Chris Guluarte 1/3/2022 - Laserfiche WebLink

understands vocational benefits and services include vocational assessment, vocational plan development, and job retraining. 6. Lump Sum Payment In consideration of the release above, and for this agreement, the Self-Insured Employer agrees to pay the Claimant a lump sum of$300,000.00. This lump sum is being paid to the Claimant for disabilities related to the Claimant's work-related conditions which will interfere with the Claimant's ability to engage in gainful employment for the remainder of the Claimant's life. None of this amount should be considered as payment to segregate any condition which may be related to the Claim outlined above. The agreement is for a lump sum amount of$300,000.00 and will be paid as a single lump sum pursuant to RCW 51.04.063. Pursuant to RCW 51.32.040 and RCW 74.20A.260,the lump sum amount is subject to collection action by the Division of Child Support (DCS). Lifetime Expectancy Award The parties agree the $300,000.00 lump sum is intended to compensate the Claimant for diminished earning capacity during the Claimant's remaining life expectancy which is 27 years according to the life tables published by the Social Security Administration. Pursuant to Section 18, below, Attorney's Fees of this agreement,the Claimant and Robert Silber of Staton & Silber, agrees to a 15% contingent fee. After deducting the 15% fee of$45,000.00 from the Lump Sum, the net amount is $255,000.00. The Claimant's life expectancy constitutes a period of 324 months or 1404 weeks and the net lump sum is intended to compensate the Claimant for lost earning capacity at the rate of$787.04 per month or about $181.62 per week. 7. Discharge of Payment The obligation of the Self-Insured Employer to make payments outlined in Section 6-Lump Sum Payment, will be discharged when a valid check is mailed for the required amount to the last known address in the Self-Insured Employer's file. If the check is lost or otherwise not received, the Self-Insured Employer. upon prompt notification of non-receipt, will reissue the check. subject to verification the check has not been negotiated or otherwise cashed. The Claimant must promptly notify the Self-Insured Employer of any address change. 8. Claim Closure It is the intent of the parties, that at the time this agreement becomes final, Claim SK36496 will he closed with no permanent impairment beyond what is being paid in the CRSA. Claims SK36367. SK36352, SJ96226, SH28547, SG15622 and SB12275 are closed and will remain closed. The Claimant understands other than the payments provided in this agreement the Claimant will not receive any other benefits, including medical treatment. unless one of the Claimant's Claims is reopened under Section 10 -Reopening. Chris Guluarte Page 9 of 14