Business Commercial Questionnaire

BUSINESS COMMERCIAL QUESTIONNAIRE

Parties and Recitals

This Business Commercial Questionnaire (the Agreement) is entered into by and between:

Requesting Party Name:    Address:

Responding Business Name:    DBA (if any):

WHEREAS, the Requesting Party requires commercially relevant information about the Responding Business for evaluation of a proposed commercial relationship, and

WHEREAS, the Responding Business is willing to provide truthful and complete responses to the items set forth in this Questionnaire subject to the confidentiality provisions below.

Section A — Corporate and Contact Information

Corporation   Limited Liability Company (LLC)   Partnership   Sole Proprietorship   Other (specify)

Section B — Ownership and Management

Section C — Business Operations

Number of employees:    Annual gross revenue (most recent fiscal year):

Section D — Facilities and Leases

Does the business occupy leased premises? Yes No

Section E — Insurance and Compliance

Has the business been subject to regulatory enforcement, material litigation, or bankruptcy in the past five years? Yes No

Section F — Financial and Credit Information

Scope of Work

Describe the commercial scope, deliverables, and performance obligations proposed for the relationship. Include milestones, deliverable descriptions, acceptance criteria, and any required third-party approvals.

Payment Terms

Agreed Compensation Amount:    Currency:

Late Payment Fee (if any):

Term and Termination

Proposed Effective Date:    Proposed End Date (if any):

Termination Notice Period (days):

Termination for Cause: Either party may terminate with immediate effect if the other party materially breaches this Questionnaire or the mutually agreed work terms and fails to cure within the notice period set forth above.

Confidentiality

All information provided in response to this Questionnaire that is designated as confidential or that reasonably should be understood to be confidential given the nature of the information and the circumstances of disclosure shall be treated as Confidential Information. The recipient shall use Confidential Information solely for the purpose of evaluating and negotiating the commercial relationship and shall not disclose it to third parties except as required by law or to those advisors who have a need to know and who are bound by comparable confidentiality obligations.

Governing Law and Entire Agreement

Governing Law: The interpretation and enforcement of this Questionnaire shall be governed by the substantive laws of the governing_state selected by the Requesting Party, without regard to conflict of law principles. Please specify the governing state:

Entire Agreement: This Questionnaire, together with any written attachments executed by the parties, constitutes the entire understanding between the parties with respect to the subject matter herein and supersedes all prior and contemporaneous communications and proposals, whether oral or written.

Certifications and Authorizations

The undersigned certifies that the information provided in this Questionnaire is true, complete, and correct to the best of their knowledge, and that they are duly authorized to provide this information on behalf of the Responding Business.

I certify the accuracy of the information provided and understand that material misstatements may result in termination of negotiations or agreements.

I authorize the Requesting Party to obtain credit, trade, and public records checks as part of its evaluation.

Attachments

Please indicate attached documents submitted with this Questionnaire:

Audited or reviewed financial statements
Certificate(s) of insurance
Lease agreements
Other (describe below)

Acknowledgement

The parties acknowledge that submission of this Questionnaire does not constitute acceptance of any offer, and that any commercial relationship will be governed by a separate written agreement executed by authorized representatives of both parties.

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