Neither the owner nor the volunteers of Surrogate
Mothers claim to be an attorney, lawyer, or have any experience in the
field of
law.
This is a sample agreement for a traditional surrogacy arrangement.
Because each surrogacy arrangement is unique, we do not recommend using
this sample agreement as your actual surrogacy contract, but, rather
as a template or draft for discussion among the parties involved in the
arrangement and their legal counsel.
This sample agreement should not under any circumstance be used as
substitute for legal representation for any party involved.
Reproduction or copying of this contract on
any other website, or
for commercial/professional use without direct permission of Surrogate
Mother's Online is strictly prohibited.
TRADITIONAL SURROGACY CONTRACT
THIS AGREEMENT is made as of _____________________, 20____, by and
between _______________, the acknowledged (intended) father
(hereinafter referred to as the "Intended Father"); ________________,
the acknowledged (intended) mother (hereinafter referred to as the
"Intended Mother"); ____________ (hereinafter referred to as
"Surrogate") and __________________ (hereinafter referred to
as "Surrogate's Husband"). The Intended Father and Intended Mother are
hereinafter
collectively referred to as the "Intended Parents". The Surrogate and
Surrogate's
Husband are collectively referred to as "Surrogate Couple". The
Surrogate,
Surrogate's Husband and the Intended Parents are collectively referred
to
hereinafter as the "Parties".
I. PURPOSE AND RECITALS
The Intended Parents are a married couple living together as husband
and wife, both are over the age of twenty-one (21) years. Intended
Parents desire to have a child(ren) biologically related to one or both
of them and desire to enter into the following Agreement, in order that
they may become parents by means of the Traditional Surrogacy
contemplated in this Agreement. The Intended Mother warrants that she
is incapable of conceiving or of carrying a pregnancy to term, or has
been advised by a physician that a pregnancy would
be dangerous to her health and/or the health of any child she may
conceive.
The Surrogate is at least twenty-one (21) years of age, a resident of
the state of _____________, has borne ______ children, is currently
married and also desires to enter into this Agreement.
The decision of the Surrogate to enter into this Traditional Surrogate
Contract, is a fully informed decision made only after the careful and
unemotional reflection
of all aspects of this Agreement. The Surrogate has come forward
voluntarily,
and in the absence of economic or emotional duress of any type or kind,
and
has freely chosen, with the support and consent of her Husband, to
enter
into this Surrogate Contract.
Surrogate states and declares that she does not desire to have a
parental relationship with any child born pursuant to this Agreement.
It is her further belief that the child or children (hereinafter
collectively referred to as "Child") conceived pursuant to this
Agreement are morally and contractually the Child of the Intended
Parents, and that it is in the best interests of the Child that said
Child should be raised by the Intended Parents without any interference
by her, or her Husband, and without any retention, or assertion by her
or her Husband of any parental rights.
The Surrogate Couple further represent that they will freely and
readily, within a reasonable time and only if necessary to effectuate
the intent of the Parties hereto, assist in legalizing the natural
parent-child relationship, and in order to aid the Intended Parents in
the formation and/or continuance of their parent-child relationship
with the Child. The Surrogate Couple shall immediately relinquish
physical possession of the Child to the Intended Parents upon the birth
of the Child, as such is anticipated to be in the best interest of the
Child. Notwithstanding the foregoing, it is the specific intent of each
and every Party to this Agreement, that the Surrogate Couple does not
have any parental rights toward the Child and are not the legal parents
of any Child conceived and born pursuant to the conduct contemplated
within this
Agreement.
While the undersigned are entering into this Agreement with the
intention of being fully bound by its terms, each understand that this
Agreement, in whole or in part, may be declared void as against public
policy by the _____________ courts and/or legislature, or held
unenforceable, in whole or in part, by a court of law. All Parties,
however have been informed and advised of the California Supreme Court
decision in (JOHNSON v CALVERT, (1993) 5 Cal. 4th 84), and agree said
decision applies to and governs this Agreement and the conduct
contemplated thereby.
The Parties voluntarily enter into this Agreement expecting to be bound
by each of the terms and conditions as set forth herein,
notwithstanding
any subsequently approved or enacted legislation to the contrary.
The sole purpose of this Agreement is to enable the Intended Parents to
have a Child through the use of the services of a surrogate. This is
not
intended to be an agreement for the purchase of a Child, nor for
Surrogate's
consent to surrender a Child for adoption.
II. DISCLAIMERS
Surrogate Parenting is a new area of the law; and for that reason, all
Parties to this Agreement acknowledge that no warranties have been
made, or can be made, as to the ultimate results, costs, liabilities
and/or obligations of the Parties relative to each other which may
result from any judicial process arising and resulting from the actions
and/or conduct of the Parties to this Agreement.
III. REPRESENTATIONS
A. In consideration of the mutual promises contained
herein and with the intentions of being legally bound thereby, the
Parties
agree as follows:
1) The Surrogate, based upon all information
available to her, represents that she is capable of bearing healthy and
normal children;
2) In reliance upon this
representation, the Intended Parents are hereby entering into this
Agreement with the Surrogate, whereby:
The Surrogate
will be artificially inseminated with the Intended Father’s sperm.
3) The "Child" means each child
born to the Surrogate who has conceived pursuant to the term of this
Traditional Surrogate Contract;
4) The Surrogate Couple hereby
agree to cooperate in all respects with the Intended Parents to undergo
artificial inseminations for the Intended Father, and further agree to
cooperate with all legal actions to establish him as the Child’s
biological parent, including the amendment of the Child’s birth
certificate as needed.
5) The birth of the Child shall
take place in the State of ______________.
6) The Surrogate or
the Intended
Parents may withdraw their consent to this Agreement and may terminate
this
Agreement with written notice given to the other party anytime prior to
conception
by the Surrogate subject to the provisions provided below.
