Client Info Request

CLIENT INFO REQUEST & SERVICES AGREEMENT

This Client Info Request & Services Agreement (the Agreement) is entered into by and between Client Name: and Service Provider Name: . The parties agree as set forth in the recitals and operative provisions below.

WHEREAS

WHEREAS, Client requires certain professional services and related deliverables from Service Provider and has requested that Service Provider undertake the Scope of Work set forth herein; and

WHEREAS, Service Provider is willing to provide such services subject to the terms and conditions of this Agreement and upon receipt of the information and documents requested by Service Provider to commence work; and

WHEREAS, the parties intend that this Agreement provide the contractual framework for services, payment, confidentiality, and governing law while enabling Service Provider to obtain the client information necessary to perform the services efficiently and compliantly.

CLIENT INFORMATION REQUEST

Please provide the following information accurately. Client certifies that the information supplied is true, complete, and up-to-date to the best of Client's knowledge.

SCOPE OF WORK

Service Provider will perform the services described below. Client acknowledges that Service Provider's ability to perform timely and effectively is conditioned upon Client providing the requested information and documents in a complete and timely manner.

PAYMENT TERMS

Client agrees to pay Service Provider in accordance with the following fee arrangement.

TERM AND TERMINATION

The term of this Agreement commences on Start Date: and continues until End Date: , unless earlier terminated in accordance with this section.

Either party may terminate this Agreement for convenience upon written notice to the other party delivered at least days prior to the effective termination date. Termination for material breach by either party may be immediate if the breaching party fails to cure within 10 days after written notice describing the breach.

CONFIDENTIALITY

Each party acknowledges that during the performance of the services it may receive confidential or proprietary information of the other party (Confidential Information). Confidential Information does not include information that (a) is or becomes publicly available through no fault of the receiving party; (b) was rightfully in the receiving party's possession prior to disclosure; or (c) is independently developed by the receiving party without use of the disclosing party's Confidential Information. The receiving party will (i) maintain the confidentiality of such information with at least the same degree of care it uses to protect its own confidential information, but in no event less than reasonable care; (ii) use Confidential Information solely for the purposes of performing under this Agreement; and (iii) not disclose Confidential Information to third parties except to the receiving party's employees, agents, or subcontractors who have a legitimate need to know and who are bound by confidentiality obligations no less protective than those contained herein.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State / Jurisdiction of: without regard to principles of conflict of laws. The parties submit to the exclusive jurisdiction of the courts of that jurisdiction for disputes arising under this Agreement, subject to the parties' rights to seek equitable relief where permitted by law.

ENTIRE AGREEMENT; AMENDMENTS

This Agreement, together with any attachments or executed addenda and any statements of work incorporated herein by reference, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written. Any amendment or waiver of any provision of this Agreement must be in writing and signed by authorized representatives of both parties.

CLIENT CERTIFICATION

By signing below, Client certifies that: (a) the information supplied on this form is true, accurate and complete; (b) Client will promptly notify Service Provider in writing of any material changes to the information provided; and (c) Client has authority to provide the information and to enter into this Agreement on behalf of the entity identified as Client.

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