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Home My WebLink About29445CountyofFresno15-10940Page1of12ExhibitAScopeofWork1.ServiceOverviewContractoragreestoprovidetotheCaliforniaDepartmentofPublicHealth(CDPH)theservicesdescribedherein.TheContractoragreestoadministertheHIVPreventionProgram(HPP)andtoensuretheprovisionofHumanImmunodeficiencyVirus(HIV)preventionservicesasdescribedinthisScopeofWork(SOW).TheContractormayprovidedirectclientservicesexclusivelyorsubcontractallorpartoftheclientservices.TheContractorensuresthat,ifallorpartoftheclientservicesissubcontractedtootherseiviceproviders,allservicesprovidedbythesubcontractorwillbemonitoredbytheContractorinaccordancewiththeHPP.TheContractorwillplan,develop,andensurethedeliveryofpreventionservicestoclients.ServicesshouldbedesignedtomeettheidentifiedneedsofindividualsthatareHIVpositiveand/orathigh-riskforHIVintheCaliforniaProjectArea(CPA).TheLocalHealthJurisdiction(LHJ)willidentifyoneHPPCoordinatorwhowillattendtheOfficeofAIDS(OA)HIVPreventionBranchrequiredmeetingswhenconvened.CDPH,OAutilizesfederalCenterforDiseaseControl(CDC)andPreventionfundstoprovidelocalassistanceinmeetingthecostofestablishingandmaintainingHumanImmunodeficiencyVirus(HIV)preventionprograms.ThecorrespondingCatalogofFederalDomesticAssistance(CFDA)NumberforHiVPreventionActivitiesGrantProgramis93.940.TheLegislatureauthorizedintheHealth&SafetyCode(HSC)Section131019theCDPH,OfficeofAIDSastheleadagencywithintheStateresponsibleforcoordinatingstateprograms,servicesandactivitiesrelatedtoHiVandAIDS.HSC131085(a)and(b)authorizetheCDPHtoenterintocontractstoperformpublichealthactivities.2.ServiceLocationTheservicesshallbeperformedatapplicablelocationswithintheCountyofFresno.3.ServiceHoursTheservicesshallbeprovidedduringregularbusinesshours,MondaythroughFriday,exceptofficialholidays.4.ProjectRepresentativesA.Theprojectrepresentativesduringthetermofthisagreementwillbe: CountyofFresno15-10940Page2of12ExhibitAHIVPreventionProgramScopeofWorkCaliforniaDepartmentofPublicHealthCountyofFresnoOfficeofAIDSJenaAdams,SupervisingCommunicableSandySimms,ChiefDiseaseSpecialistTelephone:(916)449-5538Telephone:(559)600-3434Fax:(916)449-5800Fax:(559)600-7601E-mail:Sandy.Simmst%cdph.ca.govE-maii:jadams@co.fresno.ca.usB.Directallinquiriesto:CaliforniaDepartmentofPublicHealthCountyofFresnoOfficeofAIDSJenaAdams,SupervisingCommunicableCherylAustin,OperationsAdvisorDiseaseSpecialist1616CapitolAvenue,Suite616,MS77001221FuitonMailSacramento,CA95899-7426Fresno,CA93721Telephone:(916)449-5810Telephone:(559)600-3434Fax;(916)449-5909Fax:(559)600-7601E-mail:Cheryl.Austin@cdph.ca.govE-maii:jadams@co.fresno.ca.usC.Eitherpartymaymakechangestotheinformationabovebygivingwrittennoticetotheotherparty.Saidchangesshallnotrequireanamendmenttothisagreement.5.ServicestobePerformedServicesmustbeconsistentwiththeCaliforniaHPPfundedbytheCentersforDiseaseControlandPrevention(CDC)PS12-1201grantfortheCPA.InresponsetotheNationalHIV/AutoImmuneDeficiencySyndrome(AIDS)Strategy(NHAS)andCDC'sPS12-1201grant,OAaimstosupporttheimplementationofhighimpactpreventionstrategieswhichidentifynewpositives,linkthemintoqualityHIVmedicalcareandsupportHIV-positiveindividualswithpreventiveservices.OA’spreventionplanalsoincludesstructuralinterventions,suchascondomdistribution,healthcarereformplanningandeducationonnonprescriptionsyringesaleinpharmacies,whichareconsistentwithNHASgoals.OAhasdevelopedtheTierIandTierIIsystemtohelpLHJsprioritizeamongthemanyevidenced-basedapproachestoHiVpreventioncurrentlyrequiredorrecommendedbytheCDC.TheTierIandTierIIsystemisdesignedtoprovideflexibilityforLHJstomakedecisionsthatworkatthelocallevel,atthesametimeitprioritizestheevidence-basedinterventionsthatcanbestmeetthegoalsoftheNHAS. CountyofFresno15-10940Page3of12ExhibitAHIVPreventionProgramScopeofWorkLHJsmustensurethatactivitiesdesignatedasTierIareprovided,usinganyresourcesavailabletotheLHJ,beforeusingOApreventionfundingforTierIIactivities(withtheexceptionofHepatitisCvirus(HCV)testing).TheHCVantibodytesting,whiledesignatedaTierIIactivity,maybeconductedbytheLHJwithoutfirstensuringthatallTierIactivitiesarebeingconductedwithintheLHJ.A.TIERICORESERVICES:1.TargetedHIVTestingtoPrioritizedHigh-RiskTargetPopulationsa.LHJsshalladministerHIVtestingbyprovidinganonymousand/orconfidentialHIVtestingservices(withorwithoutcounseling)toindividualsathighriskforHIV.Testingservicesmayinclude:assessmentofclientneedsregardingHIVtransmission;client-centeredpreventioncounseling;risk-reductionplanning;andreferralstootherservices.LHJsfundedfortestinginnon-healthcaresettingsarerequiredto:establishsystemsforlinkingnewlydiagnosedHIVpositiveorpreliminarilypositiveclientsintomedicalcarewithaverifiedmedicalvisit;ensurethatclientsareofferedPartnerServices(PS);andestablishaplanforreferringclientstootherpreventionprograms.b.Individualsseekingtestingservicesshallbeinformedaboutthevalidityandaccuracyoftheantibodytestbeforeconsenttotestisobtained,Writtenconsentisrequiredfortestinginnon-healthcaresettings;oralconsentisrequiredforATStesting;andoralconsentisallowedfortestinginhealthcaresettings.AllindividualstestedwithOAfundsinnon-healthcaresettingsshallbegiventheresultsoftheirtestinperson,c.FundedagenciesmustensureallHIVcounselinginterventionsareprovidedbystaffmemberswhohavesuccessfullycompletedtheBasicCounselorSkillsTraining.Inaddition,testkitoperatorsarerequiredtocompleteanannualcompetencyassessmenttesttomaintaintheircertificationfortestingclientsamples,d.AilfundedLHJsmustensurethatalicontractedtestingsitesmaintainappropriatedocumentation.ThisincludestheLHJ'swrittenprotocolsforthelocaltestingprogram,signedstatementsofconfidentialitybystaff,testingforms,invoices,etc.Alldocumentationmustbemaintainedforthreeyearsplusthecurrentyear.e.Writtenqualityassuranceplansarerequiredbysitesconductingpoint-of-carerapidHiVtestswaivedunderthefederalClinicalLaboratoryimprovementAct(CLIA),TheseplansmustbesubmittedtoOAforreviewbytheTestingSpecialistforcomprehensivenessandcompliancewithStaleandFederalrequirements.f.LHJsmustincreasethenumberofnewlyidentifiedHIVpositivetestsbyatleast0.1percentannually. CountyofFresno15-10940Page4of12ExhibitAHIVPreventionProgramScopeofWorkg.Thecontractormustmaintainareferrallistwithcontactinformation.Thereferrallistmustbeupdatedannually.2.ProgramDescriptionandOtherRequirementsThecontractorshallsetupandenterdataintotheCDPH/OA’sLocalEvaluationOnline(LEO)processmonitoringsystemforalltestingandHealthEducation/RiskReduction(HE/RR)activities.Activitieswillbedocumentedby:a.CompletingtheappropriateCDPH/OALEOdataforms;b.EnteringinitialclientdataintotheLEOsystemwithin5businessdaysofeachclientencounter;andc.Completingandclosingeachclientrecordwithin3monthsoftheinitialclientencounter.3.LinkagetoCareServicesforallNewlyDiagnosedHIVPositiveIndividualsa.AllLHJsthatreceiveOApreventionfundsarerequiredtoprovideLTC.b.LTCistheprocessofassistingnewlyHIVdiagnosedpersonstoenterintoHIVmedicalcare.LTCisacoreactivityrequiredofallOA-fundedHIVtestingsitesinbothmedicalandnon-medicalsettings.c.LTCisconsideredtobeachievedwhenanewlydiagnosedHIVpositivepersonisseenbyahealthcareprovider(e.g.,physician,physicianassistant,nursepractitioner)toreceivemedicalcareforhisorherHIVinfection.ThestandardsetbyHealthResourcesandServices.d.TheHealthResourcesandServicesAdministration(HRSA)standardsrequirethatnewlyHIVdiagnosedindividualattendanHIVmedicalappointmentwithin90daysofdiagnosis.e.HIVtestingcoordinatorsmustestablishpoliciesandproceduresdescribingasystemforreferringindividualswithpreliminaryandconfirmedHIVpositivetestresultstoamedicalproviderforHIVcare.Indesigningthissystem,coordinatorsshouldincludeidentificationofHIVcareproviders,referralstomedicalcare,andverificationofclient’sattendanceattheirfirstappointment. CountyofFresno15-10940Page5of12ExhibitAHiVPreventionProgramScopeofWorkf.Avarietyofdifferentmechanismsmaybeusedtoverify,includingbutnotlimitedto,verifiedmedicalvisitforms,kickbackcards,and/orclientself-report,AilverifiedvisitsmustbeenteredontheHIVCounselorInformationForm(CIF)andenteredintoLEOdatacollectionsystem.4.PartnerServicesa.AllLHJsthatreceiveOApreventionfundsarerequiredtoprovidePS,b.LHJsmustofferPStoallpeoplenewlydiagnosedasHIVpositive,aswellas,thoselivingwithHiVwhohaveparticipatedinrecentriskybehaviorandmayhaveexposedotherstoHIV.LHJ'sshouldassessPSactivitiesandoutcomes,andimplementprovideroutreachprogramstoenhancePSwithkeycommunityproviders.c.EveryLHJmustmaintainastaffmembertocoordinatethePSactivitiesofthatLHJ.IfanLHJhastheinfrastructuretoonlyprovideanofferofPS,collaborationwithaDiseaseInterventionSpecialistfromtheStateSexuallyTransmittedDisease(STD)ControlBranchmustbeestablishedandmaintainedforcomprehensivePSactivities.d.FundsallocatedforPSmaybeusedforanyactivitiessupportingPSincludingstaffsalariesandbenefits,travel,training,andresourcesforthird-partynotification.PSallocationsmaynotbeusedtopayforHIVtesting,counseling,orotherpreventionactivities.e.AllLHJsshallmaintainacomprehensivewrittenPSprogramplanthatprovidesforroutinereviewofPSstaffperformancewithappropriatestandards,PSprotocols/qualityassuranceplans,andtheavailabilityofandreferraltoHIVtesting,preventionservices,STDscreening,HCVtesting,andHIVmedicalcareasappropriate.f.Localprogramsshouldtrackthenumber,typeandoutcomesofPSactivitiesprovidedbyenteringdataintoLEOandreviewthisdataroutinely.B.OTHERTIERISERVICES:1.HIVTestinginHealthcareSettingsa.LHJsthatelecttofundHIVTestinginHealthcareSettingswillworkwithlocalhealthcaresettingsonwaystheycanimplementandincreaseroutine,opt-outHIVtesting.Thesesettingsmayincludebutarenotlimitedtohospitalemergencydepartmentsandprimarycareclinicsincommunityhealthcaresettings. CountyofFresno15-10940Page6of12ExhibitAHIVPreventionProgramScopeofWorkb.Fundingforroutine,opt-outHIVtestingcannotbeusedtopayforHIVtestingstaff,c,ThisfundingcanonlypayforHIVtesting(i.e.,testkitsandothertestingcosts)whenapatienthasnootherpayerforhealthcareservices(OAisthepayeroflastresort).2.RetentionandRe-engagementintoCarea.RetentionandRe-engagementinCareidentifiesHIVpositivepatientsvulnerabletonotattendingHIVmedicalappointmentsroutinely,aswellas,out-of-treatmentHiVpositiveindividuals,andworkswiththeHIVpositiveindividualtostayinorreturntoHIVmedicalcare.b.LHJ'sconductingtheseservicesareresponsiblefordeterminingthemosteffectiveapproachesforachievingactivecollaborationbetweenlocalpreventionandcareproviderstoprovideretentionandre-engagementservices,inordertodecreaseduplicationofeffortandensuremaximumimpactofretentionandre-engagementinterventions,LHJsthatfundorprovideRetentionandRe-engagementinCareserviceswilldemonstrateactivecollaborationandcoordinationwithCaresites.c.OA'sLEOorAIDSRegionalinformationandEvaluationSystem(ARIES)mustbeusedtodocumentandrecordRetentionandRe-engagementinCareactivities.3.HiVMedicationTreatmentAdherencea.HiVMedicationTreatmentAdherenceservicessupporttheappropriateandconsistentuseofantiretroviral(ARV)medicinestomaximizetheirbenefitsinsustaininghealthandsuppressingviraltoad.b.OAwillfundHIVmedicationtreatmentadherenceinterventionstoanypatient(s)livingwithHiVhavingdifficultlytakingARVsasprescribed.c.LHJsthatelecttofundorprovideHIVMedicationTreatmentAdherenceshouldincludecollaborationwithhealthcareproviders,medicalcasemanagers,andothersworkingwithpeoplelivingwithHiV/AIDS.HIVTreatmentAdherenceactivitiesshouldinclude:i.RegularscreeningofHIV-infectedindividualstodeterminewhethertheyareonARVtherapy:ii.RoutineassessmentoftreatmentadherenceandmonitorviraisuppressionofthoseonARVtherapytoidentifyindividualswhowouldbenefitfromtreatmentadherenceinterventions;and CountyofFresno15-10940Page7of12ExhibitAH!VPreventionProgramScopeofWorkiii.AppropriatereferralsforthosenotonARVtherapiesandforthoseidentifiedashavingchallengesinmaintainingadherencetotheirHIVmedicationrequirements.Thismayincludedeliveringtreatmentadherenceinterventions.d,OApreventionfundscannotbeusedtopayformedicationsormedicalservices.Purchasingsuppliestoassistwithmedicationadherence.e.OArequiresLHJstouseLEOorARIEStotrackserviceutilizationbyclientsreferredtotreatmentadherenceinterventions.4.PreventionwithPositivesa.ThegoalofHIV-PositiveRiskAssessment,LinkagetoServicesandBehavioralInterventionsinHealthCareSettings;forHIVPositiveIndividuals(PWPServices)istoincreasethenumberofRyanWhite-fundedclinicsorHIVcareprovidersprovidingacomprehensiveriskscreeningprogramand,totheextentthatresourcesareavailable,initiatebehavioral,structuralorbiomedicalinterventionsforHIV-positiveindividuals,ordevelopareferralplantocommunity-basedPWPinterventions.b.LHJswhichelecttofundorconductPWPServiceswillselectatleastoneRyanWhite-fundedclinicorHIVcareproviderwhocaninitiatebehavioralriskscreeningwithintheirmedicalsetting.c.IfamedicalsettingchoosestoreferclientsatriskoftransmittingHIVtocommunity-basedHIVbehavioralinterventions,thoseinteiventionsmustalsobeevidence-basedanddesignedtotargetHIV-positiveorserodiscordantrelationships.Thereferralmustincludeameanstofollow¬upandreportwhethertheclientattendedtheintervention.Ifotherevidence-basedinterventionsareadaptedtothepopulation,documentationoftheadaptationshouldbesubmittedtoOAforapproval,d.LHJsprovidingPWPservicesmustidentifyandrefertoculturallyappropriatementalhealthandsubstanceuseservicesasneeded.e.Allstaffmemberswhofacilitateevidence-basedinterventionsmusthavecompletedtrainingintheintervention.Supervisorsmustmonitorandensurethattheinterventionisadministeredwithfidelityandfollowthecurriculumandinterventionactivitiesasdefinedbytheintervention.f.OA’sLEOsystemorARIESshouldbeusedtodocumentandrecordclientassessmentsandreferrals.InterventiondatamustbeenteredforH!VBehavioralInterventionsandmonitoredusingtheLEOsystem.Allevaluationrequiredbyevidence-basedinterventionsmustbecompletedandbemaintainedwithinLEO. CountyofFresno15-10940Page8of12ExhibitAHIVPreventionProgramScopeofWork5.IntegratedHealthServicesa.ActivitiesforintegrationofscreeningforandmonitoringofHepatitis,tuberculosis(TB),andSTDsforHIVpositiveindividualswillbedeterminedbyeachLHJandwillvarydependingontheneedsandopportunitieswithineachLHJ.Activitiesmayinclude,butarenotlimitedto:i.Providingcontinuingmedicaleducationhighlightingthebenefitsofcompliancewithrecommendedclinicalmonitoringtoincreasestaffintegrationofscreening;ii.UsingARIESorelectronichealthrecordstodocumentclinicaltestingofmedicalcasemanagementclientsandRyanWhiteclinicpatientsasappropriate;and/oriii.SupportingclienteducationthatincreasesawarenessofclinicallaboratorymonitoringstandardsandencouragingclientstotalkwiththeirhealthcareprovidersaboutexposureortransmissionrisksofHepatitis,TB,andSTDs.b.OAfundingcannotbeusedtopayforclinicallaboratorytests,exceptforHIVtestingandHepatitisscreening,c.LHJsarerequiredtoreportontheiractivitiesintheirbi-annualprogressreports.6.SyringeServicesProgramsa.LHJsmayusetheirOAHIVpreventionfundsto:i.Supporteffortstoincreasepropersyringedisposalamonginjectiondrugusers(IDUs);ii.Supportlocalnon-prescriptionsyringesalesinpharmacies:thismaytaketheformofworkingtoincreasethenumberofpharmaciesprovidingnon-prescriptionsyringesalesand/orencouragingIDUstopurchasesterileequipmentinpharmacieswhichprovidenon-prescriptionsyringesales.Alternatelyoradditionally,LHJsmayprovideeducationalliteratureortrainingaboutrecentchangesinpharmacypracticetolawenforcement,pharmacystaff,IDUsandhealthandsocialserviceprofessionalswhoworkwithIDUs;iii.Supportpolicyworknecessarytofacilitatestructuralchangetoexpandaccesstosterilesyringesand/orimprovesharpsdisposalamongIDUs,aslongastheworkdoesnotincludeeffortstoinfluencestate,federalorlocallaw. CountyofFresno15-10940Page9of12ExhibitAH!VPreventionProgramScopeofWorkb.LI-IJsmaynotusetheirOAHIVpreventionfundsto:i.Purchaseneedlesandsyringes;ii.Fundstafftimeusedspecificallytodistributeneedlesorsyringes;iii.Payfordeliverymodessuchvehiclesorrentforfixedsitesusedspecificallyfordistributingneedlesandsyringes;and/oriv.ConductanyactivitydesignedtoinfluencelegislativechangeattheLocal,State,orFederallevel.7.CondomDistribution(Required)a.ThecondomdistributionprogramrequiresLHJstouseOAepidemiologicdataaswellasLHJslocalknowledgeandresourcestoenrollvenuesintothecondomdistributionprogram,wheretheywillreceivecondomsandeducationalmaterialtodistributetohigh-risktargetpopulationsinlocationswhereHIV/A!DSismostprevalent.b.Inorderforavenuetobeeligibleforparticipationinthecondomdistributionprogram,theymust:1)providetheirservicesinazipcodethathasidentifiedHIV/AIDScases;and2)haveaclientele(wholeorpartial)thatIsmadeupofthetargetedpopulation.c.LHJswillmaintainvenuespreviouslyenrolledinthecondomdistributionprogram,addadditionalvenueswhenpossible,andreplacevenuesifformervenuesstopparticipatingintheprogram.d.Toenrollanewvenue,theLHJmustfillouttheParticipatingVenueInformation(PVI)form.ThereisnolimittohowmanyeligiblevenueseachLHJcanhaveparticipatingintheprogram.e.CondomorderscannotbeplacedbyanLHJfordistributionataone-timeevent,suchashealthfairs,workshops,ralliesorotherpresentationsunlesstheeventsspecificallytargetOA’sprioritypopulationsandarepartoftheLHJsHE/RRpreventioninterventions.f.LHJsmustincludeinformationabouttheircondomdistributionplansintheirbi-annualprogressreports.C.TIERIISERVICES:1.HepatitisCTestinga.OAfundingmaybeusedtoofferHCVtestingtoclientsidentifiedbytheassessmentprocesstobeatriskfarHCV.AlthoughHCVtestingisaTier