Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-cand-5_09-cv-03339/USCOURTS-cand-5_09-cv-03339-5/pdf.json

Nature of Suit Code: 790
Nature of Suit: Other Labor Litigation
Cause of Action: 28:1441 Petition for Removal- Labor/Mgmnt. Relations

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LITTLE R ME NDE LSO N

A PROF ESSIONAL C ORPORAT ION

50 W. Sa n F ernando, 15th F loor 

San Jose, CA 95113.2303 

408.998.4150 

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Firmwide:94893365.2 015602.6736 

STIPULATED PROTECTIVE ORDER RE: DISCOVERY 

DENNIS M. BROWN, Bar No. 126575 

dmbrown@littler.com 

MARLENE S. MURACO, Bar No. 154240 

mmuraco@littler.com 

KARIN M. COGBILL, Bar No. 244606 

kcogbill@littler.com 

LITTLER MENDELSON 

A Professional Corporation 

50 W. San Fernando, 15th Floor 

San Jose, CA 95113.2303 

Telephone: 408.998.4150 

Attorneys for Defendant 

WAL-MART STORES, INC. 

UNITED STATES DISTRICT COURT 

NORTHERN DISTRICT OF CALIFORNIA 

SAN JOSE DIVISION 

NISHA BROWN and KATHY 

WILLIAMSON, individually and on behalf 

of all others similarly situated, 

Plaintiffs, 

v. 

WAL-MART STORES, INC., and DOES 

1-50, inclusive, 

Defendants. 

Case No. C09-03339-JW 

STIPULATED PROTECTIVE ORDER RE: 

DISCOVERY 

Case 5:09-cv-03339-EJD Document 30 Filed 04/29/10 Page 1 of 13
LITTLE R ME NDE LSO N

A PROF ESSIONAL C ORPORAT ION

50 W. Sa n F ernando, 15th F loor 

San Jose, CA 95113.2303 

408.998.4150 

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STIPULATED PROTECTIVE ORDER RE: DISCOVERY 

 The parties to this action, Plaintiffs Nisha Brown and Kathy Williamson (“Plaintiffs”) and 

Defendant Wal-Mart Stores, Inc. (“Defendant”), through their respective counsel, hereby stipulate 

and request that the Court enter a mutual protective order pursuant to Federal Rule of Civil 

Procedure 26 as follows: 

1. PURPOSES AND LIMITATIONS

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

confidential, propriety, financial, technical, scientific, personnel, business or private information for 

which special protection from public disclosure and from use for any purpose other than prosecuting 

this litigation would be warranted. Accordingly, 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 10, 

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 

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

seal. 

2. DEFINITIONS

 2.1 Party: any party to this action, including all of its officers, directors, employees, 

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

 2.2 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 in this 

matter. 

 2.3 “Confidential” Information or Items: information (regardless of how generated, stored 

or maintained) or tangible things that qualify for protection under standards development under 

F.R.Civ.P. 26(c). Such information shall include the following: 

(a) Any and all documents referring or related to confidential and propriety human resources 

or business information; financial records of the parties; compensation of Defendant’s 

Case 5:09-cv-03339-EJD Document 30 Filed 04/29/10 Page 2 of 13
LITTLE R ME NDE LSO N

A PROF ESSIONAL C ORPORAT ION

50 W. Sa n F ernando, 15th F loor 

San Jose, CA 95113.2303 

408.998.4150 

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STIPULATED PROTECTIVE ORDER RE: DISCOVERY 

current for former personnel; policies, procedures and/or training materials of Defendant; 

and/or Defendant’s organizational structure; 

(b) Any documents from the personnel, medical or workers’ compensation file of any current 

for former employee or contractor; 

(c) Any documents relating to the medical and/or health information of any of Defendant’s 

current or former employees or contractors. 

 2.4 “Highly Confidential – Attorneys’ Eyes Only” Information or Items: extremely 

sensitive “Confidential” Information or Items whose disclosure to another Party or non-party would 

create a substantial risk of serious injury that could not be avoided by less restrictive means. 

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

Producing Party. 

 2.6. Producing Party: a Party or non-party that produces Disclosure or Discovery Material 

in this action. 

2.7. Designating Party: a Party or non-party that designates information or items that it 

produces in disclosures or in responses to discovery as “Confidential” or “Highly Confidential – 

Attorneys’ Eyes Only.” 

2.8. Protected Material: any Disclosure or Discovery Material that is designated as 

“Confidential” or “Highly Confidential – Attorneys’ Eyes Only.” 

