EFTA00187124 U.S. Department of Justice RECEIVED Request, Authorization and Contract for Services of Expert Witness, Litigative Consultant or ADR Neutral MAY 04 2007 # Part I - Request for Services 1. Requisition Official (Name & Tel.) 2. Signature of Requesting Official 3. Point of Contact (Name and Tel.) 4. Date of Request 10/26/2006 5. Preparer (Name & Tel.) 6. Originating Office (Name & Address) USAO WPB 500 S. Australian Ave, Suite 400 West Palm Beach, FL 33401 7. Case Name, Court & Gt. Docket No. Operation Leap Year 8. DJ File No./USAO No. 9. Contractor (Name and Tel.) Anna Salter, Ph.D. Telephone: 10. Contractor Mailing Address 11. Contractor TIN or SSN (individual) 12. Contractor Specialty Licensed Psychologist NRHCP 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.f. ADR Neutral Services | | | 13.g. Litigative 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)* | Service/Expense | Performance Dates (From-To) | Hour/Day | Quantity | Rate | Total | | :--- | :--- | :--- | :--- | :--- | :--- | | 14.a. Examine Case | | | | | $0.00 | | 14.b. Prepare Testimony | | | | | $0.00 | | 14.c. Court Testimony | | | | | $0.00 | | 14.d. Deposition | | | | | $0.00 | | 14.e. Littigate Consultant/Neutral | 05/07/07 - 06/29/07 | HOUR | 6.00 | 250.00 | $1,500.00 | | 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.i. Common Carrier Transportation Reimbursed | | | | | | | 14.j. Miscellaneous | | | | | | 14.k. Total Estimated Expenses | $1,500.00 | 15. Submit Invoices & EFT Information to: Attn: Procurement Dept. US Attorneys Office 99 NE 4th St, SIAM 3411, Miami, FL 33132 130574 16. Payment will be made by (Place an 'X' in the applicable Box and fill-in if not JMD/Finance) U.S. Department of Justice JMD/Finance Staff Washington, DC 20520-0001 2007 MAY - 3 AM 10:56 RECEIVED Form OBD-47 (Revised 3-2005) Previous Editions are Obsolete Page 1 of 2 EFTA00187125 U.S. Department of Justice Request, Authorization and Contract for Services of Expert Witness, Litigative Consultant, or ADR Neutral Contract/Purchase Order No.: 7L-USA-04-0207 # Part II – Funding Approval ## 17. Appropriation Data 17.a. Authorized Amount 1500.00 17.b. YREGDOC G04 10111 17.c. Cost Center 064004 17.d. OBL Month 0705 17.e. Sub Object Code (SOC) 1127 17.f. Remarks PROG, OTM ## Note: The FEW Appropriation (15X0311) shall ONLY be used to fund Witness Services (i.e., items 13.a through 13.e above) ## 18. Funding Amount (Place an "X" in the applicable Box in the Left Column and fill-in the Amount and Performance Period) | X | 18.a. Fully Funded This Contract is FULLY FUNDED in the amount specified in Block 18.b to cover the estimated costs of the ENTIRE project whose performance period is specified in Block 18.c. This amount shall NOT be exceeded without authorization and written modification of this contract by the Contracting Officer. | X | 18.b. Amount #1500.00 | | :--- | :--- | | 18.c. Period (From To) 5/67 - 6/67 | | X | 18.d. Incrementally Funded This Contract is INCREMENTALLY FUNDED. The total estimated cost of the project is specified in Block 14.k. Currently, funding is provided only in the amount specified in Block 18.e to cover estimated costs incurred during the performance period specified in Block 16.f. The amount specified in Block 18.e shall NOT be exceeded without authorization and written modification of this contract by the Contracting Officer. | X | 18.e. Amount | | :--- | :--- | | 18.f. Period (From To) | ## Reminder: Witnesses are not entitled to Advance Payments. ## 19. Funding Approval 19.a. Name & Title of Approving Official 19.b. Name & Title of Approving Official 19.c. Date Approved 5/14/07 ## Part III – Contract This contract consists of the documents listed below. In the event of any inconsistency among the following documents, such inconsistency shall be resolved in the order in which said documents are listed. (1) OBD Form 47, Request, Authorization and Contract for Services of Expert Witness, Litigative Consultant, or ADR Neutral, consisting of 2 pages. (2) Attachment 1, Contract Terms, Conditions, and Procedures, consisting of 3 pages. (3) Attachment 2, Statement of Work. (4) The Contractor's proposal, incorporated herein by reference. By signing this document, the Contractor agrees to perform services as described herein in accordance with the terms, conditions, and rates set forth in this contract. The Contractor also certifies that, to the best of its knowledge, there is nothing derogatory in the background of its employees that could impugn testimony given by these employees or work products delivered by the Contractor. This contract shall not become effective until signed by an authorized representative of the Contractor AND the Contracting Officer. ## 20. Contract Signature 20.a. Signature of Authorized Person 20.b. Name and Title of Signer Anna C Salter Ph.D. 20.c. Date Signed 5/18/07 ## 21. Contracting Officer Signature 21.a. Signature of Contracting Officer 21.b. Name of Contracting Officer 21.c. Date Signed 5/14/07 Previous Editions are Obsolete Form OBD-47 (Revised 3-2005) Page 2 of 2 EFTA00187126 U.S. Department of Justice Request, Authorization and Contract for Services of Expert Witness, Litigative Consultant, or ADR Neutral ## Contract/Purchase Order Number: 7L-USA-04-0207