CountyofFresno15-10940Page10of12ExhibitAHIVPreventionProgramScopeofWorkilactivity,LHJsmayconductthisactivitywithoutimplementingallTierIactivities.b.OAfundsmaybeusedforHCVlaboratorytests,HCVrapidtests,andHomeAccesskits,c.OAwillprovidetrainingfortherapidCLIA-waivedHCVandcombinationrapidHIV/HCVtests.HIVcounselorsmustbecertifiedpriortoadministeringthenewHCVrapidtest.Additionally,HIVcounselorsmusttaketheUniversityofCaliforniaSanFrancisco,AllianceHealthProjecton-lineHCVtraining.d.TrainedHIVtestcounselorswhoareauthorizedinCaliforniatoperformrapidCLIA-waivedHIVtestsmayalsoperformrapidCUA-waivedHCVandcombinationrapidHIV/HCVtests.HIVtestcounselorsperformingrapidCLIA-waivedHCVtestsorrapidcombinationHIV/HCVtests,includingthosetestsadministeredbyfingerstick,willneedtomeetthesameperformanceandtrainingrequirementsasthatforrapidCLIA-waivedHiVtesting.e.HCVtestinformationmustbecollectedontheGIFandenteredintoLEO.f.TheContractorcanintegrateHIVandHCVtestingservicestoincreasethenumberofIDUsandMenwhohaveSexwithMen(MSMs)whoreceiveHIVtestingservicesandlearntheirHIVstatusbyofferingHCVscreeningincoordinationwithHiVtesting.CDPH/OAwillallowIDUandMSMclientstotestonlyforHCViftheychoosenottotakeanHIVtest.2.BehavioralInterventionsforPrioritizedHigh-riskNegativePeoplea.Thepriorityhigh-risknegativepopulationsfortheCaliforniaprojectareaare:i.GaymenandotherMSM,includingMSM/IDU,withanemphasisonAfrican-AmericanandLatinoMSM;ii.IDUs;iii.Transgenderindividuals;iv.High-riskNegativeIndividualswithsexualand/orinjection-sharingHIVpositiveorMSMpartners.b.LHJsmayprovidehigh-riskHiVnegativepopulationswithevidence-basedHIVbehavioralinterventionstoreducetherateofnewHIVinfectionwithintheidentifiedhigh-risktargetpopulations.Behavioralinterventionsmayinclude: CountyofFresno15-10940Page11of12ExhibitAHIVPreventionProgramScopeofWorki.Targetedpreventionactivities(TPA)forhigh-riskH!V-negativepersons;ii.individuallevelinterventions(!LI);andiii.Grouplevelinterventions(GLI).c.Interventionprovidersmustscreenpotentialparticipantspriortostartingtheinterventiontoensureparticipantsarepartofintendedtargetpopulation,anddivertlowerriskandnon-targetpopulationindividualstoalternativeresources.OAfundsshouldnotbeusedtosupportinterventionsforlow-riskHIV-negativeindividuals.d.AllOA-fundedbehavioralinterventionsmustberecordedinLEO.3.SocialMarketing,MediaandMobilizationa.OAhaschosenthefollowinghealthmessagesforsocialmarketingactivities,media,andmobilizationactivities:i.BenefitsofearlydetectionofHIVinfection;ii.NeedforroutineandregularHiVhealthcare;iii.BenefitsofARVtherapyforthehealthofpeoplelivingwithHIV;iv.RoleofsuppressedviralloadinreducingHIVtransmission;v.BenefitsofintegratedscreeningforHIV,TB,STDs,andHepatitis;vi.ValueofinitialandongoingPS;vii.Informationaboutcommunityviralload;andviil.EmergingmessagesfromCDCorOA.b.MessagingmustaddressoneormoreofthehealthmessagesaboveandbetargetedtoHIV-positivepeople,orpriorityhigh-risknegativepopulationsasdefinedbyOAoridentifiedthroughlocalepidemiology.c.Duetolimitedresources,LHJsshouldchoosecampaignsthathavealreadybeendevelopedanddemonstratedeffective.LHJschoosingtoconductsocialmarketing,media,ormobilizationactivitiesmustsubmitaplantoOApriortostartingacampaign.Theplanshouldincludeadefinitionofthehealthissuebeingaddressedandtherationaleforitsselection. CountyofFresno15-10940Page12of12ExhibitAHIVPreventionProgramScopeofWorkTheplanshoulddescribethehealthmessagestopromotetesting,HIVCare,ARVtherapy,PS,integrationofSTD,hepatitis,TBscreening,andPSintoHIVservices,aswellas,theformativeworkplannedtoensurecommunityparticipationinthecampaigndevelopment.Monitoringandevaluationactivitiesmustalsobeincludedintheplan.Asummaryofthesearchforpre-existingmaterialandjustificationforcreatingnewmaterialmustbesubmittedtoandapprovedbyOA.d.ProgressonactivitieswillbedocumentedintheLEOsystemanddescribedinbi-annualprogressreportssubmittedtoOA.ScopeofWorkChangesA.PursuanttoHealthandSafetyCodeSection38077(b)(2),changesandrevisionstotheScopeofWorkcontainedintheagreement,utilizingthe"allowablecostpaymentsystem",maybeproposedbytheContractorinwriting.AllrequestedchangesandrevisionsaresubjecttotheapprovaloftheState.FailuretonotifytheStateofproposedrevisionstotheScopeofWorkmayresultinanauditfinding.B.TheStatewillrespond,inwriting,astotheapprovalordisapprovalofallsuchrequestsforchangesorrevisionstotheScopeofWorkwithin30calendardaysofthedatetherequestisreceivedintheprogram.ShouldtheStatefailtorespondtotheContractor'srequestwithin30calendardaysofreceipt,theContractor'srequestshallbedeemedapproved.C.TheStatemayalsorequestchangesandrevisionstotheScopeofWork.TheStatewillmakeagood-faithefforttoprovidetheContractor30calendardaysadvancewrittennoticeofsaidchangesorrevisions.D.NochangestotheScopeofWorkagreedtopursuanttothisprovisionshalltakeeffectuntilthecooperativeagreementsareamendedandtheamendmentisapprovedasrequiredbylawandthisagreement. CountyofFresno15-10940Page1of3ExhibitBBudgetDetailandPaymentProvisions1.InvoicingandPaymentA.InnoeventshalltheContractorrequestreimbursementfromtheStateforobligationsenteredintoorforcostsincurredpriortothecommencementdateoraftertheexpirationofthisAgreement.B.Forservicessatisfactorilyrendered,anduponreceiptandapprovaloftheinvoices,theSlateagreestocompensatetheContractorforactualexpendituresincurredinaccordancewiththeBudgetLineItemsamountsspecifiedinAttachmentI,ofthisExhibit.C.InvoicesshallincludetheAgreementNumberandshallbesubmittednotmorefrequentlythanmonthlyinarrears.Eachinvoiceforthequartershallbesubmittedforpaymentnomorethanthirty(30)calendardaysfollowingthecloseofeachquarter,unlessanalternatedeadlineisagreedtoinwritingbytheprogramcontractmanager.Directallinquiriesto:InvoiceDeskCaliforniaDepartmentofPublicHealthOfficeofAIDSMS77001616CapitolAvenue,Suite616Sacramento,CA95899-7426D.Invoicesshall:1)SubmitonContractorletterheadandsignedbyanauthorizedrepresentative,certifyingthattheexpendituresclaimedrepresentactualexpensesfortheserviceperformedunderthiscontract.2)Identifycontractagreementnumber.3)Identifythebillingand/orperformanceperiodcoveredbytheinvoice.4)Itemizecostsforthebillingperiodinthesameorgreaterlevelofdetailasindicatedinthisagreement.Subjecttothetermsofthisagreement,reimbursementmayonlybesoughtforthosecostsand/orcostcategoriesexpresslyidentifiedasallowableinthisagreementandapprovedbyCDPH.E.AmountsPayableTheamountspayableunderthisagreementshallnotexceed:1)$296,685forthebudgetperiodof01/01/16through12/31/16.2)$296,685forthebudgetperiodof01/01/17through12/31/17.3)$296,685forthebudgetperiodof01/01/18through12/31/18.2.BudgetContingencyClauseA.ItismutuallyagreedthatiftheBudgetActofthecurrentyearand/oranysubsequentyearscoveredunderthisAgreementdoesnotappropriatesufficientfundsfortheprogram,thisAgreementshallbeofnofurtherforceandeffect.Inthisevent,theStateshallhavenoliabilitytopayanyfundswhatsoevertoContractorortofurnishanyotherconsiderationsunderthisAgreementandContractorshallnotbeobligatedtoperformanyprovisionsofthisAgreement. CountyofFresno15-10940Page2of3ExhibitBBudgetDetailandPaymentProvisionsB.IffundingforanyfiscalyearisreducedordeletedbytheBudgetActforpurposesofthisprogram,theStateshallhavetheoptiontoeithercancelthisAgreementwithnoliabilityoccurringtotheState,orofferanagreementamendmenttoContractortoreflectthereducedamount.3.PromptPaymentClausePaymentwillbemadeinaccordancewith,andwithinthetimespecifiedin,GovernmentCodeChapter4.5,commencingwithSection927.4.TimelySubmissionofFinalInvoiceA.Afinalundisputedinvoiceshallbesubmittedforpaymentnomorethansixty(60)calendardaysfollowingtheexpirationorterminationdateofthisagreement,unlessalateroralternatedeadlineisagreedtoinwritingbytheprogramcontractmanager.Saidinvoiceshouldbeclearlymarked“FinalInvoice’*,indicatingthatallpaymentobligationsoftheStateunderthisagreementhaveceasedandthatnofurtherpaymentsaredueoroutstanding.TheStatemay,atitsdiscretion,choosenottohonoranydelinquentfinalinvoiceiftheContractorfailstoobtainpriorwrittenStateapprovalofanalternatefinalinvoicesubmissiondeadline.B.TheContractorisherebyadvisedofitsobligationtosubmittothestate,withthefinalinvoice,acompletedcopyofthe“Contractor’sRelease(ExhibitK)’’,5.AllowableLineItemShiftsA.SubjecttothepriorreviewandapprovaloftheState,lineitemshiftsofuptofifteenpercent(15%)oftheannualcontracttotal,nottoexceedamaximumofonehundredthousand($100,000)annuallyareallowed,solongastheannualagreementtotalneitherincreasesnordecreases.BThe$100,000maximumlimitshailbeassessedannuallyandautomaticallyadjustedbytheStateinaccordancewithcost-of-livingindexes.Saidadjustmentsshailnotrequireaformalagreementamendment,TheStateshallannuallyinformtheContractorinwritingoftheadjustedmaximum.C.Lineitemshiftsmeetingthiscriteriashailnotrequireaformalagreementamendment.D.TheContractorshalladheretoStaterequirementsregardingtheprocessrequestingapprovaltolineitemshifts.E.Lineitemshiftsmaybeproposed/requestedbyeithertheStateortheContractor.6.ExpenseAllowability/FiscalDocumentationA.Invoices,receivedfromtheContractorandacceptedforpaymentbytheState,shallnotbedeemedevidenceofallowableagreementcosts.8.ContractorshallmaintainforreviewandauditandsupplytoCDPHuponrequest,adequatedocumentationofallexpensesclaimedpursuanttothisagreementtopermitadeterminationofexpenseallowability. CountyofFresno15-10940Page3of3ExhibitBBudgetDetailandPaymentProvisionsC.IftheallowabilityofanexpensecannotbedeterminedbytheStatebecauseinvoicedetail,fiscalrecords,orbackupdocumentationisnonexistentorinadequateaccordingtogenerallyacceptedaccountingprinciplesorpractices,aliquestionablecostsmaybedisallowedandpaymentmaybewithheldbytheState.Uponreceiptofadequatedocumentationsupportingadisallowedorquestionableexpense,reimbursementmayresumefortheamountsubstantiatedanddeemedallowable.7.RecoveryofOverpaymentsA.Contractoragreesthatclaimsbaseduponthetermsofthisagreementoranauditfindingand/oranauditfindingthatisappealedandupheld,willberecoveredbytheStatebyoneofthefollowingoptions;1)Contractor’sremittancetotheStateofthefullamountoftheauditexceptionwithin30daysfoliowingtheState'srequestforrepayment;2)ArepaymentscheduleagreeablebetweentheStateandtheContractor,B.TheStatereservestherighttoselectwhichoptionasindicatedaboveinparagraphAwillbeemployedandtheContractorwillbenotifiedbytheStateinwritingoftheclaimproceduretobeutilized.C.InterestontheunpaidbalanceoftheauditfindingordebtwillaccrueatarateequaltothemonthlyaverageoftheratereceivedoninvestmentsInthePooledMoneyInvestmentFundcommencingonthedatethatanauditorexaminationfindingismailedtotheContractor,beginning30daysafterContractor'sreceiptoftheState’sdemandforrepayment.D.IftheContractorhasfiledavalidappealregardingthereportofauditfindings,recoveryoftheoverpaymentswillbedeferreduntilafinaladministrativedecisionontheappealhasbeenreached.IftheContractorlosesthefinaladministrativeappeal,Contractorshallrepay,totheState,theover-claimedordisallowedexpenses,plusaccruedinterest.InterestaccruesfromtheContractor'sfirstreceiptofState’snoticerequestingreimbursementofquestionedauditcostsordisallowedexpenses.8.TravelandPerDiemReimbursementAnyreimbursementfornecessarytravelandperdiemshall,unlessotherwisespecifiedinthisAgreement,beattheratescurrentlyineffect,asestablishedbytheCaliforniaDepartmentofHumanResources(CalHR).IftheCalHRrateschangeduringthetermoftheAgreement,thenewratesshallapplyupontheireffectivedateandnoamendmenttothisAgreementshallbenecessary.NotraveloutsidethestateofCaliforniashallbereimbursedwithoutpriorauthorizationfromtheCDPH,Verbalauthorizationshouldbeconfirmedinwriting.Writtenauthorizationmaybeinaformincludingfaxoremailconfirmation. illrIsf«.5JjJillsa551$-f55'aa82&s*I11!1ss.iI8a51I1sII_l£3i5S1551i1!sIII31fs1SI1II1sgi381?.a!ii1E3a1s§S!it8§saSi?8II!if$§8i111Is!s1I%S!issf5Iias<?SScI!If1i!iiiE«•3II5jSI:-.-Voai(1i;f£852ISs£?£88RI1I13ta}.....~Ts!!!iI5II!I11fj5I1iII1IJ1!1I|S,13*II*s3a3a3a$8{11Ii!i!ii11I311•sEI3§5::VIII1iI1§1818|21-1'j«•ja1*i1i.'41iiif:iIi1iIs51!J?isi«8!»1i!ifSiiiiiaa!s!•»ss11ijji!1IIy!!IIa1jlIit5y1VI!IIIii111i! CCC-307 ~:RJ~TWICATCON J, the official named below, CERTIFY UNDER PENALTY OF PERJURY thatl am duly authorized to legally bind the prospective Contractor to the clause(s) listed below. This certification is made under the Jaws of the State of California. ATTEST: BERNICE E. SEIDEL, Clerk Boar~f Superv!sors Ernest Buddy Mendes. Chairman, Board of Supervisors By~ ~ "Da/~-&;;,~~;----~ -~Executed~~ P Y l[jj~~OI_~--···=··-" , , Frest!?=-=--··=~~-=-----=--==-lj CONTRACTOR CERTIFICATION CLAUSgs 1. s::I:ATEMENT Of COMPLIANCE: Contractor has, unless exempted, complied wilh the nondiscrimination program requirements. (Gov. Code§ 12990 (a·f) and CCR, Title 2, Section 8103) (Not applicable to public entities.) 2. DRUG-FHEE WOI\_Kf1.,1Q~ ~~-Q!JIREMENTS: ContJ·actor will comply with the requirements of the Dn1g-Frce Workplace Act of 1990 and will provide a drug· free workplace by taking the following actions: a. Publish a statement notifying employees that unlawful manufacture, distribution, dispensation, possession or use of a controlled substance is prohibited and specifying actions to be taken against employees fi)r violations. b. Establish a Drug-Free Awareness Program to inform employees about: I) the dangers of drug abuse in the workplace; 2) the person's or organization's policy of maintaining a drug-free workplace; 3) any available counseling, rehabilitation and employee assistance programs; and .• 4) penalties that may be imposed upon employees for drug abuse violations. c. Every employee who works on the pmposcd Agreement will: I) receive a copy of the company's drug~ti·ce workplace policy statement; and, 2) agree to abide by the lenns of the company's stAtement as a condition of employment on the Agreement. Failure to comply with these requirements may result in suspension of payments under the Agreement or tenninntion of the Agreement or both and Contractor may be ineligible for award of any future Stutc agreements if the department determines that any of the following has occurred: the Contractor has made false certification, or vi<Jlated the certificationbyfailingtocarryouttherequirementsasnotedabove.