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Response Signature Page about: blank RESPONSE SIGNATURE PAGE voe or Plllhin e fillo owmg' lfin orma tion . PROSPECTIVE CONTRACTOR'S INFORMATION Company: Hagens Berman Sobol Shapiro LLP Address: 715 Hearst Avenue, Suite 202 City: Berkeley I State: I CA I Zip Code: I 94710 Business D Individual 0 Sole Proprietorship D Public Service Corp Designation: lxl Partnership D Corporation □ Nonprofit Minority and !ID Not Applicable □ American Indian D Asian American □ Service-Disabled Veteran Women- □ African American □ Hispanic American D Pacific Islander Arnerican D Women-Owned Owned Designation•: AR Certification #: • See Minority and Women-Owned Business Policy PROSPECTIVE CONTRACTOR CONTACT INFORMATION Provide contact Informal/on to ba used for bid so/le/tat/on related ma/tars. Contact Person: Reed R. Kathrein Title: Partner Phone: 510-725-3030 Alternate Phone: 510-725-3000 Email: [email protected] CONFIRMATION OF REDACTED COPY - .. -- 00 YES, a redacted copy of submission documents Is enclosed. D NO, a redacted copy of submission documents Is not enclosed. I understand a full copy of non-redacted submission documents will be released if requested. Note: If a redacted copy of the submission documents Is not provided with Prospective Contractor's response packet, and neither box is checked, a copy of the non-redacted documents, with the excsplion of financial data (other than pricing), WIii be released In response to any request made under the Arkansas Freedom of Information Act (FOIA). See Bid Solicitation for additional Information. ILLEGAL IMMIGRANT CONFIRMATION By signing and submitting a response to this Bid Sol/citation, a Prospective Contractor agrees and certifies that they do not employ or contract with Illegal Immigrants. If selected, the Prospective Contractor certifies that they will not employ or contract with illegal immigrants during the aggregate term of a contract. ISRAEL BOYCOTT RESTRICTION CONFIRMATION ' By checking the box below, a Prospective Contractor agrees and certifies that they do not boycott Israel, and If selected, will not boycott Israel during the aggregate term of the contract. lxl Prospective Contractor does not and will not boycott Israel. An official authorized to bind the Prospe tive Contractor to a resultant contract shall sign be/ow. The signature below signifies agreem ha r'\y exceptl A'ihat conflicts with a Requirement of this Bid Sol/citation will cause the Prospective Contract se to · ejected. Title: Partner Printed/Typed Name: _R_e_e_d_R_.K_ a_t_h re____ ln__________ _ Date: Sept. 18, 2019 SP-20-0012 Page 2of9 I of I 9/16/20 19, I 0:05 PM about:blank Page 1 or 1 STATE OF ARKANSAS OFFICE OF STATE PROCUREMENT 1509 West 7th Street, Room 300 Little Rock, Arkansas 72201-4222 ADDENDUM 1 TO: Vendors Addressed FROM: Brandl Schroeder, Buyer DATE: September 9, 2019 SUBJECT: SP-20-001 2 Legal Services The following change(s) to the above-referenced !FB have been made as designated below: Additional speclfjcatlon(s) X Change or specificatlon(s) CHANGE OF SPECIFICATIONS • Delete 2.4.G. and 2.4.G.1 -2. and replace with the following: G. Prospective Contractors shall have served as lead counsel representing a public pension plan In at least one (1) securities litigation class action case that culminated In a bench trial or Jury trial that resulted In a settlement or award of at least $100,000,000. The specifications by virtue of this addendum become a permanent addition to the above referenced RFQ. Failure to return this signed addendum may result In rejection of your proposal. If you hav < Qll8stlons, ~ a l'ltact Brandl Schroeder at [email protected] or (501) 682-41 69. / I ----- Sept. 16, 2019 Date Reed R. Kathrein Hagens Berman Sobol Shapiro LLP Printed Name Prospective Contractor's Name I of I 9/ 16/2019, 10:05 PM about:blank Paga 1 of 1 STATE OF ARKANSAS OFFICE OF STATE PROCUREMENT 1509 West 7th Street, Room 300 Little Rock, Arkansas 72201-4222 ADDENDUM 2 TO: Vendors Addressed FROM: Brandi Schroeder, Buyer DATE: September 16, 2019 SUBJECT: SP-20-0012 Legal Services The following change(s) to the above-referenced IFB have been made as designated below: X Additional specificatlon(s) X Change of speclflcation(s) CHANGE OF SPECIFICATIONS • Delete 2.4.G. and replace with the following~ G, Prospective Contractors shall have represented a public pensloI1 plan either as sole plaintiff or as lead plaintiff In a class action, 1. Prospective Contractors shall have served as lead counsel In at least one (1) securities litigation case that resulted In a settlement or award of at least $100,000,000. ADDITIONAL. SPECIFICATIONS • Add the following to 2.5.A. 7, Trial experience In a securities litigation case as lead counsel. The specifications by virtue of this addendum become a permanent addition to the above referenced RFQ. Faliure to return this signed addendum may result in rejection of your proposal. lancl? Schroeder et [email protected] or (501) 682-4169, Sept. 16, 2019 Date Reed R. Kathreln Hagens Berman Sobol Shapiro LLP Printed Name