2.9. Outside Counsel: attorneys who are not employees of a Party but who are retained to 

represent or advise a Party in this action. 

2.10. House Counsel: attorneys who are employees of a Party. 

2.11. Counsel (without qualifier): Outside Counsel and House Counsel (as well as their 

support staff). 

2.12. 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 and who is not a past or a current employee of a Party or of a competitor of 

a Party’s and who, at the time of retention, is not anticipated to become an employee of a Part or a 

Case 5:09-cv-03339-EJD Document 30 Filed 04/29/10 Page 3 of 13
LITTLE R ME NDE LSO N

A PROF ESSIONAL C ORPORAT ION

50 W. Sa n F ernando, 15th F loor 

San Jose, CA 95113.2303 

408.998.4150 

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STIPULATED PROTECTIVE ORDER RE: DISCOVERY 

competitor of a Party’s. This definition includes a professional jury or trial consultant retained in 

connection with this litigation. 

2.13. 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. 

3. SCOPE

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

defined above), but also any information copied or extracted therefrom, as well as all copies, 

excerpts, summaries, or compilations thereof, plus testimony, conversations, or presentations by 

parties or counsel to or in court or in other settings that might reveal Protected Material. 

4. DURATION AND USE

Even after the termination of this litigation, the confidentiality obligations imposed by this 

Stipulation and Order shall remain in effect until a Designating Party agrees otherwise in writing or a 

court order otherwise directs. 

5. DESIGNATING PROTECTED MATERIAL

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

 Each Party or non-party that designates information or items for protection under this 

Stipulation and Order must take reasonable care to limit any such designation to specific material 

that qualifies under the appropriate standards. A Designating Party must take reasonable 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. 

If it comes to a Party’s or a non-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 Party or non-party must promptly notify all other parties that it is withdrawing the 

mistaken designation. 

Case 5:09-cv-03339-EJD Document 30 Filed 04/29/10 Page 4 of 13
LITTLE R ME NDE LSO N

A PROF ESSIONAL C ORPORAT ION

50 W. Sa n F ernando, 15th F loor 

San Jose, CA 95113.2303 

408.998.4150 

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STIPULATED PROTECTIVE ORDER RE: DISCOVERY 

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

and 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 Stipulation and 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 “CONFIDENTIAL” at 

the top or bottom 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 portion(s) (e.g., by making appropriate markings in the margins) and must specify, for 

each portion, the level of protection being asserted (either “CONFIDENTIAL” or “HIGHLY 

CONFIDENTIAL – ATTORNEY’S EYES ONLY”). 

 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 deemed “HIGHLY CONFIDENTIAL – 

ATTORNEY’S EYES ONLY”. 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” or “HIGHLY 

CONFIDENTIAL – ATTORNEY’S EYES ONLY”) at the top or bottom 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 portion(s) (e.g., by making appropriate 

markings in the margins) and must specify, for each portion, the level of protection being asserted 

(either “CONFIDENTIAL” or “HIGHLY CONFIDENTIAL – ATTORNEY’S EYES ONLY”). 

 (b) for testimony given in deposition or in other proceedings, that the Party or 

non-party offering or sponsoring the testimony identify on the record, before the close of the 

deposition, hearing, or other proceeding, all protected testimony, and further specify any portions of 

Case 5:09-cv-03339-EJD Document 30 Filed 04/29/10 Page 5 of 13
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A PROF ESSIONAL C ORPORAT ION

50 W. Sa n F ernando, 15th F loor 

San Jose, CA 95113.2303 

408.998.4150 

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the testimony that qualify as “HIGHLY CONFIDENTIAL – ATTORNEY’S EYES ONLY.” When 

it is impractical to identify separately each portion of testimony that is entitled to protection, and 

when it appears that substantial portions of the testimony may qualify for protection, the Party or 

non-party that sponsors, offers, or gives the testimony shall have twenty (20) business days after the 

transcript of such deposition or hearing is available to identify the specific portions of the testimony 

as to which protection is sought and to specify the level of protection being asserted 

(“CONFIDENTIAL” or “HIGHLY CONFIDENTIAL – ATTORNEY’S EYES ONLY”.) 