| Attachment 1 – Contract Terms, Conditions and Procedures | |
|---|---|
| A. General Contract Terms and Conditions | |
| A.1 | Inspection and Acceptance. Inspection and acceptance will be at destination, unless otherwise provided. Until delivery and acceptance, and after any rejection, risk of loss will be on the Contract unless loss results from negligence of the Government. |
| A.2 | Invoice Requirements. After services are rendered, the Contractor shall prepare an invoice and submit it to the individual identified in Block 10 of this Contract (page 1 of Form OBD-47). To constitute a proper invoice, the invoice must contain the following information: (i) The name and Taxpayer Identification Number (TIN) of the business entity or individual if an individual has no TIN; the Social Security Number may be used; (ii) The date of the invoice; (iii) A description, itemization, and price for all services rendered and miscellaneous expenses incurred; (iv) The date or the period of time when the services were rendered; and (v) The name, telephone number, and complete mailing address of the responsible official to whom payment is sent. |
| A3 | The invoice must also be accompanied by any travel receipts or receipts for miscellaneous expenses to substantiate the invoice amount. The Government case attorney will certify on the invoice that the services were received and the date the services were accepted. The Government case attorney will then forward the approved Invoice and Form OBD-47 to the appropriate person within the litigating office for further processing. |
| A4 | Payment by Electronic Funds Transfer. The Government reserves the right to make payments to the Contractor via Electronic Funds Transfer (EFT) in accordance with FAR Code 922-334, incorporated by reference into this Contract. If payment is to be made via EFT, the Contractor shall prepare Part I of Form OBD-47A. The form shall be completed by the Contractor and submitted to the address shown in Block 15 of this Contract (page 1 of Form OBD-47). |
| A5 | Interest on Overdue Payment. (i) The Prompt Payment, Public Law 99-177 (96 Stat. 85, 31 U.S.C. 1801, as amended) is applicable to payments under this Contract and requires the payment of interest on overdue payments and improperly taken discounts; (ii) Determination of interest due will be made in accordance with the provisions of the Prompt Payment Act. |
| A6 | Payment Inquiries. All follow-up invoices shall be marked “Duplicate of Original.” Contractor questions regarding payment information or check identification should be directed to the Department of Justice Vendor Assistance Hotline |
| A7 | Use of Taxpayer Identification Number. In accordance with the requirements of the Debt Collection Act of 1996, Public Law 104-134, it is the intent of the Department of Justice to use your Taxpayer Identification Number for purposes of collecting and reporting on any delinquent amounts arising out of your relationship with the Government. |
| A8 | Contractor's Proposal. The Contractor's proposal to furnish the services under this Contract is hereby incorporated by reference into this Contract. In the event of any inconsistency between the Contractor's proposal and this Contract, this Contract shall be considered a superseding document. |
| B. Federal Acquisition Regulation Clauses Incorporated by Reference | |
| This Contract incorporates the following Federal Acquisition Regulation (FAR) clauses by reference, with the same force and effect as if the clauses were given in full text. Upon request, the litigating component's administrative or procurement office will make the full text available. Also, the full text may be accessed centrally at the following Internet address: http://www.amc.gov/far. The effective date of each FAR clause listed below is that which is current at the time this Contract is executed by both parties. | |
| B.1 The following FAR clauses apply to all contracts (the FAR clause number is in the left column and clause title in the right) | |
