Photo Exempt Certificate

PHOTO EXEMPT CERTIFICATE AND SERVICE AGREEMENT

Certificate Number:     Effective Date:

Parties

WHEREAS

WHEREAS, Service Provider is engaged in the business of providing photography and related media services (the "Services") and holds responsibility for capture and distribution of visual images; and

WHEREAS, Client requires Services for an event or assignment and hereby requests that certain individuals under Client's authority be designated exempt from being photographed, recorded, or otherwise depicted in visual media produced by Service Provider; and

WHEREAS, the Parties desire to set forth the responsibilities, payment, confidentiality and legal terms governing the Services and the photo exemption in a written agreement.

Certificate of Photo Exemption

Client certifies that the individuals listed below are exempt from inclusion in photographic, video or other recorded visual media captured by Service Provider during the term of this Agreement. Client represents that, to the best of Client's knowledge, the exemption basis is lawful and accurate.

Exemption Basis (select applicable):  Medical   Legal   Religious   Other

Scope of Work

Special instruction concerning exempt individuals: Service Provider shall use reasonable measures to prevent capture, inclusion, dissemination, or publication of images of the listed exempt individuals, including but not limited to repositioning, selective framing, masking in post-production, or omission from released materials.

Payment Terms

Late Payment Fee: applied to unpaid balances after days.

Term and Termination

Term Start Date:    Term End Date:

Either Party may terminate this Agreement for material breach by the other Party if the breaching Party fails to cure the breach within days of written notice. Either Party may terminate for convenience upon days prior written notice.

Confidentiality and Use of Images

Service Provider shall treat all captured media as confidential to the extent the media depicts exempt individuals or other content specifically designated confidential by Client in writing. Service Provider shall not use, publish, license, distribute or otherwise exploit images of exempt individuals without prior written consent from Client. Service Provider may use non-identifying, de-identified images that do not include exempt individuals for promotional purposes only if explicitly permitted in writing.

Notwithstanding the foregoing, Service Provider may retain archival copies for business records provided such copies are not publicly distributed and are stored in compliance with reasonable security measures.

Remedies for Unauthorized Use

Any unauthorized capture or dissemination of images of exempt individuals shall constitute a material breach. Client may pursue injunctive relief and recover actual damages, and Service Provider agrees to promptly remove or correct any distributed material upon written request. If Service Provider breaches confidentiality, Service Provider shall be liable for reasonable costs of remedial action and any statutory penalties applicable.

Representations and Warranties

Each Party represents that it has full power and authority to enter into this Agreement and to perform its obligations hereunder. Client represents that it has the authority to certify the exemptions for the listed individuals and will provide reasonable documentation upon request to substantiate an exemption basis.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the State of , without regard to conflict of laws principles.

Entire Agreement

This Agreement, together with any written exhibits or schedules attached hereto, constitutes the entire agreement between the Parties with respect to its subject matter and supersedes all prior oral or written agreements, representations and understandings. Any modification to this Agreement must be in writing and signed by both Parties.

Acknowledgment and Certification

By signing below, Client certifies that the information provided in this Certificate is true and accurate, that Client has authority to request the exemption, and that Client will notify Service Provider promptly if the exemption status of any listed individual changes. Service Provider acknowledges receipt of this Photo Exempt Certificate and agrees to take the steps described herein to avoid capture or use of images of listed exempt individuals consistent with the terms of this Agreement.

Client agrees to indemnify and hold harmless Service Provider from claims arising solely from inaccurate exemption certifications provided by Client.

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