ContractIndividual Clinical Trial Agreement • July 27th, 2017
INDIVIDUAL CLINICAL TRIAL AGREEMENT This Individual Clinical Trial Agreement (“ICTA”) is entered into on the last date of signature below (the “Effective Date”) by and among Institution: University hospital Brno Address: Jihlavská 20625 00 Brno Taxpayer ID No.: CZ 65269705 Acting through: MUDr. Roman Kraus, MBA - director(hereinafter referred to as “Institution”) and Sponsor: Boehringer Ingelheim RCV GmbH & Co KGAddress: Dr. Boehringer-Gasse 5-11 1121 ViennaAustriaVAT-ID-No.: ATU 64226215(hereinafter referred to as “Sponsor”) (hereinafter jointly referred to as “the Parties”) RECITALSWhereas, BI RCV and Institution entered into a Master Clinical Trial Agreement (“Agreement”) effective on 18. 11. 2013; Whereas, pursuant to Section 2 of the Agreement, BI RCV and Institution wish to enter into this ICTA for the purpose of setting forth the Protocol Number, Protocol Title and specific terms and conditions for the conduct of an individual clinical trial.Now, therefore, pursuant to and subje
