HomeMy WebLinkAboutP-21-366 County of Fresno George Hills Agreement.pdfClaims Adjusting and Administration Services Contract Between
the County of Fresno and George Hills Company
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CLAIMS ADJUSTING AND ADMINISTRATION SERVICE CONTRACT BETWEEN
THE COUNTY OF FRESNO AND GEORGE HILLS
COMPANY, INC.
This contract is made and entered into this day of ,
2021 by and between the COUNTY OF FRESNO, hereinafter referred to as
“CLIENT,” and GEORGE HILLS COMPANY, INC., hereinafter referred to as
“GH.”
GH is a California Corporation doing business as licensed, independent
insurance adjusters and administrators, with John Chaquica, CEO, responsible
for contract compliance and terms. Tom Baber, Asst. Vice President Claims
Administration, shall oversee the daily operations. The company's corporate
office is located at P.O. Box 278, Rancho Cordova, California, 95741, telephone,
(916) 859-4800.
The CLIENT is located at 2220 Tulare Street, 16th Floor Fresno, CA 93721 (559) 600-
1850.
IT IS HEREBY AGREED by and between the parties signing this contract as follows:
I.GENERAL
CLIENT is in need of a qualified third-party administrator to assist in the
duties and responsibilities of administering the CLIENT’s third-party
liability claims, Medical Malpractice claims, first party property claims and
subrogation services. GH shall act as a representative of the CLIENT
and when directed will provide the services as listed in “Attachment A”,
attached hereto and incorporated herein by this reference. GH is a third-
party claims administrator handling self-insured public entity claims and
is ready to and capable of performing such services. As such, GH may
act as a representative of the CLIENT when directed for the investigation,
adjustment, processing, negotiation and evaluation of third-party liability
claims, Medical Malpractice claims, first party property claims, including
filing with excess property carriers and subrogation claims.
II.SCOPE OF SERVICES
GH agrees to provide complete claim handling services on each accident
or incident, as directed by CLIENT. CLIENT and GH agree that GH will
serve as an independent adjuster on up to 75 claims to be assigned by
CLIENT. Each Claim will be subject to the Scope of Services and
CLIENT Expressed Authority and Limitations form, attached hereto as
Attachment A.
10th September
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III.DENIAL, COMPROMISE, OR SETTLEMENT OF CLAIMS
It is agreed that CLIENT has granted authority as set forth in Attachment
A, Scope of Services to GH for the purpose of rejecting, compromising,
settling or paying any claims against CLIENT being handled by GH. Prior
approval to compromise or settle any claim or pay any expense will be
obtained from the CLIENT’s inhouse adjuster or Risk Manager on
matters exceeding the authority granted above and listed in CLIENT’S
Expressed Authority and Limitations.
IV.FILE RETENTION
GH shall utilize the CLIENT’s SIMS and the CLIENT shall serve as the
custodian of its data, for documents related to each of the claims subject
to this agreement only, and as such shall electronically retain all related
records through the life of this contract.
V.CONFIDENTIALITY
All data, documents, discussions, or other information developed or
received by or for GH in performance of this Contract are confidential
and not to be disclosed to any person except as authorized by CLIENT
or CLIENT’s designee, or as required by law.
VI.CONFLICT OF INTEREST
In the event GH receives a claim from the CLIENT in which there arises
a "conflict of interest," GH shall immediately notify CLIENT. CLIENT will
oversee that particular claim to a conclusion. GH covenants that it
presently knows of no interest, direct or indirect, which would conflict in
any manner with the performance of services required under this
contract.
VII.CLIENT RESPONSIBILITY
CLIENT agrees to the following:
1)CLIENT shall cooperate with GH as reasonably necessary for GH
to perform its services.
2)CLIENT agrees to provide direction to GH as requested regarding
particular project requirements.
3)CLIENT shall identify a primary contact person(s) for an account
as well as for billing and loss run submission. In addition, CLIENT
shall be responsible for reporting all changes in the primary point
of contact to GH.
4)CLIENT shall be responsible for reporting all assigned Bodily
Injury claims for GH including Medicare, Medi-Cal, and SCHIP
Extension Act of 2007 (MMSEA). CLIENT shall be responsible
for updating GH on any changes to coverage/policy language;
including limits, retentions/deductibles and coverage changes by
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April 30 of each year.
VIII.COMPENSATION, FEES AND EXPENSES
The following compensation, fees and expenses, shall be paid in
consideration for the services provided by GH pursuant to this Contract.
A.Fixed Fee. For handling up to 75 liability claims, with a
maximum of 10 litigated claims assigned at any one time, up to 10 First
Party Property claims (up to $100,000 incurred), and up to 5 Medical
Malpractice claims pursuant to Section I, Subsections A through F, of
Attachment A, CLIENT shall pay GH a fixed fee of $70,000 for each one
year term of this Contract. This fixed fee shall be paid in equal monthly
payments for which GH shall submit monthly invoices in triplicate to the
County of Fresno Human Resources Department/Risk Management 2220
Tulare Street, 16th Floor, Fresno, CA 93721. In no event shall services
performed under this Agreement be in excess of $70,000.00 per year
during the term of this Agreement. It is understood that all expenses
incidental to GH’S performance of services under this Agreement shall
be borne by GH.
B.Time and Expense Costs and Allocated Expenses.
Time and Expense costs and Allocated Expenses, as set forth in
Attachment B, attached hereto and incorporated herein by this reference,
are costs separate from the annual fixed fee and shall be preapproved
by CLIENT. CLIENT shall reimburse GH for preapproved Time and
Expense and Allocated Expenses incurred by GH, but in no event shall
Allocated Expenses and Time and Expense costs exceed $25,000
during each one-year term of this Contract.
C.In no event shall the total amount paid by CLIENT to GH
during any one year of this agreement, to include Fixed Fees, Time and
Expense Costs and Allocated Expenses, and 1st Party Subrogation Fees,
be in excess of $100,000.
D.Payments by CLIENT shall be in arrears, for services
provided during the preceding month, within forty-five (45) days from date
of receipt, verification and approval of GH’s invoice and supporting
documentation by the CLIENT.
