LETTER OF AGREEMENT AUTHORIZED PROVIDER National Authorized Provider Agreement Page 1
We thank you for considering the signing of an Authorized Provider Partnership Agreement with the Canadian Red Cross. The Agreement establishes the parameters encouraging continuous work relations based on mutual support and collaboration in order to provide and make accessible quality training to members of the community. MISSION OF THE CANADIAN RED CROSS We help people deal with situations that threaten: their survival and safety; their security and well-being; their human dignity in Canada and around the world. SUBJECT OF THE PRESENT AUTHORIZED PROVIDER AGREEMENT To describe the commitments and responsibilities of the Canadian Red Cross and the Authorized Provider as a partner in the delivery of First Aid and/or Water Safety programs. To describe the quality control measures that will ensure an on-going process of evaluation of First Aid and/or Water Safety programs. To explain the appropriate use of Canadian Red Cross materials, products and programs, while enhancing the ability of the Authorized Providers to promote and ensure the delivery of Red Cross First Aid and/or Water Safety programs. Our Mutual Commitments Our mutual commitments serve as the basis for the development of a strong, on-going partnership between the Canadian Red Cross and you, the Authorized Provider. We mutually agree to: National Authorized Provider Agreement Page 2
establish a relationship based on mutual respect and trust; provide communities with First Aid and/or Water Safety programs and products that are flexible, affordable, accessible and of high quality; expand and improve the Canadian Red Cross s delivery of educational services and training, while assisting Authorized Providers in increasing their community profile and program participation; provide on-going program evaluations to ensure that the needs of the Authorized Provider and participants are met; support national partnerships that provide program recognition and needed resources for on-going research and development; help people make wise choices that will allow them to lead safer, healthier lives. Responsibilities of the Canadian Red Cross The Canadian Red Cross agrees to: designate a resource person(s) who will be the primary contact(s) with the Authorized Provider and will offer assistance and support; provide the highest quality First Aid and/or Water Safety programs in Canada, based on the contribution of research in the fields of medicine and education, Authorized Providers, instructor/trainers and participants; National Authorized Provider Agreement Page 3
provide technical assistance, marketing materials and administrative support and course materials needed for the delivery of First Aid and/or Water Safety programs; inform the Authorized Provider, within 90 days, of any changes to the price list of products and educational services; process and deliver Leadership certifications; keep all Leadership course and certification documentation for at least (5) five years; provide the necessary materials to identify Canadian Red Cross First Aid and/or Water Safety programs; explain to the Authorized Provider the proper way to use the Red Cross artwork and registered trademarks; ensure program quality by means of on-going evaluations and research and development activities. With regard to instructors/trainers teaching Canadian Red Cross courses, the Canadian Red Cross agrees to: certify and re-certify those who meet the program requirements. The Authorized Provider can obtain the confirmation of a instructor/trainer s status upon request; provide program updates and revisions as required; National Authorized Provider Agreement Page 4
communicate opportunities for volunteer and professional skill development. Responsibilities of the Authorized Provider The Authorized Provider agrees to the following: designate a resource person who will be the primary contact with the Canadian Red Cross and will ensure the application of the partnership agreement; offer Canadian Red Cross programs employing only those instructor/trainers holding a valid certification issued by the Canadian Red Cross; offer approved Canadian Red Cross First Aid and/or Water Safety programs according to the standards outlined in the Authorized Provider s Guide, and all applicable Leadership manuals; offer only the Canadian Red Cross programs selected and approved upon this agreement; purchase only from the Canadian Red Cross all required and recommended program materials and distribute them to the participants. Payments to the Red Cross for products and services must be made according to administrative and payment guidelines; not reproduce, change or substitute materials produced by the Canadian Red Cross; ensure that Canadian Red Cross First Aid and/or Water Safety programs are identified as such and respect all the graphic standards, including the rules for National Authorized Provider Agreement Page 5
the use of the Red Cross artwork and registered trademarks, as defined by the Canadian Red Cross in the Authorized Provider s Guide, in all promotional materials and signage; submit, on request, copies of program promotional materials, including references to First Aid and/or Water Safety programs, to the Canadian Red Cross; take part, as requested by the Canadian Red Cross, in the gathering of statistical data necessary for the on-going evaluation of the programs; provide access for Canadian Red Cross representatives, following advisement, to the courses for purposes of quality evaluation. The evaluation results will be shared with the Authorized Provider. meet, in the case of Leadership courses, all the pre-course and post-course administrative requirements, in accordance with the Authorized Provider Guide; send the Leadership course roster, evaluation forms and course results to the Canadian Red Cross, in the 30 days following the end of the course; maintain a safe environment suitable for delivery of Red Cross First Aid and/or Water Safety programs. Safe environment is determined by the relevant provincial legislation and municipal regulations; provide a safe and secure environment for all participants by ensuring all instructor/trainers and other individuals having contact with participants have been properly screened; National Authorized Provider Agreement Page 6
