Vendor Registration Addition Form

Vendor Registration Addition Form

Recitals

WHEREAS, Company Name: (the "Company") maintains a vendor registry to procure goods and services; and

WHEREAS, Vendor Name: (the "Vendor") seeks addition to the registry to provide specified goods and/or services under the terms set forth in this document; and

WHEREAS, the parties desire to record certain registration information, scope, payment terms and mutual assurances to support engagement and compliance.

Vendor Information

Individual Sole Proprietor Corporation LLC Partnership Other:

Scope of Work

The Vendor will provide the goods and/or services described below in accordance with purchase orders or task orders issued by the Company. Detailed scope, deliverables, performance standards and acceptance criteria are documented here:

Payment Terms

Compensation will be paid in the amounts and on the schedule set forth below, subject to invoice submission and Company acceptance of deliverables.

Term and Termination

This registration and any resulting engagement under this registration shall commence on Start Date: and continue until End Date: unless earlier terminated in accordance with the provisions below.

Either party may terminate for convenience upon written notice no less than Notice Period (days): days. Termination for cause may occur immediately where the other party materially breaches any obligation and fails to cure within a reasonable cure period where applicable.

Confidentiality

Each party acknowledges that it may receive or have access to Confidential Information of the other. "Confidential Information" means non-public business, technical and financial information designated as confidential or that reasonably should be understood to be confidential. The receiving party shall: (a) use Confidential Information only for performance under this registration; (b) restrict disclosure to employees and consultants who need the information and are bound to confidentiality obligations at least as protective as those herein; and (c) implement reasonable safeguards to protect Confidential Information. Confidential Information does not include information that is publicly known without breach, already known by the receiving party prior to disclosure, or rightfully obtained from a third party without restriction.

Representations, Compliance and Indemnity

Vendor represents that the information provided in this form is true and complete, that Vendor will comply with applicable laws and regulations in performing services, and will maintain required licenses and insurance. Vendor shall indemnify, defend and hold harmless the Company from claims, liabilities, losses and expenses arising out of Vendor's negligence, willful misconduct or breach of these terms.

Governing Law

This form and any resulting engagements shall be governed by and construed in accordance with the laws of the State of , without regard to choice of law principles.

Entire Agreement

This form, together with any purchase orders, statements of work and attachments expressly incorporated by reference, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous understandings, agreements and communications, whether written or oral. Any amendment must be in writing and signed by authorized representatives of both parties.

Certifications and Acknowledgements

By signing below, Vendor certifies that: the information supplied is accurate; Vendor is authorized to enter into agreements; Vendor is not debarred or excluded from federally-funded procurements where applicable; and Vendor will provide certificates of insurance and supporting documentation upon request. Vendor consents to records retention and audit as reasonably required by the Company.

Acknowledgement: I acknowledge and agree to the certifications and terms set forth above.

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