Executive Severance Agreement

This Severance Agreement (the "Agreement") is made effective as of

by and between (the "Executive") and (the "Company").

1. Termination of Employment

The employment relationship between the Executive and the Company shall terminate on (the "Termination Date").

2. Severance Payment

In consideration for the execution of this Agreement and the promises and covenants contained herein, the Company agrees to provide the following severance pay to the Executive:

3. Benefits

The Executive will be entitled to the following benefits:

4. Release of Claims

The Executive agrees to

5. Confidentiality and Non-Disparagement

The Executive agrees to maintain the confidentiality of all proprietary information of the Company and not to disparage the Company or its officers, directors, or employees.

6. Return of Property

The Executive agrees to return all company property including keys, documents, and equipment prior to or upon the Termination Date.

7. Miscellaneous

Executive

Company Representative

Date: