Delegation of Authority Form

Example Delegation of Authority Form, either provided by Intersect in the contract Appendix or as its own document.

  1. Authorized Signatory Each Party confirms that the individual signing this Agreement on its behalf (“Authorized Signatory”) has full authority to bind the Party to this Agreement.

  2. Designation of Authorized Representatives The Authorized Signatory may, at their discretion, designate specific employees, officers or representatives (“Authorized Representatives”) to approve and sign amendments, confirmations or notices relating to the matters listed below. Designations may be proposed by written notice (including email) to the other Party; however, no such designation shall be effective unless and until this form has been completed and signed by the Authorized Signatory. Each effective designation remains valid until revoked in writing. No delegation of authority is mandatory, and the Authorized Signatory may retain all authority personally.

  3. Authorized Representatives by Category

a) Wallet / Bank Account Detail Changes Authorized Representative(s): Name(s): __________________________ Title(s): __________________________ Email(s): __________________________

b) Entity or Company Detail Changes (including company name, registration details, address, tax information) Authorized Representative(s): Name(s): __________________________ Title(s): __________________________ Email(s): __________________________

c) Commercial and Operational Contract Content Changes (excluding legal clause amendments) Authorized Representative(s): Name(s): __________________________ Title(s): __________________________ Email(s): __________________________

d) Replacement of Authorized Signatory (if the original Authorized Signatory leaves or is no longer authorized) Authorized Representative(s): Name(s): __________________________ Title(s): __________________________ Email(s): __________________________

e) Whitelist or Approved Account / Address / System Updates Authorized Representative(s): Name(s): __________________________ Title(s): __________________________ Email(s): __________________________

f) Other Agreed Operational Updates Authorized Representative(s): Name(s): __________________________ Title(s): __________________________ Email(s): __________________________

  1. Binding Effect Any approval, confirmation, or signature provided by a Designated Representative within the scope of their designated category shall be binding upon the Party as if executed by the Authorized Signatory.

  2. Method of Communication Notices, confirmations, and approvals under this Section may be delivered by email and shall be deemed valid and effective.

  3. Limitations Designated Representatives may not approve amendments that materially modify pricing, payment obligations, liability, indemnities, contract term, or termination rights, unless expressly authorized in writing by the Authorized Signatory or another duly authorized executive.

  4. Continuity If an Authorized Representative or Authorized Signatory leaves the organization or is no longer authorized, the Party shall notify the other Party and may appoint replacements by written notice. Until such notice is given, prior designations remain valid.

By signing below, the Authorized Signatory confirms that they have read, understood, and may exercise the rights of delegation set forth in this Section. Delegation of authority is optional and not mandatory.

Authorized Signatory

Name:

Signature:

Date:

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