Client Screening Form

CLIENT SCREENING AGREEMENT

This Client Screening Agreement (the Agreement) is entered into as of by and between:

Whereas

WHEREAS, Client seeks to engage Provider to perform client screening and due diligence services described in this Agreement to evaluate Client suitability and risk for certain business activities; and

WHEREAS, Provider is duly qualified and possesses expertise and capacity to perform identity verification, background checks, reference verification, and related screening services in accordance with applicable law and professional standards; and

NOW, THEREFORE, in consideration of the mutual covenants and agreements contained herein, the parties agree as follows:

Scope of Work

Provider will perform the screening services described below. Provider will exercise commercially reasonable efforts to obtain accurate and current information, but does not guarantee the completeness of third‑party records or responses.

Screening Authorization and Consent

Client hereby authorizes Provider to procure information and records from third parties as necessary to perform the services described above. Client acknowledges that certain checks may include review of public records, criminal records, employment and education verification, and other relevant sources where permitted by law.

Payment Terms

In consideration for services to be rendered, Client agrees to pay Provider in accordance with the following terms.

Term and Termination

This Agreement commences on the Start Date set forth below and continues until the End Date or until earlier terminated as provided herein.

Start Date:

End Date:

Either party may terminate this Agreement for convenience by providing the other party written notice in accordance with the notice period above. Provider may suspend services immediately if Client fails to pay undisputed fees when due.

Confidentiality

Each party shall maintain in confidence all non‑public information disclosed by the other party in connection with this Agreement and refrain from using such information except to perform its obligations hereunder. Confidential information does not include information that is or becomes publicly known through no wrongful act of the receiving party, or that was rightfully known by the receiving party prior to disclosure.

Provider may disclose Client screening results to Client and to Provider's agents, subcontractors, and legal counsel on a need‑to‑know basis, provided that such persons are bound by confidentiality obligations at least as protective as those contained herein.

Representations and Warranties; Limitation of Liability

Each party represents that it has the full right, power, and authority to enter into and perform its obligations under this Agreement. Provider warrants that services will be performed in a professional and workmanlike manner consistent with industry standards. Except for gross negligence or willful misconduct, Provider's total aggregate liability for any claim arising out of or relating to this Agreement shall not exceed the total fees paid by Client to Provider under this Agreement during the twelve months preceding the claim.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the state identified below, without regard to conflict of law principles.

Entire Agreement

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

Client Screening Checklist & Notes

Use the following fields to record screening indicators, flags, and any clarifying notes produced during the screening process.

Certification and Consent

By signing below, Client certifies that all information provided to Provider for the purpose of screening is true and accurate to the best of Client's knowledge, and authorizes Provider to obtain the screening services selected above. Client acknowledges receipt of any legally required notices regarding the collection and use of screening information and agrees to hold Provider harmless for actions reasonably taken in reliance on third‑party data.

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