The Journal of Clinical Ethics
219 West Washington Street, Hagerstown, Md. 21740(240)420-0036 • Fax: (240)420-0037 • jce@clinicalethics.com • www.clinicalethics.com

Institutional Electronic Access License
Definitions
Institutions that purchase internet access to electronic content of The Journal of Clinical Ethics (JCE) aresubscribers, and their authorized users may access their subscription via IP address, or a range of IP addresses.
Institutions are defined here as academic, business, governmental, and non-profit organizations. Internet access is defined here as access to the electronic content of JCE via the web. The electronic content of JCE corresponds to the print content.
A subscriber is defined as an institution that purchases access to JCE by volume year. A subscriber’s authorizedusers are defined as including only the employees, faculty, staff, and students officially affiliated with the subscriber,and persons with legal access to the subscriber’s collections and facilities, using the IP addresses or range of addresses identified in the appendix to this license. An institution’s authorized users are permitted access to the electronic content for which the institution maintains a valid subscription, subject to confirmation by JCE and amendment.
Subscriptions to JCE are sold by volume year and include four issues per volume year: spring, summer, fall, andwinter. A subscriber’s access to electronic content is limited to the volume years available in electronic version thatare purchased by the institution. The subscriber will have access to any volume year it has purchased even if it does
not hold a subscription to the current volume year, unless the license becomes forfeit, as described in items 2, 4, 5,and 6 below.
Prepayment is required
Subscribers must have a prepaid subscription to the electronic version of JCE or have a prepaid print + electronic
subscription to access the electronic version of JCE. A subscriber with a paid subscription to the electronic version ofJCE must print out, complete, and return a copy of the Institutional Electronic Access License to register its IP
addresses or range of IP addresses. JCE will alert the subscriber’s registered technical contact by e-mail when thesubscriber’s electronic access is activated.
1. The License
By signing this Institutional Electronic Access License (license), the institution identified below (subscriber)
agrees to the terms and conditions set forth in this license. In turn, The Journal of Clinical Ethics (JCE) grants thesubscriber and its authorized users the right to access the electronic version of The Journal of Clinical Ethics subject
to these same terms and conditions.
Subscriber (name of institution):
Agency (if any):
Name of subscriber’s technical contact person:
E-mail of subscriber’s technical contact person:
Subscriber’s address:
Subscriber’s telephone #:Subscriber’s e-mail:Fax #:

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JCE will notify the subscriber’s technical contact person by e-mail when the subscriber’s access to the electronic
version of JCE is active. The subscriber must send any changes in the name of the technical contact person or contact
information to jce@clinicalethics.com.
2. Authorized users, terms, and conditions
JCE grants to the subscriber and its authorized users access to the volume year or years of the electronic versionof JCE that the subscriber has purchased. This grant extends only to the subscriber and such authorized users individually, and this subscription may not be transferred to, or extended to, others.
Authorized users include only the employees, faculty, staff, and students officially affiliated with the subscriber,and persons with legal access to the subscriber’s collections and facilities, using the IP addresses or range of addresses identified in the appendix to this license.
The subscriber will exercise reasonable vigilance and shall be responsible for all access control and security
measures necessary to ensure that the subscriber’s IP addresses or range of addresses are not used to access theelectronic version of JCE by anyone other than authorized users. The subscriber warrants and represents that common and reasonable methods will be used to inform authorized users of general terms and conditions for the use ofelectronic versions of journals that are consistent with this license. Furthermore, the subscriber will make every
reasonable attempt to enforce the terms of this license upon receiving information from JCE or any other source thatreasonably indicates that one or more authorized users is in violation of the terms of this license, which may result inthe termination of access, without refund or credit.
3. IP address
Authorized users will be recognized and authorized by IP addresses or range of addresses. The subscriber will
provide its IP addresses or range of addresses in the appendix to this license.
4. Permitted use
The subscriber and its authorized users are permitted online access to the electronic version of JCE indicated initem 1 above, and may download, save, or print text, search results, or other information from JCE solely for theprivate use or research of the subscriber and its authorized users. The subscriber and its authorized users may only
use this electronic version of JCE in a way that conforms with all applicable laws and regulations. JCE grants thesubscriber and its authorized users permission to use brief quotations from the electronic version of JCE text articles
with the customary acknowledgment of the source, and to copy and transmit content from individual JCE articles in“person-to-person” and non-systematic scholarly exchanges of information between authorized users and specificindividuals. The subscriber specifically agrees that use by the subscriber or its authorized users, other than indicatedabove is a violation of the terms of this license, and may result in the termination of access, without refunds orcredits, and will result in the termination of access to electronic content, without refund or credit. All rights andownership to this material in electronic, recorded, or printed format are reserved by JCE. Nothing in this license isintended to limit in any way whatsoever subscribers’ or any authorized users’ rights under the Fair Use Provision ofUnited States or international law to use JCE.
Specifically, regarding Fair Use: Traditional concepts of fair use apply. Clients may supply a single paper copyof an article from the electronic version of JCE, for research or private study, but not for commercial use (forexample, a course pack that is sold to students), by mail or fax, to an authorized user at another library. Clients may
supply a copy of an article from the electronic version of JCE, for research or private study, but not for commercialuse, in electronic format to an authorized user at another library, provided the electronic file is deleted immediately
after printing one copy. Clients may not post or distribute any part of the electronic version of JCE on any electronicnetwork, including without limitation the internet and the world wide web, other than its own secure network. Clients
must obtain the publisher’s express written permission to use any part of the electronic version of JCE for any
commercial use or to systematically distribute any part of the electronic version of JCE to anyone other than its
authorized users.

