THERAVANCE INC FORM 8-K. (Current report filing) Filed 12/11/08 for the Period Ending 12/05/08

Size: px
Start display at page:

Download "THERAVANCE INC FORM 8-K. (Current report filing) Filed 12/11/08 for the Period Ending 12/05/08"

Transcription

1 THERAVANCE INC FORM 8-K (Current report filing) Filed 12/11/08 for the Period Ending 12/05/08 Address 901 GATEWAY BLVD SOUTH SAN FRANCISCO, CA Telephone CIK Symbol THRX SIC Code Pharmaceutical Preparations Industry Biotechnology & Drugs Sector Healthcare Fiscal Year 12/31 Copyright 2008, EDGAR Online, Inc. All Rights Reserved. Distribution and use of this document restricted under EDGAR Online, Inc. Terms of Use.

2 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC FORM 8-K Current Report Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 Date of Report (Date of earliest event Reported): December 5, 2008 THERAVANCE, INC. (Exact Name of Registrant as Specified in its Charter) Delaware (State or Other Jurisdiction of Incorporation) (Commission File Number) (I.R.S. Employer Identification Number) 901 Gateway Boulevard South San Francisco, California (650) (Addresses, including zip code, and telephone numbers, including area code, of principal executive offices) Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below): Written communications pursuant to Rule 425 under the Securities Act (17 CFR ) Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR a-12) Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR d-2(b)) Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR e-4(c))

3 Item 5.02 Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers. (b) As previously announced, in connection with a restructuring of its workforce that commenced on April 21, 2008, Theravance, Inc. (the Company or Theravance ) eliminated the position of Senior Vice President of Technical Operations, held by Dr. Arthur Campbell. Dr. Campbell s employment with Theravance ended on December 5, (e) In connection with his termination of employment, the Company intends to enter into a letter agreement (the Separation Agreement ) with Dr. Campbell pursuant to which Theravance agrees to pay Dr. Campbell a severance payment of $197,742 following his cessation of employment based on his length of employment and level of seniority at Theravance, and health insurance premiums through December 31, 2009, or earlier if Dr. Campbell accepts new employment. The Separation Agreement also contains certain restrictive covenants, releases and other customary terms and conditions. The foregoing description of the Separation Agreement does not purport to be complete, and is qualified in its entirety by reference to the form of Separation Agreement, a copy of which is filed as Exhibit 10.1 hereto and is incorporated herein by reference. Theravance and Dr. Campbell also entered into a consulting agreement dated December 6, 2008 (the Consulting Agreement ) pursuant to which Dr. Campbell has agreed to perform consulting services three and a half days per week in a variety of technical operations areas including process chemistry, formulation, manufacturing and quality assurance. As full consideration for these services, Dr. Campbell will receive a monthly consulting fee of $21,422 and his outstanding stock options and restricted stock unit award will continue to vest until the expiration of the Consulting Agreement at the end of 2009, unless earlier terminated under certain circumstances. The foregoing description of the Consulting Agreement does not purport to be complete, and is qualified in its entirety by reference to the Consulting Agreement, a copy of which is filed as Exhibit 10.2 hereto and is incorporated herein by reference. Item Financial Statements and Exhibits. (d) Exhibits Exhibit Exhibit 10.1 Exhibit 10.2 Description Form of Separation Agreement between Theravance, Inc. and Dr. Arthur Campbell Consulting Agreement dated December 6, 2008 between Theravance, Inc. and Dr. Arthur Campbell 2

4 SIGNATURE Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized. THERAVANCE, INC. Date: December 11, 2008 By: /s/ Rick E Winningham 3 Rick E Winningham Chief Executive Officer

5 Exhibit No. EXHIBIT INDEX 4 Exhibit 10.1 Form of Separation Agreement between Theravance, Inc. and Dr. Arthur Campbell 10.2 Consulting Agreement dated December 6, 2008 between Theravance, Inc. and Dr. Arthur Campbell

6 Exhibit 10.1 AGREEMENT AND GENERAL RELEASE Theravance, Inc. (collectively referred to throughout this Agreement as Employer ), and Archie Campbell, his heirs, executors, administrators, successors, and assigns (collectively referred to throughout this Agreement as Employee ), agree that: 1. Last Day of Employment : Employee s last day of employment with Employer is December 5, 2008 ( Separation Date ). Employee will be paid at his present rate of base pay through his last day of employment. On Employee s Separation Date, he will also receive any accrued but unused vacation pay. Prior to his last day of employment, Employee must return to Employer all documents (paper and electronic, including all copies of the same) and all other property in Employee s possession or custody in any way relating to the business of the Employer. Such property includes, but is not limited to, any computer or other electronic equipment that has been provided to Employee by Employer. An Employee s failure to return company property shall forfeit the Employee s eligibility to receive severance per the terms of this Agreement and General Release. 2. Basic Severance Payment: If Employee does not enter into this Agreement, Employer will pay Employee the equivalent of two (2) weeks of Employee s last base pay, which equals the gross amount of $14, and will be subject to all applicable withholding taxes (the Basic Severance Payment ). The Basic Severance Payment will automatically be paid on the Separation Date and does not constitute consideration for the signing of this Agreement and General Release. 3. Consideration : In consideration for signing this Agreement and General Release and compliance with the promises made herein, Employer agrees: A. Enhanced Severance Payment : Following the Separation Date, Theravance will pay Employee a lump sum equivalent to 28 weeks of Employee s last base pay, which equals the gross amount of $197,741.88, and will be subject to all applicable withholding taxes (the Enhanced Severance Payment ). Theravance will not accept a signed Agreement and General Release prior to the Separation Date. After Theravance receives Employee s signed Agreement and General Release, the Enhanced Severance Payment will be sent to Employee on January 30, 2009, provided Employee has not revoked his acceptance pursuant to Paragraph 9 of this Agreement. For purposes of Section 409A of the Internal Revenue Code of 1986, as amended, each of the Basic Severance Payment and the Enhanced Severance Payment is hereby designated as a separate payment. If this Agreement and General Release has not been signed and become effective by January 30, 2009, then the offer of Enhanced Severance contained herein is withdrawn. B. COBRA : if Employee elects to continue medical, dental and/ or vision coverage under the Theravance Plan in accordance with the continuation requirements of COBRA, the Employer shall pay for the cost of said coverage beginning on the first day of the month following the Employee s last day of employment and ending on the earliest of 1

7 (a) December 31, 2009, (b) the expiration of Employee s continuation coverage under COBRA or (c) the date Employee becomes eligible for health insurance in connection with new employment. Thereafter, Employee shall be entitled to elect to continue such COBRA coverage for the remainder of the COBRA period, at his own expense. 4. No Consideration Absent Execution of this Agreement : Employee understands and agrees that he would not receive the monies and/or benefits specified in paragraph 3 above, except for his execution of this Agreement and General Release and the fulfillment of the promises contained herein. 5. General Release of Claims : Employee knowingly and voluntarily releases and forever discharges Employer, its parent corporation, affiliates, subsidiaries, divisions, successors and assigns and the current and former employees, attorneys, officers, directors and agents thereof (collectively referred to throughout the remainder of this Agreement as Employer ), of and from any and all claims, known and unknown, which the Employee has or may have against Employer as of the date of execution of this Agreement and General Release, including, but not limited to, any alleged violation of: Title VII of the Civil Rights Act of 1964, as amended; The Civil Rights Act of 1991; Sections 1981 through 1988 of Title 42 of the United States Code, as amended; The Employee Retirement Income Security Act of 1974, as amended; The Immigration Reform and Control Act, as amended; The Americans with Disabilities Act of 1990, as amended; The Age Discrimination in Employment Act of 1967, as amended; The Workers Adjustment and Retraining Notification Act, as amended; The Occupational Safety and Health Act, as amended; The California Fair Employment and Housing Act, as amended; The California Labor Code; California Equal Pay Law, as amended; Any other federal, state or local civil or human rights law or any other local, state or federal law, regulation or ordinance; Any claim based on violation of public policy, breach of contract, tort, or any other common law claim; or 2

