ContractClinical Trial Research Agreement • January 21st, 2019
Contract Type FiledJanuary 21st, 2019CLINICAL TRIAL RESEARCH AGREEMENT(For Use in the Czech Republic) This Agreement is entered into as of the last date on the signature page hereof, by and among FAKULTNÍ NEMOCNICE OSTRAVA, with its address at17. listopadu 1790, zipcode: 708 52, Ostrava-Poruba, Czech Republic, company ID: 008 43 989, Tax ID: CZ00843989, Deed of foundation of the Ministry of Health of the Czech Republic from 25 November 1990 ref. No. OP-054-25.11.90, bank details: Česká národní banka, account number: 66332761/0710, IBAN: CZ59 0710 0000 0000 6633 2761, BIC code (SWIFT): CNBACZPP, variable symbol: 649071198, represented by,(hereinafter called "Institution) andMERCK SHARP & DOHME, s.r.o., with its address at Na Valentince 3336/4, Prague 5, ZIP code 150 00, ID: 284 62 564, tax ID: CZ 284 62 564, registered in the Companies Register maintained by the Municipal Court in Prague (Section C, File No. 143 294), acting in its own name at the request of Merck Sharp & Dohme Corp. with its address at 1 Merck Drive, Whit
ContractClinical Trial Research Agreement • October 18th, 2018
Contract Type FiledOctober 18th, 2018CLINICAL TRIAL RESEARCH AGREEMENT(For Use in the Czech Republic only in conjunction with Principal Investigator Contract for Work) This Agreement is entered into as of the last date on the signature page hereof, by and between Krajská nemocnice T. Bati, a. s., Havlíčkovo nábřeží 600, 76275 Zlín, Czech Republic, IČ: 27661989, DIČ: CZ27661989registered in the Companies Register maintained by the Regional Court in Brno (Section B, File No. 4437), bank details ČSOB pobočka RCB Olomouc, Jeremenkova 42, 772 00 Olomouc, account number 151203067/0300, represented by MUDr. Radomír Maráček, chairman of the board and Ing.Vlastimil Vajdák, member of the board (hereinafter called "Institution") and MERCK SHARP & DOHME, s.r.o., with its address at Na Valentince 3336/4, Smíchov, 150 00 Praha 5, Czech Republic, ID: 28462564, tax ID: CZ 28462564, registered in the Companies Register maintained by the Municipal Court in Prague (Section C, File No. 143294), autorized representative Stefano Santangelo, Ex
CLINICAL TRIAL RESEARCH AGREEMENT(For Use in the Czech Republic only in conjunction with Principal Investigator Contract for Work) This Agreement is entered into as of the last date on the signature page hereof, by and between NEMOCNICE KYJOV,...Clinical Trial Research Agreement • September 13th, 2018
Contract Type FiledSeptember 13th, 2018this Agreement, all legal acts and other acts, which are necessary, practical or appropriate in connection with fulfillment of Sponsor's rights and obligations with respect to the Study. The Company shall perform on behalf of Sponsor all oral and written expressions of will, in particular, as well as the Company shall take over all documents addressed to Sponsor, while Institution and Principal Investigator agree that all obligations of Institution and Principal Investigator towards Sponsor, as results from this Agreement, shall be fulfilled to the Company, as the Sponsor’s representative.
CLINICAL TRIAL RESEARCH AGREEMENTClinical Trial Research Agreement • April 23rd, 2018
Contract Type FiledApril 23rd, 2018MERCK SHARP & DOHME CORP., with its address at 1 Merck Drive, Whitehouse Station, New Jersey 08889 USA, represented by MERCK SHARP & DOHME, s.r.o., with its address at Evropská 2588/33a, Prague 6, Zip code 160 00, ID: 284 62 564, tax ID: CZ28462564, registered in the Companies Register maintained by the Municipal Court in Prague (Section C, File No. 143294), represented by Piotr Miekus, Executive Director (hereinafter called "Sponsor").
