Business Effects Document

BUSINESS EFFECTS DOCUMENT

Client Name:    Prepared By:

Project Name:    Effective Date:

WHEREAS

WHEREAS, Client Name: seeks an assessment of the anticipated business effects arising from the Project Name described above; and

WHEREAS, Prepared By: has represented that it has the necessary expertise to prepare a reasoned, documented evaluation of operational, financial, regulatory and employment impacts and proposed mitigation measures; and

WHEREAS, the parties desire to memorialize the scope, payment, confidentiality and legal terms under which the evaluation and any related deliverables will be prepared and relied upon.

SCOPE OF WORK

BUSINESS EFFECTS SUMMARY

Provide a concise summary of expected material effects, including quantitative estimates where feasible. Check the box if an effect is assessed as materially adverse to business operations.

Materially Adverse:

Estimated One-Time Cost Impact:    Estimated Annual Revenue Impact:

Materially Adverse:

Materially Adverse:

Materially Adverse:

PAYMENT TERMS

Total Fee for Services: USD

Payment Due Within (days):    Late Fee: % per month on overdue balances

TERM AND TERMINATION

Term Start:

Term End:

Termination for Convenience: Either party may terminate by providing written notice not less than days in advance. Termination shall not relieve Client of payment for services performed through the effective date of termination and reasonable wind-down costs.

CONFIDENTIALITY

Each party agrees to keep confidential all non-public information disclosed by the other party that is designated as confidential or that, by its nature, would reasonably be considered confidential. Confidential information shall not include information that is (a) already known to the receiving party without obligation of confidentiality, (b) becomes publicly available through no fault of the receiving party, (c) is rightfully received from a third party without restriction, or (d) is independently developed without use of the disclosing party's confidential information.

The receiving party may disclose Confidential Information to the extent required by law or by valid order of a court or governmental body, provided that the receiving party uses commercially reasonable efforts to give prior written notice to the disclosing party to permit it to seek protective measures.

Confidentiality Obligations Duration (years): . All obligations of confidentiality shall survive termination of this document for the period stated above.

LIMITATION OF LIABILITY; INDEMNIFICATION

Except for liability arising from willful misconduct or gross negligence, each party's aggregate liability to the other arising out of or relating to this document shall be limited to direct damages not to exceed the total fees actually paid under this document. Liability cap: USD.

Each party shall indemnify and hold harmless the other against third-party claims arising from its breach of representations, willful misconduct, or negligence in performance of its obligations under this document, subject to the limitation of liability set forth above.

GOVERNING LAW

This document shall be governed by and construed in accordance with the laws of the State of , without giving effect to conflict of laws principles that would apply the laws of another jurisdiction.

ENTIRE AGREEMENT

This document, together with any appendices or exhibits expressly incorporated in writing, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings and communications, whether written or oral, relating to that subject matter. Any amendment or waiver must be in writing and signed by both parties.

CERTIFICATIONS

The undersigned certify that the information provided in this Business Effects Document is true and accurate to the best of their knowledge and that they are authorized to execute this document on behalf of the party identified below.

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