Document Review Changes Form

DOCUMENT REVIEW CHANGES FORM

WHEREAS

WHEREAS, Client Name: and Reviewer/Provider Name: have engaged in a review of the document titled "" identified as Reference No.: .

WHEREAS, the parties wish to record proposed changes, associated costs, schedule impacts and approvals so that such changes, if approved, become part of the controlling agreement and are implemented in accordance with the terms set forth herein.

REVIEW DETAILS

SCOPE OF WORK / SCOPE OF CHANGES

Describe the scope of the document review, the categories of change requested, and any tasks required to implement approved changes.

CHANGE ITEMS (List each distinct change)

Change Item 1

Minor (non-substantive) Substantive Affects scope/schedule/cost

Change Item 2

Minor (non-substantive) Substantive Affects scope/schedule/cost

PAYMENT TERMS FOR APPROVED CHANGES

If changes listed above are approved, the following payment terms apply unless otherwise agreed in writing.

TERM AND TERMINATION

This Document Review Changes Form becomes effective on Start Date: and will remain in effect until End Date: unless earlier terminated in accordance with this section.

Either party may terminate this document review process by providing written notice not less than prior to the intended termination date. Termination does not relieve either party of obligations accrued prior to termination, including payment for approved changes performed prior to termination.

CONFIDENTIALITY

All non-public information exchanged in connection with this review and any resulting changes, including marked drafts, cost estimates and internal comments, is Confidential Information. Each party shall: (a) use the Confidential Information solely for the purpose of evaluating and implementing the changes; (b) protect it with the same standard of care as its own confidential information but no less than reasonable care; and (c) not disclose Confidential Information to third parties except to its employees, contractors or advisors who have a need to know and who are bound by confidentiality obligations at least as protective as those hereunder.

Confidential Information does not include information that is or becomes generally available to the public other than by a breach of this form, was known to the receiving party prior to disclosure, or is required to be disclosed by law or valid legal process.

GOVERNING LAW

This Document Review Changes Form is governed by and shall be construed in accordance with the laws of the State of , without regard to conflict of laws principles.

ENTIRE AGREEMENT

This form, together with any documents expressly incorporated by reference and any approved change notices executed in accordance with the terms herein, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior and contemporaneous communications, representations and agreements, whether oral or written, relating to the subject matter hereof. No amendment shall be effective unless executed by authorized representatives of both parties.

APPROVAL / AUTHORIZATION

By checking the applicable boxes below, the signatory represents and warrants that they are authorized to bind the respective party and that the changes described herein are approved in accordance with the applicable agreement and internal approval processes.

Client approves the listed changes and associated terms. Provider/Reviewer approves feasibility and estimated costs and accepts responsibility to implement approved changes.

ATTACHMENTS AND REVISION TRACKING

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