| Below is a copy of our Confidential Disclosure Agreement. The agreement simply states that you'll be receiving the software for evaluation purposes only. |
In order for you to receive a copy of Future Audit 3.0®, you must fill out this agreement, including your full name, the name and phone number of your business, and the agreement must be signed and dated. |
Feel free to print the one included here, fill it out, and FAX it to us at 616-957-8972. This will expedite your receipt of the software. |
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| CONFIDENTIAL DISCLOSURE AGREEMENT |
WHEREAS, deWaal Group, LLC, a division of Chlystek & White Services, Inc., having a place of business at 1601 Galbraith S.E., Suite 302, Grand Rapids, Michigan 49546 (hereinafter referred to as "DISCLOSER"), desires to disclose to ______________________ having a place of business or a residence at _______________________________________ (hereinafter referred to as "RECIPIENT"), certain information relating to Future Audit® Insurance Premium Auditing Software (hereinafter referred to as "SUBJECT") and deemed by DISCLOSER to be proprietary to DISCLOSER; and |
WHEREAS, RECIPIENT desires to receive such information for the purpose of testing and evaluating SUBJECT; |
NOW, THEREFORE, in consideration of the premises and mutual covenants herein and the disclosure of such information by DISCLOSER the parties hereto agree: |
| | (1) All information relating to the SUBJECT and disclosed by DISCLOSER to RECIPIENT in written, oral, graphic or machine-readable form shall be considered confidential and retained in confidence by RECIPIENT and its employees and shall not be published or disclosed to any other person, firm or corporation or used by RECIPIENT except as otherwise expressly authorized by DISCLOSER except for any such information which RECIPIENT can prove; |
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| | (a) is already known to RECIPIENT at the time it receives such information from DISCLOSER; or |
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(b) is or becomes publicly known through no wrongful act of RECIPIENT |
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(c) is rightfully received from a third party without restriction; or |
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(d) is approved for release by written authorization of DISCLOSER. |
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(2) Nothing in this Agreement nor in any disclosure of information by DISCLOSURE to RECIPIENT hereunder shall be deemed, either expressly or by implication, to convey any right or license to RECIPIENT. |
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(3) Except as otherwise authorized by DISCLOSER in writing, RECIPIENT shall make no copies of any documents or computer software relating to the SUBJECT and supplied RECIPIENT by DISCLOSER. Within sixty (60) days after the purpose of this Agreement has been fulfilled or within ten (10) days after a request made by DISCLOSER, RECIPIENT shall return all documents and tangible items it has received from DISCLOSER including all summaries, records, drawings, descriptions and adaptations which RECIPIENT has made from such documents and tangible items. |
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IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed and to be effective as of the last date set forth below. |
DEWAAL GROUP, LLC, a division of Chlystek & White Services, Inc. |
| By: | __________________________________________________ |
| Title: | __________________________________________________ |
| Date: | __________________________________________________ |
RECIPIENT |
| By: | __________________________________________________ |
| Title: | __________________________________________________ |
| Date: | __________________________________________________ |
| Company Name: | __________________________________________________ |
| Phone: | __________________________________________________ |
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