Backup Documents 05/28/2019 Item #16K10 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 6 K 10
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routingzlines#l through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office SRT S`z_c:\\C\
sr\c)...15.
4. BCC Office Board of County
Commissioners f.S( / ck `\q
5. Minutes and Records Clerk of Court's Office
. ' 5-1301V\ 4e p
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above,may need to contact staff for additional or missing information.
Name of Primary Staff Scott R. Teach/County Attorney's Office Phone Number 252-8400
Contact/ Department ,
Agenda Date Item was 5/28/19 tr Agenda Item Number 16K '►d
Approved by the BCC
Type of Document Retention Agreement Number of Original 1
Attached Documents Attached
PO number or account
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature? N/A
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
provide the Contact Information(Name;Agency;Address; Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney. SRT
4. All handwritten strike-through and revisions have been initialed by the County Attorney's SRT
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the SRT
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's SRT
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip SRT
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 5/28/19 (enter date)and all SRT N/A is not
changes made during the meeting have been incorporated in the attached document. opti
The County Attorney's Office has reviewed the changes,if applicable. lin
9. Initials of attorney verifying that the attached document is the version approved by the SR is not
BCC,all changes directed by the BCC have been made,and the document is ready for th p '
Chairman's signature.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2. 4.05;Revised 11/30/12
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MEMORANDUM
Date: May 31, 2019
To: Scott Teach, Deputy County Attorney
Collier County Attorney's Office
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: A Retention Agreement for specialized legal services with the
law firm of Baker, Donelson, Bearman, Caldwell & Berkowitz, P.C.
Attached please find a copy of the agreement referenced above (Item #K10)
approved by the Board of County Commissioners on Tuesday, May 28, 2019.
The original agreement has been held in the Minutes and Records Department
for the Board's Official Record.
If you have any questions, please contact me at 252-8406.
Thank you.
Attachment
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RETENTION AGREEMENT WITH
Baker.Demises.Dearman.Caldwell is Berkowitz.P.C.
This Retention Agreement is made by and between the Board of County Commissioners
of Collier County, Florida (the "County"), and the law firm of Baker, Donelson, Beaman,
Caldwell&Berkowitz,P.C.,of Washington,DC("Counsel").
Whereas, Counsel has special expertise and resources in a wide range of legal matters,
with particular expertise in representing public agency clients on issues arising under the laws,
regulations,and policies of the Federal Emergency Management Agency("FEMA),including but
not limited to matters seeking to reverse the deobligation of FEMA assistance grants;and
Whereas, the County from time to time has a requirement and need for legal services
which are particularly within the expertise of Counsel;
Now, therefore, in consideration of the premises contained herein, the County hereby
hires and retains Counsel and Counsel hereby agrees to provide legal services to County.
ARTICLE 1
COMPENSATION;METHOD OF PAYMENT
1.1 Compensation shall be paid to Counsel in accordance with the terms set forth in Exhibit
"A"attached hereto and made a part hereof. Requirements for reimbursable expenses are
set forth in Exhibit "B," attached hereto and made a part hereof. Expenses other than
automobile expenses must be documented by copies of paid receipts or other evidence of
payment. The Certificate contained in Exhibit"C"must be included with every invoice
submitted for payment.
1.2 The rates set forth in Exhibit"A"shall remain in effect without change for a minimum of
two (2)years from the effective date of this Agreement. In the subsequent years of the
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Agreement, upon the request of Counsel, the County Attorney is authorized to negotiate
to increase the hourly rate up to a maximum of ten (10)percent without approval by the
Board of County Commissioners. In the negotiation process, Counsel must substantiate
the reason the request is being made(i.e.market conditions,increase in CPI,etc.)
1.3 Multiple Attorney Assignments.
The County acknowledges that, from time to time, it may be advisable for Counsel to
assign more than one attorney to a project or case. Nevertheless, to ensure that such
multiple attorney assignments are efficient and cost-effective for the County, Counsel
agrees to the following procedures and billing limitations for multiple attorney
assignments.
