Provider Agreement Sample Contracts

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Trupal Media, Inc. – Service Software Provider Agreement (January 5th, 2016)

THIS SERVICE SOFTWARE PROVIDER AGREEMENT (the "Agreement") is made this April 14, 2014 by and between PANASH S.A.C. (hereinafter referred to as "THE PROVIDER") a Peruvian corporation whose place of business is 730 Larco Avenue, Apartment 302, Miraflores District, Lima-Peru, represented by Mr. Rafael Quispe Calagua and TRUPAL MEDIA, INC (hereinafter referred to as "THE COMPANY") whose place of business is located at 1205 Lincoln Road, Suite 220, Miami Beach, Florida 33139, represented by Panayis Palexas.

Eighth Amendment to That 2012 Home Services Provider Agreement (May 15th, 2015)

This Eighth Amendment (the "Eighth Amendment") to that certain DIRECTV, Inc. 2012 Home Services Provider Agreement dated October 15, 2012 (the "Agreement") by and Multiband Field Services, Inc. ("Contractor"), and DIRECTV, LLC ("DIRECTV"), is hereby made and entered into this first (1st) day of January, 2015 (the "Eighth Amendment Effective Date"), as follows:

Shopify Inc. – Payment Services Provider Agreement (April 14th, 2015)

This Payment Services Provider Agreement (Agreement) is entered into as of July 22, 2013 (the Effective Date) between Stripe, Inc., a Delaware corporation with offices at 3180 18th Street, Suite 100, San Francisco CA 94110 (Stripe) and Shopify Payments (USA) Inc., a Delaware corporation with offices at c/o CT Corporation, Corporation Trust Centre, 1209 Orange Street, Wilmington Delaware 19801 USA (Shopify USA). Stripe and Shopify USA may be collectively referred to herein as the Parties and each as a Party.

Fourth Amendment to That 2012 Home Services Provider Agreement (March 31st, 2014)

This Fourth Amendment (the "Fourth Amendment") to that certain DIRECTV, Inc. 2012 Home Services Provider Agreement dated May 1, 2011 (the "Agreement") by and Multiband Field Services, Inc. ("Contractor"), and DIRECTV, LLC ("DIRECTV"), is hereby made and entered into this eleventh (11th) day of October, 2013 (the "Fourth Amendment Effective Date"), as follows:

Fifth Amendment to That 2012 Home Services Provider Agreement (March 31st, 2014)

This Fifth Amendment (the "Fifth Amendment") to that certain DIRECTV, Inc. 2012 Home Services Provider Agreement dated October 15, 2012 (the "Agreement") by and Multiband Field Services, Inc ("Contractor"), and DIRECTV, LLC ("DIRECTV"), is hereby made and entered into this first (1st) day of January, 2014 (the "Fifth Amendment Effective Date"), as follows:

Third Amendment to That 2012 Home Services Provider Agreement (March 31st, 2014)

This Third Amendment (the "Third Amendment") to that certain DIRECTV, Inc. 2012 Home Services Provider Agreement dated May 1, 2011 (the "Agreement") by and Multiband Field Services, Inc. ("Contractor"), and DIRECTV, LLC ("DIRECTV"), is hereby made and entered into this first (1st) day of July, 2013 (the "Third Amendment Effective Date"), as follows:

Directv, Llc 2012 Home Services Provider Agreement (March 31st, 2014)

This Home Services Provider Agreement (including all Exhibits and Schedules hereto, this "Agreement") is entered into this fifteenth (15th) day of October, 2012 (the "Effective Date"), between DIRECTV, LLC (formerly DIRECTV, Inc.), a California limited liability company ("DIRECTV"), and Multiband Field Services, Inc. ("Contractor"). DIRECTV and Contractor may also be collectively referred to herein as the "Parties."

