Legal Change Activities Form

LEGAL CHANGE ACTIVITIES FORM

This Legal Change Activities Form (the "Form") is entered into as of Effective Date: by and between Client Name: and Counterparty Name: (each a "Party" and collectively the "Parties").

Recitals

WHEREAS, the Parties are parties to certain agreements, policies, and operational processes that may require formal documentation of changes, including but not limited to contract modifications, organizational assignments, compliance actions, and process updates; and

WHEREAS, the Parties desire to document specified change activities, allocate responsibilities, identify impacts, and provide an auditable record of approvals and implementation steps to ensure legal and regulatory compliance; and

WHEREAS, the Parties agree that the change activities described herein shall be implemented in accordance with the terms and conditions set forth below.

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

1. Definitions

For purposes of this Form, the following terms shall have the meanings set forth below. "Change Activities" means the discrete tasks, amendments, or operational changes described in Section 2. "Implementation Date" means the date on which a Change Activity is put into effect. "Responsible Party" means the Party or individual assigned responsibility for executing or overseeing a Change Activity.

2. Change Activities

The Parties hereby document the following Change Activities. Each item below constitutes a distinct activity for which the Parties will maintain records, complete required approvals, and verify implementation.

Activity 1

Proposed Implementation Date:   Responsible Individual/Team:

Priority: High Medium Low

Activity 2

Proposed Implementation Date:   Responsible Individual/Team:

Additional Change Activities

If additional activities are required, list them below or attach supplemental documentation. Supplemental attachments will be incorporated by reference if signed by the authorized representatives.

3. Responsibilities and Implementation

Each Responsible Party shall perform the tasks assigned in Section 2 in a commercially reasonable manner and in compliance with applicable law. Responsible Party for overall coordination:

The Parties shall maintain an implementation schedule and update the status of each Change Activity within the Parties' records at least monthly, or more frequently if reasonably necessary to meet regulatory or contractual obligations.

4. Approvals and Authorization

No Change Activity shall be implemented until authorized by the designated approvers. Approval by both Parties is required for any Change Activity that materially alters rights, obligations, pricing, scope, or compliance posture.

5. Records and Documentation

The Parties shall retain, and make available upon reasonable request, all records, work papers, approvals, and supporting documentation related to each Change Activity for a period of no less than three (3) years following the Implementation Date, unless a longer retention period is required by law.

6. Confidentiality

All non-public information shared in connection with the Change Activities shall be treated as Confidential Information in accordance with the confidentiality provisions of the Parties' existing agreement. Each Party shall use such Confidential Information solely for the purpose of implementing the Change Activities and shall not disclose it except to those employees, agents, or contractors having a need to know and bound by confidentiality obligations at least as protective as those set forth herein.

7. Notices

All notices required or permitted under this Form shall be in writing and delivered to the addresses below by hand delivery, nationally recognized overnight courier, or certified mail (return receipt requested).

8. Amendments; Waiver

This Form may be amended only by a written instrument signed by authorized representatives of both Parties. Failure or delay by either Party to enforce any right or remedy under this Form shall not constitute a waiver of that right or remedy unless such waiver is in writing and signed by the Party granting the waiver.

9. Governing Law; Severability; Entire Agreement; Counterparts

This Form shall be governed by and construed in accordance with the laws of the state of without regard to conflict of law principles. If any provision of this Form is held invalid or unenforceable, the remaining provisions shall continue in full force and effect. This Form, together with any written attachments executed by the Parties, constitutes the entire agreement with respect to the subject matter hereof and supersedes all prior oral or written agreements. This Form may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument.

10. Representations and Certifications

Each Party represents and warrants that: (a) it has the full right, power, and authority to enter into this Form and to perform its obligations hereunder; (b) the person signing below on its behalf is duly authorized to bind it; and (c) performance of the Change Activities will comply with applicable laws and contractual obligations to third parties.

I certify that I am authorized to submit and approve the Change Activities on behalf of the Party I represent: Client Representative Counterparty Representative

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