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. .. I : .. .. •.. . \i · ., .. : . . :; .. .: .. v DlstRICT OP NBVADA . ' ' 2 .·,

.. I...Casa 3:Qkv-00115-l.RH~VPC • I -1. " Ya• a..n ,,,.. · a11111 to abJ«I iii 111iaG11aM .. ···· · ~. .2 .· rtyc)u baw no objdioa tct the rroPc>Hci sdlm•t A

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Page 1:  .. I...Casa 3:Qkv-00115-l.RH~VPC • I -1. " Ya• a..n ,,,.. · a11111 to abJ«I iii 111iaG11aM .. ···· · ~. .2 .· rtyc)u baw no objdioa tct the rroPc>Hci sdlm•t A

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uNrimi~A.1Bs -~IS'riticr.coURT - .-': : v DlstRICT OP NBVADA

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Page 2:  .. I...Casa 3:Qkv-00115-l.RH~VPC • I -1. " Ya• a..n ,,,.. · a11111 to abJ«I iii 111iaG11aM .. ···· · ~. .2 .· rtyc)u baw no objdioa tct the rroPc>Hci sdlm•t A

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. . . ·-•• ~-.---:··~.--~-- -- ·- • <! ~

=- : .:: .. :" :-:-: ·

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· case 3:0&-cv-0011&-LRH-VPC Document 147 F11ec101128/10 P$9• 2 of 7 ·

1 •. After ~udt deUbiradOD; cri!I c~1 bave cODCIUdeci that the rerms -~ ~~ditlans ottlio. ---. Proposed Settlement Apeemat are lJa tha.ba& lntaresil of the Cius. · .-•• :.· • -. . . -• -..

2 ,~ wr.1 crtiri callllHls;f,,.ftm .. Seli.,,.~- .: · · · · -· ·_ . . -- ~ :1 ... : ·: . . ... ..... :. _. ·._-..... ··· ... .- . :· · ->~· :: ........ .... .. :·::··· ···:·:._, .. · .. ."···· .. ... .. .-.•.... . . . · . .- . . . .. : .. :-.-: r.Gworkia1 aa thls c:il.w,Clus COUasll uve v,fsitedESP '~ tlmeS; Wohavo lnter/iewed many

. · 4 · prisoners ID4 .Com:spoadcd with hundreds nun.about medlcll cue at BSP. Wa have rwiowecl · · · many tcCordli. Twa medical expedl hired by Cllil·Cuunsel; a medical dadc:Jr a.id a nmso . · .. · •·.

5• pnctitlancr. · _inlpected ESP tor.~ Q -m.vlowed ~ .. and ESP. mcdlcal ~.reviewed· •. records. ;;i:oblerYm multiple upCl:tl nf care at dui fiiCUlty. _In deddlil& to support a scttlem-=nt -

• · 6 of this lawsuit. CJUl Counsal eirel\ally Wclped tho bcneffts of the FOJIOsed settlement terms .. · . . · 1111blst th•rlsb of111.unflvorab~:ou1Cc>m• liuhditlptlaa md the dnle needed-to-prasecuts the·· ·• 7 : case tbrcna&h atrial and likely !IPPillL. A1tcrc:0mldcnal all these Issues. It b our ~tft$1an1J .. :

·_· ._ o~lo- n thit die l'ropo~ SCUI_ emcntA~entwUl im_~- __ · va_ m_cd_. lcal care for Iba CJau more_ · .• < : · ~ickly ilncl compreblnlivoly than any resuk tho CIUI mfpt obtain thrQugh ftarthcr btlptlon of· ·

. .. .... ~-~-raa.r-.;~;~~i.~;......i,~ i m > • .

