Agricultural Fertilizer Renewal Form

AGRICULTURAL FERTILIZER RENEWAL AGREEMENT

Recitals

WHEREAS, Applicant Name: is engaged in the purchase and application of agricultural fertilizer products for commercial agricultural operations; and

WHEREAS, Supplier Name: is authorized to sell and distribute the fertilizer products listed herein and to provide associated technical and compliance documentation; and

WHEREAS, the parties desire to renew the permit, supply, and service arrangements for the fertilizer products identified in this Agreement effective as of Effective Date: under the terms and conditions set forth below.

Applicant and Entity Information

Individual    Corporation    LLC    Partnership    Government

Regulatory / Permit Details

Permit / License Number:    Issued By:

Renewal Application Date:    Previous Renewal Reference:

Fertilizer Products Covered (List each product)

Nutrient Analysis:    Batch Number:    Expiration / Best By:

Nutrient Analysis:    Batch Number:    Expiration / Best By:

Additional products may be added as an attachment. Indicate number of additional product pages attached:

Scope of Work

The Supplier shall supply and, where applicable, deliver the fertilizer products and provide technical guidance and documentation necessary to comply with applicable product-use restrictions, safety data, and environmental controls. The Applicant shall apply products in accordance with label instructions and regulatory requirements.

Payment Terms

Late Payment Penalty: (applies to overdue amounts from the due date)

Term and Termination

Term Commencement Date:    Term Expiration Date:

Either party may terminate this Agreement for material breach that remains uncured following written notice. Notice Period for Termination: days prior written notice is required for non-curable terminations.

Confidentiality

Each party shall maintain in confidence all proprietary technical, business and financial information disclosed in connection with this Agreement and shall not disclose such information to third parties except as required by law or with prior written consent of the disclosing party. The obligations of confidentiality shall survive termination or expiration of this Agreement for a period of three (3) years, or longer if such information constitutes trade secrets under applicable law.

Compliance, Certifications, and Safety

Applicant certifies that all use of fertilizer products covered by this Agreement will comply with label instructions, environmental regulations, and any applicable nutrient management plans. Applicant confirms that Safety Data Sheets (SDS) for each product are on file: Yes

Governing Law and Dispute Resolution

This Agreement shall be governed by and construed in accordance with the laws of the State / Province specified here: without regard to principles of conflicts of law. Disputes shall be resolved by binding arbitration or in courts located in the governing jurisdiction as agreed by the parties in writing.

Entire Agreement

This Agreement, including all attachments and incorporated renewal documents, constitutes the entire agreement between the parties with respect to the subject matter herein and supersedes all prior negotiations, representations, or agreements, whether written or oral. Amendments must be in writing and signed by authorized representatives of both parties.

Acknowledgment and Certification

By signing below the parties certify under penalty of perjury that the information provided in this Renewal Agreement is true, complete, and accurate, and that they have authority to execute this Agreement on behalf of the named entities.

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