Healthcare Asbestos Assessment Agreement

HEALTHCARE ASBESTOS ASSESSMENT AGREEMENT

Parties and Effective Date

This Agreement is entered into between Client Name: and Assessment Provider Name: . Agreement Effective Date:

Client / Facility Information

Assessment Provider Information

Assessment Scope and Objectives

The Provider will perform professional asbestos assessment services limited to the Scope of Work described below. The Provider will conduct visual inspections, bulk and/or air sampling as required, and prepare a written report containing findings, laboratory results, and recommendations for mitigation where applicable.

Sampling, Analysis, and Reporting

Samples collected by Provider will be analyzed by an accredited laboratory. Sampling methods, chain-of-custody, and analytical procedures will conform to industry standards and applicable regulatory requirements. The Provider's report will include methodology, laboratory certificates, findings, and recommended actions. The report is a professional opinion based on observed conditions at time of assessment.

Access, Infection Control, and Safety

Client will provide reasonable access to the designated areas and will advise Provider of any infection control, isolation, or security protocols applicable to patient care areas. Provider will comply with Client's on-site safety and infection control requirements while performing the assessment.

Confidentiality and Protected Health Information (PHI)

Provider acknowledges that performance of the assessment may result in incidental access to Protected Health Information. Provider agrees to maintain confidentiality of PHI and to implement administrative, physical and technical safeguards consistent with applicable privacy requirements. Provider will limit disclosure of assessment reports to authorized Client personnel unless disclosure is required by law.

Fees, Payment and Cancellation

Client shall pay Provider fees as set forth below. Fees cover labor, standard sampling, and reporting. Laboratory analyses, mobilization, and special services will be billed separately. Payment is due in accordance with the Billing Terms below.

Insurance, Liability and Indemnification

Provider shall maintain commercial general liability and professional liability insurance in amounts consistent with industry practice. Provider's liability for claims arising from Provider's negligence shall be limited to direct damages not to exceed the greater of the fees paid under this Agreement for the subject assessment or Provider's applicable insurance limits. Neither party shall be liable for consequential damages.

Limitations, Acknowledgements, and Known Conditions

The assessment documents the condition at the time of inspection and is not a guarantee against future discovery of asbestos. Client acknowledges that intrusive inspection beyond visible accessible areas may be required to locate concealed asbestos. Client represents to the best of its knowledge whether asbestos-containing materials have previously been identified at the assessment locations.

Client Initials Acknowledging Limitations:

Records, Retention and Reporting

Provider will deliver a written report to Client within the timeframe set forth in this Agreement following receipt of laboratory results. Provider will retain inspection records and chain-of-custody documentation for a minimum period consistent with regulatory requirements and will provide copies to Client upon request.

Termination and Remedies

Either party may terminate this Agreement for material breach if the breaching party fails to cure within ten (10) days after written notice. Termination does not relieve Client of obligation to pay for services performed and expenses incurred prior to termination.

Governing Law and Miscellaneous

This Agreement shall be governed by the laws of the jurisdiction where the facility is located. If any provision is held invalid, the remainder will continue in full force. This Agreement constitutes the entire agreement between the parties related to the subject matter herein and supersedes prior written or oral agreements.

Authorization and Certification

By signing below, Client certifies that it is authorized to grant access to the facility and authorizes Provider to perform the assessment described. Provider certifies that services will be performed by qualified personnel in accordance with accepted industry standards. Both parties acknowledge receipt and acceptance of these terms.

Client Representative Printed Name:

Provider Representative Printed Name:

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