Client Request Packet

Client Request Packet

Client Information

Service Request Details

Project Title:

Project Reference Number:

Preferred Start Date:    Estimated Completion Date:

Recitals

WHEREAS, Client Name: (the "Client") seeks to retain the services of the Service Provider described below; and

WHEREAS, Service Provider Name: (the "Service Provider") is willing to provide such services under the terms set forth in this Client Request Packet and any incorporated agreement; and

WHEREAS, the parties desire to set forth the initial request, scope, payment terms and basic contractual provisions in order to commence work promptly.

Scope of Work

Provide a detailed description of the services, tasks, deliverables and acceptance criteria. Include specific milestones, responsible parties and any client dependencies.

Payment Terms

Total Agreed Amount:

Late Payment Fee: . Late fees will accrue on unpaid amounts following the due date and may be charged pro rata.

Term and Termination

Term Commencement Date:    Anticipated Term End Date:

Either party may terminate this engagement for convenience upon written notice of days to the other party. Termination for material breach is effective immediately if the breaching party fails to cure within days after written notice specifying the breach.

Confidentiality

Each party agrees to maintain in strict confidence all confidential information disclosed by the other party and to use such information solely for the performance of this engagement. "Confidential Information" includes non-public technical, financial, commercial and business information, whether disclosed orally, in writing or by inspection. The receiving party shall protect Confidential 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.

Confidentiality obligations do not apply to information that is (a) in the public domain through no breach of this packet, (b) known to the receiving party prior to disclosure as evidenced by written records, or (c) required to be disclosed by law or valid order of a court or governmental body, provided the receiving party gives prompt written notice to the disclosing party and cooperates to seek a protective order.

Governing Law; Dispute Resolution

This Packet and any dispute arising out of or related to it will be governed by the laws of the State of , without regard to its conflicts of law principles. The parties shall first attempt to resolve disputes in good faith through senior management negotiation for a period of 30 days prior to pursuing any legal remedy.

Entire Agreement; Amendments

This Client Request Packet, together with any referenced attachments and any subsequently executed service agreement, constitutes the entire understanding between the parties with respect to the subject matter and supersedes all prior negotiations, proposals and communications. No modification is effective unless set forth in a written amendment signed by authorized representatives of both parties.

Representations and Authorizations

Each party represents that it has the full power and authority to enter into this Packet and to perform the obligations herein. Client authorizes the Service Provider to commence work upon Client's signature below and acknowledges that work performed in reliance on Client's authorization may be billable in accordance with the Payment Terms.

Scope Annex

Approved Budget or Estimate

Certificate of Insurance (if required)

Client Acknowledgment

By checking the box below, the undersigned Client acknowledges that the information provided in this Client Request Packet is accurate, that the Client has authority to bind the organization named herein, and that the Client accepts the Payment Terms, Term and Termination provisions and Confidentiality obligations set forth above.

I acknowledge and agree to the terms in this Client Request Packet.

Sign Now