I, the “Undersigned” wish to enter into this Agreement with Emerald Grace Homecare, LLC (“Provider”), to provide non-medical homecare services for the "Client" at the "Client's Address".
SERVICE RATES: Rates are subject to change upon client’s service needs, client condition, and periodic rate revisions. Clients requesting a particular caregiver that requires the caregiver to work more than 40 hours a week will be billed at an alternative (Pass-Through) overtime rate per wage & labor laws. Each visit to provide services requires a minimum of four (4) hours. The following holidays are billed at time and ½ including New Year's Eve, New Year’s Day, Easter Sunday, Independence Day, Memorial Day, Labor Day, Thanksgiving Day, Christmas Eve and Christmas Day.
DEPOSIT: A two-week service deposit is waived if payment method is authorized electronic bank withdrawal. Payment by check requires a deposit, equivalent to 2 weeks of service is due at the time of signing this Agreement. The deposit will be refunded following payment of the final invoice provided your account is current. Provider may require the deposit to be increased if service hours are expanded.
Administrative Fee: A One-Time $75.00 administrative fee will be added to your first invoice to cover a portion of administrative costs associated with staffing your assignment.
PAYMENT TERMS: Invoices are emailed whenever possible. Billing is twice a month. Payment is due and is processed 7-10 days after close of billing cycle by authorized electronic bank withdrawal or by check. If such charge cannot be successfully made, the Client will be charged a $25.00 late billing fee and an 18%
per annum charge on overdue amount. Client checks rejected by the bank for non-sufficient funds will result in a $25.00 fee to the client. If collection action is necessary, the Client agrees to pay all collection expenses, including attorneys’ fees and costs. The Client is obligated to pay for all services and associated charges regardless whether or not the Client is reimbursed by a third party, such as a long-term care insurance company, and is not relieved of such obligation even if an assignment to Provider of insurance or other benefits was made by Client.
TEMPORARY ASSIGNMENT: Clients requiring a limited duration of service (less than 30 days) are required to pay in advance (as determined according to the care plan) in full, to start services, by authorized electronic bank withdrawal or check for service during such period.
INCIDENTAL TRANSPORTATION: If employee uses his or her own vehicle to serve the client, the client will be charged the mileage per mile driven. The mileage rate is currently $ .70 per mile. There will be no charge if client’s vehicle is used. Client must provide proof of automobile insurance coverage and vehicle
registration and inspection.
MISCELLANEOUS EXPENSES: Clients are responsible to provide safety gloves and any other supplies required for the safety, care and comfort of the client and safety of our caregivers. If not supplied, your bill will reflect the cost of the purchase of these supplies. Any client expenses incurred by the caregiver
on the client’s behalf during the performance of their duties (e.g., lunch, outings, etc.) will be billed to the client’s account with explanation.
NON-SOLICITATION/SUBSTITUTION: The client agrees not to hire or employ any provider employee(s), whether current or former and whether specifically assigned under this agreement or subsequently provided by provider, while this agreement is in effect and for a period of one (1) year after termination of
this agreement, whether for personal reasons or otherwise, unless provider has given express written consent and collected a referral fee in the amount of $10,000 or an amount equal to the highest billing of any consecutive two month period during the term of this agreement, whichever is greater. This employment restriction does not alter the agreement between Client/Undersigned and Provider. The employment restriction includes the hiring of Provider employees by Client, Client's authorized representative and/or Client's relatives whether they are signatory to this agreement or not.
CANCELLATION/TERMINATION: If Client/Undersigned wishes to interrupt or terminate the Services provided under this Agreement for any reason, Client/Undersigned agrees to provide Provider with as much notice as possible. If a notice of termination by Client/Undersigned is received less than twenty-four (24) hours before the schedule start of Services, the minimum hours per visit as noted above will be billed to Client. Provider may terminate the Services for any reason upon twenty-four (24) hour notice to Client/Undersigned.
ADDITIONAL TERMS & CONDITIONS: Client/Undersigned fully acknowledges and agrees that Provider: (a) is a provider of non-medical services; (b) is not licensed or insured to perform medical services; and (c) shall be liable for any damages or liabilities except such damages as are caused directly by the negligent
acts or omissions by Provider or Provider's employee and which result in bodily injury or property damage to Client.
ClientUndersigned understands that Provider may, at its discretion, replace or remove any of Provider's employees from an assigned Client for any reason. Provider may arrange for a suitable substitute in order to provide Services.
Client/Undersigned agrees to communicate all schedule changes through Provider's business office.
Client/Undersigned agrees to provide a safe work environment for Provider's employees at all times, free from hazards and conditions that may cause injury or illness to any of Provider's employees.
Client/Undersigned understands that Provider may conduct periodic and regular visits to Client so as to verify the quality of Services as well as evaluate appropriate level of service. Changes to the level of Services can be made at discretion of Provider with twenty-four (24) hours notice.
Client/Undersigned agrees not to give Provider's employees gratuities, cash gifts or loans without prior permission from Provider.