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ATTORNEY'S REPRESENTATION AGREEMENT


(hereafter referred to as “Client” in singular form), whose mailing address: , , does hereby retain and employ Florida Professional Law Group, PLLC, (“Attorneys”), 4600 Sheridan St., Suite 303, Hollywood, FL 33021, as their Attorneys to represent them in their claim for damages against (the “Insurance Company”) or any other person, entity or corporation liable or responsible for damages or insurance benefits resulting from any accident, loss or occurrence that happened on or about at the property located at , , , (the “Property”)
Policy No.: ; Claim No.: 

Before signing this contract, Client received, read, and understood The Statement of Client’s Rights (“Statement”). Client signed the Statement and received a copy for reference.

If no recovery is made, no attorney's fees are owed by Client. 

This employment is on a contingent fee basis.

The Attorney’s fees will be the greater of:

  1. A percentage of the gross amount recovered as follows:
    1. 30% if the claim is settled, fully or partially, without a lawsuit being filed; or
    2. 35% of any and all recoveries after a lawsuit is filed; and
    3. An additional 5% of the gross amount recovered for each appeal that is filed; -or-

2. If the insurance company will pay them separately, the amount  paid to Attorneys by the Insurance Company will be based upon the work they have done in connection with My Claim.

If the claim cannot be settled without filing a lawsuit, then my Attorneys may file a law suit against my insurance company, if they deem it necessary to do so. In that case, Attorneys will try to recover their attorney’s fees from the Insurance Company pursuant to Florida Statutes or another legal basis (“Statutory Fees”). I acknowledge that in cases like this Attorneys routinely charge up to $435 per hour for attorney’s time and up to $125 per hour for legal assistant’s time. However, if no recovery is made, no attorney's fees are owed by Client and Attorneys will not bill me separately.

Attorneys will advance money for costs such as court’s fees, process server fees, loss consultants’ fees, contractors’ fees, estimator’s fees, experts’ fees, computerized legal research (which will be a flat rate of $65.00), court reporter fees and expenses, travel, delivery service, and others required for the resolution of this issue. If there is a mortgage on the Property an additional $195.00 mortgage company processing fee will also apply unless I choose to perform this service on my own and pay Attorneys’ fees and costs directly. 

 If not paid separately by the Insurance Company, costs shall be deducted from the amount recovered. If there is no recovery, I will not be responsible to re-pay the costs advanced.

My Attorneys and my mortgage company are authorized to communicate and to negotiate with each other. My mortgage company is:

Mortgage(s)

My mortgage payments are current:

If my mortgage payments are not current, I have received notice of foreclosure:

Client agrees to assist in this matter, for example, by appearing at depositions and hearings, if required. I will ask questions and keep my Attorneys informed of all information related to the matter.

Client will be truthful and honest with my Attorneys. Insurance fraud is a crime. Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree. Client will not and has not committed insurance fraud.

Endorsement of Checks. Settlement checks may be made payable to me and my Attorneys and my lender. I will endorse any checks so that they can be deposited to my Attorney’s trust account and will assist in obtaining the endorsement of my lender. I authorize my Attorney to endorse the check(s) for me. I grant my Attorneys power of attorney and appoint my Attorneys as my true and lawful attorney in fact to act in my stead to endorse the checks on my behalf for the purpose of depositing the checks in their trust account and disbursing the proceeds according to this Agreement. I indemnify and hold my Attorneys and my Attorneys’ bank harmless for doing so.

If my lender does not release money to pay my Attorneys’ fees and costs, I will pay my Attorneys separately, and directly. If I do not do so, Attorneys may place and enforce a lien upon the Property. The prevailing party shall be entitled to recover attorney’s fees and costs.

No Guaranteed Results. I understand that there are no “guaranteed results.” Attorneys have made no promises about the outcome of my claim. 

Once Attorney’s engagement in this matter ends if within 30 days I do not direct my Attorneys to return materials pertaining to the matter, I agree that any materials left with my Attorneys may be retained or destroyed. “Materials” include paper files as well as information in other storage media or formats. Attorneys may make, at their expense, copies of all documents or materials generated or received by them. If I request copies of documents from my Attorneys, copies will be at my expense. Attorneys may share information with other parties or their attorneys, witnesses, the courts, experts and consultants that my Attorneys deem advisable. 

I have not been solicited or coerced by my Attorney or by anyone acting on behalf of my Attorney to sign this agreement. The decision to hire my Attorney was my own.

Conflict of Interest Waiver. I understand that my Attorneys may also represent some of the service providers who are involved with my Claim, such as the restoration company, mold tester, plumber, roofer, etc (“Service Provider(s)”). I understand that my Attorneys may assist and represent the Service Provider(s) in pursuing payment for their services under an assignment of benefits that I may have provided to them. I hereby waive any potential conflict of interest that this may cause. I also understand that my Attorneys will not represent a Service Provider in a dispute against me and will not represent me in a dispute against a Service Provider.

