Security Audit Waiver

Company Name: _____________________________________ (Optional)


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

Telephone:    _____________________________________


Email:        _____________________________________ (Optional)


IP Address(es) to be audited:

              _________________________________________________


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

(  ) I am the authorized administrator of the hardware to be audited
     at the specified IP addresses.

(  ) I understand that an audit of any one IP address may take anywhere
     from 20 minutes to 5 hours to run, and will consume typically
     32-48 Kbit of bandwidth.

(  ) I have been informed that the audits may impact the up-time of the
     network and hardware being audited. I have been given the option
     to have the audits run at hours that are convenient to me, allowing
     me to limit the impact of any outages that may occur.

(  ) To the maximum extent permissible by law, I shall not 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.


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

________________________
Authorized Signature


+--------------------------------------------------------------------
| To be filled in by Auditor
|
| Name of account to be used:   ____________
|
| Expected time frame of audit: From ____________  to _____________
|                                      yy/mm/dd         yy/mm/dd
+--------------------------------------------------------------------

Waiver.txt version: 010115