pald to the claimant if he or she were receiving a lifetime payment ard Ilved his or ber normal life expectancy as predicted by the Annuity Mortally Table 1983¢a). Assumptions: {. The date of binh shown above correct (if Iifetime payments are Involved}. il. The annuity premium is received on or before the above funding date. : □ li. Any structured settiement contract would be for physicaf [njury payments as defined In IRC Sec. 104{a)(2) and assigned under Sec. 130. IV. This is an illustration...not a contract. Should It contaln any clerical errors, we reserve the right te corect them. V. Quote Is only valld for 7 days. Benefits may vary after that time, In event of a rate change during the 7 day period, a signed lock-In may be needed within 24 hours to guarantee the benefits, NEWMAN SETTLEMENT ee he Ci © SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR NATHALY SABAN Clalmant's D,O.B: 08/28/14 Funding Date: 08/05/20 Today's Date: O7/27/20 : Life insurance Co: METLIFE (A¥) ST Normal * Life Certain Expected Option 7 Payout Payout Cost {. STRUCTURED SETTLEMENT BENEFITS $425,000 A. College Education Fund $25,000.00 per year baginning at age 18 (8/28/2032) $100,000 $100,000 . for 4 years certain only . B. Deferred Lump Sums $50,000.00 atage 21 (Aug-28-2035) : $695,560 $695,560 $100,000.00 atage 25 (Aug-28-2039) $200,000.00 at age 30 (Aug-27-2044} $345,560.19 atage 35 (Aug-28-2049) Approx Tax Free Intemal Rate of Returns 2.74% ‘ Taxable Equivalent Yield 15% Tax Bracket 3.22% 25% Tax Bracket 8.65% 28% Tax Bracket 3.81% 33% Tax Bracket 4.059% 35% Tax Bracket 4.22% I. TOTALS $795,560 $795,560 $425,000 jp *Normal Expected Payout only differs from Gertain Payout when lifetime payments are Involved. Normal Expected Payout reflects tha amount of money that would be pald to tha clalmant if he or she were receiving a lifetime payment and lived his or her normal life expectancy as predictad by the Annuity Morafity Table 1983(a). : Assumptions: - |. The date of birth shown above Is correct (If Efetime payments are Involved), □ tl. The annuity premium fs recelved on of before the above funding date. Il. Any structured settement contract would be for physical injury payments as defined in IRG Sec, 104(a)(2) and assigned under Sec, 4130. IV. This |e an illustration...not a contract, Should it contain any clerical errors, we reserve the right to correst them. V. Quote fs only valid for 7 days, Benelits may vary after that time. In event of a rate change during the 7 day period, a signed lock-in may be needed within 24 hours to guarantee the benofits. > NEWMAN SETTLEMENT Berens . Trae: (or Sy SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR _ NATHALY SABAN . Claimant's 0.0.8: 08/28/14 Funding Date: 08/05/20 Today's Date: 07/27/20 □ Life Insurance Co: METLIFE (A+) i Normal * Life : Certain Expected . Optian 8 Payout Payout Cost L STRUCTURED SETTLEMENT BENEFITS $425,000 A. College Education Fund . : $50,000.00 per year baginning at age 18 (8/28/2032) $200,000 $200,000 for 4 years certain only 8. Deferred Lump Sums . $50,000.00 at age 21 (Aug-28-2035) $547,437 $647 437 □ $75,000.00 at age 25 (Aug-28-2038) . $150,000.00 atage 30 (Aug-27-2044) . $272,437.10 atage 35 (Aug-28-2049) Approx Tax Frea intemal Rate of Return= 2.68% Taxable Equivalent Yield 15% Tax Bracket 3.18% 25% Tax Bracket 3.67% 28% Tax Bracket 3.72% 38% Tax Bracket 4.00% , 35% Tax Bracket 4A2% I. TOTALS $747,437 $747,497 $425,000 *Nermal Expected Payout only differs from Cartaln Payout whea lelime payments are involved, Normal Expected Payout reflects the amount of monay that would be paid fo the cialmant if he or she were recelving a lifatlme payment and iived his or her normal life expectancy as predicted by the Annulty Mortality Table 19894). . Assumptions: |. The date of birth shown above Is correct (if lifetime payments are involved). li. The annuity pramium is received on or before the above funding date. “Hil. Any stractured setUement contract would be for physical Injury payments as defined in IRC Sec. 104(a)(2) and assigned under Sec. . 130, IV. This fs an ilustration...not a contract, Should it contain any clerical errors, we reserve the right te correct them. V. Quote Is only valid for days, Benefits may vary after that time, In svent of a rate change during the 7 day period, a signed lock-in may be neaded within 24 hours ta guarantee the benefits. NEWMAN SETTLEMENT wy” SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR GREYSI SABAN Claimant's D.0.8: 08/18/10 Funding Date: 08/05/20 Today's Date: 07/27/20 Life Insurance Go: METLIFE (At) □ : Normait * Life □ Certain Expected Option 1 Payout Payout Cost . STRUCTURED SETTLEMENT BENEFITS $410,000 A. College Education Fund □ $50,000.00 per year beginning at age 18 (8/18/2028) $200,000 $200,000 for 4 years certain only B. Deferred Lump Sums . $75,000.00 at age 25 (Aug-16-2035) $431,378 $431,378 $150,000.00 at age 30 (Aug-17-2040) . ($206,377.59 at age 35 (Aug-1 77-2045) Approx Tax Free internal Rate of Return= 