Delivery Confirmation Document

Delivery Confirmation Document

Client Name:   Supplier Name:

Effective Date:

WHEREAS

WHEREAS, Supplier is engaged in the provision, shipment and delivery of goods and/or materials as described herein and under applicable purchase orders or contracts, and represents that the goods meet the specifications set forth in the accompanying documentation; and

WHEREAS, Client requires confirmation of delivery, inspection and acceptance procedures in order to effect payment and to document condition on receipt; and

WHEREAS, the parties desire to document delivery particulars, payment terms related to the delivered goods, and mutual obligations with respect to inspection, claims and confidentiality.

SCOPE OF WORK / DESCRIPTION OF GOODS

DELIVERY DETAILS

Delivery Date:   Time:

Carrier Name:   Tracking/Reference No.:

Purchase Order No.:   Quantity Delivered:

 Intact / No visible damage     Damaged     Missing items

ACCEPTANCE

By signing below and by the signatures in the signature block, Client certifies that, to the best of Client's knowledge after reasonable inspection, the delivered goods correspond to the description above except as expressly noted. Client acknowledges any noted exceptions and reserves all rights to submit claims in accordance with the claims procedure set forth below.

Printed Name:   Title:   Phone:

PAYMENT TERMS

TERM AND TERMINATION

Term Start Date:

Term End Date:

Either party may terminate this delivery confirmation and any outstanding obligations for material breach where the breaching party fails to cure within the notice period above. Termination will not relieve either party of obligations accrued prior to termination, including payment for goods properly delivered and accepted.

CONFIDENTIALITY

Each party shall treat as confidential any non-public business information disclosed in connection with this delivery and shall not disclose such information to third parties without prior written consent, except as required by law. Confidential information does not include information that is or becomes publicly known other than by breach of this provision.

 By checking this box, the signer acknowledges and agrees to the confidentiality obligations set forth above.

GOVERNING LAW

This Delivery Confirmation Document shall be governed by and construed in accordance with the laws of the jurisdiction agreed by the parties. The parties submit to the exclusive jurisdiction of the courts of that jurisdiction for disputes arising out of or related to this document.

ENTIRE AGREEMENT

This document, together with any referenced purchase orders and attachments, constitutes the entire agreement between the parties regarding the specific delivery described herein and supersedes all prior negotiations and representations. No amendment is effective unless executed in writing by authorized representatives of both parties.

CLAIMS PROCEDURE

Any claim for shortage, damage or nonconformity must be made in writing within seven (7) business days of receipt, describing the nature of the claim and including supporting documentation. Failure to provide timely notice shall be deemed acceptance of the delivered goods except for latent defects.

Acceptance status:  Accepted as described     Accepted with reservations (see discrepancies above)

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