Client Contact Questionnaire Form

CLIENT CONTACT QUESTIONNAIRE FORM AND ENGAGEMENT ADDENDUM

This Client Contact Questionnaire Form and Engagement Addendum (the Agreement) documents contact details, project preferences, and supplemental terms governing the relationship between the parties identified below. The parties intend that the factual information provided in the questionnaire will be incorporated into and govern the performance of services described in the Scope of Work section.

WHEREAS

WHEREAS, Client seeks to retain Service Provider to perform professional services consistent with the Scope of Work; and

WHEREAS, the parties desire to record Client's primary contact information, communication preferences, project details, billing contacts, and related instructions in order to facilitate timely performance and invoicing; and

NOW, THEREFORE, in consideration of the mutual covenants below and other good and valuable consideration, the receipt and sufficiency of which are acknowledged, the parties agree as follows:

CLIENT IDENTIFICATION

PRIMARY CONTACT(S)

PROJECT DETAILS & SCOPE OF WORK

PAYMENT TERMS

Client agrees to compensate Service Provider in accordance with the fee and schedule set forth below. Fees are due in U.S. dollars unless otherwise agreed in writing. Unless otherwise specified, invoiced amounts unpaid after the due date will accrue interest at the rate specified below.

Late Fee: . Client shall also reimburse Service Provider for reasonable collection costs, including attorneys' fees, incurred to collect past-due amounts.

TERM AND TERMINATION

Term Commencement Date: . Term Expiration Date (if applicable): .

Either party may terminate this Agreement for convenience upon written notice to the other party not less than days prior to the effective termination date. Termination for cause for material breach will be effective immediately upon written notice if the breach remains uncured for a period of 10 days following receipt of written notice, unless a different cure period is expressly provided.

CONFIDENTIALITY

"Confidential Information" means nonpublic information disclosed by either party that is marked confidential or would reasonably be understood to be confidential. The receiving party shall (a) use Confidential Information only for the performance of this Agreement, (b) restrict disclosure to its employees, contractors, or agents who have a need to know and who are bound by confidentiality obligations at least as protective as those herein, and (c) protect Confidential Information with the same degree of care it uses to protect its own confidential information, but in no event less than reasonable care. Confidential Information shall not include information that is or becomes publicly available through no breach of this Agreement, is rightfully received from a third party without restriction, or is independently developed without use of the disclosing party's Confidential Information.

Upon termination or request, the receiving party shall promptly return or destroy all Confidential Information and certify in writing the disposition of such materials.

COMMUNICATION PREFERENCES & ACCESS

Preferred methods for routine communications (check all that apply): Phone Email Video Conference In-Person

BILLING CONTACT

MARKETING & DATA PROCESSING CONSENT

Client grants Service Provider permission to contact Client for marketing and informational purposes: Email Phone

Client acknowledges that Service Provider may process Client contact details and project information for the purpose of performance and administration of services. By signing below, Client authorizes such processing in conformance with applicable law and the confidentiality provisions of this Agreement.

ADDITIONAL INSTRUCTIONS / ATTACHMENTS

GOVERNING LAW; ENTIRE AGREEMENT

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. Venue for any dispute arising under this Agreement shall be in the state and federal courts located in that jurisdiction, and each party consents to personal jurisdiction therein.

This document, together with any attached exhibits, schedules, or incorporated statements of work and billing terms, constitutes the entire agreement between the parties concerning the subject matter hereof and supersedes all prior or contemporaneous oral or written agreements. Any amendment must be in writing and signed by authorized representatives of both parties.

ACKNOWLEDGMENT

By signing below, the undersigned represent and warrant that they are authorized to execute this Questionnaire and Engagement Addendum on behalf of the respective party and that the information supplied herein is true and complete to the best of their knowledge. The parties agree that the factual responses in this Questionnaire are material to Service Provider's performance and Client's obligations under any subsequent statement of work.

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