Project Output & Outcome Record

Project Output & Outcome Record

Client Name:

Project Title:    Project ID:

Recitals

WHEREAS, the Client and the Service Provider have entered into a separate agreement under which the Service Provider will perform certain project services and deliverables described herein; and

WHEREAS, the parties require a written record of specific outputs delivered, the measurable outcomes expected, and the acceptance criteria and timelines for each deliverable; and

WHEREAS, this Project Output & Outcome Record memorializes the parties' mutual understanding with respect to outputs, outcome indicators, measurement methods, payment triggers, and reporting obligations for the referenced project.

Reporting Period

Reporting Start Date:    Reporting End Date:

Scope of Work

Outputs (Deliverables)

Output Reference:    Delivery Date:

Output Reference:    Delivery Date:

Outcomes & Indicators

Outcome Statement:

Baseline Measurement Date:    Target Measurement Date:

Acceptance Criteria

Deliverable Submitted By:    Submission Date:

Client Acceptance:    Acceptance Date:

Payment Terms

Total Amount Payable for Listed Outputs: $

Late Payment Fee:    Payment Method:

Term and Termination

Project Start Date:    Project End Date:

Confidentiality

The parties acknowledge that in the performance of the scope of work each may receive Confidential Information of the other. "Confidential Information" means non-public business, technical, financial and other proprietary information disclosed in any form that is designated as confidential or that reasonably should be understood to be confidential. Each receiving party shall (i) hold Confidential Information in confidence and take reasonable measures to protect it, (ii) use Confidential Information solely to perform obligations under this Record and the underlying agreement, and (iii) not disclose Confidential Information to any third party except to employees, contractors or advisors with a need to know and bound by confidentiality obligations no less protective than those herein. Confidentiality obligations survive termination for a period of three years unless a longer period is required by law or agreed in writing.

Risk, Assumptions & Supporting Documents

Governing Law; Entire Agreement

Governing Law: This Record shall be governed by and construed in accordance with the laws of the jurisdiction identified below without regard to conflict-of-law principles.

Governing State:

Entire Agreement: This Project Output & Outcome Record, together with any documents expressly incorporated herein, constitutes the entire understanding between the parties with respect to the subject matter and supersedes all prior negotiations, proposals, and communications, whether written or oral. Any amendment must be in writing and signed by authorized representatives of both parties.

Certifications

Each person signing below certifies that they are duly authorized to execute this Record on behalf of the party for whom they sign, that the information contained in this Record is accurate to the best of their knowledge, and that acceptance by the Client of the outputs described above will constitute final approval for purposes of payment under the payment schedule set forth herein.

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