Legal Signatures and Certifications Form

Legal Signatures and Certifications Form

This Legal Signatures and Certifications Form (the "Form") is made as of by and between Client Name: , an entity of type , with principal address ("Party A"), and Company Name: , an entity of type , with principal address ("Party B").

RECITALS

WHEREAS, Party A possesses certain information, instruments, and records and seeks to establish a formal certification and signature record for transactions, representations, and authorizations; and

WHEREAS, Party B is authorized to receive, rely upon, and retain executed certifications and related attestations for the purposes described herein and requires assurance of authority, accuracy, and compliance by the executing party; and

WHEREAS, the parties desire to set forth certain certifications, representations, and procedural requirements governing execution, reliance, and notice of the certifications executed under this Form.

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. CERTIFICATIONS AND REPRESENTATIONS

1.1 Party A represents and certifies that the individual executing this Form on behalf of Party A is duly authorized to execute and deliver this Form and to bind Party A to the obligations set forth herein. The signatory further certifies, under penalty of perjury to the fullest extent permitted by law, that all factual statements, documents, and attestations provided in connection with this Form are true, complete and accurate as of the date of execution.

1.2 Party B represents that it may rely upon the certifications and signatures provided by Party A and that such reliance is subject to the terms of this Form. Party B's reliance shall be reasonable and shall take into account any compliance checks or verification procedures set forth in Section 4.

1.3 Certification Scope:

2. AUTHORITY TO EXECUTE

2.1 Each party covenants that the person executing this Form on its behalf is authorized, by board resolution, corporate governance, power of attorney, or other appropriate authority, to sign and certify the matters set forth and to bind such party to the obligations and warranties contained herein.

3. RELIANCE, USE, AND RETENTION

3.1 The recipient of this Form may retain a copy of the Form, rely on its contents for any lawful purpose, and deliver copies to third parties as reasonably necessary for verification, compliance, or lawful processing. Retained copies shall be subject to confidentiality obligations set forth in Section 5.

4. COMPLIANCE AND VERIFICATION

4.1 Parties shall comply with applicable laws, rules, and regulations in connection with the execution and use of this Form. Each party agrees to cooperate in any reasonable verification procedures requested by the other party, including providing supporting documentation evidencing authority and identity.

5. CONFIDENTIALITY

5.1 Each party shall hold in confidence any nonpublic information obtained in connection with this Form and shall not disclose such information except (a) as required by law or regulation, (b) with the disclosing party's prior written consent, or (c) to its legal, accounting, or compliance advisors who are bound to maintain confidentiality.

6. INDEMNIFICATION

6.1 Each party (the "Indemnitor") agrees to indemnify, defend and hold harmless the other party (the "Indemnitee") from and against any and all losses, liabilities, damages, costs and expenses (including reasonable attorneys' fees) arising out of or resulting from any breach of the representations, warranties or covenants made by the Indemnitor in this Form.

7. NOTICES

7.1 All notices, requests, demands and other communications required or permitted under this Form shall be in writing and shall be delivered to the addresses set forth below or to such other address as a party may designate by notice to the other.

8. AMENDMENT; WAIVER

8.1 No amendment, modification or waiver of any provision of this Form shall be effective unless in writing and signed by the party against whom enforcement is sought. No waiver by any party of any breach or default shall be deemed a waiver of any subsequent breach or default.

9. GOVERNING LAW

9.1 This Form shall be governed by and construed in accordance with the laws of the state or jurisdiction specified below, without regard to conflicts of law principles.

10. ENTIRE AGREEMENT; SEVERABILITY; COUNTERPARTS

10.1 This Form constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings and communications, whether written or oral, relating to such subject matter. If any provision of this Form is held invalid or unenforceable, the remaining provisions shall remain in full force and effect. This Form may be executed in counterparts, each of which shall be deemed an original, and execution by electronic signature shall be a valid and binding execution for all purposes.

11. ADDITIONAL CERTIFICATIONS

By placing a check in the box below and signing this Form, the signatory certifies the following statements under penalty of law and acknowledges that false statements and misrepresentations may result in legal penalties.

I certify that the information provided by Party A is accurate and complete to the best of my knowledge.

I certify that I am authorized to execute this Form on behalf of Party A.

I understand that false statements may result in civil or criminal penalties.

Additional certifications by Party B:

I certify that the information provided by Party B is accurate and complete to the best of my knowledge.

I certify that I am authorized to execute this Form on behalf of Party B.

I understand that false statements may result in civil or criminal penalties.

Sign Now