Download Consent for Transfer of Evaluation Report and File

CONSENT FOR TRANSFER OF EVALUATION REPORT AND FILE
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TO:
ICC EVALUATION SERVICE, LLC (ICC-ES)
(Applicant)*
FROM:
(Transferee)**
Reference is hereby made to ICC-ES evaluation report No.
(hereafter referred to as “the Applicant”) is named as the applicant.
in which
The Applicant does hereby consent to the transfer to
(hereafter referred to as “the Transferee”), and to the use by the Transferee, of all of the data, information and material contained
in the evaluation report file for the above-referenced report, which data, information and material has been delivered to ICC-ES on
behalf of the Applicant, and which specifically includes but which is not limited to, any and all test reports serving as a basis, in
whole or in part, for the issuance of the above-referenced evaluation report.
The transfer of rights to use of the ICC-ES evaluation report and evaluation report number is also included in this agreement.
It is understood that the above transfer, and consent to the use of data, information and material by the Transferee, is irrevocable
and not in any way hereafter subject to termination or modification by the Applicant. In addition, it is understood that the
Transferee’s right to use the materials released hereunder is unconditional and that the Transferee also has the right to permit the
use of such materials by others.
The terms of this agreement are binding in the conduct of business with ICC-ES.
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Signature for Applicant
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Signature for Transferee
Date
,
Date
,
Name of Signer, and Title (print or type)
Name of Signer, and Title (print or type)
Company Name
Company Name
Street Address
Street Address
City
Telephone No.
State
E-mail Address
Zip
City
Telephone No.
State
Zip
E-mail Address
*Name of company or individual currently retaining ownership of data, information and material, and rights to the use of the
evaluation report, report number, and file.
**Name of company or individual receiving materials and rights, and the entity whose name is to appear on subsequent published
reports.
Revised May 5, 2017