Business MOC Summary Report

BUSINESS MOC SUMMARY REPORT

Company Name:    MOC Report No.:

Business Unit:    Project/Process:

RECITALS

WHEREAS, Company Name: operates and manages the business processes identified in this report and requires formal documentation of changes affecting operations, controls, or obligations;

WHEREAS, Counterparty/Responsible Party: has proposed or will implement the change described below and will adhere to the controls and approvals herein;

NOW, THEREFORE, this Business MOC Summary Report documents the change, associated impacts, and the controlling measures to be implemented in accordance with the parties' obligations and this summary.

SUMMARY OF CHANGE

SCOPE OF WORK

A concise description of the work to be performed, responsibilities, and deliverables:

REASON FOR CHANGE

IMPACT ASSESSMENT

Impact categories (check all that apply):

Operational   Financial   Regulatory/Compliance   Safety/Health   IT/Systems   Reputational

Summary of identified impacts and mitigation measures:

AFFECTED DOCUMENTS / SYSTEMS

IMPLEMENTATION PLAN

Planned start date:    Planned completion date:

TESTING, COMMUNICATIONS & TRAINING

PAYMENT TERMS (APPLICABLE WHERE THIRD-PARTY SERVICES APPLY)

Total Payment Amount:

Payment Schedule:

Late Payment Fee:

TERM AND TERMINATION

Effective Date:    Termination Date (if applicable):

Either party may terminate this MOC or any related agreement for material breach upon written notice. Notice period (days):

CONFIDENTIALITY

The parties acknowledge that certain information exchanged in connection with this change may be confidential. Each party shall hold such Confidential Information in strict confidence and shall not disclose or use it except as necessary to perform the work described herein or as required by law. Confidentiality obligations shall continue for a period of after completion or termination of this report.

GOVERNING LAW

This report, and any obligations arising out of or related to it, shall be governed by and construed in accordance with the laws of the State of , without regard to conflict of law principles.

ENTIRE AGREEMENT

This Business MOC Summary Report, together with any referenced attachments or executed agreements, constitutes the entire understanding between the parties with respect to the change described herein and supersedes all prior negotiations, representations, or agreements, whether written or oral, relating thereto.

CERTIFICATION AND ACKNOWLEDGMENT

By signing below, the undersigned certify that the information provided in this Business MOC Summary Report is accurate to the best of their knowledge, that required risk assessments and approvals have been completed, and that the signatories are authorized to bind their respective parties for the purposes set forth herein.

APPROVALS AND ATTACHMENTS

Approvals required (roles):

Attachments:

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