B. If demanded by the Intended Parents, the Intended
Parents may raise, via appropriate procedure in any Court of competent
jurisdiction, the issue of legal determination of paternity whether by
H.L.A. Testing or any other legally recognized test commonly used to
determine paternity.
The exclusion of the Intended Father as parent by the paternity test
shall constitute an incurable material breach on the part of the
Surrogate and her
Husband, except in the event that an act of the treating doctor was the
causative
factor resulting in the exclusion of the Intended Father as parent of
any
Child born in accordance with the conduct contemplated under this
Agreement.
Absent such act by the treating physician, the Intended Parents shall
have
no obligations whatsoever with respect to the Child.
C. Upon execution of this Agreement, the Surrogate
hereby agrees to submit to continuing psychological counseling if
deemed necessary by the Parties. Said counseling shall end three (3)
months after the birth of the Child. The Intended Parents may
additionally undergo psychological counseling and support at their
option.
1) The Intended Parents shall pay
for all costs associated with psychological review, evaluation, and/or
individual counseling sessions.
2) The Surrogate Couple represent that they
have signed or will sign a comprehensive psychotherapist release
allowing their Psychotherapist or their Psychologist (hereinafter
referred to as "Psychotherapist") to disclose to the Intended Parents
all communications, verbal or non-verbal, made by the Surrogate and her
Husband, prior to the Artificial Insemination procedure, including any
opinions, perceptions or conclusions formed by the Psychotherapist
which could reasonably relate to the Surrogate and her Husband's
suitability for performance pursuant to the terms of this Agreement.
Said release will also allow Psychotherapist to disclose to the
Intended Parents all communications after the Artificial Insemination
procedure, verbal or non-verbal, made by the Surrogate and her Husband
including any opinions, perceptions or conclusions formed by the
Psychotherapist which could reasonably relate to the Surrogate the
Surrogate Husband's continued suitability for performance pursuant to
the terms of this Agreement.
3) The Intended Parents represent
that they have signed or will sign a comprehensive psychotherapist
release
allowing their Psychotherapist to disclose to the Surrogate Couple all
communications, verbal or non-verbal, made by the Intended Parents,
prior to the Artificial Insemination procedure, including any opinions,
perceptions or conclusions formed by the Psychotherapist which could
reasonably relate to the Intended Parents' suitability for performance
pursuant to the terms of this Agreement. Said release will also allow
Psychotherapist to disclose to the Surrogate all communications after
the Artificial Insemination procedure, verbal or non-verbal, made by
the Intended Parents including any opinions, perceptions or conclusions
formed by the Psychotherapist which could reasonably relate to the
Intended Parents' continued suitability for performance pursuant to the
terms of this Agreement.
All medical and psychological information pertaining to the Surrogate
Couple and the Intended Parents shall remain confidential in accordance
with this Agreement. The Parties agree that after the Child is born, a
court may permit access to the information, if necessary, for the best
interests of the Child.
D. Prior to any artificial insemination procedure, the Parties
agree to undergo a physical examination to determine whether the
physical health and well-being of all Parties to this Agreement is
protected to the satisfaction of the Parties. The physical examination
included testing for all types of venereal disease, including HIV and
AIDS, in order to protect the health of
the Surrogate and the Child. The Surrogate Couple and Intended Parents
agree
to undergo any medical testing that the above-mentioned physician deems
necessary
while this Agreement is in effect.
E. Prior to any artificial insemination procedure, the
Parties agree to undergo a psychological evaluation to determine
whether or not they are psychologically capable of fullfilling this
agreement.
F. The Surrogate represents that she has consulted with a physician or
surgeon of her choice, and is aware of all medical risks, including
death, which may
result from the conduct contemplated by this Agreement. The Surrogate
acknowledges
that said risks involve medical examinations, pregnancy, childbirth and
postpartum
complications, if any. These risks have been explained to the Surrogate
by
a physician following a thorough medical examination of the Surrogate.
The
Surrogate Couple agree to assume all of the above stated risks, and
hold
harmless against these risks, the Intended Parents, the attorneys
representing
the parties herein, including but not limited to the professionals and
all
others contemplated and/or involved in any aspect of performance under
the
terms of this Agreement. This does not release the medical
professionals from
liability for damages or injury due to acts of willful misconduct,
negligence and/or medical malpractice. The Surrogate represents that
she has signed all
necessary medical release forms. The Intended Parents represent that
they
have signed all the necessary medical release forms.
G. The Intended Parents shall take custody of, and assume legal and
parental responsibility for, any Child, as defined herein, regardless
of whether the Child suffers from any congenital or other abnormalities
or defects, immediately after the Child's birth, and the Parties to
this Agreement acknowledge that they are aware and have been advised of
said risks of such abnormalities and/or
defects by their physician.
H. The Surrogate agrees that she will not have
sexual intercourse with anyone other than her husband, who is sterile,
from the first
day of her menstrual cycle before the Artificial Insemination procedure
until
the date that pregnancy has been confirmed by her Obstetrician,
Midwife, or
Family Physician.
I. The Surrogate agrees to comply with all medical
instructions given to her by her physician as well as by her
independent obstetrician or
midwife.
1) The Surrogate also agrees to
follow a prenatal examination schedule as prescribed by her independent
obstetrician or midwife, as well as to adhere to and follow all
requirements regarding the taking of medicine and vitamins prescribed
by her treating obstetrician or midwife. The Surrogate further agrees
to submit to any medical tests or procedures deemed necessary or
advisable by her obstetrician or midwife. All
medical testing, which is not otherwise covered by insurance, will be
paid
by the Intended Parents.
2) The Surrogate agrees not to
participate in dangerous sports or hazardous activities, and promises
not to knowingly allow herself to be exposed to radiation, toxic
chemicals or communicable diseases.