2.55% Taxable Equivalent Yield 15% Tax Bracket 3.00% 25% TaxBracket - 3.40% 28% Tax Bracket 3.54% 33% Tax Bracket 3.81% 35% Tax Bracket 3.92% □ . i. TOTALS $631,378 $641,378 $416,000 “Normal Expectad Payout only differs from Certain Payout when lifetime payments are Invalved. Normal Expected Payout reflects the amount of money that wauld be pald to the claimant ifhe or she were recelving a ffetime payment and lived his or her normal ilfe expectancy as predicted by the Annuity Mortality Table 1983(a). Assumptlons; 1. The date of binh shown above |s correct (if lifetime payments are involved), i. The annully premium is recelved on or before the above funding date. ill. Any steucturad settlement contract would be for physical injury payments as defined In IRC Sec. 104{a}(2) and assigned under Sec. 130, {¥. This {s an ilustratlon,..not a contract. Should it contain any clerical errors, we reserve the right to correct them. V. Quote is only valid for 7 days. Benefits may vary after that time. In event of a rate change during the 7 day perlod, a signed lock-in may be néeded within 24 hours to guarantee the benefits. NEWMAN SETTLEMENT wy SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR GREYSI SABAN Claimant's D.O.B: 08/18/10 Funding Date; 08/05/20 Today's Date: 07/27/20 Life insurance Co: METLIFE (A+} SS te te in Sint Norraal * Life Certain Expected Option 2 Payout Payout Gost A. Lifetime Monthly Benefit $1,307.32 per month beginning at age 18 (8/18/2028) $627,514 $1,058,929 $410,000 : for life with 40 years certain os Approx Tax Free Internal Rate of Return= 2.60% □ Taxable Equivalent Yield : 15% Tax Bracket 3.06% 25% Tax Bracket 347% 28% ‘Tax Bracket 3.61% 33% Tax Bracket 3.88% □ 35% Tax Bracke! 4.00% □ I, TOTALS $627,514 $1,058,929 $410,000 ~~ □□□□□□□□□□□□□□□□□□□□□□□□□□□ “Normal Expected Payout only differs fram Certain Payout whan lifetime payments are Involved, Normal Expected Payout reflects the amount of money that would be pald to the claimant if he or she were receiving a lifetime payment and fived his or her normal life expectancy as predicted by the Annulty Mortalily Table 1983{a), / : Assumptions: \. The date of birth shown above [s correct (if lifetime payments are Involved). The annuity premium is received on or before the above funding date, . Hii, Any structured settlement contract would be for physical injury payments as defined In IRC Sec. 104{a}(2) and assigned under Sec. 130, This is an illustration...nct a contract. Should it contain any clerical errors, we reserve the right to correct therm. V. Quote Is only valid for 7 days. Benefits may vary after that time. In event of a rate change during the 7 day period, a signed lock-in may be needed within 24 hours to guarantee the benefits. , NEWMAN SETTLE MENT Wy SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR GREYSI SABAN Claimant's D.0.B: osteo Funding Date: 08/05/20 Foday's Date: 07/27/20 Life Insurance Co: METLIFE (A+) ‘ Normal * Life Certain Expected Option 3 Payout Payout Cost □ STRUCTURED SETTLEMENT BENEFITS $410,000 A. College Education Fund : $25,000.00 per year beginning at age 18 (8/18/2028) $100,000 $106,000 for 4 years certain only B, Lifetime Monthly Benefit $1,190.60 per month beginning at age 22 (8/18/2032) $571,440 $907,161 for life with 40 years certain Approx Tax Free Interial Rate of Refurn= 2.68% Taxable Equlyatent Yield 15% Tax Bracket 304% 26% Tax Bracket 3,44% 28% Tax Bracket 3.68% . 43% Tax Bracket 3.85% 36% Tax Bracket 3.87% i. TOTALS $671,440 | $1,007,161 $410,000 fg *Normal Expected Payout only differs fram Certain Payout when ilfetine payments are involved. Normal Expected Payout reflects the amount of money that would be paid to the claimant [f he or she were racelving a lifetIme payment and lived his or her normal life expectancy as predicted by the Annulty Mortality Tabla £983{a). Assumptlons: |. The date of birth shown above is correct Gf lifetime payments are Involved). □ ll. The annulty premium Is recaived on or before the abave funding date. Il. Any structured settlement contract would be for physical injury payments as defined In IRC Sec, 404(a)(2) and assigned under Seo. £30, IV. This Is an lustration,..nol a contract, Should it contaln any clerical errors, we reserve the right to correct them. V. Quote Is only valld for 7 days, Benefits may vary after that time. in event of a rate change during the 7 day pariod, a signed lock-in may be needed within 24 hours to guarantee the hanefits. . NEWMAN SETTLEMENT SD ee □□ Se” SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR GREYS! SABAN Eee SS ee ee eee □□ eee oe Claimant's D,O.B: - , 08/18/10 Funding Date: 08/05/20 . Today's Date; 07/27/20 Life Insurance Co: METLIFE (A+) . . Normal * Life Certaln Expected Option 4 Payout Payout Cost : i. STRUCTURED SETTLEMENT BENEFITS $410,000 A. Monthly Benefit . $2,522.81 per month beginning at age 18 (8/18/2028) $363,285 $363,285 for 12 years certain only B. Deferred Lump Sums $250,000.00 at age 30 (Aug-18-2040) $250,000 $250,000 | Approx Tax Free Intemal Rata of Retum= 2.52% □ □ Taxable Eaquivatant Yield 15% Tax Bracket 2.96% 25% Tax Bracket 3.36% 28% Tax Brackat 3.50% 33% Tax Bracket 3.76% 35% Tax Bracket 3.88% ll. TOTALS $613,285 $613,285 $410,000 *Normal Expected Payout only differs from Certain Payout when Iifatine payments are invalved, Normal Expected Payout reflects the amount of money that would be pald io the claimant if he or she were recelving a lifetime payment and lived his er her normal life expectancy as predicted by the Annuity Mortality Table 1983(a). Assumptions: |, The date of birth shown above is correct (if lifatime payments are Involved), I. The annuity premium is received on or before the above funding date. lll. Any structured setilement contract would ba for physical Injury payments as defined in IRC Sec, 104{a}(2} and assigned under Sac. 436, ° . IV. This is an iRustration...not a contract. Should it contain any clerical errors, we reserve the right to correct them. V. Quote is only valid for 7 days. Benefits may vary atter that tlma, In evant of a ate change during the 7 day periad, a signed tock-in may be neaded within 24 hours to quarantea the benefits. NEWMAN SETTLEMENT ry |6~SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR GREYSI SABAN Claimant's 2,0.B: 08/18/10 : Funding Date: 08/05/20 Today's Date: 07/27/20 Life Insurance Co: METLIFE (A+) Normal * Life Certain Expected Option 5 Payout Payout Cost A. Lifetime Monthly Benefit . $1,364.62 per month beginning at age 18 (8/18/2028) $491 263 $1,106,342 $425,000 for life with 30 years certain Approx Tax Free internal Rate of Return= 2.82% Taxable Equivalent Yield 15% Tax Bracket 3.08% 25% Tax Bracket 3.49% 28% Tax Bracket 3.84% . 33% Tax Bracket 3.91% 35% Tax Bracket 4.03% Il TOTALS $491 263 $1,405,342 $425,000 *Normal Expected Payout only differs from Certain Payout when lifetime payments are involved. Normal Expected Payout reflects the amount of money that would be pald to the clalmant if he orshe Were receiving a lifetime payment and Ilved his or her normai life expectancy as predicted by the Annuity Mortality Table 1983(a), Assumptions: l. The date of birth shown above is correct (if lifetime payments are involved). Il. The annuity premium Is received on or before the above funding dale. - . ill, Any structured setttement comract would be far physical Injury payments as defined In IRG Sec. 104{a}(2} and assigned under Sec. . 130, iV. This Is an illustration...net a contract. Should it contain any clerical errors, wa reserve the right to correct them. V. Quote Is only valld for 7 days. Benefits may vary after that Ime. In evant of a rate change during the 7 day period, a signed lock-in may ba needed within 24 hours to guarantee the benefits. NEWMAN SETTLEMENT CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR GREYS! SABAN SS □□ EP Claimant's 0.0,B: 08/18/10 Funding Date: 08/05/20 Today's Date: 07/27/20 . Life Insurance Co: METLIFE (A+) Normal * Life □ Gertain Expected Option 6 Payout Payout Cost |. STRUCTURED SETTLEMENT BENEFITS $425,000 A, College Education Fund □ $25,000.00 per year beginning at age 18 (8/18/2028) $700,000 $100,000 □ for 4 years certain only B. Lifetime Monthly Benefit $1,265.61 per month beginning at age 22 (8/18/2032) $452,020 $956,775 for life with 30 years certain Approx Tax Free intemal Rate of Return= 2.61% Taxabie Equivalent Yieid 15% Tax Bracket 3.07% 25% Tax Brackaf 3.48% . 28% Tax Bracket 3.63% 33% Tax Bracket 3.90% 35% Tax Bracket 4.02% il. TOTALS $552,020 $71,056,775 $425,000 □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ "Normal Expected Payout only differs from Certaln Payout when lifetime payments are involved, Normal Expected Payout reflects the amount of money that would be paid to the claimant if he or she wera recelving a lifetime payment and lived his er her normal lifa expectancy as predicted by lhe Annuity Mortalily Table 1983(a). Assumptions: L The date of birth shown above Is correct (if lifetime payments are involved). fl. The annuity premlum is received on or before ihe above funding date. HE Any structured satttement contract would be for physical Injury payments as defined In IRC Sec, 104(a}(2) and assigned under Sec. 130. IV. This Is an tilustration...not a contract. Should it contain any clerical errors, wa reserve the right to correct them, V, Quote Is only valid for 7 days, Benefits may vary after that time. In event of a rate change during the 7 day period, a signed lock-In may be needed within 24 hours to guarantee the benefits. NEWMAN SETTLEMENT a a ae oo. . — _ we SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR GREYSI SABAN □ Claimant's D.0.B: o8/iei10 Funding Date: 08/06/20 Today's Date: o7i27i20 Life Insurance Go: METLIFE (A+) _—en Normai * Life Certain Expected Optlon 7 Payout Payout Cost |. STRUCTURED SETTLEMENT BENEFITS $426,000 A. College Educatian Fund $25,000.00 per year beginning at age 18 (8/18/2028) $100,006 $100,000 for 4 years certain only : B. Deferred Lump