indirect optical disk drive - j.e. lawrence & co. sdi brasil ltda., shenzhen samsung sdi co....
TRANSCRIPT
CATHODE RAY TUBE Antitrust Litigation
WHO IS ELIGIBLE?: All persons and entities who, between March 1, 1995 andNovember 25, 2007, directly purchased a CRT Product in the United States from any defendant or any subsidiary or a�liate thereof, or any co-conspirator. Excluded from the Class are defendants; their parent companies, subsidiaries, and a�liates, any co-conspirators, all governmental entities, and any judges or justices assigned to hear any aspect of this action.
DEFENDANTS: LG Electronics, Inc., LG Electronics U.S.A., Inc., LG Electronics Taiwan Taipei Co., Ltd, Koninklijke Philips Electronics N.V., Philips Electronics North America Corporation, Philips Electronics Industries (Taiwan), Ltd., Philips da Amazonia Industrie Electronica Ltda., LP Displays International, Ltd. f/k/a LG.Philips Displays, Samsung Electronics Co., Ltd., Samsung Electronics America, Inc., Samsung SDI Co. Ltd., Samsung SDI America, Inc., Samsung SDI Mexico S.A. de C.V., Samsung SDI Brasil Ltda., Shenzhen Samsung SDI Co. Ltd., Tianjin Samsung SDI Co. Ltd., Samsung SDI Malaysia Sdn. Bhd., Toshiba Corporation, Toshiba America, Inc., Toshiba America Consumer Products, LLC.,Toshiba America Inforrnation Systems, Inc., Toshiba
BACKGROUND: From at least March 1, 1995 through November 25, 2007, Plainti�s allege that in 13&'3�51�/#+05#+0�23+%'�45#$+.+5:�#0&�+0%3'#4'�231>5#$+.+5:� 1(�23+%+0)�+0�5*'��#5*1&'��#:� 6$'��13�<�� =�/#3-'5��&'('06�%1042+3'&��%1/$+0'&�#0&�%1053#%5'&�51�>9��raise, maintain, and stabilize the price at which CRT Products were sold in the United States.
SETTLEMENT:
For more information, please visit our company website: www.jelcrs.com
CATHODE RAY TUBE Antitrust Litigation
WHO IS ELIGIBLE?: All persons and entities who, between March 1, 1995 andNovember 25, 2007, directly purchased a CRT Product in the United States from any defendant or any subsidiary or a�liate thereof, or any co-conspirator. Excluded from the Class are defendants; their parent companies, subsidiaries, and a�liates, any co-conspirators, all governmental entities, and any judges or justices assigned to hear any aspect of this action.
DEFENDANTS: LG Electronics, Inc., LG Electronics U.S.A., Inc., LG Electronics Taiwan Taipei Co., Ltd, Koninklijke Philips Electronics N.V., Philips Electronics North America Corporation, Philips Electronics Industries (Taiwan), Ltd., Philips da Amazonia Industrie Electronica Ltda., LP Displays International, Ltd. f/k/a LG.Philips Displays, Samsung Electronics Co., Ltd., Samsung Electronics America, Inc., Samsung SDI Co. Ltd., Samsung SDI America, Inc., Samsung SDI Mexico S.A. de C.V., Samsung SDI Brasil Ltda., Shenzhen Samsung SDI Co. Ltd., Tianjin Samsung SDI Co. Ltd., Samsung SDI Malaysia Sdn. Bhd., Toshiba Corporation, Toshiba America, Inc., Toshiba America Consumer Products, LLC.,Toshiba America Inforrnation Systems, Inc., Toshiba
BACKGROUND: From at least March 1, 1995 through November 25, 2007, Plainti�s allege that in 13&'3�51�/#+05#+0�23+%'�45#$+.+5:�#0&�+0%3'#4'�231>5#$+.+5:� 1(�23+%+0)�+0�5*'��#5*1&'��#:� 6$'��13�<�� =�/#3-'5��&'('06�%1042+3'&��%1/$+0'&�#0&�%1053#%5'&�51�>9��raise, maintain, and stabilize the price at which CRT Products were sold in the United States.
SETTLEMENT:
For more information, please visit our company website: www.jelcrs.com
Cathode Ray Tubes of any type (e.g. color display tubes,picture tubes and monochrome display tubes) and Cathode Ray Tubes, such as Televisions and Computer Monitors.
color >0+4*'&�products which contain
$139 Million
1.153.15
CATHODE RAY TUBE Antitrust Litigation
WHO IS ELIGIBLE?: All persons and entities who, between March 1, 1995 andNovember 25, 2007, directly purchased a CRT Product in the United States from any defendant or any subsidiary or a�liate thereof, or any co-conspirator. Excluded from the Class are defendants; their parent companies, subsidiaries, and a�liates, any co-conspirators, all governmental entities, and any judges or justices assigned to hear any aspect of this action.
DEFENDANTS: LG Electronics, Inc., LG Electronics U.S.A., Inc., LG Electronics Taiwan Taipei Co., Ltd, Koninklijke Philips Electronics N.V., Philips Electronics North America Corporation, Philips Electronics Industries (Taiwan), Ltd., Philips da Amazonia Industrie Electronica Ltda., LP Displays International, Ltd. f/k/a LG.Philips Displays, Samsung Electronics Co., Ltd., Samsung Electronics America, Inc., Samsung SDI Co. Ltd., Samsung SDI America, Inc., Samsung SDI Mexico S.A. de C.V., Samsung SDI Brasil Ltda., Shenzhen Samsung SDI Co. Ltd., Tianjin Samsung SDI Co. Ltd., Samsung SDI Malaysia Sdn. Bhd., Toshiba Corporation, Toshiba America, Inc., Toshiba America Consumer Products, LLC.,Toshiba America Inforrnation Systems, Inc., Toshiba
BACKGROUND: From at least March 1, 1995 through November 25, 2007, Plainti�s allege that in 13&'3�51�/#+05#+0�23+%'�45#$+.+5:�#0&�+0%3'#4'�231>5#$+.+5:� 1(�23+%+0)�+0�5*'��#5*1&'��#:� 6$'��13�<�� =�/#3-'5��&'('06�%1042+3'&��%1/$+0'&�#0&�%1053#%5'&�51�>9��raise, maintain, and stabilize the price at which CRT Products were sold in the United States.
SETTLEMENT:
For more information, please visit our company website: www.jelcrs.com
CATHODE RAY TUBE Antitrust Litigation
WHO IS ELIGIBLE?: All persons and entities who, between March 1, 1995 andNovember 25, 2007, directly purchased a CRT Product in the United States from any defendant or any subsidiary or a�liate thereof, or any co-conspirator. Excluded from the Class are defendants; their parent companies, subsidiaries, and a�liates, any co-conspirators, all governmental entities, and any judges or justices assigned to hear any aspect of this action.
