Supplier Information Creation Form

Supplier Information Creation Form

Document Recitals

WHEREAS, Company Name: (the "Company") seeks to establish a supplier profile and contractual relationship for the purchase of goods and services; and

WHEREAS, Supplier Name: (the "Supplier") represents that it is duly organized and authorized to provide the goods and/or services described herein and to provide accurate supplier information for vendor onboarding;

NOW, THEREFORE, the parties agree that the information provided in this form together with the terms and conditions set forth below will govern the initial supplier relationship and information retention.

Supplier Legal and Contact Information

Corporation LLC Partnership Sole Proprietor/Individual Other:

Primary and Secondary Contacts

Banking and Payment Instructions

ACH / Electronic Transfer Check Wire Transfer Other:

Goods / Services, Pricing and Lead Times

Insurance and Compliance

Yes No

Scope of Work

The Supplier shall provide the goods and/or perform the services described below in accordance with the terms of this form. Deliverables, milestones, quality standards, acceptance criteria and any specific warranties shall be set forth in applicable purchase orders or statements of work.

Payment Terms

Agreed contract value or typical invoice amount: USD

Late payment fee: . Invoices are valid when accompanied by a Purchase Order number if required: PO#

Term and Termination

Effective Start Date: . Termination Date (if fixed): .

Either party may terminate for convenience upon written notice of days. Termination for cause may be immediate where a material breach is not cured within days after written notice.

Confidentiality

The parties acknowledge that in the course of performance each may receive or have access to Confidential Information. Confidential Information means non-public business, technical, financial, customer or supplier information designated as confidential or that a reasonable person would understand to be confidential. Each party agrees to: (a) maintain Confidential Information in strict confidence; (b) use Confidential Information solely for the purposes of performing obligations under this form and related purchase orders; and (c) restrict disclosure to employees, contractors or agents bound by confidentiality obligations no less protective than those herein. Confidentiality obligations survive termination for a period of three (3) years unless a different period is specified below:

Warranties and Indemnification (Summary)

Supplier warrants that goods and services will conform to the specifications, be free from material defects and be performed in a professional manner. Supplier shall indemnify and hold harmless the Company from claims arising out of Supplier's negligence, willful misconduct, or breach of applicable laws, except to the extent caused by the Company's negligence.

Governing Law and Dispute Resolution

This form and any purchase orders issued under it shall be governed by the laws of the State of without regard to conflict of laws rules. The parties agree to attempt good faith negotiation to resolve disputes prior to initiating litigation.

Entire Agreement

This form, together with any executed purchase orders and incorporated attachments, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes prior oral or written representations, negotiations and agreements. No amendment is effective unless made in writing and signed by authorized representatives of both parties.

Acknowledgment and Certification

The undersigned certifies under penalty of perjury that the information provided in this Supplier Information Creation Form is true, complete and accurate to the best of their knowledge, and that they are authorized to bind the party for whom they sign.

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