(Gov.Code§8350ctseq,)3.NATIONALLABORRELATIONSBOARDCERTIFICATION:Contractorcertifiesthatnomorethanone(I)finalunappealablefindingofcontemptofcourtbyaFederalcourthasbeenissuedagainstContractorwithintheimmediatelyprecedingtwo-yearperiodbecauseofContractor'sfailuretocomplywithanorderofaFederalcourt,whichordersContractortocomplywithanorderoftheNationalLaborRelationsBoard.(Pub.ContractCode§10296)(Notapplicabletopublicentities.)4.CONTRACTSFORLEGALSERVICESS5Q.000ORMORE-PROBONOREQUIREMENT:ContractorherebycertifiesthatcontractorwillcomplywiththerequirementsofSection6072oftheBusinessandProfessionsCode,effectiveJanuaryI,2003.Contractoragreestomakeagoodfaithefforttoprovideaminimumnumberofhoursofprobonolegalservicesduringeachyearofthecontractequaltothelessorof30multipliedbythenumberoffulltimeattorneysinthefirm’sofficesintheState,withthenumberofhoursproratedonanactualdaybasisforanycontractperiodoflessthanafullyearor10%ofitscontractwiththeState.Failuretomakeagoodfaitheffortmaybecause(ornon-renewalofastatecontractforlegalservices,andmaybetakenintoaccountwhendeterminingtheawardoffuture-contractswiththeStateforlegalservices.5.EXPATRIATECORPORATIONS:ContractorherebydeclaresthatitisnotanexpatriatecorporationorsubsidiaryofanexpatriatecorporationwithinthemeaningofPublicContractCodeSection10286and10286.1,andiseligibletocontractwiththeStateofCalifornia.6.SWEATFREECODEOFCONDUCT:a.AllContractorscontractingfortheprocurementorlaunderingofapparel,garmentsorcorrespondingaccessories,ortheprocurementofequipment,materials,orsupplies,otherthanprocurementrelatedtoapublicworkscontract,declareunderpenaltyofperjurythatnoapparel,garmentsorcorrespondingaccessories,equipment,materials,orsuppliesfurnishedtothestatepursuanttothecontracthavebeenlaunderedorproducedinwholeorinpartbysweatshoplabor,forcedlabor,convictlabor,indenturedlaborunderpenalsanction,abusiveformsofchildlabororexploitationofchildreninsweatshoplabor,orwiththebenefitofsweatshoplabor,forcedlabor,convictlabor,indenturedlaborunderpenalsanction,abusiveformsofchildlabororexploitationofchildreninsweatshoplabor.ThecontractorfurtherdeclaresunderpenaltyofperjurythattheyadheretotheSweatfreeCodeofConductassetforthontheCaliforniaDepartmentofIndustrialRelationswebsitelocatedatwww.dir.ca.uov,andPublicContractCodeSection6108.b.Thecontractoragreestocooperatefullyinprovidingreasonableaccesstothecontractor’srecords,documents,agentsoremployees,orpremisesifreasonablyrequiredbyauthorizedofficialsofthecontractingagency,theDepartmentofIndustrialRelations, ortheDepartmentofJusticetodeterminethecontractor’scompliancewiththerequirementsunderparagraph(a).7.DOMESTICPARTNERS:Forcontractsover$100,000executedoramendedafterJanuary),2007,thecontractorcertifiesthatcontractorisincompliancewithPublicContractCodesection10295.3.DOINGBUSINESSWITHTHESTATEOFCALIFORNIAThefollowinglawsapplytopersonsorentitiesdoingbusinesswiththeStateofCalifornia.ICONFLICTOFINTEREST:Contractorneedstobeawareofthefollowingprovisionsregardingcurrentorformerstateemployees.IfContractorhasanyquestionsonthestatusofanypersonrenderingservicesorinvolvedwiththeAgreement,theawardingagencymustbecontactedimmediatelyforclarification.CurrentSlateEmployees(Pub.ContractCode§10410):1).Noofficeroremployeeshallengageinanyemployment,activityorenterprisefromwhichtheofficeroremployeereceivescompensationorhasafinancialinterestandwhichissponsoredorfundedbyanystateagency,unlesstheemployment,activityorenterpriseisrequiredasaconditionofregularstateemployment.2).Noofficeroremployeeshallcontractonhisorherownbehalfasanindependentcontractorwithanystateagencytoprovidegoodsorservices.FormerStateEmployees(Pub.ContractCode§10411):1).Forthetwo-yearperiodfromthedateheorsheledstateemployment,noformerstaleofficeroremployeemayenterintoacontractinwhichheorsheengagedinanyofthenegotiations,transactions,planning,arrangementsoranypartofthedecision-makingprocessrelevanttothecontractwhileemployedinanycapacitybyanystateagency.2).Forthetwelve-monthperiodfromthedateheorsheleftstateemployment,noformerstateofficeroremployeemayenterintoacontractwithanystateagencyifheorshewasemployedbythatstateagencyinapolicy-makingpositioninthesamegeneralsubjectareaastheproposedcontractwithinthe12-monthperiodpriortohisorherleavingstaleservice.IfContractorviolatesanyprovisionsofaboveparagraphs,suchactionbyContractorshallrenderthisAgreementvoid.(Pub.ContractCode§10420)MembersofboardsandcommiSvSionsarcexemptfromthissectioniftheydonotreceivepaymentotherthanpaymentofeachmeetingoftheboardorcommission,paymentforpreparatorytimeandpaymentforperdiem.(Pub,ContractCode§10430(e)) 2.LABORCODE/WORKERS'COMPENSATION:ContractorneedstobeawareoftheprovisionswhichrequireeveryemployertobeinsuredagainstliabilityforWorker'sCompensationortoundertakeself-insuranceinaccordancewiththeprovisions,andContractoraffirmstocomplywithsuchprovisionsbeforecommencingtheperformanceoftheworkofthisAgreement.(LaborCodeSection3700)3.AMERICANSWITHDISABILITIESACT:ContractorassurestheSlatethatitcomplieswiththeAmericanswithDisabilitiesAct(ADA)of1990,whichprohibitsdiscriminationonthebasisofdisability,aswellasallapplicableregulationsandguidelinesissuedpursuanttotheADA.(42U.S.C.12i01etseq.)4.CONTRACTORNAMECHANGE:AnamendmentisrequiredtochangetheContractor'snameaslistedonthisAgreement.UponreceiptoflegaldocumentationofthenamechangetheStalewillprocesstheamendment.Paymentofinvoicespresentedwithanewnamecannotbepaidpriortoapprovalofsaidamendment.5.CORPORATEQUALIFICATIONSTODOBUSINESSINCALIFORNIA:a.Whenagreementsarctobeperformedinthestatebycorporations,thecontractingagencieswillbeverifyingthatthecontractoriscurrentlyqualifiedtodobusinessinCaliforniainordertoensurethatallobligationsduetotheslatearefulfilled.b."Doingbusiness"isdefinedinR&TCSection2310]asactivelyengaginginanytransactionforthepurposeoffinancialorpecuniarygainorprofit.Althoughtherearesomestatutoryexceptionstotaxation,rarelywillacorporatecontractorperformingwithinthestalenotbesubjecttothefranchisetax.c.Bothdomesticandforeigncorporations(thoseincorporatedoutsideofCalifornia)mustbeingoodstandinginordertobequalifiedtodobusinessinCalifornia.AgencieswilldeterminewhetheracorporationisingoodstandingbycallingtheOfficeoftheSecretaryofState.6.RESOLUTION:Acounty,city,district,orotherlocalpublicbodymustprovidetheStatewithacopyofaresolution,order,motion,orordinanceofthelocalgoverningbodywhichbylawhasauthoritytoenterintoanagreement,authorizingexecutionoftheagreement.7.AIRORWATERPOLLUTIONVIOLATION:UndertheStatelaws,theContractorshallnotbe;(i)inviolationofanyorderorresolutionnotsubjecttoreviewpromulgatedbytheStateAirResourcesBoardoranairpollutioncontroldistrict;(2)subjecttoceaseanddesistordernotsubjecttoreviewissuedpursuanttoSection13301oftheWaterCodeforviolationofwastedischargerequirementsordischargeprohibitions;or(3)finallydeterminedtobeinviolationofprovisionsoffederallawrelatingtoairorwaterpollution.8.PAYEEDATARECORDFORMSTD.204:Thisformmustbecompletedbyallcontractorsthatarenotanotherstateagencyorothergovernmentalentity. Darfur Contracting Act Col~otri> Oap011!114n! Of Putt;e liteiUo Co.!(ICIC~~ $1~ f:\.trchating Sar .. ke~ Sec~on Pursuant to Public Contract Code (PCC) sections 1 0475~ 10481, the Darfur Contracting Act's intent is to preclude State agencies from contracting with scrutinized companies that do business in the African nation of Sudan. A scrutinized company is a company doing specified types of business in Sudan as defined in PCC section 10476. Scrutinized companies are ineligible to, and cannot, contract with a State agency fot goods or services (PCC section 10477(a)) unless obtaining permission from the Department of General Services according to the criteria set forth in PCC section 10477(b). Therefore, to be eligible to contract with the California Department of Public Health, please initial one of the following three paragraphs and complete the certification below: 1. 2. 3. EBM Initials Initials Initials CERTIFICATION We do not currently have, or we have not had within the previous three years, business activities or other operations outside of the United States. OR We are a scrutinized company as defined in Public Contract Code section 10476, but we have received written permission from the Department of General Services (DGS) to submit a bid or proposal pursuant to Public Contract Code section 10477(b) or submit a contract/purchase order. A copy of the written permission from DGS is Included with our bid, proposal or contract/purchase order. OR We currently have, or we have had within the previous three years, business activities or other operations outside of the United States, but we certify below that we are not a scrutinized company as defined in Public Contract Code section 1 04 76. I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly authorized to legally bind this company to the clause listed above. This certification is made under the laws of the State of California. rr================·;:;=='='"""•----· ... ,=. ==-=·-=--=-=-=·-===r.=============;'l Comp;:my Namo (Printed) Fodorai/D Number County of Fresno 94-6000-512 By (Authorized Signature) -·---··---.. ,=""""~="'- , Pri~~iig~=--='·= -==·==== I Ernest Ruddy Hendes, Chairman, Board of Supervisors -======-==='"""'1 ATIEST: Date Executed r Executed in the County and State of !F m =-• :n=="'"'•--c"·Vv""V''""t''•O' ... o"'-'== ---· -=-= _, L ....... ? t~':??''-' .J ~~~~~:~: .... ~!..~-=-~~!============ ~ CDPH 9067 W09) GTC610EXHIBITCGENERALTERMSANDCONDITIONS1APPROVAL:ThisAgreementisofnoforceoreffectuntilsignedbybothpartiesandapprovedbytheDepartmentofGeneralServices,ifrequired.Contractormaynotcommenceperformanceuntilsuchapprovalhasbeenobtained.2.AMENDMENT:NoamendmentorvariationofthetermsofthisAgreementshallbevalidunlessmadeinwriting,signedbythepartiesandapprovedasrequired.NooralunderstandingorAgreementnotincorporatedintheAgreementisbindingonanyoftheparties.3.ASSIGNMENT:ThisAgreementisnotassignablebytheContractor,eitherinwholeorinpart,withouttheconsentoftheStateintheformofaformalwrittenamendment.4.AUDIT:Contractoragreesthattheawardingdepartment,theDepartmentofGeneralServices,theBureauofStateAudits,ortheirdesignatedrepresentativeshallhavetherighttoreviewandtocopyanyrecordsandsupportingdocumentationpertainingtotheperformanceofthisAgreement.Contractoragreestomaintainsuchrecordsforpossibleauditforaminimumofthree(3)yearsafterfinalpayment,unlessalongerperiodofrecordsretentionisstipulated.Contractoragreestoallowtheauditor(s)accesstosuchrecordsduringnormalbusinesshoursandtoallowinterviewsofanyemployeeswhomightreasonablyhaveinformationrelatedtosuchrecords.Further,ContractoragreestoincludeasimilarrightoftheStatetoauditrecordsandinterviewstaffinanysubcontractrelatedtoperformanceofthisAgreement.(Gov.Code§8546.7,Pub.ContractCode§10115etseq.,CCRTitle2,Seclion1896).5.INDEMNIFICATIQN:Contractoragreestoindemnify,defendandsaveharmlesstheState,itsofficers,agentsandemployeesfromanyandallclaimsandlossesaccruingorresultingtoanyandallcontractors,subcontractors,suppliers,laborers,andanyotherperson,firmorcorporationfurnishingorsupplyingworkservices,materials,orsuppliesinconnectionwiththeperformanceofthisAgreement,andfromanyandallclaimsandlossesaccruingorresultingtoanyperson,firmorcorporationwhomaybeinjuredordamagedbyContractorintheperformanceofthisAgreement.6.DISPUTES:ContractorshallcontinuewiththeresponsibilitiesunderthisAgreementduringanydispute.7.TERMINATIONFORCAUSE:'HieStatemayterminatethisAgreementandberelievedofanypaymentsshouldtheContractorfailtoperformtherequirementsofthisAgreementatthetimeandinthemannerhereinprovided.IntheeventofsuchterminationtheStatemayproceedwiththeworkinanymarinerdeemedproperbytheState.AllcoststotheStateshallbedeductedfromanysumduetheContractorunderthisAgreementandthebalance,ifany,shallbepaidtotheContractorupondemand. 8.INDEPENDENTCONTRACTOR:Contractor,andtheagentsandemployeesofContractor,intheperformanceofthisAgreement,shallactinanindependentcapacityandnotasofficersoremployeesoragentsoftheState.9.RECYCLINGCERTIFICATION:TheContractorshallcertifyinwritingunderpenaltyofperjury,theminimum,ifnotexact,percentageofpostconsumermaterialasdefinedinthePublicContractCodeSection12200,inproducts,materials,goods,orsuppliesofferedorsoldtotheStateregardlessofwhethertheproductmeetstherequirementsofPublicContractCodeSection12209.WithrespecttoprinterorduplicationcartridgesthatcomplywiththerequirementsofSection12156(e),thecertificationrequiredbythissubdivisionshallspecifythatthecartridgessocomply(Pub.ContractCode§12205).10-NON-DISCRIMINATIONCLAUSE:DuringtheperformanceoftinsAgreement,Contractoranditssubcontractor.?shallnotunlawfullydiscriminate,harass,orallowharassmentagainstanyemployeeorapplicantforemploymentbecauseofsex,race,color,ancestry,religiouscreed,nationalorigin,physicaldisability(includingHIVandAIDS),mentaldisability,medicalcondition(e.g.,cancer),age(over40),maritalstatus,anddenialoffamilycareleave.Contractorandsubcontractorsshallinsurethattheevaluationandtreatmentoftheiremployeesandapplicantsforemploymentarefreefromsuchdiscriminationandharassment.Contractorandsubcontractorsshallcomplywiththeprovision?oftheFairEmploymentandHousingAct(Gov.Code§12990(a-f)etseq.)andtheapplicableregulationspromulgatedthereunder(CaliforniaCodeofRegulations,Title2,Section7285etseq.).TheapplicableregulationsoftheFairEmploymentandHousingCommissionimplementingGovernmentCodeSection12990(a-f),setforthinChapter5ofDivision4ofTitle2oftheCaliforniaCodeofRegulations,areincorporatedintothisAgreementbyreferenceandmadeaparthereofasifsetforthinfull.Contractoranditssubcontractors'shallgivewrittennoticeoftheirobligationsunderthisclausetolabororganizationswithwhichtheyhaveacollectivebargainingorotherAgreement.ContractorshallincludethenondiscriminationandcomplianceprovisionsofthisclauseinallsubcontractstoperformworkundertheAgreement.11.CERTIFICATIONCLAUSES:TheCONTRACTORCERTIFICATIONCLAUSEScontainedinthedocumentCCC307areherebyincorporatedbyreferenceandmadeapartofthisAgreementbythisreferenceasifattachedhereto.12.TIMELINESS:TimeisoftheessenceinthisAgreement.13.COMPENSATION:TheconsiderationtobepaidContractor,asprovidedherein,shallbeincompensationforallofContractor'sexpensesincurredintheperformancehereof,includingtravel,perdiem,andtaxes,unlessotherwiseexpresslysoprovided.14.GOVERNINGLAW:ThiscontractisgovernedbyandshallbeinterpretedinaccordancewiththelawsoftheStateofCalifornia. 