CFA Agree ment No Wi n, No Fee, No Uplift. Payme nt On Concl usi on. The na mes of the parti es to thi s di spute are recor ded as «CaseNa me»

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1 «Ctct Na me» «Soli citor Na me» «I nst Addr ess» «I nsttownci ty» «I nst County» «I nstpost Code» «I nst DX» Dat e: «Curr Dat e» Your Ref: «Sol Ref» Our Ref: «CaseNu mber» CFA Agree ment No Wi n, No Fee, No Uplift. Payme nt On Concl usi on. «Bar Na me» of Counsel has undertaken a revi ew of this cl ai mand concl uded that the pr ospects of success are (insert here). The na mes of the parti es to thi s di spute are recor ded as «CaseNa me» Thi s agree ment is bet ween «Bar Na me» and «Soli citorna me» Certifi cate Nu mber: «CaseNu mber» I mportant Notes: 1. Thi s agree ment is wi th Counsel personall y. 2. The condi ti ons are set out on page 2 and the CFA Agree ment at pages Thi s acceptance is based on the i nf or mati on currentl y provi ded to Counsel and may be subj ect to change if subsequent further i nf or mati on changes the prospects. 4. The basi s of thi s agree ment is no wi n, no fee, no uplift. «Curr Dat e» «Bar Na me»

2 Counsel s Certificate for a CFA Counsel: - «Bar Na me» Case Ref erence:- «CaseNu mber» I nstructi ng Solicitors:- «Soli citor Na me» «I nst Address» «I nsttownci ty» «I nst County» «I nst Post Code» «I nst DX» The Parti es Re: «CaseNa me» Evi dence of the Parties Issues bet ween the Parti es Li kel y Fi ndi ngs of Fact on the Current Evi dence Furt her Evi dence Requi red Counsel s Condi ti ons on Accept ance of the CFA

3 SHORT FOR MCFA f or use BET WEEN SOLI CI TORS AND COUNSEL on or after 1 April 2013 Csl s Ref: «CaseNu mber» Sol s Ref: «Sol Ref» 1. DEFI NI TI ONS I n thi s agree ment: "Counsel " means: «BarTitl e» «BarFst Nm» «BarSur na me», Barri ster and any ot her counsel ei ther from Cha mbers or r eco mmended by counsel i n accor dance wi t h cl ause 12 who si gns t hi s agree ment at any ti me at t he soli citor s request. "The soli citor" means the fir m: «I nst Na me» The Cli ent" means the Cl ai mant i n the matter of «CaseNa me» *acti ng by hi s/her Liti gati on Fri end [ ent er na me of liti gati on fri end], or t he Cli ent s personal represent ati ves ( on deat h) or the Cli ent s liti gati on friend ( on l oss of capacity). "Success" means t hat t he Cli ent s cl ai m i s fi nall y deci ded i n hi s or her f avour, whet her by a court decisi on or an agree ment t o pay da mages or i n any way that the Cli ent deri ves benefit frompursui ng the Cl ai m. Fi nall y means t hat t he Opponent i s not all owed t o appeal agai nst t he court deci si on; or has not appeal ed i n ti me; or has l ost any appeal. Fail ure means if t he case i s l ost or on Counsel' s advi ce ends wi t hout success then Counsel is not entitled to any fees or expenses. The Opponent means any Def endant or pr oposed Def endant i n an acti on br ought or cont e mpl ated by t he Cl ai mant i n r espect of hi s or her cl ai mf or da mages f or personal i njury, deat h or di sease. 2. Thi s agree ment f or ms the basi s on whi ch i nstructi ons are accept ed by Counsel from t he Soli citor t o act on a condi ti onal f ee basi s f or t he Cli ent i n hi s/her cl ai mf or da mages f or personal i nj ury, di sease or deat h. I NCORPORATI ON OF APIL/PI BA STANDARD TERMS 3. Thi s Agree ment f or ms the basi s on whi ch i nstructi ons are accept ed by counsel from t he soli citor t o act under a conditi onal f ee agr ee ment and

4 i ncor porat es PI BA s standar d t er ms whi ch are avail abl e on t he PI BA website and are i ncor porated i n, but not annexed to thi s agree ment. 4. Thi s agree ment is a contract enf orceabl e at l aw. 5. SOLI CI TOR S OBLI GATI ON TO PAY (1) Upon success, subj ect as pr ovi ded bel ow, t he Sol icitor i s li abl e t o pay Counsel s nor mal and success fees. (2) Subj ect t o cl auses 11 t o 14 bel ow t he a mounts of f ees and expenses payabl e t o Counsel under t hi s agree ment are payabl e whet her or not the Soli citor is or will be pai d by the Cli ent or Opponent. (3) Upon success t he Soli citor will pr omptl y concl ude by agr ee ment or assess ment t he questi on of costs and will pay Counsel pr omptl y and i n any event not l ater than one mont h after recei pt of such costs as are r ecovered from t he Opponent/s t he f ull sum due under t hi s agree ment. (4) Such part of Counsel s nor mal f ees whi ch i s not recover ed fr om t he l osi ng Opponent and any success f ees may be capped or r educed pr o rata i n accor dance wi th paragraphs 11 to 13 bel ow. (5) I n t he event of f ail ure t he soli citor s obli gation t o pay Counsel s nor mal and success f ees i s as s et out i n cl ause 9 of t he st andar d ter ms. 6. THI S SCOPE OF THI S AGREE ME NT I S AS FOLL OWS: (1) What is covered by thi s agree ment Thi s agree ment rel ates to and covers all work already done and all further wor k to be undertaken by Counsel i n respect of the cl ai muntil the cl ai mis won, l ost or ot her wi se concl uded, or thi s agree ment is ter mi nat ed. Wor k wi thi n the scope of thi s agree ment specifi call y i ncl udes Any appeal the cli ent makes agai nst an i nteri morder advi sed by Counsel. (2) What is not covered by thi s agree ment Any Part 20 cl ai magai nst the cli ent; Any appeal the cli ent makes agai nst the fi nal j udgment order; any count er cl ai m or def ence by way of set off whi ch i s still i n exi stence after t he cl aim has settl ed or been won, l ost or ot her wi se concl uded; any appli cati on under and a war d of pr ovi si onal da mages t hat mi ght be obt ai ned i n t hese proceedi ngs or t o vary any or der f or peri odi cal pay ments that mi ght be made i n these proceedi ngs;