3) The Surrogate further agrees not to smoke
any type of cigarettes, drink alcoholic beverages, or use any illegal
drugs, prescription
or non-prescription drugs without consent from her obstetrician or
midwife.
J. The Surrogate agrees that she will not abort the Child once
conceived, except if, in the opinion of her independent
obstetrician/midwife or treating physician, such action is necessary to
avoid potential risks of physical harm
to the Surrogate.
K. In the event the Parties choose to resume the procedure after an
abortion, this Agreement shall remain in full force and effect.
L. Selective Termination of Multiple Fetuses: In the event the
Artificial Insemination procedure results in three (3) or more fetuses,
the Parties to
this Agreement may agree to fetal reduction in order to reduce the
number of fetuses. Surrogate agrees that she will not reduce against
the will of the Intended Parents, except if in the opinion of her
independent obstetrician/midwife and/or the treating physician, such
action is necessary to avoid physical harm to the Surrogate.
M. Notwithstanding the provisions of Paragraph III, subparagraphs J and
L, or anything to the contrary, all Parties understand that a court may
determine that a pregnant woman has the absolute right to abort, or not
abort, any fetus
she is carrying and any promise to the contrary may be unenforceable.
N. Death of the Child prior to the 24th week of pregnancy shall
immediately terminate this Agreement, with no further obligations or
duties of performance by any of the parties, except as provided for in
Paragraphs XIX and XX. The Intended Parents will remain liable for
medical costs incurred to the date of such death, and for those medical
expenses of the Surrogate directly relating to the pregnancy, for no
more than 8 weeks subsequent to any miscarriage, pursuant to Paragraphs
XIX and XX, and shall hold the Surrogate harmless from
liability for said death unless the death is caused by her own wanton
recklessness
or other intentional conduct. All monies paid through the date of death
of
the Child remain the property of the Surrogate.
O. In the event of death of the Child subsequent to the 24th week of
pregnancy, the Intended Parents will continue to pay expenses pursuant
to Paragraphs XIX and XX for a two (2) month recovery period following
the death of said Child. Intended Parents will remain liable for
medical costs incurred to the
date of such death, pursuant to Paragraph XIX and XX, and shall hold
the
Surrogate harmless from liability for said death unless the death is
caused
by her own wanton recklessness or other intentional conduct. All monies
paid
through the date of death of the Child remain the property of the
Surrogate.
P. During the term of this Agreement, the Parties agree to immediately
inform the other, in writing, of any material change in their
circumstances which may reasonably affect this Agreement. These changes
include, but are not limited
to, change of address, illness or death of a Party, loss of employment,
change
of employment situation, changes in insurance coverage, and exposure to
communicable
illness.
Q. The Parties warrant that all information contained in the various
applications and written medical and psychological history
questionnaires provided to the
treating physician and psychologist/counselor in connection with this
Agreement
is true and correct to the best of their knowledge. The Parties further
warrant
that they have not knowingly omitted any material information relating
to
questions contained in the various applications and medical and
psychological
history questionnaires. Knowingly providing false or misleading
information
to the treating physician as specified herein shall constitute an
incurable
breach of this Agreement to which any and all legal and equitable
remedies
whether in personal injury or Contract apply.
A. Material Breach of Contract Prior to Artificial
Insemination Procedure or Prior to Pregnancy
If at any time prior to Artificial Insemination procedure, or after
Artificial Insemination procedure which fails to result in a viable
pregnancy, either party material violates any of the provisions
contained herein without legal excuse, such violation shall constitute
a material breach of this Agreement. As a precondition to the
declaration of any violation constituting an alleged material breach of
contract herein, the aggrieved party shall, within a reasonable time
after discovery, provide written notification to the alleged breaching
party of the alleged violation. If the nature of the alleged breach is
such that it cannot be reasonable cured, or if it can be cured but the
breaching party fails to cure the breach within a reasonable time after
notification, this Agreement may be terminated forthwith at the option
of the aggrieved party by giving written notice of termination to the
breaching party, without further liability on the part of either party,
except as specifically set forth below.
If the breaching party is the Surrogate or her Husband, then all monies
paid to the Surrogate as compensation prior to termination of this
Agreement
shall be refunded immediately to the Intended Parents by the Surrogate
and
her Husband. Any monies other than compensation paid to Surrogate
and/or
her Husband prior to the termination of this Agreement, e.g. medical
cost
and expense reimbursements, shall not be refunded.
If the breaching party is the Intended Parents, then Surrogate and her
Husband shall be entitled to receive all compensation and other funds
due to Surrogate and her Husband under this Agreement through the date
of termination of this Agreement.
B. Material Breach of Contract
After Confirmation of Pregnancy
Except as set forth in subsection C, below, if at any time after
Surrogate becomes pregnant either party materially breaches any of the
provisions of this Agreement, this Agreement shall remain in full force
and effect and the
exclusive means of compensating the aggrieved party shall be calculated
in
accordance with the provisions below.
As a precondition to the declaration of a material breach, the
aggrieved party shall, within a reasonable time after discovery,
provide written notification to the alleged breaching party of the
alleged violation. If the nature of the alleged breach is such that it
can be fully cured within a reasonable time thereafter, then the
alleged breaching party shall be provided a reasonable opportunity to
cure the breach. If the nature of the breach is such that it
cannot be reasonably cured, or if it can be cured but the alleged
breaching party fails to cure the alleged breach within a reasonable
time after notification, then the alleged breaching party shall be
deemed to have materially breached this Agreement; provided, however,
if the alleged breaching party is the Surrogate
or her Husband, if the alleged breach cannot be reasonable cured but
has,
in the opinion of Surrogate's relevant doctor, no ascertainable medical
consequence
to the Child, then the Surrogate shall not be deemed to have materially
breached
this Agreement.
