JCCP Case No.: CJC-21-005208 Individual Case No.: CGC-23-610936 I am over the age of eighteen years and not a party to the within action, I am employed in the County of Summit, Utah, by Parkinson Benson Potter whose business address is 100 Pine St., Ste.

On January 23, 2025, I served true copies of the following document described as:

on the interested parties in said action pursuant to the most recent Omnibus Service List by submitting an electronic version of the document(s) via file transfer protocol (FTP) to CaseAnywhere through the upload feature at www.caseanywhere.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Executed on January 23, 2025, at Park City, Utah.

JCCP Case No.: CJC-21-005208 Individual Case No.: CGC-23-610936 I am over the age of eighteen years and not a party to the within action, I am employed in the County of Summit, Utah, by Parkinson Benson Potter whose business address is 100 Pine St., Ste.

On January 23, 2025, I served true copies of the following document described as:

on the interested parties in said action pursuant to the most recent Omnibus Service List by submitting an electronic version of the document(s) via file transfer protocol (FTP) to CaseAnywhere through the upload feature at www.caseanywhere.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Executed on January 23, 2025, at Park City, Utah.

Superior Court of California, County of San Francisco 01/23/2025 Clerk of the Court

[__] Until further order of the court, jurisdiction is reserved to determine a claim for a reduction of a Medi-Callien under Welfare andInstitutions Code section 14124.76.

The amount shown payable to the Department of Health Care Servicesin item 8a(4) of this order is the full amountof the lien claimed by the department but is subject to reduction on further order of the court upon determination of the claim for reduction.

The payer mustdisburse the proceedsof the settlement or judgment approved bythis orderin the following manner: a. Paymentof fees and expenses Fees and expensesshall be paid by one or more checksordrafts drawn payable to the orderof the petitioner and the petitioner's attorney, if any, or directly to third parties entitled to receive paymentidentified in this order for the following items of expense or damage, which are hereby authorized to be paid out of the proceeds of the settlement or judgment: (1) [__] Attorney's feesin the total amountof: $ payable to (specify): (2) [__] Reimbursementfor medical andall other expensespaid by the petitioner or the petitioner's attorney in the total amountof: (3) [__] Medical, hospital, ambulance, nursing, and other similar expenses payable directly to providers asfollows, in the total amountof: $ $ (a) Payee (name): (i) address: (ii) Amount: $ (b) Payee (name): (i) address: (ii) Amount: $ [___] Continued on Attachment 8a(3).

$ (4) [_] Other authorized disbursements payable directly to third parties in the total amountof: (Describe and state the amount of each item and provide the name and addressof each payee): [_] Continued on Attachment 8a(4).

on the interested parties in said action pursuant to the most recent Omnibus Service List by submitting an electronic version of the document(s) via file transfer protocol (FTP) to CaseAnywhere through the upload feature at www.caseanywhere.