5 enf orce ment of any j udgment or order. DELI VERY OF THE BRI EF BY THE SOLI CI TOR 7. The Soli citor agrees t o deli ver t he bri ef f or tri al not l ess t han 1 week ( 7 days) bef ore t he tri al of all issues or of any pr elimi nary i ssue, i ncl udi ng t he assess ment of da mage COUNSEL S NORMAL FEES 8. (a) The ' nor mal rate' for Counsel' s fees upon whi ch Counsel' s success fee is to be appli ed will be as foll ows:- COUNSEL'S NORMAL FEES are as follows: Advisory work and drafting: in accordance with counsel's hourly rate obtaining for such work in this field currently: (hourly rate) * Court appearances:- Brief fees for a trial (allowing 5 hours per day in court) whose duration and hours of preparation are estimated as follows: [insert hourly rate] Time estimate for trial** Hours of preparation ** Estimated fee * Up to 2 days 6 2, to 5 days 12 5, to 8 days 18 8, to 12 days 24 13, to 20 days 30 19, Brief fees for interlocutory hearings whose duration and hours of preparation are estimated as follows: Estimated duration ** Hours of preparation ** Estimated fee * Up to one hour One hour to half a day Half a day to one day 4 1, Over one day will be charged as if it were a trial. Refreshers, estimated at 5 hours in court ** at counsel's hourly rate currently obtaining for such work in this field*: Renegotiating Counsel's fees: to the extent that the hours of preparation set out above are reasonably exceeded then counsel's hourly rate will apply to each additional hour of preparation. If the case is settled or goes short, counsel will consider the solicitor's reasonable requests to reduce his/her brief fee set out above. Notes: * The hourly rate and the estimated fees shown above are examples only. It is up to counsel and solicitors to agree rates for each agreement. ** The time estimates for the duration of a trial or interlocutory hearing and for the hours of preparation which are shown above are examples only. It is up to counsel and solicitors to make such estimates or other means of specifying likely fees as they think appropriate for each agreement. ( b) Reasonabl eness of Counsel s fees

6 The f ees set out above are consi dered by the Solicitor to be reasonabl e f or Counsel s wor k i n thi s cl ai m. (c) I nfl ati on Revi ew Counsel s nor mal fees wi ll be subj ect to revi ew wi th eff ect from each successi ve first day of Febr uary fromt he date of thi s agree ment. COUNSEL S SUCCESS FEE 9. The rate of Counsel' s success fee will be as f oll ows: No success fee has been charged by Counsel under thi s agree ment. REAS ON FOR THE SUCCESS FEES: 10. No success fee has been charged under thi s agreement. PAY ME NT OF COUNSEL S NON RECOVERED FEES 11. Counsel s nor mal fees I n the event that, after settl ement or assess ment of costs, some of Counsel s nor mal fees are not recovered fromt he Opponent, the f oll owi ng shall appl y: The Soli citor will NOT be li abl e f or any of Counsel s nor mal fees whi ch are not recovered fromt he Opponent. 12. Counsel s Success fees No success fee is payabl e under thi s agree ment. 13. Unr ecovered fees foll owi ng an Opponent s Part 36 Offer If the Opponent makes a Part 36 off er and the Client recovers da mages and i nterest l ess than the offer and as a result al so recovers no costs fromsome dat e after the Part 36 offer then: [1] if Counsel advi sed that the off er shoul d be accepted and the Cli ent rej ected that advi ce and pr essed on, Counsel is entitl ed to nor mal fees f or the work done after the Part 36 off er was made.

7 [2] if Counsel advi sed that the Part 36 off er be rej ected then Counsel is not entitl ed to recover any f ees fromt he dat e after whi ch the Cli ent recovered no costs because of the eff ect of the Part 36 offer.

8 Di spute bet ween Counsel and Solicitor 14. I n t he event t hat t he figure f or past l oss and general da mages has ( a) not been det er mi ned at trial or assess ment; and ( b) counsel and soli citor ar e unabl e t o agree t he appropri ate l evel of general da mages and past l oss; and (c) Counsel s entitl ement t o f ees i s i n di sput e, the parti es shall f oll ow the pr ocedur e set out i n 9( 5) of the Ter ms and Condi ti ons. Dat ed: «Curr Date» Si gned by counsel s Cl erk on behalf of «Bar Na me» wi th full aut hority: Adri an Gage, Fees Cl erk Addi ti onal Counsel Additi onal Counsel Si gned by Solicitor:

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