15.ANTITRUSTCLAIMS:TheContractorbysigningthisagreementherebycertifiesthatiftheseservicesorgoodsareobtainedbymeansofacompetitivebid,theContractorshallcomplywiththerequirementsoftireGovernmentCodesSectionssetoutbelow,a.TheGovernmentCodeChapteronAntitrustclaimscontainsthefollowingdefinitions:1)"Publicpurchase"meansapurchasebymeansofcompetitivebidsofgoods,services,ormaterialsbytheStateoranyofitspoliticalsubdivisionsorpublicagenciesonwhosebehalftheAttorneyGeneralmaybringanactionpursuanttosubdivision(c)ofSection16750oftheBusinessandProfessionsCode.2)"Publicpurchasingbody"meanstheStateorthesubdivisionoragencymakingapublicpurchase.GovernmentCodeSection4550.b.Insubmittingabidtoapublicpurchasingbody,thebidderoffersandagreesthatifthebidisaccepted,itwillassigniothepurchasingbodyallrights,title,andinterestinandtoallcausesofactionitmayhaveunderSection4oftheClaytonAct(15U.S.C.Sec.15)orundertheCartwrightAct(Chapter2(commencingwithSection16700)ofPart2ofDivision7oftheBusinessandProfessionsCode),arisingfrompurchasesofgoods,materials,orservicesbythebidderforsaletothepurchasingbodypursuanttothebid.Suchassignmentshallbemadeandbecomeeffectiveatthetimethepurchasingbodytendersfinalpaymenttothebidder.GovernmentCodeSection4552.c.Ifanawardingbodyorpublicpurchasingbodyreceives,eitherthroughjudgmentorsettlement,amonetaryrecoveryforacauseofactionassignedunderthischapter,theassignorshallbeentitledtoreceivereimbursementforactuallegalcostsincurredandmay,upondemand,recoverfromthepublicbodyanyportionoftherecovery,includingtrebledamages,attributabletooverchargesthatwerepaidbytheassignorbutwerenotpaidbythepublicbodyaspartofthebidprice,lesstheexpensesincurredinobtainingthatportionoftherecovery.GovernmentCodeSection4553.d.Upondemandinwritingbytheassignor,theassigneeshall,withinoneyearfromsuchdemand,reassignthecauseofactionassignedunderthispartiftheassignorhasbeenormayhavebeeninjuredbytheviolationoflawforwhichthecauseofactionaroseand(a)theassigneehasnotbeeninjuredthereby,or(b)theassigneedeclinestofileacourtactionforthecauseofaction.SeeGovernmentCodeSection4554.16.CHILDSUPPORTCOMPLIANCEACT:ForanyAgreementinexcessof$100,000,fiecontractoracknowledgesinaccordancewithPublicContractCode7110,that:a.Thecontractorrecognizestheimportanceofchildandfamilysupportobligationsandshallfullycomplywithallapplicablestateandfederallawsrelatingtochildandfamilysupportenforcement,including,butnotlimitedto,disclosureofinformationandcompliancewithearningsassignmentorders,asprovidedinChapter8(commencingwithsection5200)ofPart5ofDivision9oftheFamilyCode;andb.Thecontractor,tothebestofitsknowledgeisfullycomplyingwiththeearningsassignmentordersofallemployeesandisprovidingthenamesofallnewemployeestotheNewHireRegistrymaintainedbytheCaliforniaEmploymentDevelopmentDepartment. 17.UNENFORCEABLEPROVISION:IntheeventthatanyprovisionofthisAgreementisunenforceableorheldtobeunenforceable,thenthepartiesagreethatallotherprovisionsofthisAgreementhaveforceandeffectandshallnotbeaffectedthereby.18,PRIORITYHIRINGCONSIDERATIONS:IfthisContractincludesservicesinexcessof$200,000,theContractorshallgivepriorityconsiderationinfillingvacanciesinpositionsfundedbytheContracttoqualifiedrecipientsofaidunderWelfareandInstitutionsCodeSection11200inaccordancewithPub.ContractCode§10353.19.SMALLBUSINESSPARTICIPATIONANDDVBEPARTICIPATIONREPORTINGREQUIREMENTS:a.IfforthisContractContractormadeacommitmenttoachievesmallbusinessparticipation,thenContractormustwithin60daysofreceivingfinalpaymentunderthisContract(orwithinsuchothertimeperiodasmaybespecifiedelsewhereinthisContract)reporttotheawardingdepartmenttheactualpercentageofsmallbusinessparticipationthatwasachieved.(Govt.Code§1484L)b.IfforthisContractContractormadeacommitmenttoachievedisabledveteranbusinessenterprise(DVBE)participation,thenContractormustwithin60daysofreceivingfinalpaymentunderthisContract(orwithinsuchothertimeperiodasmaybespecifiedelsewhereintillsContract)certifyinareporttotheawardingdepartment:(1)thetotalamounttheprimeContractorreceivedundertheContract;(2)thenameandaddressoftheDVBE(s)thatparticipatedintheperformanceoftheContract;(3)theamounteachDVBEreceivedfromtheprimeContractor;(4)thatallpaymentsundertheContracthavebeenmadetotheDVBE;and(5)dieactualpercentageofDVBEparticipationthatwasachieved.Apersonorentitythatknowinglyprovidesfalseinformationshallbesubjecttoacivilpenaltyforeachviolation.(Mil.&Vets.Code§999.5(d);Govt.Code§14841.)20.LOSSLEADER:Ifthiscontractinvolvesthefurnishingofequipment,materials,orsuppliesthenthefollowingstatementisincorporated:Itisunlawfulforanypersonengagedinbusinesswithinthisstatetoselloruseanyarticleorproductasa“lossleader”asdefinedinSection17030oftheBusinessandProfessionsCode.(PCC10344(e).)C;\Users\kschanihorsl\AppDaW\Local\Microsoi\Wm<jows\TernporaryInternetFiics'.Conlcnt,Outlook\N17VlLFF\GTC-610.doc CountyofFresno15-10940ExhibitDSpecialTermsandConditions(Rev10/15)(ForCooperativeAgreementInaccordancewithHSC38070)TheprovisionshereinapplytothisAgreementunlesstheprovisionsareremovedbyreference,theprovisionsaresupersededbyanalternateprovisionappearingelsewhereinthisAgreement,ortheapplicableconditionsdonotexist.meadeIndexofSpecialTermsandConditions1.ProcurementRules11.OfficialsNottoBenefit2.EquipmentOwnership/Inventory/12.ProhibitedUseofStateFundsforSoftwareDisposition13.ContractUniformity(FringeBenefit3.SubcontractRequirementsAllowability)4.IncomeRestrictions14.Cancellation5.SiteInspection6.IntellectualPropertyRights7.PriorApprovalofTrainingSeminars,WorkshopsorConferences8,ConfidentialityofInformation9.Documents,Publications,andWrittenReports10.:DisputeResolutionProcessPage1of16 ExhibitDSpecialTermsandConditions1.ProcurementRules(Applicabletoallagreementsinwhichequipment,property,commoditiesand/orsuppliesarefurnishedbyCDPHorexpensesforsaiditemsarereimbursedwithstateorfederalfunds.)a.EquipmentdefinitionsWhereverthetermequipment/propertyisused,thefollowingdefinitionsshallapply:(1)Majorequipment/property;Atangibleorintangibleitemhavingabaseunitcostof$5,000ormorewithalifeexpectancyofone(1)yearormoreandiseitherfurnishedbyCDPHorthecostisreimbursedthroughthisAgreement.Softwareandvideosareexamplesofintangibleitemsthatmeetthisdefinition.(2)Minorequipment/property:Atangibleitemhavingabaseunitcostoflessthan$5.000withalifeexpectancyofone(1)yearormoreandiseitherfurnishedbyCDPHorthecostisreimbursedthroughthisAgreement.b.Governmentandpublicentities(includingstatecolleges/universitiesandauxiliaryorganizations),whetheractingasacontractor,maysecureallcommodities,supplies,equipmentandservicesrelatedtosuchpurchasesthatarerequiredinperformanceofthisAgreement.SaidprocurementsaresubjecttoParagraphsdthroughgofthisprovision.Paragraphcofthisprovisionshallalsoapply,ifequipmentpurchasesaredelegatedtosubcontractorsthatarenonprofitorganizationsorcommercialbusinesses.c.Nonprofitorganizationsandcommercialbusinesses,whetheractingasacontractorand/orsubcontractor,maysecurecommodities,supplies,equipmentandservicesrelatedtosuchpurchasesforperformanceunderthisAgreement,(1)Equipmentpurchasesshallnotexceed$50,000annually.Tosecureequipmentabovetheannualmaximumlimitof$50,000,theContractorshallmakearrangementsthroughtheappropriateCDPHProgramContractManager,tohaveallremainingequipmentpurchasedthroughCDPH'sPurchasingUnit.ThecostofequipmentpurchasedbyorthroughCDPHshallbedeductedfromthefundsavailableinthisAgreement.ContractorshallsubmittotheCDPHProgramContractManageralistofequipmentspecificationsforthoseitemsthattheStatemustprocure.TheStatemaypaythevendordirectlyforsucharrangedequipmentpurchasesandtitletotheequipmentwillremainwithCDPH.TheequipmentwillbedeliveredtotheContractor'saddress,asstatedonthefaceoftheAgreement,unlesstheContractornotifiestheCDPHProgramContractManager,inwriting,ofanalternatedeliveryaddress.(2)Allequipmentpurchasesaresubjecttoparagraphsdthroughgofthisprovision.Paragraphbofthisprovisionshallalsoapply,ifequipmentpurchasesaredelegatedtosubcontractorsthatareeitheragovernmentorpublicentity.(3)Nonprofitorganizationsandcommercialbusinesses,shalluseaprocurementsystemthatmeetsthefollowingstandards:(a)Maintainacodeorstandardofconductthatshallgoverntheperformanceofitsofficers,employees,oragentsengagedinawardingprocurementcontracts.Noemployee,Page2of16 ExhibitDSpecialTermsandConditionsofficer,oragentshallparticipateintheselection,award,oradministrationofaprocurement,orbidcontractinwhich,tohisorherknowledge,heorshehasafinancialinterest.(b)Procurementsshallbeconductedinamannerthatprovides,tothemaximumextentpractical,open,andfreecompetition.(c)Procurementsshallbeconductedinamannerthatprovidesforallofthefollowing:[1]Avoidpurchasingunnecessaryorduplicateitems.[2]Equipmentsolicitationsshallbebaseduponaclearandaccuratedescriptionofthetechnicalrequirementsofthegoodstobeprocured.[3]Takepositivestepstoutilizesmallandveteranownedbusinesses.d.UnlesswaivedorotherwisestipulatedinwritingbyCDPH,priorwrittenauthorizationfromtheappropriateCDPHProgramContractManagerwillberequiredbeforetheContractorwillbereimbursedforanypurchaseexceeding$5,000ormoreforcommodities,supplies,equipment,andservicesrelatedtosuchpurchases,TheContractormustprovideinitsrequestforauthorizationailparticularsnecessary,asspecifiedbyCDPH,forevaluatingthenecessityordesirabilityofincurringsuchcosts.Theterm"purchase"excludesthepurchaseofservicesfromasubcontractorandpublicutilityservicesatratesestablishedforuniformapplicabilitytothegeneralpublic.e.Inspecialcircumstances,determinedbyCDPH(e.g.,whenCDPHhasaneedtomonitorcertainpurchases,etc.),CDPHmayrequirepriorwrittenauthorizationand/orthesubmissionofpaidvendorreceiptsforanypurchase,regardlessofdollaramount.CDPHreservestherighttoeitherdenyclaimsforreimbursementortorequestrepaymentforanyContractorpurchasethatCDPHdeterminestobeunnecessaryincarryingoutperformanceunderthisAgreement.f.TheContractormustmaintainacopyornarrativedescriptionoftheprocurementsystem,guidelines,rules,orregulationsthatwillbeusedtomakepurchasesunderthisAgreement.TheStatereservestherighttorequestacopyofthesedocumentsandtoinspectthepurchasingpracticesoftheContractoratanytime.g.Forallpurchases,theContractormustmaintaincopiesofallpaidvendorinvoices,documents,bidsandotherinformationusedinvendorselection,forinspectionoraudit.Justificationssupportingtheabsenceofbidding(i.e.,solesourcepurchases)shallalsobemaintainedonfilebytheContractorforinspectionoraudit.2.EquipmentOwnership/Inventory/Disposition(Applicabletoagreementsinwhichequipmentand/orpropertyisfurnishedbyCDPHand/orwhensaiditemsarepurchasedorreimbursedwithstate)a.Whereverthetermsequipmentand/orpropertyareusedinthisprovision,thedefinitionsinprovision1,paragrapha.,shallapply.UnlessotherwisestipulatedinthisAgreement,allequipmentand/orproperlythatarepurchased/reimbursedwithagreementfundsorfurnishedbyCDPHunderthetermsofthisAgreementshallbeconsideredstateequipmentandthepropertyofCDPH.Page3of16 ExhibitDSpecialTermsandConditions(1)CDPHrequiresthereporting,taggingandannualinventoryingofallequipmentand/orpropertythatisfurnishedbyCDPHorpurchased/reimbursedwithfundsprovidedthroughthisAgreement,Uponreceiptofequipmentand/orproperty,theContractorshallreportthereceipttotheCDPHProgramContractManager.Toreportthereceiptofsaiditemsandtoreceivepropertytags,ContractorshalluseaformorformatdesignatedbyCDPH'sAssetManagementUnit.Iftheappropriateform(i.e.,ContractorEquipmentPurchasedwithCDPHFunds)doesnotaccompanythisAgreement,ContractorshallrequestacopyfromtheCDPHProgramContractManager.(2)iftheContractorentersintoanagreementwithatermofmorethantwelvemonths,theContractorshallsubmitanannualinventoryofstateequipmentand/orpropertytotheCDPHProgramContractManagerusingaformorformatdesignatedbyCDPH'sAssetManagementUnit.Ifaninventoryreportform(i.e.,Inventory/DispositionofCDPH-FundedEquipment)doesnotaccompanythisAgreement,ContractorshallrequestacopyfromtheCDPHProgramContractManager.Contractorshall:(a)Includeintheinventoryreport,equipmentand/orpropertyintheContractor'spossessionand/orinthepossessionofasubcontractor(includingindependentconsultants).(b)SubmittheinventoryreporttoCDPHaccordingtotheinstructionsappearingontheinventoryformorissuedbytheCDPHProgramContractManager.(c)ContacttheCDPHProgramContractManagertolearnhowtoremove,trade-in,sell,transferorsurveyoff,fromtheinventoryreport,expiredequipmentand/orpropertythatisnolongerwanted,usableorhaspasseditslifeexpectancy.InstructionswillbesuppliedbyCDPH'sAssetManagementUnit.b.Titletostateequipmentand/orpropertyshallnotbeaffectedbyitsincorporationorattachmenttoanypropertynotownedbytheState.c.Unlessotherwisestipulated,CDPHshallbeundernoobligationtopaythecostofrestoration,orrehabilitationoftheContractor'sand/orSubcontractor'sfacilitywhichmaybeaffectedbytheremovalofanyslateequipmentand/orproperty.d.TheContractorshallmaintainandadministerasoundbusinessprogramforensuringtheproperuse,maintenance,repair,protection,insuranceandpreservationofstateequipmentand/orproperty.(1)Inadministeringthisprovision,CDPHmayrequiretheContractortorepairorreplace,toCDPH'ssatisfaction,anydamaged,lostorstolenstateequipmentand/orproperty,ContractorshallimmediatelyfileatheftreportwiththeappropriatepoliceagencyortheCaliforniaHighwayPatrolandContractorshallpromptlysubmitonecopyofthetheftreporttotheCDPHProgramContractManager.e.UnlessotherwisestipulatedbytheprogramfundingthisAgreement,equipmentand/orpropertypurchased/reimbursedwithagreementfundsorfurnishedbyCDPHunderthetermsofthisAgreement,shallonlybeusedforperformanceofthisAgreementoranotherCDPHagreement.f.Withinsixty(60)calendardayspriortotheterminationorendofthisAgreement,theContractorPage4of16 ExhibitDSpecialTermsandConditionsshallprovideafinalinventoryreportofequipmentand/orpropertytotheCDPHProgramContractManagerandshall,atthattime,queryCDPHastotherequirements,includingthemannerandmethod,ofreturningstateequipmentand/orpropertytoCDPH.Finaldispositionofequipmentand/orpropertyshallbeatCDPHexpenseandaccordingtoCDPHinstructions.Equipmentand/orpropertydispositioninstructionsshallbeissuedbyCDPHimmediatelyafterreceiptofthefinalinventoryreport.AttheterminationorconclusionofthisAgreement,CDPHmayatitsdiscretion,authorizethecontinueduseofstateequipmentand/orpropertyforperformanceofworkunderadifferentCDPHagreement.g.MotorVehicles(Applicableonlyifmotorvehiclesarepurchased/reimbursedwithagreementfundsorfurnishedbyCDPHunderthisAgreement.)(1)ifmotorvehiclesarepurchased/reimbursedorfurnishedbyCDPHunderthetermsofthisAgreement,withinthirty(30)calendardayspriortotheterminationorendofthisAgreement,theContractorshallreturnsuchvehiclestoCDPHandshalldeliverallnecessarydocumentsoftitleorregistrationtoenablethepropertransferofamarketabletitletoCDPH.(2)Ifmotorvehiclesarepurchased/reimbursedorfurnishedbyCDPHunderthetermsofthisAgreement,theStateofCaliforniashallbethelegalownerofsaidmotorvehiclesandtheContractorshallbetheregisteredowner.TheContractorshallonlyusesaidvehiclesfortheperformanceunderthetermsofthisAgreement.(3)TheContractoragreethatalloperatorsofmotorvehicles,purchased/reimbursedorfurnishedbyCDPHunderthetermsofthisAgreement,shallholdavalidStateofCaliforniadriver'slicense.Intheeventthattenormorepassengersaretobetransportedinanyonevehicle,theoperatorshallalsoholdaStateofCaliforniaClassBdriver'slicense.(4)Ifanymotorvehicleispurchased/reimbursedorfurnishedbyCDPHunderthetermsofthisAgreement,theContractor,asapplicable,shallprovide,maintain,andcertifythat,ataminimum,thefollowingtypeandamountofautomobileliabilityinsuranceisineffectduringthetermofthisAgreementoranyextensionperiodduringwhichanyvehicleremainsintheContractor'spossession:AutomobileLiabilityInsurance(a)TheContractor,bysigningthisAgreement,herebycertifiesthatitpossessesorwillobtainautomobileliabilityinsuranceintheamountof$1,000,000peroccurrenceforbodilyinjuryandpropertydamagecombined.Saidinsurancemustbeobtainedandmadeeffectiveuponthedeliverydateofanymotorvehicle,purchased/reimbursedwithagreementfundsorfurnishedbyCDPHunderthetermsofthisAgreement,totheContractor.(b)TheContractorshall,assoonaspractical,furnishacopyofthecertificateofinsurancetotheCDPHProgramContractManager.ThecertificateofinsuranceshallidentifytheCDPHcontractoragreementnumberforwhichtheinsuranceapplies.(c)TheContractoragreethatbodilyinjuryandpropertydamageliabilityinsurance,asrequiredherein,shallremainineffectatalltimesduringthetermofthisAgreementoruntilsuchtimeasthemotorvehicleisreturnedtoCDPH.Page5of16 ExhibitDSpecialTermsandConditions{d)TheContractoragreetoprovide,atleastthirty(30)dayspriortotheexpirationdateofsaidinsurancecoverage,acopyofanewcertificateofinsuranceevidencingcontinuedcoverage,asindicatedherein,fornotlessthantheremainderofthetermofthisAgreement,thetermofanyextensionorcontinuationthereof,orforaperiodofnotlessthanone(1)year.(e)TheContractor,ifnotaself-insuredgovernmentand/orpublicentity,mustprovideevidence,thatanyrequiredcertificatesofinsurancecontainthefollowingprovisions:[1]Theinsurerwillnotcanceltheinsured'scoveragewithoutgivingthirty(30)calendardayspriorwrittennoticetotheState.