If the materially breaching party is the Surrogate or her Husband, then
all compensation to the Surrogate, except reimbursement for medical
costs
and expenses, shall be suspended until after the birth of the Child. If
after the birth of the Child, the Child is, in the opinion of the
Child's pediatrician or other medical doctor(s), healthy and normal
then all compensation and reimbursements
withheld from the Surrogate shall be released immediately to the
Surrogate
and there shall be no further financial consequence to the Surrogate.
On
the other hand, if after the birth of the Child, the Child is, in the
opinion
of the Child's pediatrician or other medical doctor(s), not healthy
and/or
is abnormal in a material respect, which, to a medical certainty, is
the
proximate result of Surrogate's act or omission constituting the
alleged
material breach, then all compensation and reimbursement withheld from
the
Surrogate shall be forfeited by the Surrogate, and Surrogate shall pay
to
the Intended Parents, as liquidated damages, a sum equal to the
compensation and benefits paid to the Surrogate under this Agreement.
In this regard, the
parties hereto agree that damages herein would be extremely difficult
and
speculative to establish and that the formulation herein is a fair and
reasonable means by which to compensate the Intended Parents in the
event of such a material breach of this Agreement by Surrogate and her
husband.
If the materially breaching party is the Intended Parents, then
Surrogate and her Husband shall be entitled to receive all sums due
Surrogate under this Agreement.
C. Material Breach of Contract after Birth of the
Child
If after the birth of the Child, the Intended Parents fail to fulfill
any remaining financial obligations herein owing to Surrogate, or due
and owing to a third party that has a right of collection against the
Surrogate and/or her Husband, Surrogate shall submit a written demand
to Intended Parents to
pay such amounts. Any such demand must be received by Intended parents
within
six (6) months after the birth of the Child. Any such demand shall
include
any documentation Surrogate has available to her substantiating the
unpaid
obligation, such as bills, invoices or demands for payment. If the
Intended
Parents do not pay the unpaid obligation(s) within thirty (30) days
after
receiving the demand, then the Intended Parents shall be liable to the
Surrogate
and/or her Husband for the following sums:
(1) the attorneys' fees and costs paid and/or incurred by the Surrogate
and/or her Husband in enforcing collection herein, whether or not legal
proceeding is commenced; (2) an amount equal to any sums paid by
Surrogate and/or her Husband to a third party creditor to whom by the
terms and conditions of this
Agreement, the Intended Parents were obligated to pay; (3)the
attorneys' fees
and costs paid and/or incurred by Surrogate and/or her Husband relative
to
the resolution of the third party creditor's claim with them; and (4)
as
liquidated damages, the sum of One Thousand Dollars ($1,000.00) for
each violation
herein. In this regard, the parties agree that damages herein would be
extremely
difficult and speculative to establish and that the formulation herein
represents
a fair and reasonable means by which to compensate the Surrogate and
her
Husband on account of a material breach of the Agreement by the
Intended
Parents herein.
V. MEDIATION
THE PARTIES AGREE TO MEDIATE ANY DISPUTE OR CLAIM (EXCEPT AS PROVIDED
BELOW) ARISING BETWEEN THEM OUT OF THIS CONTRACT OR ANY RESULTING
TRANSACTION THROUGH MEDIATION BEFORE RESORTING TO COURT ACTION.
Mediation is a process by which parties attempt to resolve a dispute or
claim by submitting it to an impartial, neutral mediator, who is
authorized to facilitate the resolution of the dispute, but who is not
empowered to impose a settlement on the Parties. Mediation fees shall
be divided equally among the Parties involved. IF ANY PARTY COMMENCES A
COURT ACTION BASED ON A DISPUTE OR CLAIM TO WHICH THIS PARAGRAPH
APPLIES WITHOUT FIRST ATTEMPTING TO RESOLVE THE MATTER THROUGH
MEDIATION, THEN IN ADDITION TO ANY OTHER REMEDIES AVAILABLE AT LAW OR
EQUITY, IN THE DISCRETION OF THE ARBITRATOR(S) OR JUDGE, THAT PARTY
SHALL NOT BE ENTITLED TO RECOVER ATTORNEY'S FEES, EVEN IF THEY WOULD
OTHERWISE BE AVAILABLE TO THAT PARTY IN
ANY SUCH MEDIATION OR COURT ACTION.
Any matter which is within the jurisdiction of a probate or small
claims court, is excluded from the above mediation paragraph. The
filing of a court action to enable an injunction, or other provisional
remedy, shall not constitute a violation of the Mediation of Disputes.
VI. ATTORNEYS' FEES AND COSTS
In the event litigation is required to interpret or enforce the terms
of this Agreement in a court of competent jurisdiction, the prevailing
party shall be entitled to reasonable attorney's fees, court costs, and
to any other
relief to which the court determines said Party is entitled.
VII. INDEPENDENT LEGAL COUNSEL
The Parties hereby acknowledge that they have been advised to retain
and consult with independent legal counsel regarding the terms of this
Agreement.
By signing and otherwise executing this document, the Parties represent
they have consulted with independent counsel regarding the terms,
conditions, rights, duties, liabilities and enforceability arising
under the conduct contemplated
by this Agreement.
VIII. INTENTIONS OF THE PARTIES
In the event of any claim or dispute between the Parties concerning the
transactions contemplated by this Agreement, it is the desire of the
Parties
that their mutual intentions, as reflected in this Agreement, control
the
disposition of such dispute. The Parties' primary intentions, as
mutually
expressed in the Agreement, are:
1) Surrogate intends to provide a
valuable service of carrying the Intended Parents' Child to term and
thereafter
deliver to the Intended Parents, as legal, biological and natural
parents,
a healthy Child to the fullest extent that she is capable of doing so.
2) The Intended Parents intend to
utilize Surrogate's services to allow them to have borne to them a
Child
that is the biological and genetic Child of the Intended Father since
they
are medically unable to achieve this goal themselves.
