Business Preference Form

BUSINESS PREFERENCE FORM

This Business Preference Form and General Business Agreement (the "Agreement") is entered into as of Date: by and between Company Name: (hereinafter "Company") and Business Name: (hereinafter "Business").

WHEREAS

WHEREAS, Company desires to establish vendor preferences for procurement of goods or services and to document terms under which Business may supply such goods or services;

WHEREAS, Business represents that it is duly organized, qualified and able to perform the services or provide the goods identified in this form and is willing to provide Company with its preferences, classifications and payment instructions for ease of engagement;

NOW, THEREFORE, in consideration of the mutual covenants contained herein and other good and valuable consideration, the parties agree as follows.

BUSINESS INFORMATION

BUSINESS CLASSIFICATION & PREFERENCES

Entity Type: Corporation LLC Partnership Sole Proprietor Nonprofit

Ownership / Certification Status (check all that apply): Minority-Owned Woman-Owned Veteran-Owned LGBTQ-Owned

Consulting IT Services Construction Supplies Other

PAYMENT PREFERENCES & TERMS

Preferred Payment Method: Check ACH Wire Transfer Credit Card

Net 30 Net 45 Upon Receipt Other

SCOPE OF WORK

PAYMENT TERMS

Compensation: Unless otherwise agreed in writing, fees for services or goods provided under agreements formed pursuant to this form shall be as set forth in individual purchase orders or statements of work. Standard invoicing identifies the amount due: Amount: $ . Client will pay invoiced amounts within of invoice receipt unless otherwise specified.

Late Payment: Overdue amounts shall accrue interest at the lesser of 1.5% per month or the maximum rate permitted by law, plus reasonable collection costs. Business may suspend performance for overdue payments upon five (5) days' prior written notice and opportunity to cure.

Taxes and Withholding: Unless otherwise required by law, Company shall not withhold taxes from payments. Each party is responsible for its own taxes and fees arising from amounts paid under this Agreement.

TERM AND TERMINATION

Term: This Agreement shall commence on Start Date: and continue through End Date: unless earlier terminated as provided herein.

Termination: Either party may terminate this Agreement for convenience upon written notice to the other party delivered at least days prior to the effective termination date. Either party may terminate immediately for material breach if the breach remains uncured for a period of ten (10) days following written notice.

CONFIDENTIALITY

Definition: "Confidential Information" means non-public information disclosed by a party in connection with this Agreement, including pricing, technical data, designs, business plans and customer information. Confidential Information excludes information that: (a) is or becomes public through no fault of the receiving party; (b) was known to the receiving party without restriction prior to disclosure; or (c) is independently developed by the receiving party without use of the disclosing party's Confidential Information.

Obligations: The receiving party shall (i) hold Confidential Information in confidence; (ii) not use Confidential Information except to perform its obligations under any resulting engagement; and (iii) limit disclosure to employees, contractors and advisors with a need to know who are bound by confidentiality obligations no less protective than those herein. The receiving party will exercise at least reasonable care to protect Confidential Information.

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. Venue for any dispute arising from this Agreement shall be in the state or federal courts located in that state.

ENTIRE AGREEMENT

Entire Agreement: This document, together with any executed purchase orders or statements of work referencing this form, constitutes the entire agreement between the parties with respect to the subject matter herein and supersedes all prior and contemporaneous agreements, proposals, understandings and communications, whether written or oral. No modification of this Agreement will be effective unless in writing and signed by authorized representatives of both parties.

CERTIFICATION

By signing below, Business certifies that the information provided in this Business Preference Form is true, accurate and complete to the best of its knowledge, and that Business has authority to bind the entity identified. Business acknowledges that Company may rely on these representations in awarding work or issuing purchase orders.

I certify the foregoing information is accurate and authoritative.

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