[2]TheStateofCalifornia,itsofficers,agents,employees,andservantsareincludedasadditionalinsureds,butonlywithrespecttoworkperformedfortheStateunderthisAgreementandanyextensionorcontinuationofthisAgreement.[3]TheinsurancecarriershallnotifyCDPH,inwriting,oftheContractor'sfailuretopaypremiums;itscancellationofsuchpolicies;oranyothersubstantialchange,including,butnotlimitedto,thestatus,coverage,orscopeoftherequiredinsurance.Suchnoticesshallcontainareferencetoeachagreementnumberforwhichtheinsurancewasobtained.(f)TheContractorisherebyadvisedthatcopiesofcertificatesofinsurancemaybesubjecttoreviewandapprovalbytheDepartmentofGenera!Services(DGS),OfficeofRiskandinsuranceManagement.TheContractorshallbenotifiedbyCDPH,inwriting,ifthisprovisionisapplicabletothisAgreement.IfDGSapprovalofthecertificateofinsuranceisrequired,theContractoragreesthatnoworkorservicesshallbeperformedpriortoobtainingsaidapproval.(g)IntheeventtheContractorfailstokeepinsurancecoverage,asrequiredherein,ineffectatalltimesduringvehiclepossession,CDPHmay,inadditiontoanyotherremediesitmayhave,terminatethisAgreementupontheoccurrenceofsuchevent.3.SubcontractRequirements(Applicabletoagreementsunderwhichservicesaretobeperformedbysubcontractorsincludingindependentconsultants.)a.PriorwrittenauthorizationwillberequiredbeforetheContractorentersintoorisreimbursedforanysubcontractforservicesexceeding$5,000foranyartices,supplies,equipment,orservices.TheContractorshallobtainatleastthreecompetivequotationswhichshouldbesubmittedoradequatejustificationprovidedfortheabsenceofbidding.b.CDPHreservestherighttoapproveordisapprovetheselectionofsubcontractorsandwithadvancewrittennotice,requirethesubstitutionofsubcontractorsandrequiretheContractortoterminatesubcontractsenteredintoinsupportofthisAgreement.(1)UponreceiptofawrittennoticefromCDPHrequiringthesubstitutionand/orterminationofasubcontract,theContractorshalltakestepstoensurethecompletionofanyworkinprogressandselectareplacement,ifapplicable,within30calendardays,unlessalongerperiodisagreedtobyCDPH.Page6of16 ExhibitDSpecialTermsandConditionsc.Actualsubcontracts(i.e.,writtenagreementbetweentheContractorandasubcontractor)exceeding$5,000aresubjecttothepriorreviewandwrittenapprovalofCDPH.d.ContractorshallmaintainacopyofeachsubcontractenteredintoinsupportofthisAgreementandshall,uponrequestbyCDPH,makecopiesavailableforapproval,inspection,oraudit.e.CDPHassumesnoresponsibilityforthepaymentofsubcontractorsusedintheperformanceofthisAgreement.ContractoracceptssoleresponsibilityforthepaymentofsubcontractorsusedintheperformanceofthisAgreement.f.TheContractorisresponsibleforallperformancerequirementsunderthisAgreementeventhoughperformancemaybecarriedoutthroughasubcontract.g.TheContractorshallensurethatallsubcontractsforservicesincludeprovision(s)requiringcompliancewithapplicabletermsandconditionsspecifiedinthisAgreementandshallbethesubcontractor'ssolepointofcontactforallmattersrelatedtotheperformanceandpaymentduringthetermofthisAgreement.h.TheContractoragreestoincludethefollowingclause,relevanttorecordretention,inallsubcontractsforservices:"(SubcontractorName)agreestomaintainandpreserve,untilthreeyearsafterterminationof(AgreementNumber)andfinalpaymentfromCDPHtotheContractor,topermitCDPHoranydulyauthorizedrepresentative,tohaveaccessto,examineorauditanypertinentbooks,documents,papersandrecordsrelatedtothissubcontractandtoallowinterviewsofanyemployeeswhomightreasonablyhaveinformationrelatedtosuchrecords,”4.IncomeRestrictionsUnlessotherwisestipulatedinthisAgreement,theContractoragreesthatanyrefunds,rebates,credits,orotheramounts(includinganyinterestthereon)accruingtoorreceivedbytheContractorunderthisAgreementshallbepaidbytheContractortoCDPH,totheextentthattheyareproperlyallocabletocostsforwhichtheContractorhasbeenreimbursedbyCDPHunderthisAgreement.5.SiteInspectionTheState,throughanyauthorizedrepresentatives,hastherightatai!reasonabletimestoinspectorotherwiseevaluatetheworkperformedorbeingperformedhereunderincludingsubcontractsupportedactivitiesandthepremisesinwhichitisbeingperformed,ifanyinspectionorevaluationismadeofthepremisesoftheContractororSubcontractor,theContractorshallprovideandshallrequireSubcontractorstoprovideallreasonablefacilitiesandassistanceforthesafetyandconvenienceoftheauthorizedrepresentativesintheperformanceoftheirduties.Allinspectionsandevaluationsshallbeperformedinsuchamanneraswillnotundulydelaytheservicesperformed.6.intellectualPropertyRightsa.OwnershipPage7of16 ExhibitDSpecialTermsandConditions(1)ExceptassetforthbelowandexceptwhereCDPHhasagreedInasignedwritingtoacceptalicense,CDPHshallbeandremain,withoutadditionalcompensation,thesoleownerofanyandallrights,titleandinterestinallIntellectualProperty,fromthemomentofcreation,whetherornotjointlyconceived,thataremade,conceived,derivedfrom,orreducedtopracticebyContractororCDPHandwhichresultdirectlyorindirectlyfromthisAgreement.NotwithstandingtheforegoingoranyotherlanguageinthisAgreement,ContractorandnotCDPGshallownIntellectualPropertyrelatingtoanyclinicallabtestorlabassaythatismade,conceived,derivedfromorrducedtopracticebycontractor,reqardiessofwhetheritresultsdirectly/indirectlyfromthisAgreement("ClinicalTestsorAssays”)(2)ForthepurposesofthisAgreement,IntellectualPropertymeansrecognizedprotectablerightsandinterestsuchas:patents,(whetherornotissued)copyrights,trademarks,servicemarks,applicationsforanyoftheforegoing,inventions,tradesecrets,tradedress,logos,insignia,colorcombinations,slogans,moralrights,rightofpublicity,author'srights,contractandlicensingrights,works,maskworks,industrialdesignrights,rightsofpriority,knowhow,designflows,methodologies,devices,businessprocesses,developments,innovations,goodwillandallotherlegalrightsprotectingintangibleproprietaryinformationasmayexistnowand/orhereaftercomeintoexistence,andallrenewalsandextensions,regardlessofwhetherthoserightsariseunderthelawsoftheUnitedStates,oranyotherstate,countryorjurisdiction.(a)ForthepurposesofthedefinitionofIntellectualProperty,"works"meansallliteraryworks,writingsandprintedmatterincludingthemediumbywhichtheyarerecordedorreproduced,photographs,artwork,pictorialandgraphicrepresentationsandworksofasimilarnature,film,motionpictures,digitalimages,animationcells,andotheraudiovisualworksincludingpositivesandnegativesthereof,soundrecordings,tapes,educationalmaterials,interactivevideosandanyothermaterialsorproductscreated,produced,conceptualizedandfixedinatangiblemediumofexpression.Itincludespreliminaryandfinalproductsandanymaterialsandinformationdevelopedforthepurposesofproducingthosefinalproducts.Worksdoesnotincludearticlessubmittedtopeerrevieworreferencejournalsorindependentresearchprojects.(3)IntheperformanceofthisAgreement,ContractorwillexerciseandutilizecertainofitsIntellectualPropertyinexistencepriortotheeffectivedateofthisAgreement,Inaddition,underthisAgreement,ContractormayaccessandutilizecertainofCDPH’sIntellectualPropertyinexistencepriortotheeffectivedateofthisAgreement.Exceptasotherwisesetforthherein,ContractorshallnotuseanyofCDPH'sIntellectualPropertynowexistingorhereafterexistingforanypurposeswithoutthepriorwrittenpermissionofCDPH.Exceptasotherwisesetforthherein,neithertheContractornorCDPHshallgiveanyownershipinterestinorrightstoitsIntellectualPropertytotheotherParty.IfduringthetermofthisAgreement,Contractoraccessesanythird-partyIntellectualPropertythatislicensedtoCDPH,ContractoragreestoabidebyalllicenseandconfidentialityrestrictionsapplicabletoCDPHInthethird-party'slicenseagreement.(4)ContractoragreestocooperatewithCDPHinestablishingormaintainingCDPH'sexclusiverightsintheIntellectualProperty,andinassuringCDPH'ssolerightsagainstthirdpartieswithrespecttotheIntellectualProperty,IftheContractorentersintoanyagreementsorsubcontractswithotherparliesinordertoperformthisAgreement,ContractorshallrequirethetermsoftheAgreement(s)toincludeallIntellectualPropertyprovisions.Suchtermsmustinclude,butarenotlimitedto,thesubcontractorassigningandagreeingtoassigntoCDPHallrights,titleandinterestinIntellectualPropertyotherthanClinicalTestsorLabeAssaysmade,conceived,derivedfrom,orreducedtopracticebythesubcontractor,Page8of16 ExhibitDSpecialTermsandConditionsContractororCDPHandwhichresuitdirectlyorindirectlyfromthisAgreementoranysubcontract.{5)ContractorfurtheragreestoassistandcooperatewithCDPHinallreasonablerespects,andexecuteaildocumentsand,subjecttoreasonableavailability,givetestimonyandtakeallfurtheractsreasonablynecessarytoacquire,transfer,maintain,andenforceCDPH’sIntellectualPropertyrightsandinterests.b.RetainedRights/LicenseRights(1)ContractorshallretaintitletoallofitsintellectualPropertytotheextentsuchIntellectualPropertyisinexistencepriortotheeffectivedateofthisAgreement.(2)Nothinginthisprovisionshallrestrict,limit,orotherwisepreventContractorfromusinganyideas,concepts,know-how,methodologyortechniquesrelatedtoitsperformanceunderthisAgreement,providedthatContractor’susedoesnotinfringethepatent,copyright,trademarkrights,licenseorotherIntellectualPropertyrightsofCDPHorthirdparty,orresultinabreachordefaultofanyprovisionsofthisExhibitorresultinabreachofanyprovisionsofiawrelatingtoconfidentiality.c.Copyright(1)Contractoragreesthatforpurposesofcopyrightlaw,aitworks[asdefinedinParagrapha,subparagraph(2)(a)ofthisprovision]ofauthorshipmadebyoronbehalfofContractorinconnectionwithContractor’sperformanceofthisAgreementshallbedeemed"worksmadeforhire".ContractorfurtheragreesthattheworkofeachpersonutilizedbyContractorinconnectionwiththeperformanceofthisAgreementwillbea"workmadeforhire,”whetherthatpersonisanemployeeofContractororthatpersonhasenteredintoanagreementwithContractortoperformthework.Contractorshallenterintoawrittenagreementwithanysuchpersonthat:(i)allworkperformedforContractorshallbedeemeda“workmadeforhire"undertheCopyrightActand(ii)thatpersonshallassignallright,title,andinteresttoCDPHtoanyworkproductmade,conceived,derivedfrom,orreducedtopracticebyContractororCDPHandwhichresultdirectlyorindirectlyfromthisAgreement.(2)Allmaterials,including,butnotlimitedto,visualworksortext,reproducedordistributedpursuanttothisAgreementthatincludeIntellectualPropertymade,conceived,derivedfrom,orreducedtopracticebyContractororCDPHandwhichresultdirectlyorindirectlyfromthisAgreement,shallincludeCDPH'snoticeofcopyright,whichshallreadin3mmorlargertypeface:“©[EnterCurrentYeare.g.,2014,etc],DepartmentofPublicHealth.ThismaterialmaynotbereproducedordisseminatedwithoutpriorwrittenpermissionfromtheDepartmentofPublicHealth.”Thisnoticeshouldbeplacedprominentlyonthematerialsandsetapartfromothermatteronthepagewhereitappears.Audioproductionsshallcontainasimilaraudionoticeofcopyright.d.Third-PartyIntellectualPropertyExceptasprovidedherein,ContractoragreesthatitsperformanceofthisAgreementshallnotbedependentuponorincludeanyIntellectualPropertyofContractororthirdpartywithoutfirst:(i)obtainingCDPH'spriorwrittenapproval;and(ii)grantingtoorobtainingforCDPH,withoutadditionalcompensation,alicense,asdescribedinSectionbofthisprovision,foranyofContractor'sorthird-party'sIntellectualPropertyinexistencepriortotheeffectivedateofthisAgreement.Ifsuchalicenseuponthethesetermsisunattainable,andCDPHdeterminesthatPage9of16 ExhibitDSpecialTermsandConditionstheIntellectualPropertyshouldbeincludedinorisrequiredforContractor'sperformanceofthisAgreement,ContractorshallobtainalicenseundertermsacceptabletoCDPH.e.Warranties(t)Contractorrepresentsandwarrantsthat;(a)ItisfreetoenterintoandfullyperformthisAgreement.(b)IthassecuredandwillsecureallrightsandlicensesnecessaryforitsperformanceofthisAgreement.(c)NeitherContractor'sperformanceofthisAgreement,northeexercisebyeitherPartyoftherightsgrantedinthisAgreement,noranyuse,reproduction,manufacture,sale,offertosell,import,export,modification,publicandprivatedisplay/performance,distribution,anddispositionoftheIntellectualPropertymade,conceived,derivedfrom,orreducedtopracticebyContractororCDPHandwhichresultdirectlyorindirectlyfromthisAgreementwillinfringeuponorviolateanyIntellectualPropertyright,non-disclosureobligation,orotherproprietaryrightorinterestofanythird-partyorentitynowexistingunderthelawsof,orhereafterexistingorissuedby,anystate,theUnitedStates,oranyforeigncountry.ThereiscurrentlynoactualorthreatenedclaimbyanysuchthirdpartybasedonanallegedviolationofanysuchrightbyContractor.(d)NeitherContractor'sperformancenoranypartofitsperformancewillviolatetherightofprivacyof,orconstitutealibelorslanderagainstanypersonorentity.(e)IthassecuredandwillsecurealirightsandlicensesnecessaryforintellectualPropertyincluding,butnotlimitedto,consents,waiversorreleasesfromallauthorsofmusicorperformancesused,andtalent(radio,televisionandmotionpicturetalent),ownersofanyinterestinandtorealestate,sites,locations,propertyorpropsthatmaybeusedorshown.(f)Ithasnotgrantedandshallnotgranttoanypersonorentityanyrightthatwouldormightderogate,encumber,orinterferewithanyoftherightsgrantedtoCDPHinthisAgreement.(g)IthasappropriatesystemsandcontrolsinplacetoensurethatstatefundswillnotbeusedintheperformanceofthisAgreementfortheacquisition,operationormaintenanceofcomputersoftwareinviolationofcopyrightlaws.(h)Ithasnoknowledgeofanyoutstandingclaims,licensesorothercharges,iiens,orencumbrancesofanykindornaturewhatsoeverthatcouldaffectinanywayContractor’sperformanceofthisAgreement.(2)CDPHMAKESNOWARRANTYTHATTHEINTELLECTUALPROPERTYRESULTINGFROMTHISAGREEMENTDOESNOTINFRINGEUPONANYPATENT,TRADEMARK,COPYRIGHTORTHELIKE,NOWEXISTINGORSUBSEQUENTLYISSUED.f.IntellectualPropertyIndemnity(1)Contractorshai!indemnify,defendandholdharmlessCDPHanditslicenseesandassignees,anditsofficers,directors,employees,agents,representatives,successors,andPage10of16 ExhibitDSpecialTermsandConditionsusersofitsproducts,("Indemnitees")fromandagainstailclaims,actions,damages,losses,liabilities(oractionsorproceedingswithrespecttoanythereof),whetherornotrightful,arisingfromanyandallactionsorclaimsbyanythirdpartyorexpensesrelatedthereto(including,butnotlimitedto,alllegalexpenses,courtcosts,andattorney’sfeesincurredininvestigating,preparing,servingasawitnessin,ordefendingagainst,anysuchclaim,action,orproceeding,commencedorthreatened)towhichanyoftheIndemniteesmaybesubject,whetherornotContractorisapartytoanypendingorthreatenedlitigation,whichariseoutoforarerelatedto(i)theincorrectnessorbreachofanyoftherepresentations,warranties,covenantsoragreementsofContractorpertainingtoIntellectualProperty;or(ii)anyIntellectualPropertyinfringement,oranyothertypeofactualorallegedinfringementclaim,arisingoutofCDPH’suse,reproduction,manufacture,sale,offertosell,distribution,import,export,modification,publicandprivateperformance/display,license,anddispositionoftheIntellectualPropertymade,conceived,derivedfrom,orreducedtopracticebyContractororCDPHandwhichresultdirectlyorindirectlyfromthisAgreement,Thisindemnityobligationshallapplyirrespectiveofwhethertheinfringementclaimisbasedonapatent,trademarkorcopyrightregistrationthatissuedaftertheeffectivedateofthisAgreement.CDPHreservestherighttoparticipateinand/orcontrol,atContractor'sexpense,anysuchinfringementactionbroughtagainstCDPH.(2)ShouldanyIntellectualPropertylicensedbytheContractortoCDPHunderthisAgreementbecomethesubjectofanIntellectualPropertyinfringementclaim,ContractorwillexerciseitsauthorityreasonablyandingoodfaithtopreserveCDPH’srighttousethelicensedIntellectualPropertyinaccordancewiththisAgreementatnoexpensetoCDPH.CDPHshallhavetherighttomonitorandappearthroughitsowncounsel(atContractor’sexpense)inanysuchclaimoraction,inthedefenseorsettlementoftheclaim,ContractormayobtaintherightforCDPHtocontinueusingthelicensedIntellectualProperty;or,replaceormodifythelicensedIntellectualPropertysothatthereplacedormodifiedIntellectualPropertybecomesnon-infringingprovidedthatsuchreplacementormodificationisfunctionallyequivalenttotheoriginallicensedIntellectualProperty,Ifsuchremediesarenotreasonablyavailable,CDPHshallbeentitledtoarefundofallmoniespaidunderthisAgreement,withoutrestrictionorlimitationofanyotherrightsandremediesavailableatlaworinequity.