Transcript pages containing Protected Material shall be separately bound by the court 

reporter, who shall affix to conspicuously on each such page the legend “CONFIDENTIAL” or 

“HIGHLY CONFIDENTIAL – ATTORNEY’S EYES ONLY,” as instructed by the Party or 

nonparty 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” or 

“HIGHLY CONFIDENTIAL – ATTORNEY’S EYES ONLY.” If only portions of the information 

or item warrant protection, the Producing Party, to the extent practicable, shall identify the protected 

portions. Specify whether they qualify as “CONFIDENTIAL” or as “HIGHLY CONFIDENTIAL – 

ATTORNEY’S EYES ONLY.” 

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

designate qualified information or items as “CONFIDENTIAL” or “HIGHLY CONFIDENTIAL – 

ATTORNEY’S EYES ONLY” does not, standing alone, waive the Designating Party’s right to 

secure protection under this Order for such material. If Documents containing Confidential 

Information are inadvertently or mistakenly disclosed, the parties agree that the Producing Party may 

request the return of such Documents or materials within fifteen (15) business days after the 

discovery of their inadvertent or mistaken disclosure to allow the designation of the Documents or 

materials as “CONFIDENTIAL” or “HIGHLY CONFIDENTIAL – ATTORNEY’S EYES ONLY” 

consistent with the provisions of this Order. If the Receiving Party fails to return such Documents or 

materials, the Producing Party may move the Court for an Order compelling their return. 

Case 5:09-cv-03339-EJD Document 30 Filed 04/29/10 Page 6 of 13
LITTLE R ME NDE LSO N

A PROF ESSIONAL C ORPORAT ION

50 W. Sa n F ernando, 15th F loor 

San Jose, CA 95113.2303 

408.998.4150 

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STIPULATED PROTECTIVE ORDER RE: DISCOVERY 

6. CHALLENGING CONFIDENTIALITY DESIGNATIONS

 6.1. Timing of Challenges. 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. A Party that elects to initiate a challenge to a Designating Party’s 

confidentiality designation must do so in good faith and must begin the process by conferring 

directly (in voice to voice dialogue; other forms of communication are not sufficient) with counsel 

for the Designating Party. 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, or in the event of noncooperation attempted to engage, in this meet and confer process first. 

6.3. Judicial Intervention. A Party that elects to press a challenge to a confidentiality 

designation after considering the justification offered by the Designating Party must notify the 

Designating party of its continued objection, including the identity of the specific document(s) at 

issue. If, following the meet and confer process pursuant to Section 6.2, the Designating Party 

continues to maintain that the confidentiality designation is appropriate, the Designating Party shall, 

within a reasonable period of time following the completion of the meeting and confer process file 

and serve a motion under Civil Local Rule 7 (and in compliance with Civil Local Rule 79-5) that 

identifies the challenged material and sets forth in detail the basis for the chosen designation. Each 

such motion must be accompanied by a competent declaration that affirms that the movant has 

complied with the meet and confer requirements imposed in the preceding paragraph. In opposition 

to the motion, the challenging party must set forth in detail the basis for its challenge to the 

designation(s). The challenging party may not require that a motion be filed unless it in good faith 

intends to oppose the disputed designation. 

Case 5:09-cv-03339-EJD Document 30 Filed 04/29/10 Page 7 of 13
LITTLE R ME NDE LSO N

A PROF ESSIONAL C ORPORAT ION

50 W. Sa n F ernando, 15th F loor 

San Jose, CA 95113.2303 

408.998.4150 

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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, or attempting to settle 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 11, below (FINAL 

DISPOSITION). 

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

secure manner that reasonably ensures that access is limited to the persons authorized under this 

Order. 

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 Counsel; 

 (b) the officers, directors, and employees 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” that is attached hereto as 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” that is attached hereto as Exhibit A; 

 (d) the Court and its personnel; 

 (e) court reporter, their staffs, and professional vendors to whom disclosures is 

reasonably necessary for this litigation; 

 (f) during their depositions, witnesses in the action to whom disclosures is 

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

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LITTLE R ME NDE LSO N

A PROF ESSIONAL C ORPORAT ION

50 W. Sa n F ernando, 15th F loor 

San Jose, CA 95113.2303 

408.998.4150 

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Protective Order” that is attached hereto as Exhibit A. Pages of transcribed deposition testimony or 

exhibits to deposition that reveal Protected Material shall be separately bound by the court reporter 

and may not be disclosed to anyone except as permitted under this Protective Order; 

 (g) the author of the document or the original source of the information. 

