Verification Order Document

VERIFICATION ORDER

Order Number:   Order Date:

RECITALS

WHEREAS, Client Name: located at Address: (hereinafter "Client") requires independent verification services; and

WHEREAS, Service Provider Name: located at Address: (hereinafter "Provider") represents that it possesses the experience, personnel, methods and lawful authority to perform the verification described herein; and

WHEREAS, the parties desire to document the scope, timing, deliverables, fees and terms under which Provider will perform verification services concerning the Subject identified below;

SUBJECT OF VERIFICATION

SCOPE OF WORK

VERIFICATION SPECIFICATIONS

Verification Type(s) (select all that apply):

Identity verification    Employment verification    Income/Compensation verification

Asset verification    Background check (where lawful)    Other:

Deliverable: Provider shall deliver a Verification Report, including methodology, sources consulted, findings, and copies of relied-upon documents where permitted. Delivery format:   Delivery Deadline:

Acceptance Period (Client to notify Provider of disputes to findings): days after delivery.

PAYMENT TERMS

Total Fee (USD):

Payment Due Within: days of invoice.   Late Fee:

TERM AND TERMINATION

Term Commencement Date:   Term End Date:

Either party may terminate this Order for material breach by the other party if the breach remains uncured after the notice period set forth above. Termination will not relieve Client of its obligation to pay for services performed and costs incurred through the effective date of termination.

CONFIDENTIALITY

Provider shall treat all non-public information disclosed by Client or obtained in the course of performing services as Confidential Information and shall not disclose such information except as required by law or with Client's prior written consent. Confidential Information does not include information that is or becomes public through no breach by Provider, or that Provider can demonstrate was in its possession prior to disclosure.

Confidentiality Acknowledgment: I acknowledge and agree to the confidentiality obligations set forth above.

REPRESENTATIONS, INDEMNITY AND LIMITATION OF LIABILITY

Each party represents that it has the authority to enter into this Order. Provider represents that it will perform services with reasonable skill and care in accordance with industry standards. Client represents that information supplied to Provider is accurate to the best of Client's knowledge.

Indemnification: Client shall indemnify, defend and hold harmless Provider from claims, liabilities and expenses arising out of Client's willful misconduct, negligent misrepresentation of facts supplied for verification, or violation of applicable law in procuring the verification.

Limitation of Liability: Except for willful misconduct or gross negligence, Provider's aggregate liability for direct damages arising out of this Order shall not exceed the Total Fee paid by Client under this Order. Cap on liability (optional):

COMPLIANCE AND CERTIFICATION

Provider shall comply with applicable laws and regulations in performing verification activities, including any requirements governing the use, retention and disclosure of personal data. Provider shall not obtain or use information in a manner that would violate any applicable privacy, employment, or consumer protection law.

Certification: By signing below, each party certifies that it is authorized to enter into this Order, that the information supplied in this Order is true and correct, and that it will perform its obligations in good faith and in accordance with the terms herein.

GOVERNING LAW; ENTIRE AGREEMENT

Governing Law: This Order shall be governed by and construed in accordance with the laws of the State of , without regard to conflict of laws principles.

Entire Agreement: This Order, together with any attachments, exhibits or referenced schedules, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, representations and understandings, whether written or oral.

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