Dettagli del beneficiario. Le Parti convengono che il beneficiario indicato di seguito è il beneficiario appropriato per il presente Contratto e che i pagamenti ai sensi del presente Contratto saranno effettuati solo al seguente beneficiario ("Beneficiario) tramite bonifico bancario: Nome Sperimentatore / Numero Centro Xxxxxxx Xxxxxx Xxxxx / ITA- 003 Nome del beneficiario / Titolare del conto in base al Contratto Azienda USL Toscana Centro P.XXX Xxxxxxxxxxxx 06593810481 Indirizzo Beneficiario / Titolare Conto Xxxxxx Xxxxx Xxxxx Xxxxx 1 – 50122 Firenze Nome Banca Banco B.P.M. Spa Via Banca Piazza Davanzati n. 3 Città Banca Firenze Stato/Provincia Banca Italia Codice Postale Banca 50123 Paese Banca Firenze Valuta di Pagamento € IBAN XX00X00000000000000000 00000 BIC/Swift Code (8 or 11 Caratteri) BAPPIT21N25 IQVIA Clinical Trial Payments will pay the agreed fees to the Institution 3 months (quarterly), on a completed visit per subject basis in accordance with the attached budget. Payment will be made based upon prior 3 months’ data related to the performed activities communicated from the Institution to the Sponsor supporting subject visitation. Any expense or cost incurred by Institution in performing this Agreement that is not specifically designated as reimbursable by IQVIA Inc or Sponsor under the Agreement (including this Budget and Payment Schedule) is the sole responsibility of the Institution. The Parties agree that the payee designated below is the proper payee for this Agreement, and that payments under this Agreement will be made only to the following payee (“Payee) through bank transfer: Investigator Name / Site number Xxxxxxx Xxxxxx Xxxxx / ITA-003 Payee Name/Account HOLDER ACCORDING TO CONTRACT Azienda USL Toscana Centro Payee VAT-number 06593810481 Payee/Account HOLDER ADDRESS Xxxxxx Xxxxx Xxxxx Xxxxx 1 – 50122 Firenze Bank Name Banco B.P.M. Spa Bank Street Xxxxxx Xxxxxxxxx x. 0 Bank City Florence Bank State/Province Italy Bank Postal Code 50123 Bank Country Firenze Payment Currency € IBAN XX00X00000000000000000 00000 BIC/Swift Code (8 or 11 Characters) BAPPIT21N25 NAME OF INVOICE RECIPIENT *(Person to receive proforma Invoice) TASKFORCECLINICA@USLCE XXXX.XXXXXXX.XX Email and Phone Number TASKFORCECLINICA@USLCE XXXX.XXXXXXX.XX Language Preference Italian Name OF PAYMENT RECIPIENT TO TASKFORCECLINICA@USLCE XXXX.XXXXXXX.XX NOME DEL DESTINATARIO DELLA FATTURA *(PERSONA CHE RICEVERÀ LA FATTURA PROFORMA) TASKFORCECLINICA@USLCEN XXX.XXXXXXX.XX Email e Numero di Telefono TASKFO...
