ContractClinical Investigator Agreement • December 7th, 2016
Contract Type FiledDecember 7th, 2016CLINICAL INVESTIGATOR AGREEMENT - TRIPARTITE SMLOUVA A ZABEZPEČENÍ A PROVEDENÍ KLINICKÉHO HODNOCENÍ - TROJSTRANNÁ This Agreement (“AGREEMENT”) is entered Tato smlouva (dále jen „SMLOUVA“) se into this …………………. uzavírá dne ......................... BY AND BETWEEN MEZI ICON Clinical Research Limitedwith a VAT number IE 8201978Rand a place of business atSouth County Business Park, Leopardstown, Dublin 18, Ireland,represented by XXXXXXXXXXXXXXSr. Director Project Management (hereinafter called “ICON”) ICON Clinical Research LimitedDIČIE 8201978R,se sídlemSouth County Business Park, Leopardstown, Dublin 18, Irsko,zastoupený XXXXXXXXXXXXSr. Director Project Management (dále jen „ICON“), AND A Falultni nemocnice Plzenwith a VAT number CZ 00669806with a place of business at Edvarda Benese 1128/13, 305 99 Plzen,Czech Republic, represented byMUDr. Vaclav Simanek, Ph.D. managing director(hereinafter called the “Health Service Provider”) Fakultní nemocnice PlzeňDIČCZ 00669806se sídlem Edvarda