Legal Modification Request

LEGAL MODIFICATION REQUEST

This Legal Modification Request (the "Request") is made as of by and between Requesting Party: (the "Requesting Party") and Other Party: (the "Other Party").

RECITALS

WHEREAS, the Requesting Party and the Other Party are parties to that certain agreement titled dated (the "Agreement");

WHEREAS, the Requesting Party seeks to amend certain provisions of the Agreement and has submitted the modifications set forth in this Request for consideration by the Other Party; and

WHEREAS, the parties desire to document the requested changes and the conditions under which such changes may become effective, without prejudice to any party's rights under the Agreement unless and until the parties execute a mutual written amendment accepting these changes.

NOW, THEREFORE

In consideration of the mutual promises contained herein and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Requesting Party hereby submits the following requested modifications for the Other Party's review and action:

1. REQUEST SUMMARY

Nature of requested changes (select all that apply):

Term / Duration Scope of Services/Work Payment / Fees Schedule / Milestones Other

2. PROPOSED MODIFICATIONS (ITEMIZED)

The Requesting Party proposes the following modifications to the Agreement. For each item, identify the clause reference, the current text (if known), and the proposed replacement or addition. Each proposed modification is independent and may be accepted or rejected by the Other Party.

Modification Item 1

Modification Item 2

Modification Item 3

3. EFFECT OF ACCEPTANCE

If the Other Party elects to accept any proposed modification set forth in this Request, the parties shall execute a written amendment to the Agreement documenting the specific language adopted and the effective date for such change. No proposed modification shall alter the Agreement or be binding upon any party until such time as a written amendment bearing the authorized signatures of both parties is executed.

4. CONSIDERATION

The Requesting Party represents that the proposed modifications are supported by adequate consideration as required by applicable law or, where required, the parties intend that any executed amendment will set forth the consideration that renders such amendment enforceable. The parties further acknowledge that certain modifications may require adjustments to compensation, schedules, or other obligations, which will be set forth in the written amendment.

5. REPRESENTATIONS AND WARRANTIES

Each party represents and warrants that: (a) it has the full power and authority to enter into this Request and to execute any amendment; (b) the individual signing any amendment on its behalf will have been duly authorized; and (c) execution of any amendment will not violate any agreement, law, or order applicable to such party.

6. AUTHORITY TO BIND

By submitting this Request, the Requesting Party certifies that the individual executing below is authorized to request the modifications set forth herein. The Other Party's acceptance must be evidenced by a written amendment signed by an authorized representative of the Other Party.

7. NOTICES

All notices required or permitted under this Request shall be in writing and shall be delivered in accordance with the applicable notice provisions of the Agreement or as set forth above, and shall be effective upon receipt.

8. MISCELLANEOUS

Governing Law: The Request and any resulting amendment shall be governed by and construed in accordance with the laws specified in the Agreement. In the absence of a governing law provision in the Agreement, this Request shall be governed by the law of the state indicated by the parties in the amendment.

Entire Agreement: This Request is a proposal only and does not supersede the Agreement. If the parties execute a written amendment accepting any proposed modification, that amendment together with the Agreement (as modified) shall constitute the entire agreement between the parties with respect to the subject matter thereof and shall supersede all prior negotiations, proposals, or understandings related to such subject matter.

Severability: If any provision of this Request or any amendment is held to be invalid, illegal, or unenforceable, the remaining provisions shall remain in full force and effect to the maximum extent permitted by law.

Amendments; Waiver: No waiver, modification, or amendment of any provision of this Request shall be effective unless in writing and signed by the parties to be bound. The failure of any party to enforce any provision shall not constitute a waiver of that provision or any other provision.

Counterparts: This Request and any subsequent amendment may be executed in counterparts, each of which shall be deemed an original and all of which taken together shall constitute one instrument. Execution by electronic signature shall be effective to bind the signing party.

SIGNATURES

The parties acknowledge that this Request is a formal written proposal to modify the Agreement and that no modification shall be effective until the parties execute a written amendment. The persons signing below represent and warrant that they are authorized to submit or respond to this Request on behalf of their respective parties.

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