Employee Performance Certification

EMPLOYEE PERFORMANCE CERTIFICATION

This Employee Performance Certification (the "Certification") is entered into by and between Employer Name: and Employee Name: . Effective Date:

WHEREAS

WHEREAS, Employer maintains standards and objectives for job performance and compensation, and requires a formal written certification of performance for the purposes of bonus determinations, personnel actions, and internal records; and

WHEREAS, Employee has completed the performance period set forth in this Certification and the parties desire to document the performance assessment, any compensation adjustments conditioned on that assessment, and the legal obligations of the parties related thereto; and

WHEREAS, the parties agree that the statements and certifications contained herein are material to Employer's decision to authorize payment and to retain accurate employment records.

EMPLOYEE INFORMATION

SCOPE OF WORK / PERFORMANCE PERIOD

Review Period Start:    End:

PERFORMANCE ASSESSMENT

Supervisor / Reviewer:

PAYMENT TERMS (IF APPLICABLE)

Conditional Bonus Amount:

Late Payment Fee (if applicable):

The parties agree that any bonus payment set forth above is conditioned upon the accuracy of the performance representations in this Certification and on Employer's internal approval processes. Employer may withhold payment, in whole or in part, pending verification of facts material to the payment determination.

TERM AND TERMINATION

Certification Term Start Date:    Term End Date:

Either party may terminate this Certification for cause upon material breach by the other party that remains uncured after the notice period specified above. Termination shall not relieve Employer of obligations to make payments properly earned prior to the effective termination date except where fraud, intentional misrepresentation, or willful misconduct materially contributed to the payment claim.

CONFIDENTIALITY

Employee and Employer acknowledge that performance evaluations, compensation determinations, and supporting documentation are Confidential Information. Neither party shall disclose Confidential Information to third parties except as required by law or with the prior written consent of the other party. Confidential Information does not include information that is or becomes publicly known through no fault of the receiving party.

Employee acknowledges receipt of the Confidentiality obligation described above.

CERTIFICATION; REPRESENTATIONS

Employee certifies that the information contained in this Certification is true, accurate, and complete to the best of Employee's knowledge. Employee understands that intentional misrepresentation or omission of material facts may result in disciplinary action, including restitution of improperly paid amounts, and may subject Employee to civil or criminal liability where applicable.

Supervisor certifies that the assessment, ratings, and statements contained herein were made after reasonable inquiry and an objective review of Employee's performance during the stated review period.

GOVERNING LAW; ENTIRE AGREEMENT

This Certification shall be governed by and construed in accordance with the laws of the State of , without regard to choice-of-law principles.

This Certification constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior oral or written agreements, understandings, and representations regarding Employee's performance for the stated review period. Any amendment must be made in writing and signed by both parties.

ADDITIONAL COMMENTS

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