Weight Measurement Form

WEIGHT MEASUREMENT FORM & SERVICE AGREEMENT

Parties

Client Name:

Client Address:

Service Provider Name:

Service Provider Address:

Recitals

WHEREAS, Service Provider is duly engaged in the business of providing professional weight measurement, calibration verification, and associated reporting services using industry-standard scales and procedures; and

WHEREAS, Client requires weight measurement services for materials, shipments, equipment or other commodities described in the Scope of Work below and desires to retain Service Provider to perform such services in accordance with the terms and conditions of this Agreement; and

NOW, THEREFORE, in consideration of the mutual covenants contained herein, the parties agree as follows.

Scope of Work

Measurement Record

Measurement Location:

Measurement Date:    Measurement Time:    Unit of Measure:

Make / Model:    Serial Number:

Last Calibration Date:    Calibration By:

Payment Terms

Late fee (percent per month):    Minimum late fee (flat):

Term and Termination

Term Commencement Date:

Term Expiration Date:

Either party may terminate this Agreement for convenience upon written notice to the other party provided at least days prior to the effective termination date. Termination for material breach shall be effective upon days' written notice if the breach is not cured within that period.

Confidentiality

Each party acknowledges that during performance of this Agreement it may receive Confidential Information of the other party. Confidential Information shall include measurement results, reports, procedures, pricing, and other non-public business information. The receiving party shall (a) hold such information in strict confidence, (b) not disclose it to third parties except to employees or contractors who have a need to know and are bound by similar confidentiality obligations, and (c) not use such information except to perform obligations under this Agreement. The obligations herein shall survive termination for a period of years.

Inspection, Records and Certification

Service Provider certifies that all weight determinations recorded on this form were made using instruments identified above and were performed in a competent manner consistent with accepted industry practices. Service Provider will retain original measurement worksheets and calibration certificates for a period of years and will provide copies to Client upon reasonable request.

Measurement verified by (printed name):    Title:

Governing Law; Entire Agreement

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to its choice of law principles.

This Agreement, including any attachments and measurement reports issued hereunder, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior discussions, proposals, or agreements. Any amendments must be in writing and signed by authorized representatives of both parties.

Indemnity and Limitation of Liability

Each party shall indemnify and hold harmless the other from claims arising from its negligent acts or omissions in connection with this Agreement. Except for liability arising from willful misconduct or gross negligence, Service Provider's aggregate liability for direct damages arising from performance of services under this Agreement shall not exceed the total fees paid by Client to Service Provider for the measurement services giving rise to the claim.

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