Quality Sign Off Checklist

QUALITY SIGN OFF CHECKLIST

Client Name:    Supplier Name:

Project / Order No.:    Location:

Inspector Name:    Inspection Date:

WHEREAS

WHEREAS, Client Name: and Supplier Name: entered into an agreement for the provision of goods and/or services described herein;

WHEREAS, Supplier has completed or delivered the items, components, or services subject to inspection and the parties require formal quality acceptance and recorded sign-off as a condition for final payment and release of deliverables;

WHEREAS, the parties agree that the standards, tests, and acceptance criteria set forth in this Quality Sign Off Checklist shall govern final acceptance for the referenced Project / Order No.: .

SCOPE OF WORK

QUALITY CHECKLIST

Inspection Items — mark Accepted where conforming and note any non-conformance in Comments.

PAYMENT TERMS

Final acceptance under this Checklist triggers final payment within days of the date of signature by the authorized representatives below.

TERM AND TERMINATION

Start Date:    End Date:

Either party may terminate for material breach upon written notice and failure to cure within days. Termination obligations shall include return of confidential information, settlement of outstanding payments for accepted work, and disposition of non-conforming items as agreed by the parties.

CONFIDENTIALITY

Each party shall maintain in confidence all proprietary or confidential information disclosed pursuant to this Checklist and shall not disclose such information to third parties without prior written consent. Confidential information does not include information that is or becomes publicly known through no fault of the receiving party, or is rightfully obtained from a third party not subject to confidentiality obligations. The obligations of confidentiality survive termination or expiration of this Checklist for a period of three (3) years.

GOVERNING LAW

This Checklist and any dispute arising out of or related to it shall be governed by the laws of the state of without regard to its conflicts of law principles.

ENTIRE AGREEMENT

This Quality Sign Off Checklist, together with any referenced purchase order, specification documents, and the underlying agreement between the parties, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior negotiations, representations, and agreements, whether written or oral.

NON-CONFORMANCE RECORD

CERTIFICATION AND ACCEPTANCE

The undersigned, being authorized representatives of their respective parties, certify that they have reviewed the inspections, tests, and documents referenced above and hereby declare the deliverables are:

Accepted in full Accepted with documented non-conformances Rejected

Additional notes:

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