(3)ContractoragreesthatdamagesalonewouldbeinadequatetocompensateCDPHforbreachofanytermofthisintellectualPropertyExhibitbyContractor.ContractoracknowledgesCDPHwouldsufferirreparableharmintheeventofsuchbreachandagreesCDPHshallbeentitledtoobtainequitablerelief,includingwithoutlimitationaninjunction,fromacourtofcompetentjurisdiction,withoutrestrictionorlimitationofanyotherrightsandremediesavailableatlaworinequity.g.SurvivalTheprovisionssetforthhereinshallsurviveanyterminationorexpirationofthisAgreementoranyprojectschedule.7.PriorApprovalofTrainingSeminars,WorkshopsorConferencesContractorshallobtainpriorCDPHapprovalofthelocation,costs,dates,agenda,instructors,instructionalmaterials,andattendeesatanyreimbursabletrainingseminar,workshop,orconferenceconductedpursuanttothisAgreementandofanyreimbursablepublicityoreducationalmaterialstobemadeavailablefordistribution.TheContractorshallacknowledgethesupportoftheStatewheneverpublicizingtheworkunderthisAgreementinanymedia.ThisprovisiondoesPage11of16 ExhibitDSpecialTermsandConditionsnotapplytonecessarystaffmeetingsortrainingsessionsheldforthestaffoftheContractorinordertoconductroutinebusinessmatters.8.ConfidentialityofinformationTheContractoranditsemployees,agents,orsubcontractorsshall:a.ProtectfromunauthorizeddisclosurenamesandotheridentifyinginformationconcerningpersonseitherreceivingservicespursuanttothisAgreementorpersonswhosenamesoridentifyinginformationbecomeavailableoraredisclosedtotheContractor,itsemployees,agents,orsubcontractorsasaresultofservicesperformedunderthisAgreement,exceptforstatisticalinformationnotidentifyinganysuchperson,b.NotusesuchidentifyinginformationforanypurposeotherthancarryingouttheContractor'sobligationsunderthisAgreement.c.PromptlytransmittotheCDPHContractManagerailrequestsfordisclosureofsuchidentifyinginformationnotemanatingfromtheclientorperson.d.Notdisclose,exceptasotherwisespecificallypermittedbythisAgreementorauthorizedbytheclient,anysuchidentifyinginformationtoanyoneotherthanCDPHwithoutpriorwrittenauthorizationfromtheCDPHContractManager,exceptifdisclosureisrequiredbyStateorFederaliaw.e.Forpurposesofthisprovision,identityshallinclude,butnotbelimitedtoname,identifyingnumber,symbol,orotheridentifyingparticularassignedtotheindividual,suchasfingerorvoiceprintoraphotograph.f.AsdeemedapplicablebyCDPH,thisprovisionmaybesupplementedbyadditionaltermsandconditionscoveringpersonalhealthinformation(PHI)orpersonal,sensitive,and/orconfidentialinformation(PSCi).SaidtermsandconditionswillbeoutlinedinoneormoreexhibitsthatwilleitherbeattachedtothisAgreementorincorporatedintothisAgreementbyreference.9.Documents,PublicationsandWrittenReports(Applicabletoagreementsover$5,000underwhichpublications,writtenreportsanddocumentsaredevelopedorproduced.GovernmentCodeSection7550.)Anydocument,publicationorwrittenreport(excludingprogressreports,financialreportsandnormalcontractualcommunications)preparedasarequirementofthisAgreementshallcontain,inaseparatesectionprecedingthemainbodyofthedocument,thenumberanddollaramountsofallcontractsoragreementsandsubcontractsrelatingtothepreparationofsuchdocumentorreport,ifthetotalcostforworkbynonempioyeesoftheStateexceeds$5,000.10.DisputeResolutionProcessa.AContractorgrievanceexistswheneverthereisadisputearisingfromCDPH'sactionintheadministrationofanagreement.IfthereisadisputeorgrievancebetweentheContractorandCDPH,theContractormustseekresolutionusingtheprocedureoutlinedbelow.Page12of16 ExhibitDSpecialTermsandConditions(1)TheContractorshouldfirstinformallydiscusstheproblemwiththeCDPHProgramContractManager.Iftheproblemcannotberesolvedinformally,theContractorshalldirectitsgrievancetogetherwithanyevidence,inwriting,totheprogramBranchChief,Thegrievanceshallsfafetheissuesindispute,thelegalauthorityorotherbasisfortheContractor'spositionandtheremedysought.TheBranchChiefshallrenderadecisionwithinten(10)workingdaysafterreceiptofthewrittengrievancefromtheContractor,TheBranchChiefshallrespondinwritingfotheContractorindicatingthedecisionandreasonstherefore.IftheContractordisagreeswiththeBranchChief'sdecision,theContractormayappealtothesecondlevel.(2)Whenappealingtothesecondlevel,theContractormustprepareanappealindicatingthereasonsfordisagreementwithBranchChiefsdecision.TheContractorshallincludewiththeappealacopyoftheContractor'soriginalstatementofdisputealongwithanysupportingevidenceandacopyoftheBranchChiefsdecision.TheappealshallbeaddressedtotheDeputyDirectorofthedivisioninwhichthebranchisorganizedwithinten(10}workingdaysfromreceiptoftheBranchChiefsdecision.TheDeputyDirectorofthedivisioninwhichthebranchisorganizedorhis/herdesigneeshai!meetwiththeContractortoreviewtheissuesraised.AwrittendecisionsignedbytheDeputyDirectorofthedivisioninwhichthebranchisorganizedorhis/herdesigneeshallbedirectedtotheContractorwithintwenty(20)workingdaysofreceiptoftheContractor'ssecondlevelappeal.b.iftheContractorwishestoappealthedecisionoftheDeputyDirectorofthedivisioninwhichthebranchisorganizedorhis/herdesignee,theContractorshallfollowtheproceduressetforthinDivision25.1(commencingwithSection38050)oftheHealthandSafetyCodeandtheregulationsadoptedthereunder.(Title1,Division2,Chapter2,Article3(commencingwithSection1140)oftheCaliforniaCodeofRegulations).c.Disputesarisingoutofanaudit,examinationofanagreementorotheractionnotcoveredbysubdivision(a)ofSection20204,ofChapter2.1,Title22,oftheCaliforniaCodeofRegulations,andforwhichnoproceduresforappealareprovidedinstatute,reguiationortheAgreement,shallbehandledinaccordancewiththeproceduresidentifiedinSections51016through51047,Title22,CaliforniaCodeofRegulations.d.UnlessotherwisestipulatedinwritingbyCDPH,altdispute,grievanceand/orappealcorrespondenceshallbedirectedtotheCDPHContractManager.e.ThereareorganizationaldifferenceswithinCDPH'sfundingprogramsandthemanagementlevelsidentifiedinthisdisputeresolutionprovisionmaynotapplyineverycontractualsituation.Whenagrievanceisreceivedandorganizationaldifferencesexist,theContractorshallbenotifiedinwritingbytheCDPHContractManagerofthelevel,name,and/ortitleoftheappropriatemanagementofficialthatisresponsibleforissuingadecisionatagivenlevel.11.OfficialsNottoBenefitNomembersofordelegateofCongressortheStateLegislatureshallbeadmittedtoanyshareorpartofthisAgreement,ortoanybenefitthatmayarisetherefrom.Thisprovisionshai!notbeconstruedtoextendtothisAgreementifmadewithacorporationforitsgeneralbenefits.12.ProhibitedUseofStateFundsforSoftwarePage13of16 ExhibitDSpecialTermsandConditionsContractorcertifiesthatithasappropriatesystemsandcontrolsinplacetoensurethatstatefundswillnotbeusedintheperformanceofthisAgreementfortheacquisition,operationormaintenanceofcomputersoftwareinviolationofcopyrightlaws.13.ContractUniformity(FringeBenefitAllowability)(Applicableonlytononprofitorganizations.)PursuanttotheprovisionsofArticle7(commencingwithSection100525)ofChapter3ofPart1ofDivision101oftheHealthandSafetyCode,CDPHsetsforththefollowingpolicies,procedures,andguidelinesregardingthereimbursementoffringebenefits.a.Asusedhereinfringebenefitsshallmeananemploymentbenefitgivenbyone’semployertoanemployeeinadditiontoone'sregularornormalwagesorsalary.b.Asusedherein,fringebenefitsdonotinclude:(1)CompensationforpersonalservicespaidcurrentlyoraccruedbytheContractorforservicesofemployeesrenderedduringthetermofthisAgreement,whichisidentifiedasregularornormalsalariesandwages,annualleave,vacation,sickleave,holidays,jurydutyand/ormilitaryleave/training,(2)Director'sandexecutivecommitteemember'sfees.(3)Incentiveawardsand/orbonusincentivepay.(4)Allowancesforoff-sitepay.(5)Locationallowances.(6)Hardshippay.(7)Cost-of-livingdifferentialsc.Specificallowablefringebenefitsinclude:(1)Fringebenefitsintheformofemployercontributionsfortheemployer'sportionofpayrolltaxes(i.e.,FICA,SUI,SDI),employeehealthplans(i.e.,health,dentalandvision),unemploymentinsurance,worker’scompensationinsurance,andtheemployer'sshareofpension/retirementplans,providedtheyaregrantedinaccordancewithestablishedwrittenorganizationpoliciesandmeetalllegalandInternalRevenueServicerequirements.d.Tobeanallowablefringebenefit,thecostmustmeetthefollowingcriteria:(1)BenecessaryandreasonablefortheperformanceoftheAgreement.(2)Bedeterminedinaccordancewithgenerallyacceptedaccountingprinciples,(3)BeconsistentwithpoliciesthatapplyuniformlytoallactivitiesoftheContractor.e.Contractoragreesthatallfringebenefitsshallbeatactualcost.f.Earned/AccruedCompensation(1)Compensationforvacation,sickleaveandholidaysislimitedtothatamountearned/accruedwithintheagreementterm.Unusedvacation,sickleaveandholidaysearnedfromperiodspriortotheagreementtermcannotbeclaimedasallowablecosts.Seesectionf(3)(a)belowforanexample.Page14of16 ExhibitDSpecialTermsandConditions(2)Formultipleyearagreements,vacationandsickleavecompensation,whichisearned/accruedbutnotpaid,duetoemployee(s)nottakingtimeoffmaybecarriedoverandclaimedwithintheoveralltermofthemultipleyearsoftheAgreement,Holidayscannotbecarriedoverfromoneagreementyeartothenext.SeeProvisionf(3)(b)foranexample,(3)Forsingleyearagreements,vacation,sickleaveandholidaycompensationthatisearned/accruedbutnotpaid,duetoemployee(s)nottakingtimeoffwithinthetermoftheAgreement,cannotbeclaimedasanallowablecost.SeeProvisionf(3)(c)foranexample.(a)ExampleNo.1:Ifanemployee,JohnDoe,earns/accruesthreeweeksofvacationandtwelvedaysofsickleaveeachyear,thenthatisthemaximumamountthatmaybeclaimedduringaoneyearagreement.IfJohnDoehasfiveweeksofvacationandeighteendaysofsickleaveatthebeginningofanagreement,theContractorduringaone-yearbudgetperiodmayonlyclaimuptothreeweeksofvacationandtwelvedaysofsickleaveasactuallyusedbytheemployee.Amountsearned/accruedinperiodspriortothebeginningoftheAgreementarenotanallowablecost.(b)ExampleNo.2:Ifduringathree-year{multipleyear)agreement,JohnDoedoesnotusehisthreeweeksofvacationinyearone,orhisthreeweeksinyeartwo,buthedoesactuallyusenineweeksinyearthree;theContractorwouldbeallowedtoclaimallnineweekspaidforinyearthree.Thetotalcompensationoverthethree-yearperiodcannotexceed156weeks(3x52weeks).(c)ExampleNo,3;ifduringasingleyearagreement,JohnDoeworksfiftyweeksandusedoneweekofvacationandoneweekofsickleaveandallfifty-twoweekshavebeenbilledtoCDPH,theremainingunusedtwoweeksofvacationandsevendaysofsickleavemaynotbeclaimedasanallowablecost.14.CancellationA.ThisagreementmaybecancelledbyCDPHwithoutcauseupon30calendardaysadvancewrittennoticetotheContractor,B.CDPHreservestherighttocancelorterminatethisagreementimmediatelyforcause.TheContractormaysubmitawrittenrequesttoterminatethisagreementonlyifCDPHsubstantiallyfailstoperformitsresponsibilitiesasprovidedherein,C.Theterm"forcause”shallmeanthattheContractorfailstomeettheterms,conditions,and/orresponsibilitiesofthisagreement.D.AgreementterminationorcancellationshallbeeffectiveasofthedateindicatedinCDPH'snotificationtotheContractor,Thenoticeshallstipulateanyfinalperformance,invoicingorpaymentrequirements,Page15of16 ExhibitDSpecialTermsandConditionsE.Uponreceiptofanoticeofterminationorcancellation,theContractorshalltakeimmediatestepstostopperformanceandtocancelorreducesubsequentagreementcosts.F.Intheeventofearlycancellationortermination,theContractorshallbeentitledtocompensationforservicesperformedsatisfactorilyunderthisagreementandexpensesincurreduptothedateofcancellationandanynon-cancelableobligationsincurredinsupportofthisagreement.Page18of16 CountyofFresno15-10940Page1of2ExhibitEAdditionalProvisions1.insuranceRequirementsA.Genera!ProvisionsApplyingtoAllPolicies1)CoverageTerm-CoverageneedstobeinforceforthecompletetermoftheAgreement.IfinsuranceexpiresduringthetermoftheAgreement,anewcertificateandrequiredendorsementsmustbereceivedbytheStateatieastten(10)dayspriortotheexpirationofthisinsurance.AnynewinsurancemustcomplywiththeoriginalAgreementterms.2)PolicyCancellationorTerminationandNoticeofNon-Renewal-ContractorshallprovidetotheCDPHwithinfive(5)businessdaysfollowingreceiptbyContractoracopyofanycancellationornon-renewalofinsurancerequiredbythisContract,intheeventContractorfailstokeepineffectatalltimesthespecifiedinsurancecoverage,theCDPHmay,inadditiontoanyotherremediesitmayhave,terminatethisContractupontheoccurrenceofsuchevent,subjecttotheprovisionsofthisContract.3)Premiums.AssessmentsandDeductibles-Contractorisresponsibleforanypremiums,policyassessments,deductiblesorself-insuredretentionscontainedwithintheirinsuranceprogram.4)PrimaryClause-AnyrequiredinsurancecontainedinthisAgreementshallbeprimaryandnotexcessorcontributorytoanyotherinsurancecarriedbytheCDPH.5)insuranceCarrierRequiredRating-AllinsurancecompaniesmustcarryanAMBestratingofatleast“A-"withafinancialcategoryratingofnolowerthanVi.IfContractorisself-insuredforaportionorallofitsinsurance,reviewoffinancialinformationincludingaletterofcreditmayberequired.6)Endorsements-AnyrequiredendorsementsrequestedbytheCDPHmustbephysicallyattachedtoallrequestedcertificatesofinsuranceandnotsubstitutedbyreferringtosuchcoverageonthecertificateofinsurance.7)InadequateInsurance-InadequateorlackofinsurancedoesnotnegateContractor’sobligationsundertheAgreement.8)UseofSubcontractors-InthecaseofContractor'sutilizationofSubcontractorstocompletethecontractedscopeofwork,ContractorshallincludeallSubcontractorsasinsuredunderContractor'sinsuranceorsupplyevidenceoftheSubcontractor'sinsurancetotheCDPHequaltopolicies,coverages,andlimitsrequiredofContractor.B.InsuranceCoverageRequirementsContractorshalldisplayevidenceofcertificateofinsuranceevidencingthefollowingcoverage:1)CommercialGeneralLiability-Contractorshallmaintaingeneralliabilitywithlimitsnotlessthan51,000,000peroccurrenceforbodilyinjuryandpropertydamagecombinedwitha$2,000,000annualpolicyaggregate.Thepolicyshallincludecoverageforliabilitiesarisingoutofpremises,operations,independentContractors,products,completedoperations,personalandadvertisinginjury,andliabilityassumedunderaninsuredAgreement.ThisinsuranceshallapplyseparatelytoeachinsuredagainstwhomclaimismadeorsuitisbroughtsubjecttoContractor'slimitofliability. CountyofFresno15-10940Page2of2ExhibitEAdditionalProvisionsThepolicyshallbeendorsedtoinclude,“TheStateofCalifornia,itsofficers,agents,employees,andservantsasadditionalinsured,butonlyinsofarastheoperationsunderthisAgreementareconcerned."ThisendorsementmustbesuppliedunderformacceptabletotheOfficeofRiskandinsuranceManagement.2)AutomobileLiability(whenrequired)-Contractorshallmaintainmotorvehicleliabilityinsurancewithlimitsnotlessthan$1,000,000combinedsinglelimitperaccident.Suchinsuranceshallcoverliabilityarisingoutofamotorvehicleincludingowned,hiredandnon-ownedmotorvehicles.ShouldthescopeoftheAgreementinvolvetransportationofhazardousmaterials,evidenceofanMCS-90endorsementisrequired.Thepolicyshallbeendorsedtoinclude,“TheStateofCalifornia,itsofficers,agents,employees,andservantsasadditionalinsured,butonlyinsofarastheoperationsunderthisAgreementareconcerned."ThisendorsementmustbesuppliedunderformacceptabletotheOfficeofRiskandInsuranceManagement.3)Worker’sCompensationandEmployer'sLiability(whenrequired)-Contractorshalllimitsof$1,000,000arerequired.WhenworkisperformedonStateownedorcontrolledpropertythepolicyshalicontainawaiverofsubrogationendorsementinfavoroftheState.ThisendorsementmustbesuppliedunderformacceptabletotheOfficeofRiskandInsuranceManagement.4)ProfessionalLiability(whenrequired)-Contractorshalimaintainprofessionalliabilitycoveringanydamagescausedbyanegligenterror;actoromissionwithlimitsnotlessthan$1,000,000peroccurrenceand$1,000,000policyaggregate.Thepolicy’sretroactivedatemustbedisplayedonthecertificateofinsuranceandmustbebeforethedatethisAgreementwasexecutedorbeforethebeginningofAgreementwork,5)Environmental/PollutionLiability(whenrequired)-Contractorshallmaintainpollutionliabilityforlimitsnotlessthan$1,000,000perclaimcoveringContractor'sliabilityforbodilyinjury,propertydamageandenvironmentaldamageresultingfrompollutionandrelatedcleanupcostsincurredarisingoutoftheworkorservicestobeperformedunderthisAgreement.Coverageshallbeprovidedforbothworkperformedonsiteaswellastransportationandproperdisposalofhazardousmaterials.Thepolicyshallbeendorsedtoinclude,'TheStateofCalifornia,itsofficers,agents,employees,andservantsasadditionalinsured,butonlyinsofarastheoperationsunderthisAgreementareconcerned.”ThisendorsementmustbesuppliedunderformacceptabletotheOfficeofRiskandInsuranceManagement.6)AircraftLiability(whenrequired)-Contractorshallmaintainaircraftliabilitywithalimitnotlessthan$3,000,000.Thepolicyshallbeendorsedtoinclude,TheStateofCalifornia,itsofficers,agents,employeesandservantsasadditionalinsured,butonlyinsofarastheoperationsunderthisAgreement.”ThisendorsementmustbesuppliedunderformacceptabletotheOfficeofRiskandInsuranceManagement.maintainstatutoryworker’scompensationandemployer’sliabilitycoverageforallitsemployeeswhowillbeengagedintheperformanceoftheAgreement.Employer’sli