Sums $50,000.00 at age 21 (Aug-18-2031) $598,786 $598,786 $76,000.00 atage 26 (Aug-18-2035) $150,600.00 at age 30 (Aug-17-2040) $323,785.98 at age 35 (Aud-18-2045) Approx Tax Free Intemal Rate of Relum= 2.63% Taxable Equivatent Yield 15% Tax Bracket 3.09% 25% Tax Bracket 3.51% 28% Tax Bracket 5.85% 33% Tax Bracket 3.93% 35% Tax Bracket 4,05% ll. TOTALS $698,786 $698,786 $425,000 *Nermal Expected Payout onty differs fram Certaln Payout when lifetime payments are Involved. Normal Expected Payout raffects tha amount of money that would be paid ta the clalmant if he or she were receiving a Wetime payment and jived his or her normal life expectancy as predicted by the Annuity Mortality Table 1983(a). Assumpilons: |. The date of birth shown above Is corract (if lifetime payments are Involved), Il. The annuity premium is recelved on or before the ahove funding date. ll. Any structured satiement contract wauid be for physical Injury payments as defined In IRC Sac, 104(a}{2) and assigned under Sec. 130, IV. Thia is an illustration..not a contract, Should it contain any clerical errors, we reserve tha Aight to correct them. V, Quote Is only valid for 7 days. Benalits may vary after that ime, In event of a rate change during the 7 day period, a signed lock-in may be needed within 24 hours to guarantee the benefits. Ae, NEWMAN SETTLEMENT yy SERVICES GROUP CONFIDENTIAL STRUCTURED SETTLEMENT PROPOSAL FOR GREYSI SABAN . Claimant's D.0.B: 08/1840 Funding Date: 08/05/20 Today's Date: 07/27/20 Life Insurance Co: METLIFE (At) Normal * Life . Certain Expected Option § Payout Payout Cost i. STRUCTURED SETTLEMENT BENEFITS $425,000 A. College Education Fund . $50,000.00 per year beginning at age 18 (8/18/2028) $206,000 $200,000 - for 4 years certain only B. Deferred Lump Sums . $50,000.00 at age 214 (Aug-18-2031) $439,994 $439,981 $75,000.00 at age 26 (Aug-18-2035) : $100,000.00 at age 36 (Aug-17-2040) $214,980.87 at age 36 (Aug-18-2045} Approx Tax Free Intamai Rate of Relum= 2.51% Taxable Equivalent Yield 415% Tax Bracket 2.95% 25% Tax Bracket 5.35% ; 28% Fax Bracket 3.49% 33% Tax Bracket 5.78% 36% Tax Bracket 3.86% i. FOTALS $639,981 $639,984 $425,000 | □□□ SS *Normal Expected Payout only differs from Certain Payout when lifetime payments are Involved. Normal Expected Payout reflects the . amount of money that would be pald to the claimant If he or she were receiving a lifetime payment and lived his ar her norma? expectancy as predicted by tha Annuity Mortality Table 1983(a), : Assumptiona: □ i. The date of birth shown above !s correct (if fifetime payments are Involved), ll. The annuity premium is recelved on or before the above funding date. : fil. Any structured settement contract would be for physical injury payments as defined in IRC Sec. 104{a}(2) and assigned under Sec, 430. WV, This |s an ilustrafion...not @ contract, Should it contain any clerical errors, we reserve the fight to correct ham. V. Quote Is only valid for 7 days. Benefits may vary after that time. In event of a rate change during the 7 day period, a signed dock-In may be needed within 24 hours to guarantee ihe benefits, UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK ELIZABETH V. MEJIA as Administrator of the Estate of MAXIMILIANO SABAN, and ELIZABETH V. MEJIA, Individually, Plaintiff, DOCKET NO. 7:18-CV-6483 -against- O'NEILL GROUP-DUTTON, LLC and ONEKEY, LLC, Defendants. O'NEILL GROUP-DUTTON, LLC and ONEBEY, LLC, Third-Party Plaintiff, -against- SESI CONSULTING ENGINEERS, P.C., KENNETH J. QUAZZA, P.E., NEW GENERATIONS MASONRY, MG COMMERCIAL CONCRETE, BONDED CONCRETE, INC., Third-Party Defendant. AFFIRMATION OF MICHAEL C, ZWAL MICHAEL C. ZWAL, an attorney duly admitted to practice law in the State of New York and before this Court, affirms the truth of the following under penalties of perjury: 1. lam a member of the firm of BAMUNDO ZWAL & SCHERMERHORN, LLP, attomeys for the Plaintiff herein. I am familiar with the facts and circumstances involved herein by virtue of a review of the case files maintained by my office. 2. I make this affirmation in support of the application by Plaintiff, ELIZABETH V. MEJIA as Administrator of the Estate of MAXIMILIANO SABAN, in accordance with Local Civil Rule 83.2(6)(2), for a Court order approving the settlement of this action, the apportionment of the proceeds, and the payment of liens and attorney’s fees. Court Approval of the Settlement 3, This action arises from the death of Plaintiff's Decedent, Maximiliano Saban, on August 3, 2017 at a construction project on property located at One Dutchess Avenue, Poughkeepsie, New York, owned by Defendant O'NEILL GROUP-DUTTON, LLC. The project involved the conversion of a former lumber yard into a multiple building, mixed commercial and residential property. On that day, the decedent was working as a laborer for a conerete company, Third-Party Defendants MG COMMERCIAL CONCRETE, which was engaged in construction of the concrete foundation of one of the residential buildings, designated