Charge Station Owner (CSO) Service Agreement-Charge Hub

Charge Station Owner (CSO) Service Agreement

Annual Service License Agreement for Charge Station Owners (CSO) to connect Electric Vehicle Charging Stations to the Charge Hub Network Software.

Between:

Charge Hub Australia Pty Ltd (ABN: 70 672 281 088)

Charge Hub Limited (NZBN: 9429050992768)

3 De Villers Place, Aspley, QLD 4034, Australia

info@chargehub.solutions

AUS - 1300 98 67 67

NZ - 0800 608 138

And:

Customer (Registered Company Name)

ABN or NZBN

Company/Billing Address

Accounts Payable Contact

Accounts Payable Email Address

Purpose:

This is an agreement between the Customer (“Charge Station Owner (CSO)”) and Charge Hub Australia Pty Ltd or Charge Hub Limited (“Service Provider”) for the Service Provider to provide the Services, as laid out in the CSO Terms and Conditions.

I agree to the CSO Terms & Conditions

Location of Services (Site) Details:

Services Commencement Date

Location of Services (Site Address)

Building Management Company Name (if applicable)

Contact Person for Site

Site Contact - Email Address & Mobile Number

Any preferred Electrical Contractor for Site

Number of Charging Station connectors (sockets/plugs) on Site

Charging Station Details (manufacturer, model, connector types, socket or cable)

How would you describe to a new, unfamiliar EV Driver (over the phone) how to find the Stations on site:

Charging Station - Access Type

Public - Accessible by the General Public ($280 + GST per connector, per annum)

Semi Public - Accessible by a defined Group of Users ($180 + GST per connector, per annum)

Private - Accessible by one or two Drivers only ($120 + GST per connector, per annum)

Any agreed Discount

Initial Agreement Term

One Year

Two Years

Three Years

How many integrated Nayax Credit Card Readers on site?

Customer Bank Account Details:

Note that Bank Account details are only required by us to provide monthly reimbursement of any monies received. Please skip this section if your Stations are on a Semi-Public license and therefore not open to the General Public.

Name of Account

Bank Name and Branch

BSB

Account Number

Payment Reference

Agreement Execution - Customer:

Signed for and on behalf of the Customer, in in accordance with section 127(1) of the Corporations Act 2001 (Cth) by:

First Signatory's - First Name

First Signatory's - Last Name

First Signatory's - Position in the Company

First Signatory's - Email Address

First Signatory's - Mobile Number

First Signatory's - Signature

First Signatory's - Date Signed

Second Signatory/Witness - Name

Second Signatory/Witness - Relationship to the Company

Second Signatory/Witness - Email Address

Second Signatory/Witness's - Signature

Second Signatory/Witness's - Date Signed

Agreement Execution - Service Provider:

Signed for and on behalf of the Service Provider, in in accordance with section 127(1) of the Corporations Act 2001 (Cth) by:

Service Provider - Signature Name

Service Provider - Signature Position

Service Provider - Signatory Email Address

Service Provider - Signatory Mobile Number

Service Provider - Signature

Service Provider - Date Signed