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Secure Form Order Form

Quote Details:

  1. This quote covers the one-time fee for completing your secure form(s) submission.
  2. Build timelines typically require two weeks from the time we receive your completed order form (not the quote form).
  3. Rush orders (if possible) may incur an additional cost added to the quote.
  4. The quote includes a review process allowing for up to 3 hours of improvements at no cost.
  5. Requests for minor revisions (additions, edits, movements, or removals) must be made within 7 days of delivery and will be billed at $60/hour.
  6. Any bugs or errors (e.g., typos, layout mistakes, or functionality issues) caused by our development team will be fixed at no charge.

**Edits and adjustments include anything added, edited, moved or removed from the first draft of the web form and PDF draft.

***Bugs and errors include typos, layout mistakes, and functionality mistakes that were created in error by our development team during the form build process.


Quote details

  1. Bugs and errors in form design are fixed at no charge. Any updates or changes to the form are $50/hour or $150/hour depending on complexity.

Software as a Service Agreement


Agreement

This Software as a Service Agreement (this "Agreement") is by and between Mediprocity Inc., a Delaware corporation ("Provider"), and the person or entity identified on a corresponding Order Form incorporating or referencing this Agreement ("Customer"). Provider and Customer may be referred to herein collectively as the "Parties" or individually as a "Party."

WHEREAS, Provider provides various Subscription Services and related Support Services and Development Services (all as defined below) to its customers; and

WHEREAS, Customer desires to access the Services, and Provider desires to provide Customer access to the Services, subject to the terms and conditions of this Agreement.

NOW, THEREFORE, in consideration of the mutual covenants, terms, and conditions set forth herein, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties agree as follows:

