Business DO Application

Business DO Application

WHEREAS

WHEREAS the Applicant identified below seeks designation as the official business designee responsible for operations management and/or delivery order execution on behalf of the business entity named herein; and

WHEREAS the Company (the business receiving this Application) requires a completed application and associated representations to evaluate authority, operational capacity, financial responsibility and compliance with company policies prior to issuing an authorization; and

WHEREAS the Applicant understands that approval of this Application, and any ensuing authorization, may be conditioned on the execution of a separate agreement memorializing scope, payment, confidentiality and other terms set forth herein;

Applicant & Business Information

Scope of Work / Designation Duties

Describe in detail the operational responsibilities, geographic coverage, services to be provided, and any limits on authority proposed for the DO designation. Include staffing, equipment, and any subcontracting intent.

Payment Terms

Applicant acknowledges and agrees to the following compensation and invoicing terms for services provided under any authorization resulting from this Application.

Invoices are due in accordance with the Payment Schedule. Late payments shall accrue interest as set forth above and may, following notice, result in suspension of authorization until accounts are current. Applicant is responsible for all collection costs, including reasonable attorney fees, arising from failure to pay amounts due.

Term and Termination

The authorization granted pursuant to an approved Application will commence on: and shall continue until: unless earlier terminated as provided below.

Either party may terminate any authorization or agreement arising from this Application for convenience upon written notice of days. Termination for material breach shall be effective immediately upon written notice describing the breach where such breach is not cured within ten (10) days if curable.

Confidentiality

Applicant acknowledges that in connection with the Application and any authorization it may receive Confidential Information. Applicant agrees to (a) hold Confidential Information in strict confidence, (b) not disclose Confidential Information except to employees, agents or permitted subcontractors on a need-to-know basis who are bound by confidentiality obligations no less protective than those herein, and (c) use Confidential Information only for the purposes authorized by the Company. Confidential Information does not include information that is or becomes publicly available through no fault of the recipient, or that is rightfully received from a third party without breach of obligation.

Representations, Warranties and Certifications

By submitting this Application the Applicant represents and warrants that the information provided is true, complete and accurate to the best of Applicant's knowledge; that Applicant has the authority to enter into agreements on behalf of the named business; and that Applicant will comply with all applicable laws and Company policies in carrying out any designated duties. Applicant certifies that no bankruptcy or insolvency proceeding is pending or threatened against Applicant that would materially impair performance.

Governing Law; Entire Agreement

This Application, and any authorization or agreement that arises from its approval, shall be governed by and construed in accordance with the laws of the state of without regard to conflict of law principles. This Application, together with any incorporated documents explicitly referenced and executed contemporaneously, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior negotiations and understandings.

Acknowledgement and Consent

The undersigned authorizes the Company to verify any information contained in this Application, including, where permitted, conducting background and credit checks. Applicant consents to communications regarding this Application at the contact information provided above.

Acceptance (For Company Use Only)

Company decision: (select one)

If approved, any authorization issued will be subject to the Scope of Work, Payment Terms, Term and Termination, and Confidentiality provisions set forth above unless otherwise modified in a written authorization signed by both parties.

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