The contract for the provision of health care by A2u4DNV

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									                                          The contract for the provision of health care
                                          in the field of medical transport ambulance
                                          paramedic / medical rescuer / nurse / doctor


concluded on ....................................................................................................... in Janików between:

                        Specjal-Trans S.C. Mazurek Jerzy, Mazurek Aleksandra
                                   Janików, ul. Stefana Batorego 8a
                                            55-200 Oława
                                          NIP: 912-17-56-291
                                         REGON: 932912202
hereinafter referred to in the contract, "Contractor", represented by:

Jerzy Mazurek - co-owner
Aleksandra Mazurek - co-owner

and..........................................................................................................................................................
................................................................................................................................................................
................................................................................................................................................................
................................................................................................................................................................
................................................................................................................................................................
.................................
hereinafter referred to in the contract, "Client”.


                                                                               §1
1)         The subject of the contract is paid by the Contractor to provide emergency transport services
           to the Client Order.
2)         Contractor will provide services for emergency transport ambulance driver with the band +
           nurse / medical rescuer / nurse / doctor with equipment set before transport to the Client.

                                                                              §2
Contractor declares that the provision of transport services referred to in § 1 has:
1)     The relevant authority - in accordance with the relevant applicable law,
2)     Equipment, technical knowledge, experience and staff trained and qualified staff
          guaranteeing execution of the service with due diligence to ensure the execution, in
         accordance with the relevant applicable law and European Union standards that carry the
          harmonized standards.

                                                                              §3
The Client declares that it will provide all the information needed to perform the proper transport
of the Contractor:
1)      Contractor will provide detailed information about the patient's condition and possible
        medical records.
2)      Client if possible prepare a patient for transport mentally and physically.
3)      Client will provide the exact address of the reception of the patient and the  destination
        address.
4)      The Customer is obliged to forward the contact numbers of persons authorized to contact.
                                                   §4
1)      The contracting parties agree that a valid form of payment for medical transport service is
        the sum of one patient actually defeated kilometers (place of departure and the end is the
        seat of the company listed in the header of the contract), and the amount of any additional
        charges such as vignettes, the cost of sea transport, medical doctor / healthcare professional /
        nurse.
2)      The remuneration referred to in paragraph 1 is expressed net amount.

3)      Remuneration for every kilometer of transport contracting parties agree on the amount of:
        2,7 PLN in words (two zloty seventeen groszy PLN) per kilometer of transport

4)      The remuneration referred to in paragraph 3 expresses the net amount.

5)     Gross price for each full 60 minutes specialist team waiting for the patient in the institution
           to which he was transported from the awarding office is: 50 PLN (say thirty five zloty
     PLN)         for 60 minutes makes a full stop (waiting time is the time where the patient is
     subjected to        tests or consultations, etc.).

6)      The fee for the paramedic during transport is 20 PLN (in words twenty PLN) per hour
     transport.

7)      The fee for the medical doctor / healthcare professional / nurse during transport
        is …................................................ PLN in words ….................................................. PLN)
        per hour transport.

                                                              §5
1)      The Client is obliged to pay an advance in the amount of 50% of the indicative cost of
        transport to the day before the transport set to:
        …................................................ PLN (in words …................................................ PLN)
        deposit in the amount of 50% of the indicative costs of transport
        For an account of the Contractor:


        Specjal-Trans S.C
        Mazurek Jerzy Mazurek Aleksandra
        Janików, ul. Stefana Batorego 8a
        55-200 Oława
        Bank Zachodni WBK 1 Oddział w Olawie
        53 1090 2428 0000 0001 0114 5846


        Otherwise, the contractor may refuse to transport a patient.

2)      The Client is obliged to pay the rest of the amount due, is the difference between the
        deposited amount of the advance and the sum of transportation costs and other charges
        within 7 days of receipt of bill / invoice to the account presented in the paragraph. 1st.

                                                 §6
                 Any changes to this Agreement shall be in writing under pain of nullity.

                                               §7
        In matters not governed by this Agreement, the relevant provisions of the Civil Code.
                                                §8
In matters not covered by this Agreement, the provisions of the Civil Code. Competent to settle
          disputes that may arise as a result of this agreement is a the Court in Oława.

                                           §9
             This Agreement is made in two identical copies, one for each party.




       Client signature                                           Contractor signature

								
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