Plan It Consulting
4825 -51 Street, Camrose, AB T4V 1R9
Ph. (780) 672-0063   planit@telus.net
                      www.planitconsult.ca

SERVICE AGREEMENT
This agreement shall be effective 
						
(DD, MM, YYYY)
Between
PLAN IT CONSULTING INC.
And
		
(Client/ Guardian/ Trustee/ Power of Attorney)

PLAN IT CONSULTING INC. agrees to the following:
	1.  	To provide services in accordance with the mission, vision, and beliefs of PLAN IT CONSULTING INC.
	2. 	To provide services that are client focused, responsive to individual needs, age appropriate, and respectful of client choice.
	3.	To attend meetings upon request.
4. 	To complete the following documentation and forward as outlined:
	DOCUMENTATION			   FORWARD TO/ EMAIL or ADDRESS
•	Involvement hours (daily log)     	   			__________________________	
•	Monthly service invoice			  							
	5. 	To monitor client services and report any known concerns to the guardian/ family.
	6. 	To ensure that all information concerning the client is not disclosed to any person without written consent of the client/ guardian. This clause shall remain in effect upon termination of this agreement; permission must be provided in writing from the client/guardian to release confidential information.
	7. 	To expect the following requirements from the employees of PLAN IT CONSULTING INC.:
•	Criminal Record Check & Vulnerable Sector Check upon hire and signed criminal activity disclaimers annually.
•	Two positive references (employment and personal).
•	Valid first aid certificate within 6 months of employment.
•	$2,000,000 liability Vehicle insurance 
•	Driver’s Abstract
•	Criminal Record and Vulnerable Sector Check
•	Client and company orientation.
	8. 	To provide liability insurance coverage for the employees of PLAN IT CONSULTING INC.

The CLIENT / GUARDIAN / TRUSTEE / POWER OF ATTORNEY agree to the following:
	1. 	Personal information can be shared with:
															
	2. 	To recognize and accept the parameters of service in conjunction with the insurance of PLAN IT 		        CONSULTING INC.:
•	No medication administration, medical procedures, medical support.
•	No client lifts.
	3.	To provide ongoing support and direction for services including the following information:
•	Complete the client information sheet.
•	Provide PLAN IT CONSULTING INC. with relevant changes in client information and requests for changes in services.
•	Any other information that the client/ guardian may feel is relevant to services.
4.	To agree to the following rates/ limits of services and to submit payments to PLAN IT     
        CONSULTING INC., 1, 4825 - 51 Street, Camrose, Alberta T4V 1R9 

Section A:
Service Rates:				             Transportation Rate:
•	Hourly rate: 	$ 28.50 per hour         	Per Kilometer: 	$ .50 km.
•	G.S.T.:  5 %	$  1.43                   	Additional Expenses:
TOTAL		$ 29.93 per hour	Reimbursement of activity/meal expenses for                   
(Government funding is exempt from GST)    client and employee, clothes, personal items, etc.

Minimum charge of 2 hours for scheduled hours – this only applies when a client/ guardian 
Request that staff be in at a specific time. Flexible hours do not apply. 

 
Total Hours of Service:          day/ week/ month                                   	             ______________hours
Conditions of Service (details or attach schedule desired)
________________________________________________________________________	

Total monthly allowed for transportation and additional expenses: 	            $ 		
	             Conditions of expenses:
                           ________________________________________________________________________

	Total Maximum amount per month:			                                      $ ____________                                                                           

            Bill To(Email/ Address):_____________________________________________________________________                  
            _________________________________________________________________________________________
            _________________________________________________________________________________________
            _________________________________________________________________________________________

5.	To give staff 48 hours’ notice of cancelled scheduled shifts. Shifts that are canceled with less than 24 hours 
 notice may be billed a minimum 2 hours as required by Alberta Employment Standards.

6.	To pay time and half for any services provided on a statutory holiday. Plan It Consulting staff will not work on a statutory holiday unless approval has been given. 

7.	Billing will occur the first week of the month following services being rendered. We do accept etransfer,
cheque, and cash.

ALL PARTIES agree to the following:
	1. 	This agreement may be terminated:
a) Immediately, by mutual agreement of both parties.
b) By either party giving 30 days written notice to the other party.
c) Immediately if any party has failed to perform the obligations of this contract.
	2. 	On termination pursuant subsection 1(c) of this section, the client shall be liable to pay for services provided up to and including the date of termination.
	3. 	This agreement constitutes the entire agreement between all parties.

Agreement signed this ______________ day of____________________________________, 20______________.

						_____	  _____________________________________________
Signature Client				                            Signature of Guardian/ Power of Attorney/ Family

____________________________________________	  _____________________________________________                       
Signature of PLAN IT CONSULTING INC.                      Signature of Witness

Guardian/Family: _____________________________________________________________________________
Phone #____________________________________   Phone # _________________________________________
Email: ______________________________________________________________________________________
Address: _____________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________
Trustee/ Power of Attourney:____________________________________________________________________
Phone #______________________________________________________________________________________
Address:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________