as Building C. Adjoining the eastern portion of Building C was a concrete bin block wall running in a north-south direction along Building D. The wall, which was erected by the general contractor, Defendant ONEKEY, LLC, was built using 3600 Ib. bin blocks as a retaining wall to hold back a soil surcharge, i.c., an enormous pile of soil, that was being used to compress the soil and remove the water, in the area where the foundation for Building D would eventually be poured. The accident occurred when the improperly constructed retaining wall collapsed and buried Mr. Saban beneath the bin blocks and soil. The principal of MG Commercial Concrete testified that he saw Mr. Saban running and yelling for 2-4 seconds prior to being buried, as the wall collapsed in a wave. 4, At the time of his death, Mr. Saban was a 28-year old man who was an undocumented immigrant. He was survived by his wife, Plaintiff ELIZABETH V. MEJIA (age 24 at the time of the occurrence) and two children, Greysi and Nathaly (ages 6 and 3 respectively, at the time of the occurrence), all of whom were born in the United States. Ms. Mejia testified that at the time of his death, she and Mr, Saban had been having marital difficulties since the beginning of 2017 and had been living separately for several months. He was only seeing the children once a week, and was providing $100 cash payment per week to help support the children. Mr. Saban resided in New Britain, Connecticut, where his family still resides, and Plaintiff ELIZABETH V. MEJIA was appointed the personal representative of his estate by a Connecticut Probate Court. 5. The present cash value of the final offer by all parties and their respective insurers, which was accepted by the Plaintiff, is $2,800,000.00. A portion of the proceeds of the settlement will be paid over time through a Structured Settlement, the specific terms of which are set forth below. A copy of the settlement agreement is annexed hereto as Exhibit B). Pursuant to the terms of this agreement, Defendants O'NEILL GROUP-DUTTON, LLC and ONEKEY, LLC will pay $2,500,000.00; Third-Party Defendants SESI CONSULTING ENGINEERS, P.C. and KENNETH J. QUAZZA, P.E. will pay $180,000.00; Third-Party Defendants NEW GENERATIONS MASONRY and MG COMMERCIAL CONCRETE will pay a total of $100,000.00, which sum shall be paid on their behalf by PENN-AMERICA INSURANCE COMPANY; and Third-Party Defendant BONDED CONCRETE, INC. will pay $20,600.00. 6, In considering whether to accept the settlement offer, I evaluated the strengths and weaknesses of the liability and damages claims, and the likelihood of success at trial. From the discovery conducted both in this case and the OSHRC matter, the liability case against the Defendants was clearly a strong one, and there was a high probability that a jury trial would result in a verdict in favor of the Plaintiff on liability. However, the damages which could be proven and a jury’s willingness to award those damages was far less certain. 7. Under New York law, the Plaintiff could recover damages for pecuniary loss to the beneficiaries (E.P.T.L, §5-4.3) and the conscious pain and suffering sustained by the decedent prior to his death. As noted above, the decedent was an undocumented immigrant, had never filed a tax return, had no documented work history, and was only working on the One Dutchess Avenue construction job for one day when the accident occurred. As such, there was a substantial risk that an expert economist’s projection of loss of financial support to the family would have been excluded by the Court as speculative or that a jury would have rejected such a claim. In addition, Ms. Mejia’s testimony that she was living apart from Mr. Saban and that her marriage was troubled substantially negated her claim for pecuniary loss based on Mr. Saban’s services to her as a husband. In evaluating these claims for settlement purposes, I could not attach great value to them, given their inherent risks and difficulties. 8. The remaining damages claims were those for the pecuniary loss to Mr. Saban’s two children arising from the absence of their father’s nurture, care and guidance and his conscious pain and suffering prior to his death. The maximum results in cases that were tried to verdict and appealed for an infant’s the loss of nurture, care and guidance of a parent were in a range of approximately $1,000,000.00 to $1,500,000 per child. See, e.g., Adderley v. City of New York, 304 A.D.2d 485 (1* Dept., 2003); Paccione v. Greenberg, 256 A.D.2d 559 (2d.Dept., 1998); Grevelding v. State of New York, 132 A.D.3d 1332 Dept, 2015). In evaluating these claims for settlement purposes, I considered these top sustained verdicts, as well as the risk of receiving less because of testimony that Mr, Saban was not living in the same household as his children for some time prior to his death, and saw them only once a week. 9. As for the value of the conscious pain and suffering in the case, Plaintiff contended that there was evidence (described above) that Mr. Saban was aware of his impending death for 2-4 seconds, and Plaintiff's expert pathologist opined that he was conscious and lived for an additional 3-5 seconds after the impact of the blocks and dirt. Both of these claims, particularly the “post-impact” pain and suffering claim, were vigorously opposed by Defendants. In evaluating this claim for settlement purposes, I again considered the maximum verdicts sustained by the New York State Appellate Courts. Comparable cases involving relatively brief periods of pain and suffering such as the one in this case, that were tried to verdict and appealed, demonstrated a range of sustainable recoveries in the range of $300,000.00 to $400,000.00. See, e.g., Oates v. NYCTA 138 AD3d 470 (1* Dept, 2016); Segal v. City of New York, 66 AD3d 865 (2d Dept., 2009). 10, | Given these maximum verdict values in tried and appealed cases with regard to the claims for loss of parental nurture, care and guidance and conscious pain and suffering, and the difficulties inherent in the remaining claims of pecuniary loss, I believe that the settlement of $2,800,000.00 is an exceptional result in this case. Il. For all of the foregoing reasons we recommended, and the Plaintiff has accepted, the offer of $2,500,000.00 to settle this case against Defendants O'NEILL GROUP-DUTTON, LLC and ONEKEY, LLC; the offer of $180,000.00 to settle this case against Third-Party Defendants SES] CONSULTING ENGINEERS, P.C. and KENNETH J. QUAZZA, P.E.; the offer of $100,000.00 to settle this case against Third-Party Defendants NEW GENERATIONS MASONRY and MG COMMERCIAL CONCRETE by PENN-AMERICA INSURANCE COMPANY; and the offer of $20,000.00 to settle this case against Third-Party — Defendant BONDED CONCRETE, INC., for a total of $2,800,000.00. Aitorney’s Fee, Disbursements and Liens 12. Local Civil Rule 83.2(b)(2) states that “[t]he Court shall approve an attorney’s fee only upon application in accordance with the provisions of the New York State statutes and rules.” As such, we request that this Court approve the attorney’s fee in this case in accordance with 22 NYCRR 806.27(b), Schedule B, which allows for attorney compensation in a contingent fee case of one-third (33 1/3%) of the gross sum recovered plus proper disbursements. 13. Our firm was retained by the Plaintiff on a one-third (33 1/3%) contingent fee basis on or about September 25, 2017, for the purpose of pursuing this wrongful death action in New York. A retainer statement was properly filed with the New York Office of Court Administration and assigned number 4099393 (see copies of the retainer agreement and retainer statements annexed hereto as Exhibit D). 14. My firm provided extensive and substantial legal services and representation to the Plaintiff in the matter before this Court. For several months prior to commencement of this action, we conducted an investigation, with the assistance of an engineering expert, in order to learn and understand more about the facts and nature of the occurrence. Following this investigation, an action was commenced in this Court on July 18, 2018 against Defendants, O'NEILL GROUP-DUTTON, LLC and ONEKEY, LLC, alleging general negligence, violations of New York’s Labor Law, and seeking damages for compensatory and punitive damages. On September 6, 2018, Defendants impleaded Third-Party Defendants, SESI CONSULTING ENGINEERS, P.C., KENNETH J. QUAZZA, P.E., NEW GENERATIONS MASONRY, MG COMMERCIAL CONCRETE, BONDED CONCRETE, INC. We prepared initial disclosures pursuant to FRCP Rule 26, propounded and responded to interrogatories and extensive document demands from the Defendants and Third-Party Defendants, and participated in the deposition of the Plaintiff and the depositions of a number of the Third-Party Defendants. We also actively participated as Defendants in the companion declaratory judgment action brought by Penn America Insurance Company with regard to its obligations to defend and indemnify third-party defendants MG Commercial Concrete and New Generations Masonry. We appeared at a total of 13 conferences in this action and the Penn America declaratory judgment action. In addition, we obtained and reviewed voluminous discovery and depositions in the case brought by the U.S. Department of Labor against ONEKEY before the OSHRC, and we monitored the trial of that case in both New York and Maryland. 15. In addition to the investigation, pleadings and discovery, we retained and worked with an expert pathologist to provide an opinion as to whether Mr. Saban endured both pre- impact and post-impact conscious pain and suffering, and we retained an expert economist as part of an effort to prove economic losses to the family. 16. Wealso made a complex and highly contested motion regarding the choice of law to be applied, in which we asked this Court to find that Connecticut law, not New York law, applied to the determination of damages to which the Plaintiffs was entitled. 