  1. Definitions.
    • "Aggregated Statistics" means data and information related to Customer's use of the Subscription Services that is used by Provider in an aggregate and anonymized manner, including to compile statistical and performance information related to the provision and operation of the Subscription Services.
    • "Authorized User(s)" means Customer's employees, consultants, contractors, and agents (i) who are authorized by Customer to access and use the Subscription Services under the rights granted to Customer pursuant to this Agreement and (ii) for whom access to the Subscription Services has been purchased hereunder.
    • "Customer Data" means, other than Aggregated Statistics, information, data, and other content, in any form or medium, that is submitted, posted, or otherwise transmitted by or on behalf of Customer or an Authorized User through the Subscription Services.
    • "Development Services" has the meaning set forth in Exhibit D: Development Services Agreement.
    • "Documentation" means documentation of the features and functions of the Subscription Services made generally available by Provider to the public on Provider’s web site at www.mediprocity.com.
    • "End-User License Agreement" means the agreement accepted by Authorized Users governing access and use of the Subscription Services, located at Mediprocity.com, as may be updated from time to time.
    • "On-Premise Software" means any software distributed by Provider to Customer for installation and use on computer systems under the control of Customer for supporting access to and use of Provider products and services.
    • "Order Form" means an ordering document referencing or incorporating this Agreement submitted by Customer, including but not limited to the on-line Order Forms at the Mediprocity.com referenced in Exhibit A, to order Subscription Services or add Authorized Users.
    • "Provider IP" means the Subscription Services, the Documentation, and any and all intellectual property provided to Customer or any Authorized User in connection with the foregoing. For the avoidance of doubt, Provider IP includes Aggregated Statistics and any information, data, or other content derived from Provider's monitoring of Customer's access to or use of the Subscription Services, but does not include Customer Data.
    • "Services" means all services provided by Provider to Customer, including Subscription Services and Development Services.
    • "Subscription Services" means the software-as-a-service offering(s) described in Exhibit A and purchased on an Order Form incorporating or referencing this Agreement,.
    • "Support" means the customer support services generally offered to Provider’s customers via its on-line support portal located on Provider’s web site at www.mediprocity.com.
    • "Third Party Products" means all software or hardware of a third party and provided with or incorporated into any products or services hereunder.
  2. Access and Use of Subscription Services and On-Premise Software.
    • Provision of Access. Subject to and conditioned on Customer's payment of Fees and compliance with all other terms and conditions of this Agreement, Provider hereby grants Customer a non- exclusive, non-transferable (except in compliance with Section 13(g)) right to access and use the Subscription Services during the Term, solely for use by Authorized Users in accordance with the terms and conditions herein. Such use is limited to Customer's internal use. Provider shall provide to Customer the necessary passwords and network links or connections to allow Customer to access and use the Subscription Services. The total number of Authorized Users will not exceed the total number of subscription licenses ordered and paid for by Customer for each Subscription Service.
    • End-User Licenses. Customer acknowledges and agrees that the use of Application Software is subject to the additional terms and conditions of the End-User License Agreement.
    • On-Premise Software. If and to the extent Customer receives On-Premise Software hereunder, subject to Customer’s compliance with all terms and conditions of this Agreement, Provider grants Customer a non-exclusive, non-sublicensable, non-transferable right and license during the Term to access and use On-Premise Software, as-is and as-provided, for solely for internal purposes. Customer acknowledges that the On-Premise Software constitutes utility and support programs intended to support other Provider products and services and not designed for end-user interaction. and Customer agrees to refrain from directly interacting or tampering with, or attempting to directly interact or tamper with, On- Premise Software.
    • Documentation License. Subject to the terms and conditions contained in this Agreement, Provider hereby grants to Customer a non-exclusive, non-sublicensable, non-transferable (except in compliance with Section 13(g)) license to use the Documentation during the Term solely for Customer's internal business purposes in connection with its use of the Subscription Services.
    • Use Restrictions. Customer shall not use the Subscription Services or On-Premise Software for any purposes beyond the scope of the access granted in this Agreement. Customer shall not at any time, directly or indirectly, and shall not permit any Authorized Users to: (i) copy, modify, or create derivative works of the Subscription Services, Documentation, or On-Premise Software, in whole or in part; (ii) rent, lease, lend, sell, license, sublicense, assign, distribute, publish, transfer, or otherwise make available the Subscription Services, Documentation, or On-Premise Software; (iii) reverse engineer, disassemble, decompile, decode, adapt, or otherwise attempt to derive or gain access to the On-Premise Software or any software component of the Subscription Services, in whole or in part; (iv) remove any proprietary notices from the Subscription Services, Documentation, or On-Premise Software; or (v) use the Subscription Services, Documentation, or On-Premise Software in any manner or for any purpose that infringes, misappropriates, or otherwise violates any intellectual property right or other right of any person, or that violates any applicable law.
    • Reservation of Rights. Provider reserves all rights not expressly granted to Customer in this Agreement. Except for the limited rights and licenses expressly granted under this Agreement, nothing in this Agreement grants, by implication, waiver, estoppel, or otherwise, to Customer or any third party any intellectual property rights or other right, title, or interest in or to the Provider IP.
    • Suspension. Notwithstanding anything to the contrary in this Agreement, Provider may temporarily suspend Customer's and any Authorized User's access to any portion or all of the Subscription Services if: (i) Provider reasonably determines that (A) there is a threat or attack on any of the Provider IP; (B) Customer's or any Authorized User's use of the Provider IP disrupts or poses a security risk to the Provider IP or to any other customer or vendor of Provider; (C) Customer, or any Authorized User, is using the Provider IP for fraudulent or illegal activities; (D) subject to applicable law, Customer has ceased to continue its business in the ordinary course, made an assignment for the benefit of creditors or similar disposition of its assets, or become the subject of any bankruptcy, reorganization, liquidation, dissolution, or similar proceeding; or (E) Provider's provision of the Subscription Services to Customer or any Authorized User is prohibited by applicable law; (ii) any vendor of Provider has suspended or terminated Provider's access to or use of any third-party services or products required to enable Customer to access the Subscription Services; or (iii) in accordance with Section 5(a)(iii) (any such suspension described in subclause (i), (ii), or (iii), a "Service Suspension"). Provider shall use reasonable efforts to provide written notice of any Service Suspension to Customer and to provide updates regarding resumption of access to the Subscription Services following any Service Suspension. Provider shall use commercially reasonable efforts to resume providing access to the Subscription Services as soon as reasonably possible after the event giving rise to the Service Suspension is cured. Provider will have no liability for any damage, liabilities, losses (including any loss of data or profits), or any other consequences that Customer or any Authorized User may incur as a result of a Service Suspension.
    • Aggregated Statistics. Notwithstanding anything to the contrary in this Agreement, Provider may monitor Customer's use of the Subscription Services and collect and compile Aggregated Statistics. As between Provider and Customer, all right, title, and interest in Aggregated Statistics, and all intellectual property rights therein, belong to and are retained solely by Provider. Customer acknowledges that Provider may compile Aggregated Statistics based on Customer Data input into the Subscription Services. Customer agrees that Provider may (i) make Aggregated Statistics publicly available in compliance with applicable law, and (ii) use Aggregated Statistics to the extent and in the manner permitted under applicable law; provided that such Aggregated Statistics do not identify Customer or Customer's Confidential Information.
  3. Customer Responsibilities.
    • Third-Party Products. Provider may distribute certain Third-Party Products and/or provide integrations of the Services with certain Third-Party Products via technological means made available by the owner or controller of such Third-Party Products for exchanging data and/or information between the Services and such Third-Party Products. For purposes of this Agreement, such Third-Party Products are subject to their own license terms. If Customer does not agree to abide by the applicable terms for such Third-Party Product, then Customer should not use such Third-Party Products. Any warranties or representations provided by the manufacturers or suppliers of such Third-Party Products ("Third-Party Warranties") shall flow through to you to the extent permissible under the terms of such Third-Party Warranties and applicable law. Any claims related to Third-Party Warranties shall be solely between Customer and the respective manufacturer or supplier of such Third-Party Products and Customer shall look solely to such third-party manufacturers or suppliers for any warranty claims related to Third-Party Products, and will hold the Provider harmless from any liability arising from such claims. Provider is not responsible for, and makes no representations or warranties regarding, the availability, functionality, suitability, security, or other characteristics of such integrated Third-Party Products, including but not limited to security, stability, availability, features, functions, legal compliance, nor the security or integrity of data or information transmitted, transferred, stored, obtained, received, of processed via such Third Party Products. Provider has no obligation to maintain or support such Third Party Products. Provider does not control the features, functions, or availability of such Third Party Products, which may be changed or terminated at will by the applicable owners without notice. Except as expressly set forth in this Agreement, Customer assumes all risk associated with the use of such Third Party Products, including but not limited to any damage or loss to Customer’s computer systems, software, data, and compliance with laws, including but not limited to laws and regulations concerning privacy and data protection.
  4. Development Services; Support Services; Service Levels.
    • Service Levels. Subject to the terms and conditions of this Agreement, Provider shall use commercially reasonable efforts to make the Subscription Services available in accordance with the service levels set out in Exhibit B.
    • Support. The access rights to Subscription Services granted hereunder entitle Customer to the Support Services during the Term of this Agreement.
    • Development Services. Customer may retain Provider to provide Development Services pursuant to Exhibit D, which shall be deemed for all purposes as a separate and distinct contract.
  5. Fees and Payment.
