lock box agreement letter - sn

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  • 8/18/2019 Lock Box Agreement Letter - SN

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    April 21, 2016

    3720 PARITION ROADMISSISSAUGA, Ontario

    L5N 8P4

    Re: LOCK BOX

    Dear SYEDA NAIM,

    Thank you for allowing Baxter Corporation (“Baxter”) to serve you, for all of your

    Dialysis supply needs.

    In order to facilitate the delivery of our products to your residence, we have provided you

    with a lock box. The code is known only by you, the Baxter driver, and the Baxter

    Customer Care Team. This will allow the driver to gain entry into your home for the purpose of delivering dialysis supplies and Baxter solutions, in the event that you are not

    available to personally accept delivery. Baxter is willing to agree to the terms and

    conditions contained in the following release. Please review the release carefully. If you

    agree with it, sign at the end of this letter and return it to the following address:

    Baxter Corporation7125 Mississauga Rd

    Mississauga, ON

    L5N 0C2

    Very Truly Yours,

    Baxter Corporation

    Shawn N.

    Customer Care Representative

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    Release

    In consideration of Baxter Corporation’s agreement to provide Home Delivery (as herein

    after defines) to the undersigned and the other good and valuable consideration, the

    receipt of which is hereby acknowledged, the undersigned (referred to as “I” or “me”

     below), intending to be legally bound, agrees as follows:

    1. 

    I hereby agree to release Baxter Corporation, its subcontractors and the employeesof Baxter Corporation (the “Released Parties”) from any and all liability for alllosses, costs, damages and expense, however caused, which may be incurred by

    me or any person, resulting from the delivery of dialysis supplies and Baxter

    solutions to my home, including delivery at such times as I am not available to

     personally accept delivery (“Home Delivery”), including, but not limited to,losses, costs, damages and expenses resulting from the negligence or fault of the

    Releases Parties with respect to the Home Delivery. I acknowledge that, in order

    to have dialysis supplies and Baxter solutions delivered when I am not available

    to accept delivery, Baxter Corporation has provided me with a lock box at myresidence, the code for which is known to me, the driver, and the Customer Care

    Team, and I agree that I will not provide the code to anyone else.

    2.  I agree to indemnify and save harmless the Released Parties from and against all

    claims and demands which may be made against the Released Parties by any

     person resulting from any Home Delivery, including, but not limited to, losses,costs, damages and expenses resulting from the negligence or fault of the

    Released Parties.

    3.  I acknowledge and agree that Baxter Corporation’s liability to me under thesearrangements shall be limited to the value of the dialysis products and supplies

    delivered to me at the time any losses, costs, damages or expenses may be

    incurred to me. In no event shall Baxter Corporation be liable for any incidental,consequential, and indirect or punitive damages arising under or related to its

    services of Home Delivery.

    4.  I may terminate unattended Home Delivery at any time by providing BaxterCorporation written notice of my desire to do so. Upon termination of this

    arrangement I will keep or dispose of the lock box as I see fit.

    I hereby accept this agreement and acknowledge the terms and conditions set out above,

     by signing my name below in the presence of a witness.

    Patient Signature: _____________________________

    Patient Name: _____________________________

    Date: _____________________________

    Witness’ Signature:  _____________________________

    Witness’ Name:  _____________________________