Samarbejdsaftale
DocuSign Envelope ID: D8F44758-8EE0-4655-B0DF-B7CE24B6C1F3
Samarbejdsaftale
1. Parter
Mellem undertegnede Roche a/s
(herefter kaldet ”Virksomheden”)
og
medundertegnede
KIU – Kræft i Underlivet (herefter kaldet ”Organisationen”)
(herefter i fællesskab benævnt ”Parterne”)
er der indgået følgende aftale om samarbejde.
2. Samarbejdsaftalens formål
Formålet med samarbejdsaftalen er at yde en donation til kampagne om symptomer på æggestokkræft.
3. Samarbejdsprojektets navn
Samarbejdsprojektets navn er World Ovarian Cancer Day 8. maj 2020.
Document ID ref: HCO-01-009-SRD-vs. 2.0 - Kontrakt med patientforeninger Filantrop Org
DocuSign Envelope ID: D8F44758-8EE0-4655-B0DF-B7CE24B6C1F3
4. Parternes rolle i samarbejdet
Virksomheden forpligter sig med nærværende samarbejdsaftale til i aftaleperioden at give en donation til afholdelse af en kampagne om betydningen af tidlig opsporing og diagnosticering af æggestokkræft.
Organisationen forpligter sig med nærværende samarbejdsaftale til i aftaleperioden at afholde denne kampagne.
5. Tidsramme
Samarbejdet, hvis nærmere formål og omfang er beskrevet i pkt. 2 og 4, skal afvikles i maj måned 2020. 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.
35.000. Beløbet er ekskl. moms. Den finansielle ydelse skal anvendes til indrykning af kampagneevents mv. på digitale medier.
7. Ikke-finansiel ydelse
Ikke relevant.
8. Offentliggørelse
Nærværende samarbejdsaftale er offentligt tilgængelig på Virksomhedens hjemmeside xxx.xxxxx.xx frem til 1. december 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
Document ID ref: HCO-01-009-SRD-vs. 2.0 - Kontrakt med patientforeninger Filantrop Org
DocuSign Envelope ID: D8F44758-8EE0-4655-B0DF-B7CE24B6C1F3
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
Ikke 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.
Document ID ref: HCO-01-009-SRD-vs. 2.0 - Kontrakt med patientforeninger Filantrop Org
DocuSign Envelope ID: D8F44758-8EE0-4655-B0DF-B7CE24B6C1F3
14. Underskrift
Sted, Jægerspris
dato
05 maj 2020
KIU – Kræft i Underlivet v/formand Xxxxx Xxxxxx
Hvidovre, dato
Xxxxxx Xxxxxx
04 maj 2020
Kommunikationschef, Roche a/s
Hvidovre, dato
29 April 2020
Xxxxx Xxxx Xxxxxxxx
Direktør, Sustainability, Roche a/s
Document ID ref: HCO-01-009-SRD-vs. 2.0 - Kontrakt med patientforeninger Filantrop Org
DocuSign Envelope ID: D8F44758-8EE0-4655-B0DF-B7CE24B6C1F3
KIU – Kræft i Underlivet v/formand Xxxxx Xxxxxx
Udbetalingsblanket – Støtte til Patientforening
Erhvervskonto - (Alle felter skal udfyldes – Skriv venligst tydeligt):
Registrerings nr. | 1681 |
Konto nr. Tekst til indbetalingen CVR-nr. Tilhørende Adresse Postnr. og by | 3226630766 |
Sponsorat fra Medicinalfirmaet Roche Max. 16 tegn | |
30647149 | |
KIU - patientforeningen Kræft i underlivet | |
Xxxxxxxxxx 00 | |
3630 Jægerspris |
Støtte til Patientforening DKK 35.000,00 (udfyldes af Roche a/s)
Totalt DKK 35.000,00 (udfyldes af Roche a/s)
Document ID ref: HCO-01-009-SRD-vs. 2.0 – Udbetalingsblanket – Støtte til Patientforening
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 ca. 15 arbejdsdage efter modtagelse
Udfyldes af Roche a/s
Tekst: PAG: KIU World Ovarian Cancer Day 8. maj 2020 | Split: 100 % | Cost Center: 1434102501 | Kontonr.: 431912001 | ||||
TKM: Xxxxxxx Xxxxxxxxx | Støtte til Patientforening KIU |
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: D8F447588EE04655B0DFB7CE24B6C1F3 Status: Completed Subject: Please DocuSign: 2020_04_28_KIU_Samarbejdsaftale_World Ovarian Cancer Day May 8 2020.pdf, udbet...
Source Envelope:
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Certificate Pages: 4 Initials: 0 Xxxxxxx Xxxxxxxxx
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Time Zone: (UTC+01:00) Amsterdam, Berlin, Bern, Rome, Stockholm, Vienna
Xxxxxxxxxxxxxxxxx 000
Basel, Basel-Stadt 4070 xxxxxxx.xxxxxxxxx@xxxxx.xxx IP Address: 90.185.96.78
Record Tracking
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4/29/2020 3:02:54 PM
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Sent: 5/4/2020 7:17:29 AM Viewed: 5/5/2020 4:03:40 PM Signed: 5/5/2020 4:12:47 PM
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Envelope Sent | Hashed/Encrypted | 5/4/2020 7:17:29 AM |
Certified Delivered | Security Checked | 5/5/2020 4:03:40 PM |
Signing Complete | Security Checked | 5/5/2020 4:12:47 PM |
Completed | Security Checked | 5/5/2020 4:12:47 PM |
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Electronic Record and Signature Disclosure |
Electronic Record and Signature Disclosure created on: 1/3/2019 2:16:57 PM Parties agreed to: Xxxxx Xxxxxxxx, Xxxxxx Xxxxxx, Xxxxxx Xxxxxx
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