Part Addition Request Form

Part Addition Request Form

Request Header

Request ID:   Date Submitted:

Whereas (Recitals)

WHEREAS, Requestor: seeks to add or modify a part to be incorporated into Requestor's product, assembly or stock;

WHEREAS, Supplier / Manufacturer: is being requested to supply, approve, or manufacture the part under the terms and conditions contained herein;

WHEREAS, the parties desire to set forth the scope, pricing, schedule and approvals required to effect the part addition in a controlled manner.

Part Details (Itemized)

Scope of Work

The Supplier shall supply the part(s) described above and perform all associated activities necessary to deliver a production-ready part consistent with the applicable drawings, specifications and acceptance criteria. Specific tasks shall include procurement of raw materials, manufacture to drawing tolerance, functional testing, packaging, and delivery to the address provided by Requestor. Any deviation from the drawing or specification must be documented and approved by Requestor prior to implementation.

Payment Terms

Total Estimated Cost:   Billing Party:

Late Payment: Invoices not paid within days shall accrue interest at per month until paid. Parties may agree in writing to alternative remedies for late payment.

Term and Termination

Effective Date: . Expected Completion Date: .

Either party may terminate for cause if the other party materially breaches an obligation and such breach is not cured within days after written notice. Termination for convenience by Requestor requires days advance written notice and payment for work performed through the effective date of termination.

Confidentiality

Each party acknowledges that in the performance of this request they may receive Confidential Information of the other party. Confidential Information shall include technical data, drawings, specifications, pricing, supplier lists, and business plans disclosed in writing or orally and identified as confidential at the time of disclosure. Each party shall: (a) hold the other party's Confidential Information in strict confidence; (b) use it only for performance under this request; and (c) not disclose it to any third party except to employees and contractors with a legitimate need-to-know and who are bound by confidentiality obligations at least as protective as contained herein. Confidentiality obligations shall survive termination for a period of three (3) years, except for trade secrets where statutory protection shall control.

Approvals & Lead Time

Governing Law

This Request and any resulting agreement shall be governed by and construed in accordance with the laws of the jurisdiction selected by the parties. The parties agree that any dispute arising out of or relating to this Request shall be resolved through negotiation and, if unresolved, by binding arbitration or litigation as specified in a subsequently executed agreement.

Entire Agreement

This form, together with any referenced drawings, specifications, approved change orders and written approvals, constitutes the entire understanding between the parties with respect to the part addition and supersedes all prior oral or written communications. Any amendment or modification must be in writing and signed by authorized representatives of both parties.

Attachments

Acknowledgement

By signing below, each party certifies that it has the authority to enter into this Request, that the information provided herein is true and correct to the best of its knowledge, and that it will perform in accordance with the terms set forth above.

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