Business Application Set

Business Application Set

Recitals

WHEREAS, Applicant Business Name: (the "Applicant") seeks to engage or be approved by Provider Name: (the "Provider") for the provision of goods and/or services described herein; and

WHEREAS, the parties intend by this Application and Agreement to set forth the Applicant's business and financial information, the scope of anticipated services, the terms under which the Provider will consider onboarding or contracting with the Applicant, and mutual commitments regarding confidentiality and compliance.

Applicant Business Information

Corporation     LLC     Partnership     Sole Proprietor     Nonprofit     Other:

Scope of Work / Services Requested

Provide a detailed description of the goods and/or services for which Applicant seeks approval or engagement. Include anticipated volumes, locations, and any milestones or deliverables.

Payment Terms

Contracted Amount/Estimated Value:

Payment Schedule:

Late Payment Fee:

Invoices shall be submitted in accordance with the agreed schedule. Unless otherwise agreed in writing, undisputed invoices not paid within the agreed payment term shall accrue late charges as specified above. Applicant acknowledges that Provider may withhold performance pending resolution of payment disputes.

Term and Termination

Effective Date: Month Day Year

Termination Date (if applicable): Month Day Year

Either party may terminate this agreement for convenience upon written notice delivered to the other party not less than days prior to the intended termination date. Either party may terminate immediately for cause upon written notice if the other party materially breaches any material obligation and fails to cure such breach within thirty (30) days after receipt of written notice of such breach.

Confidentiality

Definition: "Confidential Information" means non-public business, technical, financial or other information disclosed by either party that is marked confidential or that a reasonable person would understand to be confidential given the nature of the information and circumstances of disclosure.

Obligation: Each party shall (i) hold in confidence Confidential Information of the other party using at least the same degree of care as it uses to protect its own confidential information, but no less than a reasonable degree of care; (ii) use Confidential Information only for purposes of performing obligations under this application and any resulting agreement; and (iii) not disclose Confidential Information to any third party except to its employees, agents or contractors who have a need to know and are bound by confidentiality obligations at least as protective as those in this section.

Exceptions: Confidential Information does not include information that (a) is or becomes generally known to the public through no wrongful act of the receiving party; (b) was in the receiving party's lawful possession prior to the disclosure and not subject to confidentiality obligations; (c) is rightfully received from a third party without restriction; or (d) is independently developed without use of the disclosing party's Confidential Information.

Representations and Certifications

The Applicant certifies that all information contained in this application and any attachments is true, complete and accurate to the best of Applicant's knowledge. Applicant authorizes Provider to verify the information provided, including obtaining credit, banking, and trade references as necessary to evaluate Applicant's qualifications.

References and Attachments

Please indicate which documents are attached to this application:

Articles of Incorporation / Organization
Certificate of Good Standing
Tax Form (W-9 or equivalent)
Proof of Insurance / Certificate of Insurance
Financial Statements (most recent)
Trade/Bank References

Governing Law

This Application and any subsequent agreement arising from it shall be governed by and construed in accordance with the laws of the State of , without regard to its conflict of law principles.

Entire Agreement

This Application, including any attachments and representations made herein, constitutes the entire understanding between the parties with respect to the subject matter and supersedes all prior discussions, proposals and agreements, whether written or oral. Any modification to any agreement arising from this Application must be in writing and signed by authorized representatives of both parties.

Acknowledgment

By executing below, Applicant certifies that the information provided in this Business Application Set is accurate and complete, and that Applicant is authorized to submit this application on behalf of the business identified herein.

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