Contract Expiration Form

CONTRACT EXPIRATION FORM

This Contract Expiration Form is executed by the parties identified below to document the expiration and final obligations of the contract identified herein.

Parties and Contract Identification

Contracting Party Name:

Counterparty Name:

Original Effective Date:

Recitals

WHEREAS, the parties entered into the contract identified above which sets forth services, deliverables, and payment obligations between the parties; and

WHEREAS, the parties now wish to document the expiration of that contract, confirm outstanding obligations, and provide the terms for final accounting and disposition of confidential materials; and

WHEREAS, the parties desire to confirm that the contract has expired and that no automatic renewal or extension will occur except as set forth in this form.

Scope of Work — Final Status

Payment Terms — Final Accounting

Final Payment Amount:

Late Payment Fee:

Term and Termination

Contract Start Date:

Contract Expiration Date:

Notice Period Required Prior to Termination (if applicable):

Renewal Election: Yes No

Confidentiality and Return of Materials

All confidential information and materials exchanged during the term of the contract shall remain subject to the confidentiality obligations set forth in the original contract. Upon expiration, the Receiving Party shall promptly return or destroy confidential materials in its possession as directed in writing by the Disclosing Party.

Confirm disposition of confidential materials: Returned Destroyed Retained under written agreement

Representations and Final Certifications

Each party represents and warrants that to the best of its knowledge: (a) all deliverables due under the contract have been provided except as expressly noted in this form; (b) all invoices and payment obligations through the effective expiration date have been submitted or disclosed; and (c) no pending claims or liens exist related to the contract except as identified below.

Governing Law; Entire Agreement

This Form shall be governed by and construed in accordance with the laws of the state or jurisdiction specified by the parties. In the absence of an agreed jurisdiction, the laws of the jurisdiction of the Contracting Party's primary place of business shall govern.

This Form, together with the original contract and any written amendments expressly referenced herein, constitutes the entire agreement between the parties with respect to the subject matter of the expiration and supersedes all prior oral or written negotiations, representations, or agreements relating to the expiration. No amendment to this Form is effective unless in writing and signed by both parties.

Execution

By signing below, each party confirms that it is authorized to execute this Contract Expiration Form and that the representations and statements contained herein are true and accurate as of the date of signature.

Sign Now