DEFENDANTS: LG Electronics, Inc., LG Electronics U.S.A., Inc., LG Electronics Taiwan Taipei Co., Ltd, Koninklijke Philips Electronics N.V., Philips Electronics North America Corporation, Philips Electronics Industries (Taiwan), Ltd., Philips da Amazonia Industrie Electronica Ltda., LP Displays International, Ltd. f/k/a LG.Philips Displays, Samsung Electronics Co., Ltd., Samsung Electronics America, Inc., Samsung SDI Co. Ltd., Samsung SDI America, Inc., Samsung SDI Mexico S.A. de C.V., Samsung SDI Brasil Ltda., Shenzhen Samsung SDI Co. Ltd., Tianjin Samsung SDI Co. Ltd., Samsung SDI Malaysia Sdn. Bhd., Toshiba Corporation, Toshiba America, Inc., Toshiba America Consumer Products, LLC.,Toshiba America Inforrnation Systems, Inc., Toshiba
BACKGROUND: From at least March 1, 1995 through November 25, 2007, Plainti�s allege that in 13&'3�51�/#+05#+0�23+%'�45#$+.+5:�#0&�+0%3'#4'�231>5#$+.+5:� 1(�23+%+0)�+0�5*'��#5*1&'��#:� 6$'��13�<�� =�/#3-'5��&'('06�%1042+3'&��%1/$+0'&�#0&�%1053#%5'&�51�>9��raise, maintain, and stabilize the price at which CRT Products were sold in the United States.
SETTLEMENT:
For more information, please visit our company website: www.jelcrs.com
Cathode Ray Tubes of any type (e.g. color display tubes,picture tubes and monochrome display tubes) and Cathode Ray Tubes, such as Televisions and Computer Monitors.
color >0+4*'&�products which contain
$139 Million
1.15
305 Laurel Falls Drive, Apollo Beach, FL 33572 � Main Office: 845-445-6653 � www.jelcrs.com
23 Ava Drive, Syosset, NY 11791 � NY Office: 845-445-6652 � Fax/Voice mail: 866-221-4719
3.15
Antitrust Litigation
WHO IS ELIGIBLE?: All persons and entities who, between March 1, 1995 andNovember 25, 2007, directly purchased a CRT Product in the United States from any defendant or any subsidiary or a�liate thereof, or any co-conspirator. Excluded from the Class are defendants; their parent companies, subsidiaries, and a�liates, any co-conspirators, all governmental entities, and any judges or justices assigned to hear any aspect of this action.
DEFENDANTS: LG Electronics, Inc., LG Electronics U.S.A., Inc., LG Electronics Taiwan Taipei Co., Ltd, Koninklijke Philips Electronics N.V., Philips Electronics North America Corporation, Philips Electronics Industries (Taiwan), Ltd., Philips da Amazonia Industrie Electronica Ltda., LP Displays International, Ltd. f/k/a LG.Philips Displays, Samsung Electronics Co., Ltd., Samsung Electronics America, Inc., Samsung SDI Co. Ltd., Samsung SDI America, Inc., Samsung SDI Mexico S.A. de C.V., Samsung SDI Brasil Ltda., Shenzhen Samsung SDI Co. Ltd., Tianjin Samsung SDI Co. Ltd., Samsung SDI Malaysia Sdn. Bhd., Toshiba Corporation, Toshiba America, Inc., Toshiba America Consumer Products, LLC.,Toshiba America Inforrnation Systems, Inc., Toshiba
BACKGROUND: From at least March 1, 1995 through November 25, 2007, Plainti�s allege that in 13&'3�51�/#+05#+0�23+%'�45#$+.+5:�#0&�+0%3'#4'�231>5#$+.+5:� 1(�23+%+0)�+0�5*'��#5*1&'��#:� 6$'��13�<�� =�/#3-'5��&'('06�%1042+3'&��%1/$+0'&�#0&�%1053#%5'&�51�>9��raise, maintain, and stabilize the price at which CRT Products were sold in the United States.
SETTLEMENT:
For more information, please visit our company website: www.jelcrs.com
CATHODE RAY TUBE Antitrust Litigation
WHO IS ELIGIBLE?: All persons and entities who, between March 1, 1995 andNovember 25, 2007, directly purchased a CRT Product in the United States from any defendant or any subsidiary or a�liate thereof, or any co-conspirator. Excluded from the Class are defendants; their parent companies, subsidiaries, and a�liates, any co-conspirators, all governmental entities, and any judges or justices assigned to hear any aspect of this action.
DEFENDANTS: LG Electronics, Inc., LG Electronics U.S.A., Inc., LG Electronics Taiwan Taipei Co., Ltd, Koninklijke Philips Electronics N.V., Philips Electronics North America Corporation, Philips Electronics Industries (Taiwan), Ltd., Philips da Amazonia Industrie Electronica Ltda., LP Displays International, Ltd. f/k/a LG.Philips Displays, Samsung Electronics Co., Ltd., Samsung Electronics America, Inc., Samsung SDI Co. Ltd., Samsung SDI America, Inc., Samsung SDI Mexico S.A. de C.V., Samsung SDI Brasil Ltda., Shenzhen Samsung SDI Co. Ltd., Tianjin Samsung SDI Co. Ltd., Samsung SDI Malaysia Sdn. Bhd., Toshiba Corporation, Toshiba America, Inc., Toshiba America Consumer Products, LLC.,Toshiba America Inforrnation Systems, Inc., Toshiba
BACKGROUND: From at least March 1, 1995 through November 25, 2007, Plainti�s allege that in 13&'3�51�/#+05#+0�23+%'�45#$+.+5:�#0&�+0%3'#4'�231>5#$+.+5:� 1(�23+%+0)�+0�5*'��#5*1&'��#:� 6$'��13�<�� =�/#3-'5��&'('06�%1042+3'&��%1/$+0'&�#0&�%1053#%5'&�51�>9��raise, maintain, and stabilize the price at which CRT Products were sold in the United States.
SETTLEMENT:
For more information, please visit our company website: www.jelcrs.com
Cathode Ray Tubes of any type (e.g. color display tubes,picture tubes and monochrome display tubes) and Cathode Ray Tubes, such as Televisions and Computer Monitors.
color >0+4*'&�products which contain
$139 Million
1.15
305 Laurel Falls Drive, Apollo Beach, FL 33572 � Main Office: 845-445-6653 � www.jelcrs.com
23 Ava Drive, Syosset, NY 11791 � NY Office: 845-445-6652 � Fax/Voice mail: 866-221-4719
3.15305 Laurel Falls Drive, Apollo Beach, FL 33572 Phone: (845) 445-6651 www.jelcrs.com23 Ava Drive, Syosset, NY 11791 Phone: (845) 445-6652
6/14/2016
Indirect Purchaser Optical Disk Drive Antitrust LitigationBackround:
The lawsuit alleges that Defendants and co-conspirators engaged in an unlawful conspiracy to fix, raise, maintain or stabilize the prices of Optical Disk Drives, or “ODDs”. Plaintiffs allege that, as result of the unlawful conspiracy involving ODDs, they and other indirect purchasers paid more for ODDs and ODD Devices than they should have.
Settlement Amount: $124.5 million To Date
Who Is Eligible
"Class" in the Revised Motion for Class Certification refers to: “All persons and entities who, as residents of Arizona, California, District of Columbia, Florida, Hawaii, Kansas, Maine, Massachusetts, Michigan, Minnesota, Missouri, Montana„, Nebraska, Nevada, New Hampshire, New Mexico, New York, North Carolina, Oregon, Tennessee, Utah, Vermont, West Virginia and Wisconsin and during the period April 2003 to December 2008, purchased new for their own use:
purchases of PanExcluded from the class are any asonic-branded computers.
Defendants:
Settling Defendants:
Panasonic NEC Corp.
