Business Management Application

BUSINESS MANAGEMENT APPLICATION

Applicant and Management Entity

Applicant Name:

Management Company Name:

Principal Contact:    Phone:

Business Address:

Federal Tax ID / EIN:    Years in Operation:

Recitals

WHEREAS, Applicant desires to retain the services of the Management Company to provide business management, advisory, and administrative services as described herein; and

WHEREAS, Management Company represents that it possesses the expertise, personnel, and resources to perform such services on the terms set forth in this application and any subsequently executed management agreement; and

WHEREAS, the parties acknowledge that submission of this Application does not, by itself, create a binding management contract unless and until a written Management Agreement is signed by both parties, except as to the confidentiality and representation provisions expressly accepted herein.

Management Services Requested

Check the services for which Applicant seeks consideration:
Operations Management
Human Resources / Staffing
Financial Management / Accounting
Marketing and Sales Strategy
Strategic Planning
Other (describe below)

Scope of Work

Provide a concise but specific description of the duties, deliverables, and performance objectives the Applicant expects the Management Company to perform. Include milestones, reporting frequency, and any performance metrics that will be used to evaluate services.

Payment Terms

Base Management Fee Amount:

Late Payment: Applicant agrees that overdue amounts shall incur interest at a rate of on outstanding balances from the due date until paid. Applicant shall also be responsible for reasonable collection costs, including attorneys' fees.

Term and Termination

Proposed Term Commencement Date:    Proposed Term End Date:

Either party may terminate a subsequently executed Management Agreement for convenience upon written notice to the other party at least days prior to termination. Termination for cause shall be permitted where a material breach has not been cured within thirty (30) days following written notice specifying the breach.

Confidentiality

Applicant and Management Company agree that all non-public information exchanged in connection with the application and any subsequent management relationship shall be held in strict confidence and used only to evaluate or perform services. Confidential information does not include information that (a) is or becomes publicly available through no breach of this obligation, (b) is rightfully received from a third party without restriction, or (c) is independently developed without use of Confidential Information. Each party shall take reasonable measures to protect Confidential Information and shall return or destroy such information upon request or termination.

References and Financial Information

Declarations and Authorizations

By submitting this Application, Applicant certifies that the information provided herein is true, correct and complete to the best of Applicant's knowledge. Applicant authorizes Management Company to verify references, credit history, and to conduct background or due diligence checks reasonably related to the proposed engagement. Applicant agrees to promptly notify Management Company of any material change to information supplied in this Application.

Governing Law; Entire Agreement

This Application and any subsequent Management Agreement shall be governed by and construed in accordance with the laws of the state of without regard to conflict of laws principles. This Application, together with any executed Management Agreement, constitutes the entire understanding between the parties with respect to the subject matter and supersedes all prior discussions and agreements, whether written or oral.

Additional Provisions

Applicant acknowledges that submission of this Application does not obligate Management Company to enter into a Management Agreement. Management Company reserves the right to accept or decline any Application in its sole discretion. Any representations made by Applicant regarding legal authority, corporate standing, or financial condition must be supported by documentation upon request.

Signature and Certification

The undersigned certifies under penalty of perjury that the information contained in this Application is accurate and that the undersigned is authorized to submit this Application on behalf of the Applicant named herein.

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