Site Survey Checklist Form

Site Survey Checklist Form

Recitals

WHEREAS, Client Name: (the "Client") requires a professional site survey to establish site conditions, constraints and recommendations for the Project described below; and

WHEREAS, Contractor Name: (the "Contractor") represents that it has the experience, personnel and equipment necessary to perform the site survey in accordance with the terms of this Agreement; and

NOW, THEREFORE, in consideration of the mutual covenants set forth herein, the parties agree that the Contractor will perform a site survey under the Scope of Work and Payment Terms set forth below.

Project Information

Scope of Work

The Contractor shall perform a site survey including field observations, measurements, documentation and recommendations. Deliverables include a written survey report and supporting photographs and annotated site sketches.

Checklist Items (mark applicable and provide notes)

Payment Terms

Fee Amount: $ . Payment shall be made to the Contractor per the schedule below.

Late Payment Fee: on overdue balances. Client agrees that failure to pay when due authorizes Contractor to suspend further work until payment is received.

Term and Termination

Term Commencement Date: . Anticipated Completion Date: .

Either party may terminate this Agreement for cause upon written notice if the other party materially breaches any obligation and fails to cure within days after receipt of such notice. Termination for convenience by Client requires days' prior written notice and payment for work performed to date.

Confidentiality

Each party acknowledges that, in the performance of this Agreement, it may receive confidential information from the other party. "Confidential Information" means non-public technical, business or financial information disclosed in writing or orally designated as confidential. Receiving party shall: (a) use Confidential Information solely to perform obligations under this Agreement; (b) restrict disclosure to employees and agents with a need to know and bound by confidentiality obligations; and (c) protect Confidential Information with at least the same degree of care it uses to protect its own confidential information, but not less than reasonable care.

Confidentiality Duration: years from the date of disclosure, except where longer protection is required by law.

Governing Law

This Agreement shall be governed by and construed in accordance with the substantive laws of the State of , without regard to its conflict of law principles. The parties consent to the exclusive jurisdiction of the state and federal courts located in that state for any disputes arising out of this Agreement.

Entire Agreement

This Agreement, including the Scope of Work and any attachments executed by the parties, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior negotiations, understandings and agreements, whether written or oral. Amendments must be in writing and signed by authorized representatives of both parties.

Representations and Certification

The undersigned certify that they are authorized to execute this Agreement on behalf of their respective parties, that the information provided in this Site Survey Checklist Form is true and accurate to the best of their knowledge, and that they agree to be bound by the terms contained herein.

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