Proof of Rendering

PROOF OF RENDERING

Parties

Recitals

WHEREAS, Provider represents that it is duly qualified and possesses the experience, personnel and equipment necessary to perform the services described herein; and

WHEREAS, Client engaged Provider to perform specified services pursuant to an existing agreement or work order, and Provider has completed or substantially completed the services described below; and

WHEREAS, the parties require a written Proof of Rendering to document the services performed, the dates of performance, and the amount due for payment and recordkeeping purposes.

Scope of Work / Description of Services Rendered

Proof of Rendering Details

Date(s) of Service: From to .

Invoice included   Timesheets included   Site photos included   Delivery receipt included

Payment Terms

Total amount due for the services described above: $.

Payment due within days of Client's receipt of a properly submitted invoice and this Proof of Rendering. Late payments shall incur a late fee of % per month on the outstanding balance, or a flat fee of $, whichever is greater.

Term and Termination

This Proof of Rendering documents services performed under the parties' agreement beginning on and ending on , unless earlier terminated in accordance with the agreement.

Either party may terminate for convenience upon days' prior written notice. Termination for material breach may occur immediately upon written notice if the breaching party fails to cure within the cure period specified in the underlying agreement, if any.

Confidentiality

The parties acknowledge that certain information exchanged in connection with the services may be confidential. Each party agrees to hold Confidential Information in strict confidence and not to disclose it except to employees, contractors or advisors who have a need to know and who are bound to confidentiality obligations at least as protective as those contained herein. Confidential Information does not include information that (i) is or becomes publicly available through no fault of the receiving party, (ii) was rightfully known to the receiving party prior to disclosure, or (iii) is required to be disclosed by law, provided the disclosing party is given prompt notice and opportunity to seek protective relief.

Governing Law

This Proof of Rendering and any disputes arising under or related to it shall be governed by and construed in accordance with the laws of the State of , without regard to its conflict of law rules.

Entire Agreement

This Proof of Rendering constitutes the complete and exclusive statement of the services rendered and the amounts due as of its date and supersedes any prior oral or written representations, statements or agreements concerning the services rendered to the extent they relate to the subject matter herein. No amendment shall be effective unless in writing and signed by authorized representatives of both parties.

Attestation and Certification

The undersigned Provider certifies that the services described in this Proof of Rendering were performed as stated and that the information contained herein is true, accurate and complete to the best of Provider's knowledge. Provider further certifies that all labor, materials and other charges invoiced are customary, reasonable and were necessary for the performance of the stated services.

Client acknowledges receipt of the services described herein and, by signing below, affirms that such services have been received in accordance with the parties' agreement, subject to any disputes or claims expressly reserved in writing at the time of signature.

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