1.3.1 A primary attorney will be identified for such projects or cases and that
attorney will be the contact attorney for the County except in the case of an
emergency or the County's written pre-approval. In practice, this means that
generally only the primary attorney will meet or communicate directly with
County personnel or attend meetings, court, arbitrations, mediations or other
proceedings on behalf of the County.
1.3.2 Attorneys assigned to a project or case other than the primary attorney will be
less senior attorneys with lower billing rates unless the additional attorney(s)
has/have a demonstrated expertise that will demonstrably enhance the value
and efficiency of the legal services being provided to the County.
1.3.3 Counsel agrees that internal or in-house conferences among multiple attorneys
assigned to a project or case shall be kept to the minimum reasonably necessary
for the provision of the legal services in question. To the extent internal or in-
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house conferences among multiple attorneys assigned to a project or case are
necessary,each such attorney may bill his or her customary rate for up to thirty
(30)minutes for any such conference. To the extent such a conference exceeds
thirty (30) minutes in length, Counsel agrees that it will discount the total
billings for all attorneys involved in the conference by forty-five(45)percent.
1.4 Counsel may submit invoices for hourly work assignments pursuant to Exhibit"A"only
after the services for which the invoices are submitted have been completed or expenses
incurred. An original invoice plus one copy is due within fifteen(15)days of the end of
the month, except the final invoice which must be received no later than sixty(60)days
after the work is completed or the expiration of this Agreement.
1.5 To be deemed proper, all invoices must comply with the requirements set forth in this
Agreement and must be submitted on the form and pursuant to the instruction prescribed
by County. Payment may be withheld for failure of Counsel to comply with a term,
condition,or requirement of this Agreement.
1.6 Payment shall be made to Counsel at:
Baker,Doncison,Bearman,Caldwell&Berkowitz,P.C.
920 Massachusetts Avenue,N.W.
Suite 900
Washington,DC 20001
ARTICLE 2
INSURANCE
2.1 To insure the indemnification obligation contained above, Counsel shall as a minimum,
provide, pay for, and maintain in force at all times during the term of this Agreement,
professional liability insurance in an amount not less than Three Million Dollars
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(S3,000,000.00) Per Occurrence, Combined Single Limits. If any liability insurance
obtained by Counsel to comply with the insurance requirements contained herein is
issued on a"claims made" form as opposed to an "occurrence" form,the retroactive date
for coverage shall be no later than the commencement date of the assigned work to which
this Agreement applies, and such insurance shall provide, in the event of cancellation or
non-renewal, that the discovery period for insurance claims (tail coverage) shall not be
less than three years following the completion of the assigned work and acceptance by the
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County.
2.2 Such policy or policies shall be issued by United States Treasury approved companies
authorized to do business in the State of Florida,and having agents upon whom service of
process may be made in Collier County,Florida
2.3 Counsel shall furnish to the Risk Management Director Certificates of Insurance or
endorsements evidencing the insurance coverages specified by this Article prior to
beginning performance of work under this Agreement
ARTICLE 3
TERM AND TIME OF PERFORMANCE
The term of this Agreement shall be for a period of two(2)years to begin April 23,2019
and to end on April 22,2021,unless terminated earlier in accordance with the provisions of this
Agreement Absent notice of intent to terminate, the Agreement may be renewed upon mutual
consent of the parties for three(3)additional terms of one(1)year each. (In the event the term
of this Agreement extends beyond a single fiscal year of County, the continuation of this
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Agreement beyond the end of any fiscal year shall be subject to the availability of funds from
County in accordance with Chapter 129,Florida Statutes.)
3.1 Time shall be deemed to be of the essence in performing the duties, obligations and
responsibilities by this Agreement
3.2 Any amendments, alterations, variations, modifications or waivers of provisions of this
Agreement shall only be valid when they have been reduced to writing, duly signed by
both parties hereto,and attached to the original of this Agreement
ARTICLE 4
TERMINATION
4.1 This Agreement may be terminated by either party for cause upon ten(10)days' notice or
by either party for convenience upon no less than thirty(30)days' advance written notice
in accordance with the"NOTICES"section of this Agreement.