Second Amendment to That 2012 Home Services Provider Agreement (March 31st, 2014)

This Second Amendment (the "Second Amendment") to that certain DIRECTV, Inc. 2012 Home Services Provider Agreement dated October 15, 2012 (the "Agreement") by and between Multiband Field Services, Inc. ("Contractor"), and DIRECTV, LLC ("DIRECTV"), is hereby made and entered into this fifteenth (15th) day of March, 2012 (the "Second Amendment Effective Date"), as follows:

First Amendment to That 2012 Home Services Provider Agreement (March 31st, 2014)

This First Amendment (the "First Amendment") to that certain DIRECTV, Inc. 2012 Home Services Provider Agreement dated October 15,2012 (the "Agreement") by and between Multiband Field Services, Inc. ("Contractor"), and DIRECTV, LLC ("DIRECTV"), is hereby made and entered into this first (1st) day of January, 2013 (the "First Amendment Effective Date"), as follows:

Sixth Amendment to That 2012 Home Services Provider Agreement (March 31st, 2014)

This Sixth Amendment (the "Sixth Amendment") to that certain DIRECTV, Inc. 2012 Home Services Provider Agreement dated October 15, 2012 (the "Agreement") by and Multiband Field Services, Inc. ("Contractor"), and DIRECTV, LLC ("DIRECTV"), is hereby made and entered into this first (1) day of January, 2014 (the "Sixth Amendment Effective Date"), as follows:

Where Denoted by [***], the Confidential Material Contained Herein Has Been Omitted and Has Been Separately Filed With the Staff of the Securities and Exchange Commission. DIRECTV, LLC 2012 HOME SERVICES PROVIDER AGREEMENT (August 12th, 2013)

This Home Services Provider Agreement (including all Exhibits and Schedules hereto, this Agreement) is entered into this fifteenth (15th) day of October, 2012 (the Effective Date), between DIRECTV, LLC (formerly DIRECTV, Inc), a California limited liability company (DIRECTV), and DirectSat USA, LLC (Contractor). DIRECTV and Contractor may also be collectively referred to herein as the Parties.

Where Denoted by [***], the Confidential Material Contained Herein Has Been Omitted and Has Been Separately Filed With the Staff of the Securities and Exchange Commission. FIRST AMENDMENT TO THAT 2012 HOME SERVICES PROVIDER AGREEMENT (August 12th, 2013)

This First Amendment (the First Amendment) to that certain DIRECTV, Inc. 2012 Home Services Provider Agreement dated October 15,2012 (the Agreement) by and between DirectSat USA, LLC (Contractor), and DIRECTV, LLC (DIRECTV), is hereby made and entered into this first (1st) day of January, 2013 (the First Amendment Effective Date), as follows:

Amendment No. 8 to Communications Voice and Data Services Provider Agreement (December 5th, 2011)

This Amendment No. 8 to the Communication Voice and Data Services Provider Agreement dated May 12, 2003, as amended (Amendment or Amendment No. 8) is entered into as of November 30, 2011 (Amendment Effective Date) by and between nPhase, LLC, a Delaware limited liability company (nPhase) and CardioNet, Inc., a Delaware corporation (CardioNet), with respect to the following facts:

Amendment No. 7 to Communications Voice and Data Services Provider Agreement (February 25th, 2011)

This Amendment No. 7 to the Communication Voice and Data Services Provider Agreement dated May 12, 2003, as amended ("Amendment") is entered into as of February 1, 2010 ("Amendment Effective Date") by and between nPhase, LLC, a Delaware limited liability company ("nPhase") and CardioNet, Inc., a Delaware corporation ("CardioNet"), with respect to the following facts:

Effective Date: [Seller Name] [Seller Title] [Company Name] [Company Address] Re: Preferred Provider Agreement With IronPlanet for Auction Services Dear Mr./Ms. [Seller Name], (May 4th, 2010)

This letter represents IronPlanet, Inc.s proposal to be designated a preferred provider of auction services by [Company Name] (Seller). IronPlanet will provide our market leading on-line equipment auction services to [Company Name] on a commission rate structure that is a discount to our normal rates. Our auction services will be available to any [Company Name] operation or location throughout North America under the terms of this agreement.

