Wildfire CEAR Incident Report

WILDFIRE CEAR INCIDENT REPORT

Agreement Recitals

WHEREAS, Service Provider Name: and Client Name: (collectively, the Parties) have a mutual interest in the assessment, containment, remediation and reporting of wildfire-related incidents under the CEAR protocol; and

WHEREAS, an incident occurred that requires formal documentation, assignment of response services and potential remedial work as described in this Incident Report and Agreement; and

WHEREAS, the Parties intend to record factual incident details, define the scope of work, set payment terms for response services and establish contractual protections herein.

Incident Identification

CEAR Report Number:    Incident Classification:

Incident Date:    Incident Time:

Incident Details

Severity Level:    Containment Status:

Damage Assessment & Observations

Injuries Reported: Yes    Fatalities: Yes    Evacuations Ordered: Yes    Hazardous Materials Involved: Yes

Scope of Work (CEAR Response and Remediation)

Deliverables (list):

Payment Terms

Total Agreed Amount: $

Term and Termination

Agreement Commencement Date:    Expected Completion Date:

Either Party may terminate this Agreement for material breach if the breaching Party fails to cure within the notice period above. Termination does not relieve the Parties of payment obligations for work performed prior to termination or for costs reasonably incurred in wind-down of services.

Confidentiality

Each Party shall maintain as confidential all non-public information disclosed in connection with this Incident Report and Agreement, including damage assessments, remediation plans, owner contact information and photographs. Confidential information shall not be disclosed except as required by law, to emergency responders, or to third-party contractors engaged to perform remediation under obligations of confidentiality. This obligation shall survive termination for a period of three (3) years.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the state indicated below without regard to conflict-of-law principles.

Entire Agreement

This Incident Report together with the Scope of Work, Payment Terms and any attachments constitutes the entire agreement between the Parties with respect to the subject matter herein and supersedes all prior oral or written understandings. Any amendment must be in writing and signed by authorized representatives of both Parties.

Attachments and Evidence

Certification

The undersigned certifies that the facts, observations and statements contained in this Incident Report are true and accurate to the best of their knowledge, and that any remedial services described will be carried out in accordance with applicable safety protocols and regulatory requirements. Signing this document authorizes Service Provider to commence the Scope of Work in accordance with the Payment Terms, unless otherwise agreed in writing.

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