8 Any allegation for costs, fees, or other expenses including attorneys fees incurred in these matters. 6. Employee hereby waives the provisions of Section 1542 of the California Civil Code, which provides as follows: A general release does not extend to claims which the creditor does not know or suspect to exist in his or her favor at the time of executing the release, which if known by him or her must have materially affected his or her settlement with the debtor. 7. Employee understands and agrees that this Agreement and General Release extends to all claims, of every nature and kind whatsoever, known or unknown, suspected or unsuspected, enumerated in this Agreement or otherwise. Employee understands and agrees that he may hereafter discover facts different from or in addition to those he now knows or believes to be true in respect to the claims, demands, damages, liabilities, actions or causes of action herein released, and he agrees that this release shall be and remain in effect in all respects as complete and general releases as to the matters to be released, notwithstanding any such different and additional facts. 8. Affirmations : Employee affirms that he has not filed, caused to be filed, or presently is a party to any claim, complaint, or action against Employer in any forum or form. Employee further affirms that he has been paid and has received all leave (paid or unpaid), compensation, wages, bonuses, commissions, and/or benefits to which he may be entitled and that no other leave (paid or unpaid), compensation, wages, bonuses, commissions and/or benefits are due to him, except as provided in this Agreement and General Release. Employee furthermore affirms that he has no known workplace injuries or occupational diseases and has been provided and/or has not been denied any leave requested under the Family and Medical Leave Act, the California Family Rights Act, or any other leave of absence provided for under California or federal law. 9. Applicable Data and Revocation : Attached as Exhibit A is a list of the job titles and ages of employees that the Employer is required to provide to the Employee pursuant to the Older Workers Benefit Protection Act ( OWBPA ). Employees are entitled to forty five (45) days from the date of receipt of the list to consider this Agreement. Employee may revoke this Agreement and General Release for a period of seven (7) calendar days following the day he executes this Agreement and General Release. Any revocation within this period must be submitted, in writing, to Dennis Driver and state, I hereby revoke my acceptance of our Agreement and General Release. The revocation must be personally delivered to Dennis Driver or his designee, or mailed to Dennis Driver at 901 Gateway Boulevard, South San Francisco, CA and postmarked within seven (7) calendar days of execution of this Agreement and General Release. This Agreement and General Release shall not become effective or enforceable 3

9 until the revocation period has expired. If the last day of the revocation period is a Saturday, Sunday, or legal holiday in the state in which Employee was employed at the time of his last day of employment, then the revocation period shall not expire until the next following day which is not a Saturday, Sunday, or legal holiday. 10. Confidentiality : Employee agrees not to disclose any information regarding the existence or substance of this Agreement and General Release, except to his spouse, tax advisor, and an attorney with whom Employee chooses to consult regarding his consideration of this Agreement and General Release. Nothing herein is intended to or shall preclude Employee from filing a complaint and/or charge with any appropriate federal, state, or local government agency and/or cooperating with said agency in its investigation. Employee, however, shall not be entitled to receive any relief, recovery, or monies in connection with any complaint or charge brought against Employer, without regard as to who brought any said complaint or charge. 11. Governing Law and Interpretation : This Agreement and General Release shall be governed and conformed in accordance with the laws of the state of California. In the event the Employee breaches any provision of this Agreement and General Release, Employee and Employer affirm that either may institute an action to specifically enforce any term or terms of this Agreement and General Release. Should any provision of this Agreement and General Release be declared illegal or unenforceable by any court of competent jurisdiction and cannot be modified to be enforceable, excluding the general release language, such provision shall immediately become null and void, leaving the remainder of this Agreement and General Release in full force and effect. 12. Nonadmission of Wrongdoing : The Parties agree that neither this Agreement and General Release nor the furnishing of the consideration for this Release shall be deemed or construed at anytime for any purpose as an admission by either party, or evidence of any liability or unlawful conduct of any kind. 13. Amendment : This Agreement and General Release may not be modified, altered or changed except in writing and signed by both parties wherein specific reference is made to this Agreement and General Release. 14. Entire Agreement : This Agreement and General Release sets forth the entire agreement between the parties hereto, and fully supersedes any prior agreements or understandings between the parties, except the attached copy of the Employees signed Confidentiality Agreement. Employee acknowledges that he has not relied on any representations, promises, or agreements of any kind made to him in connection with his decision to accept this Agreement and General Release, except for those set forth in this Agreement and General Release. EMPLOYEE HAS BEEN ADVISED THAT HE HAS AT LEAST FORTY-FIVE (45) CALENDAR DAYS TO CONSIDER THIS AGREEMENT AND GENERAL RELEASE AND HAS BEEN ADVISED IN WRITING TO CONSULT WITH AN 4

10 ATTORNEY PRIOR TO EXECUTION OF THIS AGREEMENT AND GENERAL RELEASE. EMPLOYEE AGREES THAT ANY MODIFICATIONS, MATERIAL OR OTHERWISE, MADE TO THIS AGREEMENT AND GENERAL RELEASE DO NOT RESTART OR AFFECT IN ANY MANNER THE ORIGINAL FORTY-FIVE (45) CALENDAR DAY CONSIDERATION PERIOD. HAVING ELECTED TO EXECUTE THIS AGREEMENT AND GENERAL RELEASE, TO FULFILL THE PROMISES SET FORTH HEREIN, AND TO RECEIVE THEREBY THE SUMS AND BENEFITS SET FORTH IN PARAGRAPH 3 ABOVE, EMPLOYEE FREELY AND KNOWINGLY, AND AFTER DUE CONSIDERATION, ENTERS INTO THIS AGREEMENT AND GENERAL RELEASE INTENDING TO WAIVE, SETTLE AND RELEASE ALL CLAIMS HE HAS OR MIGHT HAVE AGAINST EMPLOYER. IN WITNESS WHEREOF, the parties hereto knowingly and voluntarily executed this Agreement and General Release as of the date set forth below: Arthur L. Campbell Date: By: Dennis Driver Title: Vice President, Human Resources Date: 5

11 Exhibit 10.2 CONSULTING AGREEMENT Effective December 6, 2008, Arthur Campbell, One Marigold Lane, San Carlos, CA ( Consultant ) and Theravance, Inc., 901 Gateway Boulevard, South San Francisco CA ( Theravance or the Company ) agree as follows: 1. Services and Payment. Consultant agrees to consult with and advise Theravance from time to time, at Theravance s request ( Services ) for three and one-half (3.5) days per week on site at Theravance or traveling as necessary to perform the Services. Services to be provided hereunder are set forth in Exhibit A attached hereto. As full payment for the Services, Consultant will (i) receive a consulting fee of $21,422 per month payable monthly within thirty (30) days of Theravance s receipt of reasonably detailed invoices therefor, and (ii) continue to vest in any currently outstanding (a) options to purchase the Company s Common Stock and (b) time-based restricted stock unit award (RSU) during the term of this Agreement in accordance with the terms of such options and the RSU. Consultant shall also be entitled to reimbursement for expenses for which Consultant has received prior approval from Theravance within thirty (30) days of Consultant s submission of receipts thereof. 2. Ownership of Inventions. Theravance shall own all right, title and interest (including patent rights, copyrights, trade secret rights, trademark rights and all other rights of any sort throughout the world) relating to any and all inventions (whether or not patentable), including without limitation, discoveries, compositions of matter, pharmaceutical formulations, methods of use, methods of making, techniques, processes, formulas, improvements, works of authorship, designations, designs, know-how, ideas and information made or conceived or reduced to practice, in whole or in part, by Consultant (solely or jointly with others) during the term of this Agreement that arise out of or relate to the Services or any Proprietary Information (as defined below) (collectively, Inventions ). Consultant will promptly disclose, provide and assign all Inventions to Theravance. Consultant shall further assist Theravance, at Theravance s expense, to further evidence, record and perfect such assignments, and to perfect, obtain, maintain, enforce, and defend any rights assigned throughout the world. Such assistance may include, but is not limited to, execution of documents and assistance or cooperation in legal proceedings. Consultant hereby irrevocably designates and appoints Theravance as his agent and attorney-in-fact to act for and on Consultant s behalf to execute and file any document and to do all other lawfully permitted acts to further the foregoing with the same legal force and effect as if executed by Consultant. When requested by Theravance, Consultant will make available to Theravance all notes, data and other information relating to any Invention. 3. Proprietary Information. Consultant agrees that all Inventions and other business, technical and financial information concerning Theravance (including, without limitation, the identity of and information relating to Theravance s employees, vendors and service providers) that Consultant develops, learns or obtains during the term of this Agreement or while he is providing Services constitute Proprietary Information. Consultant will hold in confidence and not disclose or make available to third parties or make use of any Proprietary

12 Information except with the prior written consent of Theravance or to the extent necessary in performing Services for Theravance. However, Consultant shall not be obligated under this paragraph with respect to information Consultant can document (i) is or becomes readily publicly available without restriction through no fault of Consultant, or (ii) that Consultant knew without restriction prior to its disclosure by Theravance. Upon termination of this Agreement or as otherwise requested by Theravance, Consultant will promptly return to Theravance all documents, materials and copies containing or embodying Proprietary Information, except that Consultant may keep a personal copy of (i) compensation records relating to the Services and (ii) this Agreement. 4. Solicitation. As additional protection for Proprietary Information, Consultant agrees that during the term of this Agreement and for one year thereafter, Consultant will not encourage or solicit any employee of or consultant to Theravance to leave Theravance for any reason. 5. Term and Termination. This Agreement shall become effective on December 6, 2008 and remain in force until the earlier of December 31, 2009 or when terminated by either party. Consultant may terminate this Agreement at any time, for any reason, by giving the Company 10 days written notice. The Company may terminate this Agreement prior to December 31, 2009 only as provided in Section 8.2 hereof or for cause, which for purposes hereof shall mean: (i) the unauthorized use or disclosure of the confidential information or trade secrets of the Company; (ii) conviction of a felony under the laws of the United States or any state thereof; (iii) negligence or misconduct; (iv) failure to perform lawful assigned services for ten days after receiving written notification from the Company; (v) providing services to another company or entity that has a product or program that is competitive with the Company s products or programs without the prior written consent of the Company; (vi) Consultant s revocation of the separation agreement dated December 5, 2008 between Consultant and Theravance; or (vii) Consultant s acceptance of new employment. All provisions of this Agreement and any remedies for breach of this Agreement shall survive any termination or expiration. 6. Relationship of the Parties. Notwithstanding any provision hereof, for all purposes of this Agreement each party shall be and act as an independent contractor and not as a partner, joint venturer, or agent of the other and shall not bind nor attempt to bind the other to any contract. Consultant is an independent contractor and is solely responsible for all taxes, withholdings, and other statutory or contractual obligations of any sort, including, but not limited to, Workers Compensation Insurance. Consultant recognizes and agrees that Consultant has no expectation of privacy with respect to Theravance s telecommunications, networking or information processing systems (including, without limitation, computer files, messages and attachments, and voice messages) and that Consultant s activity, and any files or messages, on or using any of those systems may be monitored at any time without notice. 7. Assignment. This Agreement and the Services performed hereunder are personal to Consultant and Consultant shall not have the right or ability to assign, transfer, or subcontract any obligations under this Agreement without the written consent of Theravance. 2

13 Any attempt to do so shall be void. Theravance shall be free to assign or transfer this Agreement to a third party. 8. Representations. 8.1 Consultant represents and warrants that he has never been: (1) debarred, excluded or convicted of a crime for which a person can be debarred under 21 U.S.C. 335a; (2) excluded by the OIG or other government entity as listed on or or (3) threatened to be debarred, excluded or indicted for a crime or otherwise engaged in conduct for which a person can be debarred, excluded or indicted. Consultant agrees to notify Theravance immediately in the event of any such debarment, exclusion, conviction, threat or indictment occurring during the term of this Agreement, or the three (3) year period following the termination or expiration of this Agreement. 8.2 If at any time during the term of this Agreement, Consultant becomes the subject of any proceedings for disqualification, debarment, delisting, exclusion, or denial or revocation of licensure, as described above, Theravance shall have the right to terminate this Agreement effective upon the date of such notice by Consultant. 8.3 Consultant represents and warrants that (i) his performance hereunder will not breach any agreement or obligation to keep in confidence proprietary information acquired by Consultant in confidence or trust prior to or during Consultant s engagement with Theravance, and (ii) all work under this Agreement will be Consultant s original work and none of the Services or Inventions or any development, use, production, distribution or exploitation thereof will infringe, misappropriate or violate any intellectual property or other right of any person or entity. Consultant represents and warrants that he has not entered into, and agrees that he will not enter into, any agreement whether written or oral in conflict with this Agreement or with his obligations as a consultant to Theravance. In this regard, during the term of this Agreement, Consultant agrees to (i) notify the Company in advance of accepting any employment or additional consulting assignments, and (ii) refrain from working on any product or program that is competitive with a Company product or program without the prior written consent of the Company. 9. Company Policies. Consultant represents that he has read the Theravance Insider Trading Policy, the Theravance Travel Policy and the Theravance Code of Business Conduct located at and agrees to abide by each such policy during the term of this Agreement. 10. Remedies. Any breach of Section 2, 3, 4, 8 or 9 will cause irreparable harm to Theravance for which damages would not be an adequate remedy, and, therefore, Theravance will be entitled to injunctive relief with respect thereto in addition to any other remedies. The failure of either party to enforce its rights under this Agreement at any time for any period shall not be construed as a waiver of such rights. 3

14 11. Entire Agreement. This Agreement supersedes all prior agreements between the parties and constitutes the entire agreement between the parties as to the subject matter hereof, except that if the Consultant has signed Theravance s Nondisclosure Agreement, it shall remain in full force and effect. 12. Notices. All notices, requests and other communications called for by this Agreement shall be deemed to have been given if made in writing and mailed, postage prepaid, to the address of each party set forth above, or to such other addresses as either party shall specify to the other. 13. Amendments. No changes or modifications or waivers to this Agreement will be effective unless in writing and signed by both parties. 14. Severability. In the event that any provision of this Agreement shall be determined to be illegal or unenforceable, that provision will be limited or eliminated to the minimum extent necessary so that this Agreement shall otherwise remain in full force and effect and enforceable. 15. Arbitration. Subject to the exceptions set forth below, Consultant understands and agrees that any disagreement regarding this Agreement will be determined by submission to arbitration as provided by Section 1280 et seq. of the California Code of Civil Procedure, and not by a lawsuit or resort to court process proceedings. The only claims or disputes not covered by this paragraph are claims or disputes related to issues affecting the validity, infringement or enforceability of any trade secret or patent rights held or sought by Theravance or which Theravance could otherwise seek; in which case such claims or disputes shall not be subject to arbitration and will be resolved pursuant to applicable law. 16. Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of California without regard to conflicts of law provisions thereof. In any action or proceeding to enforce rights under this Agreement, the prevailing party shall be entitled to recover costs and attorneys fees. Consultant Theravance, Inc. /s/ Arthur L. Campbell (signature) By: /s/ Rick E Winningham (signature) Name: Rick E Winningham Title: Chief Executive Officer 4

15 EXHIBIT A Description of Services Consultant may be asked to perform some or all of the services described below: 1. Support the Technology Development Laboratory, in particular the Company s efforts to utilize the facility for third party process development and manufacturing activities. 2. As requested, provide insight and direction on process chemistry, formulation and manufacturing issues. 3. As requested, provide insight into Quality Assurance activities. 4. As requested, and with the mutual agreement of Consultant and the Company, provide insight and direction into other aspects of the Company s business 5. Meetings related to any of the above. Invoices shall include a description of the Services performed and the number of hours spent, specify the product candidate to which each segment of work was dedicated, specify the Purchase Order number related to the Services (to be supplied by Theravance following execution of this agreement), and be sent to: Theravance, Inc. 901 Gateway Boulevard South San Francisco, CA Attention: Accounts Payable (Tom Catalano) 5

INDEPENDENT VIRTUAL ASSISTANT AGREEMENT (Company)

INDEPENDENT VIRTUAL ASSISTANT AGREEMENT (Company) INDEPENDENT VIRTUAL ASSISTANT AGREEMENT (Company) This Independent Virtual Assistant Agreement ( Agreement ) is entered into as of,, by and between, with a principal place of business at ( Company ), and,

More information

Employee Settlement and Release Agreement.

