Financial Fidelity Document

FINANCIAL FIDELITY DOCUMENT

This Financial Fidelity Document (the Agreement) is entered into between the undersigned parties for the purpose of defining fidelity coverage, fiduciary obligations, claims procedures, and indemnity relating to the protection of the Company's financial interests.

Parties and Identifying Information

Effective Date: . Agreement Number (if applicable):

Recitals and Definitions

WHEREAS, the Company requires protection against financial loss resulting from dishonest or fraudulent acts committed by the Fiduciary in the performance of duties; and WHEREAS, the Fiduciary agrees to the terms, conditions, and obligations set forth in this Agreement.

Definitions. For purposes of this Agreement: "Loss" means direct pecuniary loss of money, securities, or other property owned by the Company discovered and proved to have resulted directly from a Covered Act; "Covered Act" means employee dishonesty, forgery, alteration, theft of funds, or similar acts committed by the Fiduciary while acting in the scope of assigned duties; "Limit of Liability" means the maximum aggregate indemnity obligation of the Fiduciary as set forth below.

Coverage and Monetary Terms

Covered Perils (select all that apply):

Fiduciary Representations and Obligations

The Fiduciary represents and warrants that they will at all times act honestly, in good faith, and with the reasonable care of a prudent person in the conduct of duties that involve handling, disbursing, or otherwise exercising control over Company funds or assets. The Fiduciary shall:

1. Maintain and comply with internal controls and segregation of duties as established by the Company;
2. Promptly report any irregularity, suspicion of theft, or potential Loss to the Company in writing;
3. Cooperate fully with any internal or external investigation, audit, or legal proceeding related to a potential Loss; and
4. Refrain from personal use or commingling of Company funds or assets.

Notice of Claim; Investigation; Time Limits

The Company must provide written notice of any claim arising from a Loss to the Fiduciary within days of discovery. Notice shall be sent to:

The Fiduciary shall permit inspection of records and provide timely access to documents and personnel reasonably necessary for investigation. Failure to give timely notice or to cooperate may reduce or bar recovery to the extent prejudicial to the Fiduciary.

Indemnity, Recovery and Remedies

The Fiduciary agrees to indemnify, defend, and hold harmless the Company from and against all Losses resulting from Covered Acts up to the Limit of Liability, subject to the Deductible. The Company may, at its election, pursue all available remedies including restitution, equitable relief, set-off against compensation, and recovery of attorneys' fees and costs incurred in enforcing this Agreement where permitted by law.

Exclusions and Limitations

This Agreement does not apply to: (a) acts committed after termination of duties unless discovered within the notice period set forth herein; (b) loss resulting from clerical or bookkeeping errors corrected promptly and with no demonstrable intent to defraud; (c) indirect, incidental, or consequential damages except where recovery for such damages is required by controlling law; and (d) any acts specifically excluded by written policy of the Company.

Audit, Records and Cooperation

The Fiduciary shall preserve and provide access to records pertaining to accounts, transactions, and authorizations for a period of not less than years following termination of duties. Company retains the right to audit and require corrective action where controls are inadequate.

Term, Renewal and Termination

Term Commencement Date: . Term Expiration Date: . Either party may terminate this Agreement for cause upon written notice as provided herein; termination shall not affect obligations or claims arising prior to termination.

Payment, Premiums and Late Fee Policy

Late Fee Policy: Payments not received within days after due date may incur a late fee of or interest at the rate of , to the extent permitted by law.

Confidentiality and Background Check Authorization

The Fiduciary shall maintain confidentiality of non-public Company financial information and shall not disclose such information except as required by law. The Fiduciary hereby authorizes the Company to obtain and review background and credit information, and to disclose information about any Loss or investigation to insurers, regulators, or legal counsel as reasonably necessary.

Governing Law; Severability; Entire Agreement

This Agreement shall be governed by and construed in accordance with the laws of the state selected by the Company in its standard business records. If any provision is held invalid, the remaining provisions shall remain in full force. This Agreement constitutes the entire understanding between the parties with respect to fidelity coverage and supersedes any prior oral or written agreements on the same subject.

Acknowledgment and Certification

By signing below, each party certifies that the information provided in this document is true and complete to the best of their knowledge, that they have authority to enter into this Agreement, and that they understand the obligations and remedies set forth herein.

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