Model contract of medical cooperation agreement (I) Party A: _ _ _ _ _ _ _ (hospital)
Party B: _ _ _ _ _ _ (supplier)
Party C: _ _ _ _ _ _ (pharmaceutical manufacturer)
Party A voluntarily purchases the drugs that won the bid in the centralized drug bidding for medical institutions provided by Party B. In order to clarify the rights and obligations of both parties, according to the Contract Law of People's Republic of China (PRC), the Implementation Measures for Centralized Drug Bidding for Medical Institutions in xx City and the bidding documents, and on the principle of equal consultation, the following agreement is reached on relevant matters:
I. Overview
1. Quantity: Party A shall ensure the use of Party C's _ _ _ _ _ products (trade name _ _ _ _). The specific quantity shall be subject to the actual demand of Party A. ..
2. Price:
(1) Party B shall provide Party A with the products produced by Party C at the bid-winning price.
② In case of government price adjustment within the delivery period agreed in the contract, renegotiate and sign supplementary terms.
Second, the quality standard
The drugs delivered by Party B must meet the standards stipulated by the Pharmacopoeia or the national drug supervision and administration department, and be consistent with the commitments made at the time of bidding; If the drug does not meet the quality standards or Party A has reason to believe that the drug does not meet the quality standards, Party A has the right to choose substitute drugs among other drugs that won the bid.
3. The place of taking drugs is _ _ _ _ _ _ _ _ _ _ _ _ _
Third, the validity period.
1. The validity period of drugs delivered by Party B must be consistent with the validity period specified in the tender documents.
2. The validity period of drugs provided by Party B is generally more than _ _ _ years and at least _ _ _ months (special provisions are made for special drugs).
Fourth, packaging standards.
1. The drugs provided by Party B must be packaged according to standard protective measures to prevent the drugs from being damaged or deteriorated during transportation and ensure that the drugs arrive at the designated hospital safely and undamaged, otherwise all losses caused thereby shall be borne by Party B. ..
2. Each packing box must be accompanied by detailed packing list and quality certificate.
3. Special requirements: If Party A has reason to believe that substandard packaging will affect the use of drugs, Party B has the obligation to replace it in time.
Verb (abbreviation for verb) assignment
1. The delivery time and quantity of Party B shall be subject to the actual needs of Party A. Party A shall inform Party B of the types and quantities of goods required _ _ _ days in advance.
2. Party B must provide the drug inspection report of the same batch number (imported drugs with registration certificate) when delivering the goods. Party B is responsible for delivering the drugs to the drug storehouse designated by Party A. ..
Time limit for the performance of intransitive verbs
The performance period of this contract is _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
Seven, about the discount.
Party C promises to give Party A _ _ _% of the bid price as a rebate for Party A's talent construction and discipline training. The specific amount is _ _ _% of Party A's consumption. The fee will be settled in one lump sum by _ _ _ _.
Eight. Quality assurance service
Party C shall provide after-sales guarantee services for the products it provides. All medical disputes and compensation caused by drug quality shall be handled by Party C in an all-round way, and Party B shall be jointly and severally liable, and Party A may assist in handling them. If a third party claims that Party C's products infringe its patent right, trademark right or protection period, Party A shall not be liable. Party C is responsible for handling all related matters.
Nine. responsibility for breach of contract
1. If Party B fails to perform the contract, Party A may terminate this agreement at any time without returning the collected funds for talent and discipline construction.
2. If Party A fails to pay within _ _ _ months after receiving the medicine, Party B has the right to stop supplying it.
X. Contract dispute settlement methods
Any dispute arising from the performance of this contract shall be settled by both parties through consultation. If negotiation fails, a lawsuit shall be brought to the local people's court of Party A according to law.
XI。 Validity of contract
If this contract and supplementary agreement are inconsistent with the provisions of the tender documents, the provisions of the tender documents shall prevail.
Twelve. supplementary terms
1. If there are matters not covered in this contract, both parties can sign a supplementary agreement through negotiation, and the supplementary agreement has the same effect as this contract.
2. The performance period of this contract (including the renewal of the contract) shall not exceed the bidding period (that is, from the effective date of signing the contract to the date of issuing the notice of the next round of bidding results).
