Business Relevant Person Document

BUSINESS RELEVANT PERSON DOCUMENT

This Business Relevant Person Document (the "Agreement") is entered into effective as of by and between:

Company Name:

Business Address:

Relevant Person Name:

Title/Role:    Phone:

Email:

WHEREAS

WHEREAS, Company engages in business activities that require designation of an individual who is authorized to act on behalf of the Company for specified operational, compliance, and communication matters; and

WHEREAS, Relevant Person represents that they hold the authority, knowledge, and capacity to perform the duties described in this Agreement and to communicate legally binding instructions to third parties when expressly authorized below; and

WHEREAS, the parties desire to set forth the scope of the Relevant Person's responsibilities, payment terms (if any), confidentiality obligations, and procedural terms governing the designation and removal of the Relevant Person.

SCOPE OF WORK

PAYMENT TERMS

Compensation Amount:

Payment Due Date (each installment):

Late Payment Fee:    Interest on overdue amounts accrues at the rate specified above or, if a percentage, at the annualized rate indicated, calculated from the due date until paid in full.

TERM AND TERMINATION

Term Commencement Date:    Term Expiration Date:

Either party may terminate this Agreement for convenience upon providing the notice period specified above. Termination for material breach is effective upon written notice if the breaching party fails to cure within a commercially reasonable period not to exceed the notice period above.

CONFIDENTIALITY

For purposes of this Agreement, "Confidential Information" means non-public business, technical, financial, customer and other proprietary information disclosed by either party that is designated in writing as confidential or that reasonably should be understood to be confidential given the nature of the information and the circumstances of disclosure.

The Relevant Person shall: (a) maintain Confidential Information in strict confidence; (b) not disclose Confidential Information to third parties without prior written consent of the disclosing party; and (c) use Confidential Information solely for purposes of performing duties described in the Scope of Work. Exceptions apply to information which is already known, independently developed, becomes public through no fault of the receiving party, or is required to be disclosed by law, provided notice is given to the disclosing party to permit protective measures.

REPRESENTATIONS AND CERTIFICATIONS

The Relevant Person represents and warrants that they have the authority to act in the capacities described in this Agreement and that the statements made herein are true and accurate. The Relevant Person certifies the following:

I certify that I am authorized to act on behalf of the Company in matters within the Scope of Work.

I certify that I am a beneficial owner or authorized signatory for the Company as applicable for business and compliance communications.

GOVERNING LAW

This Agreement will be governed by and construed in accordance with the laws of the State of without regard to choice of law principles that would apply the laws of another jurisdiction.

ENTIRE AGREEMENT

This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written. Any amendment or modification must be in writing and signed by both parties.

MISCELLANEOUS

Assignment: Neither party may assign its rights or delegate its duties under this Agreement without the prior written consent of the other party, except that the Company may assign to an affiliate or successor in connection with a merger or sale of substantially all assets.

Severability: If any provision of this Agreement is held invalid or unenforceable, the remainder of the Agreement will remain in full force and effect.

ADDITIONAL INFORMATION

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