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5. Prohibitions on certain uses
Altering, recompiling, systematic or programmatic copying, reselling, redistributing, publishing, or republishing (beyond the brief quotations permitted under item 4 above) of any journal text or other information from JCE, or
any portion thereof, including, without limitation, copyright, proprietary and/or other legal notices contained therein,in any form or medium, is prohibited. Systematic or programmatic downloading (for example, downloading entire
journal issues), redistribution by a service bureau, printing for fee-for-service, and/or the systematic making of print
or electronic copies are prohibited.
Downloading portions of JCE for the purpose of creating pre-loaded systematic and persistent local copies (notincluding transient, dynamic caches of individually requested material) for redistribution is prohibited. All rights not
expressly granted in this license are reserved by JCE. The subscriber and its authorized users may not circumvent
JCE’s access control systems or use JCE’s systems or services to make any attempt to gain unauthorized access toany other system or network.
6. Duration of LicenseThis license will become effective on receipt by JCE of the license signed by an authorized agent of the subscriber, and, subject to the terms and conditions of this license, will remain in effect unless the license is terminated.
No refund will be made for any portion of the subscription that may remain after termination. This license willterminate:a. If JCE elects to discontinue the electronic version of the journal (termination would be effective at the end of thevolume year, after the subscriber had access to all electronic content for that volume year).
b. Following 30 days’ prior written notice by JCE to the subscriber that any term or condition of this license has
been violated by the subscriber or its authorized users, for any reason, knowingly or unknowingly, provided theviolation is not remedied with all reasonable haste on notification. JCE reserves the right to suspend the subscriber’s
access to electronic content immediately upon detecting a breach of this license. JCE will use reasonable effort to
notify the subscriber as soon as possible using the e-mail address the subscriber provided for its technical contact
person. No refund will be made for any portion of the subscription that may remain after termination.
7. CopyrightThe content of the electronic version of JCE is copyrighted by JCE. The electronic version of JCE is subject to allapplicable copyright, database protection, and other rights of JCE under the laws of the United States and othercountries. Copyright notices in JCE may not be removed, obscured, or modified in any way. Unauthorized copyingor redistribution of any JCE content in any format is a violation of copyright laws.
8. Technical access
JCE intends for its electronic content to be available 24 hours per day, 7 days per week. However, JCE will not
be liable for damages or refunds should the electronic version become unavailable temporarily or access to theelectronic version become slow or incomplete due to system back-up procedures, internet traffic volume, upgrades,
overload of requests to the server, general network failures or delays, or any other cause that may from time to time
make the electronic version of JCE inaccessible to subscribers. JCE will make reasonable efforts to notify subscribers of any unusually extended interruptions and will attempt to restore access to the electronic version of JCE as soon
as possible.
9. Official version of record
JCE will use commercially reasonable efforts to ensure that the electronic version of JCE corresponds in content
with the print version, but JCE does not guarantee that it does. In the event of any discrepancy between the print andelectronic versions, the print version will be the official version of record.

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10. Usage rights
Once a subscriber purchases a subscription to the electronic version of JCE for a volume year, its access to thatvolume year will continue unless the license is terminated, as described in item 6 above. The subscriber is notrequired to have a current subscription to the electronic version of JCE to access volume years that it purchased in thepast.
11. Warranty
JCE warrants that it is entitled to grant the license granted in this agreement. Except as set forth in the preceding
sentence, JCE makes no warranty or representation of any kind, express or implied, with respect to the electronicversion of JCE, including its accuracy, completeness, merchantibility, or fitness for a particular purpose. Neither JCE
nor subscribers shall be liable for any indirect, special, incidental, punitive, or consequential damages, including but
not limited to the loss of data, interruption of business, or loss of profits arising out of the use of or the inability to use
JCE content. In no event shall the total aggregate liability of JCE for any claims, losses, or damages arising out of any
breach or termination of this agreement exceed the total amount paid by the subscriber to JCE for the electronic
version of JCE. The foregoing limitation of liability and exclusion of certain damages shall apply regardless of thesuccess or effectiveness of other remedies. No claim may be made against JCE unless suit is filed within 1 year after
the event giving rise to the claim. JCE does not hold itself responsible for statements made by any contributor to thejournal. Statements or opinions expressed in JCE reflect the views of the authors. JCE is published as an information
and research tool only. JCE is not rendering legal or medical advice, nor is it to be held liable for the accuracy of theinformation it contains.
Subscribers shall not be responsible for unauthorized use or infringement of the electronic version of JCE, thecontent it contains, or JCE by any authorized user provided that:a. The subscriber is in compliance with all material terms and conditions of this agreement,b. Such unauthorized use or infringement is without the consent of the subscriber,c. The subscriber promptly notifies JCE of any material unauthorized use or infringement of which it becomesaware, andd. Subscriber takes all reasonable steps to cause such authorized use or infringement of which ti is aware to stop.
The subscriber shall cooperate fully with JCE in any investigation of such unauthorized use or infringement. JCE
shall have the sole right, at its discretion, to bring any action on account or such unauthorized use or infringement,
provided that JCE shall not bring any action against any authorized user or infringing party without first consulting
the subscriber.
12. General
This license and its appendix constitute the entire agreement between the parties and supersede any prior communication between the parties with respect to the subject matter thereof. The item headings used in this license arefor convenience only, and are not to be considered in construing the terms of this license. The subscriber may notassign or transfer its rights under this license. The provisions of Items 2, 4, 5, 7, 9, 10, 11, and 12 hereof shall survive
any expiration or termination of this license.
This license will be governed by, and construed in accordance with, the laws of the State of Maryland, applicable
to contracts entered into and fully performed in the State of Maryland. An action arising out of, or relating to, thislicense or the electronic version of JCE shall be brought in courts situated in Washington County, Maryland, and theparties consent to the jurisdiction of such courts.
The parties mutually agree to opt out of the Maryland Uniform Computer Information Transactions Act, Md.
Code Ann. [Commercial Law] sections 21-101 through 21-816 (2000). This contract shall be governed by Maryland
Common Law of Contract. No modification or claimed waiver of any provision of this Agreement shall be valid
except by written amendment signed by authorized representatives of JCE and the subscriber.

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I have read and agree to adhere to and abide by all the terms and conditions stated above, and I certify that I am
authorized to sign this license on behalf of the subscriber identified in Item 1 above.
Name:

Title:

Signature:

Date:

Appendix: Subscriber’s IP Address
Institutional subscribers may purchase IP-address-based access to the electronic version of JCE.
Each computer that accesses the internet is assigned an IP address, commonly represented as four number groups
separated by dots. Access to JCE from a subscriber’s authorized site will be provided based on the IP addresses orrange of addresses that the subscriber provides. (JCE recommends that the subscriber consult with its network administrator to determine its IP address, addresses, or range of addresses and other critical information about thesubscriber’s network configuration.). All information provided regarding subscriber’s IP addresses or range of addresses will be verified by JCE, andJCE will contact the subscriber’s network contact (identified on page 1 of this agreement) if additional clarificationis necessary.
Name of subscriber (institution):
Subscriber’s domain name (as registered with ICANN):
IP address, addresses, or range of addresses (enter here or supply list in separate document):