ContractParticipating Site Agreement Smlouva O Účasti Pracoviště • May 5th, 2020
PARTICIPATING SITE AGREEMENT SMLOUVA O ÚČASTI PRACOVIŠTĚ This Participating Site Agreement (this “Agreement”) is entered into by parties by and among Glaxo Group Limited, 980 Great West Road, Brentford, ,Middlesex, TW8 9GS UK (“Sponsor”), Quintiles Czech Republic, s.r.o., having a place of business at Praha 5, Jinonice, Radlická 714/113a, zip code 158 00 Prague, Czech Republic, Identification number: CZ247 68 651, represented by (“Company”), Hospital Bulovka, (“Clinician Site”), with an address at Budinova 67/2, 180 81 Prague 8, Czech Republic, represented by Dr Tomáš Podlešák, Director of Preventative Care, on the basis of a corporate power of attorney, and is effective asof the date of last signature hereto (“Effective Date”). Tato smlouva o účasti pracoviště (dále jen„smlouva“) je uzavřena mezi stranami, a to společností Glaxo Group Limited, 980 Great West Road, Brentford, Middlesex, TW8 9GS UK („zadavatel“), společností Quintiles Czech Republic, s.r.o. se sídlem v Praze 5, Jino
ContractParticipating Site Agreement Smlouva O Účasti Pracoviště • March 24th, 2017
PARTICIPATING SITE AGREEMENT SMLOUVA O ÚČASTI PRACOVIŠTĚ This Participating Site Agreement (this “Agreement”) is entered into the date of last signature by parties (the “Effective Date”), by and among Glaxo Group Limited, 980 Great West Road, Brentford, ,Middlesex, TW8 9GS UK ( “Sponsor”), Quintiles Czech Republic, s.r.o., having a place of business at Praha 5, Jinonice, Radlická 714/113a, zip code 158 00 Prague, Czech Republic, Identification number: CZ247 68 651, ( “Company”), Nemocnice Jihlava ( “Clinician Site), with an address at Vrchlického 59, 586 33 Jihlava, Czech Republic and MUDr., having a place of business at, ČR ( “Principal Investigator”). Clinician Site and Principal Investigator are hereinafter referred to collectively as “Site.”) Tato smlouva o účasti pracoviště (dále jen„smlouva“) je uzavřena ke dni podpisu poslední ze stran (dále jen „datum účinnosti“), a to společností Glaxo Group Limited, 980 Great West Road, Brentford, Middlesex, TW8 9GS UK (dále jen „zadavate
