Delivery Service Home Delivery Form

DELIVERY SERVICE HOME DELIVERY AGREEMENT

Parties

Service Provider Name:

Service Provider Address:

Client / Recipient Name:

Client / Recipient Address:

Recitals

WHEREAS, Service Provider is engaged in the business of providing local home delivery and related transport services; and

WHEREAS, Client desires Service Provider to perform home delivery services for certain goods described herein and Service Provider agrees to perform such services subject to the terms and conditions of this Agreement; and

WHEREAS, the Parties intend that this Agreement define the scope, payment, liability allocation and other material obligations between them with respect to the deliveries described below.

Scope of Work

Service Provider shall pick up, transport and deliver the items described by Client in accordance with the delivery instructions and schedule set out in this Agreement. Service Provider shall use reasonable care in handling items and shall comply with all applicable laws and regulations in performing services.

Schedule & Pickup

Pickup Address:

Scheduled Pickup Date:    Scheduled Pickup Time:

Payment Terms

Total Fee:    Payment Schedule:

Late Payment Fee: . Unpaid balances shall accrue interest at the rate specified above and Client shall reimburse Service Provider for collection costs and reasonable attorneys' fees incurred to collect overdue amounts.

Collect on Delivery (COD):    Declared Value for Insurance Purposes:

Term and Termination

Term Commencement Date:    Term End Date:

Either Party may terminate this Agreement for convenience upon written notice to the other Party not less than days prior to the effective termination date. Service Provider may suspend performance for nonpayment and shall be entitled to payment for all services performed through the date of suspension or termination.

Liability; Insurance

Service Provider's liability for loss or damage to delivered goods shall be limited to the lesser of the declared value identified above or actual proven direct loss. Service Provider shall maintain commercial general liability and automobile liability insurance in amounts customary for the delivery industry. Client acknowledges that fragile or high-value items should be declared and insured separately where required.

Confidentiality

Each Party shall treat the other's non-public business information disclosed in connection with this Agreement as confidential and shall not disclose such information to third parties except to the extent necessary to perform obligations under this Agreement or as required by law. This confidentiality obligation shall survive termination of this Agreement for a period of years.

Authorization to Leave; Special Consents

Client authorizes Service Provider to leave items at the designated delivery location without the presence of the Client or a signature if Client selects the option below. Client accepts responsibility for the risk of loss or theft after delivery in such circumstances.

Leave Without Signature:

Governing Law; Dispute Resolution

This Agreement shall be governed by and construed in accordance with the laws of the jurisdiction selected by the Parties: . Any dispute arising under this Agreement shall be resolved by the courts located within that jurisdiction, unless the Parties agree in writing to mediation or arbitration.

Entire Agreement

This Agreement, including all attachments and any written delivery orders issued under it, constitutes the entire agreement between the Parties relating to its subject matter and supersedes all prior proposals, negotiations and communications, whether written or oral. No amendment shall be effective unless in writing and signed by authorized representatives of both Parties.

Notices and Contact Information

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