Legal Contract Request

Contract Templates:
Desired Action: * 🛈
Is Nalco disclosing confidential information? *
Number of Parties Involved
Nalco Template? 🛈
Did you make sure? *
FOR NEW LEGAL CONTRACTS ONLY - NO OTHER DOCUMENTS SHOULD BE UPLOADED
FOR NEW LEGAL CONTRACTS ONLY.  A copy of the customer-signed Incident Response Agreement must be uploaded with this submittal.
Account Type: *
Type of Agreement *
Add Another?:
Add Another ?:
Covers Entire CA / All Sold To Numbers?: *
 Sold-To Number(s)
Sold-To #:
Sold-To #:
Sold-To #:
Sold-To #:
Sold-To #:
Sold-To #:
Sold-To #:
Sold-To #:
Sold-To #:
Sold-To #:
 Account Name(s)
Account Name:
Account Name:
Account Name:
Account Name:
Account Name:
Account Name:
Account Name:
Account Name:
Account Name:
Account Name:
 +
Is this contract submittal related to a Legionella Incident Response scenario? If so, the fully executed Legionella Incident Response MSA must be attached below. 🛈

 +
 +
 +
 +
Add Another?:
Add Another?:

Is this an Institutional account?: *
Are the anticipated annual sales and/or services less than $100,000 per year?: *
Is the customer a corporate account?: *
Is the contract relating to a construction project?: *
Is the end user of Nalco Water products/services a data center?: *
Do we currently have a master agreement with this customer?: *
Are the products and/or services related to a Water Safety Incident Response or Outbreak of Legionnaires Disease?: *
Are the products and/or services for HVAC or Boilers including PAC 2, PAC 3, PAC 8, Legionella testing, on-line disinfection (for non-potable applications), cooling tower inspections or cooling tower cleaning and disinfection?: *
Do the Nalco products include a Water Management Safety Plan or application for the treatment of potable/domestic water or treatment of wastewater?: *

Are you using the downloaded Nalco Water Program Management Agreement?: *
Is this an amendment to an existing contract?:

Has a Scope of Work been provided? * 🛈
Is scope (including general disclaimer) included in the contract?: * 🛈

Is your customer requesting non-standard billing?: *
Select all that apply: *
Is the contract? 🛈

Add Another File?:

Add Another File?:

Add Another File?:

Add Another File?:

NOTE:  IF ANY INFORMATION RELATIVE TO THE CONTRACT IS MISSING (i.e. SCOPE OF WORK, PRICING, EXHIBITS, ETC.), IT WILL BE REJECTED WHICH WILL FURTHER DELAY THE REVIEW PROCESSING TIME.