4.2 Termination of this Agreement for cause shall include, but not be limited to, failure to
suitably perform the work, failure to continuously perform the work in a manner
calculated to meet or accomplish the objectives of County as set forth in this Agreement,
or multiple breach of the provisions of this Agreement notwithstanding whether any such
breach was previously waived or cured.
4.3 In the event this Agreement is terminated for convenience,Counsel shall be paid for any
services performed to the date the Agreement is terminated; however, upon notice by
either party to terminate, Counsel shall refrain from performing further services or
incurring additional expenses under the term of this Agreement. Counsel acknowledges
and agrees that Ten Dollars(S10)of the compensation to be paid by County,the adequacy
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of which is hereby acknowledged by Counsel, is given as specific consideration to
Counsel for County's right to terminate this Agreement for convenience. Counsel's
obligations to the County as provided for hereunder shall cease upon termination,except
for participating in an orderly and professional transfer of such responsibilities and files
or copies of files to the County or its designee.
ARTICLE 5
RECORD AUDIT AND INSPECTION
5.1 County shall have the right to audit the books and records of Counsel pertinent to the
funding under this Agreement. Counsel shall preserve and make available,at reasonable
times for examination and audit by County, all financial records, supporting documents,
and other documents pertinent to this Agreement for a period of three (3) years after
termination of this Agreement or, if any audit has been initiated and audit findings have
not been resolved at the end of the three years,the books and records shall be retained
until resolution of the audit findings.
5.2 If the Florida Public Records Act(Chapter 119,Fla.Stat.)is determined by County to be
applicable to Counsel's records, Counsel shall comply with all requirements thereof,
however, no confidentiality or non-disclosure requirement of either federal or state law
shall be violated by Counsel.
ARTICLE 6
CONFLICT OF INTEREST
6.1 Counsel states that it is familiar with and will comply with the terms and conditions of
Chapter 112,Part 111,Florida Statutes(Code of Ethics).
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6.2 It is important that Counsel be independent and impartial to properly conduct its services
to the County. Counsel shall not act as counsel in any lawsuit or other adversary
proceeding in which County is named as an adversary party or in which Counsel takes an
adverse position to the County.
6.3 Neither Counsel nor its employees shall have or hold any continuing or frequently
recurring employment or contractual relationship that is substantially antagonistic or
incompatible with Counsel's loyal and conscientious exercise of judgment related to its
performance under this Agreement.
6.4 In the event Counsel is permitted to utilize subcontractors,herein,to perform any services
required by this Agreement, Counsel agrees to prohibit such subcontractors, by written
contract,from having any conflicts as within the meaning of this section.
6.5 If at any time Counsel's firm represents a client in matters having to do with the Collier
County government,be it before the Board of County Commissioners or any other agency
or division of Collier County government, Counsel will contact the County Attomey's
Office before undertaking such representation so that it can be determined whether a
conflict of interest exists.
ARTICLE 7
INDEMNIFICATION
7.1 Counsel acknowledges and agrees that Ten Dollars ($10.00) of the compensation to be
paid by County, the adequacy of which is hereby acknowledged by Counsel, is given as
specific consideration to Counsel so that Counsel shall at all times hereafter indemnify
County, its officers, agents, servants, and employees against any and all claims, losses,
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liabilities, and expenditures of any kind, including attorney fees, court costs, and
expenses, caused by negligent act or omission of Counsel, its employees, agents,
servants, or officers, or accruing, resulting from, or related to the subject matter of this
Agreement including,without limitation,any and all claims,demands or causes of action
of any nature whatsoever resulting from injuries or damages sustained by any person or
property. The provisions of this section shall survive the expiration or earlier termination
of this Agreement To the extent considered necessary by County,any sums due Counsel
under this Agreement may be retained by County until all of County's claims for
indemnification pursuant to this Agreement have been settled or otherwise resolved;and
any amount withheld shall not be subject to payment of interest by County.
ARTICLE 8
OWNERSHIP OF DOCUMENTS
8.1 All reports, photographs, surveys, and other data and documents provided or created in
connection with this Agreement are and shall remain the property of County. In the event
of termination of this Agreement, any reports, photographs, surveys, and other data and
documents prepared by Counsel, whether finished or unfinished, shall become the
property of County and shall be delivered by Counsel to the County within seven(7)days
of termination of this Agreement by either party. Any compensation due to Counsel shall
be withheld until all documents are received as provided herein.
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ARTICLE 9
INDEPENDENT CONTRACTOR
9.1 Counsel is an independent contractor under this Agreement. Services provided by
Counsel shall be subject to the supervision of Counsel, and such services shall not be
provided by Counsel as officers, employees, or agents of the County. The parties
expressly acknowledge that it is not their intent to create any rights or obligations in any
third person or entity under this Agreement.
ARTICLE 10
NONDISCRIMINATION,EQUAL OPPORTUNITY
AND AMERICANS WITH DISABIILITIES ACT
10.1 Counsel shall not unlawfully discriminate against any person in its operations and
activities in its use or expenditure of the funds or any portion of the funds provided by
this Agreement and shall affirmatively comply with all applicable provisions of the
Americans with Disabilities Act(ADA)in the course of providing any services funded in
whole or in part by County, including Titles I and Il of the ADA (regarding
nondiscrimination on the basis of disability), and ail applicable regulations, guidelines,
and standards.
10.2 Counsel's decisions regarding the delivery of services under this Agreement shall be
made without regard to or consideration of race, age, religion, color, gender, sexual
orientation national origin, martial status, physical or mental disability, political
affiliation, or any other factor which cannot be lawfully or appropriately used as a basis
for service delivery.
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10.3 Counsel shall comply with Title I of the Americans with Disabilities Act regarding
nondiscrimination on the basis of disability in employment and further shall not
discriminate against any employee or applicant for employment because of race, age,
religion, color, gender, national origin, marital status, political affiliation, or physical or
mental disability. In addition, Counsel shall take affirmative steps to ensure
nondiscrimination in employment against disabled persons. Such actions shall include,
but not be limited to, the following: employment, upgrading, demotion, transfer,
recruitment or recruitment advertising, layoff, termination, rates of pay, other forms of
compensation, terms and conditions of employment, training (including apprenticeship),
and accessibility.
10.4 Counsel shall take affirmative action to ensure that applicants are employed and
employees are treated without regard to race,age,religion,color,gender,national origin,
marital status, political affiliation, or physical or mental disability during employment.
Such actions shall include,but not be limited to,the following: employment,upgrading,
demotion, transfer, recruitment or recruitment advertising, layoff, termination, rates of
pay, other forms of compensation, terms and conditions of employment, training
(including apprenticeship),and accessibility.
10.5 Counsel shall not engage in or commit any discriminatory practice in performing the
Scope of Services or any part of Scope of Services of this Agreement.
ARTICLE 11
NOTICES
11.1 Whenever either party desires to give notice to the other,such notice must be in writing,
sent by registered or certified United States Mail, postage prepaid, return receipt
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requested, or by hand-delivery, addressed to the party for whom it is intended at the place
last specified. The place for giving notice shall remain the same as set forth herein until
changed in writing in the manner provided in this section. For the present, the parties
designate the following:
FOR COLLIER COUNTY:
Jeffrey A. Klatzkow, County Attorney
Government Center
3299 Tamiami Trail East
Suite 800
Naples, Florida 34112
FOR COUNSEL:
Baker, Donelson, Bearman, Caldwell &Berkowitz, P.C.
