Business Details Sheet

BUSINESS DETAILS SHEET

General Business Agreement — Recitals

WHEREAS, Client Name: (hereinafter "Client") desires to engage the services of Service Provider Name: (hereinafter "Service Provider") to perform certain work and exchange business information under the terms set forth below;

WHEREAS, the parties intend for the following Business Details Sheet to record business identity, operational, billing and insurance information and to set forth fundamental commercial and confidentiality terms governing the provision of services effective as of Effective Date: .

Business Information

Corporation LLC Partnership Sole Proprietor Other

Authorized Representative

Scope of Work

The Service Provider shall provide the services, deliverables, milestones and performance standards described below. Parties agree that the following narrative constitutes the core scope and may be supplemented by mutually signed statements of work.

Payment Terms

Contract Amount: $ payable in accordance with the schedule below.

Late Payment Fee: on overdue balances or the maximum lawful rate if lower. Invoices are due within days of invoice unless otherwise agreed in writing.

Billing and Banking Information

Bank Name: Account Name:

Routing Number: Account Number:

Term and Termination

Term Commencement Date:    Term End Date (if applicable):

Either party may terminate this Agreement for material breach if such breach remains uncured for days after written notice. For convenience, either party may terminate on days' prior written notice.

Confidentiality

Each party shall maintain in confidence all non-public business, technical and financial information disclosed by the other party that is designated confidential or that reasonably should be understood to be confidential given the nature of the information and the circumstances of disclosure ("Confidential Information"). Confidential Information shall not include information that is: (a) publicly known through no fault of the receiving party; (b) rightfully received from a third party without restriction; or (c) independently developed without use of the disclosing party's Confidential Information. The receiving party shall not disclose Confidential Information except to employees, contractors and agents who need access to perform the services and who are bound by confidentiality obligations no less protective than those set forth herein.

Insurance and Licensing

Is the Service Provider licensed for the services described? Yes No

Governing Law; Entire Agreement

This Agreement and any disputes arising under or in connection with it shall be governed by the laws of the state of without regard to conflict of laws principles. The parties submit to the exclusive jurisdiction of the courts located in that state for resolution of disputes.

Entire Agreement: This Business Details Sheet, together with any incorporated statements of work and attachments 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 and communications, whether oral or written. Any modification must be made in writing and signed by both parties.

Additional Notes / Special Provisions

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