Client Screening Packet

CLIENT SCREENING PACKET

Agreement Recitals

THIS AGREEMENT is entered into as of Effective Date: by and between Client Name: and Service Provider Name: .

WHEREAS, Client seeks to engage Provider to perform certain screening, advisory, or related business services as specified in this packet; and

WHEREAS, Provider represents that it possesses the professional qualifications, capacity, and lawful authority to perform the services described herein and agrees to undertake such services under the terms and conditions set forth in this Agreement.

WHEREAS, the parties intend for this packet to record Client information, screening responses, authorizations, and the business terms under which Provider will deliver services.

Client Information

Business Information & Screening

Entity Type: Sole Proprietor Corporation LLC Partnership Other:

Screening Questionnaire

Has the business or any principal been: Subject to bankruptcy in the past 7 years Defendant in material litigation within the past 5 years

Have any regulatory sanctions, fines, or professional disciplinary actions been imposed upon the business or principals? Yes No

Scope of Work

The Provider shall perform the services described below. The parties agree that the Scope of Work shall be governed by the terms of this Agreement and any attachments incorporated by reference. The Scope of Work may include screening, due diligence reporting, recommendations, and related consulting activities.

Payment Terms

Client agrees to pay Provider the fees and expenses set forth below in consideration for the Scope of Work. Fees are exclusive of applicable taxes unless otherwise stated.

Term and Termination

Term: The term of this Agreement shall commence on Start Date: and shall continue until End Date: unless earlier terminated as provided below.

Termination for Convenience: Either party may terminate this Agreement for convenience upon prior written notice of Notice Period (days): to the other party. Termination for Cause: Either party may terminate for material breach if the breaching party fails to cure within thirty (30) days after written notice.

Confidentiality

Each party acknowledges that during performance it may receive Confidential Information of the other. "Confidential Information" means non-public business or technical information, screening reports, personal data, and trade secrets disclosed in any form. The receiving party shall (a) maintain confidentiality using at least the same degree of care it uses to protect its own confidential information, (b) not use Confidential Information for any purpose other than performance under this Agreement, and (c) not disclose Confidential Information to third parties except as required by law or to its employees and contractors with a need to know who are bound by confidentiality obligations.

Exceptions: Confidential Information does not include information that is or becomes publicly available other than by the receiving party's breach, or that is rightfully received from a third party without restriction.

Acknowledgement: Client acknowledges and agrees to the confidentiality terms set forth above.

Background Check Authorization & Data Privacy

Client authorizes Provider to obtain background, credit, regulatory, and other screening information as required to perform the Scope of Work. Client warrants that it has obtained any necessary consents from individuals whose information will be provided to Provider.

Authorization: Client authorizes Provider to conduct necessary background and due diligence checks consistent with applicable law and to retain records as required for business purposes.

References

Representations, Warranties & Certifications

Client represents and warrants that the information provided in this packet is true, complete and accurate to the best of its knowledge. Client agrees to promptly notify Provider of any material changes to the information provided. Provider makes no warranties beyond those expressly set forth in this Agreement.

Certification: By checking this box and signing below, Client certifies the truthfulness of the information provided and consents to the terms of this packet and the attached Agreement clauses.

Governing Law; Entire Agreement

Governing Law: This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to choice of law principles.

Entire Agreement: This packet, together with any executed addenda or mutually signed statements of work, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior or contemporaneous agreements, proposals, and communications, whether written or oral. No amendment is effective unless in writing and signed by both parties.

Indemnification & Limitation of Liability

Indemnification: Each party shall indemnify and hold harmless the other from and against third-party claims arising from the indemnifying party's gross negligence or willful misconduct in connection with this Agreement.

Limitation of Liability: Except for liability arising from willful misconduct or breaches of confidentiality, neither party shall be liable to the other for consequential, incidental, special, or punitive damages. Provider's aggregate liability for any claim relating to this Agreement shall not exceed the total fees paid by Client to Provider under this Agreement in the twelve (12) months preceding the claim.

Acknowledgement

By signing below, the parties acknowledge that they have read, understand, and agree to the terms set forth in this Client Screening Packet and accompanying Agreement clauses. The signatory for each party represents that they are authorized to bind the party to this Agreement.

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