Non Settling Defendants:
Sony CorporationSony Optiarc Inc.Sony NEC Optiarc Inc.Sony Optiarc America Inc. (FKA Sony NEC)Sony Computer Entertainment America, Inc.Sony Electronics Inc.LG Electronics, Inc.LG Electronics USA, Inc.Hitachi, Ltd.Hitachi-LG Data Storage, Inc.Hitachi-LG Data Storage Korea, Inc.Toshiba CorporationToshiba America Information Systems, Inc.Samsung Electronics Co., Ltd.Samsung Electronics America, Inc.Toshiba Samsung Storage Technology Corp.
Toshiba Samsung Storage Technology Corp. KoreaLite-On IT Corp. of TaiwanKoninklijke Philips Electronics N.V.Philips & Lite-On Digital Solutions Corp.Philips & Lite-On Digital Solutions USA, Inc.BenQ CorporationBenQ America CorporationTEAC CorporationTEAC America, Inc.Quanta Storage Inc.Quanta Storage America, Inc.Pioneer CorporationPioneer North America, Inc.Pioneer Electronics (USA) Inc.Pioneer High Fidelity Taiwan Co., Ltd.
Deadline: September, 30, 2017.
Not For Resale a computer with an internal ODD; (ii) a stand-alone ODD designed for internal use only computers; or an ODD designed tobe attached externally to a computer. ODD refers to a DVD-RW, DVD-ROM, or COMBO drive manufactured by one or more Defendants or their co conspirators.
What is an “Optical Disk Drive Device”?
Optical Disk Drive Devices include devices incorporating Optical Disk Drives such as desktop computers, mobile/laptop computers, CD players/recorders, DVD players/recorders.
(You are an indirect purchaser if you made these purchases from any entity other than a Defendant, such as a retail store or an Electronics Distributor)
CATHODE RAY TUBE Antitrust Litigation
WHO IS ELIGIBLE?: All persons and entities who, between March 1, 1995 andNovember 25, 2007, directly purchased a CRT Product in the United States from any defendant or any subsidiary or affiliate thereof, or any co-conspirator. Excluded from the Class are defendants; their parent companies, subsidiaries, and affiliates, any co-conspirators, all governmental entities, and any judges or justices assigned to hear any aspect of this action.
DEFENDANTS: LG Electronics, Inc., LG Electronics U.S.A., Inc., LG Electronics Taiwan Taipei Co., Ltd, Koninklijke Philips Electronics N.V., Philips Electronics North America Corporation, Philips Electronics Industries (Taiwan), Ltd., Philips da Amazonia Industrie Electronica Ltda., LP Displays International, Ltd. f/k/a LG.Philips Displays, Samsung Electronics Co., Ltd., Samsung Electronics America, Inc., Samsung SDI Co. Ltd., Samsung SDI America, Inc., Samsung SDI Mexico S.A. de C.V., Samsung SDI Brasil Ltda., Shenzhen Samsung SDI Co. Ltd., Tianjin Samsung SDI Co. Ltd., Samsung SDI Malaysia Sdn. Bhd., Toshiba Corporation, Toshiba America, Inc., Toshiba America Consumer Products, LLC.,Toshiba America Inforrnation Systems, Inc., Toshiba
BACKGROUND: From at least March 1, 1995 through November 25, 2007, Plaintiffs allege that in order to maintain price stability and increase profitability of pricing in the Cathode Ray Tube, or “CRT” market, defendants conspired, combined and contracted to fix, raise, maintain, and stabilize the price at which CRT Products were sold in the United States.
SETTLEMENT:
For more information, please visit our company website: www.jelcrs.com
CATHODE RAY TUBE Antitrust Litigation
WHO IS ELIGIBLE?: All persons and entities who, between March 1, 1995 andNovember 25, 2007, directly purchased a CRT Product in the United States from any defendant or any subsidiary or affiliate thereof, or any co-conspirator. Excluded from the Class are defendants; their parent companies, subsidiaries, and affiliates, any co-conspirators, all governmental entities, and any judges or justices assigned to hear any aspect of this action.
DEFENDANTS: LG Electronics, Inc., LG Electronics U.S.A., Inc., LG Electronics Taiwan Taipei Co., Ltd, Koninklijke Philips Electronics N.V., Philips Electronics North America Corporation, Philips Electronics Industries (Taiwan), Ltd., Philips da Amazonia Industrie Electronica Ltda., LP Displays International, Ltd. f/k/a LG.Philips Displays, Samsung Electronics Co., Ltd., Samsung Electronics America, Inc., Samsung SDI Co. Ltd., Samsung SDI America, Inc., Samsung SDI Mexico S.A. de C.V., Samsung SDI Brasil Ltda., Shenzhen Samsung SDI Co. Ltd., Tianjin Samsung SDI Co. Ltd., Samsung SDI Malaysia Sdn. Bhd., Toshiba Corporation, Toshiba America, Inc., Toshiba America Consumer Products, LLC.,Toshiba America Inforrnation Systems, Inc., Toshiba
BACKGROUND: From at least March 1, 1995 through November 25, 2007, Plaintiffs allege that in order to maintain price stability and increase profitability of pricing in the Cathode Ray Tube, or “CRT” market, defendants conspired, combined and contracted to fix, raise, maintain, and stabilize the price at which CRT Products were sold in the United States.
SETTLEMENT:
For more information, please visit our company website: www.jelcrs.com
Cathode Ray Tubes of any type (e.g. color display tubes,picture tubes and monochrome display tubes) and Cathode Ray Tubes, such as Televisions and Computer Monitors.
color finished products which contain
$139 Million
1.153.15
Antitrust Litigation
WHO IS ELIGIBLE?: All persons and entities who, between March 1, 1995 andNovember 25, 2007, directly purchased a CRT Product in the United States from any defendant or any subsidiary or affiliate thereof, or any co-conspirator. Excluded from the Class are defendants; their parent companies, subsidiaries, and affiliates, any co-conspirators, all governmental entities, and any judges or justices assigned to hear any aspect of this action.
DEFENDANTS: LG Electronics, Inc., LG Electronics U.S.A., Inc., LG Electronics Taiwan Taipei Co., Ltd, Koninklijke Philips Electronics N.V., Philips Electronics North America Corporation, Philips Electronics Industries (Taiwan), Ltd., Philips da Amazonia Industrie Electronica Ltda., LP Displays International, Ltd. f/k/a LG.Philips Displays, Samsung Electronics Co., Ltd., Samsung Electronics America, Inc., Samsung SDI Co. Ltd., Samsung SDI America, Inc., Samsung SDI Mexico S.A. de C.V., Samsung SDI Brasil Ltda., Shenzhen Samsung SDI Co. Ltd., Tianjin Samsung SDI Co. Ltd., Samsung SDI Malaysia Sdn. Bhd., Toshiba Corporation, Toshiba America, Inc., Toshiba America Consumer Products, LLC.,Toshiba America Inforrnation Systems, Inc., Toshiba
BACKGROUND: From at least March 1, 1995 through November 25, 2007, Plaintiffs allege that in order to maintain price stability and increase profitability of pricing in the Cathode Ray Tube, or “CRT” market, defendants conspired, combined and contracted to fix, raise, maintain, and stabilize the price at which CRT Products were sold in the United States.
SETTLEMENT:
For more information, please visit our company website: www.jelcrs.com
CATHODE RAY TUBE Antitrust Litigation
WHO IS ELIGIBLE?: All persons and entities who, between March 1, 1995 andNovember 25, 2007, directly purchased a CRT Product in the United States from any defendant or any subsidiary or affiliate thereof, or any co-conspirator. Excluded from the Class are defendants; their parent companies, subsidiaries, and affiliates, any co-conspirators, all governmental entities, and any judges or justices assigned to hear any aspect of this action.