    • Fees. Customer shall pay Provider the fees ("Fees") as set forth in Exhibit A without offset or deduction. Customer shall make all payments hereunder in US dollars in accordance with the due dates set forth in the applicable Order Form, or, if no due date is specified, within 30 days after Customer’s execution or submission of the applicable Order Form. If Customer fails to make any payment when due, without limiting Provider's other rights and remedies: (i) Provider may charge interest on the past due amount at the rate of 1.5% per month calculated daily and compounded monthly or, if lower, the highest rate permitted under applicable law; (ii) Customer shall reimburse Provider for all reasonable costs incurred by Provider in collecting any late payments or interest, including attorneys' fees, court costs, and collection agency fees; and (iii) if such failure continues for 30 days or more, Provider may suspend Customer's and its Authorized Users' access to any portion or all of the Subscription Services until such amounts are paid in full.
    • Taxes. All Fees and other amounts payable by Customer under this Agreement are exclusive of taxes and similar assessments. Customer is responsible for all sales, use, and excise taxes, and any other similar taxes, duties, and charges of any kind imposed by any federal, state, or local governmental or regulatory authority on any amounts payable by Customer hereunder, other than any taxes imposed on Provider's income.
    • Auditing Rights and Required Records. Customer agrees to maintain complete and accurate records in accordance with generally accepted accounting principles during the Term and for a period of two years after the termination or expiration of this Agreement with respect to matters necessary for accurately determining amounts due hereunder. Provider may, at its own expense, on reasonable prior notice, periodically inspect and audit Customer's records with respect to matters covered by this Agreement, provided that if such inspection and audit reveals that Customer has underpaid Provider with respect to any amounts due and payable during the Term, Customer shall promptly pay the amounts necessary to rectify such underpayment, together with interest in accordance with Section 5(a). Customer shall pay for the costs of the audit if the audit determines that Customer's underpayment equals or exceeds 5% for any quarter. Such inspection and auditing rights will extend throughout the Term of this Agreement and for a period of two years after the termination or expiration of this Agreement.
  6. Confidential Information. From time to time during the Term, either Party may disclose or make available to the other Party information about its business affairs, products, confidential intellectual property, trade secrets, third-party confidential information, and other sensitive or proprietary information, whether orally or in written, electronic, or other form or media/in written or electronic form or media, that is marked, designated, or otherwise identified as "confidential" or which would be reasonably understood based on the nature of the information or disclosure as being confidential (collectively, "Confidential Information"). Confidential Information does not include information that, at the time of disclosure is: (a) in the public domain; (b) known to the receiving Party at the time of disclosure; (c) rightfully obtained by the receiving Party on a non-confidential basis from a third party; or (d) independently developed by the receiving Party. The receiving Party shall not disclose the disclosing Party's Confidential Information to any person or entity, except to the receiving Party's employees who have a need to know the Confidential Information for the receiving Party to exercise its rights or perform its obligations hereunder. Notwithstanding the foregoing, each Party may disclose Confidential Information to the limited extent required (i) in order to comply with the order of a court or other governmental body, or as otherwise necessary to comply with applicable law, provided that the Party making the disclosure pursuant to the order shall first have given written notice to the other Party and made a reasonable effort to obtain a protective order; or (ii) to establish a Party's rights under this Agreement, including to make required court filings. On the expiration or termination of the Agreement, the receiving Party shall promptly return to the disclosing Party all copies, whether in written, electronic, or other form or media, of the disclosing Party's Confidential Information, or destroy all such copies and certify in writing to the disclosing Party that such Confidential Information has been destroyed. Each Party's obligations of non-disclosure with regard to Confidential Information are effective as of the Effective Date and will expire five years from the date first disclosed to the receiving Party; provided, however, with respect to any Confidential Information that constitutes a trade secret (as determined under applicable law), such obligations of non-disclosure will survive the termination or expiration of this Agreement for as long as such Confidential Information remains subject to trade secret protection under applicable law.
  7. Intellectual Property Ownership; Feedback.
    • Provider IP. Customer acknowledges that, as between Customer and Provider, Provider owns all right, title, and interest, including all intellectual property rights, in and to the Provider IP, and with respect to Third-Party Products, the applicable third-party licensors own all right, title and interest, including all intellectual property rights, in and to the Third-Party Products.
    • Customer Data. Provider acknowledges that, as between Provider and Customer, Customer owns all right, title, and interest, including all intellectual property rights, in and to the Customer Data. Customer hereby grants to Provider a non-exclusive, royalty-free, worldwide license to reproduce, distribute, and otherwise use and display the Customer Data and perform all acts with respect to the Customer Data as may be necessary for Provider to provide the Subscription Services to Customer, and a non-exclusive, perpetual, irrevocable, royalty-free, worldwide license to reproduce, distribute, modify, and otherwise use and display Customer Data incorporated within the Aggregated Statistics.
