Revised March 2019
Page 1
City and County of Honolulu
Department of the Corporation Counsel
530 So. King Street, Room 110
Honolulu, Hawaii 96813
Tel. (808) 768-5100
FY 2019-2020 STATEMENT OF QUALIFICATIONS AND EXPRESSION OF INTEREST
Please answer all questions. Omission of an item may preclude you from being considered. Use
additional sheets if necessary. If you wish to provide additional information related to your
qualifications, please attach it.
1. GENERAL INFORMATION
LAST NAME FIRST MIDDLE OTHER NAMES USED
BUSINESS ADDRESS TELEPHONE NO. FACSIMILE NO.
CITY STATE ZIP CODE E-MAIL ADDRESS
2. LAW FIRM AFFILIATION(S) (from date of admission or 1991, whichever is later)
NAME AND LOCATION (CITY, STATE) OF LAW FIRM FROM TO
PRESENT
3. LEGAL EDUCATION
NAME OF LAW SCHOOL LOCATION (CITY, STATE) DEGREE RECEIVED
Revised March 2019
Page 2
4. JURISDICTIONS ADMITTED TO PRACTICE (Active only)
JURISDICTION DATE ADMITTED
5. RANGE OF HOURLY RATES
A. Applicant’s _______ to _______
B. Firm’s (if applicable)
i. Partners _______ to _______
ii. Associates _______ to _______
iii. Paralegals _______ to _______
6. Would you consider a contingency fee contract? No _______ Yes ______
7. TYPES AND AMOUNTS OF COSTS CHARGED: (“Reasonable Costs” is an insufficient
response. Please enumerate; attach additional sheets if necessary.)
TYPES AMOUNTS
8. UP TO THREE (3) AREAS OF PRACTICE IN WHICH YOU CONSIDER YOURSELF
PROFICIENT AND FOR WHICH YOU WISH TO BE CONSIDERED:
1. ____________________ 2. _____________________ 3. ______________________
On separate sheets of paper, for each area of practice listed in this question:
X Estimate the total number of cases or matters handled;
X Describe a representative sample of work performed. For each representative
case or matter described, indicate the client for whom work was performed, when
work was performed, the court in which appearances, if any, were made, and
citations to reported cases, as appropriate.
9. Provide a list of previous Special Deputy Corporation Counsel contracts or other contracts
entered into by you or your law firm to perform legal services on behalf of the City and County of
Honolulu, including the dates of the contracts, for the last 10 years.
Revised March 2019
Page 3
10. DIRECT OR INDIRECT CONFLICTS OF INTEREST
Are you currently representing, or have you in the past represented, a party whose interest is
adverse to the City and County of Honolulu? Yes* _______ No _______
(*If the answer is yes, on a separate sheet of paper, please identify the adverse matters and the nature of your involvement.)
CERTIFICATION BY APPLICANT
I hereby certify that all statements in this application, including attachments are true and correct to the
best of my knowledge as of the date of this statement.
_______________________________________ _____________________________________
Signature of Applicant Date
ALL MATERIALS shall be emailed to: professionalservices@honolulu.gov.
NO HARD COPIES, CDs, OR FACSIMILIES SHALL BE ACCEPTED.