Security Audit Waiver

Company Name: _____________________________________ (the "Audited Party")

Contact Name: _____________________________________
              (lastname, firstname) (Please print)

Telephone:    _____________________________________

Email:        _____________________________________ (Optional)

IP Address(es) to be audited: _______________________________________

Permitted time frame of audit: From Dates: ____________  to _____________
                                           yy/mm/dd         yy/mm/dd

                                    Times: ____________  to _____________

Please initial each of the following boxes indicating your acceptance
of the statements:

(  ) I am the authorized administrator or owner of the hardware to be
     audited at the specified IP addresses and consent to having security
     audits conducted of these addresses.

(  ) I am authorized to execute this security audit waiver.   

(  ) I understand that an audit of an IP address may take from anywhere
     from 20 minutes to up to 10 hours to run, and may consume up to
     128K bit of bandwidth.

(  ) I have been informed that the audits may impact the up-time of the
     network and hardware being audited.

(  ) To the maximum extent permissible by law, neither I nor the Audited
     Party shall hold the auditor or his suppliers liable for any damages
     whatsoever (including without limitation, damages for loss of business
     profits, business interruption, loss of business information or any
     other pecuniary loss) arising out of the use or inability to use the
     auditor's service or reports, even if the auditor or his suppliers
     have been notified of the possibility of such damages.

______________________________    Dated this ______ day of ________, 20____
Authorized Name (Print)

______________________________
Authorized Signature (I have authority to bind the Audited party)

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| To be filled in by Auditor
| ( ) I have verified the above information to be true and correct.
|
| Auditors Name:  ______________  Auditor's Signature: ________________
| Name of account to be used:   ____________
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