Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-cand-5_10-cv-00376/USCOURTS-cand-5_10-cv-00376-1/pdf.json

Nature of Suit Code: 442
Nature of Suit: Civil Rights Employment
Cause of Action: 28:1331 Fed. Question: Employment Discrimination

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STIPULATED PROTECTIVE ORDER CASE NO. CV 10-00376 JF 

 

UNITED STATES DISTRICT COURT 

NORTHERN DISTRICT OF CALIFORNIA, SAN JOSE DIVISION 

DEMETRIUS SCOTT, 

Plaintiff, 

v. 

HITACHI GLOBAL STORAGE 

TECHNOLOGIES, INC. et al., 

Defendants.

Case No. CV 10-00376 JF 

STIPULATED PROTECTIVE 

ORDER 

1. PURPOSES AND LIMITATIONS

Disclosure and discovery activity in this action are likely to involve production of 

confidential, proprietary, or private information for which special protection from public 

disclosure and from use for any purpose other than the prosecution and resolution of this litigation 

would be warranted. Accordingly, the parties hereby stipulate to and petition the Court to enter 

the following Stipulated Protective Order. The parties acknowledge that this Order does not 

confer blanket protections on all disclosures or responses to discovery and that the protection it 

affords extends only to the limited information or items that are entitled under the applicable legal 

principles to treatment as confidential. The parties further acknowledge, as set forth in Section 8, 

below, that this Stipulated Protective Order creates no entitlement to file confidential information 

under seal; Civil Local Rule 79-5 sets forth the procedures that must be followed and reflects the 

Donna M. Mezias (State Bar No. 111902)

dmezias@jonesday.com 

Amanda M. Ose (State Bar No. 251757) 

aose@jonesday.com 

JONES DAY 

555 California Street, 26th Floor 

San Francisco, CA 94104 

Telephone: (415) 626-3939 

Facsimile: (415) 875-5700 

Attorneys for Defendant 

HITACHI GLOBAL STORAGE TECHNOLOGIES, 

INC. 

*E-FILED 06-09-2010* (MODIFIED BY THE COURT)

Case 5:10-cv-00376-JF Document 18 Filed 06/09/10 Page 1 of 14
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STIPULATED PROTECTIVE ORDER 

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CASE NO. CV 10-00376 JF 

standards that will be applied when a party seeks permission from the Court to file material under 

seal. 

2. DEFINITIONS

2.1 Challenging Party: a Party or Non-Party that challenges the designation of 

information or items under this order. 

2.2 “CONFIDENTIAL” Information or Items: information (regardless of how 

generated, stored or maintained) or tangible things that qualify for protection under standards 

developed under F.R.Civ. P. 26(c). 

2.3 Counsel (without qualifier): Outside Counsel of Record and House Counsel (as well 

as their support staffs). 

2.4 Designating Party: a Party or Non-Party that designates information or items as 

“Confidential” pursuant to this Stipulated Protective Order. 

2.5 Disclosure or Discovery Material: all items or information, regardless of the 

medium or manner generated, stored, or maintained (including, among other things, testimony, 

transcripts, or tangible things) that are produced or generated in disclosures or responses to 

discovery or provided in connection with the resolution, including the administration of any 

settlement, of this matter. 

2.6 Expert: a person with specialized knowledge or experience in a matter pertinent to 

the litigation who has been retained by a Party or its counsel to serve as an expert witness or as a 

consultant in this action. This definition includes a professional jury or trial consultant retained in 

connection with this litigation. 

2.7 House Counsel: attorneys who are employees of a Party to this action. 

2.8 Non-Party: any natural person, partnership, corporation, association, or other legal 

entity not named as a Party to this action. 

2.9 Outside Counsel of Record: attorneys who are not employees of a Party but who are 

retained to represent or advise a Party in this action and have appeared in this action on behalf of 

that Party or are affiliated with a law firm which has appeared on behalf of that Party. 

Case 5:10-cv-00376-JF Document 18 Filed 06/09/10 Page 2 of 14
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STIPULATED PROTECTIVE ORDER 

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CASE NO. CV 10-00376 JF 

2.10 Party: any party to this action, including all of the officers, directors, employees, 

consultants, retained experts, and Outside Counsel of Record (and their support staff). 

2.11 Producing Party: a Party or Non-Party that produces Disclosure or Discovery 

Material in this action. 