3. If this agreement cannot be fulfilled due to force majeure factors such as natural disasters or special government policies, the three parties can adjust this agreement according to the actual situation.
4. Special agreement
5. This contract is made in duplicate, with each party holding one copy.
Party A (seal): _ _ _ _ _ _ _ _ _ _ _
Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Legal Representative: _ _ _ _ _ _ _ _ _ _ _
Date: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Party B (seal): _ _ _ _ _ _ _ _ _ _ _
Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Legal Representative: _ _ _ _ _ _ _ _ _ _ _
Date: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Party C (seal): _ _ _ _ _ _ _ _ _ _ _
Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Legal Representative: _ _ _ _ _ _ _ _ _ _ _
Date: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Model contract of medical cooperation agreement (II) Party A: _ _ _ _ _ _ _ _ _ _ Hospital
Party B: _ _ _ _ _ _ _ Travel Development Co., Ltd.
In order to ensure the personal safety of tourists, deal with emergencies in the process of traveling in time, and make the injured get timely and effective treatment and rehabilitation, Party A and Party B have reached the following agreement through friendly negotiation:
I. Responsibilities and obligations of Party A:
Party A is a _ _ _ _ _ _ _ hospital, and Party A regards Party B as a friendly cooperative unit and promises to give Party B the following preferential policies:
1. Implement the system of "three exemptions and three priorities" for Party B's injured employees;
Three exemptions: no registration fee, no production fee and no hospitalization deposit.
Three priorities: medical treatment, hospitalization and treatment.
2. For patients who need hospitalization, Party A will be admitted to the hospital in time and do everything possible to save their lives. The hospitalization fee may not be paid temporarily, and it will be settled once after discharge.
3. Party A shall timely rescue the patients sent by Party B, and make all inspection items according to the patients' conditions.
4. If Party B fails to pay the medical expenses in time afterwards, Party A is obliged to inform Party B of the treatment of Party B's patients.
5. Party A can provide Party B with free consultation on industrial accidents and medical care. If Party B needs it, Party A can send professionals to give Party B free education. ..
6. When Party B's employees visit Party A, they can enjoy the preferential treatment of various activities carried out by Party A. ..
7. Leaders above Party B's department come to Party A to provide full escort service.
8. Party A's treatment expenses and drug charging standards must meet the charging standards stipulated by the Ministry of Health and xx City.
9. In case of difficulties or critical patients that Party A can't solve, it is necessary to send them to the superior hospital for treatment. Party A only provides ambulance escort service, and all transportation expenses shall be borne by Party B. ..
10, emergency number, free car delivery for injured patients.
Two. Responsibilities and obligations of Party B:
1. If the person in charge or contact information of Party B changes, it shall notify Party A in advance.
2. The person in charge of Party B has the obligation to convey the preferential policies implemented by Party A to its employees. This can increase the embodiment of employee benefits.
3. When visiting Party A, the employees of Party B must show their valid certificates to get the corresponding preferential policies.
4. Party B shall fill in and carry _ _ _ _ _ _ _ _ _ documents.
5. Party B's hospitalized wounded and accompanying personnel must abide by Party A's rules and regulations during hospitalization.
6. As a social supervisor, Party B shall actively assist in supervising the service attitude and medical quality of medical staff and put forward reasonable suggestions in time.
7. When Party B determines the medical escort, it shall present valid certificates when accompanying the doctor.
8. In case of special circumstances, both parties have the right to terminate the agreement at any time, but they must notify each other _ _ _ months in advance.
3. If both parties violate this agreement, the breaching party shall compensate the other party for the losses caused by the breach.
Four. This agreement is made in duplicate, one for each party. Matters not covered in this agreement can be settled by both parties through friendly negotiation. We can understand each other on the principle of mutual assistance and mutual benefit.
5. This agreement shall be valid for _ _ _ _ years, and shall come into effect as of the date of signature by both parties.
