Job HO Application

Job HO Application

Applicant and Client Identification

Client Name:    Applicant Name:

Individual    Corporation    LLC    Other

Recitals

WHEREAS, Client desires to engage Applicant to perform certain work at the location specified below in connection with the Job HO Application and Applicant represents that it possesses the necessary qualifications, licenses and insurance to perform such work in a professional manner; and

WHEREAS, Applicant has provided to Client documentation of applicable insurance, licensure, and safety protocols and agrees to perform the work in compliance with all applicable laws, codes and permits; and

WHEREAS, the parties desire to set forth the scope, payment, term and other material terms governing the work to be performed as described herein.

Job Location and Description

Payment Terms

Contract Amount: $

Late Payment Penalty: . All costs of collection, including reasonable attorney fees and court costs, shall be borne by the defaulting party.

Term and Termination

Term Commencement Date:    Expected Completion Date:

Either party may terminate this agreement for convenience upon written notice to the other party no fewer than days. Termination for cause may occur immediately upon material breach if such breach is not cured within a commercially reasonable period following written demand.

Insurance and Compliance

Applicant affirms that it maintains insurance coverage sufficient for the work described and will provide certificates of insurance upon request. Insurance Carrier: Policy No.:

Limits of Liability:

Workers' Compensation: Applicant maintains workers' compensation insurance

Confidentiality

Each party acknowledges that in the course of performance it may receive Confidential Information of the other party. "Confidential Information" includes non-public technical, financial, business and contractual information. The recipient shall: (a) hold Confidential Information in strict confidence; (b) use such information solely for the purposes of performing under this agreement; and (c) disclose such information only to employees, contractors or agents who have a need to know and are bound by obligations of confidentiality no less protective than those herein. Confidential Information does not include information that is or becomes publicly available through no fault of the recipient, is lawfully received from a third party without restriction, or is independently developed by the recipient.

Breach of confidentiality shall entitle the disclosing party to injunctive relief in addition to any other remedies at law or in equity.

Representations, Warranties and Indemnity

Applicant represents and warrants that all work performed will be of professional quality, in accordance with industry standards, and in compliance with applicable statutes, codes, ordinances and permit requirements. Applicant shall indemnify, defend and hold harmless Client from and against claims, liabilities, losses and expenses arising out of Applicant's negligence, willful misconduct or breach of this agreement, except to the extent caused by Client's negligence.

Governing Law

This agreement shall be governed by and construed in accordance with the laws of the State of without regard to its conflicts of law principles.

Entire Agreement

This document, together with any attachments, exhibits and written change orders signed by both parties, constitutes the entire agreement between Client and Applicant and supersedes all prior agreements, representations or understandings, whether written or oral, relating to the subject matter hereof. No amendment shall be effective unless in writing and signed by authorized representatives of both parties.

Acknowledgment

By signing below, Applicant and Client each acknowledge that they have read this Job HO Application, understand its terms, and agree to be bound by its provisions.

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