Business Application Profile

Business Application Profile

Applicant Business Information

Recitals

WHEREAS, Applicant: seeks to establish an account, obtain services, or otherwise transact business subject to the terms set forth in this Business Application Profile; and

WHEREAS, Company: wishes to evaluate Applicant's credentials and, if approved, supply goods or services pursuant to mutually agreed terms described below; and

WHEREAS, the parties intend that the information provided herein be relied upon by Company in establishing credit, determining pricing, and defining the scope of services.

Scope of Work / Services Requested

Payment Terms

Total Estimated Contract Amount: $

Payment Schedule:

Invoices are due within days of invoice date. Late payments shall accrue interest at the rate of or the maximum permitted by law, whichever is less. Applicant agrees to reimburse Company for reasonable collection costs, including attorneys' fees, for overdue balances.

Term and Termination

Term Commencement Date: . Anticipated Term Expiration Date: .

Either party may terminate this relationship for convenience upon days' prior written notice. Termination for material breach is effective upon written notice if the breaching party fails to cure within 30 days following receipt of such notice, or immediately where cure is not practicable.

Confidentiality

Each party agrees to treat as confidential all non-public information disclosed by the other party that is designated in writing as confidential or that reasonably should be understood to be confidential given the nature of the information and the circumstances of disclosure. Confidential information shall not include information that is or becomes public through no breach of this agreement, is independently developed without use of the other party's information, or is rightfully received from a third party without restriction. Recipient shall use confidential information only to perform its obligations and shall protect it with at least the same degree of care it uses to protect its own confidential information, but no less than reasonable care.

Representations and Certifications

Applicant certifies that the information provided in this Business Application Profile is true, correct, and complete, and that Applicant is authorized to enter into binding agreements on behalf of the business identified herein. Applicant authorizes Company to verify any information provided, including credit and bank references, and to obtain consumer or commercial credit reports where permitted.

References and Financial Information

Governing Law; Entire Agreement

This Business Application Profile, and any agreement entered into between Applicant and Company based upon it, shall be governed by the laws of the state identified by Company in its approval notice, without regard to conflict of laws principles. The parties agree that any dispute arising out of or relating to this Profile or subsequent agreements shall be resolved in the state or federal courts located within that jurisdiction, and each party consents to personal jurisdiction therein.

This document constitutes the entire understanding between the parties with respect to the subject matter hereof and supersedes all prior or contemporaneous representations, negotiations, and agreements, whether written or oral. No amendment to this Profile will be effective unless in writing and signed by an authorized representative of each party.

Additional Information / Attachments

Authorization and Signatures

The undersigned represents and warrants that the signer is duly authorized to execute this Business Application Profile on behalf of the Applicant and that the information provided is accurate. Applicant acknowledges that Company may rely upon the representations contained herein in granting or denying credit or other commercial accommodations.

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