    • Feedback. If Customer or any of its employees or contractors sends or transmits any communications or materials to Provider by mail, email, telephone, or otherwise, suggesting or recommending changes to the Provider IP, including without limitation, new features or functionality relating thereto, or any comments, questions, suggestions, or the like ("Feedback"), Provider is free to use such Feedback irrespective of any other obligation or limitation between the Parties governing such Feedback. Customer hereby assigns to Provider on Customer's behalf, and on behalf of its employees, contractors and/or agents, all right, title, and interest in, and Provider is free to use, without any attribution or compensation to any party, any ideas, know-how, concepts, techniques, or other intellectual property rights contained in the Feedback, for any purpose whatsoever, although Provider is not required to use any Feedback.
  8. Limited Warranty; Hardware Warranty; Warranty Disclaimer.
    • Provider warrants that the Subscription Services will conform in all material respects to the service levels set forth in Exhibit B when accessed and used in accordance with the Documentation. Provider does not make any representations or guarantees regarding uptime or availability of the Subscription Services unless specifically identified in Exhibit B. The remedies set forth in Exhibit B are Customer's sole remedies and Provider's sole liability under the limited warranty set forth in this Section 8(a). THE FOREGOING DOES NOT APPLY, AND PROVIDER STRICTLY DISCLAIMS ALL WARRANTIES, WITH RESPECT TO, THIRD-PARTY PRODUCTS.
    • Limited Hardware Warranty. Provider warrants that to the extent Customer has purchased hardware products from Provider, such hardware products are free from material defects in manufacturing, materials, and workmanship and, when used in accordance with the Documentation, will confirm in all material respects to the technical and functional specifications in the Documentation for a period of [how long] after installation. The foregoing hardware warranty does not cover defects or malfunctions to the extent caused by: misuse, abuse, neglect, tampering, or intentional damage or destruction; improper storage or shipping by a party other than Provider; improper installation or maintenance; failure to adhere to the Documentation; modification, alteration, or repair by any party other than Provider; cosmetic or incidental damage; use of the hardware with any equipment, software, or services not provided by Provider; or use of versions of any software other than Provider’s most current, unaltered releases. Notwithstanding any other provision of this Agreement, Provider’s sole responsibility for any defect in Provider hardware under this limited warranty shall be for Provider to use best commercially reasonable efforts to correct, repair or replace the defective hardware at no further charge or, if in Provider’s opinion, it is not commercially reasonable to do so, refund the portion of any fees paid attributable to the defective hardware. THE FOREGOING DOES NOT APPLY, AND PROVIDER STRICTLY DISCLAIMS ALL WARRANTIES, WITH RESPECT TO, THIRD-PARTY PRODUCTS.
    • EXCEPT FOR THE LIMITED WARRANTY SET FORTH IN SECTION 8(a), THE SERVICES, DOCUMENTATION, AND PROVIDER IP ARE PROVIDED "AS IS" AND PROVIDER HEREBY DISCLAIMS ALL WARRANTIES, WHETHER EXPRESS, IMPLIED, STATUTORY, OR OTHERWISE. PROVIDER SPECIFICALLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, AND NON-INFRINGEMENT, AND ALL WARRANTIES ARISING FROM COURSE OF DEALING, USAGE, OR TRADE PRACTICE. EXCEPT FOR THE LIMITED WARRANTY SET FORTH IN SECTION 8(a), PROVIDER MAKES NO WARRANTY OF ANY KIND THAT THE SERVICES, DOCUMENTATION, AND PROVIDER IP OR ANY RESULTS OF THE USE THEREOF, WILL MEET CUSTOMER'S OR ANY OTHER PERSON'S REQUIREMENTS, OPERATE WITHOUT INTERRUPTION, ACHIEVE ANY INTENDED RESULT, BE COMPATIBLE OR WORK WITH ANY SOFTWARE, SYSTEM, OR OTHER SERVICES, OR BE SECURE, ACCURATE, COMPLETE, FREE OF HARMFUL CODE, OR ERROR FREE.
    • Without limiting the generality of the above disclaimer, Provider shall not be responsible for ensuring Customer’s compliance with applicable laws and regulations in connection with its use of the Subscription Services, including SureSent or SureCount, and Customer alone is responsible for ensuring that all information and data is accurately and correctly entered by Authorized Users. The Subscription Services are not electronic health record (EHR) systems. Customer is responsible for training its Authorized Users and for reviewing all data entered for completeness and accuracy, including updates made by Provider.
  9. Indemnification.
    • Provider Indemnification.
      • Provider shall indemnify, defend, and hold harmless Customer from and against any and all losses, damages, liabilities, costs (including reasonable attorneys' fees) ("Losses") incurred by Customer resulting from any third-party claim, suit, action, or proceeding ("Third-Party Claim") that the Subscription Services infringe or misappropriate such third party's valid US intellectual property rights, provided that Customer promptly notifies Provider in writing of such Third-Party Claim, cooperates with Provider, and allows Provider sole authority to control the defense and settlement of such Third-Party Claim.
      • If a Third Party-Claim is made or appears possible, Customer agrees to permit Provider, at Provider's sole discretion, to (A) modify or replace the Subscription Services, or component or part thereof, to make it non-infringing, or (B) obtain the right for Customer to continue use. If Provider determines that neither alternative is reasonably available, Provider may terminate this Agreement, in its entirety or with respect to the affected component or part, effective immediately on written notice to Customer.
      • This Section 9(a) will not apply to the extent that the alleged infringement arises from any: (A) use of the Services in combination with data, software, hardware, equipment, or technology not provided by Provider or authorized by Provider in writing; (B) modifications to the Services not made by Provider; (C) Customer Data; or (D) Third-Party Products.
    • Customer Indemnification. Customer shall indemnify, hold harmless, and, at Provider's option, defend Provider from and against any Losses resulting from any Third-Party Claim that the Customer Data, Customer Materials (as defined in Exhibit C), or any use of the Customer Data or Customer Materials in accordance with this Agreement, infringes or misappropriates such third party's intellectual property rights and any Third-Party Claims based on Customer's or any of it employees’, agents’, contractors’, or Authorized Users’: (i) failure to comply with applicable laws or regulations; (ii) negligence or willful misconduct; (iii) use of the Services in a manner not authorized by this Agreement; (iv) use of the Services in combination with data, software, hardware, equipment, or technology not provided by Provider or authorized by Provider in writing; or (v) modifications to the Services not made by Provider, provided that Customer may not settle any Third-Party Claim against Provider unless Provider consents to such settlement, and further provided that Provider will have the right, at its option, to defend itself against any such Third-Party Claim or to participate in the defense thereof by counsel of its own choice.
