Business Verification Document

Business Verification Document

Parties

This Business Verification Document (the "Agreement") is entered into by and between:

Business Name:

LLC    Corporation    Partnership    Sole Proprietor    Other:

Recitals

WHEREAS, the Business identified above represents that it is duly formed, validly existing and in good standing under the laws of the jurisdiction of formation and has authority to execute and perform this Agreement; and

WHEREAS, the Verifier: has been engaged to verify the Business's organizational status, ownership, and other facts set forth in this Agreement; and

WHEREAS, the Parties desire to set forth the scope, payment terms, confidentiality obligations, and governing law applicable to the verification services.

Scope of Work

The Verifier shall perform business verification services including, without limitation, review of corporate formation documents, verification of ownership and authority of signatories, confirmation of tax identification, and preparation of a written verification report. Any additional investigative or due diligence tasks shall be performed only as expressly authorized in writing by the Business.

Verification Documents

The Business shall supply the following documents for inspection and verification (check all that apply):

Articles of Incorporation/Organization    Operating Agreement/Bylaws    Certificate of Good Standing    Ownership Affidavit    Other:

Payment Terms

In consideration for the Verifier's services the Business shall pay fees as set forth below.

Unpaid amounts outstanding more than days shall accrue a late fee of percent per month, computed on the unpaid balance. The Business shall also be responsible for costs of collection, including reasonable attorney fees.

Term and Termination

This Agreement commences on the Start Date and continues until completion of the Scope of Work or the End Date, unless earlier terminated as provided herein.

Start Date:    End Date:

Either Party may terminate this Agreement for material breach by the other Party if the breaching Party fails to cure such breach within days after written notice. Termination shall not relieve the Business of its obligation to pay for services rendered and reasonable costs incurred through the effective date of termination.

Confidentiality

Each Party acknowledges that during the performance of this Agreement it may receive Confidential Information of the other Party. "Confidential Information" means non-public business, financial, customer, and procedural information disclosed in any form. The receiving Party shall not disclose Confidential Information to any third party and shall use Confidential Information solely to perform its obligations under this Agreement. Confidentiality obligations shall survive termination for a period of three (3) years.

Representations; Certifications

The Business represents and warrants that the information provided in connection with this Agreement is true, complete and accurate to the best of its knowledge. The Business certifies that the documents provided are authentic and that the signatory executing this Agreement on behalf of the Business is authorized to bind the Business.

I certify under penalty of perjury that the information provided in this Business Verification Document is true and correct.
I certify the foregoing.

Notices

All notices required or permitted under this Agreement shall be in writing and delivered to the addresses set forth below or to such other address as a Party may designate by notice. Notices shall be deemed delivered upon personal delivery, confirmed courier receipt, or three (3) business days after deposit with the U.S. postal service if sent by certified mail.

Governing Law; Dispute Resolution

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to conflict of law principles. The Parties agree that disputes shall first be submitted to good faith negotiations, and if unresolved within thirty (30) days, may be submitted to binding arbitration administered in the same State.

Entire Agreement; Amendments

This Agreement, together with any written attachments or addenda expressly incorporated herein, constitutes the entire agreement between the Parties with respect to the subject matter hereof and supersedes all prior proposals, negotiations, representations, or agreements, whether written or oral. Any amendment or modification to this Agreement must be in writing and signed by authorized representatives of both Parties.

Miscellaneous

If any provision of this Agreement is held to be invalid or unenforceable, the remaining provisions shall continue in full force and effect. Neither Party may assign this Agreement without the prior written consent of the other Party, except that the Verifier may assign to an affiliate or successor in interest.

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