Third Party Supplier Service Agreement

Third Party Supplier Service Agreement

Please review and complete the details to formalize your engagement with MDHSS.
This Agreement is between:
Mallacoota District Health and Support Service (MDHSS)
ABN: 75 698 494 045
Address: Genoa-Mallacoota Road Cnr, Mattsson St, Mallacoota VIC 3892
Phone: (03) 5158 0243
Email: feedback@mdhss.org.au
And

(Independent Contractor)
Supplier Full Name
Supplier ABN
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Supplier Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code

- Agreement Overview
- Agreement between Mallacoota District Health and Support Service (MDHSS) and Supplier (Independent Contractor)
  
  Purpose of the Agreement
  
  This agreement sets out the terms under which the Supplier will provide services as an independent contractor to MDHSS under the Self Managed Support at Home Model.
  
  Nature of Engagement
  
  The Supplier is engaged as an independent contractor, not as an employee or agent of MDHSS.
  
  Approval Requirements
  
  No services may commence until written approval is provided by MDHSS.
  
  Scope of Services
  
  Services to be provided as agreed in writing with MDHSS.
  
  Fees and Rates
  
  Fees and rates are as agreed in writing and must be invoiced in accordance with MDHSS requirements.
  
  Invoicing and Payment
  
  Invoices must be submitted as per MDHSS guidelines. Payment will be made following invoice approval.
  
  No Direct Engagement
  
  The Supplier must not engage directly with clients without MDHSS consent.
  
  Insurance Requirements
  
  The Supplier must maintain Public Liability Insurance ($10M minimum) and, if applicable, Professional Indemnity Insurance. Proof of insurance must be provided before commencement and upon renewal.
  
  Compliance and Quality
  
  The Supplier must comply with all relevant laws, regulations, and quality standards.
  
  Records and Documentation
  
  The Supplier must maintain accurate records and provide documentation as requested.
  
  Work Health and Safety (WHS)
  
  The Supplier must comply with all WHS obligations.
  
  Confidentiality and Privacy
  
  All information must be kept confidential and used only for the purposes of this agreement.
  
  Limitation of Liability
  
  MDHSS’s liability is limited to the extent permitted by law.
  
  Suspension and Termination
  
  MDHSS may suspend or terminate this agreement in accordance with the terms.
  
  Capacity and Service Conditions
  
  The Supplier must ensure they have the capacity and meet all conditions to provide the agreed services.
  
  Dispute Resolution
  
  Any disputes will be resolved in accordance with the agreement and governing law.
  
  Governing Law
  
  This agreement is governed by the laws of Victoria, Australia.
  
  By signing below, both parties confirm acceptance of these terms.

- Acceptance
- Supplier
- Date Signed (Supplier)
  
  MonthDayYear
  Date
- MDHSS Client Care Representative Full Name
  
  First NameLast Name
- Date Signed (MDHSS Client Care Representative)
  
  MonthDayYear
  Date
Should be Empty:

Third Party Supplier Service Agreement

This Agreement is between:

And

Agreement Overview

Acceptance