1 This Order Form
is subject to the terms of the Software License and Subscription Agreement
attached hereto as Exhibit
A (the “Agreement”). By signing this Order Form the parties
hereby agree and accept the terms of the agreement.
TERM OF THIS ORDER FORM IS ONE (1) YEAR OR TWO (2) YEARS AS DEFINED ABOVE AND SHALL AUTOMATICALLY BE RENEWED FOR
SUCCESSIVE PERIODS OF ONE (1) YEAR UNLESS CLIENT OR MEDIWARE GIVES THE OTHER
PARTY WRITTEN NOTICE OF NON-RENEWAL AT LEAST SIXTY (60) DAYS BEFORE EXPIRATION
OF THE THEN CURRENT TERM OR UNLESS OTHERWISE TERMINATED AS PROVIDED HEREIN (OR
AS PROVIDED IN THE AGREEMENT).
fees for each 12 month renewal period shall be due and payable annually and in
advance on the first day of the first month of the renewal period. Annual renewal fee may be adjusted annually.
to section 7.3 of the Agreement, upon termination of this order or any
subsequent renewal of this order, all downloaded copies of the AM-PAC Short
Form, whether in electronic media or print media, must be destroyed. Copies which have been completed by
patients may be retained, but may not be copied or reproduced for the purpose
of conducting new assessments.
5 Client's Subscription Service Fee is based upon licensing the AM-PAC Short Form for use only at the address(es) entered above, or by the number of home health practitioners specified above. Mediware retains the right to audit client usage.
Order Form and Agreement are effective and valid when electronically signed by
Client and accepted by an authorized Representative of Mediware.