Book Contributor Release Form

Health Rosetta Group Contributor’s General Release Form

By consenting to this agreement, contributors to Health Rosetta Group projects enable the Health Rosetta Group to fulfill its mission to improve the cost and quality of the U.S. and other  health care systems by enabling benefits purchasers to change how and what they buy.

The Contribution(s)

Contribution Title:  

Author Name:


Grant of Non-Exclusive Worldwide Rights

In consideration of the purpose and goals of the Institute, and the potential publication of the Contribution(s) listed above (“the Contribution”), you hereby grant to the Health Rosetta Group PBC, its employees, agents, licensees, subsidiaries, affiliated entities, and others acting on its behalf (“HRG”), the non-exclusive, perpetual, worldwide, right to use, publish, modify and copy the Contribution, in the CEO’s Guide to Restoring the American Dream: How to deliver world class healthcare to your employees at half the cost, in any other media now or hereafter known, as a contribution to any current or future Health Rosetta component, in any HRG publication, as part of HRG’s offline and digital publishing program(s), as part of a repurposed work, or in connection with any and all projects of HRG and its affiliates (“HRG Work”). This includes collections of Contributions gathered together in book or other form and sold to the commercial book trade or other commercial entities, which can benefit HRG financially while also fulfilling HRG’s mission. You acknowledge that HRG has no obligation to publish the Contribution.

Author Retains Copyright

You as author retain all copyright in your original work for your own personal use, so long as your use does not infringe on the rights you have granted to HRG.

Authoring Credit, Complimentary Copies, and Notice

HRG shall use reasonable efforts to appropriately acknowledge and credit your authorship of any discrete contribution, or otherwise acknowledge and credit your contribution to a collective work. HRG promises to provide you a complimentary copy of any printed work that includes the Contribution, and to provide you with a downloadable copy of any electronic work that includes the Contribution. If the latter is not possible (e.g., in the instance of publication on the Web), HRG shall use reasonable efforts to notify you of the time and place of such publication. HRG’s failure to provide you with the aforementioned copies or notices shall not affect the validity of this release, but HRG agrees to use reasonable efforts to provide you with any copies or works comprising the Contribution, upon request.

General Release

You warrant that the Contribution is your own, that you have full exclusive power to execute this agreement, and that you have properly credited any use of the research of others. You guarantee that the Contribution contains no violation of any existing copyright or other third-party rights. You warrant that you have all necessary permissions, licenses, rights and consents from all researchers and other contributors to the Contribution, and you are not, and will not be, violating any rights of any third party by submitting the Contribution. You agree to indemnify HRG for any damages, including reasonable attorneys fees, resulting from any judgment for copyright infringement, defamation, invasion of privacy or other breach of any representation herein. You hereby release and discharge HRG from any claims arising out of or in connection with the use of the Contribution or any reproduction thereof. You also waive any right to inspect or approve the finished product and any right to royalties, compensation, or any other financial gain arising from the use of the Contribution by HRG. In the case that the Contribution is published in any single work with multiple authors, this agreement applies only to your contribution of such work.


Signature: Signed Electronically Below                 







Note on Electronic or Telecopied Signatures

Any party's signature to this Agreement or to amendments to this Agreement delivered by facsimile transmission or by e-mail transmission of a signed, scanned document , or by email of a PDF document with an electronic signature shall be deemed to be an original signature to this Agreement or to the amendment and shall be given the same force and effect as an original signature to this Agreement or the amendment for all purposes.

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Signature Certificate
Document name: Book Contributor Release Form
lock iconUnique Document ID: 6818ee6e62bccc4b91d4f60c03aef5ed52063cc8
Timestamp Audit
August 16, 2017 9:39 am PDTBook Contributor Release Form Uploaded by Sean Schantzen - IP