2.12 Professional Vendors: persons or entities that provide litigation support services 

(e.g., photocopying; videotaping; translating; preparing exhibits or demonstrations; organizing, 

storing, retrieving data in any form or medium; etc.) and their employees and subcontractors. 

2.13 Protected Material: any Disclosure or Discovery Material that is designated as 

“CONFIDENTIAL.” 

2.14 Receiving Party: a Party that receives Disclosure or Discovery Material from a 

Producing Party. 

3. SCOPE

The protections conferred by this Stipulation and Order cover not only Protected Material 

(as defined above), but also (1) any information copied or extracted from Protected Material; 

(2) all copies, excerpts, summaries, or compilations of Protected Material; and (3) any testimony, 

conversations, or presentations by Parties or their Counsel that might reveal Protected Material. 

However, the protections conferred by this Stipulation and Order do not cover the following 

information: (a) any information that is in the public domain at the time of disclosure to a 

Receiving Party or becomes part of the public domain after its disclosure to a Receiving Party as 

a result of publication not involving a violation of this Order, including becoming part of the 

public record through trial or otherwise; (b) any information known to the Receiving Party prior 

to the disclosure or obtained by the Receiving Party after the disclosure from a source who 

obtained the information lawfully and under no obligation of confidentiality to the Designating 

Party. Any use of the Protected Material at trial shall be governed by a separate agreement or 

order. 

4. DURATION

Even after the final disposition of this litigation, the confidentiality obligations imposed 

by this Order shall remain in effect until a Designating Party agrees otherwise in writing or a 

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STIPULATED PROTECTIVE ORDER 

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CASE NO. CV 10-00376 JF 

court order otherwise directs. Final disposition shall be deemed to be the later of (1) dismissal of 

all claims and defenses in this action, with or without prejudice; and (2) final judgment herein 

after the completion and exhaustion of all appeals, rehearings, remands, trials, or reviews of this 

action, including the time limits for filing any motions or applications for extension of time 

pursuant to applicable law. 

5. DESIGNATING PROTECTED MATERIAL

5.1 Exercise of Restraint and Care in Designating Material for Protection. Each Party 

or Non-Party that designates information or items for protection under this Order must take care 

to limit any such designation to specific material that qualifies under the appropriate standards. A 

Designating Party must take care to designate for protection only those parts of material, 

documents, items, or oral or written communications that qualify, so that other portions of the 

material, documents, items, or communications for which protection is not warranted are not 

swept unjustifiably within the ambit of this Order. 

Mass, indiscriminate, or routinized designations are prohibited. Designations that are 

shown to be clearly unjustified, or that have been made for an improper purpose (e.g., to 

unnecessarily encumber or retard the case development process, or to impose unnecessary 

expenses and burdens on other parties), expose the Designating Party to sanctions. 

If it comes to a Designating Party’s attention that information or items that it designated 

for protection do not qualify for protection at all, or do not qualify for the level of protection 

initially asserted, that Designating Party must promptly notify all other parties that it is 

withdrawing the mistaken designation. 

5.2 Manner and Timing of Designations. Except as otherwise provided in this Order 

(see, e.g., second paragraph of section 5.2(a), below), or as otherwise stipulated or ordered, 

material that qualifies for protection under this Order must be clearly so designated before the 

material is disclosed or produced. 

Designation in conformity with this Order requires: 

(a) for information in documentary form (apart from transcripts of depositions 

or other pretrial or trial proceedings), that the Producing Party affix the legend 

For a period of six months after the final disposition of this action, this court will retain jurisdiction to enforce the terms of this order.

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STIPULATED PROTECTIVE ORDER 

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CASE NO. CV 10-00376 JF 

“CONFIDENTIAL” at the top of each page that contains protected material. If only a portion or 

portions of the material on a page qualifies for protection, the Producing Party also must clearly 

identify the protected portions(s) (e.g. by making appropriate markings in the margins). 

A Party or Non-Party that makes original documents or materials available for 

inspection need not designate them for protection until after the inspecting Party has indicated 

which material it would like copied and produced. During the inspection and before the 

designation, all of the material made available for inspection shall be treated as 

“CONFIDENTIAL.” After the inspecting Party has identified the documents it wants copied and 

produced, the Producing Party must determine which documents, or portions thereof, qualify for 

protection under this Order, then, before producing the specified documents, the Producing Party 

must affix the appropriate legend (“CONFIDENTIAL”) at the top of each page that contains 

Protected Material. If only a portion or portions of the material on a page qualifies for protection, 

the Producing Party also must clearly identify the protected portions(s) (e.g. by making 

appropriate markings in the margins). 