Notice Required by the Florida Bar

(i) The undersigned Client has, before signing this contract, received and read the Statement of Client’s Rights (the “Statement”) and understands each of the rights set forth therein. The undersigned Client has signed the Statement and received a signed copy to refer to while being represented by the undersigned attorney.

(ii) This contract may be cancelled by written notification to the attorney at any time within 3 business days of the date the contract was signed, as shown below, and if cancelled the Client shall not be obligated to pay any fees to the attorney for the work performed during that time. If the attorney has advanced funds to others in representation of the Client, the attorney is entitled to be reimbursed for such amounts as the attorney has reasonably advanced on behalf of the Client.

This Agreement is not effective and my Attorney has not been Retained until this Agreement has been signed by my Attorney.

Client

Printed name:
Phone:
Email:
Date:

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Attorneys

The above employment is hereby accepted upon the terms stated herein. 

Florida Professional Law Group, PLLC 

By: ____________________________

Name:  Marc Ben-Ezra, Esq. 

Title:  Partner/Managing Attorney

Phone No.: (954) 284-0900

Date: ____________________________

STATEMENT OF CLIENTS' RIGHTS

Before you, the prospective Clients, arrange a contingency fee agreement with a lawyer, you should understand this statement of your rights as Clients.  This statement is not a part of the actual contract between you and your lawyer, but, prospective Clients, you should be aware of these rights.

  1. There is no legal requirement that a lawyer charge a client a set fee or a percentage of money recovered in a case.  You, the Clients, have the right to talk with your lawyer about the proposed fee and to bargain about the rate or percentage as in any other contract.  If you do not reach an agreement with one lawyer you may talk with other lawyers.
  1. Any contingency fee contract must be in writing and you have three (3) business days to reconsider the contract.  You may cancel the contract without any reason if you notify your lawyer in writing within three (3) business days of signing the contract.  If you withdraw from the contract within the first three (3) days, you do not owe the lawyer a fee although you may be responsible for the lawyer's actual costs during that time.  But if your lawyer begins to represent you, your lawyer may not withdraw from the case without giving you notice, delivering the necessary papers to you, and allowing you time to employ another lawyer.  Often, your lawyer must obtain court approval before withdrawing from a case.  If you discharge your lawyer without good cause after the 3-day period, you may have to pay a fee for the work the lawyer has done.
  1. Before hiring a lawyer, you, the Clients, have the right to know about the lawyer's education, training and experience.  If you ask, the lawyer should tell you specifically about the lawyer’s actual experience dealing with cases similar to yours.  If you ask, the lawyer should provide information about specific training or knowledge and give you this information in writing if you request it.
  1. Before signing a contingent fee contract with you, a lawyer must advise you whether the lawyer intends to handle your case alone or whether other lawyers will be helping with the case.  If your lawyer intends to refer the case to other lawyers, the lawyer should tell you what kind of fee sharing arrangement will be made with the other lawyers.  If lawyers from different law firms will represent you, at least one lawyer from each law firm must sign the contingent fee contract.
  1. If your lawyer intends to refer your case to another lawyer or counsel with other lawyers, your lawyer should tell you about that at the beginning.  If your lawyer takes the case and later decides to refer it to another lawyer or to associate with other lawyers, you should sign a new contract that includes the new lawyers.  You, the Clients, also have the right to consult with each lawyer working on your case and each lawyer is legally responsible to represent your interest and is legally responsible for the acts of other lawyers involved in the case.
  1. You, the Clients, have the right to know in advance how you will need to pay the expenses and the legal fees at the end of the case.  If you pay a deposit in advance for costs, you may ask reasonable questions about how the money will be or has been spent and how much of it remains unspent.  Your lawyer should give a reasonable estimate about future necessary costs.  If your lawyer agrees to lend or advance you money to prepare or research the case, you have the right to know periodically how much money your lawyer has spent on your behalf.  You also have the right to decide, after consulting with your lawyer, how much money is to be spent to prepare a case.  If you pay the expenses, you have the right to decide how much to spend.  Your lawyer should also inform you whether the fee will be based on the gross amount recovered or the amount recovered minus the costs.
  1. You, the Clients, have the right to be told by your lawyer about possible adverse consequences if you lose the case.  Those adverse consequences might include money which you might have to pay to your lawyer for costs and the liability you might have for attorney's fees to the other side.
  1. You, the Clients, have the right to receive and approve a closing statement at the end of the case before you pay any money.  The statement must list all of the financial details of the entire case, including the amount recovered, all expenses, and a precise statement of your lawyer's fee.  Until you approve the closing statement, you need not pay any money to anyone, including your lawyer.  You also have the right to have every lawyer or law firm working on your case sign this closing statement.
  1. You, the Clients, have the right to ask your lawyer at reasonable intervals how the case is progressing and to have these questions answered to the best of your lawyer's ability.
  1. You, the Clients, have the right to make the final decision regarding settlement of a case.  Your lawyer must notify you of all offers of settlement before and after the trial.  Offers during the trial must be immediately communicated and you should consult with your lawyer regarding whether to accept a settlement.  However, you must make the final decision to accept or reject a settlement.
  1. If at any time, you, the Clients, believe that your lawyer has charged an excessive or illegal fee, you have the right to report the matter to The Florida Bar, the agency that oversees the practice and behavior of all lawyers in Florida.  For information on how to reach The Florida Bar, call (800) 342-8060, or contact the local bar association.  Any disagreement between you and your lawyer about a fee can be taken to court and you may wish to hire another lawyer to help you resolve this disagreement.  Usually fee disputes must be handled in a separate lawsuit, unless your fee contract provides for arbitration.  You can request, but may not require, that a provision for arbitration (under Chapter 682, Florida Statutes, or under the fee arbitration rule of the Rules Regulating The Florida Bar) be included in your fee contract.

