Laboratory Centrifuge Request Form

LABORATORY CENTRIFUGE REQUEST AND USE AGREEMENT

Parties and Recitals

Client Name:

Facility / Owner:

WHEREAS, Requesting Party requires temporary use of the laboratory centrifuge described below for legitimate research or clinical activities in accordance with the Facility's safety and operating procedures; and

WHEREAS, Facility owns, operates, and maintains centrifuge equipment and is willing to permit such use on the terms set forth herein, including payment, indemnity, and compliance obligations; and

WHEREAS, the parties desire to document their agreement regarding scheduling, use, and responsibilities related to the centrifuge.

Requester Contact & Project Information

Centrifuge Details & Schedule

Requested Date(s):    Start Time:    End Time:

Scope of Work

The Requesting Party will use the centrifuge for the purpose set forth below and will comply with the Facility's operating procedures, training requirements, and sample handling rules. Activities outside the described scope require prior written approval by Facility.

Safety, Training and Compliance

The Requesting Party certifies that all personnel who will operate the centrifuge have completed required training, are competent to perform the procedures described, and will wear required personal protective equipment. The Requesting Party will not operate the centrifuge in a manner inconsistent with its rated capacity or manufacturer's specifications.

Calibration required prior to use: Yes     If yes, Calibration Date:

Payment Terms

The Requesting Party agrees to pay Facility the fees described below for use, maintenance, consumables, and any required decontamination or damage repairs.

Late fee for overdue amounts:

Term and Termination

This Agreement commences on Start Date: and shall continue until End Date: unless earlier terminated as provided herein.

Either party may terminate for convenience upon written notice not less than days. Facility may immediately suspend access for safety violations, misrepresentation of samples, or failure to pay fees.

Confidentiality

Each party shall maintain in confidence all Confidential Information disclosed by the other party in connection with this Agreement. Confidential Information does not include information that is publicly available through no breach of this Agreement or already known to the receiving party at the time of disclosure as evidenced by written records. The receiving party shall use Confidential Information solely for the purposes contemplated by this Agreement.

Liability, Indemnity and Insurance

The Requesting Party assumes all liability for loss, damage, or contamination caused by its use of the centrifuge except to the extent caused by Facility's gross negligence or willful misconduct. Requesting Party agrees to indemnify and hold Facility harmless from claims, losses, and expenses (including reasonable attorneys' fees) arising from Requesting Party's use, breach of this Agreement, or failure to comply with safety procedures.

The Requesting Party shall maintain appropriate insurance coverage for its activities and, upon request, provide proof of insurance to Facility prior to equipment use.

Governing Law; Entire Agreement

This Agreement shall be governed by the laws of the state indicated below. Any disputes arising under this Agreement shall be resolved in the courts located within that state, subject to mandatory jurisdictional provisions required by law.

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

Acknowledgements and Certifications

By signing below, the parties certify that they are authorized to enter this Agreement, that the information provided herein is accurate, and that they accept the terms and obligations set forth, including payment, indemnity, and safety requirements.

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