Compassion Concierge LLC
Service Agreement
This service agreement dated this ______day of ______, 20___, is entered into between ______, Client, (you) and Compassion Concierge LLC, (we/us) for services provided at
Your address______.
Your phone number ______.
Youremail address______.
There is no term to this agreement between the client (you) and Compassion Concierge LLC (we/us). You may cancel your service at any time. However we appreciate receiving at least a two week notice, if possible. We also reserve the right to cancel service at any time.
Services
You have selected the following services to be provided by us (check all that apply):
Assistance with bill paying/correspondence/appointment scheduling
Companionship/Fellowship Errands Grocery shopping/assistance
Home decluttering Home organizing
Light housekeeping (laundry, dishes, help with plants, etc.)
Meal planning and preparation Peace of mind visits Pet services
Respite for caregivers (2 hour minimum )
Transport and accompany to appointments (salon, social gatherings, etc.)
You are aware that we provides concierge/personal assistant services only and arenot licensed to provide, nor will we provide medical or other personal care related services (i.e. assistance with toileting, showering, nail clipping, medication delivery, etc.) Any requests for such services will be declined.
Service Options and Fees
You have selected the following service option:
You agree to pay us an hourly rate of $25 payable at the conclusion of each visit via cash, check or major credit card.
Youhave selected and agree to prepay for one of the following discounted monthly service packages* via cash check or major credit card:
Silver (up to 6 service hours/month) at a rate of $135.
Gold (6-8 service hours/month) at a rate of $180.
Diamond (8-10 service hours/month) at a rate of $225.
*If your needs exceed your package’s monthly maximum hours, each additional 15 minutes will be charged at a flat rate of $25/hour. (1-15 minutes: $6.25; 16-30 minutes: $12.50; 31-45 minutes: $18.75; 46- 60 minutes: $25). If you exceed your monthly maximum hours twice, we will notify you of the need to move to the next higher service package tier and corresponding fee.
*Unused service hours will not carry over to the next month.
Scheduling
Compassion Concierge LLC services are availableMonday-Friday between 8:00am-5:00pm. Any services needed outside of these days and times will be handled on a case-by-case basis and are subject to the following surcharges payable at the time of service via cash, check or major credit card:
- After hours during the work week or anytime on weekends: $30 per hour
- Holiday service: $35 per hour
- Rush service: (within 2-4 hours): $35 per hour
Weprefer to schedule visits/assignments in a minimum of 2 hour increments, whenever possible, and will do our best to accommodate needs of less than 2 hours.
You agree to provide a 24 hour notice to schedule requests and understand that we will strive to accommodate.
You also agree to provide a 24 hour notice to cancel previously scheduled requests. If you do not provide notice, you will still be financially responsible for the normally scheduled service hours and unused service package hours will not “carry over” to the next month.
Transportation
Transportation is NOT the sole service provided by Compassion Concierge LLC.
Compassion Concierge LLC provides transportation as needed for appointments, shopping and other activities as part of your services. We use a regular passenger vehicle which can accommodate ambulatory (those who can walk) clientswho use a cane, walker or small, foldable wheelchair for mobility assistance. We cannot accommodate non-ambulatory clients or those who use battery-powered wheelchairs or larger foldable wheelchairs. We cannot lift clients.
Our drivers are licensed, bonded and insured.
YOUR SAFETY IS OUR PRIORITY. We provide door-through-door service which includes: accompanying you to and from our vehicle, providing assistance when you enter/exit the vehicle (if needed), ensuring you use a safety restraint while in the vehicle, ensuring your mobility device and other items are secure in the vehicle (if applicable), providing you with your mobility device upon exiting the vehicle and assisting with transporting your other items. We will make every effort to use covered entrances at your destination or to find the closest parking spot to make your experience as pleasant as possible.
When you are in our vehicle, you agree to use a safety restraint at all times and refrain from any activity that will distract the driver.
We reserve the right to refuse to provide you with transportation if you do not use a safety restraint or conduct yourself in a manner that could endanger yourself or our driver.
Acknowledgment and Signatures
I have read, understand and agree to the Compassion Concierge LLC service agreement.
Client's signature ______Date __/___/___
Client’s representative ______Date __/___/__
Relationship to client ______
Service provider's signature ______Date__/___/__