Samarbejdsaftale
Samarbejdsaftale
1. Parter
Mellem undertegnede Roche a/s
(herefter kaldet ”Virksomheden”)
og
medundertegnede Patientforeningen Lungekræft v/formand Xxxxxxx Xxxxx Xxxxxx (herefter kaldet ”Organisationen”)
(herefter i fællesskab benævnt ”Parterne”)
er der indgået følgende aftale om samarbejde.
2. Samarbejdsaftalens formål
Formålet med samarbejdsaftalen er at give økonomisk støtte til afholdelse af International Lungekræftdag 19. november 2019.
3. Samarbejdsprojektets navn
Samarbejdsprojektets navn er Donation til International Lungekræftdag 2019.
4. Parternes rolle i samarbejdet
Virksomheden forpligter sig med nærværende samarbejdsaftale til i aftaleperioden at yde en donation til afholdelse af International Lungekræftdag 19. november 2019.
Organisationen forpligter sig med nærværende samarbejdsaftale til i aftaleperioden at afholde International Lungekræftdag 19. november 2019.
5. Tidsramme
Samarbejdet, hvis nærmere formål og omfang er beskrevet i pkt. 2 og 4, skal afvikles i perioden 19. november til 19. november 2019. Parternes rettigheder og forpligtelser i henhold til nærværende samarbejdsaftale løber fra underskriftsdato og indtil samarbejdsaftalens forpligtelser er opfyldt, medmindre andet udtrykkeligt er aftalt.
6. Finansiel ydelse
Virksomhedens finansielle ydelse i henhold til nærværende samarbejdsaftale udgør et beløb på kr.
10.000. Beløbet er ekskl. moms. Den finansielle ydelse skal anvendes til afholdelse af International Lungekræftdag 19. november 2019.
7. Ikke-finansiel ydelse
Ej relevant.
8. Offentliggørelse
Nærværende samarbejdsaftale er offentligt tilgængelig på Virksomhedens hjemmeside xxx.xxxxx.xx frem til 19. maj 2020.
Jf. Etisk Nævn for Lægemiddelvirksomheders vejledning til ”Etiske regler for lægemiddelindustriens samarbejde med patientforeninger mv.” skal det understreges. at patientforeninger på sin hjemmeside skal offentliggøre alle økonomiske fordele, herunder økonomiske sponsorater (pengebeløb) og naturalier, som foreningen har modtaget fra lægemiddelvirksomheder, jf. reklamebekendtgørelsens §
21. Offentliggørelsen skal ske på en sådan måde, at størrelsen af økonomiske fordele fra hver enkelt virksomhed fremgår af hjemmesiden. Oplysningerne skal gøres tilgængelige på hjemmesiden senest
én måned efter, at patientforeningen har modtaget den økonomiske fordel. Oplysningerne skal være tilgængelige på hjemmesiden i mindst to år.
9. Anvendelse af Organisationens logo
Ej relevant.
10. Uafhængighed og habilitet
Parterne erklærer ved sin underskrift, at det står Organisationen frit at samarbejde med flere lægemiddelvirksomheder, ligesom Virksomheden har mulighed for at samarbejde med en eller flere organisationer. Parterne erklærer samtidig, at der ikke i samarbejdet stilles krav om eneret i forhold til konkrete produkt- eller terapiområder.
Virksomheden erklærer ved sin underskrift af nærværende samarbejdsaftale ikke at stille betingelser for organisationens faglige og interessepolitiske standpunkter.
Virksomheden erklærer ved sin underskrift ikke at have et tillidshverv i Organisationen, der har betydning for nærværende samarbejdsaftale.
11. Misligholdelse
Såfremt en af Parterne misligholder sine forpligtelser i henhold til nærværende samarbejdsaftale, kan den ikke misligholdende part ophæve samarbejdsaftalen med øjeblikkelig virkning. Den ikke misligholdende part er i øvrigt berettiget til at bringe andre efter dansk ret til rådighed stående misligholdelsesbeføjelser til anvendelse, herunder retten til at kræve erstatning, uanset om aftalen ophæves.
12. Lovvalg
Nærværende samarbejdsaftale er i enhver henseende underlagt dansk ret.
13. Konfliktløsning
Såfremt tvister ikke kan bilægges igennem mægling, skal disse indbringes for Sø- og Handelsretten i København.