| 52.225-13 | Restrictions on Certain Foreign Purchases |
| 52.232-7 | Payments under the Payments and Labor-Hour Contracts |
| 52.232-25 | Prompt Payment |
| 52.232-34 | Payment by Electronic Funds Transfer – Other than Central Contractor Registration |
| 52.233-4 | Applicable Law for Breach of Contract |
| 52.243-3 | Changes – Time-and-Materials or Labor-Hours |
| 52.246-6 | Inspection – Time-and-Materials or Labor-Hour |
| 52.249-6 | Termination (Cost Reimbursement), Alternate IV |
| B.2 The following FAR clause is added to the clauses in Block 18.a for those values valued at $100,000 or less | |
| 52.213-4 | Terms and Conditions – Simplified Acquisitions (other than Commercial Items) |
| B.3 The following FAR clauses are added to the clauses in Blocks B.1 and B.2 for those contracts valued at more than $100,000 | |
| 52.202-1 | Definitions |
| 52.203-3 | Graffilities |
| 52.203-5 | Covenant Against Contingent Fees |
| 52.203-6 | Restriction on Subcontractors to the Government |
| 52.203-7 | Anti-Kickback Procedures |
|---|---|
| 52.203-8 | Cancellation, Recision, and Recovery of Funds for Illegal or Improper Activity |
| 52.203-10 | Price or Fee Adjustment for Illegal or Improper Activity |
| 52.203-12 | Limitations on Payments to Influence Certain Federal Transactions |
| 52.204-4 | Printing/Copying Double-Sided on Recycled Paper |
| 52.209-6 | Protecting the Government's Interest when Subcontracting with Contractor's Debarred, Suspended, or Proposed for Debarment |
| 52.215-2 | Audit and Records-Negotiation |
| 52.219-8 | Utilization of Small Business Concerns |
| 52.222-3 | Convict Labor |
| 52.222-21 | Prohibition of Segregated Facilities |
| 52.222-26 | Equal Opportunity |
| 52.222-35 | Affirmative Action for Disabled and Veterans of the Vietnam Era |
| 52.222-36 | Affirmative Action for Workers with Disabilities |
| 52.222-37 | Employment Reports on Special Disabled Veterans, Veterans of the Vietnam Era and other Eligible Veterans |
| 52.223-6 | Drug-Free Workplace |
| 52.227-1 | Authorization and Consent |
| 52.227-2 | Notice and Assistance Regarding Patent and Copyright Infringement |
| 52.232-8 | Discounts for Prompt Payment |
| 52.232-17 | Interest |
| 52.232-23 | Assignment of Claims |
| 52.233-1 | Disputes |
| 52.233-3 | Protest After Award |
| 52.237-2 | Protection of Government Buildings, Equipment, and Vegetation |
| 52.242-13 | Bankruptcy |
| 52.244-2 | Subcontracts |
| 52.244-5 | Competition in Subcontracting |
| 52.247-63 | Preference for U.S. Flag Air Carriers |
| C. Other Full Text Clauses | |
| This Contract incorporates one of the following two clauses (C.1 or C.2) depending upon whether the Contract is FULLY FUNDED or INCREMENTALLY FUNDED, as specified in Part II, Block 18 of this Contract (Form OBD-47). This contract also incorporates Clause C.3 which describes required Contractor residency requirements. | |
| C.1 Limitation of Cost | |
| NOTE: This clause applies to FULLY FUNDED contracts. | |
| (1) | The parties to this Contract estimate that performance of this Contract will not cost the Government more than the estimated cost specified elsewhere in this Contract. The Contractor agrees to use its best efforts to perform the work within the estimated cost specified in the Contract. |
| (2) | The Contractor shall notify the Contracting Officer whenever it has reason to believe that –(1) the costs the Contractors expects to incur under this Contract in the next 30 days, when added to all costs previously incurred, will exceed 75 percent of the estimated cost specified in the Contract; or (2) the total cost for the performance of this Contract will be either greater or substantially less than had been previously estimated. |
| (3) | As part of the notification, the Contractor shall provide the Contracting Officer a revised estimate of the total cost of performing this Contract. |
| (4) | Except as required by other provisions of this Contract –(1) the Government is not obligated to reimburse the Contractor for costs incurred in excess of the estimated cost specified in the Contract or (2) the Contractor is not obligated to continue performance under this Contract or otherwise incur costs in excess of the estimated cost specified in the Contract, until the Contracting Officer (1) notifies the Contractor in writing that the cost has been increased and (1) provides a revised estimated total cost of performing this Contract. |
| (5) | The Government is not obligated to reimburse the Contractor for any costs in excess of the estimated cost to the Government specified in the Contract, whether those costs were incurred during the course of the Contract or as a result of termination. |