Business Document Update Form

BUSINESS DOCUMENT UPDATE FORM

Update Request

Company Name:    Counterparty Name:

Existing Document Title:

Original Effective Date:    Proposed Update Effective Date:

Recitals

WHEREAS, Company Name: and Counterparty Name: (collectively, the Parties) previously entered into the document identified above (the "Agreement") on the Original Effective Date specified above;

WHEREAS, the Parties desire to amend, supplement, or update certain provisions of the Agreement as set forth in this Business Document Update Form (the "Update"), which shall become effective as of the Proposed Update Effective Date specified above or such other date as the Parties expressly agree in writing.

Scope of Work / Update Description

Payment Terms (if applicable)

Updated Total Amount Payable: $

Late Payment Fee: per month or $ flat fee, whichever is greater. Interest on overdue amounts shall accrue from the due date until paid.

Term and Termination

Updated Term Start Date:    Updated Term End Date:

Either Party may terminate this Agreement (as updated) for convenience upon written notice to the other Party delivered no fewer than days. Termination for material breach shall be permitted if the breaching Party does not cure within thirty (30) days after written notice of such breach, unless a different cure period is expressly provided herein.

Confidentiality

All non-public information disclosed in connection with the Agreement, including information disclosed pursuant to this Update, shall be treated as Confidential Information and shall not be disclosed to any third party except as required by law or as permitted by the Agreement. Confidentiality obligations shall survive termination or expiration of the Agreement for a period of years from the date of disclosure.

Governing Law

This Update and any dispute arising out of or relating to the Agreement as updated shall be governed by and construed in accordance with the laws of the State of without regard to conflict of laws principles.

Entire Agreement

Except as expressly modified by this Update, the Agreement remains in full force and effect. This Update, together with the Agreement, embodies the entire agreement of the Parties with respect to the subject matter hereof and supersedes all prior and contemporaneous understandings, agreements, representations and warranties between the Parties, whether written or oral, relating to such subject matter.

Update Details and Categories

Indicate the categories affected by this Update (check all that apply):

Registered Office / Mailing Address

Authorized Representative / Signatory

Banking / Payment Information

Corporate Structure / Ownership

Other (describe below)

Authorized Representative Contact Information

Certification and Authority

The undersigned hereby certify that they are duly authorized to execute this Update on behalf of their respective Parties and that the information and updates set forth herein are true, complete and effective as of the Update Effective Date. Each Party acknowledges that by signing below they agree to be bound by the terms of the Agreement as modified by this Update.

Check to confirm authority to bind the Party:    Company Representative    Counterparty Representative

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