[Example: Create your own version and remove this note and the footer before using]
Professional Services Agreement (PSA) STATEMENT OF WORK
Professional Services Agreement: | Professional Services Agreement between [Customer] and [Provider] dated as of XXX |
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SOW #: | |
SOW Effective Date: | |
SOW Term: | ___ days from the Effective Date |
SPECIFICATIONS | |
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Description of Services | [Describe or attach or link to reference document] |
Description of Deliverables | [Describe or attach or link to reference document] |
CUSTOMER DEPENDENCIES (See Section 3.2 of Professional Services Agreement) | |||
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Customer Dependency: | Description: | Due Date: if any | Notes: |
ACCEPTANCE (See Section 3.4 of Professional Services Agreement) | |||
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Deliverable: | Due Date: | Subject to Acceptance: (Y/N) | Notes: |
THIRD-PARTY MATERIALS (See Section 5.2 of Professional Services Agreement) | |||
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Third-Party Materials | (List any Third-Party Materials included in Deliverables) | ||
Open Source: | (List and include complete license and copyright attribution information for any Open Source included in Deliverables) | ||
Open Source under a Copyleft License: (Specify if Open Source provided under a Copyleft License is permitted by Customer and, if so, list)(See Section 5.3(c) of Professional Services Agreement) |
RIGHTS IN DELIVERABLES (See Section 6 of Professional Services Agreement) | |
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All Deliverables are [Licensed Deliverables][Assigned Deliverables] in accordance with the selection made by the parties under Rights in Deliverables on the Cover Page to the Professional Services Agreement, except for any exceptions specified below. | |
Exceptions: The following Deliverables will be treated as specified below: | |
Licensed Deliverables: | |
Assigned Deliverables: | |
Reserved Materials: | (If there are any Assigned Deliverables, list any Reserved Materials) |
COMMUNICATION AND ESCALATION (See Section 4 of Professional Services Agreement) | ||
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Customer: | Provider: | |
Project Lead | Name and Email | Name and Email |
Escalation Lead | Name and Email | Name and Email |
CUSTOMER MATERIALS (See Section 8 of Professional Services Agreement) | |
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Customer Materials: | Describe (if any) |
Customer Systems: | Describe (if any) |
Customer Facilities: | Describe (if any) |
FEES & EXPENSES (See Section 10 of Professional Services Agreement) | |
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Fees: | |
Expenses: |
INVOICES | |
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Invoice To: Invoice Contact Name: Invoice Address: Invoice Email: | PO Required on Invoice: Yes or No If yes, PO #: _______________ |
Customer: | Provider: |
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Signature: Name and Title: Company: Address (choose one or both): Email: Postal mail: Date: | Signature: Name and Title: Company: Address (choose one or both): Email: Postal mail: Date: |