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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