Client

Printed name:
Phone:
Email:
Date:

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Attorneys

The above employment is hereby accepted upon the terms stated herein. 

Florida Professional Law Group, PLLC 

By: ____________________________

Name:  Marc Ben-Ezra, Esq. 

Title:  Partner/Managing Attorney

Phone No.: (954) 284-0900

Date: ____________________________

Notice of Representation, Authorization to Communicate, Limited Assignment of Benefits & Instructions Regarding Checks

To: Insurance Company:
Re: Address:




Policy No:
Client:

Retention: I have retained Florida Professional Law Group, PLLC (“Attorneys”) whose phone number is (954) 284-0900, to represent me in connection with certain claim(s) matter(s) involving the insurance policy related to the property noted above.

Authorization to Communicate: I authorize you to communicate with, disclose information to and negotiate verbally or in writing with my Attorneys.

I also authorize my Attorneys to communicate with, disclose information to and negotiate verbally or in writing with my Insurance Company.

Limited Assignment of Benefits

I/we hereby assign to my/our Attorneys a portion of the insurance policy’s benefits and proceeds. This assignment of benefits is limited to the amount necessary to pay their attorney’s fees for services rendered by them. 

Instructions Regarding Proceeds Checks & Direction to Pay:

  • I authorize and direct Insurance Company to write a separate check to Florida Professional Law Group, PLLC to pay for the fees and costs due for Attorney’s services.
  • I authorize and direct Insurance Company to send all insurance proceeds checks to 

Florida Professional Law Group, PLLC

4600 Sheridan Street, Suite 303

Hollywood, FL 33021

Insured

Printed name:
Phone:
Email:
Date:

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General Authorization to Communicate

Re:

Insurance Company:
Address:




Policy No:
Client:

We have retained Florida Professional Law Group, PLLC (“Attorneys”) whose phone number is (954) 284-0900, to represent us in connection with certain matters involving the insurance policy related to the property noted above.

We hereby authorize you to communicate with, disclose information to, and negotiate verbally or in writing with our Attorneys.

We also hereby authorize our Attorneys to communicate with, disclose information to and negotiate verbally or in writing with our Insurance Company.

Insured

Printed name:
Phone:
Email:
Date:

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To:

Re: Notice of Insurance Claim & Authorization for Florida Professional Law Group, PLLC, to Communicate with Mortgage Company
Property Address: 




Loan Number:
Insurance Company:
Policy #:
Loss Type:
Date of Loss:

To Whom It May Concern:

An insurance claim was filed in connection with the insurance policy and property mentioned above (the “Claim”).

  • Please open a property damage file & advise legal assistant Donna Coren (dcoren@flplg.com, 954-284-0900 x106) what is needed to obtain your endorsement on the possible settlement check, which will ultimately be deposited in our Attorney’s trust account for disbursement.
  • I have retained Florida Professional Law Group, PLLC (“Attorneys”), to represent me in connection with the Claim. Attorneys are providing a valuable service. Attorneys may be paid directly by the insurance company. If not, my Attorneys must be paid from the insurance proceeds (“Funds”). In that case, I am relying upon your company to release money from the Funds to pay my Attorney’s fees and costs. If you cannot do so, advise me and my Attorneys immediately and propose an alternative plan to us for providing professional representation for the Claim. I am acting in reliance upon your cooperation. If necessary, I authorize Attorneys to file suit on my behalf.
  • I authorize you to communicate with, disclose information to, and negotiate verbally or in writing with my Attorneys. I also authorize my Attorneys to communicate with, disclose information to and negotiate verbally or in writing with my Mortgage Company or Mortgage Servicer.
  • If my Attorneys are successful, you are directed to endorse the insurance company’s check and send it directly to my Attorneys. – CHECKS SHOULD NOT BE RETURNED TO US/ME. Alternatively, if funds need to be held in escrow, you are directed to pay my Attorney’s fees and costs directly from those funds.
  • SEND ALL CHECKS TO MY ATTORNEYS (NOT TO ME):

Florida Professional Law Group, PLLC
4600 Sheridan Street, Suite 303
Hollywood, FL 33021.
(954)284-0900

Thank you in advance for your anticipated cooperation and assistance,

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