Application for Fixed-Term Agreement

(Please print clearly if completing manually instead of electronically)

Part I: Application in Response to the Following Notice of Opportunity:

Notice Reference No.
____________________________________________________________________
Judicial District(s)
____________________________________________________________________

The Applicant is
□ a Law Firm □ an Individual
Name:
____________________________________________________________________
Address:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Phone No.:
________________________________ Fax No. __________________________
Email:
____________________________________________________________________
Website:
____________________________________________________________________

Contact Person

The following individual (lawyer) has been designated to act on behalf of the applicant on all matters pertaining to this process:

□ same as above
Name and Title:
____________________________________________________________________
Phone No.:
________________________________ Fax No. __________________________
Email:
____________________________________________________________________

Legal Entity Status

Identify the status of the legal entity, as registered with the Canada Revenue Agency (CRA):

□ Association □ Incorporation □ Limited Liability Partnership □ Other ______________________________

Please provide the GST/HST Registration Number issued by the CRA: ___________________________________

Please indicate the exact name registered with the CRA for which the above number was issued:

__________________________________________________________________________________________

The following documentation was obtained for each individual included in the proposed prosecution team - including support staff, and is provided with the application (check documents included):

* Personnel Screening, Consent and Authorization Form (all)
CRA Consent Form (counsel only)
Certificate of Good Standing with Law Society (counsel only)
Recent Curriculum vitæ (all)
References
Student Card (if applicable)
Paralegal License (where applicable)
** Paralegal Application (where applicable)
PPSC Agent Security Checklist

 

* The “Personnel Screening, Consent and Authorization Form” can be obtained from the contact person listed on the advertisement.

** Paralegal applications apply to staff members who perform paralegal duties but do not have a provincial certificate; the application and guidelines can be obtained from the contact person listed on the advertisement.

CRA will not disclose information other than advise the PPSC whether or not there exists (or existed) serious compliance issues based on information obtained through a review of the applicant’s history with CRA over a period of up to 10 years; note that this information is not available at the local CRA level.

Note: Acknowledgment of receipt of applications will not be sent; the PPSC will contact the successful candidates when the screening process is completed.

Part II - Firm Profile

Year Firm Established
_________

Firm consists of (number of):

Partners/Associates _______ Lawyers _______ Students _______ Paralegals _______ Support Staff _______

Names of Proposed Federal Prosecution Team:

Lawyer(s):
________________________________________________________________________
________________________________________________________________________
Student(s):
________________________________________________________________________
Paralegal(s):
________________________________________________________________________
Support Staff:
________________________________________________________________________

 

If applicable, please provide the name(s) of the lawyer(s) in the proposed prosecution team who are retired federal employees, and their respective retirement date:

    Date (dd/mm/yy)
Name ________________________________________________ _____________________
Name ________________________________________________ _____________________
Area(s) of Expertise
________________________________________________________________________
________________________________________________________________________
Other areas of Practice
________________________________________________________________________
________________________________________________________________________

Other than the proposed office, does your firm have offices in other locations (i.e., affiliations, etc.)? If so, please provide the location(s):

__________________________________________________________________________________________

Part III - Rated Assessment Criteria

All applicants, including incumbents, must provide a separate document containing detailed information and examples demonstrating how the applicant meets each of the following rated assessment criteria; the PPSC will evaluate the written submissions against these criteria and will identify the private-sector lawyer(s) or law firms that achieve a minimum of 60%.

  1. Experience in conducting criminal and regulatory litigation (40 pts)
  2. Experience in working in collaboration with others (15 pts)
  3. Experience in coordinating multiple stakeholders associated with criminal or regulatory litigation (15 pts)
  4. Ability to analyze legal issues and provide legal advice (10 pts)
  5. Ability to work independently (10 pts)
  6. Ability to work under pressure (10 pts)

Your document must also address:

  1. Your firm’s commitment to the PPSC as Agents; for example, how PPSC prosecutions will be integrated into the existing practice and what changes / adaptations will be required to ensure compliance with Part II of the T&CS, Conflict of Interest; for instance, if you or a member of your firm has conduct of defense matters.
  2. How you intend to provide prosecutorial coverage to the vacated location in a cost-efficient manner if you are applying for a vacancy located in excess of 100 km from your office.
  3. Comments or additional information you would like to provide.

Certification

Accuracy of Information

I hereby certify that all information provided herein is accurate.

