Confidentiality Agreement

"*" indicates required fields

Comments

This field is for validation purposes and should be left unchanged.

Personal Information

Name*

First Last

Confidential Phone Number*

Email*

Country of Residency*

United States Address*

Street Address Address Line 2 City State ZIP Code

Canada Address*

Street Address Address Line 2 City Province Postal Code

Year Graduated:*

This field is hidden when viewing the form

Listing Information

Listing Number*

This field is hidden when viewing the form

Listing Region

Location of Practice You Are Inquiring About:*

SIMMONS & ASSOCIATES, INC., OR ANY LICENSEE, hereinafter referred to SIMMONS & ASSOCIATES, in connection with the possible acquisition of the veterinary practice disclosed, will furnish proprietary information which may include the financial condition, operations, and prospects for future growth. In consideration for SIMMONS & ASSOCIATES providing information relative to the veterinary practice known as Listing Number:

I hereby agree as follows:

Not to reveal to anyone, except immediate advisors and fiduciaries (only and to the extent such representatives have a need to know), which representatives have a duty of confidentiality (contractual or otherwise), (i) any confidential information received from SIMMONS & ASSOCIATES regarding any veterinary practice or (ii) that the veterinary practice disclosed by SIMMONS & ASSOCIATES is for sale.
All information furnished will be deemed confidential except information which is generally available to the public or is already in my possession. The information will be used by me exclusively for the purposes of evaluating a purchase transaction and will not be used in any other way for any other purpose whatsoever.
To evaluate all information within a reasonable time period. If I decide not to pursue the proposed transaction, I will promptly advise SIMMONS & ASSOCIATES of this fact and return all information without retaining copies or extracts thereof.
Not to contact the veterinary practice owner, employees, suppliers, competitors, attorney, accountant, or clients except through SIMMONS & ASSOCIATES, who I hereby acknowledge to be the agency providing contact.
That, until permission is specifically granted by SIMMONS & ASSOCIATES, all communications between BUYER and SELLER will be handled through SIMMONS & ASSOCIATES.
To the understanding that, although certain information has been and will be provided which I may consider to be relevant, SIMMONS & ASSOCIATES makes no representation or warranty (implied or expressed) as to its accuracy or completeness. I agree to perform due diligence to my own satisfaction.
That SIMMONS & ASSOCIATES is the listing agent representing the seller, exclusively, for the purpose of selling the above-referenced practice. SIMMONS & ASSOCIATES is not providing me with any legal or tax advice regarding this potential transaction or any other practice situation.
SIMMONS & ASSOCIATES participates in the Simmons Education Fund (SEF), an independent non-profit educational organization. The SEF accepts voluntary contributions from various institutions, businesses, and individuals for the advancement of business knowledge of veterinary practitioners and students.
That SIMMONS & ASSOCIATES agrees not to reveal to anyone other than the owner and other associates of SIMMONS & ASSOCIATES, any conversations or correspondence held with the undersigned regarding this potential transaction.

Date*

Email me a copy of this form.

Yes

This field is hidden when viewing the form

Would you like to Subscribe to the Simmons Insight Newsletter?

Yes, please send me industry news, updates, and insights.