Employee Settlement and Release Agreement. Form: Description: Release: No Disparagement: References: Review by Counsel: Employee Settlement and Release Agreement. This is a sample form agreement for the settlement of any claims by an employee against

More information

SEPARATION AGREEMENT AND GENERAL RELEASE. into by and between ( Employee ) and ( the

SEPARATION AGREEMENT AND GENERAL RELEASE. into by and between ( Employee ) and ( the SEPARATION AGREEMENT AND GENERAL RELEASE This Separation Agreement and General Release ( this Agreement ) is made and entered into by and between ( Employee ) and ( the Agency ) (collectively, the Parties

More information

CME GROUP INC. FORM 8-K. (Current report filing) Filed 10/03/14 for the Period Ending 09/30/14

CME GROUP INC. FORM 8-K. (Current report filing) Filed 10/03/14 for the Period Ending 09/30/14 CME GROUP INC. FORM 8-K (Current report filing) Filed 10/03/14 for the Period Ending 09/30/14 Address 20 S. WACKER DR CHICAGO, IL 60606 Telephone 3129301000 CIK 0001156375 Symbol CME SIC Code 6200 - Security

More information

SETTLEMENT AGREEMENT AND GENERAL RELEASE OF ALL CLAIMS

SETTLEMENT AGREEMENT AND GENERAL RELEASE OF ALL CLAIMS SETTLEMENT AGREEMENT AND GENERAL RELEASE OF ALL CLAIMS THIS SETTLEMENT AGREEMENT AND GENERAL RELEASE OF ALL CLAIMS is entered into this day of 2012, by and between Michael Lacey (hereinafter "Lacey "'Employee")

More information

Master Software Purchase Agreement

Master Software Purchase Agreement Master Software Purchase Agreement This Master Software Purchase Agreement ( Agreement ) is entered into as of Wednesday, March 12, 2014 (the Effective Date ) by and between with principal offices at (

More information

NPSA GENERAL PROVISIONS

NPSA GENERAL PROVISIONS NPSA GENERAL PROVISIONS 1. Independent Contractor. A. It is understood and agreed that CONTRACTOR (including CONTRACTOR s employees) is an independent contractor and that no relationship of employer-employee

More information

Services Agreement between Client and Provider

Services Agreement between Client and Provider Services Agreement between Client and Provider This Services Agreement is part of the Member Contract between Client and Provider, effective upon Client s award and Provider s acceptance of a Job on the

More information

PLANTTOGETHER REFERRAL PARTNER AGREEMENT. Updated: January 1, 2015

PLANTTOGETHER REFERRAL PARTNER AGREEMENT. Updated: January 1, 2015 PLANTTOGETHER REFERRAL PARTNER AGREEMENT Updated: January 1, 2015 Welcome to PlanetTogether s online referral program (the Referral Program ) provided by PlanetTogether, Inc. a California corporation with

More information

Recitals. NOW, THEREFORE, the parties hereto agree as follows: Agreement

Recitals. NOW, THEREFORE, the parties hereto agree as follows: Agreement THIS INDEPENDENT CONTRACTOR SERVICES AGREEMENT (this Agreement ) is made this day of, 20 (the Effective Date ), regardless of the date of execution, by and between Sierra Field Services, Inc., a Nevada

More information

If a Client and a Freelancer enter an independent contractor relationship, then this Freelancer Agreement ( Freelancer Agreement ) will apply.

If a Client and a Freelancer enter an independent contractor relationship, then this Freelancer Agreement ( Freelancer Agreement ) will apply. Freelancer Agreement If a Client and a Freelancer enter an independent contractor relationship, then this Freelancer Agreement ( Freelancer Agreement ) will apply. This Agreement is effective as of March

More information

CAP CONSULTING SERVICES AGREEMENT

CAP CONSULTING SERVICES AGREEMENT CAP CONSULTING SERVICES AGREEMENT This Agreement is made on this day of, by and between the College of American Pathologists, a not-for-profit Illinois corporation with offices at 325 Waukegan Road, Northfield,

More information

NON EXCLUSIVE BROKER REFERRAL AGREEMENT

NON EXCLUSIVE BROKER REFERRAL AGREEMENT NON EXCLUSIVE BROKER REFERRAL AGREEMENT THIS NON-EXCLUSIVE BROKER REFERRAL AGREEMENT (this Broker Contract ) is made this day of, 2013 by and between [NAME] (herein after called the "IFPG FRANCHISE CONSULTANT/BROKER

More information

INDEPENDENT CONTRACTOR AGREEMENT

INDEPENDENT CONTRACTOR AGREEMENT INDEPENDENT CONTRACTOR AGREEMENT This Independent Contractor Agreement ("Agreement") is made and effective this day of, 20. BETWEEN: (the "Independent Contractor"), a company organized and existing under

More information

BENCHMARK MEDICAL LLC, BUSINESS ASSOCIATE AGREEMENT

BENCHMARK MEDICAL LLC, BUSINESS ASSOCIATE AGREEMENT BENCHMARK MEDICAL LLC, BUSINESS ASSOCIATE AGREEMENT This BUSINESS ASSOCIATE AGREEMENT ( Agreement ) dated as of the signature below, (the Effective Date ), is entered into by and between the signing organization

More information

SETTLEMENT AGREEMENT AND RELEASE

SETTLEMENT AGREEMENT AND RELEASE SETTLEMENT AGREEMENT AND RELEASE This Settlement Agreement and Release ( Agreement ) is made and entered into by and between Cheryl Coryea ( Coryea or Plaintiff ), and Rochester Independent School District

More information

CUSTOMER LIST PURCHASE AGREEMENT BY AND BETWEEN RICHARD PENNER SELLER. and S&W SEED COMPANY BUYER

CUSTOMER LIST PURCHASE AGREEMENT BY AND BETWEEN RICHARD PENNER SELLER. and S&W SEED COMPANY BUYER EXHIBIT 10.1 CUSTOMER LIST PURCHASE AGREEMENT BY AND BETWEEN RICHARD PENNER as SELLER and S&W SEED COMPANY as BUYER CUSTOMER LIST PURCHASE AGREEMENT THIS CUSTOMER LIST PURCHASE AGREEMENT ( Agreement )

More information

BUSINESS ASSOCIATE AGREEMENT

BUSINESS ASSOCIATE AGREEMENT BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (the Agreement ), is made effective as of the sign up date on the login information page of the CarePICS.com website, by and between CarePICS,

More information

Agreement for Services

Agreement for Services Agreement for Services This Agreement is entered into as of the day of, 20, between Inc. ( the Company ) and ( the Contractor ). The purposes of this agreement are to define the rights and obligations

More information

SEPARATION AND INDEPENDENT CONTRACTOR AGREEMENT

SEPARATION AND INDEPENDENT CONTRACTOR AGREEMENT SEPARATION AND INDEPENDENT CONTRACTOR AGREEMENT This Separation and Independent Contractor Agreement (herein Agreement ), is entered into as of the dates written below by and between Jane Doe ( Ms. Doe

More information

Columbia University Service Provider Agreement

Columbia University Service Provider Agreement Columbia University Agreement Agreement ( Agreement ) dated as of, 20 (the Effective Date ) between The Trustees of Columbia University in the City of New York ( Columbia ) and ( Service Provider ). 1.

