Client Duplicate Sign Up Form

Client Duplicate Sign Up Form

Recitals

WHEREAS, Client Name: is requesting a duplicate account and associated records from Service Provider: ;

WHEREAS, the parties wish to establish the terms under which the duplicate sign up, account provisioning, and delivery of duplicate records will be performed effective as of: .

WHEREAS, the parties acknowledge that this document constitutes a binding agreement governing the duplicate sign up services and related compensation, confidentiality, and termination rights.

Client Information

Scope of Work

The Service Provider shall perform the following services to complete the duplicate sign up and furnish duplicate materials to the Client. Services will include account duplication, transfer of client-specific records, verification of access credentials, and limited reconciliation of account data as detailed below. Any additional services not expressly listed are outside the scope and require a separate written agreement.

Payment Terms

Client agrees to pay for duplicate sign up services as set forth below. All amounts are stated in U.S. dollars unless otherwise agreed in writing.

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 for convenience by providing written notice at least days prior to the intended termination date. Termination for material breach is effective immediately upon written notice if the breach remains uncured for days after receipt of notice.

Confidentiality

Each party agrees that all non-public information obtained from the other party in connection with this Agreement that is identified as confidential or that reasonably should be understood to be confidential given the nature of the information and the circumstances of disclosure (Confidential Information) shall be held in confidence and used only to perform under this Agreement. Confidential Information does not include information that is or becomes publicly available without breach, is known to the receiving party prior to disclosure, or is lawfully obtained from a third party without restriction.

The receiving party shall protect Confidential Information with at least the same degree of care it uses to protect its own confidential information, but not less than a reasonable standard of care. Upon termination or written request, the receiving party will promptly return or destroy Confidential Information and certify such return or destruction in writing.

By checking this box, the Client acknowledges and agrees to the confidentiality obligations set forth above.

Governing Law

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 submit to the exclusive jurisdiction of the state and federal courts located in that jurisdiction for resolution of disputes.

Entire Agreement; Amendments

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

Representations and Certifications

The undersigned certify that they are authorized to execute this Agreement on behalf of the respective parties, that the information provided herein is true and accurate to the best of their knowledge, and that any willful misrepresentation may constitute grounds for denial of the duplicate request and possible liability for resulting costs.

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