Members of Legal Team and Staff Certification

I have satisfied myself that the individuals proposed for this requirement are capable of satisfactorily performing the services herein. I also certify that the work assigned to these individuals will be carried out in a timely manner and will respect any deadlines established by the Court.

Education / Experience

I hereby certify that all statements made with regard to the education and the experience of individuals proposed for completing the subject work are accurate and factual, and I am aware that the Public Prosecution Service of Canada (PPSC) reserves the right to verify any information provided in this regard and that untrue statements may result in the application being declared non‑responsive or in other action which the PPSC may consider appropriate.

Conflict of Interest

On acceptance of this submission by the PPSC, I undertake to comply with Part II of the Terms and Conditions of Fixed-Term Agreements of Agents governing Conflicts of Interest.

In the event that I become aware of circumstances that could create a situation of conflict of interest or appearance of conflict of interest, I undertake to report it to the Agent Supervisor and follow any resulting instructions.



______________________
Signature of Contact


______________________
Date

Consent to Release of Information

To:
National Agent Coordinator
Agent Affairs Unit, Headquarters
Public Prosecution Service of Canada

And to:
Canada Revenue Agency

In accordance with the Public Prosecution Service of Canada’s (PPSC) Fixed-Term Agreement requirements, I must be in compliance with the Canada Revenue Agency (CRA), personally and professionally, in order to obtain an Agreement or retain my status as an Agent of the Director of Public Prosecutions (DPP).

Therefore, this shall be your good and sufficient authority to conduct background checks on me, personally and professionally, for the purposes of ascertaining any information that will determine my suitability as an Agent of the DPP, and as such, perform my duties in a fair and impartial manner.

I hereby authorize the CRA to review my records and any other information that the CRA may have concerning me, under any Act administered in whole or in part by the CRA, to determine my suitability to act as an Agent of the DPP, either because I am being considered for an Agreement or because the validity of my previous check will soon expire; the CRA will or will not endorse the request by indicating to the PPSC National Agent Coordinator whether there exist any significant compliance-related issues. It is understood that the PPSC and the CRA are not under any obligation to reveal the results of the background check or ensuing discussions with me. I will not request any of the information obtained by or used for the checks.

Name (please print)
_____________________________________________________________
Gender: M □ F □
Date of birth (D/M/Y) _______________ SIN _______________
Current address
_____________________________________________________________
_____________________________________________________________
Daytime telephone No.
_____________________________________________________________

 

I practice as a sole practionner □ a partner □ an associate □ at the following law firm:

Name of Firm, as registered with the CRA:
________________________________________
HST/GST Registration Number issued by the CRA:
_________________________________________

 

Furthermore, I am also responsible for filing a GST/HST return, payroll return, and/or corporate return for the following entity/entities: (not applicable □)

Account # issued by CRA:
_________________________________________________________
Account # issued by CRA:
_________________________________________________________

 

Dated at___________________________in the Province of ________________ this _______ day of __________ 201__



______________________
Signature

PPSC AGENT SECURITY CHECKLIST

 

Firm Name:
____________________________________________________________________
Office located in
_____Residential / Single Occupancy
 
_____Business / Industrial Multiple Tenant
Monitored Alarm System
_____Yes _____No

Are all members of the firm authorized for PPSC purposes
_____Yes _____No
Do all authorized members hold a valid security clearance?
_____Yes _____No
Do unauthorized members have access to PPSC files/materials
_____Yes _____No _____N/A

STORAGE – Filing of documents
• Separate cabinet for PPSC files?
_____Yes _____No
• Locked cabinet for PPSC files?
_____Yes _____No
• PPSC file cabinets in a secure area?
_____Yes _____No

 

STORAGE – Electronic
• Are the computers password protected?
_____Yes _____No
• Does your firm have a professional email?
_____Yes _____No
• Does your email have encryption capabilities?
_____Yes _____No
• Does your firm have external storage devices
_____Yes _____No
    If yes, check all that apply:
 
    _____Hard drives _____Thumb drives _____Back up tapes
 
• Are these devices password protected?
_____Yes _____No

 

TRANSPORTATION of data and documents
• Does your firm have locking briefcases?
_____Yes _____No
    If no, please describe how you transport the data and documents:
 
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

 

Provide additional information on how you will ensure the requirement is met if you have answered “no” to any of the above questions; use a separate sheet if necessary.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

 

I hereby certify that all information provided herein is accurate.


______________________
Signature of Contact


______________________
Date
Date modified: