Administrative Certificate Template

ADMINISTRATIVE CERTIFICATE

Parties and Identifiers

Certificate Number:   Effective Date:

Contact Phone:   Contact Email:

WHEREAS

WHEREAS, the Administrator named above maintains records and conducts administrative functions on behalf of the parties and requires formal certification of certain facts, representations and actions in connection with the business arrangement described herein; and

WHEREAS, the party identified as the Counterparty requests that the Administrator certify specified matters, and the Administrator is willing to provide such certification pursuant to the terms and conditions of this Administrative Certificate.

WHEREAS, this Administrative Certificate memorializes the services to be provided, the administrative representations made by the Administrator and the obligations of the Counterparty in connection with the administrative services described below.

Scope of Work

Payment Terms

Total Administrative Fee:   Currency:

Late Payment Fee: % per month   or Flat Fee:

Term and Termination

Commencement Date:   Expiration Date:

Either party may terminate this Administrative Certificate for convenience upon days' prior written notice to the other party. Termination for cause shall be permitted upon material breach that remains uncured following a cure period of days after written notice.

Confidentiality

For purposes of this Administrative Certificate, "Confidential Information" means any non-public information, whether disclosed orally, visually or in writing, that a disclosing party designates as confidential or which, by its nature, should reasonably be understood to be confidential. The Administrator and Counterparty shall each: (a) hold Confidential Information in strict confidence; (b) use Confidential Information solely for the performance and administration of this Certificate; and (c) not disclose Confidential Information to any third party except to employees, agents or permitted subcontractors who have a need to know and are bound by confidentiality obligations at least as protective as those set forth herein.

Representations and Administrative Certifications

The Administrator hereby certifies, to the best of its knowledge after due inquiry, that the administrative tasks described in the Scope of Work shall be performed by qualified personnel and in accordance with customary professional standards. The Administrator further represents that it has the authority to execute and deliver this Administrative Certificate and to perform the obligations set forth herein.

Governing Law

This Administrative Certificate shall be governed by and construed in accordance with the laws of the State of without regard to conflicts of law principles.

Entire Agreement

This Administrative Certificate, including any exhibits or attachments expressly incorporated by reference, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, negotiations and communications, whether oral or written. Any amendment or modification of this Administrative Certificate must be in writing and signed by duly authorized representatives of both parties.

Notices

All notices required or permitted hereunder shall be in writing and delivered to the addresses specified below or to such other address as either party may designate by written notice to the other in accordance with this provision.

Administrative Acknowledgment

The undersigned certifies that the information set forth in this Administrative Certificate is true, accurate and complete to the best of their knowledge and that they are authorized to execute this Administrative Certificate on behalf of the party they represent.

Sign Now