Agent of Party A: _ _ _ _ _ _ _
Official seal: _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Agent of Party B: _ _ _ _ _ _ _
Official seal: _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Model contract of medical cooperation agreement (III) Party A: _ _ _ _ _ _ _ _ _ _ Hospital
Party B: _ _ _ _ _ _ _
In line with the purpose of developing high technology and benefiting society, we will promote the construction of medical specialty and improve social and economic benefits. Based on the principle of mutual benefit, Party A and Party B cooperate in the following projects in Party A's hospital:
Party A and Party B reached the following agreement through consultation:
1. Party A agrees to provide Party B with _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ..
Two. The cooperation period is tentatively set as _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Three. Party B shall be responsible for all investment expenses of this major and its operation and management activities. Specialized subject shall be independently accounted by Party B, and shall be responsible for its own profits and losses (it must be legal and regular, and the medical quality must be guaranteed).
Four. Party A will charge _ _ _% commission according to the daily turnover of Party B during the cooperation period. Party B shall pay Party A the rent and management fee of RMB Yuan only (in words: RMB Yuan only) every month, and pay it in _ _ _ _ installments every year. When this Agreement comes into effect, namely _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
5. If Party B is unable to maintain due to poor management, it must notify Party A _ _ _ months in advance, but after the termination of the agreement, Party B shall pay Party A a risk deposit of RMB _ _ _ _ _ _ _ _. And return it to Party B in full after _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
Rights and obligations of party a:
1. Go through relevant formalities (including _ _ _ _ _ registration formalities).
2. Be responsible for providing water and electricity and installing water and electricity meters (expenses shall be borne by Party B).
3. Responsible for coordinating the relationship between relevant departments inside and outside the hospital. If Party B has a medical dispute, Party A shall send personnel to help solve it in time, but the legal and economic responsibilities arising therefrom shall be borne by Party B. ..
4. Be responsible for unified registration and charging for Party B. The registration fee shall be owned by Party A, and the rest of professional business income shall be owned by Party B. Party A shall settle accounts on _ _ _ _ day of each month (but Party B is allowed to advance part of working capital in the middle of the month without overdraft).
5. During the cooperation period, Party A promises not to carry out the same project as Party B, and natural patients are within the business scope of Party B. ..
Seven. Rights and obligations of Party B:
1. The instruments and drugs used by Party B in providing specialties must meet the requirements of relevant regulations of the State Administration of Traditional Chinese Medicine (regular manufacturers, complete certificates and invoices).
2. Party B must have _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
3. Specialized medical technicians must abide by the rules and regulations of the hospital, obey the unified management of Party A's hospital, and shall not damage the image of the hospital.
4. Party B must strictly regulate the management of specialties and practice medicine in strict accordance with relevant national laws and regulations. In case of illegal medical advertisements or medical disputes or accidents, Party B shall deal with them in time to avoid expanding the impact, and all economic and legal responsibilities arising therefrom shall be borne by Party B. ..
5. During the cooperation, Party B must cooperate to do a good job in medical ethics and maintain the good image of the hospital. Party B shall not promise to provide medical treatment, accept red envelopes, distribute medicines and collect fees in the department. Once found, it will be fined RMB _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _. If patients in other departments are found out of scope, they will be fined RMB Yuan only (in words) each time.
Eight. Matters not covered herein shall be agreed by both parties through negotiation, and neither party may unilaterally terminate the agreement. If one party terminates the agreement, except for irresistible factors, the economic losses caused thereby shall be compensated to the other party.
Nine. This agreement is made in duplicate, one for each party. It will take effect after being signed by the legal representatives or authorized representatives of both parties.
Party A: _ _ _ _ _ _ _
Representative: _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Party B: _ _ _ _ _ _ _
Representative: _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Model contract of medical cooperation agreement (IV) Party A: _ _ _ _ _ _ _ _ _ _ _
Address: _ _ _ _ _ _ _
Party B: _ _ _ _ _ _ _
Address: _ _ _ _ _ _ _
In order to give full play to the advantages of health resources in _ _ _ _ _ _ _
1. Party B confirms that Party A is a medical affiliated unit, and Party A provides convenient conditions for outpatient service, hospitalization, emergency treatment and physical examination of Party B's personnel.
2. When Party B's personnel visit Party A, they can choose general outpatient service or specialist outpatient service or make an appointment for special outpatient service and hospitalization by telephone. Expert clinic (specialist clinic) registration office telephone _ _ _ _ _.