3) The Parties intend for the
Intended Parents to have the authority to make all decisions affecting
the health of
the Child, both in utero and after the Child's birth.
4) The Parties do not intend for
Surrogate to be exposed to any medical risks over and above those
normally associated with pregnancy and childbirth. The Parties intend
that, in the event there is a substantial risk of physical harm to
Surrogate, she will have the authority to make all decisions affecting
her own health.
5) The Parties intend to be fully
bound by the terms of this Agreement, notwithstanding any changes that
may
occur in the law relating to surrogacy which may otherwise affect their
rights under this Agreement.
IX. WARRANTY
The Surrogate Couple and the Intended Parents
warrant and represent that they have not knowingly falsified or omitted
any material information relating to medical history, and further agree
that any knowing falsification or omission will constitute a material
breach of this Agreement.
X. GENDER OF CHILD
The Intended Parents agree to accept sole care and
custody of the
Child born pursuant to this Agreement regardless of the gender of said
Child.
XI. CONDITIONS OF PERFORMANCE; TERMINATION
The Parties' performance of this Agreement is
conditioned upon the following:
A. The Parties' review and approval to their
satisfaction of the medical and psychological evaluation results and
the Parties' judgment, in their sole and absolute discretion, that
there are no physical or mental health issues which warrant termination
of this Agreement. This condition shall be waived or deemed satisfied
by the Parties unless seven (7) days prior
to the Artificial Insemination procedure the objecting Party gives
written
notice of any objection thereto to the other Party.
B. If the contemplated pregnancy has not occurred
within a reasonable time, this Agreement may be terminated by any Party
giving notice to all Parties.
XII. INTEGRATED CONTRACT
This Agreement sets forth the entire Agreement
between the Parties with regard to the subject matter, all agreements,
covenants, representations and warranties express or implied, oral or
written, between the Parties are contained herein.
1) No other agreement, covenants,
representations, nor warranties, expressed or implied, oral or written,
have
been made by any Party to the other with respect to the subject matter
of
the Agreement.
2) All prior and contemporaneous
conversations, negotiations, alleged agreements, representation,
covenants and warranties, with respect to the subject matter contained
herein, are hereby waived and superseded by the written terms of this
Agreement.
3) This Agreement is an
integrated agreement and contains all of the terms and conditions and
duties of performance agreed to between the Parties hereto.
4) This Agreement may be amended
or modified only by a written agreement signed by all Parties
hereto.
5) The Parties stipulate
and agree that the conception, declaration of paternity and birth of
any child(ren) born pursuant to this Surrogate Contract shall take
place in the State of _____________. The Parties therefore
understand and agree that for purposes
of the issuance of birth certificate and any and all relevant
finalization of parental rights which can be facilitated in the State
of ___________, that
all rules and regulations in the State of ____________shall
apply. The
Parties stipulate and agree that for the above-stated purposes of the
birth
of the child and the finalization of parental rights, that
_______________ law shall govern any conflicts, interpretation and/or
applications of this Agreement.
For said above-stated purposes, the Parties agree that subject matter
and personal jurisdiction shall be vested in the courts of ____________
and venue shall be in a court of competent and appropriate jurisdiction
within the State
of _____________. The Parties further understand and agree to
facilitate
any necessary paperwork in order to complete a Stepparent Adoption in
the
State of ______________ in the event that the Intended Mothers
name
cannot be placed on the birth certificate prior to the child(ren)’s
birth
in the State of _____________.
The Parties stipulate and agree that this Surrogate
Contract has been drafted in the State of ______________, the Parties
have availed themselves of professionals in the State of ____________
and the State of __________, and as such, it is the express intent of
the Parties and material term of this Agreement that in the event of a
breach of contract or dispute NOT related to the birth of a child(ren)
or the finalization of parental rights
in the State of ___________, this Agreement shall be governed by and
construed
and enforced with, the laws of the State _____________. The
Parties
further stipulate and agree that for the above-stated purposes of a
breach
of contract or contract dispute, that _____________ law shall govern
any
conflicts, interpretation and/or applications of this Agreement.
For
said above-stated purposes, the Parties agree that subject matter and
personal
jurisdiction shall be vested in the courts of the State of
______________. In the event of a direct conflict of law which
would otherwise affect the finalization of parental rights in the State
of ____________, the Parties stipulate and agree to jurisdiction and
venue in the State of ______________.
XIII. PARTIAL INVALIDITY; CONSTRUCTION
In the event any of the provisions, whether sentences or entire
Paragraphs, of this Agreement are deemed to be invalid or unenforceable
by a Court of competent jurisdiction, said invalidity shall not affect
other provisions or applications of the remainder of this Agreement
which can be given effect without the invalid provision or application,
and to this end the provisions are severable. If such provision shall
be deemed invalid due to its scope or breadth, such provision shall be
deemed valid to the extent of the scope or breadth permitted by law.
The Parties agree that all the provisions hereof are to be construed as
covenants and agreements as though the words importing such covenants
and
agreements were used in each separate paragraph hereof. This Agreement
is
the result of negotiations between Surrogate Couple and the Intended
Parents,
who each have had the opportunity to obtain legal advice regarding the
same.
This Agreement shall not be construed for or against the Surrogate
Couple
or the Intended Parents on the basis of which Party physically served
as
the scrivener of this Agreement.
XIV. POST DELIVERY CONTACT BY SURROGATE
Contact after the Child’s birth is at the discretion of all Parties.
The Intended Parents shall take custody of, and parental responsibility
for, any Child born pursuant to the terms of this Agreement immediately
after the Child's birth, regardless of whether the Child suffers from
any physical or mental disease or defect, except as previously stated
above.
