Business PINS Form

BUSINESS PINS FORM

WHEREAS

WHEREAS, Business Requesting Party: (hereinafter "Requesting Party") seeks issuance, allocation and management of business PINS ("PINS") to enable secure access and authentication for specified systems;

WHEREAS, Service Provider: (hereinafter "Provider") is authorized to issue and manage PINS and will provide related administrative, issuance and support services under the terms set forth herein;

NOW, THEREFORE, in consideration of the mutual promises contained herein, the parties agree as follows:

BUSINESS INFORMATION

Corporation LLC Sole Proprietorship Other:

PIN REQUEST DETAILS

Number of PINS Requested:    Type of PINs:

SCOPE OF WORK

Provider shall perform issuance, provisioning, administrative support, and revocation services for the requested PINS in accordance with the security controls described above, including registration of authorized users, secure delivery or activation of PINS, logging of issuance events, and revocation on request or upon termination. Provider will deliver PINS and associated activation instructions to the Requesting Party or designated contacts, and will maintain records of issuance for a period consistent with Provider's standard retention policy.

PAYMENT TERMS

Requesting Party shall pay Provider fees in exchange for issuance and management of PINS as follows:

Late Payment: If any undisputed amount is not paid within days of the due date, Provider may charge interest at a rate of per month (or the maximum allowed by law, if lower).

TERM AND TERMINATION

Term: This Agreement commences on and continues until unless earlier terminated in accordance with this section.

Termination for Convenience: Either party may terminate this Agreement without cause by providing written notice to the other party at least days prior to the effective termination date.

Termination for Cause: Either party may terminate immediately upon written notice if the other party materially breaches any obligation and fails to cure such breach within 15 days after receipt of written notice specifying the breach.

CONFIDENTIALITY

Each party shall treat as confidential all non-public information disclosed by the other party that is designated as confidential or that reasonably should be understood to be confidential given the nature of the information and the circumstances of disclosure ("Confidential Information"). Confidential Information shall not include information that (i) is or becomes publicly known through no breach by the receiving party, (ii) is rightfully received without restriction from a third party, (iii) is independently developed without use of Confidential Information, or (iv) is required to be disclosed by law or court order (subject to prior notice and a reasonable opportunity to seek protective measures). The receiving party shall use Confidential Information solely for the purposes of performing its obligations under this Agreement and shall restrict access to those employees, contractors or agents with a need to know who are bound by confidentiality obligations at least as protective as those herein.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the state of without regard to conflict of law principles. Each party consents to the exclusive jurisdiction and venue of the federal and state courts located in that state for any dispute arising out of or relating to this Agreement.

ENTIRE AGREEMENT

This Agreement, including any attachments or written exhibits executed by the parties, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, proposals, and communications, whether written or oral. No amendment, modification or waiver shall be effective unless in writing and signed by authorized representatives of both parties.

CERTIFICATION

By submitting this form and signing below, the undersigned certifies that they are an authorized representative of the Requesting Party and that the information provided in this form is true, accurate and complete to the best of their knowledge. The undersigned further authorizes Provider to invoice the entity identified above for amounts due under the Payment Terms.

I certify the accuracy of the information provided and my authority to bind the Requesting Party.

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