Business Activation Certificate

BUSINESS ACTIVATION CERTIFICATE

RECITALS

WHEREAS, Business Name: is duly organized and existing under applicable law and holds or has applied for all licenses and authorizations required to initiate its commercial operations;

WHEREAS, Registration Number: and Principal Address: are on record with the Issuing Authority; and

WHEREAS, the Issuing Authority identified below has reviewed the documentation and conditions required for activation and is authorized to issue this Business Activation Certificate as set forth in this instrument.

CERTIFICATION OF ACTIVATION

NOW, THEREFORE, the Issuing Authority hereby certifies that Business Name: is authorized to commence operations in the scope described below, effective as of Activation Date: , subject to the terms, conditions, and limitations contained in this Certificate.

BUSINESS IDENTIFICATION

Sole Proprietorship Partnership LLC Corporation Other:

SCOPE OF WORK

PAYMENT TERMS

Issuance Fee Amount: . Payment shall be due in accordance with the schedule below and made payable in lawful currency.

Late Payment Fee: . Failure to pay any fee when due shall permit the Issuing Authority to suspend, revoke, or withhold the Activation Certificate until all sums and any administrative penalties are paid in full.

TERM AND TERMINATION

Term Commencement Date: . Term Expiration Date (if applicable): .

Either party may terminate this Certificate for material breach by the other party upon delivery of written notice and a period to cure of Notice Period (days): . Immediate termination may occur where continued operation presents a direct and immediate risk to public health, safety, or the environment.

CONFIDENTIALITY

The Issuing Authority and the Business each acknowledge that certain information exchanged in relation to this Certificate may be confidential. Each party agrees to maintain in confidence all nonpublic information designated in writing as confidential or that by its nature would reasonably be regarded as confidential ("Confidential Information"), except as required by law or as necessary to enforce this Certificate. Confidential Information does not include information that (a) is or becomes publicly available through no fault of the receiving party, (b) was lawfully in the receiving party's possession prior to disclosure, (c) is independently developed by the receiving party without use of the disclosing party's Confidential Information, or (d) is rightfully received from a third party without restriction.

GOVERNING LAW

This Certificate shall be governed by and construed in accordance with the laws of the State of , without regard to conflict of laws principles. Venue for any dispute arising out of this Certificate shall be the courts in the same jurisdiction.

REPRESENTATIONS AND WARRANTIES

Each party represents and warrants that it has full power, authority, and legal right to enter into this Certificate and to perform its obligations hereunder, and that the execution and delivery of this Certificate has been authorized by all necessary corporate or organizational action.

ENTIRE AGREEMENT

This Certificate, including all attachments and schedules executed contemporaneously herewith, constitutes the entire agreement between the Issuing Authority and the Business with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written.

NOTICES

Notices shall be deemed received on the date of personal delivery or three (3) business days after deposit with a nationally recognized overnight courier or postal service, as applicable.

ISSUING AUTHORITY

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