Client Info Form

CLIENT INFO FORM & SERVICE AGREEMENT

This Client Information Form and Service Agreement (the "Agreement") is entered into on by and between Client Name: and Service Provider Name: .

RECITALS

WHEREAS, the Client seeks to retain the Service Provider to perform professional services described in the Scope of Work below; and

WHEREAS, the Service Provider represents that it has the experience, personnel, and resources necessary to perform such services in a timely, professional, and workmanlike manner; and

NOW, THEREFORE, in consideration of the mutual covenants and agreements set forth herein, the parties agree as follows.

CLIENT INFORMATION

Individual LLC Corporation Partnership Other

SCOPE OF WORK

The Service Provider shall perform the services described below. The description shall constitute the binding scope of work for the Agreement.

PAYMENT TERMS

Client agrees to pay Service Provider the fees and expenses set forth below in accordance with the schedule and conditions stated. Fees are exclusive of applicable taxes unless otherwise specified.

Late Payment: Amounts not paid within days of the invoice due date shall incur a late fee of per month on the outstanding balance, or the maximum permitted by law, whichever is less.

Billing Contact (if different):

Preferred Payment Method: Bank Transfer Check Credit Card Other

TERM AND TERMINATION

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

Either party may terminate for convenience upon written notice to the other party not less than days prior to the effective termination date. Either party may terminate immediately for material breach that remains uncured for a period of thirty (30) days after written notice of such breach.

CONFIDENTIALITY

Each party (the "Receiving Party") shall protect Confidential Information of the other party (the "Disclosing Party") with the same degree of care it uses to protect its own confidential information, but in no event less than a reasonable standard of care. Confidential Information means non-public business, technical, financial, or other proprietary information disclosed in oral, written or electronic form that reasonably should be understood to be confidential.

The Receiving Party will not use Confidential Information except as necessary to perform under this Agreement and will not disclose Confidential Information to any third party except to its employees, contractors or advisors who have a need to know and are bound by confidentiality obligations at least as protective as those herein. Confidentiality obligations shall survive termination for a period of years, except for trade secrets which shall remain protected for as long as they qualify as trade secrets under applicable law.

GOVERNING LAW; DISPUTE RESOLUTION

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to conflict of laws principles. The parties will attempt in good faith to resolve disputes through negotiation prior to seeking relief in a court of competent jurisdiction.

ENTIRE AGREEMENT

This Agreement, including any exhibits or attachments executed by the parties and the Scope of Work and Payment Terms stated herein, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior and contemporaneous agreements, proposals, negotiations, representations and understandings, whether oral or written. Any amendment must be in writing and signed by both parties.

REPRESENTATIONS; AUTHORIZATION

Each party represents that it has the full power and authority to enter into this Agreement, that the person executing the Agreement on its behalf is duly authorized to do so, and that no third-party consents are required to effectuate the rights and obligations herein.

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