It is the responsibility of each Party to this Agreement to facilitate
procedural aspects in obtaining any court order, birth certificates
and/or other documentation which may be requested by the Intended
Parents and/or their attorney. It is
expressly agreed that the Intended Parents are to select the Child's
name and that any birth certificate issued through the medical facility
in which the Child is born shall reflect the name chosen by the
Intended Parents.
XV. RIGHT OF PRIVACY
If any adoption is required by law, the Parties agree that upon the
completion of an adoption of the Child conceived pursuant to this
Agreement, to permanently close the adoption file pertaining to said
Child, except as otherwise provided by Law.
The Parties acknowledge that to properly effectuate the terms of this
Agreement, the Parties must disclose information of a personal and
confidential nature to each other. The Parties mutually promise that
this information will be held in the utmost confidence and privacy. It
is agreed between the Parties that the best interests of the Child born
pursuant to this Agreement is best served by strict protection of each
others' right to privacy.
The Parties agree that they will not provide, nor allow to be provided,
any information to the public, news media or any other individual
regarding
their involvement in traditional surrogacy, the involvement of any
other
Party in traditional surrogacy or the identity of any Party hereto,
without
the express written permission and consent of the Parties; provided,
however, that if at a point in time more than five (5) years after the
date of execution of its Agreement, any Party is unable through
reasonably diligent efforts to contact another Party, then information
other than the identity of such other unreachable Party may be
communicated without such written consent. The Parties understand that
confidentiality as described herein does not contemplate
speaking with friends, relatives or other such persons about their own
involvement
in the gestational surrogacy arrangement. Such conversations are
permitted,
and do not constitute a breach of confidentiality, provided that the
identity
of, or other specific information about, the other Party is not
disclosed.
In order to maintain the confidentiality contemplated herein and in the
event that litigation rises out of the contract, the Parties to the
Agreement, their legal counsel, their heirs, assigns and
representatives agree to make all reasonable efforts to respect and
maintain such confidentiality, and the
right of privacy of all Parties as is intended by this Agreement, both
as
to the general public and to each other. Said reasonable efforts shall
include,
but not be limited to:
1) requesting that court records
be sealed; and
2) requesting the court to impose
gag orders; and
3) requesting that the court, in
its procedures and in the conduct of its hearings in this matter,
refrain from releasing the identity of the Parties to the public or to
the news media. The Parties of this Contract hereby consent to the
above described reasonable efforts and procedures in the event that any
such request is submitted by the other Party.
XVI. DEATH OF THE INTENDED PARENTS
A. The death of the Intended Father any time prior
to the birth and/or any adoption required by law of any Child conceived
pursuant to the terms of this Agreement shall not alter any terms of
the Agreement nor shall it prejudice the Intended Mother's right to
adopt the Child if adoption
is required by law, nor shall it alter her custodial rights and
responsibilities
with regard to the Child.
B. The death of the Intended Mother any time prior to the birth and/or
any adoption required by law of any Child conceived pursuant to the
terms of this
Agreement shall not alter any terms of the Agreement nor shall it
prejudice the Intended Father's right to adopt the Child if adoption is
required by law, nor shall it alter his custodial rights and
responsibilities with regard to the Child.
C. Prior to insemination, the Intended Parents shall
make guardianship provisions for the Child contemplated by this
Agreement
by amending their existing Wills, or by the execution of Wills
containing
such provisions if they have no existing Wills. In the event that the
Intended
Parents predecease the birth of the Child, the terms and conditions of
this
Agreement shall remain in full force and effect, and the Child shall be
delivered
into the sole care and custody of the guardian nominated in the Wills
of
the Intended Parents. By this Agreement, the Intended Parents hereby
designate
__________________ as the guardian of the Child.
D. In the event of the death of either the Intended Father or the
Intended Mother, the Child shall be placed into the custody of the
Survivor, if any. The Surrogate Couple and the Survivor hereby agree to
perform all remaining terms and conditions of this Agreement.
E. Any Child conceived pursuant to the terms of this Agreement shall
have all testamentary and inheritance rights from the Intended Father
and Intended Mother as a natural Child, and shall have no testamentary
or inheritance rights
from the Surrogate or Surrogate's Husband. The Intended Father and
Intended
Mother shall have testamentary and inheritance rights from the child as
parents.
XVII. TRUST ACCOUNT
The Parties to this Agreement concur that a trust account is not
required. A trust account may be set up by mutual agreement in
the event that both parties
deem this pertinent.
XVIII. LIFE INSURANCE
Prior to Artificial Insemination procedure, the Intended Parents shall
pay for the cost of a term life insurance policy of Two Hundred Fifty
Thousand Dollars ($250,000.00) on the life of the Surrogate. The term
of the policy shall cover, at minimum, the time period from the first
Artificial Insemination procedure through the birth of the Child and
for three (3) months after the birth of the Child. The named
beneficiary under this policy is the Surrogate’s Husband and/or the
Surrogate Couple’s children. The Surrogate shall fully comply and
cooperate with any and all requests of any prospective life insurance
policy carrier in obtaining a life insurance policy.
The Surrogate's failure to so cooperate and comply with said insurance
carrier constitutes a legal excuse for the Intended Parents' failure to
obtain a policy
as specified above.
XIX. HEALTH INSURANCE AND MEDICAL EXPENSES
Intended Parents shall pay all of Surrogate's medical expenses that are
related to the Artificial Insemination procedure and/or pregnancy and
that
are not covered by insurance.
The Surrogate will present all medical, hospital, prescription and
other expenses to said insurance company for payment within a
reasonable time of receipt of same by her.
The Surrogate shall immediately send any correspondence or other
written memoranda that she receives from the insurance company directly
to the Intended Parents, including but not limited to, cancellation
notices and changes in coverage (amendments).
