IT Information Form

IT INFORMATION FORM AND SERVICES AGREEMENT

Client Name:   Service Provider Name:

RECITALS

WHEREAS, the Client operates information systems, networks, and data processing environments described in this form and requires professional information technology services to maintain, secure, and support those systems; and

WHEREAS, the Service Provider is duly qualified and experienced to provide managed IT services, technical support, and related consulting as further described in the Scope of Work; and

NOW, THEREFORE, in consideration of the mutual covenants set forth below and in reliance on the representations contained in this form, the parties agree as follows.

SCOPE OF WORK

TECHNICAL INFORMATION

BACKUP, MAINTENANCE, AND CHANGE MANAGEMENT

SECURITY, COMPLIANCE, AND SERVICE LEVELS

Applicable compliance standards: GDPR HIPAA ISO/IEC Other/None

PAYMENT TERMS

Fee Amount: $   Billing Schedule:

Invoicing and Payment Terms: Invoices will be issued by the Service Provider in accordance with the billing schedule above and are due within days of receipt. Payments shall be made in United States Dollars unless otherwise agreed in writing.

Late Fee: A late charge of % per month (or the maximum permitted by law, if less) will apply to overdue balances until paid in full.

TERM AND TERMINATION

Term Commencement Date:   Term Expiration Date:

Either party may terminate this Agreement for convenience upon providing days' prior written notice. Either party may terminate immediately for material breach that remains uncured after thirty (30) days' written notice of breach.

CONFIDENTIALITY

Each party acknowledges that during performance it may receive confidential information of the other party. Confidential Information excludes information that is (i) publicly available through no fault of the receiving party, (ii) already known to the receiving party without restriction, (iii) rightfully received from a third party without breach of any obligation of confidentiality, or (iv) independently developed without use of the disclosing party's Confidential Information. The receiving party shall (a) use Confidential Information only for the purposes of performing this Agreement, (b) restrict disclosure to employees and contractors with a need to know, and (c) protect such information with at least the same degree of care it uses for its own confidential information but in no event less than reasonable care.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the state identified by the Client below, without regard to its conflict of law provisions.

ENTIRE AGREEMENT

This form, together with any written exhibits or attachments signed by both parties, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, proposals, and communications, whether oral or written. No amendment shall be effective unless in writing and signed by authorized representatives of both parties.

NOTICES

ADDITIONAL REPRESENTATIONS

Each party represents and warrants that it has full power and authority to enter into this Agreement and that the individual executing this Agreement on its behalf is authorized to do so.

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