IX.TERM AND TERMINATION
The term of this Contract shall commence on September 13, 2021 and
will remain in effect through and including August 31, 2023, unless
terminated earlier pursuant to this Section IX. Either party may terminate
this Contract for any reason upon issuing a thirty (30) day written notice
to the other party pursuant to section XVIII of this Contract.
Termination for Convenience: CLIENT may at any time and for any
reason terminate this t Contract upon thirty (30) days written notice to
GH pursuant to section XVIII of this Contract. Notice shall be deemed
served on the date of mailing. Upon receipt of such notice, GH shall
discontinue services at the end of the 30-day period in connection with
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the scope of services of this Contract. Upon such termination, GH shall
be entitled to payment from CLIENT for services completed and
provided through the date of termination, per Section VIII.
X. FAIR EMPLOYMENT
It is the policy of GH to provide fair and equal treatment to all staff
members. GH is an Equal Opportunity Employer and does not
discriminate in any way against any person on the basis of age, race,
sex, color, national origin, national ancestry, physical disability, medical
condition, mental disability, religion, creed, marital status, sexual
orientation, gender identification, gender expression, use of family care
leave or any other classification deemed protected by law.
XI. INDEPENDENT CONTRACTOR
In performing claims administrative services herein agreed upon, GH,
and all GH employees, shall have the status of an independent
contractor of the CLIENT and shall not be deemed to be an officer,
employee, or agent of CLIENT.
XII. AUDITS AND INSPECTIONS
The GH shall at any time during business hours, and as often as the
CLIENT may deem necessary, make available to the CLIENT for
examination all of its records and data with respect to the matters covered
by this Contract. The GH shall, upon request by the CLIENT, permit the
CLIENT to audit and inspect all of such records and data necessary to
ensure GH'S compliance with the terms of this Contract.
If this Contract exceeds ten thousand dollars ($10,000.00), GH shall be
subject to the examination and audit of the Auditor General for a period
of three (3) years after final payment under contract (Government Code
Section 8546.7).
XIII. HOLD HARMLESS
GH agrees to indemnify, save, hold harmless, and at CLIENT’s request,
defend the CLIENT, its officers, agents, and employees from any and all
costs and expenses (including attorney’s fees and costs), damages,
liabilities, claims, and losses occurring or resulting to CLIENT in connection
with the performance, or failure to perform, by GH, its officers, agents, or
employees under this Contract, and from any and all costs and expenses
(including attorney’s fees and costs), damages, liabilities, claims, and
losses occurring or resulting to any person, firm, or corporation who may
be injured or damaged by the performance, or failure to perform, of GH,
its officers, agents, or employees under this Contract.
XIV. INSURANCE
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Without limiting the CLIENT's right to obtain indemnification from GH or
any third parties, GH, at its sole expense, shall maintain in full force and
effect, the following insurance policies, or a program of self-insurance,
including but not limited to, an insurance pooling arrangement or Joint
Powers Agreement (JPA) throughout the term of the Contract:
1)Commercial General Liability
Commercial General Liability Insurance with limits of not less than Two
Million Dollars ($2,000,000.00) per occurrence and an annual aggregate of
Four Million Dollars ($4,000,000.00). This policy shall be issued on a per
occurrence basis. CLIENT may require specific coverages including
completed operations, products liability, contractual liability, Explosion-
Collapse-Underground, fire legal liability or any other liability insurance
deemed necessary because of the nature of this Contract.
2)Automobile Liability
Comprehensive Automobile Liability Insurance with limits of not less than
One Million Dollars ($1,000,000.00) per accident for bodily injury and for
property damages. Coverage should include any auto used in connection
with this Contract.
3)Professional Liability
If CONTRACTOR employs licensed professional staff, (e.g., Ph.D., R.N.,
L.C.S.W., M.F.C.C.) in providing services, Professional Liability Insurance
with limits of not less than One Million Dollars ($1,000,000.00) per
occurrence, Three Million Dollars ($3,000,000.00) annual aggregate. GH
agrees that it shall maintain, at its sole expense, in full force and effect
for a period of three (3) years following the termination of this Contract,
one or more policies of professional liability insurance with limits of
coverage as specified herein.
4)Worker's Compensation
A policy of Worker's Compensation insurance as may be required by the
California Labor Code.
5)Cyber liability
Cyber Liability Insurance, with limits not less than $2,000,000 per
occurrence or claim, $2,000,000 aggregate. Coverage shall be
sufficiently broad to respond to the duties and obligations as is
undertaken by GH in this Contract and shall include, but not be limited
to, claims involving infringement of intellectual property, including but not
limited to infringement of copyright, trademark, trade dress, invasion of
privacy violations, information theft, damage to or destruction of
electronic information, release of private information, alteration of
electronic information, extortion and network security. The policy shall
provide coverage for breach response costs as well as regulatory fines
and penalties as well as credit monitoring expenses with limits sufficient
to respond to these obligations.
Additional Requirements Relating to Insurance
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GH shall obtain endorsements to the Commercial General Liability insurance naming
the County of Fresno, its officers, agents, and employees, individually and collectively,
as additional insured, but only insofar as the operations under this Contract are
concerned. Such coverage for additional insured shall apply as primary insurance and
any other insurance, or self-insurance, maintained by CLIENT, its officers, agents and
employees shall be excess only and not contributing with insurance provided under
GH's policies herein. This insurance shall not be cancelled or changed without a
minimum of thirty (30) days advance written notice given to CLIENT.
GH hereby waives its right to recover from CLIENT, its officers, agents, and employees
any amounts paid by the policy of worker’s compensation insurance required by this
Contract. GH is solely responsible to obtain any endorsement to such policy that may
be necessary to accomplish such waiver of subrogation, but GH’s waiver of
subrogation under this paragraph is effective whether or not GH obtains such an
endorsement.
Within Thirty (30) days from the date GH signs and executes this Contract, GH shall
provide certificates of insurance and endorsement as stated above for all of the
foregoing policies, as required herein, to the County of Fresno, Human Resources
Department, Risk Management Division, stating that such insurance coverage have
been obtained and are in full force; that the County of Fresno, its officers, agents and
employees will not be responsible for any premiums on the policies; that such
Commercial General Liability insurance names the County of Fresno, its officers,
agents and employees, individually and collectively, as additional insured, but only
insofar as the operations under this Contract are concerned; that such coverage for
additional insured shall apply as primary insurance and any other insurance, or
self-insurance, maintained by CLIENT, its officers, agents and employees, shall be
excess only and not contributing with insurance provided under GH's policies herein;
and that this insurance shall not be cancelled or changed without a minimum of thirty
(30) days advance, written notice given to CLIENT.
