Business CCB Application Form

Business CCB Application Form

This Business CCB Application Form (the Agreement and Application) is submitted for the purpose of registering the Applicant with the CCB program and setting forth the terms under which the Applicant will be accepted and processed. Applicant certifies that information provided is true and complete and agrees to the terms, conditions, and certifications contained herein.

Recitals

WHEREAS, the Applicant seeks registration, review, or authorization under the CCB program and must provide accurate identifying, financial, and operational information for evaluation; and

WHEREAS, the CCB program requires Applicant to represent, warrant, and agree to certain terms as a condition of registration, including compliance with applicable rules, payment of fees, and cooperation with reviews and audits; and

WHEREAS, the parties intend that this Application, once accepted, will constitute the binding agreement governing the terms of Applicant's registration and any related administrative obligations.

Business Information

Sole Proprietorship    Partnership    Corporation    LLC    Other:

Scope of Work

Provide a clear, specific description of the work, services, or activities for which you seek registration. Include primary service categories, typical project size, and any specialized trades or certifications.

Payment Terms

Applicant agrees to pay all applicable application and registration fees in accordance with the schedule below. All fees are non-refundable unless expressly provided otherwise in writing.

Late Fee: Applicant will be assessed a late fee on any unpaid amount remaining after the applicable due date.

Term and Termination

This registration and any obligations under this Application commence on the Effective Date and remain in effect until the Termination Date or until otherwise terminated in accordance with this section.

Effective Date:

Termination Date (if applicable):

Either party may terminate this Application and the resulting registration for material breach if the breaching party fails to cure within the notice period specified above. Termination shall not relieve the Applicant of accrued payment obligations or liabilities arising prior to termination.

Confidentiality

Applicant and CCB acknowledge that during the registration process confidential information may be exchanged. "Confidential Information" includes non-public business and financial information disclosed in writing or marked confidential or that a reasonable person would understand as confidential given the nature of the information and circumstances of disclosure. Each party will protect Confidential Information with at least the same degree of care it uses to protect its own confidential information, but not less than a reasonable standard of care.

Confidential Information does not include information that is or becomes publicly known through no breach by the receiving party, is rightfully received from a third party without restriction, or is independently developed without use of the disclosing party's Confidential Information. Obligations of confidentiality survive termination for a period of three years unless otherwise required by law, in which case the receiving party will notify the disclosing party prior to disclosure and seek protective measures.

Governing Law

This Application and any agreement formed upon acceptance shall be governed by and construed in accordance with the laws of the State of: without regard to conflicts of law principles. Venue for any dispute arising from this Application shall lie in the courts of that State.

Entire Agreement

This Application, together with any written acceptance, schedules, fee acknowledgements, or addenda signed by both parties, constitutes the entire agreement between Applicant and CCB with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, representations, and understandings, whether written or oral.

Representations, Certifications, and Acknowledgements

The undersigned Applicant certifies under penalty of perjury that the information contained in this Application is true, complete, and correct to the best of the signer's knowledge. The Applicant authorizes verification of any information provided and understands that false statements may result in denial, revocation, or penalties.

Has the Applicant or any principal ever been subject to disciplinary action, license denial, suspension, or revocation in any jurisdiction?    Yes    No

Supporting Documentation

Attach documentation such as proof of insurance, bonding, organizational formation documents, and proof of identity as required by CCB policy. Provide a summary of attached documents below.

Applicant acknowledges that acceptance of this Application is conditioned on satisfactory review and that additional information, inspection, or documentation may be required prior to final registration.

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