Awards Collection Form

AWARDS COLLECTION FORM

Collector Name:     Client Name:

RECITALS

WHEREAS, Collector is engaged in the business of collecting, receiving, processing and delivering awards, prizes, trophies, certificates, honoraria, and related funds and property on behalf of third parties; and

WHEREAS, Client holds title or legal interest in certain awards, monetary prizes, or other items described in this form and desires to engage Collector to act on Client's behalf to collect, receive and transfer such awards under the terms set forth herein; and

WHEREAS, the parties intend by this form to set forth the scope, fee arrangement, confidentiality obligations, and other material terms governing Collector's collection services for the awards identified below, effective as of Effective Date: .

SCOPE OF WORK

Collector shall use commercially reasonable efforts to communicate with award issuers, claim and submit required documentation, receive physical awards, certificates, trophies, or monetary disbursements, and deliver or remit the same to Client in accordance with this agreement. Collector's duties specifically include documenting chain of custody for physical awards, executing claim forms where authorized, and coordinating shipment or deposit of proceeds.

PAYMENT TERMS

As consideration for Collector's services, Client shall pay Collector the fees specified below. Collector is entitled to deduct its fees, costs and authorized expenses from any monetary awards prior to remittance to Client unless otherwise agreed in writing.

Percentage of recovered funds:    Flat fee:

Late payments are subject to a late fee of per month on overdue amounts or a flat fee of , whichever is greater. Client shall reimburse Collector for reasonable collection costs, including legal fees, if Client defaults on payment obligations.

TERM AND TERMINATION

This agreement commences on Start Date: and continues until End Date: , unless earlier terminated as provided herein.

Either party may terminate this agreement without cause by providing written notice to the other party at least days prior to the intended termination date. Termination shall not relieve Client of payment obligations for services performed and expenses incurred prior to termination.

CONFIDENTIALITY

Each party shall maintain in strict confidence all non-public information, proprietary materials, personal data, award documentation, and financial details disclosed in connection with performance of this agreement. Information shall not be disclosed to third parties except as required to effect collection (including issuers, carriers, banks, legal counsel) or as required by law. Confidential obligations shall survive termination for a period of three (3) years.

GOVERNING LAW

This agreement shall be governed by and construed in accordance with the laws of the jurisdiction selected by the parties: , without regard to conflict of laws principles.

ENTIRE AGREEMENT

This form, together with any attachments or schedules executed by the parties, constitutes the entire agreement between Collector and Client with respect to the subject matter hereof and supersedes all prior agreements, proposals and understandings, whether written or oral. Any amendment must be in writing and signed by authorized representatives of both parties.

AUTHORIZATION AND RELEASE

Client authorizes Collector to act as Client's agent solely for the purpose of pursuing and collecting the awards listed herein, to sign claim forms and release documents on Client's behalf when expressly authorized in writing, and to receive and endorse awards, checks, electronic transfers, or other disbursements owed to Client. Client represents that it has the authority to grant such rights to Collector and will indemnify Collector against claims arising from Client's misrepresentation of authority.

NOTICES

REPRESENTATIONS AND WARRANTIES

Client represents and warrants that Client is the lawful owner or authorized representative of the awards listed, that there are no undisclosed liens or encumbrances that would prevent collection, and that all information provided to Collector is true and complete. Collector warrants it will perform services in a commercially reasonable manner and will comply with applicable laws in performing collection services.

CERTIFICATION

By signing below, each party certifies that they are authorized to enter into this agreement, that the information provided in this form is accurate to the best of their knowledge, and that they agree to be bound by the terms and conditions set forth herein.

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