A mediation agreement document is a contract. For out-of-court mediation, it's a standard contract; if either side does not honor the contract, then the only means the other party has is taking the action to court. When this happens, they will sue not only for the original disagreement, but also for breach of contract. This means that whoever broke the contract would have to pay damages for going against the contract. Furthermore, courts that favor decisions reached by mediation will typically turn the original civil mediation agreement into their own ruling, usually with some terms added in for enforcement purposes.