Business Services Applications

Business Services Application

Applicant Name:    Service Provider Name:

Recitals

WHEREAS, Applicant seeks to retain Service Provider to perform the services described in this Application on the terms and conditions set forth below;

WHEREAS, Service Provider represents that it has the necessary qualifications, licenses, personnel and insurance to perform such services in a professional manner;

WHEREAS, the parties desire to set forth the scope, payment terms, confidentiality obligations and other material provisions governing the provision of services.

Applicant Information

Sole Proprietorship Partnership LLC Corporation Other

Authorized Representative

Scope of Work

Describe the services requested and deliverables. If attachments or a statement of work are provided, reference them here and attach as schedules.

Project Schedule

Anticipated Start Date:    Estimated Completion Date:

Payment Terms

Total Contract Amount:    Deposit / Retainer:

Late Payment Fee (interest): % per month on overdue balances.

Invoices will be payable within days of invoice date. If collection is required, Applicant shall pay reasonable collection costs, including attorneys' fees.

Insurance and Compliance

Service Provider shall maintain commercial general liability insurance and workers' compensation in amounts customary for the industry and shall provide certificate of insurance upon request. Certificate on file:

Term and Termination

Contract Term Commences:    Contract Term Ends:

Either party may terminate this agreement for convenience upon delivering written notice at least days prior to the effective termination date. Either party may terminate for material breach if such breach remains uncured for a period of thirty (30) days after written notice specifying the breach.

Confidentiality

"Confidential Information" means non-public business, technical or financial information disclosed by either party that is marked confidential or by its nature reasonably understood to be confidential. Each party shall hold Confidential Information of the other in strict confidence and shall not disclose or use such information except as necessary to perform under this Application.

Confidentiality obligations shall continue for a period of years following termination of the Term, except for information that enters the public domain other than by breach of this agreement.

Representations and Warranties

Each party represents and warrants that it has full power and authority to enter into this Application and to perform its obligations. Service Provider warrants that services will be performed in a professional, workmanlike manner consistent with industry standards. EXCEPT AS EXPRESSLY SET FORTH HEREIN, SERVICES ARE PROVIDED "AS IS" AND SERVICE PROVIDER DISCLAIMS ALL OTHER WARRANTIES TO THE MAXIMUM EXTENT PERMITTED BY LAW.

Governing Law and Entire Agreement

This Application shall be governed by and construed in accordance with the laws of the State of without regard to conflict of law principles.

This Application, together with any attached schedules and statements of work, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior or contemporaneous agreements, proposals and communications, whether written or oral. Any amendment must be in writing and signed by authorized representatives of both parties.

Certifications and Authorizations

By submitting this Application and signing below, Applicant certifies that all information provided is true and correct, that Applicant is authorized to enter into this Application on behalf of the named business, and that Applicant agrees to the terms set forth herein.

Applicant acknowledges that Service Provider may rely on this Application in allocating resources and scheduling work; Applicant agrees to indemnify and hold Service Provider harmless for any losses resulting from materially false or misleading information provided herein.

Applicant Authorization to Charge: By signing, Applicant authorizes Service Provider to charge invoices in accordance with the payment terms above using the payment method agreed at the time of engagement.

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