CaliforniaDepartmentofPublicHoaliiiExhibitFFederalTermsandConditions(ForfederallyfundedCooperativeAgreements)Theuseofheadingsortitlesthroughoutthisexhibitisforconvenienceonlyandshallnotbeusedtointerpretortogovernthemeaningofanyspecifictermorcondition.Theterms’'Contractor"and"Subcontractor"shallaisomean,“agreement","contract","contractagreement”,"Contractor"and"Subcontractor"respectively.Theterms“CaliforniaDepartmentofPublicHealth"and“CDPH"shallhavethesamemeaningandrefertotheCaliforniaStateagencythatisapartytothisAgreement.Thisexhibitcontainsprovisionsthatrequirestrictadherencetovariouscontractinglawsandpolicies.IncfexofSpecialTermsandConditions1.FederalContractFunds2.FederalEqualEmploymentOpportunityRequirements3.DebarmentandSuspensionCertification4.CovenantAgainstContingentFees5.LobbyingRestrictionsandDisclosureCertification6.AdditionalRestrictions(rev.10/14)Pago1of8 CaliforniaDepartmentofPublicHealth-FederalTermsandConditionsExhibitF1.FederalContractFundsApplicableonlytothatportionofanagreementfundedinpartorwholewithfederalfunds.a.ItismutuallyunderstoodbetweenthepartiesthatthisAgreementmayhavebeenwrittenbeforeascertainingtheavailabilityofcongressionalappropriationoffunds,forthemutualbenefitofbothparties,inordertoavoidprogramandfiscaldelayswhichwouldoccuriftheAgreementwereexecutedafterthatdeterminationwasmade.b.ThisagreementisvalidandenforceableonlyifsufficientfundsaremadeavailabletotheStatebytheUnitedStatesGovernmentforthefiscalyearscoveredbythetermofthisAgreement,inaddition,thisAgreementissubjecttoanyadditionalrestrictions,limitations,orconditionsenactedbytheCongressoranystatuteenactedbytheCongresswhichmayaffecttheprovisions,termsorfundingofthisAgreementinanymanner.c.ItismutuallyagreedthatiftheCongressdoesnotappropriatesufficientfundsfortheprogram,thisAgreementshallbeamendedtoreflectanyreductioninfunds.d.CDPHhastheoptiontoinvalidateorcanceltheAgreementwith30-daysadvancewrittennoticeortoamendtheAgreementtoreflectanyreductioninfunds.2.FederalEqualOpportunityRequirementsApplicabletoallfederallyfundedagreementsenteredintobytheCaliforniaDepartmentofPublicHealth(CDPH).a.TheContractorwillnotdiscriminateagainstanyemployeeorapplicantforemploymentbecauseofrace,color,religion,sex,nationalorigin,physicalormentalhandicap,disability,ageorstatusasadisabledveteranorveteranoftheVietnamera.TheContractorwilltakeaffirmativeactiontoensurethatqualifiedapplicantsareemployed,andthatemployeesaretreatedduringemployment,withoutregardtotheirrace,color,religion,sex,nationalorigin,physicalormentalhandicap,disability,ageorstatusasadisabledveteranorveteranoftheVietnamera.Suchactionshallinclude,butnotbelimitedtothefollowing:employment,upgrading,demotionortransfer;recruitmentorrecruitmentadvertising;layoffortermination;ratesofpayorotherformsofcompensation;andcareerdevelopmentopportunitiesandselectionfortraining,includingapprenticeship.TheContractoragreestopostinconspicuousplaces,availabletoemployeesandapplicantsforemployment,noticestobeprovidedbytheFederalGovernmentorCDPH,settingforththeprovisionsoftheEqualOpportunityclause,Section503oftheRehabilitationActof1973andtheaffirmativeactionclauserequiredbytheVietnamEraVeterans'ReadjustmentAssistanceActof1974(38U.S.C.4212).SuchnoticesshallstatetheContractor'sobligationunderthelawtotakeaffirmativeactiontoemployandadvanceinemploymentqualifiedapplicantswithoutdiscriminationbasedontheirrace,color,religion,sex,nationaloriginphysicalormentalhandicap,disability,ageorstatusasadisabledveteranorveteranoftheVietnameraandtherightsofapplicantsandemployees.b.TheContractorwill,inallsolicitationsoradvancementsforemployeesplacedbyoronbehalfoftheContractor,statethatallqualifiedapplicantswillreceiveconsiderationforemploymentwithoutregardtorace,color,religion,sex,nationaloriginphysicalormentalhandicap,disability,ageorstatusasadisabledveteranorveteranoftheVietnamera.c.TheContractorwillsendtoeachlaborunionorrepresentativeofworkerswithwhichithasacollectivebargainingagreementorothercontractorunderstandinganotice,tobeprovidedbytheFederalGovernmentortheState,advisingthelaborunionorworkers'representativeoftheContractor'scommitmentsundertheprovisionshereinandshallpostcopiesofthenoticeinconspicuousplacesavailabletoemployeesandapplicantsforemployment.d.TheContractorwillcomplywithai!provisionsofandfurnishaliinformationandreportsrequiredbySection5D3oftheRehabilitationActof1973,asamended,theVietnamEraVeterans'ReadjustmentAssistanceActof1974(38U.S.C.4212)andoftheFederalExecutiveOrderNo.11246asamended,includingbyExecutiveOrder11375,‘AmendingExecutiveOrder11246RelatingtoEqualEmploymentOpportunity,1andassupplementedbyregulationat41CFRpart60,“OfficeoftheFederalContractCompliancePrograms,EqualEmploymentOpportunity,DepartmentofLabor,"andoftherules,regulations,andrelevantordersoftheSecretaryofLabor.(rev10/1-1)Page2o(0 CaliforniaDepartmentofPublicHealth-FederalTermsandConditionsExhibitFe.TheContractorwillfurnishallinformationandreportsrequiredbyFederalExecutiveOrderNo.11246asamended,includingbyExecutiveOrder11375,'AmendingExecutiveOrder11246RelatingtoEqualEmploymentOpportunity,’andassupplementedbyregulationat41CFRpart60,“OfficeoftheFederalContractCompliancePrograms,EqualEmploymentOpportunity,DepartmentofLabor,”andtheRehabilitationActof1973,andbytherules,regulations,andordersoftheSecretaryofLabor,orpursuantthereto,andwillpermitaccesstoitsbooks,records,andaccountsbytheStateanditsdesignatedrepresentativesandtheSecretaryofLaborforpurposesofinvestigationtoascertaincompliancewithsuchrules,regulations,andorders,f.IntheeventoftheContractor'snoncompliancewiththerequirementsoftheprovisionshereinorwithanyfederalrules,regulations,ororderswhicharereferencedherein,thisAgreementmaybecancelled,terminated,orsuspendedinwholeorinpartandtheContractormaybedeclaredineligibleforfurtherfederalandstatecontractsinaccordancewithproceduresauthorizedinFederalExecutiveOrderNo.11246asamendedandsuchothersanctionsmaybeimposedandremediesinvokedasprovidedinFederalExecutiveOrderNo.11246asamended,includingbyExecutiveOrder11375,'AmendingExecutiveOrder11246RelatingtoEqualEmploymentOpportunity,'andassupplementedbyregulationat41CFRpart60,''OfficeoftheFederalContractCompliancePrograms,EqualEmploymentOpportunity,DepartmentofLabor,"orbyrule,regulation,ororderoftheSecretaryofLabor,orasotherwiseprovidedbylaw,g.TheContractorwillincludetheprovisionsofParagraphsathroughgineverysubcontractorpurchaseorderunlessexemptedbyrules,regulations,orordersoftheSecretaryofLaborissuedpursuanttoFederalExecutiveOrderNo.11246asamended,includingbyExecutiveOrder11375,'AmendingExecutiveOrder11246RelatingtoEqualEmploymentOpportunity,'andassupplementedbyregulationat41CFRpart60,“OfficeoftheFederalContractCompliancePrograms,EqualEmploymentOpportunity,DepartmentofLabor,”orSection503oftheRehabilitationActof1973or(38U.S.C,4212)oftheVietnamEraVeteran'sReadjustmentAssistanceAct,sothatsuchprovisionswillbebindinguponeachsubcontractororvendor.TheContractorwilltakesuchactionwithrespecttoanysubcontractorpurchaseorderastheDirectoroftheOfficeofFederalContractComplianceProgramsorCDPHmaydirectasameansofenforcingsuchprovisionsincludingsanctionsfornoncomplianceprovided,however,thatintheeventtheContractorbecomesinvolvedin,oristhreatenedwithlitigationbyasubcontractororvendorasaresultofsuchdirectionbyCDPH,theContractormayrequestinwritingtoCDPH,who,inturn,mayrequesttheUnitedStatestoenterintosuchlitigationtoprotecttheinterestsoftheStateandoftheUnitedStates.3.DebarmentandSuspensionCertificationa.BysigningthisAgreement,theContractor/Subcontractoragreestocomplywithapplicablefederalsuspensionanddebarmentregulationsincluding,butnotlimitedto7CFRPart3017,45CFR76,40CFR32or34CFR85.b.BysigningthisAgreement,theContractorcertifiestothebestofitsknowledgeandbelief,thatitanditsprincipals:(1)Arenotpresentlydebarred,suspended,proposedfordebarment,declaredineligible,orvoluntarilyexcludedbyanyfederaldepartmentoragency;(2)Havenotwithinathree-yearperiodprecedingthisapplication/proposal/agreementbeenconvictedoforhadaciviljudgmentrenderedagainstthemforcommissionoffraudoracriminaloffenseinconnectionwithobtaining,attemptingtoobtain,orperformingapublic(Federal,Stateorlocal)transactionorcontractunderapublictransaction;violationofFederalorStateantitruststatutesorcommissionofembezzlement,theft,forgery,bribery,falsificationordestructionofrecords,makingfaisestatements,orreceivingstolenproperty;(3)Arenotpresentlyindictedfororotherwisecriminallyorcivillychargedbyagovernmentalentity(Federal,Stateorlocal)withcommissionofanyoftheoffensesenumeratedinParagraphb(2)herein;and(rev.10/14)Page3ofB CaliforniaDepartmentofPublicHealth-FederalTermsandConditionsExhibitF(4)Havenotwithinathree-yearperiodprecedingthisapplication/proposal/agreementhadoneormorepublictransactions(Federal,Stateorlocal)terminatedforcauseordefault,(5)Shallnotknowinglyenterintoanylowertiercoveredtransactionwithapersonwhoisproposedfordebarmentunderfederalregulations(i.e.,48CFRpart9,subpart9.4),debarred,suspended,declaredineligible,orvoluntarilyexcludedfromparticipationinsuchtransaction,unlessauthorizedbytheState.(6)Willincludeaclauseentitled,"DebarmentandSuspensionCertification"thatessentiallysetsforththeprovisionsherein,inalllowertiercoveredtransactionsandinallsolicitationsforlowertiercoveredtransactions.c.IftheContraclorisunabletocertifytoanyofthestatementsinthiscertification,theContractorshallsubmitanexplanationtotheCDPHProgramContractManager,d.ThetermsanddefinitionshereinhavethemeaningssetoutintheDefinitionsandCoveragesectionsoftherulesimplementingFederalExecutiveOrder12549.e.IftheContractorknowinglyviolatesthiscertification,inadditiontootherremediesavailabletotheFederalGovernment,theCDPHmayterminatethisAgreementforcauseordefault.4.CovenantAgainstContingentFeesTheContractorwarrantsthatnopersonorsellingagencyhasbeenemployedorretainedtosolicit/securethisAgreementuponanagreementofunderstandingforacommission,percentage,brokerage,orcontingentfee,exceptbonafideemployeesorbonafideestablishedcommercialorsellingagenciesretainedbytheContractorforthepurposeofsecuringbusiness.Forbreachorviolationofthiswarranty,CDPHshallhavetherighttoannulthisAgreementwithoutliabilityorinitsdiscretiontodeductfromtheAgreementpriceorconsideration,orotherwiserecover,thefullamountofsuchcommission,percentage,andbrokerageorcontingentfee,5.LobbyingRestrictionsandDisclosureCertificationApplicabletofederallyfundedagreementsinexcessof$100,000perSection1352ofthe31,U.S.C.a.CertificationandDisclosureRequirements(1)Eachperson(orrecipient)whorequestsorreceivesacontractoragreement,subcontract,grant,orsubgrant,whichissubjecttoSection1352ofthe31,U.S.C.,andwhichexceeds$100,000atanytier,shallfileacertification(intheformsetforthinAttachment1,consistingofonepage,entitled"CertificationRegardingLobbying")thattherecipienthasnotmade,andwillnotmake,anypaymentprohibitedbyParagraphbofthisprovision.(2)Eachrecipientshallfileadisclosure(intheformsetforthinAttachment2,entitled"StandardForm-LLL'disclosureofLobbyingActivities'")ifsuchrecipienthasmadeorhasagreedtomakeanypaymentusingnonappropriatedfunds(toincludeprofitsfromanycoveredfederalaction)inconnectionwithacontract,orgrantoranyextensionoramendmentofthatcontract,orgrant,whichwouldbeprohibitedunderParagraphbofthisprovisionifpaidforwithappropriatedfunds.(3)EachrecipientshallfileadisclosureformattheendofeachcalendarquarterinwhichthereoccursanyeventthatrequiresdisclosureorthatmateriallyaffecttheaccuracyoftheinformationcontainedInanydisclosureformpreviouslyfiledbysuchpersonunderParagrapha(2)herein,Aneventthatmateriallyaffectstheaccuracyoftheinformationreportedincludes:(a)Acumulativeincreaseof$25,000ormoreintheamountpaidorexpectedtobepaidforinfluencingorattemptingtoinfluenceacoveredfederalaction;(b)Achangeintheperson(s)orindividuals(s)influencingorattemptingtoinfluenceacoveredfederalaction;or(c)Achangeintheofficer(s),employee(s),ormember(s)contactedforthepurposeofinfluencingorattemptingtoinfluenceacoveredfederalaction.(fov.10/14)Page4of8 CaliforniaDepartmentofPublicHealth-FederalTermsandConditionsExhibitF(4)Eachperson(orrecipient)whorequestsorreceivesfromapersonreferredtoinParagrapha(1)ofthisprovisionacontractoragreement,subcontract,grantorsubgrantexceeding$100,000atanytierunderacontractoragreement,orgrantshallfileacertification,andadisclosureform,ifrequired,tothenexttierabove.(5)Alldisclosureforms(butnotcertifications)shallbeforwardedfromtiertotieruntilreceivedbythepersonreferredtoinParagrapha(1)ofthisprovision.ThatpersonshallforwardalldisclosureformstoCDPHProgramContractManager.b.ProhibitionSection1352ofTitle31,U.S.C.,providesinpartthatnoappropriatedfundsmaybeexpendedbytherecipientofafederalcontractoragreement,grant,loan,orcooperativeagreementtopayanypersonforinfluencingorattemptingtoinfluenceanofficeroremployeeofanyagency,aMemberofCongress,anofficeroremployeeofCongress,oranemployeeofaMemberofCongressinconnectionwithanyofthefollowingcoveredfederalactions:theawardingofanyfederalcontractoragreement,themakingofanyfederalgrant,themakingofanyfederalloan,enteringintoofanycooperativeagreement,andtheextension,continuation,renewal,amendment,ormodificationofanyfederalcontractoragreement,grant,loan,orcooperativeagreement.6.AdditionalRestrictionsApplicabletoallcontractsfundedinwholeorinpartwithfundingfromthefederalDepartmentsofLabor,HealthandHumanServices(includingCDCfunding),orEducation.ContractorshallcomplywiththerestrictionsunderDivisionF,TitleV,Section503oftheConsolidatedAppropriationsAct,2012(H.R,2055),whichprovidesthat:"SEC.503.(a)NopartofanyappropriationcontainedinthisActortransferredpursuanttosection4002ofPublicLaw111-148shallbeused,otherthanfornormalandrecognizedexecutive-legislativerelationships,forpublicityorpropagandapurposes,forthepreparation,distribution,oruseofanykit,pamphlet,booklet,publication,electroniccommunication,radio,television,orvideopresentationdesignedtosupportordefeattheenactmentoflegislationbeforetheCongressoranyStateorlocallegislatureorlegislativebody,exceptinpresentationtotheCongressoranyStateorlocallegislatureitself,ordesignedtosupportordefeatanyproposedorpendingregulation,administrativeaction,ororderissuedbytheexecutivebranchofanyStateorlocalgovernment,exceptinpresentationtotheexecutivebranchofanyStateorlocalgovernmentitself.