Government Filing Form

GOVERNMENT FILING FORM

Parties

This Government Filing Form (the "Agreement") is made effective as of , by and between Client Name: and Filing Agent: .

Recitals

WHEREAS, Client requires professional preparation and submission of one or more filings, notices, applications, or reports to an administrative or regulatory body identified below; and

WHEREAS, Filing Agent represents that it has the experience, personnel, and authority necessary to prepare, review, and submit such filings and to serve as agent of record where lawfully permitted; and

WHEREAS, the Parties wish to set forth the terms and conditions under which Filing Agent will perform such services and Client will compensate Filing Agent.

Scope of Work

Filing Agent shall provide the following services to Client with respect to the identified government filing(s). The scope includes preparation, review, submission, and reasonable follow-up communications required to effect acceptance by the relevant authority.

Filing Jurisdiction:   Filing Type:

Payment Terms

Client shall pay Filing Agent the fees and reimbursements set forth below. All sums are payable in United States dollars unless otherwise agreed in writing.

Late Payment: Any unpaid amounts not received within days after the due date shall accrue interest at or the maximum rate permitted by law, whichever is less.

Reimbursable Expenses: Client shall reimburse Filing Agent for reasonable out-of-pocket expenses incurred in connection with the services (including filing fees, courier charges, and certified copy fees) upon submission of documentation.

Term and Termination

This Agreement commences on Start Date: and continues until End Date: unless earlier terminated as provided herein.

Either party may terminate this Agreement for convenience upon days' prior written notice to the other party. Filing Agent may terminate immediately for Client's material breach, including nonpayment.

Upon termination, Client shall pay Filing Agent for all services performed and expenses incurred through the effective date of termination, and Filing Agent shall deliver all completed work product and file any materials reasonably necessary to protect Client's position as agreed by the parties.

Confidentiality

Each party acknowledges that it may receive Confidential Information from the other party. "Confidential Information" means non-public information disclosed in any form that is designated confidential or that a reasonable person would understand to be confidential given the nature of the information and the circumstances of disclosure. Filing Agent shall: (a) use Confidential Information solely to perform services under this Agreement; (b) restrict disclosure to employees, contractors, or agents having a need to know and subject to confidentiality obligations at least as protective as those herein; and (c) exercise reasonable care to protect Confidential Information from unauthorized disclosure. Confidential Information does not include information that is or becomes publicly known through no breach of this Agreement, independently developed without use of Confidential Information, or rightfully received from a third party without restriction.

Certifications and Declarations

Filing Agent will exercise due professional care to ensure the accuracy and completeness of filings prepared under this Agreement. Client certifies that all facts and documents provided to Filing Agent are complete, true, and accurate to the best of Client's knowledge, and that Client will promptly notify Filing Agent of any material change affecting a filing. Where required by law, Client authorizes Filing Agent to file necessary documents on Client's behalf and to sign on Client's behalf to the extent permitted by applicable rules and with Client's written authorization.

Governing Law

This Agreement shall be governed by and construed in accordance with the substantive laws of the State of without regard to conflict of laws principles. The parties submit to the exclusive jurisdiction of the courts located in .

Insurance and Liability

Filing Agent shall maintain professional liability insurance in an amount customary for similar service providers. Except for willful misconduct or gross negligence, Filing Agent's total liability to Client for any claim arising out of or related to this Agreement shall be limited to direct damages not to exceed the total fees paid by Client to Filing Agent under this Agreement for the specific filing at issue.

Entire Agreement

This Agreement constitutes the entire agreement between the parties regarding the subject matter hereof and supersedes all prior negotiations, representations, and agreements, whether written or oral. Any amendment or waiver must be in writing and signed by both parties.

Miscellaneous Provisions

Notices required under this Agreement shall be given in writing and delivered to the addresses set forth above or to such other address as a party designates in writing. If any provision of this Agreement is held invalid or unenforceable, the remaining provisions shall remain in full force and effect.

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