7.3. Disclosure of “HIGHLY CONFIDENTIAL – ATTORNEYS’ EYES ONLY” 

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 “HIGHLY 

CONFIDENTIAL – ATTORNEYS’ EYES ONLY” only to: 

 (a) the Receiving Party’s Counsel; 

 (b) the officers, directors, and employees 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” that is attached hereto as 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” that is attached hereto as Exhibit A; 

 (d) the Court and its personnel; 

 (e) court reporter, their staffs, and professional vendors to whom disclosures is 

reasonably necessary for this litigation; 

 (f) the author of the document or the original source of the information. 

8. PROTECTED MATERIAL SUBPOENAED OR ORDERED PRODUCED IN OTHER 

LITIGATION.

If a Receiving 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” or “HIGHLY CONFIDENTIAL – ATTORNEYS’ EYES ONLY,” the 

Receiving Party shall notify the Designating Party, in writing (by fax, if possible) promptly and in no 

event more than three court days after receiving the subpoena or order but before the scheduled date 

for production. Such notification shall include a copy of the subpoena or court order. 

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LITTLE R ME NDE LSO N

A PROF ESSIONAL C ORPORAT ION

50 W. Sa n F ernando, 15th F loor 

San Jose, CA 95113.2303 

408.998.4150 

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The Receiving Party shall also immediately inform in writing the Party who caused the 

subpoena or order to issue in the other litigation or proceeding that some or all the material covered 

by the subpoena or order is the subject to this Protective Order. In addition, the Receiving Party 

must deliver a copy of this Protective Order promptly to the Party in the other action that caused the 

subpoena or order to issue. 

The purpose of imposing these duties is to alert the interested parties to the existence of this 

Protective Order and to afford the Designating Party in this case an opportunity to try to protect its 

confidentiality interests in the court from which the subpoena or order issued. The Designating 

Party shall bear the burdens and the expenses of seeking protection in that court of its confidential 

material — and 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. 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 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. 

10. 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. 

11. FINAL DISPOSITION

Unless otherwise ordered or agreed in writing by the Producing Party, within sixty days (60) 

after the final termination of this action, each Receiving Party must return all Protected Material to 

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

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A PROF ESSIONAL C ORPORAT ION

50 W. Sa n F ernando, 15th F loor 

San Jose, CA 95113.2303 

408.998.4150 

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abstracts, compilations, summaries or any other form of reproducing or capturing any of the 

Protected Material. With permission in writing from the Designating Party, the Receiving Party may 

destroy some or all of the Protected Material instead of returning it. Whether the Protected Material 

is returned or destroyed, the Receiving Party must submit a written certification to the Producing 

Party (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 retained any copies, abstracts, compilations, 

summaries or other forms of reproducing or capturing any of the Protected Material. 

Notwithstanding this provision, Counsel are entitled to retain an archival copy of all pleadings, 

motion papers, transcripts, legal memoranda, correspondence or attorney work product, even if such 

materials contain Protected Material. Any such archival copies that contain or constitute Protected 

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

12. MISCELLANEOUS

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

its modification by the Court in the future. 

12.2. 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 not addressed in this 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 Order. 

 

Dated: April 16, 2010 

/s/ Marlene S. Muraco

MARLENE S. MURACO 

LITTLER MENDELSON 

A Professional Corporation 

Attorneys for Defendant 

WAL-MART STORES, INC. 

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A PROF ESSIONAL C ORPORAT ION

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San Jose, CA 95113.2303 

408.998.4150 

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Dated: April 16, 2010 

/s/ Matthew Righetti

MATTHEW RIGHETTI 

RIGHETTI LAW FIRM, P.C. 

Attorneys for Plaintiffs 

NISHA BROWN and KATHY 

WILLIAMSON 

PURSUANT TO STIPULATION, IT IS SO ORDERED. 

DATED: 4/27/10 

U.S. Magistrate Judge 

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Firmwide:94893365.2 015602.6736 

STIPULATED PROTECTIVE ORDER RE: DISCOVERY 

EXHIBIT A 

ACKNOWLEDGEMENT AND AGREEMENT TO BE BOUND BY PROTECTIVE ORDER 

 I, ___________________________________________________ [print or type full name], 

of [print or type full company name and 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 Stated District Court of the Northern District of 

California on ___________ [date] in the case of Nisha Brown, et. al. v. Wal-Mart Stores, Inc., Case 

No. C09-03339 JW. 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 Stated 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. 

Date: ___________ 

City and State where sworn and signed: ______________________________ 

Printed name:_________________________________________ 

Signature: __________________________________________ 

Case 5:09-cv-03339-EJD Document 30 Filed 04/29/10 Page 13 of 13