(b) for testimony given in deposition or in other pretrial or trial proceedings, 

that the Party or Non-Party offering or sponsoring the testimony identify any portions of the 

testimony that qualify as “CONFIDENTIAL” either on the record before the close of the 

deposition, hearing, or other proceeding, or within 20 days after receipt of the transcript. 

Only those portions of the testimony that are appropriately designated for 

protection within the 20 days shall be covered by the provisions of this Stipulated Protective 

Order. 

Transcript pages containing Protected Material must be separately bound by the 

court reporter, who must affix to the top of each such page the legend “CONFIDENTIAL” as 

instructed by the Party or Non-Party offering or sponsoring the witness or presenting the 

testimony. 

(c) for information produced in some form other than documentary, and for 

any other tangible items, that the Producing Party affix in a prominent place on the exterior of the 

container or containers in which the information or item is stored the legend “CONFIDENTIAL”. 

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STIPULATED PROTECTIVE ORDER 

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CASE NO. CV 10-00376 JF 

If only a portion or portions of the information or item warrant protection, the Producing Party, to 

the extent practicable, shall identify the protected portion(s). 

5.3 Inadvertent Failures to Designate. If timely corrected, an inadvertent failure to 

designate qualified information or items as “CONFIDENTIAL” does not, standing alone, waive 

the Designating Party’s right to secure protection under this Order for such material. If material 

is appropriately designated as “CONFIDENTIAL” after the material was initially produced, the 

Receiving Party, on timely notification of the designation, must make reasonable efforts to assure 

that the material is treated in accordance with the provisions of this Order. 

6. CHALLENGING CONFIDENTIALITY DESIGNATIONS

6.1 Timing of Challenges. Any Party or Non-Party may challenge a designation of 

confidentiality at any time. Unless a prompt challenge to a Designating Party’s confidentiality 

designation is necessary to avoid foreseeable substantial unfairness, unnecessary economic 

burdens, or a later significant disruption or delay of the litigation, a Party does not waive its right 

to challenge a confidentiality designation by electing not to mount a challenge promptly after the 

original designation is disclosed. 

6.2 Meet and Confer. The Challenging Party shall initiate the dispute resolution 

process by providing written notice of each designation it is challenging and describing the basis 

for each challenge. To avoid ambiguity as to whether a challenge has been made, the written 

notice must recite that the challenge to confidentiality is being made in accordance with this 

specific paragraph of the Protective Order. The parties shall attempt to resolve each challenge in 

good faith and must begin the process by conferring directly (in voice to voice dialogue; other 

forms of communication are not sufficient) within 14 days of the date of service of notice. In 

conferring, the Challenging Party must explain the basis for its belief that the confidentiality 

designation was not proper and must give the Designating Party an opportunity to review the 

designated material, to reconsider the circumstances, and, if no change in designation is offered, 

to explain the basis for the chosen designation. A Challenging Party may proceed to the next 

stage of the challenge process only if it has engaged in this meet and confer process first or 

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STIPULATED PROTECTIVE ORDER 

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CASE NO. CV 10-00376 JF 

establishes that the Designating Party is unwilling to participate in the meet and confer process in 

a timely manner. 

6.3 Judicial Intervention. If the Parties cannot resolve a challenge without court 

intervention, the Challenging Party shall file and serve a motion under Civil Local Rule 7 (and in 

compliance with Civil Local Rule 79-5, if applicable) within 21 days of the initial notice of 

challenge or within 14 days of the parties agreeing that the meet and confer process will not 

resolve their dispute, whichever is earlier. Each such motion must be accompanied by a 

competent declaration affirming that the movant has complied with the meet and confer 

requirements imposed in the preceding paragraph. In addition, the Challenging Party may file a 

motion challenging a confidentiality designation at any time if there is good cause for doing so, 

including a challenge to the designation of a deposition transcript or any portions thereof. Any 

motion brought pursuant to this provision must be accompanied by a competent declaration 

affirming that the movant has complied with the meet and confer requirements imposed by the 

preceeding paragraph. 

