Business Service Delivery Report

BUSINESS SERVICE DELIVERY REPORT

Report No.:    Effective Date:

Provider:

Client:

WHEREAS

WHEREAS, Provider has been engaged to perform professional services for Client pursuant to the terms of the controlling contract or purchase order identified as: ;

WHEREAS, this Business Service Delivery Report documents the services delivered, deliverable acceptance status, outstanding items and associated charges for the service period specified below;

WHEREAS, the parties intend that this Report will constitute a written record of delivery and acceptance and will be incorporated into the controlling agreement as provided below.

SERVICE PERIOD & PROJECT

Service Period Start:    End:

SCOPE OF WORK DELIVERED

Summary of work performed and deliverables provided. Provider must describe work performed with sufficient detail to permit Client to assess acceptance.

DELIVERABLES (ITEMIZED)

Deliverable 1 Description

Delivered:    Client Accepted:    Date Delivered:

Deliverable 2 Description

Delivered:    Client Accepted:    Date Delivered:

PAYMENT TERMS

Payment Amount (this report): $

Late Payment Fee:

Provider warrants that all charges invoiced are consistent with the governing agreement rates and that any reimbursable expenses are supported by receipts when requested by Client.

SERVICE HOURS & EXPENSES

Hours Billed:    Hourly Rate: $    Total Labor: $

ISSUES, DEFECTS, AND CORRECTIVE ACTIONS

TERM AND TERMINATION

Term Start:    Term End:

Either party may terminate the underlying engagement for material breach if the breaching party fails to cure within after written notice. Termination does not relieve Client of payment for services performed and expenses incurred through the effective date of termination, subject to any agreed set-off or dispute procedures under the controlling agreement.

CONFIDENTIALITY

Each party shall hold in strict confidence information disclosed in connection with this engagement that is designated confidential or that reasonably should be understood to be confidential (the "Confidential Information"). Confidential Information excludes information that is (a) publicly known through no fault of the receiving party; (b) rightfully received from a third party without restriction; (c) independently developed without use of the Confidential Information; or (d) required to be disclosed by law, provided the disclosing party is given prompt notice and the disclosure is limited to the extent required. The confidentiality obligations extend for a period of three (3) years following disclosure unless a longer period is specified in the controlling agreement.

GOVERNING LAW

This Report and any disputes arising out of or related to it shall be governed by the laws of the jurisdiction of: , without regard to choice of law principles.

ENTIRE AGREEMENT

This Report, together with the controlling contract, purchase order and any incorporated statements of work, constitutes the entire agreement between the parties with respect to the services and deliverables documented herein. In the event of any conflict, the controlling contract terms shall govern except where this Report expressly modifies performance or acceptance milestones and both parties have signed below endorsing such modifications.

ACCEPTANCE

By initialing below, Client acknowledges review of the deliverables identified in this Report and indicates preliminary acceptance subject to any listed exceptions.

Client Initials:    Date:

Attachments included with this Report:   Scope Documents    Invoices    Test Results    Other

Certification: The undersigned certify that the information in this Business Service Delivery Report is true and accurate to the best of their knowledge, that services billed were performed in the manner described, and that any acceptance indicated on this Report is subject to the terms of the controlling agreement.

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