Request for Price Quote

To request a price quote for research testing services please submit your initial enquiry to the following email address:Health:SAPathology Research Contracts & Quotes

The preferred option that would provide you with a quicker turn around time is by email. However if this option is unavailable to you, then post to the following address: SA Pathology

Research Contracts & Quotes Box 14 Rundle Mall, Adelaide South Australia 5000.

All price quotes will be provided by email to the requestor or nominated delegate. If the price quote is to be accepted, then form 687 will need to be completed and returned to SA Pathology.

NB:

Response times to your request for research testing price quote may vary, however we will endeavour to respond within 72 hours (Monday to Friday). During peak periods this response time may be longer so we ask for your patience and that you do not send a follow up email until at least 7 working days have passed from your original request.

SA PATHOLOGY AUTHORITY FOR RESEARCH & COMMERCIAL TESTING SERVICES
(Agreement for provision of testing services)

This form is required a minimum of 4 weeks before commencement of a project.

Please complete boxes A to I and submit the Form to the SA Pathology Site Coordinator (see page 4 for details).

A. REQUESTOR(please indicate if Primary Investigator (PI) or Study Coordinator (SC))
Name: /  PI SC
Department/Directorate:
Institution:
Phone: / Fax / Email:
Additional Contact(Please indicate if Primary Investigator (PI) or Study Coordinator (SC)
Name: /  PI  SC
Phone: / Fax: / Email:
B. NOMINATE the SA Pathology testing site for specimen delivery
Lyell McEwin Hospital
C. STUDY INFORMATION / COMMERCIAL PROJECT (attach any relevant correspondence)
Study / Project Title(include protocol number if available):
If applicable, HRECstatus: / or Submitted
* HREC – Human Research Ethics Committee / (date) / (date)
Customer Reporting Options
1.SA Pathology to print a report per specimen and per test for the requestor above / 
2.SA Pathology to supply electronic download of report per specimen per test via IMVS Electronic Results Download Software / 
3.SA Pathology to supply an encrypted extract of data at end of study / 
Research Category(if applicable):
4.SA Pathology employed researcher who is a CI bringing in RIBG or equivalent infrastructure funding into SA Pathology / 
5.SA Pathology / SA DoH employed researcher not a CI / not bringing in RIBG* / 
6.Other SA Health Institutions / University related research request / 
7.Pharmaceutical, Interstate (and Commercial) / 
* RIBG – Research Infrastructure Block Grant
Duration of Study / Project From: / To:
Please note: Once this study end date has been reached, no further testing of samples will be performed until renegotiation of the terms and conditions under this (or a new) contract has taken place.
D. SPECIMEN INFORMATION
Who is responsible for collection of specimens:
Who is responsible for supply of consumables:
Who is responsible for spinning and aliquotting of samples:
Who is responsible for transport of samples:
SA PATHOLOGY AUTHORITY FOR RESEARCH & COMMERCIAL TESTING SERVICES
(Agreement for provision of testing services)
E. TESTS REQUESTED
Tests Requested / Estimated Total No. / (For Administrative Use Only) – or as attached quote
Slave Panel / Master Panel / MBS Code / %MBS/CHARGE
F. TERMS AND CONDITIONS – COMMERCIAL CLIENTS ONLY
  1. SERVICES
  2. SA PATHOLOGY will carry out the Services and provide all Deliverables in accordance with the Service Details.
  3. The Services will be provided by the Delivery Date and will be deemed completed on provision of the Deliverables to the client.
  4. The Client agrees to make available to SA PATHOLOGY any information or materials necessary to carry out the Services.
  5. INTELLECTUAL PROPERTY
  6. Each Party retains all rights to existing Intellectual Property used in performance of the Services. Any copyright in the Deliverables passes to the Client under this Agreement upon payment of the Fee. The Client will respect the moral rights of the authors in the Deliverables.
  7. CONFIDENTIALITY
  8. Each Party will keep confidential and only use for the purposes of the Services the other party’s confidential information unless written approval is obtained. Each Party may disclose such confidential information to its employees and agents as necessary for the performance of the Services.
  9. PUBLICITY
  10. Neither party shall use the name or logo of the other party as a consequence of or in connection with this Agreement without the prior written permission of the other party.
  11. FEE AND PAYMENT
  12. The Client agrees to pay SA PATHOLOGY the Fee and any incidental costs (including GST) in the time and manner set out in the acceptance of payment terms as per the quote or MBS based price.
  13. RISK MANAGEMENT
  14. SA PATHOLOGY does not give any warranty nor accept any liability in relation to the Services or the Deliverables except to the extent, if any, required by law. To the full extent permitted by the law SA PATHOLOGY excludes all conditions and warranties relating to the Services and the Deliverables.
  15. In so far as liability may not be excluded, SA PATHOLOGY’s total liability is limited to re-performance of the Services or refund of the Fee.
  16. The Client agrees that it will use the Deliverables at its own risk, that it assumes sole responsibility for interpreting and applying the Deliverables and any other results of the Services.

