Customer Feedback Response Form

Customer Feedback Response Agreement

This Customer Feedback Response Agreement ("Agreement") is entered into between the parties identified below on the Effective Date set forth herein.

Company Name:     Customer Name:

RECITALS (WHEREAS)

WHEREAS, Customer submitted feedback, complaint, or suggestion concerning Company products or services on or about (the "Feedback"); and

WHEREAS, Company and Customer desire to document the agreed process for Company’s investigation of the Feedback, the remedial actions (if any), and the terms under which certain compensation or corrective action may be provided.

WHEREAS, the parties intend that this Agreement governs the handling of the Feedback and any related follow-up communications and that it constitutes the complete agreement between the parties regarding such matters.

FEEDBACK RECORD

SCOPE OF WORK

Company shall investigate the Feedback, prepare a written response summarizing findings, and undertake any corrective actions described below consistent with the terms of this Agreement.

Yes    No

PAYMENT TERMS

In consideration for the services rendered under this Agreement, the parties agree to the following payment terms. Any monetary remediation or compensation provided by Company to Customer is subject to the terms set forth below.

Payments shall be made in lawful currency. If any payment is not received within the agreed period, Company may suspend further remedial action or pursue its rights under this Agreement, including recovery of costs and interest as specified above.

TERM AND TERMINATION

Effective Date:     Term End Date:

Either party may terminate this Agreement in accordance with the notice requirement above for material breach that is not cured within a reasonable cure period or immediately for causes that include fraud or willful misconduct. Termination will not relieve either party of obligations accrued prior to the effective date of termination.

CONFIDENTIALITY

The parties acknowledge that certain information disclosed in connection with the Feedback and the investigation may constitute Confidential Information. Each party shall: (a) keep such Confidential Information strictly confidential; (b) use Confidential Information only for purposes of performing obligations under this Agreement; and (c) restrict disclosure to employees or contractors with a need to know who are bound by confidentiality obligations no less protective than those herein. Confidential Information shall not include information that is publicly known through no fault of the receiving party or that is independently developed. The obligations set forth in this section shall survive termination of this Agreement for a period of three (3) years.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the state of without regard to its conflict of laws principles. The parties submit to the exclusive jurisdiction of the courts located in that state for resolution of disputes arising under this Agreement.

ENTIRE AGREEMENT

This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof, supersedes all prior negotiations and understandings, and may be amended only by a written instrument executed by both parties.

ADDITIONAL PROVISIONS

Remedies: The parties acknowledge that monetary damages may be inadequate to remedy a breach of confidentiality or misuse of Feedback; accordingly, each party shall be entitled to seek injunctive relief in addition to any other remedies available at law or equity.

Assignment: Neither party may assign its rights or delegate its duties under this Agreement without the prior written consent of the other party, except that Company may assign to an affiliate or in connection with a merger or sale of substantially all assets.

CUSTOMER SATISFACTION & ACKNOWLEDGMENT

Customer indicates the following with respect to the resolution:

Resolution Accepted: Yes    No

1    2    3    4    5

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