DEFENDANTS: LG Electronics, Inc., LG Electronics U.S.A., Inc., LG Electronics Taiwan Taipei Co., Ltd, Koninklijke Philips Electronics N.V., Philips Electronics North America Corporation, Philips Electronics Industries (Taiwan), Ltd., Philips da Amazonia Industrie Electronica Ltda., LP Displays International, Ltd. f/k/a LG.Philips Displays, Samsung Electronics Co., Ltd., Samsung Electronics America, Inc., Samsung SDI Co. Ltd., Samsung SDI America, Inc., Samsung SDI Mexico S.A. de C.V., Samsung SDI Brasil Ltda., Shenzhen Samsung SDI Co. Ltd., Tianjin Samsung SDI Co. Ltd., Samsung SDI Malaysia Sdn. Bhd., Toshiba Corporation, Toshiba America, Inc., Toshiba America Consumer Products, LLC.,Toshiba America Inforrnation Systems, Inc., Toshiba
BACKGROUND: From at least March 1, 1995 through November 25, 2007, Plaintiffs allege that in order to maintain price stability and increase profitability of pricing in the Cathode Ray Tube, or “CRT” market, defendants conspired, combined and contracted to fix, raise, maintain, and stabilize the price at which CRT Products were sold in the United States.
SETTLEMENT:
For more information, please visit our company website: www.jelcrs.com
Cathode Ray Tubes of any type (e.g. color display tubes,picture tubes and monochrome display tubes) and Cathode Ray Tubes, such as Televisions and Computer Monitors.
color finished products which contain
$139 Million
1.15
305 Laurel Falls Drive, Apollo Beach, FL 33572 • Main Office: 845-445-6653 • www.jelcrs.com
23 Ava Drive, Syosset, NY 11791 • NY Office: 845-445-6652 • Fax/Voice mail: 866-221-4719
3.15
Estimate Sheet - Transpacific Air Settlements
Contact Information
Business orCorporation Name:
Address:
Street Address Suite #
City State ZIP Code
Primary Phone #: Email:
Claim Estimate!!Business!Size!(#!of!employees),!Check!One?
1-10 10-50 50+
Claim Estimates: [Eligible tickets are those purchased where at least one flight segment was between the U.S. and Asia or Oceania (Australia, New Zealand or the Pacific Islands) beginning January 1, 2000 through the effective date.*]
*NEED TO DETERMINE & LIST EFFECTIVE DATE FOR EACH AIRLINE. IF WE WROTE EFFECTIVE DATES ONFORM, IT WOULD HAVE TO BE REVISED CONTINUALLY. AND, ADMINISTRATOR NEEDS TO BE CONTACTED TO CONFIRM THAT “CLAIMS CLOSING DATE” & “EFFECTIVE DATE” ARE SAME THING. HOW TO PROCEED?
Signature: Date:
Business or Corporation Name:
Address:
Street Address Suite #
City State ZIP Code
Contact'sPhone:
Estimating Your Claim
*NEED TO DETERMINE & LIST EFFECTIVE DATE FOR EACH AIRLINE. IF WE WROTE EFFECTIVE DATES ONFORM, IT WOULD HAVE TO BE REVISED CONTINUALLY. AND, ADMINISTRATOR NEEDS TO BE CONTACTED TO CONFIRM THAT “CLAIMS CLOSING DATE” & “EFFECTIVE DATE” ARE SAME THING. HOW TO PROCEED?
Airline: Total # eligible tickets purchased:
Airline: Total # eligible tickets purchased:
Airline: Total # eligible tickets purchased:
Airline: Total # eligible tickets purchased:
Airline: Total # eligible tickets purchased:
Authorized Signer Name: Title:
Signature: Date:
Defendants: Air France; Air New Zealand; Al Nippon; China Airlines; Lufthansa; EVA; Japan Airlines;Malaysian Airlines; Philippine Airlines; Singapore Airlines; and Vietnam Airlines.Co-Conspirators: American Airlines; Asiana Airlines; British Airways; Continental: Delta: Korean Air Lines; KLM RoyalDutch; Northwest; Scandinavian Airlines System; Swiss International; United; and Virgin Atlantic.
305 Laurel Falls Drive, Apollo Beach, FL 33572 Phone: (845) 445-6651 www.jelcrs.com23 Ava Drive, Syosset, NY 11791 Phone: (845) 445-6652
6/14/2016
Title :Authorized Signer Name
Contact's Name:Contact's
Email:
Optical Disk Drive (Stand Alone)
Desktop Computer
Laptop Computer
.00
.00
.00
UNIT ESTIMATE Form - Indirect Optical Disk Drive
Provide the total quantity of products Not For Resale containing Optical Disk Drives purchased from April 1, 2003 through December 31, 2008.
Defendant Codes:
A: Sony NECB: LG Electronics C: Hitachi HLDS D: SamsungE: ToshibaF: TSST
H: Koninklijke Philips I: Ben Q J: Teac Corp. K: Quanta Storage Inc. L: Panasonic M: Pioneer Corp.
G: Phillips Lite-On
For example, if 6 units were purchased, write “6” in the space for quantity. Provide both the number of products purchased AND the total dollar amount spent.
Quantity PurchasedProduct Type Total $ Amount Defendant Code
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signingthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _____________________________ (Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _____________________________ (Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Phone
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) ! ! (Account Executive Signature) !
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print name)!
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or email inf
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
__________________________
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signingthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _____________________________ (Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _____________________________ (Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Signer Phone
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to en
.
_________________________ __________________________ _ (Authorized Signature) ! ! (Account Executive Signature) ! )
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print name)
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or em
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
_________________________
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to e
o.
_________________________ _________________________ _ (Authorized Signature) ! ! (Account Executive Signature) re)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print nam
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or em
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
________________________
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to
o.
_________________________ ________________________ __ (Authorized Signature) ! ! (Account Executive Signature ure)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print nam
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or e
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
________________________
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the a
ence & Co.
_________________________ _________________ _________ (Authorized Signature) ! ! (Account Executi rized Signature)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive
_________________________! (Tax ID #)
Please sign then fax to 866-221-
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
________________________
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s). Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signingthis document you are attesting to the fact that you have the authority to enter into this Agreement.
J.E. Lawrence & Co.
_________________________ _____________________________ __________________________(Authorized Signature) (Account Executive Signature) (J.E. Lawrence & Co. Authorized Signature)
_________________________ _____________________________ _________________________(Authorized—Print name) (Account Executive—Print name) (J.E. Lawrence & Co.—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email [email protected]
various jurisdictions.
Authorized Signer Email
305 Laurel Falls Drive, Apollo Beach, FL 33572 • Main Office: 845-445-6653 • www.jelcrs.com
23 Ava Drive, Syosset, NY 11791 • NY Office: 845-445-6652 • Fax/Voice mail: 866-221-4719
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print name)!
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or email inf
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
__________________________
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _____________________________ (Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _____________________________ (Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Signer Phone
On this, the _____ day of , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the termsthis document you are attesting to the fact that you have the authority to en
.
_________________________ __________________________ _ (Authorized Signature) ! ! (Account Executive Signature) ! )
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print name)
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or em
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
________________________
Antitrust Litigation
On this, the _____ day of _____(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the termthis document you are attesting to the fact that you have the authority to e
o.
_________________________ _________________________ _ (Authorized Signature) ! ! (Account Executive Signature) re)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print nam
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or em
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
_______________________
On this, the _____ day of _____ ,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the term this document you are attesting to the fact that you have the authority to
o.
_________________________ ________________________ __ (Authorized Signature) ! ! (Account Executive Signature ure)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print nam
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or e
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
______________________
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree By signing this document you are attesting to the fact that you have the a
ence & Co.
_________________________ _________________ _________ (Authorized Signature) ! ! (Account Executi rized Signature)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive
_________________________! (Tax ID #)
Please sign then fax to 866-221-
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
_______________
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s). Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signingthis document you are attesting to the fact that you have the authority to enter into this Agreement.
J.E. Lawrence & Co.
_________________________ _____________________________ __________________________(Authorized Signature) (Account Executive Signature) (J.E. Lawrence & Co. Authorized Signature)
_________________________ _____________________________ _________________________(Authorized—Print name) (Account Executive—Print name) (J.E. Lawrence & Co.—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email [email protected]
various jurisdictions.
Authorized Signer Email
305 Laurel Falls Drive, Apollo Beach, FL 33572 • Main Office: 845-445-6653 • www.jelcrs.com
23 Ava Drive, Syosset, NY 11791 • NY Office: 845-445-6652 • Fax/Voice mail: 866-221-4719
Payment Card Interchange Fee and Merchant Discount Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to anantitrust class action entitled In Re Payment Card Interchange Fee and Merchant Discount Antitrust Litigation approved inthe United States District Court, Eastern District of New York. Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _(Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to enter into this Agreement.
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signingthis document you are attesting to the fact that you have the authority to enter into this Agreement.
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _____________________________ (Authorized—Print name) (Account Executive—Print name)
(Tax ID #)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _(Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to enter into this Agreement.
.
_________________________ __________________________ _ (Authorized Signature) ! ! (Account Executive Signature) ! )
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print name)
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or em
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
_________________________
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to enter into this Agreement.
o.
_________________________ _________________________ _ (Authorized Signature) ! ! (Account Executive Signature) re)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print nam
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or em
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
________________________
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to enter into this Agreement.
o.
_________________________ ________________________ __ (Authorized Signature) ! ! (Account Executive Signature ure)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print nam )
_________________________! (T
Please sign then fax to 866-221-4719 or e
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
________________________
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to enter into this Agreement.
ence & Co.
_________________________ _________________ _________ (Authorized Signature) ! ! (Account Executi rized Signature)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive Print name)
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com866-221-4719
________________________
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,
(Business Name)
and its afliates, located at_________________________________________________________________,
(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship:
The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to secure
payment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but
has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records:
The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary
documentation to complete all claims. Roles:
The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and
submit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction:
This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment:
In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every
claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only
entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all
proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank
account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality:
The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the
Client pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such
information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-
CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable):
This Agreement covers the Client and all of its subsidiaries, afliates,
and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signingthis document you are attesting to the fact that you have the authority to enter into this Agreement.
J.E. Lawrence & Co.
_________________________ _____________________________ __________________________
(Authorized Signature) (A
ccount Executive Signature) (J.E. Lawrence & Co. Authorized Signature)
_________________________ __
(Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email [email protected]
various jurisdictions.
305 Laurel Falls Drive, Apollo Beach, FL 33572 • Main Office: 845-445-6653 • www.jelcrs.com
23 Ava Drive, Syosset, NY 11791 • NY Office: 845-445-6652 • Fax/Voice mail: 866-221-4719
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) ! ! (Account Executive Signature) !
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print name)!
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or email inf
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
__________________________
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _____________________________ (Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _____________________________ (Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Signer Phone
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to en
.
_________________________ __________________________ _ (Authorized Signature) ! ! (Account Executive Signature) ! )
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print name)
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or em
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
_________________________
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to e
o.
_________________________ _________________________ _ (Authorized Signature) ! ! (Account Executive Signature) re)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print nam
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or em
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
________________________
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to
o.
_________________________ ________________________ __ (Authorized Signature) ! ! (Account Executive Signature ure)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print nam
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or e
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
________________________
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the a
ence & Co.
_________________________ _________________ _________ (Authorized Signature) ! ! (Account Executi rized Signature)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive
_________________________! (Tax ID #)
Please sign then fax to 866-221-
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com866-221-4719
________________________
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,
(Business Name)
and its afliates, located at_________________________________________________________________,
(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship:
The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to secure
payment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but
has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records:
The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary
documentation to complete all claims. Roles:
The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and
submit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction:
This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment:
In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every
claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only
entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all
proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank
account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality:
The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the
Client pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such
information solely for the purpose of
ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable):
This Agreement covers the Client and all of its subsidiaries, afliates,
and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signingthis document you are attesting to the fact that you have the authority to enter into this Agreement.
J.E. Lawrence & Co.
_________________________ _____________________________ __________________________
(Authorized Signature) (A
ccount Executive Signature) (J.E. Lawrence & Co. Authorized Signature)
_________________________ _____________________________ _________________________
(Authorized—Print name) (Account Executive—Print name) (J.E. Lawrence & Co.—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email [email protected]
various jurisdictions.
Authorized Signer Email
305 Laurel Falls Drive, Apollo Beach, FL 33572 • Main Office: 845-445-6653 • www.jelcrs.com
23 Ava Drive, Syosset, NY 11791 • NY Office: 845-445-6652 • Fax/Voice mail: 866-221-4719
305 Laurel Falls Drive, Apollo Beach, FL 33572 • Main Office: 845-445-6653 • www.jelcrs.com
23 Ava Drive, Syosset, NY 11791 • NY Office: 845-445-6652 • Fax/Voice mail: 866-221-4719
On this, the day of 20 , (Business Name)and its affiliates, located at
(Address)
305 Laurel Falls Drive, Apollo Beach, FL 33572 Phone: (845) 4423 Ava Drive, Syosset, NY 11791 Phone: (845) 44
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare andsubmit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Clientwith legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning theClient’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby tosubmit any disputes hereunder to the jurisdiction of the courts of New York State.
Page 1 of 2
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JELCRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Indirect Purchaser Optical Disk Drive Antitrust Litigation
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Indirect Optical Disc Drive products pending in the United States District Court, Northern District of California, San Francisco Division.
this Agreement. J.E. Lawrence & Co.
__________________________(J.E. Lawrence & Co. Authorized Signature)
_________________________
ditions of this Agreement. By signing this Agreement.
J.E. Lawrence & Co.
__________________________
this Agreement. J.E. Lawrence & Co.
__________________________ (J.E. Lawrence & Co. Authorized Signature)
__________________________
this Agreement. J.E. Lawrence & Co.
__________________________(J.E. Lawrence & Co. Authorized Signature)
_________________________
ditions of this Agreement. By signing this Agreement.
J.E. Lawrence & Co.
__________________________
ter into this Agreement. J.E. Lawrence & Co
___ _________________________ (J.E. Lawrence & Co. Authorized Signature
___________________________
nter into this Agreement. J.E. Lawrence & C
____ _________________________ ! (J.E. Lawrence & Co. Authorized Signatu
____________________________
enter into this Agreement. J.E. Lawrence & C
_____ ________________________) ! (J.E. Lawrence & Co. Authorized Signat
____________________________
uthority to enter into this Agreement. J.E. Lawr
____________ _________________ve Signature) ! (J.E. Lawrence & Co. Autho
____________________________ (J.E. Lawrence & Co. Authorized Signature)
ditions of this Agreement. By signing this Agreement.
J.E. Lawrence & Co.
__________________________(J.E. Lawrence & Co. Authorized Signature)
ditions of this Agreement. By signing this Agreement.
J.E. Lawrence & Co.
& conditions of this Agreement. By signing ter into this Agreement.
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___ _________________________ (J.E. Lawrence & Co. Authorized Signature
s & conditions of this Agreement. By signing nter into this Agreement.
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s & conditions of this Agreement. By signingenter into this Agreement.
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to the terms & conditions of this Agreement. uthority to enter into this Agreement.
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____________ _________________ve Signature) ! (J.E. Lawrence & Co. Autho
ditions of this Agreement. By signing this Agreement.
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__________________________(J.E. Lawrence & Co. Authorized Signature)
J.E. Lawrence & Co.J.E. Lawrence & Co.
__________________________(J.E. Lawrence & Co. Authorized Signature)
_________________________(J.E. Lawrence & Co.—Print name)
ditions of this Agreement. By signing this Agreement.
J.E. Lawrence & Co.
__________________________(J.E. Lawrence & Co. Authorized Signature)
J.E. Lawrence & Co
___ _________________________ (J.E. Lawrence & Co. Authorized Signature
! (J.E. Lawrence & Co.—Print name) ___________________________
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____ _________________________ ! (J.E. Lawrence & Co. Authorized Signatu
e)! (J.E. Lawrence & Co.—Print name)____________________________
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_____ ________________________) ! (J.E. Lawrence & Co. Authorized Signat
e)! (J.E. Lawrence & Co.—Print name____________________________
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____________ _________________ve Signature) ! (J.E. Lawrence & Co. Autho
—Print name)! (J.E. Lawrence & Co.—____________________________
this Agreement. J.E. Lawrence & Co.
__________________________ (J.E. Lawrence & Co. Authorized Signature)
__________________________
ditions of this Agreement. By signing this Agreement.
J.E. Lawrence & Co.
__________________________(J.E. Lawrence & Co. Authorized Signature)
_________________________
ditions of this Agreement. By signing this Agreement.
J.E. Lawrence & Co.
__________________________
ter into this Agreement. J.E. Lawrence & Co
___ _________________________ (J.E. Lawrence & Co. Authorized Signature
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nter into this Agreement. J.E. Lawrence & C
____ _________________________ ! (J.E. Lawrence & Co. Authorized Signatu
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enter into this Agreement. J.E. Lawrence & C
_____ ________________________) ! (J.E. Lawrence & Co. Authorized Signat
____________________________
uthority to enter into this Agreement. J.E. Lawr
____________ _________________ve Signature) ! (J.E. Lawrence & Co. Autho
____________________________
(J.E. Lawrence & Co.—Print name)(J.E. Lawrence & Co. Authorized Signature)
_________________________(J.E. Lawrence & Co.—Print name)
(J.E. Lawrence & Co.—Print name)
(J.E. Lawrence & Co.—Print name)
(J.E. Lawrence & Co. Authorized Signature)
_________________________(J.E. Lawrence & Co.—Print name)
Estimated Claim Amount
! (J.E. Lawrence & Co.—Print name)
e)! (J.E. Lawrence & Co.—Print name)
e)! (J.E. Lawrence & Co.—Print name)
mail [email protected]
—Print name)! (J.E. Lawrence & Co.—Print name)
4719 or email [email protected]
(J.E. Lawrence & Co.—Print name)
__________________________ _________________________(J.E. Lawrence & Co.—Print name)
__________________________(J.E. Lawrence & Co. Authorized Signature)
_________________________(J.E. Lawrence & Co.—Print name)
Estimated Claim Amount
! (J.E. Lawrence & Co.—Print name)
____________________________e)! (J.E. Lawrence & Co.—Print name)
_____________________________e)! (J.E. Lawrence & Co.—Print name)
mail [email protected]
______________________________—Print name)! (J.E. Lawrence & Co.—Print name)
4719 or email [email protected]
_____________________________________
ail [email protected] [email protected] [email protected]
(J.E. Lawrence & Co.—Print name)
(J.E. Lawrence & Co.—Print name)
(J.E. Lawrence & Co. Authorized Signature)
_________________________(J.E. Lawrence & Co.—Print name)
Estimated Claim Amount
! (J.E. Lawrence & Co.—Print name)
e)! (J.E. Lawrence & Co.—Print name)
e)! (J.E. Lawrence & Co.—Print name)
mail [email protected]
—Print name)! (J.E. Lawrence & Co.—Print name)
4719 or email [email protected] www.jelcrs.com5-6652 6/14/2016
Fax: 866-221-4719
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signingthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _____________________________ (Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _____________________________ (Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Phone
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) ! ! (Account Executive Signature) !
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print name)!
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or email inf
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
__________________________
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signingthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _____________________________ (Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _____________________________ (Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Signer Phone
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to en
.
_________________________ __________________________ _ (Authorized Signature) ! ! (Account Executive Signature) ! )
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print name)
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or em
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
_________________________
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to e
o.
_________________________ _________________________ _ (Authorized Signature) ! ! (Account Executive Signature) re)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print nam
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or em
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
________________________
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to
o.
_________________________ ________________________ __ (Authorized Signature) ! ! (Account Executive Signature ure)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print nam
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or e
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
________________________
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the a
ence & Co.
_________________________ _________________ _________ (Authorized Signature) ! ! (Account Executi rized Signature)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive
_________________________! (Tax ID #)
Please sign then fax to 866-221-
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
________________________
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s). Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signingthis document you are attesting to the fact that you have the authority to enter into this Agreement.
J.E. Lawrence & Co.
_________________________ _____________________________ __________________________(Authorized Signature) (Account Executive Signature) (J.E. Lawrence & Co. Authorized Signature)
_________________________ _____________________________ _________________________(Authorized—Print name) (Account Executive—Print name) (J.E. Lawrence & Co.—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email [email protected]
various jurisdictions.
Authorized Signer Email
305 Laurel Falls Drive, Apollo Beach, FL 33572 • Main Office: 845-445-6653 • www.jelcrs.com
23 Ava Drive, Syosset, NY 11791 • NY Office: 845-445-6652 • Fax/Voice mail: 866-221-4719
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print name)!
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or email inf
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
__________________________
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _____________________________ (Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _____________________________ (Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Signer Phone
On this, the _____ day of , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the termsthis document you are attesting to the fact that you have the authority to en
.
_________________________ __________________________ _ (Authorized Signature) ! ! (Account Executive Signature) ! )
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print name)
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or em
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
________________________
Antitrust Litigation
On this, the _____ day of _____(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the termthis document you are attesting to the fact that you have the authority to e
o.
_________________________ _________________________ _ (Authorized Signature) ! ! (Account Executive Signature) re)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print nam
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or em
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
_______________________
On this, the _____ day of _____ ,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the term this document you are attesting to the fact that you have the authority to
o.
_________________________ ________________________ __ (Authorized Signature) ! ! (Account Executive Signature ure)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print nam
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or e
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
______________________
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree By signing this document you are attesting to the fact that you have the a
ence & Co.
_________________________ _________________ _________ (Authorized Signature) ! ! (Account Executi rized Signature)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive
_________________________! (Tax ID #)
Please sign then fax to 866-221-
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
_______________
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s). Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signingthis document you are attesting to the fact that you have the authority to enter into this Agreement.
J.E. Lawrence & Co.
_________________________ _____________________________ __________________________(Authorized Signature) (Account Executive Signature) (J.E. Lawrence & Co. Authorized Signature)
_________________________ _____________________________ _________________________(Authorized—Print name) (Account Executive—Print name) (J.E. Lawrence & Co.—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email [email protected]
various jurisdictions.
Authorized Signer Email
305 Laurel Falls Drive, Apollo Beach, FL 33572 • Main Office: 845-445-6653 • www.jelcrs.com
23 Ava Drive, Syosset, NY 11791 • NY Office: 845-445-6652 • Fax/Voice mail: 866-221-4719
Payment Card Interchange Fee and Merchant Discount Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to anantitrust class action entitled In Re Payment Card Interchange Fee and Merchant Discount Antitrust Litigation approved inthe United States District Court, Eastern District of New York. Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _(Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to enter into this Agreement.
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signingthis document you are attesting to the fact that you have the authority to enter into this Agreement.
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _____________________________ (Authorized—Print name) (Account Executive—Print name)
(Tax ID #)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _(Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to enter into this Agreement.
.
_________________________ __________________________ _ (Authorized Signature) ! ! (Account Executive Signature) ! )
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print name)
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or em
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
_________________________
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to enter into this Agreement.
o.
_________________________ _________________________ _ (Authorized Signature) ! ! (Account Executive Signature) re)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print nam
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or em
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
________________________
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to enter into this Agreement.
o.
_________________________ ________________________ __ (Authorized Signature) ! ! (Account Executive Signature ure)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print nam )
_________________________! (T
Please sign then fax to 866-221-4719 or e
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
________________________
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to enter into this Agreement.
ence & Co.
_________________________ _________________ _________ (Authorized Signature) ! ! (Account Executi rized Signature)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive Print name)
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com866-221-4719
________________________
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,
(Business Name)
and its afliates, located at_________________________________________________________________,
(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship:
The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to secure
payment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but
has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records:
The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary
documentation to complete all claims. Roles:
The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and
submit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction:
This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment:
In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every
claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only
entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all
proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank
account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality:
The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the
Client pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such
information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-
CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable):
This Agreement covers the Client and all of its subsidiaries, afliates,
and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signingthis document you are attesting to the fact that you have the authority to enter into this Agreement.
J.E. Lawrence & Co.
_________________________ _____________________________ __________________________
(Authorized Signature) (A
ccount Executive Signature) (J.E. Lawrence & Co. Authorized Signature)
_________________________ __
(Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email [email protected]
various jurisdictions.
305 Laurel Falls Drive, Apollo Beach, FL 33572 • Main Office: 845-445-6653 • www.jelcrs.com
23 Ava Drive, Syosset, NY 11791 • NY Office: 845-445-6652 • Fax/Voice mail: 866-221-4719
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) ! ! (Account Executive Signature) !
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print name)!
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or email inf
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
__________________________
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _____________________________ (Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its afliates, located at _________________________________________________________________,(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to securepayment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims. Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, andsubmit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State. Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through theClient pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records. Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, afliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conthis document you are attesting to the fact that you have the authority to enter into
_________________________ _____________________________ (Authorized Signature) (Account Executive Signature)
_________________________ _____________________________ (Authorized—Print name) (Account Executive—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email inf
various jurisdictions.
Signer Phone
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to en
.
_________________________ __________________________ _ (Authorized Signature) ! ! (Account Executive Signature) ! )
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print name)
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or em
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
_________________________
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to e
o.
_________________________ _________________________ _ (Authorized Signature) ! ! (Account Executive Signature) re)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print nam
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or em
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
________________________
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to
o.
_________________________ ________________________ __ (Authorized Signature) ! ! (Account Executive Signature ure)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive—Print nam
_________________________! (Tax ID #)
Please sign then fax to 866-221-4719 or e
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com 866-221-4719
________________________
Steel Direct Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,(Business Name)
and its affiliates, located at _________________________________________________________________, (Address)
(“Client) and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to an antitrust class action involving the purchase of Steel Products for use in the United States pending or settled in the United States District Court, Eastern Division of Illinois.
Range of Agency Relationship: The Client appoints JEL-CRS as exclusive recovery agent with full assignment authority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to file complete and accurate claims, and to secure payment of the claims on behalf of the Client. The Client has been informed of its right to file claims on its own behalf, but has decided to hire JEL-CRS to file any and all claims for settlement.
Consent to Attain Records: The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary documentation to complete all claims.
Roles: The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is not providing the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and submit documentation concerning the Client’s claims for settlement.
Construction and Jurisdiction: This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conflict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment: In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every claim filed pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank account, and disburse to the Client its recovery less JEL-CRS’s compensation.
Confidentiality: The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the Client pursuant to this Agreement, is the confidential and proprietary information of the Client. JEL-CRS will use such information solely for the purpose of filing claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the a
ence & Co.
_________________________ _________________ _________ (Authorized Signature) ! ! (Account Executi rized Signature)
_________________________ _____ (Authorized—Print name) ! ! (Account Executive
_________________________! (Tax ID #)
Please sign then fax to 866-221-
J.E. Lawrence Co.&Claims Recovery Specialists
305 Laurel Falls Drive, Apollo Beach, FL 33572 www.jelcrs.com866-221-4719
________________________
Automotive Parts Antitrust Litigation
On this, the _____ day of _____ , 20__, _______________________________________________________,
(Business Name)
and its afliates, located at_________________________________________________________________,
(Address)
Client and J.E. Lawrence & Co. (“JEL-CRS”) agree as follows with respect to any recoveries made related to ananti-trust class action entitled re Automotive Parts Anti-Trust litigation pending in the Eastern District of Michigan and
Range of Agency Relationship:
The Client appoints JEL-CRS as exclusive recovery agent with full assignmentauthority to prepare and submit Client’s present and subsequent claims related to the settlement(s).
Responsibilities: JEL-CRS agrees to make all reasonable efforts to le complete and accurate claims, and to secure
payment of the claims on behalf of the Client. The Client has been informed of its right to le claims on its own behalf, but
has decided to hire JEL-CRS to le any and all claims for settlement. Consent to Attain Records:
The Client hereby authorizes JEL-CRS to request, gather and/or copy all necessary
documentation to complete all claims. Roles:
The parties understand and agree that with respect to JEL-CRS’s duties and authority: (a) JEL-CRS is notproviding the Client with legal representation and is not practicing law; (b) JEL-CRS will only investigate, collect, and
submit documentation concerning the Client’s claims for settlement. Construction and Jurisdiction:
This Agreement shall be construed in accordance with the laws of the State of New York as an agreement executed and to be performed entirely therein without references to principals of conict of law. The parties agree hereby to submit any disputes hereunder to the jurisdiction of the courts of New York State.
Compensation, Distribution and Payment:
In consideration of the performance of the duties set forth above, the Client agrees to pay JEL-CRS a contingency fee of thirty percent (30%) of all proceeds received as payment for each and every
claim led pursuant to and arising from any settlement(s) reached in the above referenced litigation. JEL-CRS is only
entitled to compensation if it is successful in recovering a refund for the Client. The Client agrees that any and all
proceeds shall be paid directly to JEL-CRS by the claims administrator. JEL-CRS will deposit said proceeds into its bank
account, and disburse to the Client its recovery less JEL-CRS’s compensation. Condentiality:
The information about the Client which is provided by the Client, or is obtained by JEL-CRS through the
Client pursuant to this Agreement, is the condential and proprietary information of the Client. JEL-CRS will use such
information solely for the purpose of
ling claims on behalf of the Client in this and all related class action settlements, and not for any other purpose. Following the completion of the claims process and upon payment for services rendered, JEL-CRS will destroy any and all information about the Client except for one archival copy that it may keep for its records.
Multiple Entities and Locations (if applicable):
This Agreement covers the Client and all of its subsidiaries, afliates,
and related entities and locations, described in part in Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signingthis document you are attesting to the fact that you have the authority to enter into this Agreement.
J.E. Lawrence & Co.
_________________________ _____________________________ __________________________
(Authorized Signature) (A
ccount Executive Signature) (J.E. Lawrence & Co. Authorized Signature)
_________________________ _____________________________ _________________________
(Authorized—Print name) (Account Executive—Print name) (J.E. Lawrence & Co.—Print name)
_________________________ _____________________________ (Tax ID #) Estimate ($)
Please sign then fax to 866-221-4719 or email [email protected]
various jurisdictions.
Authorized Signer Email
305 Laurel Falls Drive, Apollo Beach, FL 33572 • Main Office: 845-445-6653 • www.jelcrs.com
23 Ava Drive, Syosset, NY 11791 • NY Office: 845-445-6652 • Fax/Voice mail: 866-221-4719
305 Laurel Falls Drive, Apollo Beach, FL 33572 • Main Office: 845-445-6653 • www.jelcrs.com
23 Ava Drive, Syosset, NY 11791 • NY Office: 845-445-6652 • Fax/Voice mail: 866-221-4719
(Authorized Client Signature)
(Authorized Client Name – Please print)
(Authorized Client Title)
(Authorized Client Email Address)
(Authorized Client Phone)
(Client Tax ID #)
(Client Estimated Claim Amount)
(JEL Account Executive Signature) (J.E. Lawrence & Co. Authorized Signature) Edward V. Vicinanza
(J.E. Lawrence & Co. Authorized Signer)(Account Executive Name – Please Print)
FOR JEL ADMIN USE ONLY
Please sign (Authorized Client Signature) then email to [email protected]
305 Laurel Falls Drive, Apollo Beach, FL 33572 Phone: (845) 4423 Ava Drive, Syosset, NY 11791 Phone: (845) 44
Multiple Entities and Locations (if applicable): This Agreement covers the Client and all of its subsidiaries, affiliates, and related entities and locations, described in part in the Multiple Locations Form.
The parties hereto have read, acknowledge, accept and agree to the terms & conditions of this Agreement. By signing this document you are attesting to the fact that you have the authority to enter into this Agreement
Page 2 of 2
J. E. LAWRENCE AND COMPANY (JEL) MAKES NO PROMISES, GUARANTEES OR WARRANTIES OF ANY KIND AS TO WHETHER ANY CLAIM WILL BE PAID BY THE CLAIMS ADMINISTRATOR. TO THE EXTENT THAT A CLAIM IS DENIED, JEL WILL BEAR NO RESPONSIBILITY WHATSOEVER. THE PARTIES RECOGNIZE AND AGREE THAT JEL IS ACTING MERELY AS AN AGENT OF THE CLIENT, AND HAS NO AUTHORITY TO GRANT OR DENY A CLAIM. CLIENT SHALL INDEMNIFY AND HOLD JEL HARMLESS FROM ANY LIABILITY DUE TO THE REJECTION OF A CLAIM ON ANY BASIS WHATSOEVER.
Indirect Purchaser Optical Disk Drive Antitrust Litigation
this Agreement. J.E. Lawrence & Co.
__________________________(J.E. Lawrence & Co. Authorized Signature)
_________________________
ditions of this Agreement. By signing this Agreement.
J.E. Lawrence & Co.
__________________________
this Agreement. J.E. Lawrence & Co.
__________________________ (J.E. Lawrence & Co. Authorized Signature)
__________________________
this Agreement. J.E. Lawrence & Co.
__________________________(J.E. Lawrence & Co. Authorized Signature)
_________________________
ditions of this Agreement. By signing this Agreement.
J.E. Lawrence & Co.
__________________________
ter into this Agreement. J.E. Lawrence & Co
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nter into this Agreement. J.E. Lawrence & C
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uthority to enter into this Agreement. J.E. Lawr
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ditions of this Agreement. By signing this Agreement.
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__________________________(J.E. Lawrence & Co. Authorized Signature)
ditions of this Agreement. By signing this Agreement.
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& conditions of this Agreement. By signing ter into this Agreement.
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s & conditions of this Agreement. By signing nter into this Agreement.
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s & conditions of this Agreement. By signingenter into this Agreement.
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to the terms & conditions of this Agreement. uthority to enter into this Agreement.
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ditions of this Agreement. By signing this Agreement.
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__________________________(J.E. Lawrence & Co. Authorized Signature)
J.E. Lawrence & Co.J.E. Lawrence & Co.
__________________________(J.E. Lawrence & Co. Authorized Signature)
_________________________(J.E. Lawrence & Co.—Print name)
ditions of this Agreement. By signing this Agreement.
J.E. Lawrence & Co.
__________________________(J.E. Lawrence & Co. Authorized Signature)
J.E. Lawrence & Co
___ _________________________ (J.E. Lawrence & Co. Authorized Signature
! (J.E. Lawrence & Co.—Print name) ___________________________
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e)! (J.E. Lawrence & Co.—Print name)____________________________
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—Print name)! (J.E. Lawrence & Co.—____________________________
this Agreement. J.E. Lawrence & Co.
__________________________ (J.E. Lawrence & Co. Authorized Signature)
__________________________
ditions of this Agreement. By signing this Agreement.
J.E. Lawrence & Co.
__________________________(J.E. Lawrence & Co. Authorized Signature)
_________________________
ditions of this Agreement. By signing this Agreement.
J.E. Lawrence & Co.
__________________________
ter into this Agreement. J.E. Lawrence & Co
___ _________________________ (J.E. Lawrence & Co. Authorized Signature
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nter into this Agreement. J.E. Lawrence & C
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enter into this Agreement. J.E. Lawrence & C
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uthority to enter into this Agreement. J.E. Lawr
____________ _________________ve Signature) ! (J.E. Lawrence & Co. Autho
____________________________
(J.E. Lawrence & Co.—Print name)(J.E. Lawrence & Co. Authorized Signature)
_________________________(J.E. Lawrence & Co.—Print name)
(J.E. Lawrence & Co.—Print name)
(J.E. Lawrence & Co.—Print name)
(J.E. Lawrence & Co. Authorized Signature)
_________________________(J.E. Lawrence & Co.—Print name)
Estimated Claim Amount
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mail [email protected]
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4719 or email [email protected]
(J.E. Lawrence & Co.—Print name)
__________________________ _________________________(J.E. Lawrence & Co.—Print name)
__________________________(J.E. Lawrence & Co. Authorized Signature)
_________________________(J.E. Lawrence & Co.—Print name)
Estimated Claim Amount
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mail [email protected]
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4719 or email [email protected]
_____________________________________
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4719 or email [email protected] www.jelcrs.com5-6652 6/14/2016
Fax: 866-221-4719