The Surrogate understands and believes to the best of her knowledge
that she has medical coverage, which includes complete pregnancy care
and delivery, and provisions for payment of C-Section delivery if
required. The Surrogate makes no warranty that her medical insurance
will pay any or all costs associated with the pregnancy contemplated by
this Agreement, and the
Intended Parents agree to make all payments in the event the
Surrogate's medical insurance does not pay her medical expenses unless
non-payment is the result of Surrogate's negligence, such as the
failure to submit expenses to the insurance company for reimbursement.
Intended Parents' obligation to pay for Surrogate's unreimbursed
medical expenses and Surrogate's health insurance (if applicable) shall
terminate twelve (12) months after the birth of any Child pursuant to
this Agreement, twelve (12) months after miscarriage or abortion, or
when this Agreement is
deemed terminated, whichever occurs first. However, if Surrogate
develops medical complications after birth, miscarriage or abortion and
if Intended Parents are advised in writing of the complications within
ten (10) weeks after the birth, miscarriage or abortion, Intended
Parents' obligation hereunder shall continue until twelve (12) months
after the birth, miscarriage or abortion, or until Surrogate's recovery
from the medical complications is complete in
the opinion of the Surrogate's obstetrician, whichever occurs first.
The foregoing paragraph shall not apply to an abortion in violation of
this Agreement, in which case the provisions of Paragraph III(J) shall
apply. In
no event shall the Intended Parents be responsible for Surrogate's
medical expenses or for health insurance for Surrogate more than twelve
(12) months after the birth, miscarriage or abortion.
XX. CONSIDERATION FOR SERVICES
In consideration of all services to be rendered, time to be spent, pain
and suffering, personal discomfort, child support, living expenses and
other personal inconveniences and costs to be incurred by Surrogate in
performance of all the terms and obligations set forth in this
Agreement, Intended Parents shall pay or cause to be paid the amounts
specified below. Payments made to
the Surrogate shall be made by the Intended Parents, and said payments
are
not to be contingent upon surrender of the Child to the Intended
Parents, nor upon the Surrogate's waiver of rights or responsibilities
pursuant to this Agreement. These payments will be made in the amount
and at such times to such persons or entities as is indicated below:
A. The costs and fees of medical service providers
for initial medical testing to determine Surrogate's suitability as a
traditional surrogate.
B. The costs and fees of medical service providers
for the Artificial
Insemination procedure, and all related pre-insemination medical
expenses.
C. All medical, pharmacy, hospital, laboratory and
therapy expenses incurred by Surrogate during, or resulting from
complications arising from Artificial Insemination procedure, that are
not payable under Surrogate's health insurance policy.
D. All medical, pharmacy, hospital and laboratory expenses associated
with any testing done at the request of the Surrogate's
obstetrician/midwife that are not payable under the Surrogate's health
insurance.
E. The total sum of Eighteen Thousand Dollars ($18,000.00), subject to
the provisions of this subparagraph, subparagraphs Q and R below, and
paragraphs III and IV hereof, payable to Surrogate as full
consideration for child support, living expenses, personal discomfort
to Surrogate in connection with this Agreement. Surrogate will receive
this sum in payments of One Thousand Five Hundred Dollars ($1,800.00)
per month. The first of these payments will be made within five (5)
days following confirmation of pregnancy via blood or urine test
performed in a medical setting by a doctor or his staff, and will
continue on the first of every consecutive month thereafter, so long as
Surrogate is pregnant, until a total of Eighteen Thousand Dollars
($18,000.00) has been
awarded to Surrogate.
F. All costs and fees of medical service providers for paternity
testing pursuant to Paragraph III, subparagraph B, of this Agreement,
if requested by the Intended Parents.
G. Surrogate's attorney fees for independent legal advice regarding the
meaning and consequence of this Agreement (but not for any legal advice
or
representation regarding breach or enforcement of this Agreement).
Surrogate
and her Partner represent that they have retained an attorney of their
choice
for purposes of reviewing and negotiating this Agreement, and that such
attorney
has fully advised them as to the terms and effects of this Agreement. A
court
may award attorneys' fees to any prevailing Party in an action related
to
this Surrogate Contract.
H. All court costs, filing fees and copying fees for
a judicial declaration of paternity and maternity.
I. Surrogate's attorneys' fees for legal
representation relative to obtaining a Judgment of Maternity and/or
Paternity, and/or adoption, if required.
K. Expenses incurred by Surrogate for travel, lost
wages, babysitting, telephone calls and miscellaneous expenses will be
paid by the Intended Parents in a timely manner not to exceed one month
from date of submission.
Surrogate acknowledges that it is her responsibility to submit an
itemized
statement of expenses to the Intended Parents for reimbursement.
The
Surrogate can subtract expenses from an advance for various agreed upon
expenses.
L. The actual cost or fee charged by a mental health
care professional for psychological testing and/or counseling for
Surrogate
prior to the Artificial Insemination procedure, during pregnancy and
for
a three (3) month period after delivery, as advised by such mental
health
care professional, whether through support group meetings or individual
counseling.
M. In the event the Surrogate's treating physician or obstetrician
orders bed rest or other restrictions for Surrogate in connection with
the pregnancy or birth of the Child as contemplated in this Agreement,
the Intended Parents shall pay the Surrogate for additional required
services including, and limited to, net lost wages, less any paid
disability benefits, and reasonable child care and housekeeping
expenses, during the period of bed rest/restriction ordered by the
treating physician/obstetrician up to the birth of the Child and for a
period of time not to exceed six (6) weeks after the birth of the Child
through vaginal delivery and eight (8) weeks after the birth of the
Child by a Cesarean Section.
N. Should the Surrogate, due to unforeseeable
circumstances, such as loss of employment, risk losing her medical
insurance coverage, she shall immediately notify the Intended Parents
in order that provisions can be made to address the options of
converting the policy to COBRA coverage so that the Surrogate will not
suffer loss of medical coverage. Should the Surrogate have to convert
her policy, the cost of said policy shall be borne by the Intended
Parents.
