Contingent Fee Retainer Contract

New Client Contract

For services rendered, it is agreed that the undersigned (“Client”) will pay to the Dubin Law Group (“the Firm”) a fee of one third (33⅓%) of any amounts recovered prior to filing a lawsuit or demanding arbitration. If a lawsuit is filed or a demand for arbitration made, the Firm’s fee shall be forty percent (40%). Client authorizes the Firm to take all steps it deems necessary to protect and establish client’s claim. Client agrees to pay all costs and expenses incurred in the handling of client’s case and to reimburse all itemized expenses advanced on client’s behalf. Expenses include all court costs, investigation costs, and litigation expenses, including reasonable finance charges incurred. Client understands that the aforementioned steps necessary to protect and establish client’s claim may include contracting Blue Foot Services LLC, a company owned or controlled by Matthew Dubin, to collect medical bills and records. The Firm has the right to withdraw. If the Firm withdraws, no money shall be owed to the Firm other than costs advanced. Client also has the right to discharge the Firm. If this right is exercised, or if the Firm withdraws for good cause after an offer has been extended, the Firm’s fee shall be one-third of the amount offered. If exercised, or if the Firm withdraws for good cause before an offer has been extended, the Firm’s fee shall be based on the hours spent on the case plus costs advanced. Good cause exists if the Client 1.) fails to respond to the Firm’s attempts at communication for 90 or more days, 2.) knowingly makes false statements regarding facts material to the case, or 3.) is unreasonably abusive toward the Firm’s personnel. Client hereby authorizes the Dubin Law Group and its attorneys to sign necessary authorizations (medical, employment, etc.), settlement documents, settlement checks, and to deposit settlement checks into the Client trust account. The undersigned (“Client”) hereby retains the services of the Dubin Law Group to represent the Client in the matter of the Client’s claims for damages arising out of an accident which occurred on or about:

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