Vringo – Master Content Provider Agreement (January 29th, 2010)

MAXIS MOBILE SERVICES SDN BHD (Company Registration Number : 73315-V), a company incorporated in Malaysia and having its registered office at Level 18, Menara Maxis, Kuala Lumpur City Centre, Off Jalan Ampang, 50088 Kuala Lumpur (Maxis)

Certified Diabetic Services Inc – Blue Cross and Blue Shield of Texas Ancillary Provider Agreement for Ppo/Pos Network Participation (July 27th, 2009)

This Agreement is entered into by and between Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association (BCBSTX), and Certified Diabetic Supplies, Inc., on behalf of each of the individual Ancillary Providers and Provider numbers listed herein in Exhibit C (Ancillary Provider).

Inmarsat Finance II plc – Lease Services Provider Agreement (April 29th, 2009)

Inmarsat Global Limited, a company incorporated under the laws of England and Wales with registered number 3675885 whose registered office is at 99 City Road, London, EC1Y 1AX, United Kingdom (the Company); and

Inmarsat Finance plc – Lease Services Provider Agreement (April 29th, 2009)

Inmarsat Global Limited, a company incorporated under the laws of England and Wales with registered number 3675885 whose registered office is at 99 City Road, London, EC1Y 1AX, United Kingdom (the Company); and

PROVIDER AGREEMENT BETWEEN STATE OF OHIO DEPARTMENT OF JOB AND FAMILY SERVICES AND WELLCARE OF OHIO, INC. Amendment No. 1 (January 6th, 2009)
Amendment No. 6 to Communications Voice and Data Services Provider Agreement (July 22nd, 2008)

This Amendment No. 6 to the Communication Voice and Data Services Provider Agreement dated May 12. 2003, as amended ("Amendment") is entered into as of June 26, 2008 ("Amendment Effective Date") by and between QUALCOMM Incorporated, a Delaware corporation ("Qualcomm") and CardioNet, Inc., a California corporation ("CardioNet"), with respect to the following facts:

WellCare – Ohio Department of Job and Family Services Ohio Medical Assistance Provider Agreement for Managed Care Plan Cfc Eligible Population (July 3rd, 2008)
180 Connect – Directv, Inc. 2007 Home Services Provider Agreement (March 31st, 2008)

This Home Services Provider Agreement (including all Exhibits and Schedules hereto, this Agreement) is entered into this first (15t) day of May, 2007 (the Effective Date), between DIRECTV, Inc., a California corporation (DIRECTV), and Mountain Satellite, Inc. (Contractor). DIRECTV and Contractor may also be collectively referred to herein as the Parties.

180 Connect – Directv, Inc. 2007 Home Services Provider Agreement (March 31st, 2008)

This Home Services Provider Agreement (including all Exhibits and Schedules hereto, this Agreement) is entered into this first (1st) day of May, 2007 (the Effective Date), between DIRECTV, Inc., a California corporation (DIRECTV), and 180 Connect, Inc. (Contractor). DIRECTV and Contractor may also be collectively referred to herein as the Parties.

iMedicor – Microsoft Healthvault Solution Provider Agreement (March 18th, 2008)

By signing below, Microsoft and Company agree to enter into this Agreement. Each Party represents and warrants to the other that it has the authority to enter into this Agreement, and that it has all rights necessary to perform under this Agreement. The Parties agree that if the Agreement Effective Date is not filled in above, the Agreement Effective Date will be the later of the two signature dates filled in below. Each Party is responsible for its own costs and expenses associated with this Agreement except as otherwise provided in this Agreement or as may be otherwise agreed in writing by their authorized representatives.