More information

SETTLEMENT AGREEMENT BETWEEN THE AMERICAN INSTITUTE OF PHYSICS AND JEFF SCHMIDT

SETTLEMENT AGREEMENT BETWEEN THE AMERICAN INSTITUTE OF PHYSICS AND JEFF SCHMIDT SETTLEMENT AGREEMENT BETWEEN THE AMERICAN INSTITUTE OF PHYSICS AND JEFF SCHMIDT THIS SETTLEMENT AGREEMENT ( Agreement ) is made and entered into as of February 20, 2006, by and between the American Institute

More information

BROKER/AGENT INFORMATION PAGE RETS IDX

BROKER/AGENT INFORMATION PAGE RETS IDX FRESNO ASSOCIATION OF REALTORS IDX / RETS Compliance 6720 N West Ave. Fresno, CA 93711 (559) 490-6400 ~ rets@fresnorealtors.com BROKER/AGENT INFORMATION PAGE RETS IDX IN WITNESS WHEREOF, the parties hereto

More information

GOODS AND SERVICES AGREEMENT BETWEEN SOUTHERN CALIFORNIA PUBLIC POWER AUTHORITY AND COMPANY/CONTRACTOR NAME

GOODS AND SERVICES AGREEMENT BETWEEN SOUTHERN CALIFORNIA PUBLIC POWER AUTHORITY AND COMPANY/CONTRACTOR NAME GOODS AND SERVICES AGREEMENT BETWEEN SOUTHERN CALIFORNIA PUBLIC POWER AUTHORITY AND COMPANY/CONTRACTOR NAME This GOODS AND SERVICES AGREEMENT ("Agreement") is entered into and effective [DATE], by and

More information

How To License A Patent From Ancient Recipe Cards

How To License A Patent From Ancient Recipe Cards Option Agreement This Option Agreement (the "AGREEMENT") is made and entered into by and between EMORY UNIVERSITY, a nonprofit Georgia corporation with offices located at 1599 Clifton Road NE, 4 th Floor,

More information

INDEPENDENT CONTRACTOR AGREEMENT

INDEPENDENT CONTRACTOR AGREEMENT INDEPENDENT CONTRACTOR AGREEMENT This Agreement, made this day of, between, Florida Rock Stars Inc. hereinafter referred to as "Company", located at 205 N Flagler Ave, Homestead FL 33030 and hereinafter

More information

CONSULTING AGREEMENT

CONSULTING AGREEMENT CONSULTING AGREEMENT Agreement No. 2000398 Agreement dated 3/28/2000 by and between UserEdge Technical Personnel. ("USEREDGE") and CONSULTANT S CO., Tax ID No.99-9999999, including individually and collectively,

More information

INDEPENDENT CONTRACTOR AGREEMENT

INDEPENDENT CONTRACTOR AGREEMENT INDEPENDENT CONTRACTOR AGREEMENT This Independent Contractor Agreement ( Agreement ) is entered between Nordstrom, Inc. ( Nordstrom ), with a business address at 1700 Seventh Avenue, Suite 1000, Seattle,

More information

INDEPENDENT CONTRACTOR AGREEMENT (ICA)

INDEPENDENT CONTRACTOR AGREEMENT (ICA) INDEPENDENT CONTRACTOR AGREEMENT (ICA) (This agreement is not a construction contract within the meaning of Civil Code section 2783, and is not an agreement for the provision of construction services within

More information

CONSULTING SERVICES AGREEMENT

CONSULTING SERVICES AGREEMENT CONSULTING SERVICES AGREEMENT THIS AGREEMENT ("Agreement") is entered into on / /, between SCWOA ("Consultant"), a CA corporation with its principal place of business located at PO Box 1195, Pacifica,

More information

HEALTH INSURANCE PLAN OF GREATER NEW YORK SELLING AGENT AGREEMENT

HEALTH INSURANCE PLAN OF GREATER NEW YORK SELLING AGENT AGREEMENT HEALTH INSURANCE PLAN OF GREATER NEW YORK SELLING AGENT AGREEMENT THIS AGREEMENT is made and entered into as of the 1 st day of, by and between HEALTH INSURANCE PLAN OF GREATER NEW YORK (hereinafter referred

More information

AGREEMENT. Solicitor Without Per Diem Compensation

AGREEMENT. Solicitor Without Per Diem Compensation Solicitor Without Per Diem Compensation AGREEMENT Products underwritten by: American General Life Insurance Company Houston, Texas The United States Life Insurance Company in the City of New York New York,

More information

How To Pay A Contract With Neustar

How To Pay A Contract With Neustar Neustar Referral Partnership Agreement This NEUSTAR REFERRAL AFFILIATE PARTNERSHIP AGREEMENT ( Agreement ) is made and entered into between Neustar, Inc. a Delaware Corporation, located at 46000 Center

More information

175 TownPark Drive, Suite 400, Kennesaw, GA 30144 APPROVED UNDERWRITER AGREEMENT

175 TownPark Drive, Suite 400, Kennesaw, GA 30144 APPROVED UNDERWRITER AGREEMENT 175 TownPark Drive, Suite 400, Kennesaw, GA 30144 APPROVED UNDERWRITER AGREEMENT THIS APPROVED UNDERWRITER AGREEMENT (the Agreement ) is made and entered into as of this day of, 20, by and between, (the

More information

SCHEDULE E. Onboarding Documentation

SCHEDULE E. Onboarding Documentation . SCHEDULE E Onboarding Documentation The forms noted in Schedule E-1 through E-5 are required prior to Temporary Workers beginning assignment at Purchaser Facilities. Schedule E-1 Prescreening Validation

More information

How To Write A Contract Between College And Independent Contractor

How To Write A Contract Between College And Independent Contractor Independent Contractor Agreement (Long Form) This Agreement is made between Babson College ("College"), a Massachusetts non-profit corporation with a principal place of business at 231 Forest Street, Babson

More information

, and which are the basis for an action

, and which are the basis for an action SAMPLE SETTLEMENT AGREEMENT AND RELEASE FOR AN Eh4PLOYMENT LAW CLAIM This Settlement Agreement and Release ("Agreement") is made and entered into by and between (hereinafter referred to as "Claimant")

More information

Independent Contractor Agreement Computer Software Engineer

Independent Contractor Agreement Computer Software Engineer Form: Independent Contractor Agreement Computer Software Engineer Description: This is a sample form of Independent Contractor Agreement between a company and a computer software engineer who will provide

More information

INDEPENDENT CONTRACTOR AGREEMENT FOR HEALTH CARE PROVIDERS

INDEPENDENT CONTRACTOR AGREEMENT FOR HEALTH CARE PROVIDERS INDEPENDENT CONTRACTOR AGREEMENT FOR HEALTH CARE PROVIDERS This Independent Contractor Agreement ( Agreement ) is made this day of, 20, between Purdue University, its employees, officers, trustees, affiliates,

More information

CONTENT LICENSE & PHOTOGRAPER REPRENTATION AGREEMENT

CONTENT LICENSE & PHOTOGRAPER REPRENTATION AGREEMENT CONTENT LICENSE & PHOTOGRAPER REPRENTATION AGREEMENT This is a fairly lengthy document, and it contains many important provisions that affect your rights and obligations. By accepting this agreement, you

More information

Consulting Master Services Agreement

Consulting Master Services Agreement Consulting Master Services Agreement THIS CONSULTING AGREEMENT (this Agreement ), made and entered into this 21st day of June, 2002, by and between PrimeContractor, a StateName EntityType, its successors

More information

Federal Tax ID # Employer ID# Credit Amount Requested: $ NOTE: Signed original application must be on file to activate your account.

