Monthly January Report

MONTHLY JANUARY REPORT

Recitals

WHEREAS, Client Name: (the "Client") and Contractor Name: (the "Contractor") have an existing service relationship pursuant to a General Business Agreement under which the Contractor provides services and monthly reporting to the Client;

WHEREAS, the parties require a formal report for the month of January documenting activities, deliverables, metrics and any charges incurred during the reporting period identified below; and

WHEREAS, this Monthly January Report, together with the Scope of Work and Payment Terms contained herein, serves as a written record of performance and as an attachment to the underlying Agreement between the parties.

Report Header

Month:    Year:

Executive Summary

Activities and Deliverables

Metrics and Financial Summary

Total Hours Worked:    Tasks Completed:

Supporting documents attached:   If yes, list attachments:

Scope of Work

The Contractor performed the following scope of work for the reporting period. Provide a concise statement of tasks, deliverables and any deviations from the originally agreed scope.

Payment Terms

Amount Due for Month:

Late Fee: . The Client agrees that unpaid amounts shall incur interest and collection costs as specified above.

Term and Termination

Contract Start:

Contract End:

Notice Period for Termination: days written notice by the terminating party. Termination shall not relieve either party of obligations accrued prior to the effective date of termination.

Confidentiality

The parties acknowledge that during the performance of services and the preparation of this report, Confidential Information may be disclosed. Confidential Information shall mean non-public business, technical, financial or other proprietary information marked confidential or reasonably understood to be confidential. Each party shall: (a) use Confidential Information solely for the purposes of performing obligations under the Agreement; (b) restrict disclosure to employees or agents who have a need to know and are bound by confidentiality obligations; and (c) employ reasonable measures to protect such information. Confidentiality obligations survive termination for a period of three years, except for trade secrets which shall remain protected for so long as they qualify as trade secrets.

Governing Law

This Report and any dispute arising out of or relating to the underlying Agreement shall be governed by and construed in accordance with the laws of: , without regard to conflict of law principles.

Entire Agreement

This Monthly January Report, together with the referenced Scope of Work and Payment Terms herein, constitutes the entire agreement between the parties with respect to reporting for the period and supersedes any prior written or oral understandings related to the subject matter herein. Any modification must be in writing and signed by authorized representatives of both parties.

Report Certification

The undersigned certifies under penalty of perjury that the information contained in this report is true and correct to the best of their knowledge and that charges submitted are accurate and incurred in the performance of the agreed services.

Certify accuracy:

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