represent yourself always as a First Aid and/or Water Safety Program Authorized Provider of the Canadian Red Cross, not as its spokesperson or representative; agree to obtain insurance coverage for the courses, services and activities delivered and submit proof. The Red Cross does not provide third party insurance for the Authorized Provider s courses, services and activities; accept responsibility for all costs, damages and expenses associated with the courses, services and activities provided (e.g., classrooms, advertising, hiring etc.). The Red Cross does not have direct control over the organization of courses, services and activities of the Authorized Providers; it therefore is not accountable for expenses or financial losses of the former relative to these activities; take responsibility for all the damages, legal fees, interest or losses that are a result of any error or omission on the part of the Authorized Provider or his instructors in the delivery of Canadian Red Cross First Aid and/or Water Safety programs. It is understood that the Canadian Red Cross will assume the same obligations toward its own liability; forward in writing complaints, comments and suggestions related to the Agreement to a Canadian Red Cross designated resource person or at the Red Cross Zone Office. abide by the policies and procedures of the Canadian Red Cross in the delivery of the programs, as defined in the Authorized Provider Guide. abide by all the terms of national/provincial training agreements established by the Canadian Red Cross where they exist. National Authorized Provider Agreement Page 7
This Authorized Provider Agreement is valid for one year, from April 1 2007 to March 31 2008. Either party may terminate this Agreement at any time upon 30 days written notice. In the event of such termination, neither of the two parties will be liable to the other by virtue of this Agreement. Accreditation fees are required to be paid in full on the day the agreement is signed. Accreditation fees are not refunded if the Authorized Provider chooses to terminate this agreement. This Agreement must be renewed March 31 2008. The Authorized Provider fee must be paid annually. If one or both parties propose changes to the Agreement, they must be submitted in writing, at least 30 days before the expiration of the Agreement. The present Agreement is governed by the laws of the province or territory in which it was signed. Issued in on CITY DAY, MONTH, YEAR Signature Name of Authorized Provider s Designate Title Signature Name of Zone Office Representative Title Date (DAY, MONTH, YEAR) Date (DAY, MONTH, YEAR) National Authorized Provider Agreement Page 8
AUTHORIZED PROVIDER REGISTRATION FORM Name of Provider: AP Number: 3-T Name of Designated Person: Title: Mailing address for Invoicing: City: Postal Code: Province: Website: Telephone (bus): ( ) Cell Phone: ( ) Fax: ( ) Email: Do you want the information listed above posted on our website? Please list the cities you would like your listing under: Do you want to receive an electronic copy of our newsletter InfoFax? Proof of Insurance: Name of Insurance Company: Telephone: ( ) Policy#: National Authorized Provider Agreement Page 9
Same as billing address listed above Facility Information Please provide all additional shipping addresses below that are associated with your account. Attach additional pages as necessary. Facility Name: Contact Person: Address: City & Postal Code: Phone: Fax: Email: Bill to facility: Yes No Facility Name: Contact Person: Address: City & Postal Code: Phone: Fax: Email: Bill to facility: Yes No Facility Name: Contact Person: Address: City & Postal Code: Phone: Fax: Email: Bill to facility: Yes No Facility Name: Contact Person: Address: City & Postal Code: Phone: Fax: Email: Bill to facility: Yes No National Authorized Provider Agreement Page 10
AUTHORIZED PROVIDER ACCREDITATION FEE PAYMENT FORM Accreditation fees First Aid programs $ 100.00 Accreditation fees Water Safety programs $ 100.00 Combined fees First Aid and Water Safety programs $ 100.00 Seasonal Water Safety program fee $ 50.00 * This Authorized Provider Agreements is valid for one year, from April 1 2007 to March 31 2008. Accreditation fees are required to be paid in full on the day the agreement is signed. Accreditation fees are not refunded if the Authorized Provider chooses to terminate this agreement. This agreement must be renewed March 31, 2008. The Authorized Provider Fee must be paid annually. If one or both parties propose changes to the Agreement, they must be submitted in writing, at least 30 days before the expiration of the Agreement. Red Cross Authorized Provider Number: T Method of Payment: Cheque (please attach) Money Order Credit Card: Visa MC Amex Card#: Expiry Date: Name of Card Holder: Card Holder s Signature: All cheques and money orders are payable to: Canadian Red Cross Safety Services, Ontario Zone National Authorized Provider Agreement Page 11
WATER SAFETY PROGRAMS SELECTED BY AUTHORIZED PROVIDER The Authorized Provider is approved to offer the Water Safety programs selected on this form during the time stipulated in this Agreement. New Red Cross Swim Program Red Cross Swim Preschool: Starfish Duck Sea Turtle Salamander Sunfish Crocodile Whale Red Cross Swim Kids: 1 2 3 4 5 6 7 8 9 10 AquaSquirts AquaSquirts Too Swim@School Red Cross Instructor Development Program: AWSI WSI WSIT On Board On Board Exam & retail: On Board retail only: National Authorized Provider Agreement Page 12
FIRST AID PROGRAMS SELECTED BY THE AUTHORIZED PROVIDER The Authorized Provider is approved to offer the First Aid programs selected on this form during the time stipulated in this Agreement. First Aid Programs Emergency First Aid: Standard First Aid: CPR/AED (CPR all levels): AED: Marine First Aid courses: ChildSafe: First Responder: Babysitting: PeopleSavers: Preventing Disease Transmission: Oxygen Administration: On Board On Board Exam & retail: On Board retail only: National Authorized Provider Agreement Page 13