Business Action Request

BUSINESS ACTION REQUEST

Parties and Request

Requesting Department:

Whereas (Recitals)

WHEREAS, the Requesting Department seeks authorization to initiate a business action described herein to further operations, fulfill a contractual obligation, or implement a strategic initiative consistent with applicable organizational policies and delegated authority; and

WHEREAS, the Approving Authority has the authority to review and approve or deny such requests in accordance with applicable internal controls, budgetary limitations, and procurement rules; and

WHEREAS, the parties acknowledge the need for clear scope, payment and termination provisions to ensure timely execution and accountability for the requested action.

Action Summary

Contract approval    Purchase/Procurement    Hiring/Staffing    Policy change    Other (describe below)

Scope of Work / Requested Action

Cost and Payment Terms

Late Fee:    Late payment shall accrue interest and fees as set forth above and may be applied from the invoice due date until payment is received.

Term and Termination

Effective Date:    Termination Date (if applicable):

Notice Period for Termination:    days. Termination for cause shall be permitted upon material breach, insolvency, or failure to cure within the stated notice period.

Confidentiality

All non-public information exchanged in connection with this requested action shall be treated as confidential information. The recipient shall (i) use such information solely for the purpose of performing the requested action, (ii) restrict disclosure to employees, agents, or subcontractors who have a need to know and are bound by confidentiality obligations at least as protective as those set forth herein, and (iii) return or destroy confidential materials upon request. Confidentiality obligations survive termination for a period of two (2) years unless a longer period is required by law.

Approvals and Certifications

Finance    Legal    Procurement    Other

Governing Law; Entire Agreement

Governing Law: This Business Action Request and any resulting approvals shall be governed by and construed in accordance with the laws of the state of , without regard to conflicts of law principles.

Entire Agreement: Once approved and executed by the authorized parties, this Business Action Request constitutes the entire understanding between the Requesting Department and the Approving Authority with respect to the subject matter herein and supersedes all prior proposals, representations and communications, whether written or oral, relating to such subject matter.

Attachments

By submitting this request, the Requestor certifies that the information provided is complete and accurate to the best of their knowledge, that funds (if required) have been identified, and that the proposed action complies with applicable policy and procurement limits unless and until explicitly waived in writing by an authorized Approving Authority.

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