Client Abuse Certificate

CLIENT ABUSE CERTIFICATE AND SERVICE AGREEMENT

WHEREAS

WHEREAS, Service Provider represents that it provides care, support, or other direct services to vulnerable individuals and maintains policies and procedures intended to prevent client abuse, neglect, exploitation, and other forms of harm; and

WHEREAS, Client requires reasonable assurances that Service Provider has performed requisite screening, training, and reporting obligations and will promptly notify Client of any allegation or substantiated incident of abuse affecting the Client; and

WHEREAS, the parties desire to set forth the scope of services, payment terms, and a certification regarding the absence or disclosure of abuse-related incidents as part of their agreement;

Scope of Work

Service Provider shall provide the services described below to Client in accordance with applicable professional standards and the terms of this Certificate and Agreement.

Payment Terms

Client shall pay Service Provider for the services rendered as follows. All sums are expressed in United States currency unless otherwise specified.

If any payment is not received by the due date, a late fee described above may be assessed and Client shall also be responsible for reasonable collection costs, including attorneys' fees, to the extent permitted by law.

Term and Termination

This Agreement commences on and, unless earlier terminated in accordance with this section, ends on .

Either party may terminate this Agreement for material breach if the breach remains uncured after the notice period provided above, or immediately for cause if required by law or where continued performance would place a client at risk of harm.

Confidentiality

Each party shall maintain in confidence all non-public information concerning the other party and Client, including medical, personal, and service records (Confidential Information). Confidential Information shall not be disclosed except to the extent required by law, mandated reporting obligations, or with prior written consent. The obligation of confidentiality survives termination of this Agreement for a period of five (5) years, or longer where applicable professional or statutory obligations apply.

Client Abuse Certification

Service Provider certifies the following to the best of its knowledge and after reasonable inquiry and required screening:

Service Provider has no knowledge of any substantiated allegation of child abuse, elder abuse, neglect, exploitation, or similar findings involving the Client that remain unresolved as of the date of this Certificate.

Service Provider has reported to the appropriate authorities any allegations that reasonably required reporting under applicable law and has followed mandated reporting procedures.

Service Provider agrees to immediately notify Client in writing upon receipt of any allegation or finding of abuse, neglect, or exploitation affecting the Client and to cooperate with any lawful investigation. Service Provider further agrees to take reasonable corrective actions to protect Client from further harm, including reassignment or suspension of implicated personnel pending investigation if necessary.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the state of without regard to its conflict of law principles.

Entire Agreement

This Certificate and Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, negotiations and discussions, whether oral or written. Any amendment or modification must be in writing and signed by both parties.

Additional Provisions

Each party represents and warrants that it has the full right, power and authority to enter into and perform its obligations under this Agreement. The remedies provided herein are cumulative and not exclusive of any remedies available at law or in equity.

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