[Example: Create your own version and remove this note and the footer before using]
Cover Pagefor Bonterms Business Associate Agreement (BAA) |
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| By executing this Cover Page, Customer and Business Associate enter into the Bonterms Business Associate Agreement (BAA) (Version 1.0). The BAA is a Standard Agreement available here: https://bonterms.com/standard/business-associate-agreement-v1/. A reference copy may be attached. The BAA includes the contents of this Cover Page, including the Key Terms any Additional Terms. Capitalized terms not defined in this Cover Page have the meanings given in the BAA. |
| Key Terms | |
| Main Agreement | This BAA is incorporated into the agreement between Customer and Provider identified below: |
| [Name/date of Main Agreement] | |
| BAA Effective Date | [Fill in date] |
| Additional Terms | |
| The following additions to or modifications of the BAA are agreed by the parties and control in the event of any conflicts: | |
| Signatures | |
| Agreed to as of the BAA Effective Date by each party's authorized representative: | |
| Customer: Signature: Name and Title: Company: Date: |
Business Associate: Signature: Name and Title: Company: Date: |