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Change order template (for model clinical agreements)

Contents

Published: 14 May 2019

Version: 1.0 - June 2019

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Contract amendment number [Insert number] is between [Insert name of Trust] of [insert address] (Hereinafter known as the “Trust”) and [… insert name…], of [.…insert address…] (Hereinafter known as the “Sponsor”) [and [….insert name….], of [….insert address….] (Hereinafter known as the “CRO”)]

Witnesseth:

Whereas, Sponsor[, CRO,] and Trust are parties to an Agreement entitled […insert title…] effective […insert effective date…] (the “Agreement”), and the parties desire to amend such Agreement; […insert reason for amendment…]

Now therefore, in consideration of the mutual promises and covenants set forth herein, the Sponsor, and Trust hereby agree to [amend and restate Appendix 5 in the form set out in this Amendment]. All other provisions of the Agreement remain unchanged.

Signed on behalf of the:

Sponsor: ...    

Date: ...

(Print name and position of authorised signatory)

Signed on behalf of the:

Trust: ...

Date: ...

(Print name and position of authorised signatory)

Authorised signatory (Chief Executive, Director of R&D, or Finance Director)

[Signed on behalf of the:

CRO: ...   

Date: ...

(Print name and position of authorised signatory)]