Providing Staffing Solutions for the Nonprofit Community

Providing staffing solutions for the nonprofit community

New Client Sales Agreement/Extension of Credit This entire document must be completed before credit can be granted.

Please return to: Nonprofit Staffing Solutions 1712 I Street, NW, Suite 306 Washington, DC 20006 Office: 202.785.2060 / Fax: 202.785.2064

For the purpose of obtaining services on credit from Nonprofit Staffing Solutions, a division of Nonprofit HR Solutions, LLC, or for the extension of credit from Nonprofit Staffing Solutions, as an authorized representative of ______(hereby known as "the Organization"), I make the following statement in writing. I understand that Nonprofit Staffing Solutions may rely on this information to determine the Organization's financial condition. I also authorize Nonprofit Staffing Solutions and its agents to contact any appropriate third parties or credit agencies to verify the accuracy of information submitted and to retain such information for its records. I understand that Nonprofit Staffing Solutions may rely upon this information in considering this application.

ORGANIZATION INFORMATION

Organization Name: ______

Primary Contact Name: ______

Mailing Address: ______

City/State: ______Zip Code: ______

Telephone #:______Fax#: ______

E-Mail Address______

Federal Tax I.D. # Annual Budget______

Organization Type: 501(c)(3) 501(c)(6) Other:

TERMS AND CONDITIONS attorney fees incurred by Nonprofit Staffing Solutions. If credit is granted, the Organization agrees to all the Payments and Late Fees above terms of this Agreement. We understand that this In making this application for credit, I agree, on behalf of agreement can only be changed or terminated in writing. the Organization, that acceptance of Nonprofit Staffing Solutions Services constitutes an agreement to the terms stated on each invoice including late charges if not paid Upon your granting of credit, our Organization agrees: according to terms. In the event of default of the account and placement of the amount for collection, our 1. To pay the amount of each invoice within (14) Organization agrees to pay any and all reasonable fourteen days from invoice date.

Revised as of 11.12 Page 1 2. Default in payment on any portion of the account shall make the entire account balance immediately due and payable. 3. After 30 days from the invoice due date, to pay total fees due plus any late fees incurred not to exceed 1.5% of the total invoice due.

Revised as of 11.12 Page 2 The terms of this Agreement and any applicable Staffing Solutions will prorate its normal direct hire fee Nonprofit Staffing Solutions Service Agreement (which is based on the annualized salary offered to the including invoices and time cards, constitute the entire potential employee and the number of weeks that Agreement and that waiver by the Organization of any individual worked as a temporary. default or provision of the Agreement shall not be a waiver of any other or later default or provision. We also understand that if our Organization elects to hire any of Nonprofit Staffing Solutions’ employees within Timesheets one year of the last day of their assignment with us, we We acknowledge and understand that Nonprofit Staffing agree to pay a direct hire fee equivalent to no less than Solutions uses an electronic Timesheet Approval System 18% of that individual’s first year’s salary. Such and agree to abide by the provisions of that system. By payment shall be due and payable to Nonprofit Staffing execution of this Agreement, we certify that the hours Solutions within 30 days of the individual’s first day of presented in the Timesheet Approval System are correct employment with our Organization. and that the work was done in a satisfactory manner, Notice of Claims unless otherwise disputed by us within three (3) business Our Organization also agrees that Nonprofit Staffing days of the services being rendered. We agree that the Solutions will not be responsible for claims made under services provided by any assigned and authorized any insurance policy unless applicant reports such claims Nonprofit Staffing Solutions employee(s), are not subject in writing to Nonprofit Staffing Solutions promptly, and to any offsets, disputes, defenses, allowances, discounts in any event, within ten (10) days of discovery and or credits of any kind. We also understand that, under no cooperates fully in the investigation and any subsequent circumstances, will failure to approve timesheets absolve prosecution. No oral statement of any person shall our Organization of its responsibility to pay for all hours modify or otherwise affect the foregoing terms and rendered. conditions.

Default/Failure to Pay On behalf of the Client Organization, Agreed to and Failure to pay as required by the Terms and Conditions signed by: of this Agreement will be considered default of this Agreement. In such cases, Nonprofit Staffing Solutions reserves the right to suspend its services and remove its ______employees from our facility, without being in default of Authorized Representative Signature its Agreement with us, until payment has been received and accepted by Nonprofit Staffing Solutions. ______Liability for Injury and Property Damage Print Name and Title It is understood that insurance coverage of Nonprofit

Staffing Solutions does not cover liability for injury or Date property damage to the Organization's equipment, machinery, and materials in the care, custody or control On behalf of Nonprofit Staffing Solutions, Agreed to and of Nonprofit Staffing Solutions, its agents or employees. Signed by: Conversion We understand that this Agreement covers both the Temporary Hire and Temp-to-Hire Programs, and that under both programs the employee will remain on Nonprofit Staffing Solutions’ payroll for up to 525 hours. As a Nonprofit Staffing Solutions customer, we realize that Nonprofit Staffing Solutions has expenses in ______maintaining staff (advertising, testing, reference ______checking, etc.), and that if our Organization transfers one Authorized Representative Signature of Nonprofit Staffing Solutions' employees, within 525 hours from date of last assignment, to our payroll, a Patricia A. Hampton, Vice President/Managing direct hire fee is in order. Under the Temp-to-Hire Partner Program, if we decide to transfer Nonprofit Staffing Print Name and Title Solutions’ employees to our payroll prior to the completion of 525 hours, we understand that Nonprofit Date NPSS use only New Customer Account Credit Limit Approved: $ ______

Revised as of 11.12 Page 3

Bill Rate ______Length of Assignment ______Sales volume $______Account Representative: ______

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