Common use of Disclosure of Potential Conflicts of Interest Clause in Contracts

Disclosure of Potential Conflicts of Interest. The Independent Consultant represents that the following listed business relationships, including products or services represented by Independent Consultant as part of such business relationships, are the only potential conflicts of interest it has pursuant to Article III above: REMAINDER OF ▇▇▇▇ INTENTIONALLY LEFT BLANK Name Social Security Number Business Name Title: (if applicable) Name (must match signature): Address City State Zip Phone Email Signature X Date: Name: _ Title: Signature X Date: This Commission Addendum (hereinafter referred to as “COMMISSION ADDENDUM”) shall be binding between The Professionals Network, LLC with its address at ▇▇▇▇ ▇. ▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇▇ ▇▇▇ – ▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ (hereinto referred to as “The Company”) and its various Divisions, Partner Companies, and Products and or Services it markets and represents, including but not limited to Energy Solutions Network, LLC (dba Energy Network), Med Network, LLC, Waste Network, LLC, EN Residential, LLC, Ag Network, LLC, EN Engineering, LLC (hereinafter referred to as “Division or Divisions”), and the undersigned and contracted independent consultant (hereinafter referred to as “Independent Consultant or IC”).