Hardship Assistance Document

HARDSHIP ASSISTANCE AGREEMENT

Parties and Contact Information

Recitals

WHEREAS, Client Name: has represented to Provider Name: that Client is experiencing financial hardship and requires temporary assistance to meet obligations; and

WHEREAS, Provider is willing to provide hardship assistance on the terms set forth below to avoid immediate economic detriment to Client and to preserve the business relationship between the parties; and

NOW, THEREFORE, in consideration of the mutual covenants contained herein and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows, effective as of Effective Date:

Scope of Assistance

Provider shall provide the assistance described below to Client in accordance with the terms of this Agreement. The assistance is limited to the specific items, services, or monetary relief described and does not constitute an admission of liability by Provider.

Assistance Details

Payment Terms

Unless the assistance is expressly a one-time non-recourse grant as documented above, Client agrees to the following payment terms.

Term and Termination

This Agreement shall commence on Start Date: and shall continue until End Date: unless earlier terminated in accordance with this section.

Either party may terminate this Agreement for any material breach by the other party that remains uncured for the Notice Period described below. In addition, Provider may terminate immediately in the event Client provides false information or fraud is discovered in connection with the application for assistance.

Confidentiality

Each party shall maintain in confidence all non-public information received from the other party in connection with this Agreement ("Confidential Information"). Confidential Information shall not include information that is publicly available through no fault of the recipient, already known to the recipient prior to disclosure, or rightfully received from a third party without obligation of confidentiality. Neither party shall disclose Confidential Information except as strictly necessary to perform obligations under this Agreement or as required by law, provided that the disclosing party provides prompt written notice when legally permissible.

Certifications, Authorizations and Acknowledgements

Client certifies that the information provided to Provider in connection with this application is true, correct, and complete to the best of Client's knowledge. Client authorizes Provider and its agents to verify income, assets, liabilities, and other information necessary to evaluate eligibility for assistance. Client acknowledges that false statements or failure to disclose material facts may constitute fraud and may result in termination of assistance and pursuit of any remedies available to Provider.

Governing Law; Entire Agreement

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to principles of conflicts of law. The parties hereby submit to the exclusive jurisdiction of the state and federal courts located in that jurisdiction for any dispute arising under this Agreement.

This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, representations, and understandings, whether written or oral. Any amendment or modification to this Agreement must be in writing signed by both parties.

Miscellaneous Provisions

If any provision of this Agreement is held unenforceable, the remaining provisions shall remain in full force and effect. The parties acknowledge that neither party has relied upon any representation, warranty, or statement not expressly set forth in this Agreement.

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