ContractClinical Trial Research Agreement • September 19th, 2017
Contract Type FiledSeptember 19th, 2017CLINICAL TRIAL RESEARCH AGREEMENT(For Use in the Czech Republic only in conjunction with Principal Investigator Contract for Work) This Agreement is entered into as of the latest date on the signature page hereof, by and between NEMOCNICE NA BULOVCE, Budínova 67/2, Praha 8- Libeň, zipcode 180 81 company ID:00064211, Tax ID: CZ00064211, bank details UniCredit Bank Czech Republic and Slovakia, a. s., account number 2104176333/2700, variable symbol: 110201, variable symbol of the pharmacy:1997000, represented on the basis of the Power of Attorney by Tomáš Podlešák, MD, Deputy of Medical Care (hereinafter called "Institution") and MERCK SHARP & DOHME, s.r.o., with its address at Evropská 2588/33a, Prague 6, Zip code 160 00, ID: 284 62564, tax ID: CZ 284 62 564, registered in the Companies Register maintained by the Municipal Court in Prague (Section C, File No. 143297), autorized representative Piotr Miekus, Executive Director, acting in its own name at the request of Merck Sharp & Dohme C
ContractClinical Trial Research Agreement • September 11th, 2017
Contract Type FiledSeptember 11th, 2017CLINICAL TRIAL RESEARCH AGREEMENT(For Use in the Czech Republic) This Agreement is entered into as of the last date on the signature page hereof, by and between Ústřední vojenská nemocnice – Vojenská fakultní nemocnice Praha, contributory organization of the Ministry of Defence based: U Vojenské nemocnice 1200, 169 02 Praha 6, Czech Republic, company ID: 61383082, Tax ID: CZ 61383082 bank details ČNB Praha 1, account number 32123881/0710, represented by director prof. MUDr. Miroslavem Zavoralem, Ph.D. (hereinafter called "Institution) and Merck Sharp & Dohme, s.r.o., with its address at Evropská 2588/33a, Prague 6, ZIP code 160 00, ID: 284 62 564, tax ID: CZ 284 62 564, registered in the Companies Register maintained by the Municipal Court in Prague (Section C, File No. 143294), acting in its own name at the request of Merck Sharp & Dohme Corp. with its address at One Merck Drive, Whitehouse Station, New Jersey 08889, USA (hereinafter called "Sponsor"). SMLOUVA O PROVEDENÍ KLINICKÉHO H
ContractClinical Trial Research Agreement • August 17th, 2017
Contract Type FiledAugust 17th, 2017CLINICAL TRIAL RESEARCH AGREEMENT(For Use in the Czech Republic) This Agreement is entered into as of the last date on the signature page hereof, by and among, and becomes effective on the day of its publication in the register of contracts pursuant to Act No. 340/2015 Coll., On the Register of Contracts, as amended, FAKULTNÍ NEMOCNICE OSTRAVA, with its address at 17. listopadu 1790, zipcode: 708 52, Ostrava-Poruba, CzechRepublic, company ID: 008 43 989, Tax ID: CZ00843989, Deed of foundation of the Ministry of Health of the Czech Republic from 25 November 1990 ref. No. OP-054-25.11.90, bank details: Česká národní banka, account number: 66332761/0710, IBAN: CZ59 0710 0000 0000 6633 2761,variable symbol: 649071086, represented by MUDr. Josef Srovnal, the deputy director for medical care(hereinafter called "Institution) andMERCK SHARP & DOHME, s.r.o., with its address at Evropská 2588/33a, Prague 6, ZIP code 160 00, ID: 284 62564, tax ID: CZ 284 62 564, registered in the Companies Regist
CLINICAL TRIAL RESEARCH AGREEMENTClinical Trial Research Agreement • August 7th, 2017
Contract Type FiledAugust 7th, 2017
ContractClinical Trial Research Agreement • July 27th, 2017
Contract Type FiledJuly 27th, 2017CLINICAL TRIAL RESEARCH AGREEMENT (For Use in the Czech Republic only in conjunction with Principal Investigator Contract for Work) This Agreement is entered into as of the latest date on the signature page hereof, by and between NEMOCNICE NA BULOVCE, Budínova 67/2, Praha 8- Libeň, ZIP code: 180 81 company ID:00064211, Tax ID: CZ00064211, bank details Czech National Bank, account number 80004-16231081/0710, variable symbol: 110201, variable symbol of the pharmacy:1997000, represented on the basis of the Power of Attorney by Tomáš Podlešák, MD, Deputy of Medical Care (hereinafter called "Institution") and MERCK SHARP & DOHME, s.r.o., with its address at Evropská 2588/33a, Prague 6, Zip code 160 00, ID: 284 62564, tax ID: CZ 284 62 564, registered in the Companies Register maintained by the Municipal Court in Prague (Section C, File No. 143294), acting in its own name at the request of Merck Sharp & Dohme Corp. with its address at One Merck Drive, Whitehouse Station, New Jersey 08889, Un
ContractClinical Trial Research Agreement • July 14th, 2017
Contract Type FiledJuly 14th, 2017CLINICAL TRIAL RESEARCH AGREEMENT(For Use in the Czech Republic) This Agreement is entered into as of the last date on the signature page hereof, by and among FAKULTNÍ NEMOCNICE OSTRAVA, with its address at 17. listopadu 1790, zipcode: 708 52, Ostrava-Poruba, CzechRepublic, company ID: 008 43 989, Tax ID: CZ00843989, Deed of foundation of the Ministry of Health of the Czech Republic from 25 November 1990 ref. No. OP-054-25.11.90, bank details: Česká národní banka, account number: 66332761/0710, IBAN: CZ59 0710 0000 0000 6633 2761,variable symbol: 649071006, represented by MUDr. Josef Srovnal, the deputy director for medical care(hereinafter called "Institution) and MERCK SHARP & DOHME, s.r.o., with its address at Evropská 2588/33a, Prague 6, ZIP code 160 00, ID: 284 62564, tax ID: CZ 284 62 564, registered in the Companies Register maintained by the Municipal Court in Prague (Section C, File No. 143 294), acting in its own name at the request of Merck Sharp & Dohme Corp. with its addre
ContractClinical Trial Research Agreement • June 13th, 2017
Contract Type FiledJune 13th, 2017CLINICAL TRIAL RESEARCH AGREEMENT(For Use in the Czech Republic) This Agreement is entered into as of the last date on the signature page hereof, by and among FAKULTNÍ NEMOCNICE OSTRAVA, with its address at 17. listopadu 1790, zipcode: 708 52, Ostrava-Poruba, CzechRepublic, company ID: 008 43 989, Tax ID: CZ00843989, Deed of foundation of the Ministry of Health of the Czech Republic from 25 November 1990 ref. No. OP-054-25.11.90, bank details: Česká národní banka, account number: 66332761/0710, IBAN: CZ59 0710 0000 0000 6633 2761,variable symbol: 649071006, represented by MUDr. Josef Srovnal, the deputy director for medical care(hereinafter called "Institution) andMERCK SHARP & DOHME, s.r.o., with its address at Evropská 2588/33a, Prague 6, ZIP code 160 00, ID: 284 62564, tax ID: CZ 284 62 564, registered in the Companies Register maintained by the Municipal Court in Prague (Section C, File No. 143 294), acting in its own name at the request of Merck Sharp & Dohme Corp. with its addres
ContractClinical Trial Research Agreement • May 19th, 2017
Contract Type FiledMay 19th, 2017CLINICAL TRIAL RESEARCH AGREEMENT(For Use in the Czech Republic only in conjunction with Principal Investigator Contract for Work) This Agreement is entered into as of the latest date on the signature page hereof, by and between NEMOCNICE NA BULOVCE, Budínova 67/2, Praha 8- Libeň, zipcode 180 81 company ID:00064211, Tax ID: CZ00064211, bank details Czech National Bank, account number 80004-16231081/0710, variable symbol: 110201, variable symbol of the pharmacy:1997000, represented on the basis of the Power of Attorney by Tomáš Podlešák, MD, Deputy of Medical Care (hereinafter called "Institution") and MERCK SHARP & DOHME, s.r.o., with its address at Evropská 2588/33a, Prague 6, Zip code 160 00, ID: 284 62564, tax ID: CZ 284 62 564, registered in the Companies Register maintained by the Municipal Court in Prague (Section C, File No. 143297), acting in its own name at the request of Merck Sharp & Dohme Corp. with its address at One Merck Drive, Whitehouse Station, New Jersey 08889, Unite
ContractClinical Trial Research Agreement • May 17th, 2017
