Community Engagement Census

COMMUNITY ENGAGEMENT CENSUS AND SERVICES AGREEMENT

This Agreement is made and entered into as of Day: Month: Year: by and between Client Name: and Service Provider Name: .

RECITALS

WHEREAS, Client seeks to undertake a Community Engagement Census to collect demographic, participation and needs assessment data from residents and stakeholders within the Client's service area for the purposes of program planning, outreach and reporting; and

WHEREAS, Provider represents that it has the qualifications, personnel, tools and experience necessary to design, administer, analyze and report on the Community Engagement Census and related engagement activities under the terms set forth in this Agreement; and

NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties agree as follows:

SCOPE OF WORK

Provider shall perform professional services to plan, implement and complete the Community Engagement Census. Services shall include but are not limited to: development of survey instruments, community outreach and event facilitation, collection of responses (electronic and paper), data validation and analysis, preparation of a written report of findings, and presentation of results to designated stakeholders. Provider shall perform services in accordance with recognized professional standards and applicable privacy obligations.

COMMUNITY ENGAGEMENT CENSUS QUESTIONNAIRE (APPENDIX)

The questionnaire below constitutes the standard instrument Provider will use when conducting the census. Responses are collected as part of the census program covered by this Agreement and are subject to the Confidentiality clause below.

I consent to the use of my data in aggregate or de-identified form for program planning, reporting and community outreach. I understand that personally identifying information will not be published without separate written consent.

PAYMENT TERMS

In consideration for the services described in this Agreement, Client agrees to pay Provider as set forth below. All payments are due in U.S. dollars and subject to the terms below.

Unpaid amounts shall accrue interest at a rate of or a flat late fee of per invoice, whichever is greater, until paid. Client shall also be responsible for reasonable collection costs.

TERM AND TERMINATION

The term of this Agreement shall commence on Start Date: and shall terminate on End Date: unless earlier terminated in accordance with this section.

Either party may terminate this Agreement for convenience upon written notice provided at least days prior to the effective termination date. Termination for cause may be effected immediately if a party materially breaches this Agreement and fails to cure such breach within fourteen (14) days after written notice.

CONFIDENTIALITY

Each party agrees to maintain as confidential all non-public information received from the other party and to use such information solely for the performance of this Agreement. Provider shall implement reasonable administrative, technical and physical safeguards to protect personally identifying information collected in the census and shall not disclose individually identifiable data except as required by law or with the prior written consent of the individual. Aggregated, de-identified data may be used by either party for reporting, research and program planning consistent with the consent provided by respondents.

Provider further agrees to destroy or return personally identifying information upon termination or expiration of this Agreement, unless retention is required by law, subject to prior written notice to Client.

By checking this box, the party confirms receipt of and agreement to the Confidentiality provisions set forth above.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to its conflicts of law principles. Any legal action arising out of or relating to this Agreement shall be brought in the appropriate state or federal court located in that state.

ENTIRE AGREEMENT

This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, proposals, negotiations and communications, whether written or oral. Any amendment to this Agreement must be in writing and signed by authorized representatives of both parties.

Sign Now