Prospective Contractor's Name I of I 9/16/20 19, I 0:05 PM about:blank F-2 CONTRACT AND GRANT D ISCLOSURE AND CERTIFICATION FORM Fal/ure ro make any disclosure required by Goyernor's EKecutlve Order 98-04. or sny violation of any mte. regular/on, or policy adopted pursuant ro that Order. shall be a marerla/ breach of lhe terms of this contract. Any contractor. whether an lndlvldua/ or entity, who falls to make the required disclosure or who violates any rule. regulation, or po/Icy shall be sub/ect to all legal remedies avallable to the agency. As an additional col)dlUon of obtaining, oxtendlng. amending. or renewing a contract with a stare •money I agree as follows: 1, Prior to entering Into any agreement with any subcontractor, prior or subsequent to Ille contract dale, I will require lhe subconlraclor to complete 8 CONTRACT ANO GRANT DISCLOSURE AND CERTIPICATION FORM. SUbcontraolor shall mean any person or entity Wlll1 whom I enter an agreement whereby I assign or otherwise clelegalo to the parson or entity, for consideration, all, or any part, of the performance required or me u,1der the terms of my contract With 1110 slale agency. 2. I WIii inciude the folioWlng language as a part or ariy agreement wllh a subcontractor; Fallura to make any disclosure required by Governor's l:xecu//ve Order 98-04, or any violation of any rule, regulation, or po/Icy adopted pursuant to that Order, sh11/I be a material t>reaoh of the terms of this subcontract. The party who fails to make Iha required disclosure or who violates any rule, regulation, or policy shall be subject lo ell /age/ remedies l!Veilabla to the contractor. 3. No later than ten (1 O) days a(let entering Into any agreement With a subcontractor, whether prior or subsequent to the contract date, I Will mall a copy of lhe CONTRACT AND GRANT DISCLOSURE AND CERTIFICATION FORM completed by the Sljboonlractor and a statement containing the dollar amount ol lhe subcontract to the slate agency. TIiie Partner Date Sept. 18. 2019 Entity TIiie Partner Phone No. 510-725-3030 AGE1YCYUSl!OIILY Agency Ag~ncy Ager10y Contoct Conlacl Conlrool or Nu,nbar___ Name________ Porson__ _ ______ Phono No._____ Grant No _____ FORMS AVAILABLE FROM OFFICE OF DISCLOSURE AND Rl:Vll:W (501 ) 682-5407 •Nrn-E: PLHABB usr,U)J}J770NAL DISCJ.OSURHS ONSF.PJlll. ◄ TB Sll/iF.7' OF .1';11'/i~ IF MO/lE S/'ACli IS N/Jli()Ul PAGE 20F 2 7/J/96 R11.•. 0 2 of2 9/16/20 19, I 0:02 PM about:blank F-1 CONTRACT AND GRANT DISCLOSURE AND CERTIFICATION FORM Failure to complete all of the following information may result in a delay in obtaining a contract, lease, purchase agreement, or grant award with any Arkansas State Agency. SOCIAL SECURITY NUMBER FEDERAL ID NUMBER SUBCONTRACTOR: SUBCONTRACTOR NAME: N/ A TAXPAYER ID#: OR 91- 2017394 □ Yes li]No ISTHIS FOR: TAXPAYER ID NAME: Hagens Berman Sobol Shapiro LLP O Goods? 1K] Services? D Both? YouR LAsTNAME: Kathrein FIRSTNAME: Reed M.1.: R, ADDREss: 715 Hearst Avenue Suite 202 cITY: Berkeley sTAlE: CA ziPcooE:94710 couNmY: USA AS A CONDITION OF OBTAINING, EXTENDING, AMENDING, OR RENEWING A CONTRACT, LEASE. PURCHASE AGREEMENT. OR GRANT AWARD WITH ANY ARKANSAS STATE AGENCY. THE FOLLOWING INFORMATION MUST BE DISCLOSED: FOR INDIVIDUALS"' Indicate below if: you, your spouse or the brother, sister, parent, or child of you or your spouse is a current or former: member of the General Assembly, Constitutional Officer, State Board or Commission Member or State Employee· Whal is the person(s) name and how are they related to you? Mark (,1) Name of Position of Job Held For How Long? [i.e., Jane Q. Public, spouse, John Q. Public, Jr., child, etc.] Position Held {senator, representative, name of From To !current Former board/ commission, data entry, etc.] Parson's Name(s) Relation MM/YY MM,YY General Assembly Constitutional Officer State Board or Commission Member State Employee [x] None of the above applies FOR AN ENTITY (BUSINESS)* Indicate below if any of the following persons, current or former, hold any position of control or hold any ownership interest of 10% or greater in the entity: member of the General Assembly, Constitutional Officer, State Board or Commission Member, Stale Employee, or Iha spouse, brother, sister, parent, or child of a member of Iha General Assembly, Constitutional Officer, State Board or Commission Member or State Emolovee. Position of control means the oower to direct the ourchasino oolicies or influence the mananement of the enlitv. What is the person(s) name and what is his/her% of ownership interest and/or Mark (,1) Name of Position of Job Held For How Long? what is tll§!h!1L oosition of control? Position Held [senator, representative, name of From To Ownership Position of Current Former board/commission, data entry, etc.] Person's Name(s) MM/YY MM/YY Interest (%) Control General Assembly Constitutional Officer State Board or Commission Member State Employee Ix] None of the above applies *NOTE: PLEASE UST ADDITIONAL DISCLOSURES ON SEPARATE SHEET OF PAPER IF MORE SPACE JS NEEDED PAGE 10F 2 7/1/98 Rev.
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