Legal Conflict Statement

LEGAL CONFLICT STATEMENT

This Legal Conflict Statement is made and entered into by and between Client Name: and Law Firm Name: for the matter identified as Matter Name: , effective as of Date: .

RECITALS

WHEREAS, Client desires to retain Firm to provide legal services in connection with the matter identified above and has requested that Firm undertake representation on behalf of Client; and

WHEREAS, prior to or during representation, a conflict of interest may arise from Firm's prior or existing professional relationships, Firm personnel interests, or the Firm's representation of other clients; and

WHEREAS, the parties desire to memorialize disclosures, acknowledgments, and any consent or waiver regarding actual or potential conflicts to ensure informed consent and to avoid prejudice to Client or third parties.

NOW THEREFORE

In consideration of the mutual covenants contained herein and other good and valuable consideration, the receipt and sufficiency of which are acknowledged, the parties agree as follows:

1. DEFINITIONS

For purposes of this Legal Conflict Statement, the following terms shall have the meanings set forth below:

"Conflict" means any circumstance or relationship that would materially limit, materially impair, or be materially adverse to Firm's ability to represent Client loyally and competently, including but not limited to prior representation of a party adverse to Client, representation of a party with substantially adverse interests in the same matter, or personal interests of Firm personnel that would materially affect the representation.

"Confidential Information" means information protected by the attorney-client privilege, work product doctrine, or other confidentiality obligations arising out of past or present representation, whether oral, written, electronic, or otherwise.

2. DISCLOSED CONFLICTS

Firm discloses the following actual or potential conflicts of interest known at the time of this Statement. Client acknowledges receipt of the following disclosures and sufficient detail to evaluate any potential waiver:

Former representation of a party potentially adverse to Client

Current representation of another party with interests that may be materially adverse

Personal or financial interest of Firm personnel that may affect representation

3. PRIOR REPRESENTATIONS

Firm represents that it has made reasonable efforts to identify prior representations, engagements, or matters that may give rise to a conflict. To the extent there exist prior representations involving parties or matters relevant to the present representation, Firm discloses the facts below.

4. SCOPE OF REPRESENTATION

The representation to be provided by Firm is limited to the scope set forth in the engagement letter between the parties unless otherwise agreed in writing. Firm shall not represent any party in the same matter whose interests are materially adverse to Client without Client's informed written consent. Nothing in this Statement obligates Client to consent to any particular representation.

5. CONSENT, WAIVER AND ACKNOWLEDGMENT

Client hereby acknowledges receipt of the disclosures set forth above and has had the opportunity to ask questions and obtain clarification. Client's election regarding consent to the identified conflicts is indicated below. Client understands that consent, if given, is limited to the specific circumstances disclosed and does not constitute a blanket waiver of conflicts that may arise in the future.

Client consents to representation despite the disclosed conflicts

Client declines to consent; Client requests Firm withdraw or limit representation

6. CONFIDENTIALITY; SCREENING PROCEDURES

Firm recognizes its continuing duty to protect Confidential Information. In matters where Firm's representation of another client or a prior representation creates the potential for exposure to confidential information, Firm agrees to implement ethical screens and reasonable protective measures as required by applicable professional conduct rules. Firm shall not disclose Client's Confidential Information except as authorized by Client or required by law.

7. REMEDIES

In the event of a breach of this Statement, the non-breaching party shall be entitled to all remedies available at law or in equity, including injunctive relief to prevent disclosure or misuse of Confidential Information, recovery of damages, and reasonable attorneys' fees and costs incurred in enforcing this Statement.

8. REPRESENTATIONS AND WARRANTIES

Each party represents and warrants that the information provided in this Statement is true and complete to the best of such party's knowledge as of the Effective Date stated above. Firm represents that it has conducted reasonable conflict checks and disclosed all actual or known potential conflicts required by applicable ethical rules.

9. NOTICES

All notices, requests, consents, claims, demands and other communications hereunder shall be in writing and shall be delivered to the addresses set forth below or to such other address as a party may designate by written notice to the other party.

10. AMENDMENTS; WAIVER; COUNTERPARTS

This Statement may be amended or modified only by a written instrument executed by both parties. No waiver of any provision of this Statement shall be effective unless set forth in a writing signed by the party waiving compliance. This Statement may be executed in counterparts, each of which shall be deemed an original, and all of which together shall constitute one and the same instrument.

11. GOVERNING LAW

This Statement shall be governed by and construed in accordance with the laws of the State of without regard to conflict of laws principles.

12. ENTIRE AGREEMENT

This Statement, together with any engagement letter between the parties, constitutes the entire agreement and understanding between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written, relating to that subject matter.

13. SEVERABILITY

If any provision of this Statement is held to be invalid, illegal or unenforceable in any respect, the remaining provisions shall remain in full force and effect and the invalid, illegal or unenforceable provision shall be reformed only to the extent necessary to make it valid, legal and enforceable while preserving the parties' intent.

14. ATTESTATION BY FIRM

The undersigned attorney on behalf of Firm attests that the disclosures contained herein are accurate to the best of the attorney's knowledge after reasonable inquiry, that reasonable conflict checks have been performed, and that any ethical screens described above will be implemented as necessary.

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