Legal Signature List

LEGAL SIGNATURE LIST

This Legal Signature List (the "Schedule") is executed by Client Name: with principal place of business at Client Address: (the "Client"), and Provider Name: with principal place of business at Provider Address: (the "Provider"), effective as of the day of of , (the "Effective Date").

RECITALS

WHEREAS, the Client and the Provider are parties to one or more underlying agreements, each of which contemplates execution by persons or officers authorized to bind their respective organizations; and

WHEREAS, the parties desire to identify, record and certify the names, titles, contact information and specimen signatures of those persons authorized to execute documents, instruments and approvals on behalf of the Client and the Provider; and

WHEREAS, the parties intend that this Schedule shall constitute official evidence of authority for the purposes specified in the underlying agreements and for any other lawful purpose reasonably related thereto.

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

1. PURPOSE

The purpose of this Schedule is to list and certify the individuals duly authorized by each party to sign agreements, amendments, notices, consents and other instruments related to the parties' business relationship. Entries set forth in Section 2 constitute prima facie evidence of the authority of the named individuals until superseded in writing.

2. AUTHORIZED SIGNATORIES

Each line below identifies an authorized signatory, the signatory's title, contact information, and specimen signature. A signatory's signature on a related document shall be binding on the party that the signatory purports to represent provided the signatory's name and title correspond to those in this Schedule unless the relying party has received written notice of revocation in accordance with Section 6.

3. AUTHORITY AND CERTIFICATION

Each party represents and warrants to the other that: (a) the person executing this Schedule on behalf of such party has been duly authorized to execute and deliver this Schedule and to bind that party; (b) the information contained in Section 2 is true and correct to the best of such party's knowledge as of the Effective Date; and (c) reliance by the other party on the entries in Section 2 is reasonable and permitted unless and until revised in a written notice delivered in accordance with Section 6.

4. EXECUTION, DELIVERY AND COUNTERPARTS

This Schedule may be executed in one or more counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument. Delivery of an executed counterpart by electronic means, including PDF or other electronic transmission of a signature page, shall be effective as delivery of an original signature.

5. NOTICES

All notices, requests, demands and other communications required or permitted hereunder shall be in writing and delivered in accordance with the notice provisions of the underlying agreement between the parties or, if none, to the addresses set forth above for each party. A party relying on a signatory listed herein shall be entitled to rely on a written notice of revocation if delivered and acknowledged.

6. AMENDMENT; WAIVER

This Schedule may be amended only by a written instrument executed by authorized representatives of both parties. No failure or delay by either party in exercising any right under this Schedule shall operate as a waiver of such right, nor shall any single or partial exercise preclude further exercise of that or any other right.

7. GOVERNING LAW

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

8. ENTIRE AGREEMENT; SEVERABILITY

This Schedule, together with the underlying agreement(s) to which it relates, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings and communications concerning the identification and authority of signatories. If any provision of this Schedule is held invalid or unenforceable, the remaining provisions shall remain in full force and effect.

9. ADDITIONAL INSTRUCTIONS

Use the space below to record any special execution instructions, notarization requirements, or other limitations on the authority of listed signatories.

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