ATTORNEYS’ DECLARATION ON BILLING STATEMENT Clause Samples

ATTORNEYS’ DECLARATION ON BILLING STATEMENT. The following declaration shall be made on the original of each billing statement and personally signed and dated by Attorneys' Supervising Attorney or Lead Counsel. “I have personally examined this billing statement. All entries are in accordance with the Agreement For Professional Legal Services, are correct and reasonable for the services performed and costs incurred, and no item on this statement has been previously billed to County.” DATE SIGNATURE

ATTORNEYS’ DECLARATION ON BILLING STATEMENT. The following declaration shall be made on the original of each billing statement and personally signed and dated by Attorneys’ Supervising Attorney or Lead Counsel. “I have personally examined this billing statement. All entries are in accordance with the Agreement for Professional Legal Services, are correct and reasonable for the services performed and costs incurred, and no item on this statement has been previously billed to District.” Date Signature This data shall be transmitted to governmental agencies charged with the establishment and enforcement of child support order and for no other purposes and shall be held confidential by those agencies.

ATTORNEYS’ DECLARATION ON BILLING STATEMENT. The following declaration shall be made on the original of each billing statement and personally signed and dated by Attorneys' Supervising Attorney or Lead Counsel. "I have personally examined this billing statement. All entries are in accordance with the Agreement For Professional Legal Services, are correct and reasonable for the services performed and costs incurred, and no item on this statement has been previously billed to LEA." ____________ __________________________ DATE SIGNATURE __________________________________________________ NAME __________________________________________________ TITLE (Supervising Attorney or Lead Counsel) In order to enhance the child support collection efforts of the County of Orange Child Support Services, all contractors are required to provide the following information as listed on the attached form: If the Contractor is an individual contractor: Name, date of birth, social security number, and residence address. If Contractor is doing business in a form other than as an individual: Name, date of birth, social security number, and residence address of each individual who owns an interest of ten (10) percent or more in the contracting entity. In addition, all contractors must provide: A certification that the Contractor has fully complied with all applicable federal and state reporting requirements regarding its employees, and A certification that the Contractor has fully complied with all lawfully served Wage and Earnings Assignment Orders and Notices of Assignment and will continue to so comply. In order to comply with child support enforcement requirements of the County of Orange, within ten (10) days of award of this Agreement, Attorneys agree to furnish the required Attorney data and certifications to the Contract Administrator, Purchasing Agent or the Agency/Department Deputy Purchasing Agent. Information provided shall be submitted to the Child Support Office, which has been charged with the establishment and enforcement of child support orders. Copies shall not be retained by the requesting agency. Failure of the Attorneys to submit the data and/or certifications required above or to comply with all federal and state reporting requirements for child support enforcement or to comply with all lawfully served Wage and Earnings Assignment Orders and Notices of Assignment shall constitute a material breach of this Agreement. Failure to cure such breach within sixty (60) calendar days of notice from LEA shall constitu...

ATTORNEYS’ DECLARATION ON BILLING STATEMENT. The following declaration shall be made on the original of each billing statement and personally signed and dated by Attorneys' Supervising Attorney or Lead Counsel. “I have personally examined this billing statement. All entries are in accordance with the Agreement For Professional Legal Services, are correct and reasonable for the services performed and costs incurred, and no item on this statement has been previously billed to County.” ____________ __________________________ DATE SIGNATURE __________________________________________________ NAME __________________________________________________ TITLE (Supervising Attorney or Lead Counsel)