Business BIC Approval Form

BUSINESS BIC APPROVAL FORM

This Business Investment Committee Approval Form documents the decision of the Business Investment Committee ("BIC") with respect to the proposed business initiative detailed below. The Applicant submits required information and requests committee approval for funding, resources, or other commitments under the terms set forth herein.

Applicant Company Name:

Project Title:

Submission Date:     Committee Name:

WHEREAS

WHEREAS, Applicant represents that it seeks approval for the Project Title identified above and has submitted the information necessary for the Business Investment Committee to evaluate strategic alignment, financial impact, and risk; and

WHEREAS, the BIC has authority under internal governance policies to approve expenditures, commitments of capital, and allocation of corporate resources subject to the conditions and limitations set forth in this Form; and

WHEREAS, the parties intend that approval be conditioned upon representations, reporting requirements, and compliance requirements described in this Form and any attachments incorporated by reference.

SCOPE OF WORK

PAYMENT TERMS

Approved Funding Amount:     Funding Currency:

Late Payment Fee:     Payment Method:

Disbursements are conditional upon satisfactory completion of milestones and submission of required documentation. The BIC may withhold or suspend payments pending remedial action or cure of material noncompliance.

TERM AND TERMINATION

Effective Start Date:     Anticipated End Date:

Notice Period for Termination:

Either party may terminate this approval for material breach that remains uncured after the notice period. Termination for convenience by the BIC may be exercised only upon payment of outstanding amounts for completed work and reasonable wind-down costs expressly approved by the BIC.

CONFIDENTIALITY

All non-public information exchanged between the parties in connection with the Project shall be treated as confidential and used solely for the purposes of performance under this approval. Confidential information shall not be disclosed except to employees, agents, or advisors with a need to know and who are bound by confidentiality obligations no less protective than those herein. The obligations set forth survive termination for a period of three (3) years.

I acknowledge and accept the confidentiality obligations set forth above.

REPRESENTATIONS AND WARRANTIES

Applicant represents that all information provided to the BIC is true and accurate to the best of Applicant's knowledge, that Applicant has the full power and authority to enter into commitments contemplated by this approval, and that acceptance of funding or resources will not violate any material agreement or law. The BIC's approval is predicated on these representations and the continued accuracy of all material information.

GOVERNING LAW

This Form and any dispute arising out of or relating to it shall be governed by and construed in accordance with the internal law of the state or jurisdiction selected by the BIC below, without regard to conflicts of law principles.

Governing Jurisdiction:

ENTIRE AGREEMENT

This Form, together with any schedules, exhibits, and attachments expressly incorporated by reference, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior negotiations, proposals, and representations, whether written or oral. Any amendment or modification must be in writing and signed by an authorized representative of each party.

BIC DETERMINATION

Committee Action: Approved Conditionally Approved Declined

ADDITIONAL ADMINISTRATIVE DETAILS

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