Donor Consent Form

DONOR CONSENT FORM

Parties and Contact Information

WHEREAS (Recitals)

WHEREAS, Donor Name: (the "Donor") wishes to donate certain property, materials or items described herein to Recipient Organization: (the "Recipient");

WHEREAS, the Recipient will accept, use, store, or dispose of the donation subject to the terms and conditions of this Donor Consent Form and any applicable laws and internal policies;

WHEREAS, the parties desire to set forth the scope of the donation, the Donor's consent, representations, payment or reimbursement arrangements (if any), confidentiality obligations and the parties' respective rights and remedies.

Scope of Donation

Describe the donation, intended use, limitations on use, and any conditions imposed by the Donor. Include serial numbers, quantities, or identifying details as appropriate.

Donation Details and Acknowledgements

The Donor hereby acknowledges that the donation is voluntary. The Donor represents that Donor is the lawful owner of the donated items and has full authority to make this donation, that the donated items are free of liens and encumbrances, and that all information provided to the Recipient concerning the donation is true and complete to the Donor's knowledge.

Consent and Release

The Donor expressly consents to the Recipient's receipt, use, transfer, storage and, where applicable, destruction or disposition of the donated items in accordance with this Agreement. The Donor releases and agrees to hold harmless the Recipient, its officers, employees, agents and affiliates from any claims, liabilities or damages arising out of the Donor's donation, except to the extent caused by the Recipient's gross negligence or willful misconduct.

Individual Organization

Payment Terms (Reimbursement / Fees)

If Recipient will provide any payment, reimbursement, or fee to the Donor in connection with the donation, the terms are set forth below. If no payment is due, enter "No payment."

Term and Termination

This Agreement commences on and will continue until unless earlier terminated pursuant to this section.

Either party may terminate this Agreement without cause upon written notice to the other party delivered at least days in advance. Either party may terminate immediately for material breach by the other party that remains uncured for a period of 15 days following written notice of breach or immediately for gross negligence or willful misconduct.

Confidentiality

"Confidential Information" means non-public information disclosed by one party to the other, whether oral or written, that is designated as confidential or that reasonably should be understood to be confidential given the nature of the information and the circumstances of disclosure. Confidential Information does not include information that is (a) or becomes publicly known through no breach of this Agreement; (b) is rightfully received from a third party without restriction; (c) is independently developed by the receiving party without use of the disclosing party's Confidential Information; or (d) is required to be disclosed by law or valid order of a court or governmental authority.

The receiving party shall (i) use Confidential Information solely for the purposes of performing its obligations under this Agreement, (ii) restrict disclosure to those of its employees, contractors or agents having a need to know and who are bound by confidentiality obligations at least as protective as those stated here, and (iii) implement reasonable safeguards to protect Confidential Information. These confidentiality obligations shall survive termination of this Agreement for a period of three (3) years.

Representations, Warranties and Indemnification

The Donor represents and warrants that the Donor has full right, title and authority to donate the items described in this Agreement, and that such items are free and clear of liens and third-party claims unless disclosed in writing. The Recipient represents that it will use and store donated items in accordance with applicable laws and industry standards. Each party agrees to indemnify, defend and hold harmless the other party from and against any third-party claims arising from the indemnifying party's breach of its representations, warranties or obligations under this Agreement, except to the extent caused by the indemnified party's gross negligence or willful misconduct.

Governing Law and Dispute Resolution

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 agree to attempt in good faith to resolve disputes through negotiation; if unresolved, disputes shall be resolved by the courts located in the county in which the Recipient maintains its principal place of business.

Entire Agreement

This Agreement, together with any written attachments or schedules executed by the parties, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written. No amendment to this Agreement will be effective unless in writing and signed by authorized representatives of both parties.

Miscellaneous Provisions

If any provision of this Agreement is found to be invalid, illegal or unenforceable, the remaining provisions shall remain in full force and effect. Neither party may assign its rights or delegate its obligations under this Agreement without the prior written consent of the other party, except that the Recipient may assign this Agreement to an affiliate or successor to its business.

Additional Notes / Special Instructions

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