In the event GH fails to keep in effect at all times insurance coverage as herein
provided, the CLIENT may, in addition to other remedies it may have, suspend or
terminate this Contract upon the occurrence of such event.
All policies shall be issued by admitted insurers licensed to do business in the State of
California, and such insurance shall be purchased from companies possessing a
current A.M. Best, Inc. rating of A FSC VII or better.
XV. EMPLOYEE SOLICITATION
During the period of this Contract, and for a period of one (1) year
thereafter, GH agrees not to solicit for employment any CLIENT
employee contacted during the performance of this Contract; CLIENT
agrees not to solicit for employment, or employ, during the period of this
Contract, and for a period of one (1) year thereafter, any employee of
GH contacted by the CLIENT during the performance of this Contract.
XVI. PERMITS, LICENSES, CERTIFICATES
GH, at GH’s sole expense, shall obtain and maintain during the term of
this Contract, all permits, licenses, and certificates required in connection
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with the performance of services under this Contract, including
appropriate business license.
XVII.GOVERNING LAW
Venue for any action arising out of or related to this Contract shall only be in
Fresno County, California. The rights and obligations of the parties and all
interpretation and performance of this Contract shall be governed in all
respects by the laws of the State of California.
XVIII.FORCE MAJEURE CLAUSE.
GH shall be relieved of any liability if unable to meet the terms and
conditions of this Contract due to any "Act of God", natural disasters such
as earthquake or fires, floods, riots, epidemics, pandemics, including
COVID-19 regulations or restrictions issued by federal, state or local
governmental authorities, strikes, or any act or order which is beyond the
control of GH, provided GH takes all reasonable steps practical and
necessary to effect prompt resumption of its responsibilities hereunder.
XIV.NOTICES
All notices to GH shall be sent via certified U.S. Mail, postage prepaid, to
the following address:
GH
George Hills Company Attn: John Chaquica, CEO
P.O. Box 278
Rancho Cordova, CA 95741
All notices to the CLIENT shall be personally served or mailed,
postage prepaid, to the following address:
CLIENT
County of Fresno Human Resources/Risk Management
Attention: Steve Johnson, Risk Manager
2220 Tulare Street, 16th Floor
Fresno, CA 93721
This subsection only, regarding Notices, may be amended unilaterally by
either party by and through the mailing of new or amended contact
information to the other party via certified U.S. Mail at any time. For all
claims arising out of or related to this Contract, nothing in this section
establishes, waives, or modifies any claims presentation requirements or
procedures provided by law, including but not limited to the Government
Claims Act (Division 3.6 of Title 1 of the Government Code, beginning
with section 810).
XX.HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT
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1.) The parties to this Contract shall be in strict conformance with all
applicable Federal and State of California laws and regulations,
including but not limited to Sections 5328, 10850, and 14100.2 et seq.
of the Welfare and Institutions Code, Sections 2.1 and 431.300 et seq.
of Title 42, Code of Federal Regulations (CFR), Section 56 et seq. of
the California Civil Code and the Health Insurance Portability and
Accountability Act (HIPAA), including but not limited to Section 1320
D et seq. of Title 42, United States Code (USC) and its implementing
regulations, including, but not limited to Title 45, CFR, Sections 142,
160, 162, and 164, The Health Information Technology for Economic
and Clinical Health Act (HITECH) regarding the confidentiality and
security of patient information, and the Genetic Information
Nondiscrimination Act (GINA) of 2008 regarding the confidentiality of
genetic information.
Except as otherwise provided in this Contract, GH, as a Business
Associate of CLIENT, may use or disclose Protected Health
Information (PHI) to perform functions, activities or services for or on
behalf of CLIENT, as specified in this Contract, provided that such use
or disclosure shall not violate the Health Insurance Portability and
Accountability Act (HIPAA), USC 1320d et seq. The uses and
disclosures of PHI may not be more expansive than those applicable
to CLIENT, as the “Covered Entity” under the HIPAA Privacy Rule (45
CFR 164.500 et seq.), except as authorized for management,
administrative or legal responsibilities of the Business Associate.
2.) GH, including its subcontractors and employees, shall protect, from
unauthorized access, use, or disclosure of names and other
identifying information, including genetic information, concerning
persons receiving services pursuant to this Contract, except where
permitted in order to carry out data aggregation purposes for
health care operations [45 CFR Sections 164.504 (e)(2)(i),
164.504 (3)(2)(ii)(A), and 164.504 (e)(4)(i)] This pertains to any
and all persons receiving services pursuant to a CLIENT funded
program. This requirement applies to electronic PHI. GH shall not
use such identifying information or genetic information for any
purpose other than carrying out GH obligations under this
Contract.
A. GH, including its subcontractors and employees, shall not
disclose any such identifying information or genetic information to
any person or entity, except as otherwise specifically permitted by
this Contract, authorized by Subpart E of 45 CFR Part 164 or other
law, required by the Secretary, or authorized by the
CLIENT/patient in writing. In using or disclosing PHI that is
permitted by this Agreement or authorized by law, GH shall make
reasonable efforts to limit PHI to the minimum necessary to
accomplish intended purpose of use, disclosure or request.
B. For purposes of the above sections, identifying information
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shall include, but not be limited to name, identifying number,
symbol, or other identifying particular assigned to the individual,
such as finger or voice print, or photograph.
For purposes of the above sections, genetic information shall
include genetic tests of family members of an individual or
individual, manifestation of disease or disorder of family members
of an individual, or any request for or receipt of, genetic services
by individual or family members. Family member means a
dependent or any person who is first, second, third, or fourth
degree relative.
