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Exhibit 10.21
VERMONT PURE HOLDINGS, LTD.
CRYSTAL ROCK/VERMONT PURE
1050 BUCKINGHAM STREET
WATERTOWN, CONNECTICUT 06795
November 2, 2005
Name and Title _________________________
Address ________________________________
Address ________________________________
Re:
Amendment to Indemnification Agreement
Dear ________:
Reference is made to the Indemnification Agreement dated as of
November 1,
2002 (the "Agreement") by and between you and Vermont Pure
Holdings, Ltd.
The
parties to the Agreement desire to amend Sections 19 and 22 of
the
Agreement to update information about notice, venue and
jurisdiction.
Accordingly, in consideration of the mutual promises hereinafter
set forth
and other good and valuable consideration, the receipt and adequacy
of which are
hereby acknowledged, the parties hereby agree as follows:
1. Section 19 of the Agreement is hereby deleted in its entirety
and the
following text is inserted in lieu thereof:
19. NOTICES. All notices, requests, demands and other
communications
under this Agreement shall be in writing and shall be deemed duly
given if
delivered by hand, sent by
facsimile transmission with confirmation of
receipt, sent via a reputable overnight courier service with
confirmation
of
receipt requested, or mail
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