Legal Supplemental Responses Form

LEGAL SUPPLEMENTAL RESPONSES FORM

This Legal Supplemental Responses Form is made and entered into on Execution Date: by and between Responding Party: and Requesting Party: . The parties agree that the Responding Party's prior written responses are supplemented as set forth herein.

RECITALS

WHEREAS, the Responding Party previously served responses in the matter captioned: , Docket No.: , in the court or proceeding located in: .

WHEREAS, the Requesting Party served written Requests for Production, Interrogatories, and/or Requests for Admission (collectively, the "Requests") to which the Responding Party provided initial responses and productions; and

WHEREAS, the parties now seek to set forth certain supplemental answers and productions to ensure the administrative and evidentiary record is complete.

NOW THEREFORE, in consideration of the mutual covenants and agreements contained herein, the parties agree as follows:

1. DEFINITIONS

For purposes of this Form, the following definitions apply: "Supplemental Responses" means the written clarifications, additional factual statements, and document identifications set forth in Section 2; "Produced Documents" means any tangible media, electronic files, or copies of records identified or delivered in connection with the Supplemental Responses.

2. SUPPLEMENTAL RESPONSES

The Responding Party supplements its prior responses as set forth below. Each supplemental entry identifies the Request number, recites the prior response, states the supplemental response, and indicates whether documents are produced in connection with the supplement.

3. PRIVILEGE, CONFIDENTIALITY, AND PRIVILEGE LOG

To the extent that any supplemental response refers to documents or information withheld on the basis of attorney-client privilege, work product, or other protection, the Responding Party shall provide a privilege log setting forth the basis for each claim of privilege and a sufficient description of the withheld material to permit a reasonable assessment of the claim without disclosing the privileged matter. The provision of a privilege log does not constitute a waiver of any privilege or protection.

Privilege Asserted:

4. PRESERVATION OF OBJECTIONS

Except as expressly supplemented herein, all objections previously asserted by the Responding Party are preserved. Supplementation of a response does not constitute a waiver of any objection, including objections based on relevance, privilege, burden, vagueness, or overbreadth.

5. CERTIFICATION

The Responding Party certifies, under penalty of perjury, that the information contained in these Supplemental Responses is complete and correct to the best of the signatory's knowledge, information, and belief after a reasonable inquiry.

Certification Acknowledged:

6. NOTICES

All notices required or permitted under this Form shall be in writing and delivered to the addresses set forth below by personal delivery, registered mail, or overnight courier, and shall be effective upon receipt.

7. AMENDMENTS; WAIVER; COUNTERPARTS

This Form may be amended only by a written instrument signed by both parties. No waiver of any provision shall be effective unless in writing and signed by the party against whom the waiver is asserted. This Form may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument.

8. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

Governing Law: This Form shall be governed by and construed in accordance with the laws of the jurisdiction identified as: , without regard to conflict of law principles.

Entire Agreement: This Form contains the entire agreement between the parties with respect to its subject matter and supersedes all prior and contemporaneous agreements, understandings, and communications, whether written or oral, relating to the subject matter hereof.

Severability: If any provision of this Form is held to be illegal, invalid, or unenforceable, the remaining provisions shall remain in full force and effect.

Counterparts: This Form may be executed in counterparts, each of which shall be deemed an original, and facsimile or electronic signatures shall be treated as originals for all purposes.

IN WITNESS WHEREOF, the parties have executed this Legal Supplemental Responses Form as of the Execution Date set forth above.

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