Legal DO Application Form

LEGAL DO APPLICATION FORM

This Legal DO Application Form (the "Application") is submitted by Applicant Name: (Applicant) to Organization Name: with an effective date of .

RECITALS

WHEREAS, Applicant seeks formal designation as a Designated Officer authorized to act on behalf of the Organization in matters set forth herein; and

WHEREAS, the Organization possesses the authority to appoint representatives and desires to establish the scope, limitations, and conditions of such appointment by written designation; and

WHEREAS, the parties intend by this Application to record the requested authorities, required certifications, and notices necessary to effectuate the designation.

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

1. DEFINITIONS

For purposes of this Application: "Designation" means the act of appointing Applicant as a Designated Officer; "Authorized Acts" means those actions specifically described in Section 3; "Organization Records" means all books, records and documents in the possession or control of the Organization relevant to Authorized Acts.

2. APPOINTMENT

The Organization hereby receives this Application requesting appointment. Upon formal approval by the Organization in accordance with its internal governance, Applicant shall be designated as a Designated Officer with authority only to the extent granted in Section 3 and subject to the conditions and limitations set forth in this Application and any subsequently executed designation instrument.

3. SCOPE OF AUTHORITY

Applicant requests the following authorities (check all that apply) to be exercised on behalf of the Organization, to the extent approved and documented in a final designation:

Execute contracts and agreements on behalf of the Organization
Manage, settle, and resolve claims and disputes
File and receive legal process and regulatory documents
Access Organization Records as reasonably necessary to perform Authorized Acts
Other (describe)

4. LIMITATIONS

The Designation, if granted, shall be subject to the following limitations: (a) Applicant shall not enter into any transaction or exercise authority that would reasonably be expected to create a material obligation or liability for the Organization without prior written approval from the Organization; (b) Applicant shall comply with the Organization's internal policies and applicable law; and (c) Applicant shall not delegate any authority granted hereunder except with prior written consent from the Organization.

5. TERM AND TERMINATION

The requested Designation shall commence on and continue until unless earlier revoked or terminated in accordance with the Organization's governing documents. The Organization may revoke the Designation at any time upon written notice to Applicant.

6. REPRESENTATIONS AND WARRANTIES

Applicant represents and warrants that Applicant has the capacity and authority to apply for such Designation, that the information provided in this Application is true, complete and correct to the best of Applicant's knowledge, and that Applicant will notify the Organization promptly of any material change to such information.

7. CONFIDENTIALITY

Applicant agrees that any non-public Organization information obtained in connection with the Designation shall be maintained in confidence and shall not be disclosed except (a) as required by law or court order, (b) with the Organization's prior written consent, or (c) to the extent necessary to perform Authorized Acts under an approved Designation.

8. NOTICES

Notices required or permitted under this Application shall be in writing and delivered to the contact details provided below. Notice is effective upon receipt.

9. INDEMNIFICATION

Applicant shall indemnify and hold harmless the Organization and its officers, directors and agents from and against any and all losses, liabilities, damages, costs and expenses (including reasonable attorneys' fees) arising out of Applicant's breach of this Application, negligence, willful misconduct, or unauthorized acts in performing any Authorized Acts.

10. GOVERNING LAW

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

11. ENTIRE AGREEMENT; SEVERABILITY

This Application constitutes the entire agreement between the parties with respect to the subject matter hereof. If any provision of this Application is held invalid or unenforceable, the remaining provisions shall continue in full force and effect and such invalid provision shall be reformed to the minimum extent necessary to make it valid and enforceable.

12. AMENDMENTS; WAIVER; COUNTERPARTS

No amendment or waiver of any provision of this Application shall be effective unless in writing and signed by both parties. Failure to enforce any provision shall not constitute a waiver. This Application 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.

13. ADDITIONAL INFORMATION

By submitting this Application, Applicant certifies under penalty of perjury that the information provided is true and correct, that Applicant understands the limitations of any designation, and that Applicant will comply with the Organization's policies and applicable law.

Sign Now