Reader Fault Report

READER FAULT REPORT

Service Provider Name:     Client Name:

Report Number:     Date of Report:     Time of Fault:

WHEREAS

WHEREAS, Service Provider operates, inspects, maintains and repairs electronic reader devices and ancillary equipment and offers investigative and remedial services related to failures or malfunctions of such equipment; and

WHEREAS, Client has reported a fault affecting a reader device identified below and requests that Service Provider document, investigate and, where authorized, perform remedial work in accordance with the terms set forth in this report and any accompanying agreement;

WHEREAS, the parties record here the observed fault, preliminary assessment, recommended corrective action, estimated costs and the contractual terms governing any subsequent remedial work.

DEVICE & LOCATION

SCOPE OF WORK

FAULT OBSERVATION

Date of First Observation:     Time of First Observation:

Automated alert    Manual report (operator/user)    Routine inspection

Low - limited or no service disruption    Medium - partial degradation of service    High - critical service interruption

RECOMMENDATION & ESTIMATE

PAYMENT TERMS

Contract Amount (if applicable):     Payment Schedule:

Late Fee:

Payment shall be due in accordance with the payment schedule above. Any undisputed amounts not paid within the agreed period shall accrue the stated late fee until paid in full. Client must notify Service Provider in writing of any disputed charges within seven (7) days of invoice receipt; undisputed portions remain payable under this Agreement.

TERM AND TERMINATION

Term Commencement Date:     Term Expiration Date:

Either party may terminate any agreement to perform remedial work upon written notice to the other party. Notice Period (prior to termination for convenience): days. Termination shall not relieve Client of payment obligations for work performed or expenses incurred prior to termination.

CONFIDENTIALITY

All non-public technical and business information exchanged between the parties in connection with this report and any related remedial work shall be treated as confidential and shall not be disclosed to third parties except as required by law or with prior written consent of the disclosing party. Confidentiality obligations shall survive for years following the date of this report.

GOVERNING LAW

This report and any agreement to perform remedial work shall be governed by and construed in accordance with the laws of the jurisdiction of: . Venue for any dispute shall lie in that jurisdiction unless otherwise agreed in writing.

ENTIRE AGREEMENT

This Reader Fault Report, together with any written service agreement and annexes referenced herein, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior oral or written communications. Any amendment or modification must be in writing and signed by authorized representatives of both parties.

REPORTER & CONTACTS

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