Federal Tax ID # Employer ID# Credit Amount Requested: $ NOTE: Signed original application must be on file to activate your account. Application for Credit Unless the applicant is a public corporation, please attach the applicant s most recent financial statements to expedite credit approval. Please complete this form, read and initial

More information

Sample Settlement Agreement and Release for an Employment Law Claim

Sample Settlement Agreement and Release for an Employment Law Claim Sample Settlement Agreement and Release for an Employment Law Claim As submitted to the Missouri Bar Association Labor and Employment Law Committee October 2004 Drafted by a Committee working group comprised

More information

BACKGROUND TERMS 1. SCOPE OF WORK

BACKGROUND TERMS 1. SCOPE OF WORK PENN STANDARD CLINICAL TRIAL AGREEMENT ORS 05-08 CLINICAL TRIAL RESEARCH AGREEMENT This Agreement is entered into by and between: The Trustees of the University of Pennsylvania with an address at Office

More information

SETTLEMENT AGREEMENT AND MUTUAL RELEASE RECITALS

SETTLEMENT AGREEMENT AND MUTUAL RELEASE RECITALS SETTLEMENT AGREEMENT AND MUTUAL RELEASE This Settlement Agreement and Mutual Release (the "Agreement") is made as of December 5, 2007 (the "Effective Date"), by and between RELIABLE HEALTH CARE SERVICES,

More information

SETTLEMENT AGREEMENT AND GENERAL RELEASE

SETTLEMENT AGREEMENT AND GENERAL RELEASE SETTLEMENT AGREEMENT AND GENERAL RELEASE 1.Definition of Terms. This Settlement Agreement and General Release ( Agreement or Release ) is executed by and between Isabel Santa ( Santa ) and Project Veritas,

More information

SETTLEMENT AGREEMENT AND GENERAL RELEASE

SETTLEMENT AGREEMENT AND GENERAL RELEASE SETTLEMENT AGREEMENT AND GENERAL RELEASE 1.Definition of Terms. This Settlement Agreement and General Release ( Agreement or Release ) is executed by and between Isabel Santa ( Santa ) and Project Veritas,

More information

3. DUTIES: The following duties shall be required of Agent: No minimum production level set

3. DUTIES: The following duties shall be required of Agent: No minimum production level set Business Finance Agent Agreement This Agreement is between The Business Finance Store ("Company") a division of FinanceMark Inc. a Nevada Corporation and you, referred to as Agent from this point forth.

More information

PHOTOGRAPHY/VIDEO SERVICES AGREEMENT

PHOTOGRAPHY/VIDEO SERVICES AGREEMENT PHOTOGRAPHY/VIDEO SERVICES AGREEMENT This Agreement is entered into as of the day of, 201_, between, Villanova University ( Villanova ) and, ( Photographer ). 1. Services. (a) Description and Requirements.

More information

NORTH CAROLINA STATE UNIVERSITY AGREEMENT

NORTH CAROLINA STATE UNIVERSITY AGREEMENT STATE OF NORTH CAROLINA Rev. 11/12 WAKE COUNTY NORTH CAROLINA STATE UNIVERSITY AGREEMENT THIS AGREEMENT ( Agreement ) made and entered into this day of 20, by and between ( Contractor ), and North Carolina

More information

Consulting Agreement

Consulting Agreement Consulting Agreement THIS AGREEMENT IS INTENDED TO SERVE AS AN EXAMPLE OF STANDARD TERMS FOR CONSULTING ARRANGEMENTS. THESE TERMS MAY BE SUBJECT TO NEGOTATION BETWEEN THE COMPANY AND THE CONSULTANT. OFTEN,

More information

CONSULTING SERVICES and CONTRACT LABOR AGREEMENT

CONSULTING SERVICES and CONTRACT LABOR AGREEMENT CONSULTING SERVICES and CONTRACT LABOR AGREEMENT This Consulting Services and Contract Labor Agreement ( Agreement ) is made and entered into as of the day of, 20 (the Effective Date ) by and between Volkswagen

More information

COMPUTER SERVICES AGREEMENT

COMPUTER SERVICES AGREEMENT COMPUTER SERVICES AGREEMENT This COMPUTER SERVICES AGREEMENT ( "Agreement") is made and entered into effective as of the 1 day of January, 2008 (the Effective Date ), by and between 3T Productions, Inc.,

More information

ii. sold, licensed, transferred or assigned to no other party for a period of thirty (30) days;

ii. sold, licensed, transferred or assigned to no other party for a period of thirty (30) days; Tymax Media Vendor Operating Agreement Tymax Media Vendor Operating Agreement (the "Agreement") is made and entered into by and between Tymax Media ("Tymax Media," us or "we"), and you, ("you" or "Vendor")

More information

GENERAL AGENT AGREEMENT

GENERAL AGENT AGREEMENT Complete Wellness Solutions, Inc. 6338 Constitution Drive Fort Wayne, Indiana 46804 GENERAL AGENT AGREEMENT This Agreement is made by and between Complete Wellness Solutions, Inc. (the Company ) and (the

More information

SMARSH WEBSITE & HOSTING REPRESENTATIVE TERMS & CONDITIONS

SMARSH WEBSITE & HOSTING REPRESENTATIVE TERMS & CONDITIONS SMARSH WEBSITE & HOSTING REPRESENTATIVE TERMS & CONDITIONS This Webhosting & Services Terms and Conditions ( Terms ) are effective as of the date of execution of the Order Form, as defined in Section 1,

More information

Lenders Axis LLC Working Capital Sales Agent Agreement Lenders Axis Sales Agent Agreement V 2.0

Lenders Axis LLC Working Capital Sales Agent Agreement Lenders Axis Sales Agent Agreement V 2.0 Lenders Axis LLC Working Capital Sales Agent Agreement Lenders Axis Sales Agent Agreement V 2.0 This Sales Agent Agreement (the Agreement ) is made and effective as of this the day of 13 by and between

More information

BUSINESS ASSOCIATE AGREEMENT

BUSINESS ASSOCIATE AGREEMENT BUSINESS ASSOCIATE AGREEMENT THIS BUSINESS ASSOCIATE AGREEMENT (the AGREEMENT ) is entered into this (the "Effective Date"), between Delta Dental of Tennessee ( Covered Entity ) and ( Business Associate

More information

ALEXION PHARMACEUTICALS INC

ALEXION PHARMACEUTICALS INC ALEXION PHARMACEUTICALS INC FORM 8-K (Current report filing) Filed 04/07/15 for the Period Ending 04/01/15 Address 352 KNOTTER DRIVE CHESHIRE, CT 06511 Telephone 2037761790 CIK 0000899866 Symbol ALXN SIC

More information

CLS Investments, LLC Instructions for the Solicitor Application and Agreement

CLS Investments, LLC Instructions for the Solicitor Application and Agreement CLS Investments, LLC Instructions for the Solicitor Application and Agreement Please complete all fields on page 1 of the Solicitor Application and Agreement. Some general guidelines are set forth below.

More information

AON HEWITT DEFINED CONTRIBUTION NEXUS PARTICIPATION AGREEMENT

AON HEWITT DEFINED CONTRIBUTION NEXUS PARTICIPATION AGREEMENT AON HEWITT DEFINED CONTRIBUTION NEXUS PARTICIPATION AGREEMENT Participation Agreement (this Agreement ) made as of the day of, 20, by and among Hewitt Financial Services LLC ( HFS ) and ( Fund Manager

More information

PARTICIPANT APPLICATION & RELEASE. * For verification purposes only pursuant to 18 U.S.C. 2256 et seq.

PARTICIPANT APPLICATION & RELEASE. * For verification purposes only pursuant to 18 U.S.C. 2256 et seq. PARTICIPANT APPLICATION & RELEASE * For verification purposes only pursuant to 18 U.S.C. 2256 et seq. Have you ever been through a major hardship/tragedy? (hurricane, tornado, fire, earthquake, major

More information

Reseller Agreement SERVER4YOU.COM/RESELLER. As of October 30, 2009

Reseller Agreement SERVER4YOU.COM/RESELLER. As of October 30, 2009 SERVER4YOU.COM/RESELLER Reseller Agreement As of October 30, 2009 Hosting Solutions Int l Inc. Suite 910 210 North Tucker Blvd St. Louis, MO 63101 United States Phone (US): +1.314.480.6840 Fax (US): +1.314.255.0247

More information

Purchase Order Terms and Conditions

Purchase Order Terms and Conditions Purchase Order Terms and Conditions "Avanade" means Avanade Asia Pte Ltd (Company Registration No.: 20005969E), a company incorporated in Singapore, having its offices at 238A Thomson Road, #25-01 Novena

More information

A. TERM OF AGREEMENT.

A. TERM OF AGREEMENT. PRODUCER AGREEMENT This Producer Agreement (this Agreement ) is made and entered into between Coastal Insurance Underwriters, Inc. ( Coastal ) and, (the Producer ). A. TERM OF AGREEMENT. This Agreement

More information

BEFORE THE FEDERAL MARITIME COMMISSION

BEFORE THE FEDERAL MARITIME COMMISSION BEFORE THE FEDERAL MARITIME COMMISSION COMBUSTION STORE LIMITED, Complainant, V Docket No. 15-02 UNIGROUP WORLDWIDE, INC., Respondent. OFFER OF JUDGMENT COMES NOW, Respondent UNIGROUP WORLDWIDE, inc. and,

More information

THIS AGREEMENT SHURTECH BRANDS, LLC

THIS AGREEMENT SHURTECH BRANDS, LLC SUBMISSION AGREEMENT THIS AGREEMENT is entered and effective as of, 20, by and between SHURTECH BRANDS, LLC, a North Carolina limited liability company, having offices at 32150 Just Imagine Drive, Avon,

More information

FREELANCE PHOTOGRAPHY AGREEMENT

FREELANCE PHOTOGRAPHY AGREEMENT FREELANCE PHOTOGRAPHY AGREEMENT This Freelance Photography Agreement ( Agreement ) is made and entered into this day of, 201 ( Effective Date ) by and between Xavier University ( University ), an Ohio

More information

DISTRIBUTOR AGREEMENT

DISTRIBUTOR AGREEMENT DISTRIBUTOR AGREEMENT This Distributor Agreement (the "Agreement") is entered into as of, 20 ("Effective Date"), by Absoft Corporation ("Absoft"), 2781 Bond Street, Rochester Hills, Michigan 48309, U.S.A.,

More information

VIRTUAL OFFICE WEBSITE LICENSE AGREEMENT

VIRTUAL OFFICE WEBSITE LICENSE AGREEMENT Florida Keys Multiple Listing Service, Inc. VIRTUAL OFFICE WEBSITE LICENSE AGREEMENT Florida Keys MLS, Inc. 92410 Overseas Hwy, Ste. 11 Tavernier FL 33070 305-852-92940 305-852-0716 (fax) www.flexmls.com

More information

MRMLS LISTING INFORMATION LICENSE AGREEMENT

MRMLS LISTING INFORMATION LICENSE AGREEMENT MRMLS LISTING INFORMATION LICENSE AGREEMENT (MRMLS data feed to Affiliated VOW Partner) This Listing Information License Agreement (the Agreement ) is made and entered into by and between MULTI REGIONAL

More information

PHYSICIANS REIMBURSEMENT FUND, INC. A Risk Retention Group. APPLICATION MD & DO Locum Tenens. 1. First Name: Middle Initial: Last Name:

PHYSICIANS REIMBURSEMENT FUND, INC. A Risk Retention Group. APPLICATION MD & DO Locum Tenens. 1. First Name: Middle Initial: Last Name: PHYSICIANS REIMBURSEMENT FUND, INC. A Risk Retention Group APPLICATION MD & DO Locum Tenens Applicant Information: 1. First Name: Middle Initial: Last Name: CA Medical License #: Expiration Date: Date

More information

DATA USE AGREEMENT RECITALS

DATA USE AGREEMENT RECITALS DATA USE AGREEMENT This Data Use Agreement (the Agreement ), effective as of the day of, 20, is by and between ( Covered Entity ) and ( Limited Data Set Recipient or Recipient ) (collectively, the Parties

More information

ELKHART COUNTY BOARD OF REALTORS AND MULTIPLE LISTING SERVICE OF ELKHART COUNTY INC. VIRTUAL OFFICE WEBSITE (VOW) LICENSE AGREEMENT

ELKHART COUNTY BOARD OF REALTORS AND MULTIPLE LISTING SERVICE OF ELKHART COUNTY INC. VIRTUAL OFFICE WEBSITE (VOW) LICENSE AGREEMENT ELKHART COUNTY BOARD OF REALTORS AND MULTIPLE LISTING SERVICE OF ELKHART COUNTY INC. VIRTUAL OFFICE WEBSITE (VOW) LICENSE AGREEMENT This License Agreement (the Agreement) is made and entered into between

More information

WellDyneRxWEST Customer (TPA, Broker, Consultant, Group Health Plan, and other).

WellDyneRxWEST Customer (TPA, Broker, Consultant, Group Health Plan, and other). WellDyneRxWEST Customer (TPA, Broker, Consultant, Group Health Plan, and other). RE: HIPAA Business Associate Agreement Effective 4/14/04 Business Associate: WellDyneRxWEST, Inc., a Colorado Corporation

More information

AGREEMENT FOR SERVICES

AGREEMENT FOR SERVICES AGREEMENT FOR SERVICES This Agreement for Services ( Agreement ) is entered into and dated as of the (day) of (month), (year) by and between InCircuits, Incorporated with offices located at 4284 Reiland

More information

Payroll Services Agreement

Payroll Services Agreement Payroll Services Agreement THIS PAYROLL SERVICES AGREEMENT (the Agreement ) is made and entered into this day of, 20, by and between Susan Arnoldussen, of Accounting Unlimited, LLC (the Payroll Service

More information

INSURANCE AGENT AGREEMENT

INSURANCE AGENT AGREEMENT INSURANCE AGENT AGREEMENT THIS INSURANCE AGENT AGREEMENT is made, 200_ by and between Athens Area Health Plan Select, Inc. ( AAHPS or the Plan ), and ( Agent ). RECITALS: WHEREAS, AAHPS is licensed to

More information

BUSINESS ASSOCIATE AGREEMENT

BUSINESS ASSOCIATE AGREEMENT BUSINESS ASSOCIATE AGREEMENT THIS BUSINESS ASSOCIATE AGREEMENT is made and entered into as of the day of, 2013 ( Effective Date ), by and between [Physician Practice] on behalf of itself and each of its

More information

INDEPENDENT CONTRACTOR AGREEMENT

INDEPENDENT CONTRACTOR AGREEMENT INDEPENDENT CONTRACTOR AGREEMENT This Independent Contractor Agreement (this Agreement ) is made and entered into as of, 20, by and between [INSERT NAME OF CONTRACTING PARTY] (the Contracting Party ),

More information

Reverse Mortgage Specialist

Reverse Mortgage Specialist ADVISOR/LENDER APPLICANT ASSISTANCE AGREEMENT This ADVISOR/LENDER APPLICANT ASSISTANCE AGREEMENT (the Agreement ) is made this day of, 200_ by and between Oaktree Funding Corporation, a California Corporation

More information

TULANE UNIVERSITY INDEPENDENT CONTRACTOR SERVICE AGREEMENT. Effective Date:

