Requestor's Name Firm  

Contact Ph# Type of Investigation ElectricalMechanicalMetallurgicalFireExplosionVehicle FireProduct DefectStructuralCivilEnvironmentalFailure AnalysisAccident InvestigationAccident ReconstructionOther Date of Loss  

Case/Claim No. Location of Loss  

Injured/Insured Party Best time to call you MorningAfternoonEveningAnytime 

Billing Address Alternate Ph#

Street Address to send Report and/or Photographs  

Assignment Details  

Comments  

We will call you to verify this assignment and obtain any other pertinent information regarding this investigation. Thank you for the opportunity to work with you and your firm.

For legal cases requiring a retainer to initiate the case, the following Service Retainer Agreement can be simply cut and pasted into Microsoft Word....

          SERVICE RETAINER AGREEMENT

This signed agreement confirms that DOWN FORENSIC ENGINEERING, INC. (DFE) has been retained by the undersigned to provide consulting engineering, failure analysis, site investigation, accident reconstruction, and/or factual investigation services in the following matter: _______________________________________________________________________________

_________________________________________________________________________________________________________ 

The undersigned hereby acknowledges that he or she has the authority to retain DFE to provide the aforementioned services and this retention has been made with the full consent of his or her law firm, company or client.

The nature and scope of the services to be provided by DFE shall be agreed upon between the parties prior to the acceptance of the assignment and commencement of any work by DFE. All services provided by DFE shall be provided on a fee and expense basis in accordance with the DFE rate schedule in effect on the date of execution of this document, a copy of which is attached.

The undersigned, as a duly authorized representative of the firm, guarantees payments of all fees and expenses for the services to be provided by DFE. The undersigned further acknowledges that payment shall be made in a timely manner in accordance with the following terms and conditions:

1. An initial retainer fee of $2500.00 will be due immediately with this signed agreement from each client. The shown retainer fee and this signed agreement should be submitted to DFE’S office in Cary , NC promptly in order that work might continue on this matter. Any balance of the retainer remaining, will be refunded once all work being requested of DFE in this matter has been completed, invoiced and paid for by the undersigned.

2. The undersigned hereby guarantees payment of all charges for services provided, expenses incurred and late fees accrued on any past due service invoice.

3. DFE will make every attempt to minimize the cost of all expenses incurred on the client’s behalf. Any expenses incurred in the handling of any assignment shall be charged by DFE at actual cost plus a 12 % handling and carrying charge or in accordance with DFE’s currently published rate schedule.

4. DFE will submit to the undersigned client or other authorized representative its service invoices on or about the end of each calendar month. All service invoices are due and payable immediately upon receipt and no later than 30 calendar days from date of issue or the client’s bill will be subject to an applied “Account Balance Carrying Charge or Late Payment fee of $35.00 per whole or partial month the payment is late in being received by DFE.

5. DFE reserves the right to submit any invoices, which are sixty (60) days, or more past due to a collection agency or an attorney for collection. In the event it becomes necessary to retain a collection agency or an attorney to collect any past due invoices, the undersigned will be held responsible for any collection agency or attorney fees and court costs related to collection efforts in addition to any amounts past due. If it becomes necessary, the proper venue for any suit for collection will be in the location of DFE’S home office, WAKE COUNTY , NORTH CAROLINA .

6. The undersigned hereby agrees that all invoices shall be paid in full and in a timely manner without regard to the investigative findings, testing results, deposition or trial testimony provided, the findings of any litigation procedure or any failure of a third party, client or related interest, to pay the undersigned.

7. DFE may receive and otherwise be exposed to confidential and proprietary information relating to its clients and their cases. DFE acknowledges the confidential and secret character of client information, and agrees that the information shall remain confidential and proprietary information.

By my signature below, I confirm that I have read and understood the above Service Retainer Agreement and that I agree to abide by the stated and implied conditions for retaining DFE’S services in the above matter.

Firm/Company ____________________________________________________________________

Business Address __________________________________________________________________

City ______________________________ State __________________ Zip Code _________________

Printed Name _________________________ Signature _____________________________________

Title ___________________________________ Date Signed _______________________________

Once completed please return with payment to:

Down Forensic Engineering, Inc.