Business Supplier Declaration

BUSINESS SUPPLIER DECLARATION

THIS BUSINESS SUPPLIER DECLARATION (the Declaration) is made by the parties identified below as of the date of signature. WHEREAS, Company Name: engages third-party vendors and suppliers to furnish goods and/or services in connection with its business operations;

WHEREAS, Supplier Name: (the Supplier) represents and warrants that it is duly organized and authorized to enter into commercial transactions and that it will comply with applicable laws and the terms set forth in this Declaration; and

WHEREAS, the parties desire to set forth certain declarations, certifications and administrative terms governing the Supplier's provision of goods and services to the Company.

Supplier Information

Corporation LLC Partnership Sole Proprietor Other:

Declaration and Certifications

The Supplier hereby certifies, represents and warrants to the Company as follows:

1. Authority and capacity: The Supplier is duly organized, validly existing and in good standing under its governing law and has the requisite power and authority to enter into and perform this Declaration.
2. Compliance with law: The Supplier shall comply with all applicable laws, rules and regulations in the performance of services and delivery of goods, including those governing labor, health and safety, environmental protection, and taxation.
3. No sanctions or debarment: The Supplier is not subject to sanctions, debarment, or export control restrictions that would prohibit performance, and none of its principals are on any governmental denied-party list.
4. Insurance and licensing: The Supplier maintains insurance and licenses required to provide the goods and services, and will furnish certificates of insurance upon reasonable request.

The Supplier further certifies the following affirmative attestations (check the applicable boxes and provide details where requested):

Complies with anti-bribery and anti-corruption laws
No conflict of interest with the Company
Use of subcontractors: if checked, describe subcontractor oversight below

Scope of Supply

The Supplier shall supply the goods and/or services described below in accordance with the specifications, schedules and quality standards agreed between the parties.

Payment Terms

Contract Amount:

Late Payment Fee: assessed on overdue balances until paid in full.

Term and Termination

Term Commencement Date: ; Term Expiration Date: .

Either party may terminate this Declaration for convenience upon providing written notice to the other party at least days prior to the intended termination date. Termination for cause may be immediate where the non‑breaching party provides written notice of material breach and the breach is not cured within 15 days of receipt of such notice.

Confidentiality

The Supplier acknowledges that it may receive Confidential Information of the Company. The Supplier shall not use, disclose or permit access to such Confidential Information except as necessary to perform its obligations under this Declaration. Confidential Information means non-public business information, trade secrets, specifications, pricing, customer lists and other data designated as confidential or that reasonably should be understood to be confidential. The obligations in this paragraph survive termination for a period of three (3) years.

Governing Law; Remedies

This Declaration shall be governed by and construed in accordance with the laws of the state of without regard to its conflicts of law principles. The parties acknowledge that monetary damages may be inadequate and that equitable relief, including injunctive relief, may be available to prevent actual or threatened breaches.

Representations, Warranties and Indemnity

The Supplier warrants that all goods and services provided conform to the agreed specifications and applicable industry standards. The Supplier shall indemnify and hold harmless the Company from and against all losses, claims, damages and liabilities arising out of Supplier's negligence, willful misconduct or breach of this Declaration.

Entire Agreement; Amendment

This Declaration constitutes the entire agreement between the parties with respect to the subject matter herein and supersedes all prior negotiations, understandings and agreements. Any amendment or waiver must be in writing and signed by authorized representatives of both parties to be effective.

Acknowledgment and Signature

By signing below, the undersigned certifies under penalty of perjury that the information provided in this Declaration is true, accurate and complete to the best of the signatory's knowledge and that the signatory is authorized to bind the party for which the signatory purports to act.

Sign Now