Legal Application Signature Pages

LEGAL APPLICATION SIGNATURE PAGES

This Legal Application Signature Pages is made and entered into as of by and between Applicant: and Organization: in connection with Application ID: .

RECITALS

WHEREAS, Applicant has submitted an application and related documentation (the Application) to Organization for the purpose of evaluation of Applicant's qualifications and potential engagement or approval; and

WHEREAS, Organization requires written certifications, authorizations and signature pages to be executed by Applicant confirming the accuracy of the Application and authorizing Organization to verify information contained therein; and

WHEREAS, the parties intend that the signatures set forth on these signature pages shall evidence Applicant's certifications and grant the authorizations described below.

NOW, THEREFORE, in consideration of the mutual covenants and agreements set forth herein and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:

1. CERTIFICATIONS; REPRESENTATIONS; WARRANTIES

1.1 Applicant certifies and represents that all statements, answers, schedules, exhibits and other information provided in the Application and in any supplement or attachment thereto are accurate, complete and truthful in all material respects as of the date hereof and that Applicant has not knowingly omitted any material information that would make such statements misleading. Applicant further agrees promptly to notify Organization in writing of any material change in such information.

1.2 Applicant warrants that it possesses all necessary power, authority and capacity to execute and deliver these signature pages and to perform its obligations hereunder. If Applicant is executing on behalf of an entity, the signatory warrants that they are duly authorized and that evidence of such authority will be provided upon request.

2. AUTHORIZATION TO VERIFY INFORMATION; RELEASE

2.1 Applicant hereby authorizes Organization and its agents to investigate and verify any and all information provided in the Application, including without limitation employment history, educational credentials, professional licenses, references, credit history and criminal records where permitted by law. Applicant authorizes any individual, firm, institution or governmental agency to release to Organization any records or information requested in connection with such verification.

2.2 Applicant releases and indemnifies Organization and its officers, directors, employees and agents from and against any and all claims, liabilities, losses or damages arising out of or relating to the investigation and verification of Applicant's Application, except to the extent caused by Organization's gross negligence or willful misconduct.

3. USE AND CONFIDENTIALITY OF APPLICATION MATERIALS

3.1 Organization may use the Application and any supplemental materials for evaluation and administrative purposes. Organization shall maintain reasonable administrative, physical and technical safeguards to protect confidential information in its possession in accordance with applicable law.

3.2 Notwithstanding the foregoing, Organization may disclose Application information to affiliates, consultants and advisors on a need-to-know basis and to third parties as required by law or subpoena, provided Organization uses reasonable efforts to limit such disclosure to the minimum necessary.

4. ELECTRONIC SIGNATURES; COUNTERPARTS

4.1 Applicant consents to the use of electronic signatures and electronic delivery of documents related to the Application, and agrees that electronically executed signature pages shall be binding and enforceable as original handwritten signatures to the fullest extent permitted by law.

4.2 This document may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one and the same instrument.

5. NOTICES

Any notice, demand or other communication required or permitted hereunder shall be in writing and shall be delivered personally, by certified mail (return receipt requested), by nationally recognized overnight courier service, or by electronic transmission with confirmation, to the addresses set forth below or to such other address as a party may designate by notice to the other party in accordance with this Section.

6. AMENDMENTS; WAIVER

No amendment, modification or waiver of any provision of these signature pages shall be valid unless set forth in a written instrument signed by both parties. The failure of either party to insist upon strict performance of any provision shall not be construed as a waiver of any subsequent default or of such provision.

7. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

7.1 Governing Law. These signature pages shall be governed by and construed in accordance with the laws of the jurisdiction identified by Organization below without regard to its conflict of law principles.

7.2 Entire Agreement. These signature pages, together with the Application and any referenced attachments or schedules, constitute the entire agreement between the parties with respect to the subject matter hereof and supersede all prior agreements, understandings and negotiations, whether oral or written.

7.3 Severability. If any provision of these signature pages is held to be invalid, illegal or unenforceable in any respect, the validity, legality and enforceability of the remaining provisions shall not in any way be affected or impaired thereby.

8. ADDITIONAL ACKNOWLEDGMENTS

Applicant acknowledges that any false statement, material omission or misrepresentation in the Application may constitute grounds for denial of the Application or for termination of any relationship established as a result of the Application, and may subject Applicant to civil or criminal liability where applicable.

Sign Now