    • Sole Remedy. THIS SECTION 9 SETS FORTH CUSTOMER'S SOLE REMEDIES AND PROVIDER'S SOLE LIABILITY AND OBLIGATION FOR ANY ACTUAL, THREATENED, OR ALLEGED CLAIMS THAT THE SERVICES INFRINGE, MISAPPROPRIATE, OR OTHERWISE VIOLATE ANY INTELLECTUAL PROPERTY RIGHTS OF ANY THIRD PARTY. IN NO EVENT WILL PROVIDER'S LIABILITY UNDER THIS SECTION 9 EXCEED THE AMOUNT ACTUALLY PAID BY CUSTOMER FOR THE AFFECTED SERVICES.
  10. Limitations of Liability. IN NO EVENT WILL PROVIDER BE LIABLE UNDER OR IN CONNECTION WITH THIS AGREEMENT UNDER ANY LEGAL OR EQUITABLE THEORY, INCLUDING BREACH OF CONTRACT, TORT (INCLUDING NEGLIGENCE), STRICT LIABILITY, AND OTHERWISE, FOR ANY: (a) CONSEQUENTIAL, INCIDENTAL, INDIRECT, EXEMPLARY, SPECIAL, ENHANCED, OR PUNITIVE DAMAGES; (b) INCREASED COSTS, DIMINUTION IN VALUE OR LOST BUSINESS, PRODUCTION, REVENUES, OR PROFITS; (c) LOSS OF GOODWILL OR REPUTATION; (d) USE, INABILITY TO USE, LOSS, INTERRUPTION, DELAY, OR RECOVERY OF ANY DATA, OR BREACH OF DATA OR SYSTEM SECURITY; OR (e) COST OF REPLACEMENT GOODS OR SERVICES, IN EACH CASE REGARDLESS OF WHETHER PROVIDER WAS ADVISED OF THE POSSIBILITY OF SUCH LOSSES OR DAMAGES OR SUCH LOSSES OR DAMAGES WERE OTHERWISE FORESEEABLE. IN NO EVENT WILL PROVIDER'S AGGREGATE LIABILITY ARISING OUT OF OR RELATED TO THIS AGREEMENT UNDER ANY LEGAL OR EQUITABLE THEORY, INCLUDING BREACH OF CONTRACT, TORT (INCLUDING NEGLIGENCE), STRICT LIABILITY, AND OTHERWISE EXCEED THE TOTAL AMOUNTS PAID TO PROVIDER UNDER THIS AGREEMENT IN THE ONE-YEAR PERIOD PRECEDING THE EVENT GIVING RISE TO THE CLAIM.
  11. Term and Termination.
    • Term. The initial term of this Agreement begins on the Effective Date and, unless terminated earlier pursuant to this Agreement's express provisions, will continue in effect for one year from such date (the "Initial Term"). This Agreement will automatically renew for additional successive one-year terms unless earlier terminated pursuant to this Agreement's express provisions or either Party gives the other Party written notice of non-renewal at least 60 days’ prior to the expiration of the then-current term (each a "Renewal Term" and together with the Initial Term, the "Term").
    • Termination. In addition to any other express termination right set forth in this Agreement:
      • Provider may terminate this Agreement, effective on written notice to Customer, if Customer[: (A) fails to pay any amount when due hereunder, and such failure continues more than 30 days after Provider's delivery of written notice thereof; or (B) breaches any of its obligations under Section 2(d) or Section 6;
      • either Party may terminate this Agreement, effective on written notice to the other Party, if the other Party breaches this Agreement, and such breach: (A) is incapable of cure; or (B) being capable of cure, remains uncured 30 days after the non-breaching Party provides the breaching Party with written notice of such breach; or
      • either Party may terminate this Agreement, effective immediately upon written notice to the other Party, if the other Party: (A) becomes insolvent or is generally unable to pay, or fails to pay, its debts as they become due; (B) files or has filed against it, a petition for voluntary or involuntary bankruptcy or otherwise becomes subject, voluntarily or involuntarily, to any proceeding under any domestic or foreign bankruptcy or insolvency law; (C) makes or seeks to make a general assignment for the benefit of its creditors; or (D) applies for or has appointed a receiver, trustee, custodian, or similar agent appointed by order of any court of competent jurisdiction to take charge of or sell any material portion of its property or business.
      • Effect of Expiration or Termination. Upon expiration or earlier termination of this Agreement, Customer shall immediately discontinue use of the Subscription Services, On-Premise Software, and Documentation, and Provider IP and, without limiting Customer's obligations under Section 6, Customer shall delete, destroy, or return all copies of any Provider IP and certify in writing to the Provider that the Provider IP has been deleted or destroyed. No expiration or termination will affect Customer's obligation to pay all Fees that may have become due before such expiration or termination or entitle Customer to any refund.
      • Survival. This Section 11(d) and Sections 1, 5, 6, 7, 8(b), 9, 10, and 13 survive any termination or expiration of this Agreement. No other provisions of this Agreement survive the expiration or earlier termination of this Agreement.
  12. Non-Solicitation. Customer agrees not to interfere in any employment or independent contractor relationships between Provider and its employees and independent contractors. Customer agrees that during the term of this Agreement, and for a period of 12 months after its termination or expiration, Customer shall not (a) hire, directly or through a staffing company or placement agency, or otherwise retain as an employee or independent contractor an employee or independent contractor who worked for Provider or otherwise provided the Services for Provider at any time during the course of this Agreement; or (b) solicit or encourage any employee or independent contractor of Provider to terminate, alter or modify their employment or engagement with Provider. The provisions of this Section 12 shall not apply with respect to Provider’s employees or independent contractors who seek employment from Customer on their own initiative, such as, but not limited to, in response to a general solicitation, announcement or advertisement for employment with Customer.
  13. Miscellaneous.
    • Entire Agreement. This Agreement, together with any other documents incorporated herein by reference and all related Exhibits, constitutes the sole and entire agreement of the Parties with respect to the subject matter of this Agreement and supersedes all prior and contemporaneous understandings, agreements, and representations and warranties, both written and oral, with respect to such subject matter. In the event of any inconsistency between the statements made in the body of this Agreement, the related Exhibits, and any other documents incorporated herein by reference, the following order of precedence governs: (i) first, this Agreement, excluding its Exhibits; (ii) second, the Exhibits to this Agreement as of the Effective Date; and (iii) third, any other documents incorporated herein by reference.
    • Notices. All notices, requests, consents, claims, demands, waivers, and other communications hereunder (each, a "Notice") must be in writing and addressed to the Parties at the addresses set forth on the first page of this Agreement (or to such other address that may be designated by the Party giving Notice from time to time in accordance with this Section). All Notices must be delivered by personal delivery, nationally recognized overnight courier (with all fees pre-paid), facsimile (with confirmation of transmission), or certified or registered mail (in each case, return receipt requested, postage pre-paid). Except as otherwise provided in this Agreement, a Notice is effective only: (i) upon receipt by the receiving Party; and (ii) if the Party giving the Notice has complied with the requirements of this Section.
    • Force Majeure. In no event shall either Party be liable to the other Party, or be deemed to have breached this Agreement, for any failure or delay in performing its obligations under this Agreement (except for any obligations to make payments), if and to the extent such failure or delay is caused by any circumstances beyond such Party's reasonable control, including but not limited to acts of God, flood, fire, earthquake, explosion, war, terrorism, invasion, riot or other civil unrest, strikes, labor stoppages or slowdowns or other industrial disturbances, or passage of law or any action taken by a governmental or public authority, including imposing an embargo.
    • Amendment and Modification; Waiver. No amendment to or modification of this Agreement is effective unless it is in writing and signed by an authorized representative of each Party. No waiver by any Party of any of the provisions hereof will be effective unless explicitly set forth in writing and signed by the Party so waiving. Except as otherwise set forth in this Agreement, (i) no failure to exercise, or delay in exercising, any rights, remedy, power, or privilege arising from this Agreement will operate or be construed as a waiver thereof, and (ii) no single or partial exercise of any right, remedy, power, or privilege hereunder will preclude any other or further exercise thereof or the exercise of any other right, remedy, power, or privilege.
    • Severability. If any provision of this Agreement is invalid, illegal, or unenforceable in any jurisdiction, such invalidity, illegality, or unenforceability will not affect any other term or provision of this Agreement or invalidate or render unenforceable such term or provision in any other jurisdiction. Upon such determination that any term or other provision is invalid, illegal, or unenforceable, the Parties shall negotiate in good faith to modify this Agreement so as to effect their original intent as closely as possible in a mutually acceptable manner in order that the transactions contemplated hereby be consummated as originally contemplated to the greatest extent possible.
    • Governing Law; Submission to Jurisdiction. This Agreement is governed by and construed in accordance with the internal laws of the State of Missouri without giving effect to any choice or conflict of law provision or rule that would require or permit the application of the laws of any jurisdiction other than those of the State of Missouri. Any legal suit, action, or proceeding arising out of or related to this Agreement or the licenses granted hereunder may be instituted exclusively in the courts of the United States or the courts of the State of Missouri in each case having within its geographic territory the Couny of St. Louis, Missouri, and each Party irrevocably submits to the exclusive jurisdiction of such courts in any such suit, action, or proceeding.
    • Assignment. Customer may not assign any of its rights or delegate any of its obligations hereunder, in each case whether voluntarily, involuntarily, by operation of law or otherwise, without the prior written consent of Provider, which consent shall not be unreasonably withheld, conditioned, or delayed. Any purported assignment or delegation in violation of this Section will be null and void. No assignment or delegation will relieve the assigning or delegating Party of any of its obligations hereunder. This Agreement is binding upon and inures to the benefit of the Parties and their respective permitted successors and assigns.
    • Export Regulation. Customer shall comply with all applicable federal laws, regulations, and rules, and complete all required undertakings (including obtaining any necessary export license or other governmental approval), that prohibit or restrict the export or re-export of the Subscription Services, On-Premise Software, and Documentation or any Customer Data outside the US.
    • Equitable Relief. Each Party acknowledges and agrees that a breach or threatened breach by such Party of any of its obligations under Section 6 or, in the case of Customer, Section 2(c), would cause the other Party irreparable harm for which monetary damages would not be an adequate remedy and agrees that, in the event of such breach or threatened breach, the other Party will be entitled to equitable relief, including a restraining order, an injunction, specific performance, and any other relief that may be available from any court, without any requirement to post a bond or other security, or to prove actual damages or that monetary damages are not an adequate remedy. Such remedies are not exclusive and are in addition to all other remedies that may be available at law, in equity, or otherwise.
    • Counterparts. This Agreement may be executed in counterparts, each of which is deemed an original, but all of which together are deemed to be one and the same agreement.
EXHIBIT A – PRODUCTS AND FEES

Capitalized terms used but not defined in this Exhibit A have the meaning given to those terms in the Agreement.

A. ON-LINE SERVICES

B. PRICING

The Fees shall be as set forth on the Order Form or, if not set forth thereon, as set forth on Provider’s web site at https://www.mediprocity.com/pricing/. All pricing will always supersede per the customer ORDER forms submitted.

EXHIBIT B
SERVICE LEVELS
  1. Definitions

    Business Day(s) means the source support team’s standard working day (excluding Provider corporate holidays and national U.S. holidays).

    Downtime means any period greater than 59 minutes, within the Scheduled Available Time during which Customer is unable to access or use the Subscription Services because of an Error, excluding any such period that occurs during any Scheduled Downtime.

    Error(s) means the material failure of the Subscription Services to conform to its published functional specifications or workaround procedures are not available to such a degree that scheduling and documentation of patient care cannot be performed by the Customer.

    Scheduled Available Time means 24 hours a day, 7 days a week.

    Scheduled Downtime means the time period beginning on or after 8:00 P.M. (Central Time) identified by Provider in which it intends to perform any planned upgrades and/or maintenance of the Subscription Services or related systems and any overrun beyond the planned completion time.

    Uptime Percentage means the total number of minutes of Scheduled Available Time for a calendar month minus the number of minutes of Downtime suffered in such calendar month, divided by the total number of minutes of Scheduled Available Time in such calendar month.

  2. Scope of Service Level Commitments.

    Provider’s obligations do not extend to Errors or other issues caused by:

    any third-party hardware or software used by Customer or any users;

    the improper operation of the Subscription Services by Customer or any users;

    the accidental or deliberate damage to, or intrusion or interference with the Provider applications;

    the use of the Subscription Services other than in accordance with any user documentation or the reasonable instructions of Provider;

    ongoing test or training instances of the Subscription Services provided to Customer; or,

    services, circumstances or events beyond the reasonable control of Provider, including, without limitation, any force majeure events, the performance and/or availability of local ISPs employed by Customer, or any network beyond the demarcation or control of Provider.

  3. Scheduled Downtime and Guaranteed Up Times

    Provider shall provide at least 72 hours’ prior notice before implementing any Scheduled Downtime.

    Commencing on the effective date of the Term, in the event the Subscription Services experience an Uptime Percentage of less than 99% in any calendar month, Provider will provide to Customer a credit (“Credit”) equal to the credit percentage identified in Table 1 multiplied by the monthly fees paid to Provider for Subscription Services that are attributable to such month (calculated on a straight line pro-rated basis with respect to any fees paid in advance). Credits shall not entitle Customer to any refund (except as otherwise provided in Section 4 below) or other payment from Provider. Except as otherwise set forth in Section 5 below, Customer’s sole and exclusive remedy for any unavailability of the Subscription Services is the receipt of a Credit in accordance with the terms of this service level agreement.

    Table 1
    Down Time (per hour) Credit % (per user)
    less than 1 hour 0%
    1 hour – 5 hours 10%
    12+ hours 20%
    24+ hours 50%
    More than 72 hours 100%

    Example: (based on table above)

    Credit is based on Monthly User Pricing only. For example, if the system was down for 3 hours and the user price was $6.00 per user / per month then each user would qualify for a 10% credit of $0.60 cents for one month of that user pricing.

  4. Availability of Credits or Refund

    Credits will be issued at Customer’s reasonable discretion either on future billing cycles or as a refund against fees paid. In order to receive any Credits, Customer must notify Provider within thirty (30) days from the time Customer becomes eligible to receive a Credit. Failure to comply with this requirement will forfeit Customer’s right to receive a Credit.

  5. Material Breach of the Agreement

    Customer shall have the right to terminate the agreement to which this Exhibit B is attached in accordance with Section 11 in the event the Subscription Services experience an Uptime Percentage of less than 95% in any four months during the Term or less than 90% in any month during the Term.



IN WITNESS, WHEREOF, the parties have executed this Agreement on the Effective Date above written.

MEDIPROCITY INC.

Name: Mason Rothert
Title: CEO