14. Underskrift
Den
16 november 2019
Patientforeningen Lungekræft
v/formand Xxxxxxx Xxxxx Xxxxxx
Hvidovre,
15 November 2019
Xxxxxx Xxxxxx Kommunikationschef, Roche a/s
Hvidovre
15 november 2019
Xxxxx Xxxx Xxxxxxxx
Director, Center of Sustainability, Roche a/s
Patientforeningen Lungekræft v/formand
Xxxxxxx Xxxxx Xxxxxx Møllehaven 8
4040 Jyllinge
Udbetalingsblanket – Støtte til Patientforening
Erhvervskonto - (Alle felter skal udfyldes – Skriv venligst tydeligt):
Registrerings nr. | 0537 | |
Konto nr. | 0000472999 | |
Tekst til indbetalingen | Patientforeningen Lungekræft –International Lungekræftdag 2019 | Max. 16 tegn |
CVR-nr. | 33848072 | |
Tilhørende | Patientforeningen Lungekræft | |
Adresse | Xxxxxxxxxx 0 | |
Postnr. og by | 4040 Jyllinge | |
Document ID ref: HCO-01-001-SRD-vs. 7.0 – Udbetalingsblanket/Payment form
Støtte til Patientforening DKK 10.000 (udfyldes af Roche a/s)
Total DKK 10.000 (udfyldes af Roche a/s)
Bemærk venligst at:
Støtte til Patientforening kan kun udbetales til en erhvervskonto
Al støtte til Patientforening bliver offentliggjort på xxx.xxxxx.xx efter gældende regler
Blanketten bedes returneret hurtigst muligt. Forventet ekspeditionstid er 15 arbejdsdage efter modtagelse
Udfyldes af Roche a/s/s
Tekst: PAG: Patientforeningen Lungekræft – International Lungekræftdag 2019 | Split: 100 % | Cost Center: 1434102501 | Kontonr.: 431912001 | ||||
TKM: ASV | Støtte til Patientforeningen Lungekræft | ||||||
Roche a/s Industriholmen 59 DK-2650 Hvidovre
Tel. x00 00 00 00 00
Fax x00 00 00 00 00
CVR: 25230515
Certificate Of Completion
Envelope Id: A3891961689A4CBE9EEEB3498EC66C45 Status: Completed Subject: Kontrakt til underskrift - Aftale vedr. støtte til afholdelse af International Lungekræftdag 19. nov
Source Envelope:
Document Pages: 5 Signatures: 3 Envelope Originator:
Certificate Pages: 4 Initials: 0 Xxxxxxx Xxxxxxxxx
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC+01:00) Amsterdam, Berlin, Bern, Rome, Stockholm, Vienna
Xxxxxxxxxxxxxxxxx 000
Basel, BASEL LANDSCHAFT 4070
xxxxxxx.xxxxxxxxx@xxxxx.xxx IP Address: 196.3.50.247
Record Tracking
Status: Original
11/15/2019 2:25:17 PM
Holder: Xxxxxxx Xxxxxxxxx xxxxxxx.xxxxxxxxx@xxxxx.xxx
Location: DocuSign
Signer Events Signature Timestamp
Xxxxxx Xxxxxx xxxxxx.xxxxxx@xxxxx.xxx
Security Level: Email, Account Authentication (None)
Signature Provider Details:
Signature Type: DS Electronic
Signature Adoption: Pre-selected Style Using IP Address: 196.3.50.248
Sent: 11/15/2019 2:30:20 PM Viewed: 11/15/2019 2:56:31 PM Signed: 11/15/2019 2:56:53 PM
Electronic Record and Signature Disclosure:
Accepted: 11/15/2019 2:56:31 PM
ID: e98fd953-390c-4045-9969-d495204300fa
Company Name: X.Xxxxxxxx-La Roche Ltd -BankID - Sub account
Xxxxx Xxxxxxxx xxxxx.xxxxxxxx@xxxxx.xxx
Security Level: Email, Account Authentication (None)
Signature Provider Details:
Signature Type: DS Electronic
Electronic Record and Signature Disclosure:
Accepted: 11/15/2019 4:46:37 PM
ID: f5ccf9d4-9b3e-4e27-b606-3125b491f685
Signature Adoption: Drawn on Device Using IP Address: 62.44.135.198 Signed using mobile
Sent: 11/15/2019 2:57:13 PM Viewed: 11/15/2019 4:46:37 PM Signed: 11/15/2019 4:46:59 PM
Company Name: X.Xxxxxxxx-La Roche Ltd -BankID - Sub account
Xxxxxxx Xxxxx Xxxxxx xxxx@xxxxxxxxxxx.xxx
Security Level: Email, Account Authentication (None)
Signature Provider Details:
Signature Type: DS Electronic
Signature Adoption: Pre-selected Style Using IP Address: 80.198.46.98
Sent: 11/15/2019 4:47:14 PM Viewed: 11/16/2019 12:09:32 AM Signed: 11/16/2019 12:12:39 AM
Electronic Record and Signature Disclosure:
Accepted: 11/16/2019 12:09:32 AM
ID: 2cbd449f-eb35-472b-bbe5-86e34b6ec902
Company Name: X.Xxxxxxxx-La Roche Ltd -BankID - Sub account
In Person Signer Events | Signature | Timestamp |
Editor Delivery Events | Status | Timestamp |
Agent Delivery Events | Status | Timestamp |
Intermediary Delivery Events | Status | Timestamp |
Certified Delivery Events | Status | Timestamp |
Carbon Copy Events | Status | Timestamp |
Witness Events | Signature | Timestamp |
Notary Events | Signature | Timestamp |
Envelope Summary Events | Status | Timestamps |
Envelope Sent | Hashed/Encrypted | 11/15/2019 4:47:14 PM |
Certified Delivered | Security Checked | 11/16/2019 12:09:32 AM |
Signing Complete | Security Checked | 11/16/2019 12:12:39 AM |
Completed | Security Checked | 11/16/2019 12:12:39 AM |
Payment Events | Status | Timestamps |
Electronic Record and Signature Disclosure | ||
Electronic Record and Signature Disclosure created on: 1/3/2019 2:16:57 PM Parties agreed to: Xxxxxx Xxxxxx, Xxxxx Xxxxxxxx, Xxxxxxx Xxxxx Xxxxxx
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