Fill and Sign the Contract Audit Form

Contract with Accountant to Audit Corporation's Group Medical, Disability, and Life Insurance Program Agreement made on the _______________________ (date) , between _________________________________________ (Name of Employer) of _________ ______________________________________________________________________ (street address, city, county, state, zip code) , a corporation organized and existing under the laws of the state of ________________, with its principal office located at ______________________________________________________________________ (street address, city, county, state, zip code) , referred to herein as Employer , and _________________________________ (Name of Accounting Firm) , a profession limited liability company organized and existing under the laws of the state of _________________, with its principal office located at __________________________ ______________________________________________________________________ (street address, city, county, state, zip code) , referred to herein as Accountant . Whereas, Employer is engaged in the __________________________________ (type of business) business and maintains business offices at the above address; and Whereas, the books and records of Employer are kept at the address referred to above; and Whereas, Accountant is in the profession of certified public accounting, in good standing with all applicable accountant licensing organizations; and Whereas, Employer desires to employ Accountant on the terms and conditions set forth in this Agreement. Now, therefore, for and in consideration of the mutual covenants contained in this agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows: 1. Duties of Accountant A. Auditing Group Insurance Program. Employer , by this Agreement, employs, engages and retains Accountant as a Certified Public Accountant to make an audit, valuation and abstract of all group medical, disability and life insurance policy contracts Employer has entered into pursuant to agreements with Employer 's employees and with the companies or individuals issuing such policies. B. Advice as to Reducing Costs. Accountant agrees that Accountant will, to the best of Accountant 's ability, in good faith and in conformity with standard accounting practices, counsel and advise Employer from the date of this Agreement as to means of reducing the cost of all aforementioned group insurance contracts without diminishing the amount or quality of compensation or services to be rendered to eligible employees under the terms of such contracts. C. Time to be Devoted to Business. Accountant will devote all of Accountant 's knowledge and skill solely and exclusively to the business and interest of Employer as stated in this Agreement. Accountant will devote at least ______ (number) hours per week of Accountant 's time to Employer 's business and interest. D. Conflicts of Interest Prohibited . Accountant agrees that during the term of this employment contract, Accountant will not directly or indirectly be interested in any form or manner as an officer, director, stockholder or employee in any insurance company, or with any insurance broker, who may be a party to the group medical, disability and life insurance contracts that are the subject matter of this contract. E. Confidentiality of Information. Accountant will not at any time, either directly or indirectly, reveal to any person, firm, corporation or other entity, in any manner whatsoever, any information concerning matters relating to the business, records or other business matters of Employer that Accountant may acquire in the performance of Accountant 's duties under this Agreement. 2. Duration of Contract The duration of this contract will be for a period of _______________________ (number of weeks or months) commencing on ______________________ (date) , and terminating at the conclusion of Accountant 's audit or on _____________________ ( date) , whichever is sooner. 3. Compensation and Expenses A. Compensation. Employer will pay Accountant , and Accountant agrees to accept from Employer , in full compensation for Accountant 's services under the terms of this contract, compensation in the amount of $_____________. An initial payment of _______% of such compensation will be paid to Accountant on Accountant 's completion and verification of Employer 's abstract, and the balance of said amount will be paid to Accountant on full performance by Accountant of all Accountant 's duties under the Agreement. B. Reimbursement for Expenses Employer agrees to reimburse Accountant for Accountant 's reasonable and necessary expenses incurred in the performance of Accountant 's duties under this contract within ______ (number) days after receipt by Employer of an itemized statement of such expenses. 4. Retainer Accountant acknowledges the receipt of $___________ as a retainer for, and credit against, the amount of compensation agreed to in this Agreement. 5. No Waiver The failure of either party to this Agreement to insist upon the performance of any of the terms and conditions of this Agreement, or the waiver of any breach of any of the terms and conditions of this Agreement, shall not be construed as subsequently waiving any such terms and conditions, but the same shall continue and remain in full force and effect as if no such forbearance or waiver had occurred. 6. Governing Law This Agreement shall be governed by, construed, and enforced in accordance with the laws of the State of _______________. 7. Mandatory Arbitration Any dispute under this Agreement shall be required to be resolved by binding arbitration of the parties hereto. If the parties cannot agree on an arbitrator, each party shall select one arbitrator and both arbitrators shall then select a third. The third arbitrator so selected shall arbitrate said dispute. The arbitration shall be governed by the rules of the American Arbitration Association then in force and effect. 8. Entire Agreement This Agreement shall constitute the entire agreement between the parties and any prior understanding or representation of any kind preceding the date of this Agreement shall not be binding upon either party except to the extent incorporated in this Agreement. 9. Modification of Agreement Any modification of this Agreement or additional obligation assumed by either party in connection with this Agreement shall be binding only if placed in writing and signed by each party or an authorized representative of each party. 10. Assignment of Rights The rights of each party under this Agreement are personal to that party and may not be assigned or transferred to any other person, firm, corporation, or other entity without the prior, express, and written consent of the other party. WITNESS our signatures as of the day and date first above stated. _________________________ _____________________________ (Name of Accountant) (Name of Employer) By: _________________________ By: ________________________________ ____________________________ ___________________________________ (P rinted name & Office in PLLC) (P rinted name & Office in Corporation) ____________________________ _____________________________ (Signature of Officer) (Signature of Officer)