900 Massachusetts Avenue,N.W.
Suite 900
Washington, DC 20001
ARTICLE 12
MISCELLANEOUS
12.1 WAIVER OF BREACH AND MATERIALITY
Failure by County to enforce any provision of this Agreement shall not be deemed a
waiver of the provision or modification of this Agreement. A waiver of any breach of a
provision of this Agreement shall not be deemed a waiver of any subsequent breach and
shall not be construed to be a modification of the terms of this Agreement.
12.2 COMPLIANCE WITH LAWS
Counsel shall comply with all federal, state, and local laws, codes, ordinances, rules, and
regulations in performing its duties, responsibilities, and obligations related to this
Agreement.
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12.3 SEVERANCE
In the event a portion of this Agreement is found by a court of competent jurisdiction to
be invalid, the remaining provisions shall continue to be effective unless County and
Counsel elect to terminate this Agreement. The election to terminate this Agreement
based upon this provision shall be made within seven (7) days after the finding by the
court becomes final.
12.4 APPLICABLE LAW AND VENUE
This Agreement shall be interpreted and construed in accordance with and governed by
the laws of the State of Florida. Venue for litigation concerning this Agreement shall be
in Collier County, Florida.
12.5 PRIOR AGREEMENTS
This document supercedes all prior negotiations, correspondence, conversations,
agreements,and understandings applicable to the matters contained herein and the parties
agree that there are no commitments, agreements or understandings concerning the
subject matter of this Agreement that are not contained in this document. Accordingly,
the parties agree that no deviation from the terms hereof shall be predicated upon any
prior representations or agreements, whether oral or written. It is further agreed that no
modification, amendment or alteration in the terms or conditions contained herein shall
be effective unless contained in a written document in accordance with Article 3 above.
12.6 INCORPORATION BY REFERENCE
The truth and accuracy of each"Whereas"clause set forth above is acknowledged by the
parties. The attached Exhibits"A,""B,"and"C"are incorporated into and made a part of
this Agreement.
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DATE: 6"3 I-2 0(`'1 BOARD OF COUNTY COMMISSIONERS
OF COLLIER „FLORIDA
ATTEST;''G, ...... '' :. C.�-�'
CRYSTAL K.KINZEL,CLERK
BY: c
�( gyp. C . Wi am L.Mc Jr. \� \l"1
st as to Cha.' 's m'a" 1
si re only.
A edastoform ity
Item# k,lD (
ir •rt
Scott R.Teach Date da s 7��.141
Deputy County Attorney
DReedate `5-3���
-------
Deputy CI ,
Baker, Bearman, 1dwell&B
Its: O (-t," erkowitz,P.C.
DATE: Al 4y 13 �,t�t 9 ; 'I
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By: e
. ,1-,-.,L .�
CITY OF WASHINGTON
DISTRICT OF COLUMBIA
The foregoing Retention Agreement was acknowledged before me this !3 4 day of
/ y,aor2, byFRAWST R_ A8At71-as nF COUA1SfL of Baker, Donelson, Beaman,
Caldwell & Berkowitz, P.C., on behalf of the professional association. He she is personally
known to me or produced hYA- as', 'on.
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_i p 'r—. -. Name of Notary Public typed,printed or
s i 's g-31-2 o i __ My Commission Expires:
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EXHIBIT"A"
For professional services rendered,Counsel's fee shall be based on the hourly rate as follows:
Ernest B.Abbott $510.00 per hour
Partners(not to exceed) $370.00 per hour
Associates(not to exceed) $350.00 per hour
Paralegals/Legal Assistant $200.00 per hour
Counsel's fee shall not exceed $100,000.00 per new matter assigned without the approval of the
Board of County Commissioners. Any expenditure beyond the initial $100,000.00 approval by
the Board of County Commissioners must have Board approval prior to work being performed.
(Where appropriate a"not to exceed" sum shall be agreed to when each assignment is made to
Counsel)
In the event that Counsel is required or requested to perform any additional or extraordinary
services not herein contemplated,Counsel shall be entitled to apply for additional compensation,
the amount of which shall be subject to the approval of County and no such additional
compensation in excess of the amount herein stated shall be paid unless specifically authorized in
advance by County in its sole discretion.
Counsel shall provide, at no cost to County,the annual response to County's auditors regarding
pending or threatened litigation. The auditors typically request information regarding all
litigation, claims and assessments considered to be material. The response should include the
nature of the litigation, the progress of the case to date, an estimate of the amount or range of
potential loss,and any other information considered necessary to explain the case. Counsel shall
provide said response within 30 days of receipt of the request.
NOTES:
• Divisions, or departments within such divisions, shall be responsible and pay for legal
counsel services relating to litigation and outside counsel specifically for cases,matters or
issues relating to such division or department, as determined by the County Attorney in
coordination with the County Manager.
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EXHIBIT B
1. In addition to the charges for professional fees set forth in Exhibit A, and the
Schedules attached hereto, County shall reimburse Counsel for out-of-pocket
expenses reasonably incurred in the course of rendering such legal services, including
costs of long distance calls, printing, costs of reproduction, and necessary travel
expenses incurred in accordance with the requirements of Chapter 112,F.S. Counsel
shall not charge for travel of attorneys between its offices so that it can provide the
best available and most appropriate lawyer in any of its office locations for the issues
involved.
2. Counsel shall submit invoices on a monthly basis for the payment of out-of-pocket
expenses. Each invoice shall include a signed certificate listing all costs, expenses,
vouchers, invoices and other documentary evidence that will describe in reasonable
detail the basis for expenditures for which reimbursement is sought as set forth below.
3. REOUIREMENTS
The following represents Collier County's payment requirements for legal costs
➢ Your federal employee identification number must be on all invoices submitted.
➢ The applicable Purchase Order number must be on all invoices submitted.
> No service, interest,or other charge of like nature is to be imposed with regard to
any item, invoice, or request. All firms doing business with Collier County must
have a current W-9 "Request for Taxpayer Identification Number and
Certification"on file.
> Services rendered must be specifically and concisely identified:
Y Names of persons performing services,hourly rates,and dates must be listed. The
County agrees to reimburse Counsel for retention and utilization of
sub-consultants.
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D Reimbursable expense must be verified by attached receipts or copies thereof.
➢ Claims for mileage and meals cannot exceed statutory allowance as provided for
under Chapter 112, F.S. Meals and mileage cannot be charged unless the
professional has traveled outside the county of the principal business location.
➢ Claims for lodging at single rate(actual cost)must be substantiated by paid bill or
charge,with a cap of no more than S150.00 per night.
D Car rentals required for travel should include compact or standard-size vehicles
only.
D Common carrier travel shalt be reimbursable at tourist or coach class fares only.
➢ Accounting Division requires original receipts, or copies of receipts which have
been individually certified to be true copies of the originals. In addition the
Certificate contained in Exhibit C must accompany each invoice. The certifying
person must sign the Certification form and a description provided of the items,
which are certified.
D Faxes shall not be reimbursed
D Legal Research costs(Lexis-Nexis,Westlaw,etc.)shall not be reimbursed
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EXHIBIT t�/��p C
CERTIFICATE
IT IS HEREBY CERTIFIED that:
has been duly designated as special counsel to
render legal services or provider of services for or on behalf of Collier County;
2. Each of the documents hereinafter identified and attached is a true and correct copy of the
original record;
3. Expenditure(s) enumerated represent costs necessarily incurred during the course of
official business for which payment has not been received and for which documentation is
not available or reasonably retrievable;
4. Claims are in compliance with the applicable statutes and administrative orders,and with
the express provision that all other parties are barred from entitlement to any part of these
costs.
RE: Invoice No. ,Dated
Period Covered: ,Amount
IN-HOUSE CHARGES:
Photocopies: copies®SO.l5/each S
Mileage: miles® /mile S
OTHER(Copies of invokes required):
Long Distance Calls S
Other: $
TOTAL: S
FOR THE FIRM
Signed:
Print Name:
Title:
Date:
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