Government Record Template

GOVERNMENT RECORD TEMPLATE

This Government Record Template is executed as an agreement between the parties set forth below for the creation, custody, and management of a record evidencing the obligations described herein.

WHEREAS

WHEREAS, Agency Name: (the "Agency") requires a formal record to document the services, deliverables and associated administrative actions described below;

WHEREAS, Recipient Name: (the "Recipient") will perform the work and accept the obligations set forth in this document; and

WHEREAS, this document shall serve as an official record for retention, auditing, and public records management under applicable rules and is intended to be authenticated by the custodian named below.

Record Identification

Public Confidential Restricted

General Business Agreement

This Agreement is entered into by and between the Agency and the Recipient (collectively, the "Parties") pursuant to the authority of the Agency and under applicable statutes and administrative rules. The Parties agree as follows.

Scope of Work

Payment Terms

Total Amount Payable: $

Late Payment Penalty: . Interest shall accrue on overdue amounts at the stated rate compounded monthly until paid in full. The Recipient shall be responsible for reasonable collection costs and administrative expenses incurred by the Agency in collecting past due amounts.

Term and Termination

Commencement Date: . Expiration Date: .

Either Party may terminate this Agreement for material breach if the breaching Party fails to cure the breach within the notice period specified above. Termination shall not relieve either Party of obligations accrued prior to termination, including payment and record retention obligations.

Confidentiality

The Parties acknowledge that certain information in this record may be classified pursuant to law or administrative policy. If Classification is marked Confidential or Restricted above, the Recipient shall maintain the confidentiality of such information, shall not disclose it except as authorized by law, and shall take reasonable administrative, technical and physical measures to protect it from unauthorized disclosure. Disclosure permitted by statute, regulation, or court order must be coordinated with the Agency and documented in the record.

Governing Law

This record and any dispute arising out of or related to it shall be governed by the laws of the jurisdiction of without regard to conflict of law principles.

Entire Agreement

This document constitutes the entire agreement and official record between the Parties concerning the subject matter herein and supersedes all prior oral or written representations, communications, or agreements. Any amendment must be made in writing and signed by authorized representatives of both Parties and, where required, recorded by the custodian.

Custodian Certification

The undersigned custodian affirms that this record is a true and accurate representation of the actions, authorizations and transactions it purports to document, and that the record has been filed and retained in accordance with applicable retention schedules and agency policy.

Record Retention and Access

Retention Period: . Access to the record is subject to applicable public records law and to any protective classifications noted above. The Agency shall maintain an index of access requests and disclosures related to this record.

Acknowledgment

By signing below, the authorized representatives of the Parties certify that they have the authority to bind their respective Parties, that the information contained in this record is accurate to the best of their knowledge, and that they will comply with the obligations set forth herein.

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