The Client:

(i) releases and indemnifies SA PATHOLOGY against any damage, loss or expense SA PATHOLOGY suffers; and

(ii) indemnifies SA PATHOLOGY against any claim, judgment or award in favour of a third party which SA Pathology as a result of the use or release of the outcomes of the Services or the Deliverables by the Client.

6.4.The requesting party will maintain appropriate and enforceable insurance policies to cover liability that arises out of, under or pursuant to this Agreement, whereas SA Pathology warrants that it is entitled to the benefits of the South Australian Government Insurance and Risk Management arrangements administered by the South Australian Government Captive Insurance Corporation

  1. TERMINATION
  2. If either party commits a breach of this Agreement, the other party may request in writing that the breach be remedied, and if this is not done within 30 days of the request then the other party may terminate this Agreement immediately.
  3. UNAVOIDABLE DELAY
  4. No party will be responsible for performing an obligation under this Agreement where performance is prevented due to any circumstances beyond the reasonable control of that party. If such circumstances continue beyond 14 days either party may terminate this Agreement. SA PATHOLOGY shall be entitled to pro rata payment for performance of Services undertaken up until the date of termination.
  5. CONCILIATION
  6. If there is a dispute between the parties concerning this Agreement the disputing party shall give written notice specifying details of the dispute to the other party.
  7. If the dispute is not settled by agreement within 14 days of service of the notice the dispute will be referred to the Client’s Chief Executive Officer and the Executive Director of SA PATHOLOGY, who will attempt to resolve the dispute by formal or informal mediation.
  8. GENERAL
  9. This Agreement constitutes the entire agreement between the parties, and may only be varied by written agreement signed by both parties.
  10. Should any provision of this Agreement be held by a Court to be unlawful, invalid or unenforceable the validity and enforceability of the remaining provisions shall not be affected.
  11. SA PATHOLOGY, nor any officers, employees or agents of SA PATHOLOGY, shall not by virtue of this Agreement be deemed to be employees of the Client.
  12. The provisions of Clauses 3, 4, 5, 6, 7, 8, 10.4 and 11 shall survive and be of full effect after expiration or termination of this Agreement.
  13. GOVERNING LAW
  14. This Agreement will be governed by law of State of South Australia and the parties submit to the jurisdiction of the Courts of South Australia.

SA PATHOLOGY AUTHORITY FOR RESEARCH & COMMERCIAL TESTING SERVICES
(Agreement for provision of testing services)
G. REPORTING DETAILS (person/s to receive copy of results)
Primary Report To:
Name:
Address:
Email:
Additional Copy of Report To:
Name:
Address:
Email:
Are these tests part of clinical care? Yes No NOTE: test are not part of clinical care in all cases
H. FINANCIAL RESPONSIBILITY
SA Health only - Please provide the ORACLE Project Code for the charge (e.g. 123456):
Name: Project Number: Cost Centre:
Department / Directorate:
Institution:
Phone: / Fax: / Email:

(Note: Charging to all SA Health Units will be by journal, all other organizations will be invoiced by post)

I. ACCEPTANCE OF PAYMENT TERMS(as per attached quote provided or % of the CMBS charge)
I agree to pay for all tests performed /  Yes
I agree to the payment terms of 30 days from date of journal/invoice /  Yes
Name: / Signed: / Date

Please sign and return to the SA Pathology Co-coordinator where samples are to be delivered (co-coordinator details listed are below); and please attach a copy of the any price quote documentation or emails.

Pricing

Pricing arrangements are subject to review should testing exceed the quantity, time-frame or nature of the tests specified above. Any variation, including additional tests, duration or special handling may incur additional costs.

Testing regimes lasting longer than one year will be subject to a price review at the end of each year of testing in accordance with changes in the CMBS schedule or SA Pathology price directives.

J. SA PATHOLOGY CONTACT AND CO-COORDINATOR DETAILS
Jay Xu
Cost Accountant
Phone: 08 8222 3977
Fax: 08 8222 3236
Email: / Ron Hoppenbrouwers
Contracts and Business Modeling Manager
Phone:08 8222 3168
Fax:08 8222 3236
Email:

NB: Your research study will not commence until this contract has been returned to SA Pathology and the approval process is complete. Please allow for a minimum of 4 weeks for this to occur. The requestor will receive a copy of the completed contract with research number assigned and printed request forms when this application is complete.

SA PATHOLOGY AUTHORITY FOR RESEARCH & COMMERCIAL TESTING SERVICES
(Agreement for provision of testing services)
K. SA PATHOLOGY APPROVAL PROCESS (internal useonly)
To be completed by the Executive and the Costing Section
SA Pathology Executive /  Approved / Not Approved
Name / Signed / Date
Costing Section / Research Code Allocated:
Name / Signed / Date

Records

CC

Requestor

Heads of Directorate/Laboratory

DCP Reception Supervisor

Consumer Products

Information Services

Original

Research Contracts & Quotes delegate who will record and forward to SA Pathology Revenue.