Between …

And …

Hereinafter «Parties»

Statement of contractual relations and litigation

The parties agree on submitting their dispute to a mediator nominated in accordance to the AFA Mediation Rules(1). He has to assist them in reaching an agreement.

In accordance to these rules, it is understood that de mediation will be strictly confidential. The Parties and the Mediator will not disclose any information, written and oral communications, any draft resolutions provided to them in the course of or for the purposes of the mediation. They undertake not to rely at a later stage, in the course of arbitration or judicial proceedings, on information or documents obtained during the mediation process.

Date and place of the agreement

Signature of Parties

(1) Headquarters : 8, avenue Bertie Albrecht, 75008 Paris, FRANCE