O. Death of the Child prior to the 24th week of pregnancy shall
terminate this Agreement and there shall be no further duties of
performance under this
Contract of the Intended Parents except as to those medical costs and
expenses
related to pregnancy, that the Intended Parents are responsible for
pursuant
to Paragraph XIX of this Agreement, incurred by the Surrogate up to and
including
the date of death, and those medical costs and expenses which are
reasonably
necessary and related to the health, safety and well being of the
Surrogate.
However, in the event the Parties choose to continue the surrogacy
arrangement
after such death, this Agreement shall remain in full force and effect
and
the termination is deemed waived.
P. If death of the Child occurs after the 24th week of pregnancy, the
Intended Parents will continue to pay the aforementioned expenses from
subparagraphs D, E, K, L, M and N of this Agreement for a two(2) month
recovery period.
Q. In the event Surrogate undergoes a C-Section delivery she will
receive payment of One Thousand Dollars ($1000.00) for the procedure.
R. Surrogate shall receive Seven Hundred Dollars ($700.00) upon
reaching twelve (12) weeks gestation for maternity clothing allowance.
S. Intended Parents shall be responsible for the health club membership
for Surrogate for a maximun of Sixty-Five Dollars ($65.00) per month
upon
execution of this Agreement and continuing one (1) month after the
birth
of the Child.
T. The Surrogate’s Husband shall be entitled to reimbursement for lost
wages by the Intended Parents for a maximun of five (5) days during the
course of
this Agreement. In the event that the Surrogate’s Husband is able
to
take additional time off for purposes of the delivery of the Child, the
Intended
Parents agree to reimburse Surrogate’s Husband for for a maximum of
five
(5) additional days for a total of ten (10) days lost wages in an
amount
not to exceed the total sum of ___________.
In recognition of the Intended Parents' obligation as set forth under
___________ law, to support this Child from the time of pregnancy is
diagnosed, the Intended Parents agree to pay or cause to be paid, such
sums as are indicated in this Agreement. The Surrogate shall be
entitled to her payment pursuant to this Agreement notwithstanding the
fact that the Child is diagnosed to have a terminal
condition or is stillborn. If the Child is still born, then Surrogate
shall
receive her payments pursuant to Paragraph XX, subparagraphs O and P of
this
Agreement.
The Parties agree that the consideration paid pursuant to this
Agreement constitutes reasonable monetary compensation for all foreseen
and unforeseen losses, costs, expenses incurred and services rendered
by Surrogate in carrying out her obligations thereunder, not payment
for the Child, nor payment for Surrogate's consent to surrender the
Child to Intended Parents. The Parties represent and acknowledge to
each other that Surrogate is not an employee to any Party to this
Agreement.
XXI. TAXATION AND IMMIGRATION
This Agreement does not instruct the Parties on immigration and
taxation. It is the responsibility of the Party receiving payments or
any other benefits pursuant to this Agreement to seek independent legal
advice regarding the tax consequence of said payments, benefits and/or
immigration laws.
XXII. EXECUTION
This Agreement may be executed in two (2) or more counterparts, each of
which shall be an original, but all of which shall constitute one and
the
same instrument.
XXIII. NOTICE
Any notice permitted, required or desired to be given pursuant this
Agreement shall be deemed to have been given two (2) business days
after sending by Federal Express or other comparable overnight express
courier service (with proof of receipt available), or on the same
business day if personally delivered, addressed to the Parties as
follows:
If to Intended Parents:
With a copy to:
(Attorney)
If to Surrogate Couple:
With a copy to:
(Attorney)
XXIV. ACKNOWLEDGMENTS
We, the undersigned, acknowledge that we have read this document in
full, we acknowledge that we understand and accept the content of each
provision and its legal effect prior to entering into this Agreement.
Each Party acknowledges that it fully understands the Agreement and is
signing the same freely and voluntarily and that no Party has any
reason to believe that the other Parties did not freely and voluntarily
execute this Agreement.
The Parties stipulate and agree that this Surrogate Contract has
been drafted in the State of _________________, the Parties have
availed themselves of professionals in the State of _______________ and
the State of _____________, and as such, it is the express intent of
the Parties and material term of this Agreement that in the event of a
breach of contract or dispute NOT related to the birth of a child(ren)
or the finalization of parental rights in the State of _____________,
this Agreement shall be governed by and construed and enforced with,
the laws of the State of ________________. The Parties further
stipulate and agree that for the above-stated purposes of a breach of
contract or contract dispute, that ______________ law shall govern any
conflicts, interpretation and/or applications of this Agreement.
For said above-stated purposes, the Parties agree that subject matter
and personal jurisdiction shall be vested in the courts of
_______________. In the event of a direct conflict of law which
would otherwise affect the finalization of parental rights in the State
of ______________, the Parties stipulate and
agree to jurisdiction and venue in the State of _______________.
WE EACH SEPARATELY DECLARE UNDER PENALTY OF PERJURY
UNDER THE LAWS OF THE STATE OF __________________ THAT THE FOREGOING,
AND ANY OTHER INFORMATION PERSONALLY KNOWN TO THE PARTIES, AND PROVIDED
TO EACH OTHER IS COMPLETE, TRUE AND CORRECT TO THE BEST OF OUR
KNOWLEDGE, AND THAT WE AGREE TO ALL TERMS HEREIN.
IN WITNESS WHEREOF, the Parties have executed this Traditional
Surrogate Contract as of the date indicated above.
______________________
_____________________
(Name) "Intended Father"
Date
______________________
______________________
(Name) "Intended Mother"
Date
______________________
_______________________
(Name) "Surrogate”
Date
_______________________
_______________________
(Name)"Surrogate's Husband"
Date
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