PROVIDER AGREEMENT BETWEEN STATE OF OHIO DEPARTMENT OF JOB AND FAMILY SERVICES AND MOLINA HEALTHCARE OF OHIO, INC Amendment No. 1 (March 17th, 2008)

Pursuant to Article IX.A. the Provider Agreement between the State of Ohio, Department of Job and Family Services, (hereinafter referred to as ODJFS) and MOLINA HEALTHCARE OF OHIO, INC (hereinafter referred to as MCP) for the Covered Families and Children (hereinafter referred to as CFC) population dated July 1, 2007, is hereby amended as follows:

PROVIDER AGREEMENT BETWEEN STATE OF OHIO DEPARTMENT OF JOB AND FAMILY SERVICES AND MOLINA HEALTHCARE OF OHIO, INC Amendment No. 1 (March 17th, 2008)

Pursuant to Article IX. A. the Provider Agreement between the State of Ohio, Department of Job and Family Services, (hereinafter referred to as ODJFS) and MOLINA HEALTHCARE OF OHIO INC (hereinafter referred to as MCP) for the Aged, Blind or Disabled (hereinafter referred to as ABD) population dated July 1, 2007, is hereby amended as follows:

Provider Agreement (January 8th, 2008)

Pursuant to Article IX.A. the Provider Agreement between the State of Ohio, Department of Job and Family Services, (hereinafter referred to as "ODJFS") and WELLCARE OF OHIO, INC. (hereinafter referred to as "MCP") for the Aged, Blind or Disabled (hereinafter referred to as "ABD") population dated July 1, 2007, is hereby amended as follows:

Provider Agreement (January 8th, 2008)
Paramount Acquisition – Mha Long Term Care Network, Inc. Participating Provider Agreement (November 1st, 2007)

This Participating LTC Pharmacy Agreement (Agreement) is between MHA Long Term Care Network, Inc. (Network) a Delaware corporation located at 25A Vreeland Ave #203, Florham Park, New Jersey 07932 and the Long-Term Care Pharmacy (LTC Pharmacy) which has executed the signature page hereof.

The Ensign Group – Idaho Department of Health and Welfare Medicaid Provider Agreement (October 19th, 2007)

Current or previous provider number for this provider type and specialty: (Does not apply if this is an initial application)

The Ensign Group – EXECUTION OF THIS PROVIDER AGREEMENT BETWEEN AN APPLICANT OR PROVIDER HEREINAFTER JOINTLY REFERRED TO AS "PROVIDER") AND THE DEPARTMENT OF HEALTH CARE SERVICES (HEREINAFTER "DHCS"), IS MANDATORY FOR PARTICIPATION OR CONTINUED PARTICIPATION AS a PROVIDER IN THE MEDI-CAL PROGRAM PURSUANT TO 42 UNITED STATES CODE, SECTION 1396a(a)(27), TITLE 42, CODE OF FEDERAL REGULATIONS, SECTION 431.107, WELFARE AND INSTITUTIONS CODE, SECTION 14043.2, AND TITLE 22, CALIFORNIA CODE OF REGULATIONS, SECTION 51000.30(a)(2). (October 19th, 2007)

Every applicant and provider must execute this Provider Agreement, except physicians, who must execute the "Medi-Cal Physician Application/Agreement," DHCS 6210.

The Ensign Group – Utah Department of Health Division of Health Care Financing Provider Agreement for Medicaid and Umap (October 19th, 2007)

This is a Provider Agreement for participation in both Title XIX of the Social Security Act (Medicaid) and the state funded medical assistance program known as the Utah Medical Assistance Program (UMAP).

PRIMARY CARE PHYSICIAN PROVIDER AGREEMENT BETWEEN WELLCARE OF FLORIDA, INC. AND Renaissance Health Systems of Florida, Inc (September 26th, 2007)

THIS PRIMARY CARE PHYSICIAN PROVIDER AGREEMENT Agreement) is made and entered into this 7th day of November, 2001, (the Effective Date) and between WellCare of Florida, Inc. (Health Plan), and Renaissance Health Systems Florida, Inc (Provider).

Primary Care Provider Agreement (September 26th, 2007)

THIS PRIMARY CARE PROVIDER AGREEMENT (the Agreement) is entered into this 1st day of _____________________ 20__, (the Effective Date) by and between RENAISSANCE HEALTH SYSTEM OF FLORIDA, INC., a Florida corporation (RHS), and ________________________________________, (Primary Care Provider).