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Stella Ops Compliance Self-Attestation Form

Form Version: 1.0.0 Attestation Period: [YEAR]

Instructions

  1. Complete all sections marked with [ ] or ___
  2. Replace placeholder text [...] with your information
  3. Have an authorized representative sign
  4. Submit to: compliance@stella-ops.org
  5. Retain a copy for your records

Section 1: Operator Information

Field Value
Organization Legal Name [Full legal name of organization]
Primary Contact Name [Name of compliance contact]
Primary Contact Email [Email address]
Primary Contact Phone [Phone number - optional]
Mailing Address [Business address]
Installation ID [From /admin/compliance dashboard, or "Not Available"]
Attestation Date [YYYY-MM-DD]

Section 2: Usage Declaration

2.1 Environment Count

Current number of active Environments in this installation:

  • 1 Environment
  • 2 Environments
  • 3 Environments
  • More than 3 Environments

If more than 3 Environments, commercial license reference: _______________

2.2 Scan Volume

Peak daily scan volume (new hash scans) in the past 12 months:

  • Under 100 scans/day
  • 100 - 499 scans/day
  • 500 - 999 scans/day
  • Over 999 scans/day

If over 999 scans/day, commercial license reference: _______________

2.3 Usage Metrics Source

How were the above metrics determined?

  • Stella Ops admin dashboard
  • API metrics endpoint
  • Log analysis
  • Estimate based on operational knowledge
  • Other: _______________

Section 3: Distribution Declaration

3.1 Redistribution Status

  • We do NOT redistribute Stella Ops or Stella Ops Plugins
  • We redistribute Stella Ops (complete Section 3.2)
  • We redistribute Plugins only (complete Section 3.3)

3.2 Stella Ops Redistribution (if applicable)

  • LICENSE file included in all distributions
  • NOTICE.md file included in all distributions
  • LICENSE-ADDENDUM-COMMUNITY-PLUGIN-GRANT.md included
  • Modified files marked with change notices
  • Not offered as competing managed service

Distribution channels: _______________

3.3 Plugin Redistribution (if applicable)

  • Plugin does not include Stella Ops source code
  • Attribution to Stella Ops included
  • Plugin documentation references Stella Ops licensing

Plugin name(s): _______________

Section 4: SaaS / MSP Declaration

4.1 Deployment Model

Select ONE:

  • Internal Use Only

    • Stella Ops accessed only by our employees, contractors, and affiliates
    • No third-party access to Stella Ops functionality

  • MSP Single-Tenant Hosting

    • We host isolated Stella Ops instances for customers
    • Complete Section 4.2

  • Commercial SaaS License

    • We have a commercial license for SaaS/hosted use
    • License reference: _______________

4.2 MSP Details (if applicable)

Number of customer instances hosted: _______________

License coverage:

  • Our commercial license covers all customer instances
  • Each customer has their own Stella Ops license
  • Mixed (describe): _______________

Instance isolation:

  • Each customer has dedicated infrastructure (compute, storage)
  • No data sharing between customer instances
  • Customers cannot access each other's data or results

Section 5: Certification

I certify that:

  1. The information in this attestation is accurate and complete to the best of my knowledge

  2. Our organization's use of Stella Ops complies with the Business Source License 1.1 and the Community Plugin Grant Addendum

  3. I am authorized to make this attestation on behalf of the organization named above

  4. I understand that knowingly providing false information may result in termination of license rights

  5. I will notify stella-ops.org within 30 days of any material changes to the information provided

Section 6: Signature

Field Value
Printed Name ___________________________
Title/Role ___________________________
Signature ___________________________
Date ___________________________

Section 7: Internal Use Only (stella-ops.org)

Field Value
Received Date
Reviewed By
Review Date
Status [ ] Accepted [ ] Clarification Needed [ ] Referred to Sales
Confirmation Sent
Notes

Submission

Email completed form to: compliance@stella-ops.org

Subject line: Compliance Attestation - [Organization Name] - [Year]

Attachments (optional but recommended):

  • Screenshot of /admin/compliance dashboard
  • Usage report export (if available)

Form version 1.0.0 | Effective 2026-01-25 Questions? Contact legal@stella-ops.org