Business Licensing Forms Packet

BUSINESS LICENSING FORMS PACKET

Part A — Business Application

Business Legal Name:

Sole proprietorship    Partnership    Limited Liability Company (LLC)    Corporation    Other:

Part B — License(s) Requested & Supporting Materials

Select license(s) requested:

Business Registration / Local Business License    Professional License / Occupational Permit    Health Permit / Food Service    Signage Permit

Articles of Organization/Incorporation    Operating Agreement / Partnership Agreement    Owner ID / SSN Verification    Site Plan / Floor Plan

Attestation: I certify under penalty of law that the information and documents provided in this packet are accurate and complete to the best of my knowledge.

General Business Agreement

THIS AGREEMENT is made as of between Client Name: with address: and Service Provider: with address: .

WHEREAS

WHEREAS, Client desires that Service Provider prepare, submit and pursue applicable business licenses, permits and related filings on behalf of Client and to advise Client regarding compliance requirements associated with the licenses specified in this packet; and

WHEREAS, Service Provider has represented that it has the requisite experience and personnel to provide licensing services and will perform such services in accordance with the terms and conditions set forth in this Agreement; and

WHEREAS, the parties wish to set forth their respective rights and obligations with respect to licensing assistance, payment, confidentiality and termination.

Scope of Work

Service Provider shall perform the services described below and any related administrative tasks reasonably necessary to obtain the licenses identified in this packet. Service Provider's responsibilities include preparing applications, collecting required attachments from Client, submitting filings to appropriate authorities, responding to routine requests for clarification from licensing authorities, and advising Client on compliance obligations.

Payment Terms

Client shall pay Service Provider fees as set forth below. Fees specified are exclusive of any filing, permit, publication, inspection or governmental fees which remain the responsibility of Client unless otherwise agreed in writing.

Late payment shall accrue interest at % per month on overdue balances, or the maximum rate permitted by applicable law, whichever is lower. Client shall also be responsible for reasonable collection costs and attorneys' fees incurred to collect unpaid amounts.

Term and Termination

This Agreement shall commence on and shall continue until , unless earlier terminated as provided herein.

Either party may terminate this Agreement for convenience by providing written notice to the other party at least days prior to the effective date of termination. Either party may terminate for material breach if the breaching party fails to cure such breach within days after receipt of written notice specifying the breach.

Confidentiality

Each party acknowledges that in the course of performance it may receive confidential, proprietary or nonpublic information of the other party. Except as required by law, each party shall hold in confidence and not disclose such information to third parties and shall use such information solely to perform its obligations under this Agreement. Confidential information does not include information that is or becomes generally available to the public through no breach of this Agreement or is independently developed or obtained by the receiving party without use of the disclosing party's confidential information.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to its conflicts of law principles. The parties agree that any dispute arising hereunder shall be resolved in the state or federal courts located in that state, and the parties submit to the exclusive jurisdiction of those courts.

Entire Agreement

This Agreement, together with any attachments, schedules and the completed application materials in this packet, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, representations and understandings, whether written or oral. Any amendment or modification to this Agreement must be in writing and signed by both parties.

Severability: If any provision of this Agreement is held to be invalid or unenforceable, such provision shall be reformed only to the extent necessary to make it enforceable and the remaining provisions shall continue in full force and effect.

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