HomeMy WebLinkAboutfully signed document for NW Assessment Services PLLCThis Agreernent is madg by and between Kittrlas county (hereinater,the county,,)"nd fnereininerltontraao/,). The County andContractor agree as followil-
General conditions; Exhibit A (scope of work); Exhibit B (compensation);Exhibit C (proof of lnsurance).
copies of wltich are attached hereto and incorporated herein by l6is reference as fully as ifset forth herein.
Contractor acknowledges and by signing this Agreement agrees that thelndemnilication provisions set-forth in Parigrainfi (l;J;p;dent contractor), 9 (Taxes),15 (Defense and rndem.litv Agreement),-2i (e"t""uclnvridt hfrfi#;tj and 2a(confidentiality)' are,lotally-andfully part of ttris njreemdnt-ano travi ueen mutuallynegotiated by the parties.
I lN wrNEss wllEREoF, the parties have executed this Agreement rni, 2lllv
of ltl.v. , 2023
Profescional Scrvicgs Agreemenl (rev. 0gt24 t201gl
Page 1 of17
APPROVED
NorthwestAssessment services, pLLc BOARD oF couNTy coMMlssl ONERS
UNTY, WASHINGTON
of n(Date
{fNameSignatory
Contrector Addresr:
PO 918
Project Contact:
Monica J. Pitarc, ph.D.. ABpp
of
as to Form:
Deputy Attomey
County'r Addregg:
Kittitas County
205 West 5h Avenue, Suite 10g
Ellensburg, WA 98926
Project Contact:
Kim Dawson, Sheriffs Adrninistrative Assistant
F:g:Tfi,, tc.iccs Asreamenl (rev' ost24t2o18,
GENERAL CONDITIONS
1. $cooe of Conlracto/s Services:
contractor agrees to provide to ttre county services and any materials sat forth in the projec{narative identified in.Exhibit'A" during tne Agreement p"ii,ij No material, labor, orfacilitieswill be fumished by the county, unlesl otheivise proufu*Jror in the Atree;;i. '
2, Pprforqrance of Work:
Conkactor shall perform work in accordance with, and shall comply with, all of the provisionsof this Agreement. Ail work shail compry with appricabre *0", and ordinances.
3. Sche{u[e of performance;
unless directed othennrise uy tne county, conlractor shall perform the work in accordancewith any schedules made a part of this Agreement.
- '- " -'
4. Pefinitiorp:4'1 "Additional lnsureds" means the County, its succgssors and assigns, andthe respective directors, officers, employees, agents and repreintatives ofthe County and its successors and aisigns. '
4'2 "Support" means the following: Contraitor's directors, officers, employees,agents and r-epresentatives; and sub-Contractors of any tier; tne respectivedirectors, officers, employees, agents and representatives of these sub-Contraclors of any tier; and anf other person or entig acting-'unOer thedireclion or control of, or on behalf of, C'ontractor or any Contflclor's sub-Contractors oJany tier in connection wiih or incident to tne peJornance of theWork or this Agreernent.4'3 The "Work" means allof the duties listed in ExhibitA and the performance ofall other obligations, under this Agreement by Contrac'tor or iti Support,
5. Acco.untino 4nd pavment fcr Csntrac{or $eruices:PaymenttothecontraaffierihisAgreementshallbeassetforth
in Exhibit "8", where Exhibit "8" requires payments by the county, payment shall be basedupon billings, supporred untess otherwise pr6vided in
'Exhibit;'B',,'uy o6.ur";ffi;; of unitsof work aclually performed and amounts earned, incruoinj-wrrerd appiopri.i", it" actualnumber of days worked each ntonth, total number of hours f6r the rorith, iltiil- tot l ooll",payment requested. unress.specificaily stated in Exhibit',Q,, or ;ttffid ;i'ivriting inadvance by the Kittitas County Board of Commissioner,s, tfre County wilf not ,"imUurse thecontractor for any costs or expenses incurred by the bontractor in performance of thisAgreement.
wtere required, the County shall, upon rgTipl of appropriate documentiation, compensatelhe Contractor, no rnore ofien than'monthly, throujn tne CounV voucne,
"ystem,
tor thecontractols service pursuant to the fee schedute sit nrttr intxhibit',8,'.
Profes:ion3! Services Ag reemenl (rev 09/2412 0 1 g)
Page 3 of 17
O Assigrnmqnt and Subcontractinq:
No portion of thls ngreCmCnt may bo assigned or subcontracted to any other individual, firmor entity wilhout the express and prior wriien approval of the county.'
7. lndgoendent Contraetor:
The Contractor's servioeC inatt be furnished by the Conlractor as an independenl Contractorand nolhing herein contained shall be conilrued to create a relationship of employer-employee or masler-servant, bul all payments made hereunder
"nJ"rii.nfir"r performedshall be made and performed puisuanl to this ngiel;ent by the contractor as anindependent Contractor.
The Contractor acknowledges that the entire compensation for this Agreement is specifiedin Exhibil "8" and the Coniractor is not.entitled to any Countv benefrts including, but notlimited to: vacation pay, holiday pay, sick leave pav,'reolcal, dental, or other insurancebenefits, or any other rights or piivileges afforded io xilu, County emprov"ei.
Contractor will defend, indemnify and hold harmless the County, irs Additional tnsureds,ofiicers, agents or employees irom any loss or "rp"n.i, inciuding uut not limited tosettlements, judgments, setoffs, attorneys'fees or *rts -incrned
by-reason of .lai*" o,demands because of breach of the proviiions of this p"iigr.pn.
& No Guarantee of Employmegl:
The performance of all or pirr ot tnis Agreement by the Contractor shall not operate to vestany employmenl rights whatsoever and shall not bb aeemeO to grar"nt"einiemployment
of the Contractor or any employee of the contractor oi".v *u-conri..toi oi-lnv'"rpluvoof any sub-contractor by the iounty at the present tirne or in the future.
9. Taxes:
The contractor understands and acknowledges that the coung will not withhold Federal orstate income taxes..ltqtt requirecl by ttai! or FJo"r"lii*, tn" contr.ctor authorizes theCounty to make withholding ro1 any laxes other than income taxes (i.e., Medicare). Allcompensation received by the Contractor will be reported to the lnternal i"u"nue Serviceat the end of the calendar year in accordance with ihe appftcable lRs reguraiionr, tt i, m.responsibility of the Contraclor to make the necessarv eiii*at"o t.ipvm*ls inrougnourthe year, il any, and the contraclor is solely lilbb f6r .ny t r oullgatidn aiblng'from tl,eContractor's performance. of this Agreemeni. The Contractor hereby agrees lo indemniffthe County against any demand to pay taxes arising rrom the Confraiiors tailure to paytaxes on compensation earned pursuant to this Agrdment.
The County will.pay sales and use laxes imposed on goods or services acquired hereunder
1s required by law. The Conlractor must pay all otlier taxes inctuoing, birt not'limiteo to:Business and occupation Tax, taxes based on the Contracto/s gross or net in@me, orpersonal-property to which the County does not hold title. The -County is exempt tromFederal Excise Tax"
Professional Services Agree ment (rev O 9124i 20 1 I )Page 4 ot 17
10. Bequlations and Reouirement:
This Agreement shall-ue suO;ect to all laws, rules and regulations of the United States ofAmerica, and State of Washington, and politicat suudivisi;;i of the Slate of washington,and to any other provisions set fonn hercin or in the attacneo'exhiblts
11. Riqht to Review.
This conlracl is subject to review by any Federal or State auditor. The County or its designeeshall have the right to review ano mbnitor the financiel anc r"*i"r codd;;ts of thisprogram by whatever means are deerned"elqedien!_by the county. Such review may occurwith or wilhout notice, and may include, buiis not lir;ited to, on-site inspection by countyagents or employees, inspection of all records or other mat*iab which ine Counil deemspertinenl to the Agreement and rts performance, and any rnJirr'*iil",iriJ.fiili; wilh orevaluation
-by-
service recipients und'er this Agreement rne contracloi srraripiJserve anomaintain all financial records and records rdiating lo n" rctlormance of work under thisAgreement fo16 years after contract temrination,-and snal mare them available for suchreview, within Kittitas County, Slate of Washington, upon reqrgt. An exoeption is made forthe specific identity ol ?nr Kiftitas coung drrermd office employees or staff reeivingconfidential wellness visit seryices.
12. Modificatiqns:
12'1 Either party may request changes in.the Agreement. Any and all agreedmodifications shall be in writing,ligned uy ea-crr otfre partiJs
12'2 The County may, at anytime, by written notice thereof to Contractor (,,ChangeNotice") makes changes in the work within the g*oi dopl of thisAgreement, incruding, but not limited to: (a) ctraiges ln,-ie;isions to,subsiitutions for, additions to or deletions it any Wo*: (b) irranges inschedule; and (ci acceleration, deceleralion orsusp-ension ot'p6rrormance ofany Work"
12'3 lf any change in the work causes an increase or decrease on Contractor,scost ol or the time required for, performance of the Wor[, an equltableadjustment in the compensation to Contractor and in the schedule for theperfomtance of the Work shall be made to reflect suctr an- in.Lrr" o,decrease.
12'4 Notwithstanding any dispute or delay in ariving at a mutually acceptableequitable adjustment, Contractor shall proceed in accordance wiih all CirangeNotices. Contractor must, within thirty'(30) aays ateireceipi;i;ny ChangeNotice lhat does not set forth any acc6piauie atijusrnent, submit to the counga written statement sefiing fortrany ailustmeni claimed.
Profes-sion:l Scrvices Agres ment (rev, 09 r 24 I 2O 1 g)
Page 5 of 17
12'5 lf any change results in a decrease in the Work performed, contractor shallbe entitled to compensation associated wittr changing the WoiL, such asrevising. design already completed, revising calcutat-loni alreaay perrormed,
and revising documents.
13. Ierminatian for pefautt
lf the Contraclor defaults. by failing to perform any of the obl(Tations of lhe Agreement orbecomes insolvent or is declared bankiupt or commite any aciof uanxrufrcy oi'insolvencyor makesan assignment for the benefit of creditors, the iounty may, by deiosiring writtennolice to the Contractor in lhe U"$. mail, postage prepaid, terminate t'trr ngitr;Lnt, and atthe County's option, obtain performance ot ttre work elsewtrere. lf G-&;;ement isterminated for default, the Contractor shall not be entitled to receive any further paymentsunder the Agreement unlil all work called f.ol has been fully performed. eny errra cost ordamage to the County- resulting fronr such defaul(s) sha[ d ieouctea iror r'nv roney dueor coming due to the Conlractar, The Contractor iliall bear any extra expenses incu'ed bythe.County in completing the work, and alldamage sustained, or wtrictr muta. sustainedby the County by reason of such defautt
lf a notice of termination for default has been issued and it is laterdetermined for any reasonthat the Contractor was not in default, the rights and obligations of the partiei shall be lhesame as if the notice of termrnation had been issued pursirant to the termination for public
Convenience paragraph hereof"
1 4. TgrminBtion for Pgbligssnygnrercg:
The Coun$ mav tgrqinate the Agreement in whole or in part whenever the Goungdetermines, in its sole discretron thai such termination is in the best interests of the County.\Mtenever the Agreement is terminated in accordano witfr inis paragraph-tne iontracorshall be entitled to payment for actualwork performed at unit contract prices for completeditems of work, ln the errent of such terminaiion, an equitrbie aOlustmint shall be made inthe compensation payable to Contractor.
An equitable adjuslmenl in the contract price for partially completed items of work will bemade' but such adjuslment shall not include provision for ioss orlnilcipiie;;t;fit;n deletedor uncompleted work. Terminatton of this Agreement by the Coung'"t
"nV
tir" during theterm' whether for default or convenienoe, shall not constitute a breach ol contract by theCounty.
15. Qefense & lndem{ritv Aareernent.
Jh.e..Contractor agrees to and shall Oefend, indemniff and hold harmless the County, itsAddjtional lnsureds, appointed ancl elective ofiicers, agents and employees,-from andagainst all loss or expense-, including but not limited io lIOgments, sefllemenls, attomey,sfees and costs by rea$on of any ano ilt claims and oemanAs-upon the County, iG AOOitionatlnsureds. its elected or appointed officials, agents, or empbybes for OrmatidJOec"use ofpersonal or bodily injury, including death at any time resuitini therefror, r,itt"in"d by any
Protes_sionel Services Agree menl ( rev 0 gr Z4r Z 0 1 g)
Page 6 of 17
person or per$ons and on accounl of damage to property including loss of use lheroof,whether such injury to persons or damage-lo nronery ii oue to ilr" neglig"n." of theContractor, its sub-contractors, its elected-officeis, ffioyLr.or their agents, excepi onlysuch injury or damage as shall have been occasjgned oy ttre sote negligei; oinr coung,its Additional lnsureds, appotnled or elected officials, igents, or efrftoyeet. lt i, furtherprovided that no liability shall attach to the County by'relson of entering lnio tnir contract,excepl as expressly provided herein.
1 6. I nd ustriaj -!nsu ranp€_Warv,s"l.
With respect to the performance of this Agreement and as to claims againsl the County, itsAdditional lnsureds, qfficels, agents and-employe*i,1l" Conrractor-exp*tJlv waives itsimmunity under Title 51 of the Revised cooe'ot'wasnintmn, the lndustiial lnsurance Ac,t,for injuries to its em.ployees and agrees that the obligatio'ns to indemnifo, Uefeno and holdharmless provided in this agreement extend to any'claim Urought by or on behalf of anyemployee of the conlractor, This waiver is rnutually netouefia Uv gr"p.tri"r to thlsAgreement
17. Venue and"0b.g.iss d.[=ies:.
ln the event that any litigation should arise concerning the construction or interpretation ofany of the terms of this Agreement, the venue of sulh action of liligalion .lr.it ue in thesuperior court of the state of washington in and for the coung of Kittias. rtris ngreementshall be govemed by the law of lhe State of Washington.
18. \Mrthholdino Pavment:
ln the event the Contractor has failed to qerform any obligation to be performed by theContractor under thrs Agreemenl wilhin the trrne set forih in th'is Agreemeni, ttren tfre Countyrnay, upon written notice' withhold all monies due and payaSte to Conitacloi, wirnoutpenalty, until such failure to perform is cured or otheruise
"ljloic"teo.
1 9. Futuro Non-Allocatiotl3ffgndg.
lf sufficient funds are not appropnated or allocated for payment under this Agreement forany future fiscal period, the county wili not be obligatecito mare payments fo-rservices oramounls incurred afier the end of the current fiscil period. rrlo i;#any oi eip!}se snarraccrue to the County in the event this provrsion applies.
39. Qonlra.to, conr * it* *n ts, lt8 *u nti**._g nd Reoresentations,
The contracror represents and w@uws:20'1 The Contraclor is duly incorpggSle{,.validly existing and in good standingunder the laws of lhe state of Washington, and hai afr ieqriisite iorporut"power and aulhorliy to enter into and to perform its obligaiions under thisAgreement
20.2 The Contractor has the aulhorrty to execute this Agreement, to make therepresenlations and warrantres set forth in il and to perform the
lrofesliolal Services A gree ment (rev 09124120 I g lPaEaT ol 17
obligations of the Coniractor under this Agreement in accordance with itsterms.20.3 This Agreement has been vaiidly executed by an authorized
representative of lhe Contractor and constituies a valid and legallybinding and enfsrceabte obligation of Contractor.20'4 The Conlractor has or willobtain priorto the commencement date suchlicenses, permits and other authoiizations from federal, state and othergovernmental authorities, as ale necessary for the performance of its
- obligations under lhrs Agreement.20.5 The Contractor is not in violation of any applicable law, ordinance orregulation lhe consequence of which will oi may materially affectContractor's ability to perforrn its obligations unier tnis Agieem*nt. rn"Contractor is not sub.iect to any ordeior judgment of anyiourt, tribunal orgovernmental agency which nraterially and adverse[ a*ects itsoperations or assets iri the State of Washinglon, or iis ability to perform
its obligatrons under thrs Agreement.20'6 None of the representaticns pr warranties in this Agreement, and none ofthe docurnents" stalements, certificates or schedul6s furnisli'eJ * to n"furntshed by Contractcr pursuant hereto or in connection with the
pe rforrnance o{ the obligations contemplated under this Agreement,celntains or will contatn any untrue stalement of a materiaifaA oi omits orwill cnrit to state a matertal fact necessary to make the statements of factcontained therein not nrisleadrng.
21. PatenUCopvrioht lnfrinqerneni.
Contractor willdefend and indemnify the County from any claimed astion, caus€ ordemandbroug,ht.againstthe County; lo the extenl such iction is tiased on the claim that informationsupplied by the Contraclor infringes any patent or copyright. The Contijaoi*i1p.v thosecosts and damages attrrbutable to any such claimd inat are fina1y "*iic"J "fiainst
theCounty in any acticn such defense ano payment$ are conditioned upon the following:21-1 Contraclor shall be notifled prorrrptly in writing by Coung of any noi6" of suchclarm
21.2 Contractor shall have lhe right, hereunder, at its option and expense, lo obtainfor the 9.oy!tv the nght ro?ontinue ,sinsiifr*lnformation, in the event suchclalm of infringement is made, provided no reduction in performance or lossresults to the County.
22. Disputes:
22.1 9engr-qi
Differences bervreen the contractor and.,the coung, arising under and byvrrtue sf the Agreement oocurnents shall be orougnt to the attention of theCounty at the earliest possible time in order that su6h matters may be setledor other approprate actron prornptly taken. Except for such objections;r;;;
made of record in the manner herelnafter specifred and withinthe time limits
Profes-sional Servrces Agree nlenl (r e,t 0 j t la t Z0 1 6)
Page 8 of 17
stated' lhe records, orders, instruclions, and decisions of the Kittitas CountyConrmrssioners shall be final and conclusive.
22.2 N"qtigg of pqlgnliat Clarms
The Contractor shali ttot be entitled to additionat eompensation whichothenvise may be payable, or to extension of time for (1) any act or failure toact by the Counly, ur {2} the happening of any event'oi occunence, unlessthe contractor has given the County a written Notice of poteniial Claim withinten (10) days of the conmencemenl of the act, failure, or event giving rise tothe claim, and before final payrnent by the County.'The writt6n Notice ofPotential Clainr shall set forlh the reasons for which the Contractor believesaddtttol:al compensation or extension of time is due, the nature-of the costinvolved, and rnsofar as possible, the amount of the potential cfjim. Contractorshall keep full and complete daily records of the work performed, labor andmaterial used, and all cosls and additionaltime claimed to be addiiional.
22.3. Pe]"aited. ctsm
The Contractor shall not be entitled to claim any such additionalcompensation, or extenston of time, unless within thirty (30) days of thecompletion of the po{ton of the wo* from which the claim "ro"., anO u"tor"final payrnent by the County, the Contractor has given the County
" O"t"it"Owritten statement of each element of cost or othJr compensatiori iequesteo
and of all elements of additional time required, and copies of any supporting
documents evidencrng the amCIunt or extension of time claimed t'o Oe Cue.
23. Ownershio of ltems prodqcqd.
Any final report$ or consultations preparecl by the Contractor and/or its consultants or sub-Conlractors, in connection with perfoimance or tnis Agreement shall be the shared propertyof the Contractor anri County By vrrtue of the speciic *eri."r to be rendered under thisAgreement, any other writings, piograms, data, public recordg or other materials will remainthe sole and absoh"rte property of the Contractor.
24. Confidentialrtv
The Contractor, its employees. suh-Contractors, and their employees shall maintain theconlidentiality of all rnformation provided by the County or acquired by the Contractor inperformance of this Agreernent" excepl upon the priorwitten consent of tne Kittitas countyProsecuting Attorney or an order entered by a cou( after triving
"oquirfijurirairtion ou",the County. Contractor shall tmmediately give to the Couity notice'oiiny judicialproceedings seeklng disciosure of such rnformation. Contractor ina[ inoemnifu and holdharmless the County, its Adcjrtional lnsureds, officials, agents or employees from all loss orexpense, includrng, but not lirnitecl to settlements, judgirents, setoifs,'"tfor"Vr,]res andcosts resulting frorn contractor's breach of this provision.
Professional Se rvrces Ag rse nent (r ev AU 24 I 20.1 gi
Page 9 of 17
To the extent that any tnformation obtained by the Contractor is required to be shared w1hor provided to others by the terms of the Slatement of the Woiq, this piovision is notbreached by such acts.
25, Nptiee.
Except as set forlh elsewhere in tfie Agreenent, for atl purposes under this Agreement,except service oi process, notice shall G given by tne Cintraaor to the department headof the department for whom services are rindered, and to the *ttitas CountyCommissioners, 205 W Sth Ave, Suite 108, Ellensburg, WA'SggeO. Notice to the Contractorfor all purposes under this Agreement shall Ue gTven to tne address reflected on thesignature page. Notice may be given by cleirvery or 5y depositing in mJ U.S. rrlair, first class,postage prepaid.
26" Severabilrty.
lf any term or condition of lhrs Agreement.or the applicalion thereof to any person(s) orcircumstances is held invahd, such lnvaliciity shall'not affect other terms,'mnditions orapplications which can be given effect withouithe invalid term, condilion or application" fothis end, lhe terms and conciitions of this Agreement are declared severable.
27. Miscgllaneo*ul;
27 -1 The County's fatlure or delay to rnsist upon sfict performance of any of theprovisions of.this Agreement or to exercise any rights or remedies under thisAgreement shall not be construed as a waiver or rllinquistrmeniio any extent
o{ its right to assert or rely upon any such provisions, rights or remedies in thator any other instancei ralher the same shall be and remain in fullforce and
effect.
27.2
27.3
27.4
Thrs Agreement embodies the entire Agreement between the county andcontractor, and superseries any anc ail prior agreements, regarding the
Work. No change, amendment or moditiiation 6t any piovisions of thisAgreernent shall be vafid unless set forth in a written instrirrirent signed OV tniparty to be bound thereby.
The rights and remedies of the county set forth in any provision of thisAgreernent are in addrtion to ancl do noi in any way limit bny other rignts ofrenredies afforrjed tq t[e county by any other provisions of inir ngrdr"ni,
by any of Conlractor's $upporl or by law.
The headings of sections and paragraphs of this Agreement are forconvenience of reference only and are not intendeJ to restrict, affect or beof any rveight in the inlerpretation or construction of the provisions of suchsecttons or paragraphs.
28. Waiver:
Waiver of any breach or condrlron of this Agreement shall not be deemed a waiver of anyprior or subsequent breach, No terms or conditions of this Agreement shall be held to bewaived, rnodified or deleted except by an instrument, in writing,-signed bV the parges trereto.
Professional Ssruices Agregment (rev 0g/24l?0 l g)
Page 10 of 17
]fe Orgvllions of paragraphs /, 9, 11, 13. 14, 1S, 16, 17,
31, and 32 shall survive, notwithstanding the termination
18, 19, 20,21,22,23,24,2g, 30,
or invalidity of this Agreement for
29. Survival
any teason
30.3
30.4
30, NondrgqryMetr.g"0,
30.1 The County is an equal opponunity employer.
30.2 Nsndiscrimination in,Emolovment
ln the performance of this Agreement, the contractor wiil notdtscrimtnate against any employee or applicant for ernptoymenl on thegrounds of race, creed, color nationbi origin, sex, sexualorientalion,maritar status, age or the presence of anf sensory, mentar orphysical handicap; provrded that the prohi6ition agiinst ulscriminationin emproyment because of handicap shail not ap;ry if the particurar
disabirity prevents the proper performance of rhe'ia'rtuurarG*er
involved' The Contractor shaliensure that applicants are empioyeO,and thar emproyees are treated during emftbyment without
drscrinrinalton because of their race, crled,'color, nationalorigin, sex,sexual orientatton, rnarital status, age or the presence of any r"irory,mentator physrcal handrcap. such action shail include, but not-beItmited to: employment, upgrading, demotion or transfers, recruitment orrecruitment advertising, rayoff or termination, rates of pay oi oir,e,fornrs cf conrpensatron, and programs foitraining inlLioing -- "
apprenticeships The Contractor shall take such iction witli respect tothis Agreement as may be required to ensure fullcompiian." Litnlocal, state and federal lavrs prohibiting discrimination i?, *rpLyment.
l! p"n di.s-"crr m i nat rsJr_ j"tt s._e_ff lqgs
The contractor wiil not discrr*rnate against any recipient of any servicesor benefits provided for in thrs Agreemenl on the gtounos of race,creed color, national orrgrn, sex. sexualorientationlmaritalstatus. age orthe presence of any sensory, mentalor physical handicap.
lf any assignment andior subconrracting has been authorized by ihecouty, sard assignnrenr or subcontra-ct shall include appropri"t"safeguards against drscrinrination The contractor shall'iaki suchaction as may be requrred to ensure fuil compriance with theprovisrons in the immediately preceding paragraphs herein.
Profeselonal Seryrces A gree menl qr ev Ag t 24 t20 1 E1
Page 11 of17
31. Prevailinq Waqe.
Conlractor.shall pay-lhe prevailing rate of wages to allworkers, laborers, or mechanicsemployed in the performance of Jny part of tiie Work in iccordance wittr nCW gg.tZ
and the rules and regulations of the Departrnent of Labor and lndustri;;. fd *.n"ort"of prevailing wages rates for the locality or localities of the Work is determinio by thelndustrial $tatisticran of the Departmeni of Labor and lndustries. lt is ihe Contracto/sresponsibtlity to verify the applicable prevailinE wage rate. lt is underslooO tnat tneConlractor is responsible for obtaining anc compleling all requireO governm"niiot*and submitting same to the proper auihoriries.
Djgputgs regarding prevailing \i/age rates shall be refened for arbitration to the Directorof the Department of Labor ano tndustries The arbitralion decision shall be nnal anoconclusive and bindrng on all parties rnvolved in the dispute as provided tor Uy iCW39.12.060.
32. Deba rn e n-tj-"p rtrf,Sgllgn
The Contractor certrfies thal rt.
32.1 ls not presently debarred, suspended, proposed for debarment, declaredinehgible or voluntarily excluded from covered transactions by any feUeraldeparlment or agency.
32.2 l-las nol within a three-year period preceding the execution of this contractwith Kittilas Coung, been convrcted of or had a civiljudgment ienOereOagalnst them for commisston of fraud or a criminat oifenle in connectionwrth obtaining, attempting to obtain, or performing a public or private
agreement or transaction, violation of Federalor State antilrust statutes or
coffrmrs$ron of embezzlement, lheft, forgery, bribery, falsificalion ordestruction of record$, rnaking ialse statements, tai evasion, receiving
stolen property, makrng farse claims, or obstruction of justice.32'3 ls not presently rndtcted for or olherwise criminatly or divitiy
-hargeo
uy agoverrlrlretllal etltity {Federal, State, or local) willr commisiion oiany 6tthe offenses enumerateel in parag raph 32.zbt ttris section"32'4 Has not wlthin a three-year penod pieceding the preceding the executiontlf thls contracl rvrth Kittilas County had one-or more publiJtransaclions
{Federar, state, or rocari ternrnated for cause of default,
Profesgionel Servlces Agreement (rev 0g/24l20 jg)
Page 12 ol 17
EXHI rAlr
SCOPE OF WORK
ln addilion to prcividing all material and labor the Contractor shall perform the following:
r Conduct psychological evaluations including related interviews of applicanls foremploymenl or reserye servrce upon requestby the Kittitas County Sfreritfs Office.
' Prepare and convey report$ o-f those psychological findings and applicantevaluations to the Kittitas County $heriffs Office.
' These evaluations shall be conrJu-cted in compliance with, and as mandated by,the provisions of RCW 43.101.09i(zxaxiii), and wAc 1gb-02-0g0,
"na "nyprovision nor,v in extstence or enacted ciuring the period of this proiessional
Services Agreement, rncluding any extension tneieot.
r Warrant that he or she is familiar with and in compliance with the standards
referenced above and incorporated herein by reference.
r Provide confidenttal wellness visits and telephone foltow-ups, critical incident
stress or post officer involved shooting debriefings, or other appropriatJ
employee $uppCIrt as requested
r Provide professtonal consultatron servtces upon request to the Kittitas CountySheriffs Offrce"
The services stated above wilt be conducted at the Contractofs plaoe of business, on site,or at an mutually agreeable alternalive iocalron if warranted or appropdate. (Note: I requirean automobile to go ro any office or location wrrere services wiil 66 piovideo)
Proleseloflal Seruice$ Agreenrenr (rev 09124/20 i g]
Page 13 of 17
EX}{IBIT ''E''
COMPENSATION
As full compensation, for salisfaclory performance of the work, the Counly shall payContractor comperrsation not to exceed,'
a
a
a
As full compensation for satisfactory performance of the work, lhe County shall payContractor compensation not to
'exceed
$+SO pei
"ppii."nf
prr_"rploy,ni"ntpsychologicat evaluation
wellness visits. critical incident stress or post officer involved shootingdebriefings, or other relevanuappropriate ernployee
"rpport ", requested not toexceed $2,75 per provided servrcs. Note ihat listlO proviaed services includi aileast one follow-up phone call with the recipient of iuch seri.*s.Formal professional consultation services, including but not limited to documentreview and experr witness testimony, as requested n6t to exceed $00 teiild. -
frofasgion-af _Se
rvrc es Ag ree men t (r ev AV Z 4 ] Z},t 8 1Page 14 of 17
ExttlEfr,:0,,,
PROOr OF |NSURAilCE
The Contractor shall secure ancl rnainlairr lrr effect at all times during performance of thework such rnsurancc as will protect contraclor, its support and the Additional lnsuredsfrom all claims. losses, harrn, costs, liabiliires Oamaibs and expenr"r rriiing out ofpersonal injury (ineluding death) or property danrage that may resuit from performance oflhe work or thts Agreement, rvhether such perfoimance is by Contractor or any of itsSupport
All insurance shall be issued Lry companres acimitted to do business in the State ofWashington and liave a rating of A-, Class Vll or better in the most recenly published
edition of Best'a Reports unless otherwise approved by the County. lf "; iilurer is notadmitted' all insurance^polcies and procedures for issuing the insurance policies mustcomply with Chapter 48.1S RCW and ?94-1S WAC.
The Gontractor shall provide proof of insurance for:
ffi Qommercr?l G p r_rera I LtAbl I itrr ln sr.r rSf. eS
Coverage limits not less thanr $5,000,000 per occurrencer $1"000.SS0 per occurrence tiquor iiability. S1,000,i)00 producls & completed operations aggregateI $1,000,0S0 personat and advertisrng rnjury, eaCtr ofenser Certificate Holder -" Kittitas Countyr J'he certificate must name the county as additionalinsured
' SixlY (60) days written notice to the Coung of cancellation of the insurancepolicy
I Qo.fnflT efqrial.Aqtqmobile Liabilrrv lnsurance (if ANY use of vehicle in performance)
Automobile Liabrhty for owned, non,o".,neJ, hired, and leased vehiclis lUiCi SOendart;*mettl atxJ a CA 9946 onrJorsentent musl be aittached il ,pollutants, ari ii ie'transparl*rJ). Coverage ltmtts not iess than. $1,000,00il combined singte timii
' Thirty {30) days r.vritten notice ta the county of cancellation
of the tnsurance policy
fl Wor(,erS'. {Xx:: pensation
Professiona I 11i' :';,t;. a: y, A g r*c e: i:n t (r *;, f:r.t i ? s, I 2,* i fl :Pag€15of17
Workers'Compensation in amounts required by law
I Stop Gap/Enrployers Liability
Coverage linrits not less than.r $1,00f),000 each accrdent. $1,000,000 drsease - policy linriro $1,000.000 disease - each employeer Thrrty {30) days written nolice to the coung of cancellarion
of the ulsurance policy
[l Professronal Liabrlity
The Contractor andlor its $ubconlractor and/or its consultant providingprofesstonal servtces shall provide evidence of Professional Liability lnsurancecovering professional errors and omissions. Such policy musl provide the followingminimum limits:. 51,000,000 per clarm. 52,000,000 annual aggregate
' lf insurance is on a clainrs-rnade form, its retroactive date, and that of allsubsequent renewals, shall be no later than the effective date of thisAgreerrieni
I Pollutron Liabitrry
The Conlraclor shali provtcie a Pcilulron Liability poticy, providing coverage forclartns irtvr.rirring boclily rnjury, property damage lintluOiirg loss of ire oi taigibleproperly thal has notbeen physrcally injured), cleanup cosls, remediation, disposalor other handling of pollutants, rnclucling costs and expenses incurred in theinvestigatrari, defense, or setilenrent of claims arising out bf:r Contractar's operatir:ns related to thts project; and/orr Remedration, abatemenl, repair marntenance or other work with lead-basedparnt or materials contarnrng asbeslos; and/or
' Transpofiation of hazardous materials away from any site related to this project
Such PollLrtrq:n Liability policy shall provide the following minimum coverage:r $ per claimr $ annual aggregate
I PropertJ l]aryaqe
The Contractor shall provrde a poltty lhat covers damage to Kittitas Countyfacilities' ineluding bulldings, equipment, grounds, etc. Suitr poticy sh;lr proviae
the iollowrng {nlnlmunt coverager $ per occurrenc€
il Umg:eIAC*v.e{"aqe
ProlAS$ional $ervrces Agre*ment gev Ogt2d iZA 1 g I
Pag€ 16 of 17
Umbrella policles shall provide c,overage at least as broad as specified forunderlying coverages {CGL, Auto, Enrploye/s Liability) ano coverlnos! insureO lnthe underryrng porrcies, incruding adriirionlr insured.. Amounl reqtrirecl for thrs Agreem*nt g
Contractor shall furnrsh the County a certrficate of lnsurance to include the policy
Endorsementslfixclusions as evtdence that policier ptoviaing insurance required by thisAgreement are in frrll force and effecl. coniractoi h;;ily *"ives all rights of recourse,including.any right to which another may be subrogated, against xittitas-county forpersonal injury, including death, and property camag!. Contractor,s insurance policiesrequired above shall be primary insurance and efall be non-contributing wilh anyother insurance rnaintarned Uy Kittitas Courrty.
The Contractor shall a$sutTls full responsrbility for all loss or damage from any causewhatsoever to any tools, contractor's employex-ownediool", r"rrrii"w,
"lr"[pment, ormotor vehicles owned or rented by the Contiactor, or the Contractoiu Jd"ni.,'ruppliersor contractor$ a$ rr.rell as to any t*mporarv structures, scaffolding irO prJt."ii* fences.
The Contractor shaii have sole resporrsibility for ensuring the insurance coverage andlimits requrred are abtained by suticontractor$.
NOTE: No contract shall forrn until and unless a copy of the certilicate oflnsurance with EndorsementslExclusions, prop"rty completod end ln the smountrequired, is attached hereto.
Failure of the contractcr to fuily comply lvrth the above insurance requirements duringthe.term of the Agreement strait tre ccnsidereej a material breach of contract and causefor immediate terrnination of the Agreernent at the County's discretion. Rlternitively, theCounty may procute and maintarn, at the Contractor's soie erpense, insurance to theextent deened proper up to tne amount of the required coverage(s). The county mayoffsel the cost of suclr rnsurance agarnst paymenf due to the c6nirictor unOli itrisAgreement.
Professional Servrces Agreemenl lrev Age4t2$1g)
Paga17 ot 17
ai#'.'CERTIFICATE OF LIABILITY INSURANCE
tHe
or
frust Risk I'ldnagemeilt Ssrvlt15 iitr,
1791 Paysphere Circie
chicago, rL 60574
Piguito
Dr, i.lonlca Pilarc
tt)E
conu€Rct^l 6Elr[t*t LtA{!lt I 1.r
IIADE
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477
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r{s_LReR A AcE Ar'r.dc.3j!!!rnng! Jmprry_,._ ..
Po Box 918
Seabeck, WA 98380-0qtg
\5UNEt EJ
ril5t'REft f
c€FnrlqA TE NU$SER,
THIS F TO CERTIFY TIJA] THg FOLrC j;$ 0F tNsutrtAt{ctl 15T€O 8EtO",i iln'?i n*€f.l llLSuEoPERIOO INOICATED.HOTY/TTHSTANEINiJ ANY REQUIftgll,lENI TERAi gR C{;Ii$Ir,O},i QF ANYTO WHICH THIS CERTIFICAIE I,TAY 8F ISSTIEO OR MAY Tilg r\s'*ji{n\tii /..9FORDED*st{:*,ls
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Psychologlst's Prof egs; :rnst {.iaurtriy
Retroactive DEtc 06,j.f ;/2002
58S1 I I ild45 L\UA7/2023
At t t 4i a' i E g AgPFss€tItATlvE
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Klttltas County Sherift'.; i)tf rcc
Ellensburg, WA
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oig€^s€.Por.tcY
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06142/2024 Each lrcidenl
Annual
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lr,0oo,ooo
13,000,000
ACORD 2t {20tsr03}
II.
13t;stNEss ;\ssur i,l I I r\DDENDUM
HXr iltl|r "A'! -[o r"r-rE {](x ,rAr.r ro wHrcH rr rs ATTACT{ED
l-his Addtirrtluttt is irlcrirltttrittfrl irtrr: the cLrllrr.rL'i t' rr.[rich this document is attachecl betrveenKittitas C0ttttl-t Wilshiltgron on h,,-half rrf th* {}f"t"rr.c r"rr Depafiment thereof (,.Covered Enrity,,)and the otltrt pat'lr or p;trlics lhcrclo l"flusrrreros Assuciate"), Thc singular shall inclucte the pluraland the plural thr: singuiar as rcqrrilcd by tlr L(lnrs.r:i.
The [Jttsiriesr r\'{sttLralc ,rckna$'let^lgcs ar:.1 i!l:i*cr lhilr irrotected Health lnformaticln (pHI) in anyformat, inclrriiing cl*c'tl"otttc Ill ll tcxllll). e.rn h.'rrscii. sliared, created, retained ortransferrcdonly rvithill litc 1:aratttr:icrs ol-this rir,crrnrenr ;r*d ths Dtpanment of Health and Hunran Se^,icesPrivacy Rcgttlattotrs. {--"ortc uf [-'ctl*ft:l ltegril{ltiriils. i"(-'I]R"), Title 45, Sections 160 and 164, oras rcquircd ht ll,,r,
CFR Titlc 45' Secttt;nr 160 anri Ii'r-l nntl anr .pplr.:;rhlc washington statutory larv (.,RCW,,) orAdrninistrartr.. Llrrdu ( '\\"\( 'llttt,,,rirrrr (1'rrit':;rl ilrrri statestaiutory orrcgulatory standardsapplicablc lr tlrrr iirliie ltduft irr!. c*lircrrvcil. re lcrrcel to as ,.lay,,) are by rvay of reference, anintegral part oltltis ,'\iiclenclttrn its it'rnccrilruarrrl in lirli. Business Associate is charged rvirh theknorvlcrlpe 'l'lttttl itgr{ds to nhid* bl th* tcrrn" .*rl c,ntlrrions of larv. To the extentihrt onyapphcable pri*'isiiln *I'R'C\\/ r:r \\r;\(-j pror id*-; lor ul nandates any standard differing fronrthose of Fedcrill ln*.111* slanclard r:rorr re.qrricrr!'tj t)l'Liisclosure shallcontrolsubject to federalpreemptiorr: tltts itpf li{E thrttuglitut tius Atillcntlrrrl r,r ithout regard to any lurrhei explicitreference to RC'\\, or" \\iA( pror.isiergs
J'his Adden'"lrtttt ts tlti;ct:rc lllx)ll )rgnnlg nt"tl,r:.rn;tilhiltent or the contracr to rvhich it isattached. ri !rrclrrr e r ts priiir lt) lnl.i{
P_U&rQ,!!,
The Corcrt'cl l'"'ttrrtr nccds ln tttnkc lvllilli'ric arititor rlisclose to the Business Associatr certainPHI lbr lnan;lgrlllclll. arhttirititriiircn. arlri L'uai rcsponsibiliries during lhe nornral course olbusiness irr-lrrrrll tlrt' ;rarrtcs lts rcl'urerrecrl ir: the ctrnlract or other agreentenl to rvhich thisdoctttttertt ts ;tt(ite ltcd *nti lttcurgroratecl h1 rctcrurrec. fhis document is intended to deline andincorpttrnt* httt nr.rt lrrnit tlre ol-rlrsArrons,rf't|,; flrrsrgess Associale rvith regard lo its use andprotectlirn ul" tlirrt l)l.l i
'l"hc []usrrrers Assrrci;rte hcrrh.r, agrdcs rr] {h irl{ rirllrrrving:
A lircilrd l)isciqsrrLe Usr'andrur drsclos* l'1ll nnll as permitted or required by thisAddcntltrltr. lir:aith ltrsttt'i*tce llortnhilirr ;rnd AEcourrrability Act (HIpAA). and thclleulrll lttlr"trrtLlir$n -l'ucltli*i*gt liir l:ior':rrtilrc arrtl clinical Health Act (Division A. TitleXIil *l-lh* Attt*rtciln RL-corcil anil ftdil:i'eitrilcnr Act of 2009, pub. Law il l-5, 2009Hft ll{"lll-l'lr("1t").'l-he lJtrsinessArsrciatcclrall useanddiscloseplllonlyifsuchuse
or disrlosttre. rcsprctivelr', rs in con:pii;tncr: u'ith each applicable requirement of 45 CFR
$164'50-lletor (ilil(r lilrl' ihr !lusrnrsr ;\:scre r;rte is directly responsiblc for full
Fl ,\ A Ati.!ihrli,irtr lr:r** I of _i
con]plinllcr rvlth thc prr\ ae -i provisior)r rll'lil$ rhnr opply to thc Busincss Assusiate to rhe
sat"!1f rrxtf ni ns tllc L'or.cleel btttttl .
B' $ccurirt'' lntPlc11113111 arlitrrtlstr;ittvc. plrrsicul. nnd rechnical safcguards that reasonably
lntl lpprn[r'ri]lcl1' protcct tlrc eunlidEntrrlrrr. u]legriry, und availatriliry of thc pHl tlat it
erea{ds. rec*ir *s. mnintall}s. *r lransnltt} urr behalf of the Covered Entity as required bylatr ['hu i"]ttstness Associair ts clircctl.r lcsl;nnsihle for compliance rvith the security
prtr|tsirltts iif' l{ll}r\;\ :lnrl lll'f IiCll t* rh* ranlc exrent as the Covered Entity.
C lnu:rt-'l'tcr*L)!lllriulgs' l{epon all unarrlh*rrzcii rir otherrvise improper disclosures of pHI.
or secttrit--r iltcidr'ttl, lo lli{ l:()vcrr*rl l:lrtirr r,rrthin rrvo (2) days of the Business
Assrrc i;.r tc' s k;:r'rr,,,l eel gc * l' s urh r:r urrt
D. NgUcS*Utll{il-r*. \!'rlhnr rrrr: {? ) Lrrrr:lcss ila.vs 9f rhe disCovcry of a breach as defined at
45 t'1"'lt' -r i{r-l 4{l-l rtotr{t thc fu\cred l:ntin ol'an1'breach of unsecured pl.ll. Notification
shall h3 tlte trlttsl raptd nrc:rns reasolratrlr p()ssible. such as telephonic notice made
diructll' ttl illl ilililrt)pt'ialc pcrsrrn rrirlrirr rlrc ctir,cred vntity and nor including a voice mail
or sttttilitr llrds:irge \\/rttlstt ttorifierriolr slurll l'<rllorv rvithin that tlvo (2) period by lax ald
be cortf irntcd hr dtrect c{)nlae l il'tllt tlir n:lcrrelcrl recipient, and include the identificarion
ol crch ittcllrtdLral tvltnsr rtnsrcurcrl l)lll has treen. or is reasonably betieved by the
Busin*ss u\ss*sr*tetolrar.r. lr,_,tn.;lcrcsscil"uccFrrred,ordisclosedduringsuchbreach; a
hriel'clrscril:rlirtn of u'htt h*ppenc'd inrluding rhc dare of the breach and the tlate of the
discilrcrS' r"rl'lltc hrcaclt. llkrtnrvrr: l tlcre ripllon of the types of unsecured pHt that rverc
tnvolverl irt tlt* i-rreach {.iudh as rvlttlicr lirll rrane. sociaisecurity number, dateof birth,
honlc ild{.lr'-'ss. accounl trrrnthcr. clia.;ilrtrrrs. rlr;atrility code, or other types of inforrrration
u'cr* ittrrrlve'l J. ;tttt slrli.i irld?r"i(lrxrls slrolr!rl t;ikc to protect thenrselves firom potenlial
harltt rei;uittnc fi'uttt tlte hruar;h; lr hnel'rjrlclll')tion of rvhat the Business Associate is
doilrg tp rn\'*$!r*irrr tlrc l.r;,ruh. ru rrr111*,,,* harrrr ltl iltdividUats, anel tO pfolect agatnst any
fttrthcr lrr*;ie l:cs. lhe conl;rct proc{]rirlrc$ nl'the l}usiness Associate for individuals to ask
qtlesll{l}ls si l!'.}rn addtlrnrrni tni.orrn;rtrrrlr. riluch shall include a toll free number, an e-
Ittati ittltlresr. $'rb site. ur Filsiitl *ildrr'ss. lrrr{ ;ut.\'erther inf'ormalion required to be
pror i,-lud ro rlrc nrrjrrrdual hr rhc l-'orcrcrl l.nrrr\ pursuanl to 45 cFR $164.404, as
alttrncleii r\ br*:tch shall he trealerlls iiiscrrvsreiJ in accordance rvith the lermsof 45 CFR
s\l{i'l ."llti lh*irtiorrtratrrrr:shrll h*rrpil;rrcrl ptr}lllptlyandprovidedtotheCoveretlEntity
as rr:rlllestr(l lr-l thc C'ovrlr*rl Hnirt3
F.. Llitig:ttiQ11. x'lrlig*te. to tlre ertcn{ pmrrir"';rhh,. arry harmfuleffect rhat is knolvn to
llusincs: ,{ssodr;ltf ol'a u** or ili.rclu:urc {}i'lrlli by, Business Associate in violation of the
r*qttircl]1f nls erl'liris Adricndu;r: or the lirrr
F. Ag,jt!J.1' lrrrsrrr',.'tlrirt ln; rrgcrt. rriulrreiirrg .tliril lts cmptoyees, represenlalives, and
subctttttraclt)r5. ii-r 11'htlirt it prr'\ rdts 1)l-l I iee cner.j frorn, orcreated or receirred by
Btt:iirtcsr i\:'srrLitl.e r;rr ['}*lr.ril'r:l'(.'ovurr:,.i Lrrtrtr Agrees lO fhe Same rCStfiCtiOnS and
It '\ r\ r'\ii,iLit'lt'.rl{ l,.trtr I tf 5
il1.
c{.,nrlitlun:i thiri ;rppl.1, thrnrrgh tltrs AileiL,nrlrrnr to llusiness Associatc with respcct to such
inlhrrnlir ir'trr
C. Riclrt uf"Ar:qqr.l
I I ;.orti lltltr- ti"t lltllc tltlrlil r*asonlhl*;riiyitttcr noticc, or upon a reasonable
C*ict'ttttttirlinrt br' []rrr crc'-l l:rttitr tliat fiuriucss Associare has potentially or actually
lrreitcit*Ll tllrs Aclclclttiu*r. ntak{ rntullrlrl prir{tices, books, and records relating to the
trsc ;ttiil ,'listlosttr* nl'l'lll rcccn*l ii"i:lrr. *r crcated or received by Business Associateotllrclta!i ofCo|ercd[nttli arniichir'totlrcL-overedEntity,orattherequesrofthe
('ili crcrl l.r rriit.t tu tltr.: Srcrr:t;rr3' ol'Ilcpirrlrrrcnt of llealth and Huntan Seivices, for tlre
l)i.r||l{r\u t,f cl*leriltn:ng eolilillinil{c \\trh llll)AA. HITECH, and/or this Addendum.
2. i r'rIr rrr::c r* l;111s' ul'r{,}lr rtirsllnrhi,;;iJr';rrtcr: nctice, or upon a reasonable
tlclt'ttlttttalitrt br'(.or'ureii lirrtit-r iir;rt lJrrsnrcss Associate has potentially oractually
hre;rched iili. ,\ddenCttnr. lo perrrril L.,r,ercrJ Entity to respond to a request by an
ir,,iir rrlrrurl lor ;ln ucucrrntlnij {)l'{iisLl*rtrri:r ul'p}{l in accordance with 4j CFR
\ii{i"} -51fi. rri"l(} p*rII}!1 t.olcted 1,,,111r. tt} r'crpond to a reguest by an Individual for
irccr:s:i to PIll in accrtrti;:ncc r,,,rlh 4: t.,:R i-r lf)4.524.
I-l OgclLttllt]t"!:tljt:ri,*l*DbslrlrurL:*; l)(xiinrcrii irrr;1r illsclosures of trl{l and inforntation
rclatdil tt) sL,uit.lisck:surcs a$ lloLrlrl hc liiiuirr,,i !"or Covered Entity to respond to a
l'c(ltlri{ hr ltlt lltritrtrluai iirr.r;} irrur}rf}tnrr,: nl tlisulosures olPHl in accordance rvirh 45Cljlttl6'l-i:fi 5hottltl rtttrtiitr'tritr"rl rri;rku;rr{(lr.rcsrtoCoveredEntityforanaccounring
oidtsclPsttrri rll'hls or lrcr l)l lI pursrlilni rl "li f,lFR \s 164.528, Business Associateagrees
lolltoltrl-rllr;riilrtr.lt' anileeilirrrlinil.irisllr.:ciliril rrndcr42U.S.C.$ lZgj5(c)(t)and45
CFII ,ii6'; i:li' *l'diselosttrcs *1"[tl'll thirt irrrlt l,een rnade by the Business Associate
actirtir *rr lrclruli"*f tlt* ('rircr*rl lirrtrtl I'ilc;sq.g1111111ing shall be provided by thc Business
Assfici;rlt" tri lltc i'$r'st*il l;ltlitr"or tri the ilrtlir iihral, as directed by lhe Covereei Enriry,
I At:tctidiltctlls. \laku attr *trtctiiinlenti t{) f)l-Il thar rlie Covered Entity directs or agrees lo
Pursllillll td l"i ( i-ft os1(r-l.il{:;rl lhr ri.'tprcri r1l'{'{rvered Entiry, rvithin five (5) business
ditl :; r,l \{, t'ttitI t {itlll*st hr ( or *r *ri Liillrl.,
''' Ai]$.| 'l rr 1|1" t-rle 11l {hc !Jrirtl*ss Arrirri;ir,-, ,s l{} carry out one or nlore of the coveredclltlllci i-'b111;1111'111 tttltlct 5tthp;lrt i: irl''li r liit lrr.{, conrply rvith the requirenrents of
Stlbpr;lit I: rltllt ;t;tpi.r to titt rilocr{(i rilr[]i,. rrr tlrr performanceof such obligations.
PElii\ll't I I:t) ( .\t..s .\\t) tlts(.1.o.\t't{t.s lt} l}t j.slNESs ASSOCIATE
A' Ixccpt a$ {rlliclllrsc limttcr"i rn rhis Arji!crriiurrr or by larv, Eusiness Associate may use
Pr0tei'tcil llelrlth lttfbnrt:tlrtrn lirr tlre lrr(ll1!'r'nlilnasement and administration of the
lJttstlte is Assilrt.rte or l(t c;rrr)' oul tirr' i*::Ll r'*lptrnsibilities of rhc Business Associate.
Tlte lllrstness ,\ssociat* shlrll irnrrt rr5 irsL'lnti r,lrsclosure o( and requests for, pHI to the
l1linillirrrrr 11L'l.:ss\iin' ts tlctcr;.irrn*el ilr lrte or.ri;rrrc,: rr ith 42 U.S,C. $ I 7g3S(bX I ),
It ,t t\ .\!!lrclrrri:rii l,.rr:r i oi5
t\r
B lixccpt as ol]tcni'ise lin:itcil ilr tlris ,\dticnclrrnr nr b1, law, Business Associate may usr.Pl{l to prt.rvidc lhttrAggr*girliorr srrr'rlrs ro (.'L'\,ered Entirya.spcrnritted by 45 CFR $i64.50-1.{e ){2 Xitf B).