TULANE UNIVERSITY INDEPENDENT CONTRACTOR SERVICE AGREEMENT. Effective Date: TULANE UNIVERSITY INDEPENDENT CONTRACTOR SERVICE AGREEMENT Effective Date: This INDEPENDENT CONTRACTOR SERVICE AGREEMENT (this Agreement ) is effective as of the Effective Date set forth above, by and

More information

AGENT AGREEMENT. I. Agent s Obligations

AGENT AGREEMENT. I. Agent s Obligations AGENT AGREEMENT This Agent Agreement ( Agreement ) is made on this day of, 2009, by and between Krascar International Travel Club, Inc (hereinafter referred to as Company ) located at 1162 St Georges Ave

More information

SUPERIOR COURT OF CALIFORNIA COUNTY OF LOS ANGELES, STATE OF CALIFORNIA

SUPERIOR COURT OF CALIFORNIA COUNTY OF LOS ANGELES, STATE OF CALIFORNIA SETTLEMENT OFFICER INFORMATION: _ Telephone: 1 1 1 1 SUPERIOR COURT OF CALIFORNIA COUNTY OF LOS ANGELES, STATE OF CALIFORNIA Case No: RELEASE AND SETTLEMENT AGREEMENT Date: Time: :0 a.m. Case Assigned

More information

Disclaimer: Template Business Associate Agreement (45 C.F.R. 164.308)

Disclaimer: Template Business Associate Agreement (45 C.F.R. 164.308) HIPAA Business Associate Agreement Sample Notice Disclaimer: Template Business Associate Agreement (45 C.F.R. 164.308) The information provided in this document does not constitute, and is no substitute

More information

AGREEMENT FOR INVESTMENT CONSULTING SERVICES AND MARIN COUNTY EMPLOYEES RETIREMENT ASSOCIATION

AGREEMENT FOR INVESTMENT CONSULTING SERVICES AND MARIN COUNTY EMPLOYEES RETIREMENT ASSOCIATION AGREEMENT FOR INVESTMENT CONSULTING SERVICES AND MARIN COUNTY EMPLOYEES RETIREMENT ASSOCIATION This Agreement for Investment Consulting Services (hereinafter referred to as the Agreement ) is made and

More information

Insurance Producer Agreement

Insurance Producer Agreement Insurance Producer Agreement THIS AGREEMENT ( Agreement ) is made and entered into on this day of. (the Effective Date ), by and between KPS Health Plans (hereinafter referred to as KPS ), a duly licensed

More information

REGULATORY SETTLEMENT AGREEMENT. THIS REGULATORY SETTLEMENT AGREEMENT (the Regulatory Settlement

REGULATORY SETTLEMENT AGREEMENT. THIS REGULATORY SETTLEMENT AGREEMENT (the Regulatory Settlement IN THE MATTER OF LIFE INSURANCE COMPANY OF GEORGIA AND SOUTHLAND LIFE INSURANCE COMPANY REGULATORY SETTLEMENT AGREEMENT THIS REGULATORY SETTLEMENT AGREEMENT (the Regulatory Settlement Agreement ) is entered

More information

AGREEMENT FOR PROFESSIONAL SERVICES

AGREEMENT FOR PROFESSIONAL SERVICES AGREEMENT FOR PROFESSIONAL SERVICES This Agreement is made this day of 20, by and between Long Island University ( University ), an educational institution incorporated and doing business under the laws

More information

2 of 8 10/18/2012 1:12 PM

2 of 8 10/18/2012 1:12 PM 2 of 8 10/18/2012 1:12 PM Exhibit 10.11 EXECUTION COPY SALARIED EMPLOYEE LIABILITIES ASSUMPTION AGREEMENT This SALARIED EMPLOYEE LIABILITIES ASSUMPTION AGREEMENT ( Agreement ) is made on the 22nd day of

More information

Statement of Work. for. Online Event Registration Product Deployment for Salesforce Implementation. for. Open Web Application Security Project (OWASP)

Statement of Work. for. Online Event Registration Product Deployment for Salesforce Implementation. for. Open Web Application Security Project (OWASP) Statement of Work for Online Event Registration Product Deployment for Salesforce Implementation for Open Web Application Security Project (OWASP) July 9, 2010 TABLE OF CONTENTS INTRODUCTION... 3 SCOPE...

More information

SOLICITATION AGREEMENT

SOLICITATION AGREEMENT This SOLICITATION AGREEMENT is made and entered into this day of, 20 between WT Wealth Management, LLC, a registered investment advisor (the Advisor ), and (the Solicitor ). Advisor is an investment advisor

More information

AGREEMENT FOR FINANCIAL AND ACCOUNTING CONSULTATION SERVICES

AGREEMENT FOR FINANCIAL AND ACCOUNTING CONSULTATION SERVICES AGREEMENT FOR FINANCIAL AND ACCOUNTING CONSULTATION SERVICES THIS AGREEMENT is made as of December 1, 2003, by and between the San Francisquito Creek Joint Powers Authority, a body corporate and politic

More information

Ibis RMC SOFTWARE LICENSE AGREEMENT v2015

Ibis RMC SOFTWARE LICENSE AGREEMENT v2015 IBIS SOFTWARE CORPORATION 1901 Central Avenue Alameda, CA 94501 PHONE: 510-217-8775 FAX: 510-217-8780 EMAIL: WAGNER@OURTOOLBOX.COM Ibis RMC SOFTWARE LICENSE AGREEMENT v2015 This software license agreement

More information

THE UNIVERSITY OF UTAH INDEPENDENT CONTRACTOR SERVICES AGREEMENT INSTRUCTIONS

THE UNIVERSITY OF UTAH INDEPENDENT CONTRACTOR SERVICES AGREEMENT INSTRUCTIONS THE UNIVERSITY OF UTAH INDEPENDENT CONTRACTOR SERVICES AGREEMENT INSTRUCTIONS Contracting for Independent Contractor services with the University of Utah may require completion of the following: Employee/Independent

More information

Cherry Hills Investment Advisors INVESTMENT ADVISORY CONTRACT

Cherry Hills Investment Advisors INVESTMENT ADVISORY CONTRACT Cherry Hills Investment Advisors INVESTMENT ADVISORY CONTRACT THIS INVESTMENT ADVISORY CONTRACT (this Agreement ) is made as of the Effective Date (defined below), between, whose address is and whose email

More information

Case 3:06-cv-00701-MJR-DGW Document 526 Filed 07/20/15 Page 1 of 8 Page ID #13631 IN THE UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF ILLINOIS

Case 3:06-cv-00701-MJR-DGW Document 526 Filed 07/20/15 Page 1 of 8 Page ID #13631 IN THE UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF ILLINOIS Case 3:06-cv-00701-MJR-DGW Document 526 Filed 07/20/15 Page 1 of 8 Page ID #13631 IN THE UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF ILLINOIS ANTHONY ABBOTT, et al., ) ) No: 06-701-MJR-DGW Plaintiffs,

More information

MARKETING AND SERVICING AGREEMENT

MARKETING AND SERVICING AGREEMENT MARKETING AND SERVICING AGREEMENT This Marketing and Servicing Agreement ( Agreement ) is entered into between the undersigned individual or entity identified below as the independent jeweler ( Merchant

More information

SOFTWARE LICENSE AGREEMENT

SOFTWARE LICENSE AGREEMENT SOFTWARE LICENSE AGREEMENT This Software License Agreement (this Agreement ) is entered into as of the installation date of the software by and between Nanotron Technologies GmbH, a German corporation

More information

AMERICAN INSURANCE ORGANIZATION AGENT AGREEMENT

AMERICAN INSURANCE ORGANIZATION AGENT AGREEMENT AGREEMENT made this day of, 20, by and between American Insurance Organization, hereinafter referred to as AIO and, hereinafter referred to as Agent. The Agent is being offered the position of. RECITALS

More information