Business Agency Report

BUSINESS AGENCY REPORT

Agency Name:     Client Name:

Report Date:     Report Period: From to

RECITALS

WHEREAS, Agency Name: is duly organized and authorized to perform business advisory, representation and reporting services within the scope of its professional practice; and

WHEREAS, Client Name: engaged Agency to perform agency services and to deliver a formal Business Agency Report summarizing activities, findings and recommendations for the reporting period described above; and

WHEREAS, the parties intend to set forth their respective obligations, deliverables, compensation and other material terms in this written report and agreement which will govern the relationship between Agency and Client with respect to the services described herein.

SCOPE OF WORK

FINDINGS AND RECOMMENDATIONS

PAYMENT TERMS

Total Fee: $     Deposit Amount: $

Late Payment Fee:     Expenses Reimbursable:

TERM AND TERMINATION

Term Commencement Date:     Term Expiration Date:

Either party may terminate this Agreement by providing written notice to the other party not fewer than days prior to the intended effective termination date. Upon termination, Agency shall be reimbursed for all reasonable and documented services performed and expenses incurred through the effective termination date.

CONFIDENTIALITY

Agency and Client acknowledge that in the course of performance they may receive Confidential Information. For purposes of this Agreement, "Confidential Information" means all non-public information disclosed orally, in writing or electronically that is designated confidential or that a reasonable person would understand to be confidential given the nature of the information and the circumstances of disclosure. Each party shall: (a) use Confidential Information solely to perform its obligations under this Agreement; (b) protect Confidential Information with at least the same degree of care it uses to protect its own confidential information but no less than a reasonable degree of care; and (c) not disclose Confidential Information to any third party except to employees, contractors or advisors on a need-to-know basis who are bound by obligations of confidentiality no less restrictive than those contained herein.

Exceptions: Confidential Information does not include information that is or becomes publicly available other than through a breach of this Agreement, independently developed by the receiving party without use of the disclosing party's Confidential Information, or rightfully received from a third party without restriction.

GOVERNING LAW

This Agreement and any dispute arising out of or relating to this Agreement shall be governed by and construed in accordance with the laws of the State of , without regard to its conflict of laws principles.

ENTIRE AGREEMENT

This Business Agency Report, including all schedules and attachments referenced herein, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior and contemporaneous agreements, understandings, proposals, representations and warranties, whether written or oral. No amendment or modification of this Agreement shall be binding unless executed in writing by both parties.

ATTACHMENTS

The following documents are attached and form part of this Report:

Financial Statements     Contracts & Agreements     Compliance Documents

REPORT CERTIFICATION

The undersigned certify that, to the best of their knowledge and belief, the information contained in this Business Agency Report is true, accurate and complete in all material respects, and that the Report fairly presents the activities, findings and recommendations described herein.

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