Campaign Disclosure Form

CAMPAIGN DISCLOSURE AGREEMENT AND REPORTING FORM

Campaign Name:

WHEREAS

WHEREAS, Campaign Name: is required by applicable campaign finance law to prepare, disclose and file periodic financial reports and public disclosures of contributions and expenditures; and

WHEREAS, Provider Name: represents that it has the experience and capacity to prepare, review and deliver such disclosure materials and to assist with timely filing and compliance; and

WHEREAS, the Parties desire to set forth the terms and conditions under which Provider will prepare, review and assist with the filing of Campaign disclosure and reporting materials.

SCOPE OF WORK

Provider will perform the following services (the "Services"). Provider shall prepare, compile and deliver disclosure reports, statements and supporting schedules as required by applicable campaign finance law and as reasonably requested by Campaign. Services include data collection, ledger reconciliation, preparation of contribution and expenditure schedules, and consultation regarding reporting positions.

PAYMENT TERMS

Campaign shall pay Provider for Services as follows. All amounts are due in United States dollars and exclusive of taxes unless otherwise specified.

TERM AND TERMINATION

This Agreement commences on Start Date: and continues until End Date: unless earlier terminated in accordance with this section.

Either Party may terminate this Agreement for convenience upon written notice delivered at least days prior to the effective termination date. Either Party may terminate for cause if the other Party materially breaches any obligation and fails to cure within thirty (30) days after receipt of written notice specifying the breach.

CONFIDENTIALITY

Provider will treat as confidential all non-public information provided by Campaign or prepared by Provider in the performance of Services, including contributor information, donor lists, financial ledgers and strategy-related materials (collectively, "Confidential Information"). Provider shall not disclose or use Confidential Information except to perform Services or as required by law. Provider will implement reasonable safeguards to protect Confidential Information from unauthorized use or disclosure.

Notwithstanding the foregoing, Provider may disclose Confidential Information to its employees or subcontractors on a need-to-know basis provided that such persons are bound by confidentiality obligations no less protective than those contained herein.

I acknowledge and agree to the confidentiality obligations set forth above.

REPORTING OBLIGATIONS

Provider shall prepare and deliver disclosure reports in accordance with the schedule below and shall, where applicable, assemble supporting documentation sufficient for Campaign to make filings required by law. Provider’s preparation of reports is based upon information supplied by Campaign; Campaign remains responsible for the accuracy and completeness of source records and for final filings.

Monthly Quarterly Pre-election / Special Filings Other

COMPLIANCE AND REPRESENTATIONS

Each Party represents and warrants that it will comply with all applicable campaign finance, election, and disclosure laws and regulations in performing its obligations under this Agreement. Provider represents that it will use commercially reasonable efforts to prepare reports in conformity with such laws and will promptly notify Campaign of any identified noncompliance or material error.

Campaign acknowledges that Provider’s role is advisory and preparatory; final approval and responsibility for any filing remain with Campaign or its designated filing authority.

Campaign certifies that the information supplied to Provider will be true, accurate and complete to the best of the Campaign’s knowledge.

GOVERNING LAW

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

ENTIRE AGREEMENT

This Agreement, including any written attachments and exhibits executed by the Parties, constitutes the entire agreement between the Parties with respect to the Services and supersedes all prior oral or written agreements, representations and understandings. Any amendment or modification must be in writing and signed by both Parties.

LIMITATION OF LIABILITY

Except for willful misconduct or gross negligence, Provider’s liability for any claim arising under this Agreement shall be limited to direct damages not to exceed the total fees paid to Provider under this Agreement during the twelve (12) month period preceding the event giving rise to the claim. Neither Party shall be liable for consequential, incidental or punitive damages.

MISCELLANEOUS PROVISIONS

If any provision of this Agreement is held invalid or unenforceable, the remaining provisions shall remain in full force and effect. Neither Party may assign this Agreement without the prior written consent of the other Party, except that Provider may assign to an affiliate or successor in connection with a merger or sale of substantially all of its assets.

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