17. Finally, we conducted extensive negotiations over the course of four months, including a mediation held on March 6, 2020, which eventually resulted in the settlement of this case for $2,800,000. In addition, we negotiated a lien against the Plaintiff's recovery by Guard Insurance Company, reducing it from $59,354.73 to $39,569.82. 18. [personally provided all of the legal representation before this Court, and performed nearly all of the legal services rendered on behalf of the Plaintiff. I am the partner in charge of Plaintiff's litigation in my firm, and I have been admitted to practice law in New York for 35 years and in the Southern and Eastern Districts of New York for 33 years, and am in good standing in all of those Courts. I have extensive experience in construction accident cases such as this one, and have litigated numerous such cases brought pursuant to New York’s Labor Law. 19. I believe that these offers are the result of the level of effort expended by my firm and by me in building a case against the Defendants and Third-Party Defendants under these circumstances, As set forth above, comparison to the results in fully tried and appealed cases demonstrates that this result is at or near the highest level of sustainability. Consequently, I respectfully request that the Court approve attorneys’ fees of $933,333.33 pursuant to 22 NYCRR 806.27(b) SCHEDULE B and the contingent retainer agreement between the Plaintiff and my firm, which provides for a fee of one third (33 1/3%) of the $2,800,000.00 recovery obtained from the Defendants and Third-Party Defendants. 20. In addition, I request that the Court approve our disbursements in the sum of $23,585.38, as reflected in the attached schedule (see Exhibit E). 21. Further, | request that the Court approve the payment of Workers’ Compensation lien held by BERKSHIRE HATHAWAY GUARD in the sum of $39,569.82 (see Exhibit C). Apportionment of the Net Settlement Proceeds 22. Plaintiff is the personal representative of the Estate of Maximiliano Saban, who died intestate. This lawsuit is the only asset of the Estate, Since the Estate was established in Connecticut, the proceeds of this lawsuit are subject to distribution pursuant to Connecticut General Statutes § 45a-437. That statute provides that the surviving spouse receives the first one hundred thousand dollars ($100,000.00) plus one-half of the balance of the intestate estate and that the remaining balance is divided equally among the decedent’s dependents. 23, Based on the liens, attorney’s fee and disbursements set forth above, the net recovery to the estate would be $1,803,511.47. In accordance with the aforesaid statute, ELIZABETH V. MEJIA would therefore be entitled to $951,755.73, the Infant GREYSI SABAN is entitled to $425,877.87 and the Infant NATHALY SABAN VICENTE would be entitled to $425,877.87. 24, However, in lieu of cash payments, ELIZABETH V. MEJIA has elected to have a portion of her recovery, and the entirety of her children’s recovery, paid over time through the use of a Structured Settlement Annuity. As such, I respectfully request that the Court approve the proposed distribution of the settlement proceeds as follows: a) to ELIZABETH V. MEJIA as and for her share as spouse of the decedent the sum of $501,755.73; and b) to MetLife Assignment Company, the sum of $450,000.00 to fund a structured settlement annuity for ELIZABETH V. MEJIA. The future payments shall be as follows: - $1,958.95, payable monthly, guaranteed for 12 years, beginning on January 1, 2021, with the last guaranteed payment on December I, 2032; - $250,000.00 payable at age 40 on October 2, 2032; Annexed hereto are Exhibit F are the following documents relating to the above structured settlement annuity: Structured Settlement Affidavit, Proposed Settlement Agreement, Proposed Assignment Agreement, Proposed Sample Annuity Contract, Proposed Guaranty Agreement, and Rejected Alternative and/or competing proposals. ¢) to MetLife Assignment Company, the sum of $425,000.00 to fund a structured settlement annuity for GREYS] SABAN. The future payments shall be as follows: - $25,000.00 payable annually, guaranteed for 4 years, beginning on August 18, 2028, with the last guaranteed payment on August 18, 2031; - $1,257.16 payable monthly beginning on August 18, 2032 for life with 30 years guaranteed; Annexed hereto are Exhibit F are the following documents relating to the above structured settlement annuity: Structured Settlement Affidavit, Proposed Settlement Agreement, Proposed Assignment Agreement, Proposed Sample Annuity Contract, Proposed Guaranty Agreement, and Rejected Alternative and/or competing proposals. d) to ELIZABETH V. MEJIA, as mother and natural guardian of GREYSI SABAN, an Infant, jointly with an officer of Achieve Financial Credit Union located at 450 West Main Street, New Britain, CT 06052, telephone number (860) 828-2790, the sum of $877.87, to be deposited in the said bank in an account, or accounts, yielding the highest rate of interest available, in the name of the and natural guardian, in trust for the Infant and for the sole use and benefit of the Infant; and that the time deposit accounts and certificate of deposit accounts shall be continuously renewed at maturity at the highest rate of interest then available, but the date of maturity thereof shall not extend beyond the date upon which the Infant attains the age of eighteen (18) years; and that when no such time deposit or certificate of deposit account is available, then the accumulated funds shall be placed in the bank's insured money market account; and that no withdrawals shall be made from said account, or accounts, before the Infant reaches the age of eighteen (18) years, except upon further order of this Court; e) to MetLife Assignment Company, the sum of $425,000.00 to fund a structured settlement annuity for NATHALY SABAN VICENTE. The future payments shall be - $25,000.00 payable annually, guaranteed for 4 years, beginning on August 28, 2032, with the last guaranteed payment on August 28, 2035; - $1,459.35 payable monthly beginning on August 28, 2036 for life with 30 years guaranteed; Annexed hereto are Exhibit F are the following documents relating to the above structured settlement annuity: Structured Settlement Affidavit, Proposed Settlement Agreement, Proposed Assignment Agreement, Proposed Sample Annuity Contract, Proposed Guaranty Agreement, and Rejected Alternative and/or competing proposals. f) to ELIZABETH V. MEJIA, as mother and natural guardian of NATHALY SABAN VICENTE, an Infant, jointly with an officer of Achieve Financial Credit Union located at 450 West Main Street, New Britain, CT 06052, telephone number (860) 828-2790, the sum of $877.87, jointly with an officer of Achieve Financial Credit Union located at 450 West Main Street, New Britam, CT 06052, telephone number (860) 828-2790, to be deposited in the said bank in an account, or accounts, yielding the highest rate of interest available, in the name of the and natural guardian, in trust for the Infant and for the sole use and benefit of the Infant; and that the time deposit accounts and certificate of deposit accounts shall be continuously renewed at maturity at the highest rate of interest then available, but the date of maturity thereof shall not extend beyond the date upon which the Infant attains the age of eighteen (18) years; and that when no such time deposit or certificate of deposit account is available, then the accumulated funds shall be placed in the bank's insured money market account; and that no withdrawals shall be made from said account, or accounts, before the Infant reaches the age of eighteen (18) years, except upon further order of this Court; g) to BAMUNDO ZWAL & SCHERMERHORN, LLP as and for their disbursements the sum of $23,585.38; h) to BAMUNDO ZWAL & SCHERMERHORN, LLP as and for their attorneys’ fee the sum of $933,333.33; i) to BERKSHIRE HATHAWAY GUARD INSURANCE COMPANIES in full satisfaction of Workers’ Compensation lien the sum of $39,569.82. 25. Neither my firm nor I have not become concerned in this action at the request of the defendants or their attorneys or representatives, and no compensation has been or will be received by deponent from defendants or their attorneys or representatives. Any compensation to be received by way of fees herein is to be paid out of the proceeds of the proposed settlement and not otherwise. My firm has a written retainer with the administrator herein providing for a fee based on negligence, which your affirmant submits is fair and reasonabie in light of all of the facts and circumstances. 26. We have inquired of the Plaintiff and are satisfied that the only claims against the proceeds of this settlement that have been filed with the administrator are those shown in these papers. WHEREFORE, your affirmant respectfully requests that pursuant to Local Civil Rule 83.2(b)(2) this Court approve the terms of the settlement of this action approving the settlement the action against the Defendants O'NEILL GROUP-DUTTON, LLC and ONEKEY, LLC for a sum of $2,500,000.00; Third-Party Defendants SESI CONSULTING ENGINEERS, P.C. and KENNETH J. QUAZZA, P.E. for a sum of $180,000.00; Third-Party Defendants NEW GENERATIONS MASONRY and MG COMMERCIAL CONCRETE by PENN-AMERICA INSURANCE COMPANY for a sum of $100,000.00; and Third-Party Defendant BONDED CONCRETE, INC. for a sum of $20,000.00, for a total of $2,800,000.00; apportioning the settlement as set forth above, approving the payment of counsel fees and disbursements as well as liens, and dismissing this action against the Defendants and Third-Party Defendants. Dated: New York, New York July 29 _, 2020 Michael C. Zwal (4792) BAMUNDO ZWAL & SCHERMERHORN, LLP Attoreys for Plaintiff 111 John Street, Suite 1100 New York, New York 10038 (2.12) 608-88407. Pe a oe as
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Mejia v. O'Neill Group-Dutton, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mejia-v-oneill-group-dutton-llc-nysd-2020.