Client Addition Form

CLIENT ADDITION FORM AND SERVICES AGREEMENT

Effective Date:

Parties and Contact Information

Entity Type and Authorizations

Entity Type: Individual Corporation LLC Partnership Other:

Client hereby authorizes Service Provider to add Client to Service Provider's client roster and to begin onboarding activities consistent with the Scope of Work upon the Effective Date. Client represents that the person executing below has full authority to bind Client.

WHEREAS

WHEREAS, Service Provider provides professional services and related deliverables described below; and

WHEREAS, Client desires to engage Service Provider to provide those services and to be added to Service Provider's active client list, subject to the terms and conditions set forth in this Agreement; and

NOW, THEREFORE, in consideration of the mutual covenants and agreements contained herein, the parties agree as follows:

Scope of Work

Payment Terms

Total Fee:   Currency:

Payment Schedule (select applicable): 100% upon execution Milestone payments Other:

Invoices shall be payable within days of invoice date. Late payments shall incur a late fee of % per month on the unpaid balance, and a fixed collection fee of for administrative costs.

Term and Termination

Term Start Date:   Term End Date (if applicable):

Either party may terminate this Agreement for convenience upon written notice to the other party delivered at least days prior to termination. Either party may terminate immediately for material breach by the other party if such breach remains uncured for 10 days after written notice. Termination does not relieve Client of payment obligations for services performed prior to termination.

Automatic Renewal: Agreement automatically renews for successive terms unless either party provides notice as specified above.

Confidentiality

Each party acknowledges that in the course of performance it may receive Confidential Information of the other. "Confidential Information" means non-public business, financial, technical and other information disclosed in written, oral, electronic or other form that is marked or identified as confidential or that a reasonable person would understand to be confidential. Each party agrees: (a) to use Confidential Information solely to perform its obligations under this Agreement; (b) to restrict disclosure of Confidential Information to its employees, agents or contractors with a need to know who are bound by confidentiality obligations at least as protective as those herein; and (c) to exercise at least the same degree of care to protect Confidential Information as it uses to protect its own confidential information, but in no event less than reasonable care. Confidential Information does not include information that is or becomes public through no fault of the receiving party, was rightfully known prior to disclosure, is independently developed, or is required to be disclosed by law (provided the disclosing party is given prompt notice and an opportunity to seek protective measures).

Representations and Warranties; Indemnity

Each party represents that it has the full power and authority to enter into this Agreement and to perform its obligations hereunder. Client shall indemnify, defend and hold harmless Service Provider from and against any third-party claims arising from Client's breach of representation, misuse of deliverables, or failure to provide accurate information to Service Provider. Service Provider's liability for damages shall be limited to direct damages and in no event exceed the total fees paid by Client under this Agreement for the specific services giving rise to the claim.

Governing Law and 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 to attempt to resolve disputes through good-faith negotiation prior to initiating litigation. If litigation is necessary, the parties consent to the exclusive jurisdiction and venue of the state and federal courts located within the chosen state.

Entire Agreement; Amendments

This Agreement, including any attachments or addenda executed by the parties, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written. Any amendment or modification must be in writing and signed by authorized representatives of both parties.

Client Onboarding Checklist

Preferred Communication Method: Email Phone Secure Portal

Certifications and Authorizations

By signing below, Client certifies that the information provided on this Client Addition Form is true, accurate and complete, and authorizes Service Provider to rely on the information for the provision of services. Client acknowledges receipt and acceptance of the terms and conditions set forth in this Agreement.

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