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Governmental Entity: G13dA <br />C, ,jN;*jISLe6 State: OO-kI>4 <br />Authorized Official: % <br />( A. <br />Address 1: IWJo <br />Address 2: <br />City, State, Zip: <br />Phone: (`b6s) 7�1Z• i7 t <br />Email: Mo pt%% . • AC <br />The governmental entity identified above ("Governmental Entity"), in order to obtain and <br />in consideration for the benefits provided to the Governmental Entity pursuant to the Settlement <br />Agreement dated March 29, 2022 ("Teva Settlement"), and acting through the undersigned <br />authorized official, hereby elects to participate in the Teva Settlement, release all Released <br />Claims against all Releasees, and agrees as follows. <br />1. The Governmental Entity is aware of and has reviewed the Teva Settlement, understands <br />that all terms in this Subdivision Settlement Participation Form have the meanings <br />defined therein, and agrees that by signing this Subdivision Settlement Participation <br />Form, the Govermnental Entity elects to participate in the Teva Settlement and become a <br />Participating Subdivision as provided therein. <br />2. The Governmental Entity shall immediately cease any and all litigation activities as to the <br />Releasees and Released Claims and, within the later of 7 days following the entry of the <br />Consent Judgment or 7 days of the Execution Date of this Subdivision Settlement <br />Participation Form voluntarily dismiss with prejudice any Released Claims that it has <br />filed. <br />3. The Governmental Entity agrees to the terms of the Teva Settlement pertaining to <br />Subdivisions as defined therein. <br />4. By agreeing to the terms of the Teva Settlement and expressly agreeing to the releases <br />provided for therein, the Governmental Entity is entitled to the benefits provided therein, <br />including, if applicable, monetary payments beginning after the Effective Date of the <br />Agreement. <br />5. The Governmental Entity agrees to use any monies it receives through the Teva <br />Settlement solely for the purposes provided therein. <br />6. The Governmental Entity submits to the jurisdiction of the Court for purposes limited to <br />the Court's role as provided in, and for resolving disputes to the extent provided in, the <br />Teva Settlement. <br />