C.GH shall provide access, at the request of CLIENT, and in the
time and manner designated by CLIENT, to PHI in a designated
record set (as defined in 45 CFR Section 164.501), to an individual
or to CLIENT in order to meet the requirements of 45 CFR Section
164.524 regarding access by individuals to their PHI. With respect
to individual requests, access shall be provided within thirty (30)
days from request. Access may be extended if GH cannot provide
access and provides individual with the reasons for the delay and
the date when access may be granted. PHI shall be provided in the
form and format requested by the individual or CLIENT.
GH shall make any amendment(s) to PHI in a designated record set
at the request of CLIENT or individual, and in the time and manner
designated by CLIENT in accordance with 45 CFR Section 164.526.
GH shall provide to CLIENT or to an individual, in a time and manner
designated by CLIENT, information collected in accordance with 45
CFR Section 164.528, to permit CLIENT to respond to a request by
the individual for an accounting of disclosures of PHI in accordance
with 45 CFR Section 164.528.
GH shall report to CLIENT, in writing, any knowledge or
reasonable belief that there has been unauthorized access,
viewing, use, disclosure, security incident, or breach of unsecured
PHI not permitted by this Contract of which it becomes aware,
immediately and without reasonable delay and in no case later
than two (2) business days of discovery. Immediate notification
shall be made to CLIENT’s Information Security Officer, Privacy
Officer, CLIENT’s Department of Behavioral Health HIPAA
Representative, and CLIENT’s Risk Manager within two (2)
business days of discovery. The notification shall include, to the
extent possible, the identification of each individual whose
unsecured PHI has been, or is reasonably believed to have been,
accessed, acquired, used, disclosed, or breached. GH shall take
prompt corrective action to cure any deficiencies and any action
pertaining to such unauthorized disclosure required by applicable
Federal and State Laws and regulations. GH shall investigate
such breach and is responsible for all notifications required by law
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and regulation or deemed necessary by CLIENT and shall provide
a written report of the investigation and reporting required to
CLIENT’s Information Security Officer and Privacy Officer. This
written investigation and description of any reporting necessary
shall be postmarked within the thirty (30) working days of the
discovery of the breach to the addresses below:
County of Fresno County of Fresno County of Fresno
Dept. of Behavioral Health Dept. of Public Health Information Technology Services
HIPAA Representative Privacy Officer Information Security Officer
(559) 600-6439 (559) 600-6405 (559) 600-5800
P.O. Box 11867 P.O. Box 11867 333 W. Pontiac Way
Fresno, CA 93775 Fresno, CA 93775 Clovis, CA 93612
County of Fresno
Risk Manager
(559) 600-1851
2220 Tulare Street, 16th Floor
Fresno, CA 93721
GH shall make its internal practices, books, and records relating to the use and
disclosure of PHI received from CLIENT or created or received by the GH on behalf of CLIENT,
in compliance with HIPAA’s Privacy Rule, including, but not limited to the requirements set forth
in Title 45, CFR, Sections 160 and 164. GH shall make its internal practices, books, and records
relating to the use and disclosure of PHI received from CLIENT or created or received by the GH
on behalf of CLIENT, available to the United States Department of Health and Human Services
(Secretary) upon demand.
GH shall cooperate with the compliance and investigation reviews
conducted by the Secretary. PHI access to the Secretary must be provided during the GH’s
normal business hours, however, upon exigent circumstances access at any time must be
granted. Upon the Secretary’s compliance or investigation review, if PHI is unavailable to GH
and in possession of a Subcontractor, it must certify efforts to obtain the information to the
Secretary.
A. Safeguards
GH shall implement administrative, physical, and technical safeguards as required
by the HIPAA Security Rule, Subpart C of 45 CFR 164, that reasonably and appropriately protect
the confidentiality, integrity, and availability of PHI, including electronic PHI, that it creates,
receives, maintains or transmits on behalf of CLIENT and to prevent unauthorized access,
viewing, use, disclosure, or breach of PHI other than as provided for by this Agreement. GH
shall conduct an accurate and thorough assessment of the potential risks and vulnerabilities to
the confidential, integrity and availability of electronic PHI. GH shall develop and maintain a
written information privacy and security program that includes administrative, technical and
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physical safeguards appropriate to the size and complexity of GH’s operations and the nature
and scope of its activities. Upon CLIENT’s request, GH shall provide CLIENT with information
concerning such safeguards.
GH shall implement strong access controls and other security safeguards and precautions
to restrict logical and physical access to confidential, personal (e.g., PHI) or sensitive data to
authorized users only. Said safeguards and precautions shall include the following
administrative and technical password controls for all systems used to process or store
confidential, personal, or sensitive data:
1.Passwords must not be:
a.Shared or written down where they are accessible or
recognizable by anyone else; such as taped to computer
screens, stored under keyboards, or visible in a work area;
b.A dictionary word; or
c.Stored in clear text
2.Passwords must be:
a.Eight (8) characters or more in length;
b.Changed every ninety (90) days;
c.Changed immediately if revealed or compromised;
d.Composed of characters from at least three (3) of the
following four (4) groups from the standard keyboard:
i.Upper case letters (A-Z);
ii.Lowercase letters (a-z);
iii.Arabic numerals (0 through 9); and
iv. Non-alphanumeric characters (punctuation symbols).
GH/S shall implement the following security controls on each workstation or
portable computing device (e.g., laptop computer) containing confidential,
personal, or sensitive data:
1.Network-based firewall and/or personal firewall;
2.Continuously updated anti-virus software; and
3.Patch management process including installation of all operating
system/software vendor security patches.
GH shall utilize a commercial encryption solution that has received FIPS 140-
2 validation to encrypt all confidential, personal, or sensitive data stored on portable electronic
media (including, but not limited to, compact disks and thumb drives) and on portable computing
devices (including, but not limited to, laptop and notebook computers).
GH shall not transmit confidential, personal, or sensitive data via e-mail or
other internet transport protocol unless the data is encrypted by a solution that has been validated
by the National Institute of Standards and Technology (NIST) as conforming to the Advanced
Encryption Standard (AES) Algorithm. GH must apply appropriate sanctions against its employees
who fail to comply with these safeguards. GH must adopt procedures for terminating access to PHI
when employment of employee ends.
B.Mitigation of Harmful Effects
GH shall mitigate, to the extent practicable, any harmful effect that is
suspected or known to GH of an unauthorized access, viewing, use, disclosure, or breach of PHI
by GH or its subcontractors in violation of the requirements of these provisions. GH/S must
document suspected or known harmful effects and the outcome.
J.GH Subcontractors
GH shall ensure that any of its contractors, including subcontractors, if
applicable, to whom GH provide PHI received from or created or received by GH on behalf of
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CLIENT, agree to the same restrictions, safeguards, and conditions that apply to GH with respect to
such PHI and to incorporate, when applicable, the relevant provisions of these provisions into each
subcontract or sub-award to such agents or subcontractors.
K. Employee Training and Discipline
GH shall train and use reasonable measures to ensure compliance with the
requirements of these provisions by employees who assist in the performance of functions or
activities on behalf of CLIENT under this Agreement and use or disclose PHI and discipline such
employees who intentionally violate any provisions of these provisions, including termination of
employment.
L. Termination for Cause
Upon CLIENT’s knowledge of a material breach of these provisions by GH,
CLIENT shall either:
1. Provide an opportunity for GH to cure the breach or end the
violation and terminate this Agreement if GH do not cure the breach or end the violation within
the time specified by CLIENT; or
2. Immediately terminate this Agreement if GH have breached a
material term of these provisions and cure is not possible.
3. If neither cure nor termination is feasible, the CLIENT’s Privacy
Officer shall report the violation to the Secretary of the U.S. Department of Health and Human
Services.
M. Judicial or Administrative Proceedings
CLIENT may terminate this Agreement in accordance with the terms and conditions of this
Agreement as written hereinabove, if: (1) GH is found guilty in a criminal proceeding for a violation
of the HIPAA Privacy or Security Laws or the HITECH Act; or (2) a finding or stipulation that the
GH have violated a privacy or security standard or requirement of the HITECH Act, HIPAA or
other security or privacy laws in an administrative or civil proceeding in which the GH is a party.
N. Effect of Termination
Upon termination or expiration of this Agreement for any reason, GH shall
return or destroy all PHI received from CLIENT (or created or received by GH on behalf of
CLIENT) that GH still maintain in any form and shall retain no copies of such PHI. If return or
destruction of PHI is not feasible, it shall continue to extend the protections of these provisions to
such information, and limit further use of such PHI to those purposes that make the return or
destruction of such PHI infeasible. This provision shall apply to PHI that is in the possession of
subcontractors or agents, if applicable, of GH. If GH destroys the PHI data, a certification of date
and time of destruction shall be provided to the CLIENT by GH.
O. Disclaimer
CLIENT makes no warranty or representation that compliance by GH with
these provisions, the HITECH Act, HIPAA or the HIPAA regulations will be adequate or
satisfactory for GH’s’ own purposes or that any information in GH possession or control, or
transmitted or received by GH, is or will be secure from unauthorized access, viewing, use,
disclosure, or breach. GH is solely responsible for all decisions made by GH regarding the
safeguarding of PHI.
P. Amendment
The parties acknowledge that Federal and State laws relating to electronic
data security and privacy are rapidly evolving and that amendment of these provisions may be
required to provide for procedures to ensure compliance with such developments. The parties
specifically agree to take such action as is necessary to amend this agreement in order to
implement the standards and requirements of HIPAA, the HIPAA regulations, the HITECH Act
and other applicable laws relating to the security or privacy of PHI. CLIENT may terminate this
Agreement upon thirty (30) days written notice in the event that GH does not enter into an
amendment providing assurances regarding the safeguarding of PHI that CLIENT in its sole
Claims Adjusting and Administration Services Contract Between
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discretion, deems sufficient to satisfy the standards and requirements of HIPAA, the HIPAA
regulations and the HITECH Act.
Q.No Third-Party Beneficiaries
Nothing express or implied in the terms and conditions of these provisions
is intended to confer, nor shall anything herein confer, upon any person other than CLIENT or
GH and their respective successors or assignees, any rights, remedies, obligations or liabilities
whatsoever.
R.Interpretation
The terms and conditions in these provisions shall be interpreted as broadly
as necessary to implement and comply with HIPAA, the HIPAA regulations and applicable State
laws. The parties agree that any ambiguity in the terms and conditions of these provisions shall
be resolved in favor of a meaning that complies and is consistent with HlPAA and the HIPAA
regulations.
S.Regulatory References
A reference in the terms and conditions of these provisions to a section in
the HIPAA regulations means the section as in effect or as amended.
T.Survival
The respective rights and obligations of GH as stated in this Section shall
survive the termination or expiration of this Agreement.
U.No Waiver of Obligations
No change, waiver or discharge of any liability or obligation hereunder on
any one or more occasions shall be deemed a waiver of performance of any continuing or other
obligation or shall prohibit enforcement of any obligation on any other occasion.
XXI.NON-DISCRIMINATION:
During the performance of this Contract, GH shall not unlawfully
discriminate against any employee or applicant for employment, or
recipient of services, because of race, religious creed, color, national
origin, ancestry, physical disability, mental disability, medical condition,
genetic information, marital status, sex, gender, gender identity, gender
expression, age, sexual orientation, military status or veteran status
pursuant to all applicable State of California and Federal statutes and
regulation
Disclosure of Self-Dealing Transactions:
XXII.DISCLOSURE OF SELF DEALING TRANSACTIONS
This provision is only applicable if the GH is operating as a corporation (a for-profit or
non-profit corporation) or if during the term of the agreement, the GH changes its
status to operate as a corporation.
Members of the GH’s Board of Directors shall disclose any self-dealing transactions
that they are a party to while GH is providing goods or performing services under this
Contract. A self-dealing transaction shall mean a transaction to which the GH is a party
and in which one or more of its directors has a material financial interest. Members of
the Board of Directors shall disclose any self-dealing transactions that they are a party
to by completing and signing a Self-Dealing Transaction Disclosure Form, attached
hereto as Attachment C and incorporated herein by reference, and submitting it to the
CLIENT prior to commencing with the self-dealing transaction or immediately
thereafter.
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XXIII. AMENDMENT
GH and CLIENT agree that the terms and conditions of the Contract may
be reviewed or modified at any time. Any modifications to this Contract,
however, shall be effective only when agreed to in writing by both the
CLIENT and GH, excepting only, modifications to the contact information
to which Notices shall be sent under subsection XVIII.
XXIV. ENTIRE CONTRACT
GH and CLIENT agree that this Contract constitutes the entire contract
of the parties regarding the subject matter described herein and
supersedes all prior communications, contracts, and promises, either
written or oral.
XXV. TIME OF ESSENCE
Time is of the essence in respect to all provisions of this Contract that
specify a time for performance: provided, however that the foregoing
shall not be construed to limit or deprive a party of the benefits of any
grace or use period allowed in this Contract.
XXVI. Electronic Signature: The parties agree that this Contract may be executed by
electronic signature as provided in this section. An “electronic signature” means
any symbol or process intended by an individual signing this Contract to represent
their signature, including but not limited to (1) a digital signature; (2) a faxed
version of an original handwritten signature; or (3) an electronically scanned and
transmitted (for example by PDF document) of a handwritten signature. Each
electronic signature affixed or attached to this Contract (1) is deemed equivalent
to a valid original handwritten signature of the person signing this Contract for all
purposes, including but not limited to evidentiary proof in any administrative or
judicial proceeding, and (2) has the same force and effect as the valid original
handwritten signature of that person. The provisions of this section satisfy the
requirements of Civil Code section 1633.5, subdivision (b), in the Uniform
Electronic Transaction Act (Civil Code, Division 3, Part 2, Title 2.5, beginning with
section 1633.1). Each party using a digital signature represents that it has
undertaken and satisfied the requirements of Government Code section 16.5,
subdivision (a), paragraphs (1) through (5), and agrees that each other party may
rely upon that representation. This Contract is not conditioned upon the parties
conducting the transactions under it by electronic means and either party may
sign this Contract with an original handwritten signature.
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IN WITNESS WHEREOF, the parties hereto have caused this Contract to be signed by
their duly authorized representatives as of the day and year first written above.
BY:
Date John E.
Chaquica, CEO
GEORGE HILLS COMPANY INC.
BY:
Date Gary
Cornuelle, Purchasing Manager
9/10/21
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the County of Fresno and George Hills Company
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ATTACHMENT A
SCOPE OF SERVICES AND CLIENT EXPRESSED AUTHORITY AND LIMITATIONS
UNDER THE CONTRACT
Services to be provided by GH are as follows:
I.SERVICES INCLUDED IN THE CONTRACT
A.Claim Review Meetings
GH shall, on a mutually agreed periodic basis, meet with CLIENT to review
and discuss the CLIENT’s claims inventory and claims results of specified
periods and delivery of services by GH. GH agrees to appear at four (4)
in person claim review meetings at a location determined by the CLIENT
and agrees to appear at the balance of eight (8) monthly claim review
meetings per year via virtual or telephonic appearance.
B.Investigative Services—as directed
1)Receipt and examination of all reports of accidents or incidents that are
or may be the subject of claims.
2) Investigate accidents or incidents as warranted, to include on-site
investigation, photographs, witness interviews, determination of losses
and other such investigative services necessary to determine all CLIENT
losses but not to include extraordinary investigative services outside the
expertise of GH. If deemed necessary to a claim or case, GH may
contract with one or more third party investigators, if approved by
CLIENT, in order to complete any and all necessary investigations.
3)In the event CLIENT or other agency conducts any investigation, and
upon CLIENT’s request, GH shall review and analyze for liability and/or
damage issues and for possible additional follow-up investigation.
4)Maintain service on a 24-hour, 7 days per week basis, to receive reports
of any incident or accident which may be the subject of a liability claim
and provide immediate investigative services to the extent necessary to
provide a complete investigation.
5)Undertake items of investigation requiring special handling for CLIENT
at the direction of the CLIENT’s Attorney or authorized representative.
C.Liability and Claim Handling Services—as directed
1)Assess and evaluate the nature and extent of each claim and establish
claims reserves for indemnity and legal expense.
2)GH will follow any CLIENT policy regarding tort claim rejection
instructions, including rejection and return of an untimely or insufficient
claim.
3) Ensure timely tort claim handling, including contact and follow-up with
claimants regarding claim issues and processing.
4)Any bodily injury claim that is being pursued shall be indexed pursuant
to the CLIENT’s practices.
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5)Determine the need for defense representation, CLIENT will assign
defense counsel and GH will support litigation activity.
6) Report claims to the excess insurer in compliance with excess carrier’s
reporting requirements and coordinate with the excess insurer on a
claim’s progress in accordance with the excess insurer’s reporting
requirements.
7) Maintain records on any such claim and notify CLIENT when CLIENT is
about to exhaust the Self-Insured Retention.
8)Obtain settlement contracts and releases upon settlement of claims or
potential claims not in litigation.
9)Perform periodic reviews, as needed, of CLIENT files and claims as well
as statutory requirements to ensure compliance including excess
insurance related requirements.
10)To the extent there is privileged information or PHI shared between
agencies, which is subject to protection under HIPAA, GH shall
implement all necessary measures in compliance with HIPAA language
contained within the Agreement.
D.Reports and Procedures
1)Within thirty (30) days of assignment, or sooner if practicable, required,
or requested, GH will provide CLIENT with a report pursuant to specified
claims handling instructions, showing name(s) of claimant(s), type of
claim, date of loss, comments on liability, reserve recommendations,
settlement recommendations, and other pertinent information.
Subsequent to the initial thirty (30) day report, GH will report as often as
warranted by any important change in status but no longer than every
ninety (90) days until the claim closes unless extended diary is
appropriate.
2)All original reports, documents, and claim data of every kind or
description, that are prepared in whole or in part by or for the GH in
connection with this contract shall be CLIENT's property and constitute
the GH’s work product for which compensation is paid. A copy of all
reports, documents, and claim data of every kind or description that is in
whole or in part by or for the CLIENT is the property of GH. Additional
copies of original reports, documents, and data requested by CLIENT will
be at CLIENT’s expense in accordance with this contract.
3)GH agrees that CLIENT have access and the right to audit and reproduce
any of the GH’s relevant records to ensure that the CLIENT is receiving
all services to which the CLIENT is entitled under this Contract or for any
purpose relating to the Contract.
E.Litigation Support Services—as directed
1)Upon notification by the CLIENT that litigation has been filed on an open
claim, GH shall follow the litigation referral process as outlined in the
CLIENT Expressed Scope of Work Instructions form.
2)Work cooperatively with CLIENT, CLIENT will assign defense counsel in
on-going litigation defense efforts.
3) Obtain and maintain a Litigation Plan and Budget.
4)Review legal bills for compliance with Litigation Plan and Budget;
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Review, evaluate and adjust defense counsel invoices for legal
services.
5) Cooperate with and assist defense counsel assigned to litigation of
open claims and provide such investigative services as directed during
pre-trial and trial stages.
6) Assist in responding to discovery or preparing discovery.
7) At the request of the CLIENT, attend mandatory settlement
conferences on behalf of CLIENT.
8) Appear on behalf of CLIENT if GH adjuster is in vicinity of Fresno court,
otherwise return file back to inhouse adjuster for small claims actions
filed against CLIENT on open claims handled by GH. In-person
appearances are subject to additional fees based on time and expense
rates.
9) Review and evaluate case evaluations, correspondence and status
reports forwarded to GH by counsel. Regularly discuss, review, and
direct investigation, discovery, and case strategy with counsel.
10) Cooperate with counsel as a team with an open communication
approach on each case to obtain the most economical and best result for
the CLIENT.
F. Third Party Subrogation/Indemnity Services—as directed
1) GH personnel are well versed in the identification, handling, and pursuit
of subrogation claims arising out of CLAIMS which are the subject of this
Contract. Included within this contract, GH will perform the following
functions:
2) Identify potential opportunities to recover from persons, businesses, and
entities other than the CLIENT.
3) Prepare and file a claim with each identified entity.
4) As applicable, tender defense to or seek recovery from any identified entity.
5) With CLIENT preapproval, GH with the assistance of counsel prepare
and file any necessary litigation required to affect the claim of
recovery on behalf of the CLIENT
6) Manage litigation related to such claims made to other person, businesses or
entities
G. First Party Subrogation Services—as directed
GH is a claim administration firm experienced in the handling of first party
subrogation claims and is ready and capable of performing such services on
behalf of CLIENT. GH does not handle subrogation claims with a value of less
than $1000. For any claim in excess of $1,000, CLIENT may retain GH for
Subrogation Services as follows:
a. Authorize GH to act as a representative of CLIENT for the
investigation, adjustment, processing, supervision and evaluation
of an ultimate recovery of potential money from damage claims
against parties for whom it is alleged to be legally responsible.
b. With prior approval of CLIENT GH may engage the services of
one of CLIENT’S litigation attorneys to consult, review and
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determine the best legal strategy available at the time to obtain
the best possible result for the CLIENT. Upon determination by
the attorney that a civil action is in the best interest of CLIENT,
GH will notify CLIENT and obtain authorization to pursue
recovery in accordance with the recommendations of the
CLIENT’S litigation attorney.
c.While GH is handling a subrogation claim for CLIENT pursuant
to the terms of this Contract, and the institution of a civil action is
determined by CLIENT to be the best course of action, CLIENT
may elect to do so at CLIENT’s own expense.
i.Recall the claim to CLIENT’s control so that CLIENT may
pursue recovery in a manner to be determined by the
CLIENT’s attorney to be in the best interest of the
CLIENT.
ii.In the event CLIENT recalls the claim as indicated above,
CLIENT shall be responsible for payment to GH for any
and all time and expense incurred by GH’s subrogation
claim adjuster and/or other subrogation division staff up
to the time wherein the claim has been recalled by
CLIENT.
d.CLIENT will pay a Subrogation Fee in the amount of 30% of the
gross amount recovered for every recovery obtained by GH. The
minimum amount to be paid to GH will be $250 per claim upon
recovery. However, GH has the authority to reject any claim for
any reason, relieving CLIENT of any fiscal responsibility for
rejected claims only.
i.GH reserves the right to cease working on any claim
whereas information has not been made available to GH
within 120 days after GH has submitted the information
and/or documentation request to CLIENT, at such time
the claim will be closed.
ii.Due to the nature of these services, in that compensation
is contingent upon recovery, if the contract is terminated
prior to recovery or other closure of any claim, the CLIENT
shall pay GH for all expenses and time spent, to date, on
any claim(s) currently open and recovery in process.
Payment shall be based on the current hourly rate of GH,
of $95.00 per hour. GH will submit the final invoice within
five business days of termination.
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CLIENT EXPRESSED AUTHORITY AND LIMITATIONS
Investigation
George Hills and CLIENT will discuss any investigations that require travel by GH to the
Fresno area. GH will handle all other investigative services on assigned files.
Retention of Vendors
GH can assign the following: (Appraisers, translators, copy services, Independent
adjuster, Independent Medical Exams, surveillance, etc.).
Must be preauthorized by CLIENT if the amount of the fee exceeds of $5,000.00.
Rejection of claims:
CLIENT’s position regarding rejections (e.g. if CLIENT so dictates, a claim will be
rejected for insufficiency).
Protocols for Rejections:
If Claim is $5,000.00 or under, GH can reject claim. The rejection letter will be signed by
Risk Manager.
Over $5,000 must be brought to the Claims Review Committee, thereafter, brought to
the Board of Supervisors Consent Agenda.
Notice of Insufficiency, Late Claim or Leave to Present a Late Claim
GH can send Notice of Insufficiency, Late Claim or Leave to Present a Late Claim.
Litigation
GH will handle assigned litigated claims.
Mandatory Settlement Conferences & Mediations
Upon CLIENT approval GH will attend settlement conferences and mediations on
assigned cases.
Small Claims Actions filed against CLIENT
Upon CLIENT request (if adjuster of GH is located in Fresno area) will appear for Small
Claims.
Legal Counsel
CLIENT will assign defense Counsel; CLIENT has an approved Legal Panel for Attorney
Selection and GH will use CLIENT’s litigation guidelines.
CLIENT Specific Litigation Guidelines Yes
CLIENT Specific Litigation Referral Form/Letter Yes
CLIENT Specific Litigation Budget Form Yes
Claims Adjusting and Administration Services Contract Between
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Fees for Experts, photocopies, medical records, must be preapproved by CLIENT if the
amount of the fee exceeds $5,000.00 as legal expense.
Excess Reporting
GH will report assigned claims to the excess insurer in compliance with excess carrier’s
reporting requirements and coordinate with the excess insurer on a claim’s progress in
accordance with the excess insurer’s reporting requirements.
Authority Levels
GH Adjuster must seek approval from (CLIENT contact) to post indemnity reserves
above authority level of 100,000.00.
Medical Treatment
Medical authorizations should only be sent to the claimant once liability is determined
adverse to the CLIENT.
Claims Exceeding SIR
GH stops tracking activity once the SIR has been reached and will return claim to
CLIENT.
Third party Subrogation Services
GH must obtain authorization to initiate third party subrogation claims on behalf of
CLIENT.
First Party Subrogation Services
CLIENT elects to incorporate the first party subrogation services of GH into the
contract .
Under Attachment B.
CLIENT authorizes GH to initiate first party subrogation claims on behalf of CLIENT.
CLIENT agrees to the additional compensation payable to GH for its first party subrogation
services as follows: GH shall be entitled to 30% of the gross recovery of each clam
initiated by GH.
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ATTACHMENT B
ALLOCATED EXPENSES
Typically, allocated expenses are those expenses that are generated by a claim, including
additional adjuster fees at a rate of $95.00 per hour and special claims handling and by (outside
vendors other than George Hills) that cannot be foreseen nor included in an agreement. These
are generally allocated back to the specific claim file for which the cost was incurred and then
charged back to the CLIENT whose claim incurred that cost. In most situations are pass-through
costs (with processing fees) for services and/or fees not directly generated by the TPA, but
rather by a third-party vendor where the TPA has acted as an agent on behalf of the CLIENT to
necessarily outscore services to a third-party vendor and/or miscellaneous fees applicable to
the specific claim applied by an outside entity, such as a court or copy service. Below, George
Hills has provided a list, by no means an exhaustive list, of typical allocated expenses. Any
allocated expenses must be preapproved by CLIENT and GH will supply the fees and w-9
information.
Fees of outside counsel for claims in suit, coverage opinions, and litigation, and for
representation and hearings or pretrial conferences;
Fees of court reporters;
All court costs, court fees, and court expenses;
Fees for service of process;
CMS reporting costs and fees (ExamWorks);
Costs of undercover operatives and detectives;
Costs for employing experts for the preparation of maps, professional photographs,
accounting, chemical or physical analysis, or diagrams;
Costs for employing experts for the advice, opinions, or testimony concerning
claims under investigation or in litigation for which a declaratory judgment is sought;
Costs for independent medical examination or evaluation for rehabilitation;
Costs of legal transcripts of testimony taken at coroner’s inquests, or criminal or civil
proceeding;
Costs for copies of any public records or medical records;
Costs of depositions and court reporting;
Costs of engineers, handwriting experts, or any other type of expert used in the
preparation of litigation or used in a one-time basis to resolve disputes;
Witness fees and travel expenses;
Costs of photographers and photocopy services (if not George Hills—our costs for
this is included in our rate);
Costs of appraisal fees and expenses not included in flat fee or performed by others;
Costs of indexing claimants;
Services performed outside the TPA’s normal geographical regions;
Costs associated with Medicare Set-Aside analysis and submission or Medicare
Claims Adjusting and Administration Services Contract Between
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Conditional Lien negotiation;
Investigation of possible fraud including SIU services and related expenses; and/or
Any other similar cost, fee, or expense that is not otherwise included in the TPA’s service
fees that is reasonably chargeable to the investigation, negotiation, settlement, or
defense of a claim or loss or to the protection or perfection of the subrogation rights of
the entity, including travel related expenses.
•Mileage – Adjuster: Mileage is paid at the IRS rate.
•Adjuster Travel Expenses: GH will separately charge for any travel expenses in
connection with attendance at mediations, settlement conferences, trials, etc.
This will be subject to prior approval and that actual expenses will be submitted
with receipts on a monthly basis.
•Catastrophic Fees: GH recognizes that there are events that are unanticipated
and catastrophic. When such events occur, it requires additional hours for the
handling of such claims. As such, to preserve the quality and efficiency of service
for which we are known, GH proposes that should any one catastrophic event
occur resulting in five or more claimants, or two or more claimants with their own
defense counsel, CLIENT shall be billed at the current hourly rate of $95.00 per
hour for all services. Catastrophic Fees under this section only apply to CLIENTs
which have selected a “Fixed Fee” or “Time and Expense with a cap” payment
options.
•General File: A general administrative file shall be established and maintained to
track effort related to services necessary to fulfill our contractual obligations and
not otherwise associated with a claim.
Claims Adjusting and Administration Services Contract Between
the County of Fresno and George Hills Company
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ATTACHMENT C
SELF-DEALING TRANSACTION DISCLOSURE FORM
In order to conduct business with the County of Fresno (hereinafter referred to as “County”),
members of a contractor’s board of directors (hereinafter referred to as “County Contractor”),
must disclose any self-dealing transactions that they are a party to while providing goods,
performing services, or both for the County. A self-dealing transaction is defined below:
“A self-dealing transaction means that a transaction to which the corporation is a party and in
which one or more of its directors has a material financial interest.”
The definition above will be utilized for purposes of completing this disclosure form.
Instructions
1. Enter board member’s name, job title (if applicable), and date this disclosure is being
made.
2. Enter the board member’s company/agency name and address.
3. Describe in detail the nature of the self-dealing transaction that is being disclosed to
the County. At a minimum, include a description of the following:
a. The name of the agency/company with which the corporation has a
transaction; and
b. The nature of the material financial interest in the corporation’s transaction that
the board member has.
4. Describe in detail why the self-dealing transaction is appropriate based on applicable
provisions of the Corporations Code.
5. Form must be signed by the board member that is involved in the self-dealing
transaction described in Sections (3) and (4).
Claims Adjusting and Administration Services Contract Between
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(1) Company Board Member Information:
Name: Date:
Job Title:
(2)Company/Agency Name and Address:
(3)Disclosure (Please describe the nature of the self-dealing transaction you are a party
(4) Explain why this self-dealing transaction is consistent with the requirements of
Corporations Code 5233 (a):
(5) Authorized Signature
Signature: Date: