Client Comment Form

CLIENT COMMENT FORM

Client and Project Information

Project/Service Reference:    Date of Comment:

Recitals

WHEREAS, Client has engaged Company to perform services described in the governing statement of work and wishes to submit comments, observations and requests for clarification or change;

WHEREAS, Company agrees to consider Client comments and to document any agreed changes in the Scope of Work subject to the terms and conditions set forth in this Form and any appended or referenced agreement;

WHEREAS, the parties intend that this Client Comment Form shall govern the handling of the submitted comment and any resulting modifications to services where expressly accepted in writing by both parties.

Client Comment Details

Client Satisfaction: Satisfied Neutral Dissatisfied

Scope of Work

If the parties agree that the comment results in a modification to the Scope of Work, describe the proposed modification below. Any modification will be effective only upon written acceptance by authorized representatives of both parties.

Payment Terms

Unless otherwise agreed in a separate written amendment, any additional fees arising from accepted changes will be invoiced as follows:

Term and Termination

This Comment Form and any accepted modification to services will commence on the Start Date and continue until the End Date or until terminated in accordance with this section.

Either party may terminate any modification accepted under this Form for cause on written notice specifying the breach. Termination for convenience requires the notice period set forth above and payment for all services performed through the termination effective date.

Confidentiality

Each party shall treat as confidential all non-public information disclosed in connection with the comment, the underlying services, and any accepted modifications. Confidential information excludes information that is (a) publicly known through no fault of the receiving party; (b) rightfully received without obligation of confidentiality; (c) independently developed without use of confidential information; or (d) required to be disclosed by law, provided the disclosing party is given prompt notice to seek protective relief.

Consent to Use of Comment

Client grants Company a non-exclusive, royalty-free right to use Client comments, testimonials or summaries thereof for internal quality control and marketing purposes, unless Client checks the box below declining such use. Company will not disclose Client confidential information in any public use.

Governing Law; Entire Agreement

Governing Law: This Client Comment Form and any accepted modifications shall be governed by and construed in accordance with the laws of the State of , without regard to conflict of laws principles.

Entire Agreement: This Form, together with any mutually executed written modification, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements and understandings, whether written or oral, relating to that subject matter.

Authorization: Each person signing below represents and warrants that they are duly authorized to execute this Form on behalf of the party for which they sign.

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