Contract Type FiledMay 17th, 2017CLINICAL TRIAL RESEARCH AGREEMENT(For Use in the Czech Republic) This Agreement is entered into as of the last date on the signature page hereof, by and between among FAKULTNÍ NEMOCNICE OSTRAVA, with its address at 17. listopadu 1790, zipcode: 708 52, Ostrava-Poruba, CzechRepublic, company ID: 008 43 989, Tax ID: CZ00843989, Deed of foundation of the Ministry of Health of the Czech Republic from 25 November 1990 ref. No. OP-054-25.11.90, bank details: ČSOB, a.s., account number: 8010- 0309258333/0300 IBAN: CZ29 0300 0080 1003 0925 8333,variable symbol: 64907752, represented by MUDr. Josef Srovnal, the deputy director for medical care(hereinafter called "Institution) andMERCK SHARP & DOHME CORP., with its address at 1 Merck Drive, Whitehouse Station, New Jersey 08889, United States of America, represented by the company MERCK SHARP & DOHME, s.r.o., with its address at Evropská 2588/33a, Prague 6, ZIP code 160 00, ID: 284 62 564, tax ID:CZ 284 62 564, registered in the Companies Register
ContractClinical Trial Research Agreement • March 14th, 2017
Contract Type FiledMarch 14th, 2017CLINICAL TRIAL RESEARCH AGREEMENT(For Use in the Czech Republic) This Agreement is entered into as of the last date on the signature page hereof, pursuant to Section 1746 par. 2 of Act No. 89/2012 Coll., Civil Code (hereinafter called the „Civil Code“) and Act No. 378/2007 Coll., on Pharmaceuticals and on amendments to certain related acts (the Act on Pharmaceuticals), as amended (hereinafter also called as the„Act on Pharmaceuticals“), by and between NEMOCNICE NA HOMOLCE, Roentgenova 37/2, 150 30,Prague 5, bank details XXX, , account number XXX , Na Příkopě 28, 115 03 Praha 1,represented by Dr. Ing Ivan Oliva Hospital Director(hereinafter called "Institution) andMerck Sharp & Dohme, s.r.o., with its address at Evropská 2588/33a, Prague 6, ZIP code 160 00, ID: 284 62 564, tax ID: CZ 284 62 564, registered in the Companies Register maintained by the Municipal Court in Prague (Section C, File No. 143294), acting in its own name at the request of Merck Sharp & Dohme Corp. with its address
ContractClinical Trial Research Agreement • March 3rd, 2017
Contract Type FiledMarch 3rd, 2017ASSIGNMENT NO. 1 POSTOUPENÍ Č. 1 This is an assignment ("Assignment") of the Clinical Trial Research Agreement entered into on 26 August 2013(the „Agreement“) by and between Toto je postoupení ("Postoupení") ke Smlouvě o provedení klinického hodnocení uzavřené 26. srpna 2013 („Smlouva“) mezi FAKULTNÍ NEMOCNICE OSTRAVA, with itsaddress at 17. listopadu 1790, zipcode: 708 52, Ostrava-Poruba, Czech Republic, company ID: 008 43 989, Tax ID: CZ00843989, Deed of foundation of the Ministry of Health of the Czech Republic from 25 November 1990 ref. No. OP-054- 25.11.90, bank details: XXX, account number: XXX IBAN: XXX, variable symbol:XXX, represented by MUDr. Josef Srovnal, the deputy director for medical care (hereinafter called "Institution"), FAKULTNÍ NEMOCNICÍ OSTRAVA, se sídlem17. listopadu 1790, PSČ: 708 52, Ostrava-Poruba, Česká republika, IČ: 008 43 989, DIČ: CZ00843989, Zřizovací listina Ministerstva zdravotnictví České republiky ze dne 25. listopadu 1990 č.j. OP-054- 25.11.90, banko
ContractClinical Trial Research Agreement • January 4th, 2017
Contract Type FiledJanuary 4th, 2017CLINICAL TRIAL RESEARCH AGREEMENT(For Use in the Czech Republic only in conjunction with Principal Investigator Contract for Work) This Agreement is entered into as of the latest date on the signature page hereof, by and between NEMOCNICE NA BULOVCE, Budínova 67/2, Praha 8- Libeň, zipcode 180 81 company ID:00064211, Tax ID: CZ00064211, bank details Czech National Bank, account number 80004-16231081/0710, variable symbol: 110201, variable symbol of the pharmacy:1997000, represented on the basis of the Power of Attorney by Tomáš Podlešák, MD, Deputy of Medical Care (hereinafter called "Institution") and MERCK SHARP & DOHME, s.r.o., with its address at Evropská 2588/33a, Prague 6, Zip code 160 00, ID: 284 62564, tax ID: CZ 284 62 564, registered in the Companies Register maintained by the Municipal Court in Prague (Section C, File No. 143294), acting in its own name at the request of Merck Sharp & Dohme Corp. with its address at One Merck Drive, Whitehouse Station, New Jersey 08889, Unite
ContractClinical Trial Research Agreement • January 4th, 2017