 The burden of persuasion in any such challenge proceeding shall be on the Designating 

Party. Until the Court rules on the challenge, all parties shall continue to afford the material in 

question the level of protection to which it is entitled under the Producing Party’s designation. 

7. ACCESS TO AND USE OF PROTECTED MATERIAL

7.1 Basic Principles. A Receiving Party may use Protected Material that is disclosed or 

produced by another Party or by a Non-Party in connection with this case only for prosecuting, 

defending, attempting to settle this litigation or administering any settlement of this litigation. 

Such Protected Material may be disclosed only to the categories of persons and under the 

conditions described in this Order. When the litigation has been terminated, a Receiving Party 

must comply with the provisions of Section 13, below (FINAL DISPOSITION). 

Protected Material must be stored and maintained by a Receiving Party at a location and 

in a secure manner that ensures that access is limited to the persons authorized under this Order. 

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STIPULATED PROTECTIVE ORDER 

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CASE NO. CV 10-00376 JF 

7.2 Disclosure of “CONFIDENTIAL” Information or Items. Unless otherwise ordered 

by the Court or permitted in writing by the Designating Party, a Receiving Party may disclose any 

information or item designated CONFIDENTIAL only to: 

(a) the Receiving Party’s Outside Counsel of Record in this action, as well as 

employees of said Counsel to whom it is reasonably necessary to disclose the information for this 

litigation and who have signed the “Agreement to be Bound by Protective Order” (Exhibit A); 

(b) the Receiving Party, including the officers, directors, employees (including 

House Counsel), and insurers of the Receiving Party to whom disclosure is reasonably necessary 

for this litigation and who have signed the “Agreement to be Bound by Protective Order” (Exhibit 

A); 

(c) Experts (as defined in this Order) of the Receiving Party to whom 

disclosure is reasonably necessary for this litigation and who have signed the “Agreement to Be 

Bound by Protective Order” (Exhibit A); 

(d) the Court and its personnel; 

(e) court reporters, their staffs, and professional vendors to whom disclosure is 

reasonably necessary for this litigation and who have signed the “Agreement to Be Bound by 

Protective Order” (Exhibit A); 

(f) during and/or in preparation for their depositions, witnesses in the action to 

whom disclosure is reasonably necessary and who have signed the “Agreement to Be Bound by 

Protective Order” (Exhibit A), unless otherwise agreed by the Designating Party or ordered by the 

court. Pages of transcribed deposition testimony or exhibits to depositions that reveal Protected 

Material must be separately bound by the court reporter and may not be disclosed to anyone 

except as permitted under this Stipulated Protective Order; and 

(g) the author or recipient of a document containing the information or a 

custodian or other person who otherwise possessed or knew the information. 

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STIPULATED PROTECTIVE ORDER 

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CASE NO. CV 10-00376 JF 

8. PROTECTED MATERIAL SUBPOENAED OR ORDERED PRODUCED IN OTHER 

LITIGATION.

If a Party is served with a subpoena or an order issued in other litigation that would 

compel disclosure of any information or items designated in this action as “CONFIDENTIAL,” 

that Party must: 

 (a) promptly notify in writing the Designating Party. Such notification shall 

include a copy of the subpoena or court order; 

 (b) promptly notify in writing the party who caused the subpoena or order to 

issue in the other litigation that some or all of the material covered by the subpoena or order is 

subject to this Protective Order. Such notification shall include a copy of this Stipulated 

Protective Order; and 

 (c) cooperate with respect to all reasonable procedures sought to be pursued by 

the Designating Party whose Protected Material may be affected. 

If the Designating Party timely seeks a protective order, the Party served with the 

subpoena or court order shall not produce any information designated in this action as 

“CONFIDENTIAL” before a determination by the court from which the subpoena or order 

issued, unless the Party has obtained the Designating Party’s permission. The Designating Party 

shall bear the burden and expense of seeking protection in that court of its confidential materialand nothing in these provisions should be construed as authorizing or encouraging a Receiving 

Party in this action to disobey a lawful directive from another court. 

9. A NON-PARTY’S PROTECTED MATERIAL SOUGHT TO BE PRODUCED IN THIS 

LITIGATION

 (a) The terms of this Order are applicable to information produced by a NonParty in this action and designated as “CONFIDENTIAL.” Such information produced by NonParties in connection with this litigation is protected by the remedies and relief provided by this 

Order. Nothing in these provisions should be construed as prohibiting a Non-Party from seeking 

additional protections. 

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STIPULATED PROTECTIVE ORDER 

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CASE NO. CV 10-00376 JF 

 (b) In the event that a Party is required, by a valid discovery request, to 

produce a Non-Party’s confidential information in its possession, and the Party is subject to an 

agreement with the Non-Party not to produce the Non-Party’s confidential information, then the 

party shall: 

 1. promptly notify in writing the Requesting Party and the Non-Party 

that some or all of the information requested is subject to a confidentially agreement with a NonParty; 

 2. promptly provide the Non-Party with a copy of the Stipulated 

Protective Order in this litigation, the relevant discovery request(s), and a reasonably specific 

description of the information requested; and 

 3. make the information requested available for inspection by the 

Non-Party. 

 (c) If the Non-Party fails to object or seek a protective order from this Court 

within 14 days of receiving the notice and accompanying information, the Receiving Party may 

produce the Non-Party’s confidential information responsive to the discovery request. If the 

Non-Party timely seeks a protective order, the Receiving Party shall not produce any information 

in its possession or control that is subject to the confidentiality agreement with the Non-Party 

before a determination by the court.1

10. UNAUTHORIZED DISCLOSURE OF PROTECTED MATERIAL

If a Receiving Party learns that, by inadvertence or otherwise, it has disclosed Protected 

Material to any person or in any circumstance not authorized under this Stipulated Protective 

Order, the Receiving Party must immediately (a) notify in writing the Designating Party of the 

unauthorized disclosures, (b) use its best efforts to retrieve all copies of the Protected Material, 

(c) inform the person or persons to whom unauthorized disclosures were made of all the terms of 

this Order, and (d) request such person or persons to execute the “Acknowledgment and 

Agreement to Be Bound” that is attached hereto as Exhibit A. 

 1

 The purpose of this provision is to alert the interested parties to the existence of 

confidentiality rights of a Non-Party and to afford the Non-Party an opportunity to protect its 

confidentiality interests in this Court. 

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STIPULATED PROTECTIVE ORDER 

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CASE NO. CV 10-00376 JF 

11. INADVERTENT PRODUCTION OF PRIVILIGED OR OTHERWISE PROTECTED 

MATERIAL

When a Producing Party gives notice to Receiving Parties that certain inadvertently 

produced material is subject to a claim of privilege or other protection, the obligations of the 

Receiving Parties are those set forth in Federal Rule of Civil Procedure 26(b)(5)(B). This 

provision is not intended to modify whatever procedure may be established in an e-discovery 

order that provides for production without prior privilege review. Pursuant to Federal Rule of 

Evidence 502(d) and (e), insofar as the parties reach an agreement on the effect of disclosure of a 

communication or information covered by the attorney-client privilege or work product 

protection, the parties may incorporate their agreement in the stipulated protective order 

submitted to the Court. 

12. FILING PROTECTED MATERIAL. 

Without written permission from the Designating Party or a court order secured after 

appropriate notice to all interested persons, a Party may not file in the public record in this action 

any Protected Material. A Party that seeks to file under seal any Protected Material must comply 

with Civil Local Rule 79-5. Protected Material may only be filed under seal pursuant to a court 

order authorizing the sealing of the specific Protected Material at issue. Pursuant to Civil Local 

Rule 79-5, a sealing order will issue only upon a request establishing that the Protected Material 

at issue is privileged, protectable as a trade secret, or otherwise entitled to protection under the 

law. If a Receiving Party’s request to file Protected Material under seal pursuant to Civil Local 

Rule 79-5(d) is denied by the Court, then the Receiving Party may file the information in the 

public record pursuant to Civil Local Rule 79-5(e) unless otherwise instructed by the Court. 

13. FINAL DISPOSITION.

Unless otherwise ordered or agreed in writing by the Producing Party, within sixty days 

after the final termination of this action, each Receiving Party must destroy or return to the 

Producing Party all Protected Material. As used in this subdivision, “all Protected Material” 

includes all copies, abstracts, compilations, summaries or any other form of reproducing or 

capturing any of the Protected Material. Whether the Protected Material is returned or destroyed, 

======== disposition

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STIPULATED PROTECTIVE ORDER 

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CASE NO. CV 10-00376 JF 

the Receiving Party must submit a written certification to the Producing Party upon request (and, 

if not the same person or entity, to the Designating Party) by the sixty day deadline that identifies 

(by category, where appropriate) all the Protected Material that was returned or destroyed and that 

affirms that the Receiving Party has not, other than as authorized below in the subsequent 

paragraph, retained any copies, abstracts, compilations, summaries or other forms of reproducing 

or capturing any of the Protected Material. 

Notwithstanding the provisions in the immediately preceding paragraph, Counsel are 

entitled (i) to retain an archival copy of all documents and things produced in discovery, 

pleadings, motion papers, transcripts, legal memoranda or correspondence, even if such materials 

contain Protected Material, and (ii) to retain or destroy, as it chooses, any work product, even if it 

contains Protected Material. Any such retained material that contains or constitutes Protected 

Material remains subject to this Protective Order as set forth in Section 4 (DURATION), above. 

14. MISCELLANEOUS

14.1 Right to Further Relief. Nothing in this Order abridges the right of any person to 

seek its modification by the Court in the future. 

14.2 Right to Assert Other Objections. By stipulating to the entry of this Protective 

Order no Party waives any right it otherwise would have to object to disclosing or producing any 

information or item on any ground no t addressed in this Stipulated Protective Order. Similarly, 

no Party waives any right to object on any ground to use in evidence of any of the material 

covered by this Protective Order. 

/// 

/// 

/// 

/// 

// 

/// 

/// 

/// 

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STIPULATED PROTECTIVE ORDER 

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CASE NO. CV 10-00376 JF 

IT IS SO STIPULATED, THROUGH COUNSEL OF RECORD. 

Dated: June 8, 2010 JONES DAY 

By: /S/ Donna M. Mezias 

Donna M. Mezias 

Attorneys for Defendant 

HITACHI GLOBAL STORAGE 

TECHNOLOGIES, INC. 

Dated: June 8, 2010 HIGHMAN, HIGHMAN & BALL 

By: /S/ Louis A. Highman 

Louis A. Highman 

Attorney for Plaintiff 

DEMETRIUS SCOTT 

SIGNATURE ATTESTATION

 I hereby attest that I have on file all holograph signatures for any signatures indicated by a 

“conformed” signature (/S/) within this efiled document. 

Dated: June 8, 2010 JONES DAY 

By: /S/ Donna M. Mezias 

Donna M. Mezias 

Attorneys for Defendant 

HITACHI GLOBAL STORAGE 

TECHNOLOGIES, INC. 

PURSUANT TO STIPULATION, IT IS SO ORDERED. 

DATED: Hon. Jeremy Fogel 

 United States District Court Judge 

^

AS MODIFIED BY THE COURT,========== Howard R. Lloyd -=========== Magistrate June 9, 2010

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STIPULATED PROTECTIVE ORDER 

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CASE NO. CV 10-00376 JF 

EXHIBIT A

ACKNOWLEDGEMENT AND AGREEMENT TO BE BOUND

I, _____________________________ [print or type full name], of _________________ 

[print or type full address], declare under penalty of perjury that I have read in its entirety and 

understand the Stipulated Protective Order that was issued by the United States District Court for 

the Northern District of California on [date] in the case of Scott v. Hitachi GST., Case No. CV 10-

00376 JF, I agree to comply with and to be bound by all the terms of this Stipulated Protective 

Order and I understand and acknowledge that failure to so comply could expose me to sanctions 

and punishment in the nature of contempt. I solemnly promise that I will not disclose in any 

manner any information or item that is subject to this Stipulated Protective Order to any person or 

entity except in strict compliance with the provisions of this Order. 

I further agree to submit to the jurisdiction of the United States District Court for the 

Northern District of California for the purpose of enforcing the terms of this Stipulated Protective 

Order, even if such enforcement proceedings occur after termination of this action. 

I hereby appoint __________________________ [print or type full name] of 

_______________________________________ [print or type full address and telephone 

number] as my California agent for service of process in connection with this action or any 

proceedings related to enforcement of this Stipulated Protective Order. 

Date: _________________________________ 

City and State where sworn and signed: _________________________________ 

Printed name: ______________________________ 

 [printed name] 

Signature: __________________________________ 

 [signature] 

SFI-641905v2 

Case 5:10-cv-00376-JF Document 18 Filed 06/09/10 Page 14 of 14