11°1•· ••• H • • ••• • n~ ~~ .~~ ~ aPl>Olllk.it.it•ori\11 ~·~~ .. IDonlt~r fbr a tcJ1ft of~o years. :

• •. · .. · · ' The lnonitOI' shill lnspect BSP dim lllQlllhl dtn tbtt AlrCctnent Is flnallzecl allchvory six 12 · · ----.-• _;•. monlhi~erto'avafuatit:nofCildlatl'- campllmWitb'.dli. toriif'oftllo'Apeement ·. •

. I~ aUbei(end oltwci~ aefendudi ti.vi acbkvcd ~~ c:osnltlima with th•. · .. . . l:f t· • · . terms of die Aiifeemeutt medkal l'llollJtodlil mall"-..· ltl)O(endlbts have ilohch!eved · .

· 14_ · · •. · -• - sub~laJ Corilpl~ .with tll8•APmint. .Plllntlf&'. caWISOI mlY.: &rina Defencflnts~ . -·

:: •· ·· ·· ···· · · ·=-•1.•~~~t · · ... 17·. :· -~·-- :: .·::·. ::: ·: .· ··: ·:: .:·.: .:· :·.:··: ·· ·· .. . . . . .. . .. ... .. .. .

• · 1\1:.l!imc.A'[IONS . · ···· _-- · .: .: · .. · ---· · :::: · •> · ·· · ·· · ·· ·· ·H·, · • <.•:. • · :-:. -

o 11iO M9niCo~ Will e\taluato lild propose my necessary ehmges .to the tlmcly .

_ ... ...•. •! .. H. H ::. :~~.=·~(~~~~:=;::a;b::;;~:,,W.~th-:o~=~:l · -····-·· · · 20: •• •. _ _ _ ']fut t.fniUIOi'; fM theaafti and timely~ 112d.dbpenslnl of medlcatie>ll at . ·

. ... .. . ::.: •_· ::2F . ... . ..... .... . . ·: ::. : .. ·: ::·:···;: .·: ·.: . .. .. ·- 22 · ....... . .

:: .. =: ::::: .. < :: : ·. :· .. ·· .. : . : ·: · . . · . :· . :: . .. . . .. . : . : . . . . : : . . .. . · .....•• _ ...... .... .... : >ii 1 ·: . . ·· ·· ··· ··: .. · :.·· . ·: .. . .. ·:-: . . : : .. ::: ;· . . : ..... . . :· :· : . ::::. .. .. . . ... ••••...•. _. __ :24

... : .· :. :·.·:···;:.:::: ·: :.: "" :.:·:: ·::> ::: : ~>>. 25:: ·.~

: :: : .. ': .. . : f';: < ~·: ... : : '.:. : ~ .: >:: :.: : ·: .. : .:; ': ... : : : . ;- ·.~-: 24;: : . ·· :: .-.· · •. :::· · ... _- :.- _-_ .. • -•·:: .. . ... .... .. . . o··_._: BSP··:.;.;;; ..... :..u•_• o"";;.;;...; _•a.::;;;. _;;..;i:n .. _: _•o· ·r··.-_· -.....:.;;;;.;.;..is"• •o- fa· · urs~~..a.:.;.lni~_;,;.~.;.. _ ;,.;.;..;..lcat' · ·io.;."' · . : : : :: : . : : : . . . > •.• : . : : . . . 27'; llWUI. ~ ""'"" v l.Ulllt • .,14Ull n;QCWllll v-111,MP la-""' 11- •-

· · ·-· · ·: ... :: : .·· · .. · .. ·· . - . . . .. ''. . . :·- :: .. : . . :.:. ; :::: . . :: . . . . .... . ... . .. . .. . ·- ... . . . ... ·::-: :· : :' :-: ....

•· •-••• · 2••: : • n1s·5t11J11D~~.11oi~t1m~~ .&.~·~·~~j~ifuier~~·~~•6rUi• s~~erltA~~t. •• · .·.1, . : -. . • 3 . . ..... . .. .. .

--:: ;:: ;;,: : :::;:; __ <:: _: _:: . · : .. ;::.: · · .· . ..

.. . ·_. · .. : ·· ········ ...

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Page 3:  .. I...Casa 3:Qkv-00115-l.RH~VPC • I -1. " Ya• a..n ,,,.. · a11111 to abJ«I iii 111iaG11aM .. ···· · ~. .2 .· rtyc)u baw no objdioa tct the rroPc>Hci sdlm•t A

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Case 3:0S.CV-0011S.LRH-VPC Document 147 Filed 07128110 Page 3 of 7 · ...... .

l ··· ·' ·_ · .'aredon'o ln'a~tlmelYnilnner. ' l'atJeatsslllll be.mP>nsiblt for ~11'keep. · ;}·' ·o ... p•"· (XOP)retlllfof ~Ill of their r.m..-,i, medlcatiom. . ta a t~Jy .

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12

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Page 4:  .. I...Casa 3:Qkv-00115-l.RH~VPC • I -1. " Ya• a..n ,,,.. · a11111 to abJ«I iii 111iaG11aM .. ···· · ~. .2 .· rtyc)u baw no objdioa tct the rroPc>Hci sdlm•t A

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case 3:08-cV-00118-1.RH-VPC Document 147 Flied 07128110 Page 4 of 7 .. . . . .

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· · •. basil ha. e.Ji Wik aDcl trfaPd by I m.r.q at hf pr loYel std DO la(et !JU twenty..tbur .(24) ~un. aflcrrecolpt/A patfe11trcqucatln9;mcdlcal caro•shaltbe . seen by a·Reptcr9d N11ne (RN) arbl~ level pl'KtJtlDner widthl 41 ho• .. ••:: :• AJr/• patielit'whO Is se:e. bY a nunl two ~Iva tlina ror the same ·symptotns .

• wtU b4t re&irect ta a.hishar tevll ~itlOner without. lncurrina an additional ~ pay chirp tot a m.dk:al vi!~ 'Ihll doli.nOt Nq1Jir1 two sick ·eails ,bcfO~. 1 patient c:Q be ndJinel't0 ••hlpir .tnG!~·•re1~ .nursa ·may· nza!Co•.siJch a· ·.··.· ref am. a 1hliJo sick Call la llCC(JrdlDCe with lpplopriite triage protaeolli; . • . .

. a • =t.=JS•\~f~+.;::~~;·.= .. : :. ·.:.· :. ': .... .. :: ·.: ·: .:·:.: : . ... .. .. ·.. .. :: : ~ ··: ··:: .. ·::. :· .:· .· ::·: :. : :: .... :· .: .: :; .. ::_: ~ ... >: · : :~ ;; · .~ :·=

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Page 5:  .. I...Casa 3:Qkv-00115-l.RH~VPC • I -1. " Ya• a..n ,,,.. · a11111 to abJ«I iii 111iaG11aM .. ···· · ~. .2 .· rtyc)u baw no objdioa tct the rroPc>Hci sdlm•t A

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Case 3:0kv-00115-:1.RH.VPc · o0cument141 ' Fffed0712811o P~e5d7 -:

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Ravlo~ Pane~ tr~ o~ ~~ 1' came&t out _ In the 'mal\net Pnseribed by . ·. tllo speclalbtt unlaia''dovlatkl~ or QYaride Is ~red by the ~itloner at tho •

· · . ~~~~~~;;~Vatlv~y.~~-1f1ftedand

.. ms~wt~i~~.i~.:~~·~~~kles · · · ia~U.~ ~:ciz'I fbr patlenls ,raqutrlq close medical monito~g ancUor .d·' · nunbij.SSlstlDClt:·::;\ -. ·, / .,,,_ < : . ···-•._, < .. • > : ·.d T< .. .

o AU lnfinn.uy p~ ID~ ~,~Ill ~I~ or~ of nunin1 orother healtll ·cere. · staff• • all tlin& ·: · Phystciu( lftdlot ~lever praciltk>ner nnl• shall · be

.. . . . .· -~ ~~~;~Js.(I' p s1'eClflCcl bylb11 c&tegorfcjs olwe belnspravlded, ·" ··. 'an4 ID l\N or hl&ber liVeJ 'medlcal pro-.lder shall bci pmont " tho inftnnuy eaoh .

day witlu mlnlnlum ofilght (I) haur$1:>fRN care and.•bdcen (16).baurs or LPN . . "' Can. ~ ~Y· '- CuatO!if-\'lfiU'Dol provl.de ~ ~· m~ cart or medical < · :- obsemtloa;flltho ·~~'..i: Patlcidl •ldmltted' In tho 'tnftrmary wilfciot have to · · ·'kfte"-<•tnn• '•mCdl•~&>nn>rarmCdt~ cue. ·. .. · .. . · _,. ·

11 . Thc111bove s.muY ~~'.~ot~~:dtb~ ~~dlt~~ of~.Propo~ Set1J;d . 12 Agreement. no only coinplc~Jt•tal~ oflho ~of lhe ~ed sctd~t Is found in .Ule .

. _actual Proposed Scufemcm, A~cnt.'·_Ya.t. may obtain • COPJ' of tho .Prop0$cd Settl~cat i. ···. 13 '. .Aaneincntb~wrttmato:/i?.::,• · :;;:· .\' :'. · \ >•>' ,.:'.>'.·,.);; .X·:.'> ;, ;. . :> ·~ ~., , • · .. "' , ·~ / .·c. . · ····.··'·· .. ··

·. ·~rJ:°S'v.~ OmBONS. 3:01-cv-OOI is-Lm-YPC : .:--·. ~ . ACLUZ!adOiWPrlsOnProject . " · -, ,, . .

915 lS SC.. NW~ 'rPlaor . · ,_· .. W~DC2~ > • •• •··· ··· .

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Page 6:  .. I...Casa 3:Qkv-00115-l.RH~VPC • I -1. " Ya• a..n ,,,.. · a11111 to abJ«I iii 111iaG11aM .. ···· · ~. .2 .· rtyc)u baw no objdioa tct the rroPc>Hci sdlm•t A

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.. •· .. : ...... · ... ...... . · ·· .. . ... . :. Casa 3:Qkv-00115-l.RH~VPC •

I -1. " Ya• a..n ,,,.. · a11111 to abJ«I iii 111iaG11aM .. ···· · ~. . ;

2 .· rtyc)u baw no objdioa tct the rroPc>Hci sdlm•t A~·yoll do n0t hllv• to clo Bliythm1• · · ..

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3 . If. however, you bctl~e tb C~un sb;.ld l)QI, ~ve tha settlement becmMJ ~ object ~ ~y

·. rcucn ta .the tenr.s or tht ~sid Sctttcmen& ASNtmrntJ you ~object. You musr submit .. YDlll' obJcC:cloa ID wrltllia to Iha c:amt Ally abjectlQD must contain tbl. rauowm1 lnfbrinatk:m: ·. .

· · s · · ·· · ·· · ··· · · · llIKBltv. ·~~<>Ns,iokv-0011,.r.RH-~· ••···

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Page 7:  .. I...Casa 3:Qkv-00115-l.RH~VPC • I -1. " Ya• a..n ,,,.. · a11111 to abJ«I iii 111iaG11aM .. ···· · ~. .2 .· rtyc)u baw no objdioa tct the rroPc>Hci sdlm•t A

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Case 3:08-cv.00115-t.RH-VPC Document 147 Fled 07128110 Page 7 of 7

· · · =~:~X: ··• ··· .. · .. · .... · .............. . ATl'N: RIKEll v. omBONS. l:Okv-ocnH-LRH·VPC ACLU Nalfanll PrisOn Project . . . . . . .. . . . . 915 15'11 St. NW, ,-ploof ... . Wasbln .. DC2Q005 . ..

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19 .. APPllQVED: . · . ' ... : .· .. ··: . .

20 DA TED this 2at1day or July, 201 o. . . . .. . . . . . ,. _.

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LARRY R. HICKS . UNITED STATES OlSTRtCT JUDGE

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