Contract Type FiledJanuary 4th, 2017CLINICAL TRIAL RESEARCH AGREEMENT(For Use in the Czech Republic only in conjunction with Principal Investigator Contract for Work) This Agreement is entered into as of the latest date on the signature page hereof, by and between NEMOCNICE NA BULOVCE, Budínova 67/2, Praha 8- Libeň, zipcode 180 81 company ID:00064211, Tax ID: CZ00064211, bank details Czech National Bank, account number 80004-16231081/0710 , variable symbol: 110201, variable symbol of the pharmacy:1997000, represented on the basis of the Power of Attorney by Tomáš Podlešák, MD, Deputy of Medical Care (hereinafter called "Institution") and MERCK SHARP & DOHME, s.r.o., with its address at Evropská 2588/33a, Prague 6, Zip code 160 00, ID: 284 62564, tax ID: CZ 284 62 564, registered in the Companies Register maintained by the Municipal Court in Prague (Section C, File No. 143294), acting in its own name at the request of Merck Sharp & Dohme Corp. with its address at One Merck Drive, Whitehouse Station, New Jersey 08889, Unit
CLINICAL TRIAL RESEARCH AGREEMENTClinical Trial Research Agreement • December 14th, 2016
Contract Type FiledDecember 14th, 2016Zip code 140 59, Czech Republic, ID: 00064190, tax ID: CZ00064190, governmental organization founded by the Ministry of Health, the full text of the foundation deed ref. MZDR 17268-IV / 2012, registered in the Companies Register maintained by the Municipal Court in Prague ( Section Pr, File No. 1043) bank details XXX, account number XXX, represented by Doc. MUDr. Zdeněk Beneš, CSc., Director (hereinafter called "Institution)
ContractClinical Trial Research Agreement • December 14th, 2016
Contract Type FiledDecember 14th, 2016CLINICAL TRIAL RESEARCH AGREEMENT(For Use in the Czech Republic only in conjunction with Principal Investigator Contract for Work) This Agreement is entered into as of the last date on the signature page hereof, by and between FAKULTNÍ NEMOCNICE BRNO, Jihlavská 20, Brno,Zip code: 625 00, company ID: 65269705, Tax ID: CZ65269705,XXX represented by MUDr. Roman Kraus, MBA, director (hereinafter called "Institution") and Merck Sharp & Dohme, s.r.o., with its address at Evropská 2588/33a, Prague 6, ZIP code 160 00, ID: 28462 564, tax ID: CZ 284 62 564, registered in the Companies Register maintained by the Municipal Court in Prague (Section C, File No. 143294), acting in its own name at the request of Merck Sharp & Dohme Corp. with its address at One Merck Drive, Whitehouse Station, New Jersey 08889, USA (hereinafter called "Sponsor"). and XXX hereinafter called “Principal Investigator”) SMLOUVA O PROVEDENÍKLINICKÉHO HODNOCENÍ(Pro použití v České republice pouze v kombinaci seSmlouvou o díl
CLINICAL TRIAL RESEARCH AGREEMENTClinical Trial Research Agreement • December 14th, 2016
Contract Type FiledDecember 14th, 2016Zip code: 625 00, company ID: 65269705, Tax ID: CZ65269705, bank details XXX, account number XXX, IBAN code: XXX, SWIFT code: XXX, variable symbol / message for recepient: XXX or invoice number, represented by MUDr. Roman Kraus, MBA, director (hereinafter called "Institution")
ContractClinical Trial Research Agreement • December 1st, 2016
Contract Type FiledDecember 1st, 2016CLINICAL TRIAL RESEARCH AGREEMENT(For Use in the Czech Republic only in conjunction with Principal Investigator Contract for Work) This Agreement is entered into as of the last date on the signature page hereof, by and between FAKULTNÍ NEMOCNICE BRNO, Jihlavská 20, Brno,Zip code: 625 00, company ID: 65269705, Tax ID: CZ65269705, bank details Komerční banka, a.s., branch office Brno-město, account number XXX, IBAN code: XXX, SWIFT code: XXX, variable symbol / message for recepient: XXX or invoice number, represented by MUDr. Roman Kraus, MBA, director (hereinafter called "Institution") and MERCK SHARP & DOHME, S.R.O., with its address at Evropská 2588/33a, Prague 6, ZIP code 160 00, ID: 284 62 564, tax ID: CZ 284 62 564, registered in the Companies Register maintened by the Municipal Court in Prague (Section C, File No. 143294), acting in its own name at the request of Merck Sharp & Dohme Corp., with its address at 1 Merck Drive, Whitehouse Station, New Jersey 08889 USA (hereinafter cal