## UNITED STATESATTORNEYS Request, Authorization, and Order for Services of Expert Witness, Litigative Consultant, or ADR Neutral

## Contract/Purchase Order No.: Date:

| Part I— Request for Services                                                                                                                                                                                            |                                                                                                              |                                        |                                      |                                        |          |                          |                    |  |
|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------|----------------------------------------|--------------------------------------|----------------------------------------|----------|--------------------------|--------------------|--|
| 1. Requesting Official (Name & Title)<br>•                                                                                                                                                                              |                                                                                                              |                                        | ture of Reques II • Official         | 3. Point of Contact (Name and Tel.)    |          |                          | 4. Date of Request |  |
|                                                                                                                                                                                                                         |                                                                                                              |                                        | Telephone:                           |                                        |          | 8/30/2021                |                    |  |
| 5. Proparor (Name & Tel.)                                                                                                                                                                                               |                                                                                                              | 6. Originating Office (Name & Address) | 7. Case Name, Court 8 Ct. Docket No. |                                        |          | 8. DJ File No./USAO No.  |                    |  |
|                                                                                                                                                                                                                         |                                                                                                              | U.S. Attorne 'a Office SDNY            | US v. Maxwell, 20 Cr. 330            |                                        |          |                          |                    |  |
|                                                                                                                                                                                                                         |                                                                                                              |                                        |                                      |                                        |          |                          | 2018R01618         |  |
| 9. Contractor (Name and Tel.)                                                                                                                                                                                           |                                                                                                              | 10. Contractor Mailing Address         |                                      | 11. Contractor TIN or SSN (individual) |          | 12. Contractor Specialty |                    |  |
| Taylor Trial Consulting                                                                                                                                                                                                 |                                                                                                              |                                        |                                      |                                        |          | Jury consulting services |                    |  |
| Telephone:                                                                                                                                                                                                              |                                                                                                              |                                        |                                      |                                        |          |                          |                    |  |
| 13. Reason for Request (Place an "X" in the applicable Box in the Left Column)                                                                                                                                          |                                                                                                              |                                        |                                      |                                        |          |                          |                    |  |
| 13.a. Expert Testimony on Behalf of U.S.                                                                                                                                                                                |                                                                                                              |                                        |                                      |                                        |          |                          |                    |  |
| 13.b. Deposition Conducted by DOJ Attorney                                                                                                                                                                              |                                                                                                              |                                        |                                      |                                        |          |                          |                    |  |
|                                                                                                                                                                                                                         | 13.c. Medical Examination of Plaintiff/Witness/Defendant in Contemplation of Testimony on Behalf of U.S.     |                                        |                                      |                                        |          |                          |                    |  |
|                                                                                                                                                                                                                         | 13.d. Examination Under 18 USC 4241. Mental Competency to Stand Trial Only                                   |                                        |                                      |                                        |          |                          |                    |  |
|                                                                                                                                                                                                                         | 13.e. Dual Purpose Psychiatric Examination (Time of Offense and Competency to Stand Trial) on the motion of: |                                        |                                      |                                        |          |                          |                    |  |
|                                                                                                                                                                                                                         | 13.1. ADR Neutral Services                                                                                   |                                        |                                      |                                        |          |                          |                    |  |
| X                                                                                                                                                                                                                       | 13.g. Laically° Consultant Services                                                                          |                                        |                                      |                                        |          |                          |                    |  |
| 13.h. Other (explain below):                                                                                                                                                                                            |                                                                                                              |                                        |                                      |                                        |          |                          |                    |  |
| Attach the Statement of Work to this Form                                                                                                                                                                               |                                                                                                              |                                        |                                      |                                        |          |                          |                    |  |
| 14. Negotiated Contractor Rates, Estimated Expenses. and Performance Dates (Note: Expenses Incurred must be supported by receipts)                                                                                      |                                                                                                              |                                        |                                      |                                        |          |                          |                    |  |
| Serylce/Expense                                                                                                                                                                                                         |                                                                                                              |                                        | Performance Dates (From-To)          | Hour/Day                               | Quantity | Rate                     | Total              |  |
| 14.a. Examine Case                                                                                                                                                                                                      |                                                                                                              |                                        | -                                    | Hour                                   |          |                          | \$ 0.00            |  |
| 14.b. Prepare Testimony                                                                                                                                                                                                 |                                                                                                              |                                        | -                                    | Hour                                   |          |                          | \$ 0.00            |  |
| 14.c. Court Testimony                                                                                                                                                                                                   |                                                                                                              |                                        | -                                    | Hour                                   |          |                          | \$ 0.00            |  |
| 14.d. Deposition                                                                                                                                                                                                        |                                                                                                              |                                        | -                                    | Hour                                   |          |                          | \$ 0.00            |  |
| 14.e. Litigative ConsultanUNeutral                                                                                                                                                                                      |                                                                                                              |                                        | -                                    | Hour                                   |          |                          | \$ 0.00            |  |
| 14.f. Per Diem (if not part of fee)                                                                                                                                                                                     |                                                                                                              |                                        |                                      | Day                                    |          |                          | \$ 0.00            |  |
| 14.g. Privately Owned Vehicle (NTE coach rate)                                                                                                                                                                          |                                                                                                              |                                        |                                      | Mile                                   |          |                          | \$ 0.00            |  |
| 14.h. Common Carrier Transportation Via GTA                                                                                                                                                                             |                                                                                                              |                                        |                                      |                                        |          |                          |                    |  |
| 14.1. Common Carrier Transportation Reimbursed                                                                                                                                                                          |                                                                                                              |                                        |                                      |                                        |          |                          |                    |  |
| 14.). Miscellaneous                                                                                                                                                                                                     |                                                                                                              |                                        |                                      |                                        |          |                          |                    |  |
|                                                                                                                                                                                                                         | 14.k. Total Estimated Expenses                                                                               |                                        |                                      |                                        |          |                          | \$ 63,000.00<br>1  |  |
| 16. Payment will bo made by: (Place an 'X" in the applicable Box and fill.in if not Jfv10/Finance)<br>15. Submit Invoices & EFT Information to:<br>U.S. Attorney's Office. SDNY<br>X<br>Box 15<br>Bud. et 8 Fiscal Unit |                                                                                                              |                                        |                                      |                                        |          |                          |                    |  |