Business Declarations Form

Business Declarations Form and General Business Agreement

This Business Declarations Form and General Business Agreement (the Agreement) is entered into as of Effective Date: by and between:

WHEREAS

WHEREAS, Party A conducts business in the ordinary course and possesses knowledge, records, registrations and authorizations relevant to its operations, and desires to make the representations and declarations set forth herein;

WHEREAS, Party B requires the representations and declarations of Party A as a condition to entering into contractual relations, procurement, or other commercial engagement with Party A;

WHEREAS, the Parties desire to set forth certain declarations, the scope of expected services, payment terms, and standard contractual provisions governing their relationship.

BUSINESS DECLARATIONS

The Declarant (Party A) hereby declares under penalty of perjury that the following representations and statements are true and correct as of the Effective Date.

Sole Proprietorship Partnership Corporation Limited Liability Company (LLC)

Other:

Business License and Registrations: Licensed Not licensed State License/Registration No.:

Legal and Financial Matters:

Has the Declarant been a party to bankruptcy, insolvency, or receivership proceedings within the past ten (10) years? Yes No

Is any pending litigation, claim, or administrative proceeding outstanding against the Declarant that could materially affect its ability to perform? Yes No

SCOPE OF WORK

Party A shall perform the services described below (the Services). The Parties agree that the Services, deliverables, milestones and any performance standards shall be as set forth in this Section unless modified in writing and signed by both Parties.

PAYMENT TERMS

The Parties agree to the following payment structure governing compensation for the Services.

All payments are due in United States currency unless otherwise agreed. Party B may withhold payments for nonconforming deliverables in accordance with the schedule and dispute procedures set forth in this Agreement.

TERM AND TERMINATION

This Agreement commences on the Start Date and shall continue until the End Date unless earlier terminated in accordance with this Section.

Start Date:     End Date:

Either Party may terminate this Agreement for material breach by the other Party if such breach is not cured within the Notice Period following written notice. Termination shall not relieve either Party of obligations accrued prior to termination.

CONFIDENTIALITY

Each Party acknowledges that during the course of performance it may receive Confidential Information of the other Party. For purposes of this Agreement, "Confidential Information" means non-public information disclosed in any form that is designated confidential or that reasonably should be understood to be confidential given the nature of the information.

The receiving Party shall (i) hold Confidential Information in strict confidence, (ii) use Confidential Information only to perform its obligations under this Agreement, and (iii) not disclose Confidential Information to any third party except as necessary to its employees, agents or professional advisors who are bound to confidentiality obligations no less restrictive than those herein. These obligations shall continue for a period of years following the Effective Date, except with respect to trade secrets, which shall remain protected for so long as they qualify as trade secrets under applicable law.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to its conflict of laws principles. The Parties submit to the exclusive jurisdiction of the state and federal courts located within that state for resolution of disputes arising under this Agreement.

REPRESENTATIONS, WARRANTIES AND COMPLIANCE

Each Party represents and warrants that it has full corporate power and authority to enter into this Agreement and to perform its obligations hereunder. The Declarant further represents that all information provided in this Business Declarations Form is true, complete and accurate in all material respects as of the Effective Date and that no material fact has been omitted.

Each Party shall comply with all applicable laws, statutes, regulations and ordinances in the performance of its obligations and shall not engage in corrupt practices or bribery in connection with the activities contemplated by this Agreement.

ENTIRE AGREEMENT

This Agreement, together with any attachments, exhibits or written modifications signed by both Parties, constitutes the entire agreement between the Parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, proposals, negotiations and communications, whether oral or written. No amendment or waiver shall be effective unless in writing and signed by authorized representatives of both Parties.

CERTIFICATION

By signing below, the undersigned certify under penalty of perjury that the information and declarations contained in this form are true, complete and correct to the best of their knowledge, that they are authorized to execute this Agreement on behalf of the Party they represent, and that they will promptly notify the other Party of any material change to the facts set forth herein.

Acknowledgement: I certify that the foregoing statements are true and correct.

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