3. If Party B's personnel need emergency rescue, they can directly call Party A at _ _ _ _ _ _ _ _; After the emergency department of Party A answers the phone, it shall dispatch personnel and ambulances to carry out the first aid work according to the first aid regulations of xx 120 (in case of special circumstances, the person answering the phone shall be contacted), and the first aid travel expenses shall be implemented according to the prescribed charging standards. Party B shall contact the first-aid department of Party A when transporting the wounded who are not life-threatening, and make good first-aid preparations.
4. In order to make the wounded get timely and effective treatment, Party A shall send experts to teach the relevant personnel the common sense of routine first aid according to Party B's needs, and Party B shall pay for the teaching labor and arrange the ambulance access route for each first aid.
5. Party A shall insist on reasonable examination and rational drug use in the diagnosis and treatment, and implement the customized medical service price standard of _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
Sixth, the mode of payment. Both parties shall settle in RMB. Every medical expense (outpatient/hospitalization) incurred by Party B shall be settled in cash.
7. If there are any unfinished matters, both parties shall settle them through consultation.
Eight. This Agreement is made in duplicate, one for each party, and shall come into effect as of the date when the legal representatives or authorized representatives of Party A and Party B sign and seal it. The validity period is _ _ _ _ years.
Party A: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Signature Representative: _ _ _ _ _ _ _ _ _ _ _ _ _
Date: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Contact person: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Phone number: _ _ _ _ _ _ _ _ _ _ _
Party B: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Signature Representative: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Date: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Contact person: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Tel: _ _ _ _ _ _ _ _ _ _ _ _
Model contract of medical cooperation agreement (V) Party A: _ _ _ _ _ _ _ _ _ _ _ _ _
Party B: _ _ _ _ _ _ _ _ _ _ _
Through friendly negotiation between Party A and Party B, Party A and Party B * * jointly contribute to establish _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
I. Objectives of cooperation
According to the actual situation and needs of both parties, this contract agreement will adopt the target responsibility management mode, and Party B will assist Party A in department management, and be responsible for pre-job and on-the-job training, marketing promotion, planning and publicity of some medical personnel in the "Rehabilitation Center". Party A shall bear the additional medical equipment investment, decoration expenses after use and medical control and management expenses. Through the joint efforts of both parties, the _ _ _ _ _ _ _ service center will be gradually built into a _ _ _ _ _ _ _ rehabilitation clinic with good brand and strength.
Two. Scope of cooperation: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Third, the mode of investment and sources of funds
On the basis of traditional Chinese medicine methods such as rehabilitation centers, Party B will invest in expanding medical services. Renovation and renovation of existing departments, building simple wards and expanding accommodation; Resulting in greater social and economic benefits. The above funds shall be invested by Party A. ..
Four. Responsibilities and obligations of Party A
(1) Party A shall provide the existing rehabilitation center, operating room, observation room, echocardiogram room and all rooms in the hospital _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
(2) According to the work needs of the rehabilitation clinic, the medical staff employed by non-Party A shall be paid by the rehabilitation clinic; The bonus, salary and personnel relationship of medical staff employed by Party A shall be paid by the rehabilitation clinic, and Party A shall still be responsible for it.
(3) Party A is responsible for the price application. With the consent of Party A, Party B can make billboards and signs in the hospital, print special publicity materials and publicize them to the outside world.
(4) Party A and Party B must ensure the independence of the rehabilitation clinic, which is managed and operated by the rehabilitation clinic. In addition to the rehabilitation clinic, other departments shall not accept the source of the disease within the scope of the rehabilitation clinic in any form. Party B shall provide a publicity booth on the first floor to guide and publicize the practice of "Rehabilitation Clinic Center" in _ _ _ _ _.
(V) Party A shall keep the new medical technology, management mode and economic operation of the rehabilitation clinic strictly confidential.
Verb (abbreviation of verb) Party B's responsibilities and obligations
(1) Party A shall invest and purchase the medical equipment required by the rehabilitation clinic according to the actual needs, and be responsible for the management, repair and maintenance of the equipment.
(2) After obtaining the consent of Party A, Party B can use the "Rehabilitation Clinic" to develop outpatient, sick and usable idle houses for ward use.
(3) Party B shall, according to the business needs, develop the market and formulate the external publicity plan, and the expenses required shall be borne by Party A, and the publicity materials shall be examined and approved by the competent department of Party A..
(4) Party B is responsible for hiring experts with advanced professional skills or well-known experts to form a senior advisory group of "Rehabilitation Clinic Center" together with Party A's experts to take charge of expert outpatient service, so as to ensure the continuous improvement of diagnosis and treatment quality of "Rehabilitation Clinic Center" and medical safety.
(V) If the medical, technical and nursing personnel in the center are insufficient, they shall be recruited by the rehabilitation clinic center, which shall be included in the management of Party A's recruiters, and the salary, expenses and other expenses shall be borne by the rehabilitation clinic center. The required medical personnel should have corresponding "professional qualifications"
",and provide Party A with a copy of ID card, practice certificate and professional title certificate, which shall be reviewed and filed by the medical department and nursing department of Party A. If the existing employees do not obey the management of the" rehabilitation clinic center ",they shall be reported to the hospital party committee for study, and the hospital will arrange another job.
(six) medical disputes and errors occurred in the "rehabilitation clinic". Party B will come forward to mediate according to the relevant procedures of the hospital, and get the consent of Party A, and the resulting economic losses will be included in the expenses of the "rehabilitation clinic".
(VII) During the operation of the rehabilitation clinic, all the income of Party B must be included in the rehabilitation clinic through the charging system of Party A, and Party B shall not charge fees in the rehabilitation clinic or in other forms.
Financial management and economic distribution principle of intransitive verbs
(1) The term of this cooperation agreement is _ _ _ _ _ _ _ _ _ _ _.
1. Party A shall allocate _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
2. If the actual monthly income of the Rehabilitation Clinic Center is higher than RMB _ _ _ _ _ _ _ _
(2) According to relevant regulations, all expenses shall be collected by Party A, and the expenses of consumables for rehabilitation clinic shall be borne by Party A and purchased by Party B, which shall be included in the cost of rehabilitation clinic. Party A shall strictly abide by the financial system and make the accounts clear. The accounts of both parties shall be settled on a daily and monthly basis, and shall be settled on _ _ _ _ _ _ _ every month (postponed on holidays), and remitted to the accounts designated by both parties or settled in cash. Divided into proportions, calculated from the date of project cooperation.
(3) The income of "Rehabilitation Clinic Center" includes _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Seven. Contract terms
The term of this contract is _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
Eight. others
(1) During the cooperation period, Party A and Party B shall earnestly perform the responsibilities and obligations stipulated in the contract, and try their best to safeguard the rights and interests of patients and Party A and Party B in line with the principle of "seeking common ground while reserving differences" and mutual understanding and accommodation, so as to ensure the smooth progress of the contract. If Party A and Party B violate this contract, the observant party has the right to request the termination of this contract.
(2) If one party fails to perform the obligations stipulated in this contract, or seriously violates this contract, or the center cannot operate due to policy reasons, the observant party has the right to terminate this contract and demand the defaulting party to compensate all losses caused thereby.
(III) After the expiration of the contract, if Party A intends to continue cooperation, Party B shall have the priority to renew the contract when submitting an application with an evaluation report and performance statement.
(4) After the cooperation expires, the equipment and buildings of the Center shall be owned by Party A (except medicines and consumables). ).
(5) Both parties terminate the contract due to force majeure (earthquake, flood, war, etc.). ), can be exempted from relevant responsibilities (the aftermath of the building construction shall be subject to the supplementary agreement signed by both parties).
(VI) Matters not covered in this contract shall be settled by both parties through consultation. This contract and its annexes have the same legal effect after being signed and sealed by both parties.
(VII) After the signing of this contract, the cooperation between both parties shall be implemented in accordance with the terms of this contract. The amendments, changes and supplementary clauses of this contract have the same legal effect after being signed and sealed by both parties.
Party A: _ _ _ _ _ _ _ _ _
Legal Representative: _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Party B: _ _ _ _ _ _ _ _ _
Legal Representative: _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _