Miscellaneous Caution Form

MISCELLANEOUS CAUTION FORM

This Miscellaneous Caution Form (the "Form") records a formal caution, associated responsibilities, and limited terms agreed between the parties identified below. Completion and signature of this Form creates binding obligations as set forth in the clauses that follow.

PARTIES

RECITALS

WHEREAS, Notifier asserts that certain conditions, incidents, or information warrant formal notification and cautious handling to protect parties, property, or operations; and

WHEREAS, Recipient acknowledges receipt of this formal caution and agrees to the monitoring, remediation, or restricted access measures described herein when applicable; and

WHEREAS, the parties wish to document the scope, obligations, timing and confidentiality applicable to the caution and any concurrent services attached to it.

SCOPE OF WORK / DESCRIPTION

CAUTION DETAILS

Date of Notice:     Effective From:     Effective To:

PAYMENT TERMS (IF APPLICABLE)

Where remediation, monitoring, or professional services are provided in connection with this caution, the parties agree to the following payment terms.

Late Fee:    Grace Period:

Payment obligations are independent of the existence of the caution and are enforceable in accordance with the remedies set forth in this Form. Failure to pay when due constitutes a material breach permitting remedies including suspension of services or legal recovery of costs.

TERM AND TERMINATION

This Form is effective as of: and will continue until: unless earlier terminated pursuant to the terms below.

Either party may terminate this Form for convenience by giving written notice to the other party no fewer than days in advance. Termination shall not relieve the terminating party of obligations accrued prior to termination.

CONFIDENTIALITY

The parties acknowledge that certain information exchanged under this Form may be confidential. Each party shall maintain in confidence all non-public information designated as confidential by the disclosing party or reasonably understood to be confidential given the nature of the information and the circumstances of disclosure. Confidential information shall not be disclosed except: (a) with prior written consent; (b) to the disclosing party's employees, consultants or professional advisors who have a need to know and are bound to confidentiality; or (c) as required by applicable law, provided the disclosing party gives reasonable notice and assistance in seeking protective measures.

GOVERNING LAW

This Form shall be governed by and construed in accordance with the laws of the jurisdiction of: without regard to choice-of-law principles that would refer to the laws of another jurisdiction.

ENTIRE AGREEMENT

This Form, together with any attachments or referenced schedules expressly incorporated herein, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, proposals, negotiations and communications, whether written or oral. No modification to this Form is effective unless made in writing and signed by authorized representatives of both parties.

ACKNOWLEDGMENT

By checking the box and signing below, the signatory certifies that they have authority to bind the signing party, that they have read and understood this Form in full, and that the obligations and acknowledgements contained herein are accepted.

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