TRIti\! r\ N lI l'1.: lr lrt I n-A'l'!!lX
A' Tcrnt: -lliis ,{d'lendunt rltall become etllerir.-. nn rhe Effective Date and shallcontinue inefl'*ct rrrrtil rll riblrgatiorrs ol"th* Ilitr{tc.\ ljrir r: irr:un nrct, rrnlcss terminated as provided
hercitr or b), nlutual aurcetntrit ol'thc 1:irrirrr
B 1!r'nriru!0Ji'fu:-{"irrise ' {,pun ('overrci ljnrir,t"s knorvledge of a material breach by
lhlsirrr:rs .,\srur":i;rtc, ['or crcr! [rrtit] l:ra,, pr*r iilr an oppottunity for Business Associate
l() e uI{ thc hr*ach nr enei llte vlrrlatr*n iuci lerltrinare this Addendum if Business
Assotiate ,'loss rtt-tl crrrc thd hreilch rrr elrd thc violation within five (5) business days ofrec*i;'t ilf'rtrilti:t'l tloltrt-' br ths Cor'erciJ lirlrir-1, or immcdiately terminate this Addendunr
if'fJtrsirlcss '\.csociate has hrclr."heci r rrratcrral term of this Addendr"rnr and cure is nor
pnssi hNe.
C' !)-tli-q lerurrnaiigri: 'l hir ,{ddcrt,.iun rnrri bc rcnninated by Covered Entity rvithout causetlpilllihlll\'{il;;.1,,.s1)li,r, \inttclliir}r}!cl(}tilcritherparry.rvhichnoticeshall speciSthe
tlille t.r i' lcnll ltlill i ('rlt.
D E_fiexlil*l*luru:i$oll [:c*pr as pni'rikd rn paragrapir B. of this Section, upon
l(lr'nlllllttl.)ll o!"tiiis r\tJcfu:nrjurtr. lul unr rdits()n. lltrsrncss Associate shall retui' or destroyall lll'l I rcccttsil tlottt (br'*rcd l:nlrtr. oi drdiltrd or received by Business Associale on
bcirait'oi'(-'nt'rru'il l,lnttn l"l:rs 3rrrrvrsi*n shali rp1;l11' to PI-ll that is in the possession of
sul)1.{)rltfilf l$rr ol. il{cnls $l'l}Lrsilr*.1s .,\,tilLnlri. l}usiness Associare shalt retain no copiesoftl:.'l'lll DlsrrLrcti{rnr.}tr!st hclryrr:carrrtilillnt{elorexceedthestandardsoflarv.
ln llte r":rlttl tl:lit llttstttcss .lsssciatr tir(rrnilrr*s that rcturning or destroying the plJl isn*t lcasrhlc' lltrstne"ss .'\ssi-runtc shirll erlcrril the protections of this Addendunr to strchPlil rrlrd ittltti !irrliicrrllirlr)${rrci ol'rirch l'llt trr rhose purposes that make return or
ddsllr;tlirJtl irri!;rsrblc. lbr sr..' lonS ns llrrsini:s:.,\ssociate nraintains such pHl. Business
Asstf nrtc ntust prirviile rr ritte n nntics rri"lire rrnililions that make return or destruction
ttrr! li,;rsilrlc: rl'('rlr*rctl l:lllill dr:,-i, lul irur(Lu ul that assessrnent, BtrsinessAssOCiafe
shuli rrrurrr $r {lcslrot the i}l{l r.r.rthur ljr* i jl i'rrrsiness days.
lvllSCI.. l- l-.\N 11( ) I ; s
A. Dei"cnss ar:d ,lliigl$tijlcr}iii!. 13usrncss ,.\-i*i{}uatr- shall defend, indemnifi and hold
hnrntl'"'ss ( olrlt:ii l:rrrrri lrnnr arrd agultrst lllclarms. tiabitities,judgments, lines.
ilss*sslli.,'llIs. prltaittr:s, itr,r.lrnjs or olhe r c\l]cnscs. tlt'any nature rvhatsoever, including
rvilllilttl lirt)tlitll,rtt ;l(lorr)c) s' i"c,*s. dxpcr( \\'rtncss lbes. and costs of investigation,
lilig'rtiiln. ot drsptllc r*s0lrrli*il. relutrni: trr ilr lrrisilrg out of any breach of rhis Addendum
b1' llrr:;irrcr.r r\:soe iatc. its cniirl*\.cc-:. i:lliccls. {rgcnts. or sub.contractors. This provision
v
lt .{ { ,\ti,rcirrr:*rt l,;rgc 4 9l'5
is sttpplctncntnl to ancl t* ht 1111s1;1r*tcri ;ntl nppliecl in g manner consislent rvith, anyindelrlnilication provisiurt of lhe nl-rr{€rndnlt* rvhich this Addendum is attached.
B !{clrr:-lrsrsrrngn-1-Su*eo,.t$-{l1eu$dl-&Llrr l}-Ig4.c}; Business Associarc shall rcimburse(lurctr"i'l Httttl,l rvithaut limitation. lirr ail r*srs r:f investigation, dispute resolution,
nnltilcatton of inelividuals. the nrerlia. anr! th* gor,.rnranl and expenses incurrcd in
respc,ndrng tu rn.r' iiudits or n{lrrr. ilrr.*stisntii}n rclnting to or arising out of a breach of
runsrcurcrl l'llr b1 the Irusiness Ass*ciarr.". including mitigation.
C' RggUlS.!,:!}.lt$.lgrcfUes. :\ r,lli;rclrcs in lhis ;\dlll.ndunt ro a Section in rhe Departmenr ofl-ls*lth nntj lltrtrtail Sert'tces Privuei llcgnlarir.rrrs, CIFR, Title45, Secrions l60and 164
lllcaus lltc Secltoli as in etl"ect rr as arlrenci*d. anel for rvhich compliance is requircd.
D' Alusrldu$$: l'ltiltgr:s ttt lltc larv al* ailtorrrariealll incorporated herein rvithout Deed lbrcxplirit $lllelujnl*nt l'l:e Partii's agres this rLis i\ddendum may be amended from tirne to
ttttte rlnlheru'isc tiecc'ssarl firr Cuvcred Lrrtrtl' ro comply rvith the requirements of thel)cltlttttttcttl ol" t{ealth and !lrinrln Sun rrrs l)rrr'rc1. Regutations, CFR, Title 45, Scctionsl6t) and l6.l and other provisrr:ns nl'!ar.r.
H' Notr.:r:'!: Whclt*r e r (loveret! i:ntir1' ur ltusiness ,\ssociate is required to give notice to thetttltfr part1. notr{r shall hc in rr;i1ipg. p'*rcd rn rlre US Mail. and deemed detivered after
llrr*e i-i ) busrness days cxc*pl as clescriirr:ti iri ll. D,. above.
F Sur:r'ilirl 'llrc ohlrsatiolrs $l'tlte IJusiness ",\ss*ciare shall survive the termination of this
Adclcndr,rrn
c. I"m$:$utiu$' ,'\n1, nnrbiguirl iri rtris ,\dtlcntlunr shall be resolved in favor of a meaning
lhat perntils ('*r'ered Entitl io conrpl;' u nlr rlre Departmenr of Healrh and Hunran
Servtccs Prtrrt.r Rcgulatton*" (lfrR. I'irlr"li. Secrions 160 and 164 and other provisions
ot'larv. ,'\tt3 pr*r tstun r)!'the l.f ndcrililig r\grccnrent that is directly contradicrory lo one
or tllore ternts of this Addentjurn is supers*tlcd Lr)' rhe terms of this Addendum to theexl{:lll nccessar} fbr the pilrtlr.$' eclnrpiranu* ll,rth HlpAA.
t3 .\ A Airacirr*cn! Ilag.t 5 ol5