Membership AMC Renewal Application

MEMBERSHIP AMC RENEWAL APPLICATION

Applicant Information

Member Name:

Individual Corporation LLC Other

Recitals

WHEREAS, Member Name: is a current member in good standing and seeks renewal of the Asset Maintenance Contract services provided under the Membership AMC program;

WHEREAS, Provider Name: is authorized to provide AMC services to members pursuant to the terms set forth in this Renewal Application and subsequent agreement;

NOW, THEREFORE, the parties agree as set forth in this Membership AMC Renewal Application and the attached Scope of Work and Payment Terms sections below.

Scope of Work

Describe the services to be renewed, including any service levels, excluded items, response times, scheduled maintenance, and deliverables. This description will be incorporated into the renewal agreement and defines the Provider's obligations for the renewal term.

Payment Terms

Renewal Fee Amount:

Late Payment Fee:

Check ACH / Bank Transfer Credit / Debit Card (authorization required)

Term and Termination

Renewal Term Commencement Date:

Renewal Term Expiration Date:

Either party may terminate this renewal for cause upon written notice specifying the grounds for termination. For convenience termination, the required notice period is days prior to the intended termination date.

Confidentiality

Each party acknowledges that during the course of performance they may receive Confidential Information of the other. Confidential Information shall include nonpublic business information, technical data, pricing, member lists, and related materials. Each party agrees to (a) use Confidential Information solely for performance under this renewal, (b) restrict access to those employees or agents with a need to know, and (c) take commercially reasonable measures to prevent unauthorized disclosure. Confidential Information shall not include information that is or becomes generally available to the public other than by breach of this obligation, or information lawfully obtained from a third party without confidentiality obligations.

Acknowledgement of Confidentiality: I agree to be bound by the Confidentiality provisions above.

Representations and Warranties

Each party represents and warrants that it has the full corporate or individual power and authority to enter this renewal, and that the person signing on behalf of such party is authorized to bind that party to the terms contained herein.

Governing Law

This Renewal Application and any resulting agreement shall be governed by and construed in accordance with the laws of the jurisdiction specified here:

Entire Agreement

This Renewal Application, including the Scope of Work and Payment Terms herein, together with any prior AMC agreement between the parties referencing renewal, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior and contemporaneous agreements, understandings, representations, and warranties, whether written or oral.

Certifications and Authorizations

By submitting this Renewal Application, the Applicant certifies that the information provided is true and accurate, and authorizes the Provider to charge the renewal fee in accordance with the Payment Terms selected above. The Applicant acknowledges that misrepresentation or failure to pay fees may result in termination of membership benefits under the AMC program.

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