(b)NopartofanyappropriationcontainedinthisActortransferredpursuanttosection4002ofPublicLaw111-148shallbeusedtopaythesalaryorexpensesofanygrantorcontractrecipient,oragentactingforsuchrecipient,relatedtoanyactivitydesignedtoinfluencetheenactmentoflegislation,appropriations,regulation,administrativeaction,orExecutiveorderproposedorpendingbeforetheCongressoranyStategovernment,Statelegislatureorlocallegislatureorlegislativebody,otherthanfornormalandrecognizedexecutive-legislativerelationshipsorparticipationbyanagencyorofficerofaState,localortribalgovernmentinpolicymakingandadministrativeprocesseswithintheexecutivebranchofthatgovernment.(c)Theprohibitionsinsubsections(a)and(b)shallincludeanyactivitytoadvocateorpromoteanyproposed,pendingorfutureFederal,Stateorlocaltaxincrease,oranyproposed,pending,orfuturerequirementorrestrictiononanylegalconsumerproduct,includingitssaleormarketing,includingbutnotlimitedtotheadvocacyorpromotionofguncontrol.”(rev.10ri4)Page5of8 California Department of Public Health -Federal Terms and Conditions STATE OF CALIFORNIA CALIFORNIA DEPARTMENT OF PUBLIC HEALTH CERTIFICATION REGARDING LOBBYING The undersigned certifies, to the best of his or her l<nowledge and belief, that: Exl1iblt F Attachment 1 (1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to Influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the making, awarding or entering into of this Federal contract, Federal grant, or cooperative agreement, and the extension, continuation, renewal, amendment, or modification of this Federal contract. grant, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency of the United States Government. a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, or cooperative agreement, the undersigned shall complete and submit Standard Form LLL, "Disclosure of Lobbying Activities" in accordance with Its instructions. (3) The undersigned shall require that the language of this certification be Included In the award documents for all subawards at all tiers (including subcontractor's, subcontracts, and contracts under cooperative agreements) of $100,000 or more, and lhat all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered Into. Submission or this certification Is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S.C., any person who falls to fife the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failur·e. County of Fresno ~N:7-~=-m=.:u o-'7r'='coo=-t:-:,~..,;ei.::.Qf=:-----· -· .. -·-~·--------· 15-10940 c;ontfaet Numoar-· After execution by or on behalf of Contractor, please return to: Califomia Department of Public Health Office of AIDS 1616 Capitol Avenue, Suite 616, MS 7700 Sacramento, CA 95899-7426 Ernest Buddy Mendes Printed Nume of Pers011 Signing lor Contrador ATIEST: BERNICE E. SEIDEL, Clerk Boa~f Supervisors .,0\W& ~ CDPH reserves the right to notlfiy the Contractor in writing of an alternate submission address. (rev. 10114) Pcge6 ol8 CaliforniaDepartmentofPublicHealth-FederalTermsandConditionsExhibitFCERTIFICATIONREGARDINGLOBBYINGCompletethisformtodiscloselobbyingactivitiespursuantto31U.S.C.1352(Seereverseforpublicburdendisclosure)Attachment2AW-fcvMtyout?ttMMMI1.TypeofFederalAction:|]s.contractb.grantc.cooperativeagreementd.loane.loanguaranteef.loaninsurance2.StatusolFederalAction:[)a.bld/offerVappitcaiionb.InitialawardC.posi-award4.NameandAddressofReportingEntity;PrimeSubawardOQTier.ifknown:ConorossionalDistrict.Itknown:6.FederalDapartment/Agency3.ReportType:ija.initialtilingb.materialchangeForMaterialChangeOnly:Yearquarterdateoflastreport.5.IfReportingEntityInNo.4isSubawardee,EnterNameandAddressofPrime:CongressionalDistrict,Itknown:7,FederalProgramName/Dsscrlpllon:CDFANumber,ifapplicable:,a.FederalActionNumber,ifknown:IQ.a.NameandAddressofLobbyingRegistrant(Ifindividual,lustname,firstname.Ml).GAwardAmount,ifknown:Sb.individualsPerformingServices(includingaddressitdifferentirvm10a.(Lastname.Firstname.Ml):11,Informalionrequestedthroughthisformisauthorizedbytitle31US,Csection1352Thisdisclosureoflobbyingactivitiesisamateria!representslionoffsetuponwhichreliancewasplacedbythetierabovewhenthistransactionwasmadeorenteredinto.Thisdisclosureisrequiredpursuantto31U.S,C.1352Thisinformationwillbeavailabletorpublicinspectionrequireddisclosureshallbosubjecttoanotmorethan$100,000foreachsuchfailureSignature:PrimName:Title:TelophoneNo.Date?FederalUseOnlyAuthorizedforLocalReproductionStandardForm-ILL(Rev.7-97)(rev.10714)Page7ofa CaliforniaDepartmentofPublicHealth-FederalTermsandConditionsExhibitFINSTRUCTIONSFORCOMPLETIONOFSF-LLL,DISCLOSUREOFLOBBYINGACTIVITIESThisdisclosureformshallbocompetedbythereportingentity,whethersubawardaeorprimeFederalrecipient,attheinitiationorreceiptofacoveredFedora?action,orBmaterialchange1«apreviousfiling,pursuanttotitle31USC,section1352.thetilingoraformisrequiredforoaohpaymentoragreementto-makepaymenttoanylobbyingentitylorinfluencingorattemptingtoInfluenceanofficeroremployeeofanyagency,aMemberofCongress;anofficeroremployeeofCongress,oranemployeeofaMemberofCongressinconnectionwithacoveredFedora!action.Completeallitemsthatapplyforbolt!rheinitialfilingandmaterialchangereport.RotortotheimplementingguidancepublishedbytheOfficeofManagementamiSucJgaiforadditionalinformation.t.IdentifythetypeofcoveredFederaladionforwhichlobbyingactivityisand/orhasbeensecuredtoInfluencetireoutcomeofacoveredFederalaction.2.IdentifymestatusofthecoveredFederalaction.3.Identifytheappropriateclassificationofmisreport.Ifthisisafollow-upreportcausedbyamaterialchangetotheinformationpreviouslyreported.entertheyearandquarterinwhichthechangeoccurred.EnterthedateofthelastpreviouslysubmittedreportbythisreportingentityforthiscoveredFederalaction,A-Enterthefullname,address,city.Stateandzipcodecfthereportingentity.IncludeCongressionalDistrict,ifKnown.Checkiheappropriateclassificationofthereportingentitythatdesignatesifitis,orexpectsicbeaprimeorsubawardrecipient.Identifythetierofihesubowarcleu,eg.,thefirstsubawardseormeprimsisthe1sttier.Subawardsincludebutarenotlimitedtosubcontracts,subpointsnndcontractawards?undergrants.5,iftheorganisationfilingthereportinitem4checks"Subawarclee,"thenenterthefullname,address,city.Stateandzipcoda«fiheprimeFederalrecipient,includeCongressionalDistrict,itknown.6.EnterthenameoftheFederalagencymakingmeawardorloancommitment.Includeatlosstoneorganizationallevelbelowagencyname,Ifknown.Forexample,DepartmentofTransportsnon,unitedStatesCoastGuard.7:EntertheFetter#programnameordescriptionformecoveredfederalaction(iiom1}.Ifknown,enterthefullCatalogofFederalDomesticAssistance{CfDA)numberforgrants,cooperativeagreements,loans,andloancommitments.3.EnterthemostappropriateFederalidentifyingnumberavailableformeFedora)actionidentified*nitem1{«,$.,RequestforProposal(RFP)number;invitationforBidfIFS)number;grantannouncementnumber;thecontract,grant,orloanawardnumber:theappiication/proposaicontrolnumberassignedbyIheFederalagency).Includeprefixes,e.y,’‘RFP-DE-9D0019.ForacoveredFederalactionwheretherehasbeenanawardorloancommitmentbythePeelers!agency,entertrioFederalamountoftheawhritiloancommitmcnlforiheprimeentityidentifiedinitem4orS.10.<a)Enterthefullname,address,Uy,StatefindsipcodeolthelobbyingregistrantunderthaLobbyingDisclosureActof1095engagedbyihereportingentityidentifiedInitem4toinfluencemecoveredfederalaction.fb)Enterthefullnamesoftheihdividual(s)performingservices,andincludefulladdressifdifferentfrom10fa).EnterLastMarne,FirstName,andMiddleInitial{Ml).11.Thecertifyingofficialshrillsignanddatemefarm,priorhis/hername,line,andtelephonenumber.AccordingtothePaperworkReductionAct,asamended,nopersonaarerequiredtorespondtoacollectionofInformationunlessitdisplaysavalidOMBControlNumber.ThevalidOMBcontrolnumberforthisinformationcollectionisOMBNo.0348*0046.Publicreportingburdenforthiscollectionofinformation*sestimatedtoaverage10minutesperresponse,includingtimeforreviewinginstructions,searchingexistingdatasources,gatheringandmaintainingthedataneeded,andcompletingandreviewingihecollectionofinformation.SendcommentsregardingtheburdenestimateoranyotheraspectofthiscollectionofInformation,includingsuggestionslorreducingthisburden,totheOfficeofManagementandBudget.PaperworkReductionProject(0348*0046),WashingtonDC20503(rev.10/14)Pago8of8 Sl«HiOlCalttarrw—HadthsrdHurvtftSewrasAgemctCsiitcfnaLSsssrimcRE.olP<jfcfceHE^«1RExhibitGCONTRACTOREQUIPMENTPURCHASEDWITHCDPHFUNDSCurrentContractNumber:15-10940DateCurrentContractExpires:__PreviousContractNumber(ifappticabfe):CDPHProgramName:Contractor'sName:CDPHProgramContractManager:CDPHProgramAddress:Contractor'sCompleteAddress:___________CDPHProgram.ContractManager'sTelephoneNumber:Contractor'sContactPerson:DateofthisReport:Contact'sTelephoneNumber:(THISISNOTABUDGETFORM)STATE/CDPHPROPERTYTAGOfmotorvehicle,listlicensenumber.)QUANTITYITEMDESCRIPTION1.Includemanufacturersnan».mcxtelnumber,type.size,and/orcapacity.2.Ifmotorvehicle,Irstyea?,make,modelnumber,sypaofvc-Hdo(van,sedan,picfc-ua,etc.)3.Ifvan.includepassengercapacity.UNITCOSTPERITEM(BeforeTax)CDPHPURCHASEORDER(STD65)NUMBERDATEPURCHASEDMAJORfMiNOREQUIPMENTSERIALNUMBER(«fmotorvehicle,listVIMnumber.)OPTIONALPROGRAMUSBONLYSSSSsisisss!s!sisisssIsCDPH1203ySG!D7} INSTRUCTIONSFORCDPH1203{Pleasereadcarefully.)TheinformationonthisformwillbeusedbytheCaliforniaDepartmentofPublicHealth(CDPH)AssetManagement(AM)totagcontractequipmentand/orproperly(seedefinitionsA,andB)whichispurchasedwithCDPHfundsandisusedtoconductstatebusinessunderthiscontract.AftertheStandardAgreementhasbeenapprovedandeachtimeslate/CDPHequipmentand/orpropertyhasbeenreceived,theCDPHProgramContractManagerisresponsibleforobtainingtheinformationfromtheContractorandsubmittingthisformtoCDPHAM.TheCDPHProgramContractManagerisresponsibleforensuringtheinformationiscompleteandaccurate,(SeeHealthAdministrativeManual(HAM),Section2-1060andSection9-2310.)UponreceiptofthisformfromtheCDPHProgramContractManager,AMwillfillinthefirstcolumnwiththeassignedstate/CDPHpropertytag,ifapplicable,foreachitem(SeedefinitionsAandB),AMwillreturntheoriginalformtotheCDPHProgramContractManager,alongwiththeappropriatepropertytags.TheCDPHProgramContractManagerwillthenforwardthepropertytagsandtheoriginalformtotheContractorandretainonecopyuntiltheterminationofthiscontract.TheContractorshouldplacepropertyfagsinplainsightand,totheextentpossible,ontheitem'sfrontleft-handcomer.Themanufacturer'sbrandnameandmodelnumberarenottobecoveredbythepropertytags.1.IftheitemwasshippedviatheCDPHwarehouseandwasissuedastate/CDPHpropertytagbywarehousestaff,fillintheassignedpropertytag.IftheitemwasshippeddirectlytotheContractor,leavethefirstcolumnblank.2.Providethequantity,description,purchasedate,baseunitcost,andserialnumber(ifapplicable)foreachitemof:A.MajorEquipment:*Tangibleitemhavingabaseunitcostof$5,000ormoreandalifeexpectancyofone(1)yearormore.«Intangibleitemhavingabaseunitcostof55,000ormoreandalifeexpectancyofone(1)yearormore(e.g.,software,video).Theseitemsareissuedgreennumberedstate/CDPHpropertytags.B.MinorEquipment/Property:Specifictangibleitemswithalifeexpectancyofone(1)yearormorethathaveabaseunitcostlessthan$5,000.Theseitemsareissuedgreenunnumbered“BLANK1’state/CDPHpropertytagswiththeexceptionofthefollowing,whichareissuednumberedtags:PersonalDigitalAssistant(PDA),PDAfcellphonecombination(Blackberries),laptops,desktoppersonalcomputers,LANservers,routers,andswitches.NOTE:ItisCDPHpolicynottotagmodularfurniture.(SeeyourFederalrules,ifapplicable.)3.ProvidetheCDPHPurchaseOrder(STD65)numberiftheitemswerepurchasedbyCDPH.(SeeHAM,Section2-1050.1.}4.Ifavehicleisbeingreported,providetheVehicleidentificationNumber(VIN)andthevehiclelicensenumbertoCDPHVehicleServices.(SeeHAM,Section2-10050.)5.Ifallitemsbeingreporteddonotfitononeform,makecopiesandwritethenumberofpagesbeingsentintheupperright-handcorner{e.g.,"Page1of37}TheCDPHProgramContractManagershouldretainonecopyandsendtheoriginalto:CaliforniaDepartmentofPublicHealth,AssetManagement,MS1801rP.O.Box997377,1501CapitolAvenue,Sacramento,CA95899-7377.6.Propertytagsthathavebeenlostordestroyedmustbereplaced.ReplacementpropertytagscanbeobtainedbycontactingAMat(916)341-6168.7.UsetheversionontheCDPHIntranetformssite.TheCDPH1203consistsofonepageforcompletionandonepagewithinformationandinstructions.CCP-H1203 St&y&©fCaWafnia—HsallhandSoritesAgencyCnlifcm.iGepgrtrwr*ofHsaJlhINVENTORY/DISPOSITIONOFCDPH-FUNDEDEQUIPMENTExhibitHCurrentContractNumber:15-10940DateCurrentContractExpires:PreviousContractNumber{?fapplicable):CDPHProgramName:Contractor'sName:CDPHProgramContractManager:CDPHProgramAddress:Contractor'sCompleteAddress:CDPHProgramContractManager'sTelephoneNumber:Contractor'sContactPerson:DateofthisReport:_Contact'sTelephoneNumber:(THISISNOTABUDGETFORM)STATE/CDPHPROPERTYTAG(ifmotorvehicle,list’censenumber.)jQUANTITYITEMDESCRIPTIONfnciuoemanufacturer'snoma,modelnumber,type,size,andtorcapacity.2.Ifmotorvehicle,list'/ear,make,modelnumber,typecfvehicle(van.sedan,pick-up,elc.)3.ifvan.includepassen-js-rcapacity.UNtTCOSTPERITEM(BeforeTax)CDPHASSETMGMT..USEONLYCDPHDocument(DISPOSAL)NumberORIGINALPURCHASEDATEMAJORtMINOREQUIPMENTSERIALNUMBER(Ifmole?vehicle,listVINnumber.)OPTIONAL—PROGRAMUSEONLYsssss1ss!sis|•sisV:':•'issIis|s.....!>s!1CDPH1204{£.*-«3J INSTRUCTIONSFORCDPH1204(Pieasereadcarefully.)TheinformationonthisformwillbeusedbytheCaliforniaDepartmentofPublicHealth(CDPH)AssetManagement(AM)to;(a)conductaninventoryofCDPHequipmentand/orproperty(seedefinitionsA,and8)inthepossessionoftheContractorand/orSubcontractors,and(b)disposeofthesesameitems.Reportallitems,regardlessoftheitems'ages,pernumber1below,purchasedwithCDPHfundsandusedtoconductstatebusinessunderthiscontract.(SeePublicHealthAdministrativeManual(PHAM),Section1-1000andSection3-1320.)TheCDPHProgramContractManagerisresponsibleforobtaininginformationfromtheContractorforthisform.TheCDPHProgramContractManagerisresponsiblefortheaccuracyandcompletenessoftheinformationandforsubmittingittoAM.Inventory:ListallCDPHtaggedequipmentand/orpropertyonthisformandsubmititwithin30dayspriortothethree-yearanniversaryofthecontract’seffectivedate,ifapplicable.TheinventoryshouldbebasedonpreviouslysubmittedCDPH1203s,“ContractorEquipmentPurchasedwithCDPHFunds."AMwillcontacttheCDPHProgramContractManagerifthereareanydiscrepancies,(SeePHAMfSection1-1020.)Disposal:(Definition:TradeIn,sell,junk,salvage;donate,ortransfer;also,itemstost,stolen,ordestroyed(asbyfire).)TheCDPH1204shouldbecompleted,alongwitha"PropertySurveyReport"(STD.152)ora“PropertyTransferReport'*(STD.158),wheneveritemsneedtobedisposedof;(a)duringthetermofthiscontractand(b)30calendardaysbeforetheterminationofthiscontract.Afterreceiptofthisform,theAMwillcontacttheCDPHProgramContractManagertoarrangefortheappropriatedisposal/transferoftheitems.(SeePHAM,Section1-1050.)1.Listthestate/CDPHpropertytag,quantity,description,purchasedate,baseunitcost,andserialnumber(ifapplicable)foreachitemof;A.MajorEquipment:(Theseitemswereissuedgreennumberedstate/CDPHpropertytags.)«TangibleitemhavingabaseunitcostofS5,000ormoreandalifeexpectancyofone(1)yearormore.«Intangibleitemhavingabaseunitcostof$5,000ormoreandalifeexpectancyofone(1)yearormore(e.g.,software,video.)B.MinorEquipment/Property:(Theseitemswereissuedgreenstate/CDPHpropertytags.)Specifictangibleitemswithalifeexpectancyofone(1)yearormorethathaveabaseunitcostlessthan$5,000.Theminorequipmentand/orpropertyitemswereissuedgreenunnumbered“BLANK”state/CDPHpropertytagswiththeexceptionofthefollowing,whichareissuednumberedfags:PersonalDigitalAssistant(PDA),PDA^cel!phonecombination(Blackberries),laptops,desktoppersonalcomputers,LANservers,routersandswitches.2.Ifavehicleisbeingreported,providetheVehicleIdentificationNumber(VIN)andthevehiclelicensenumbertoCDPHVehicleServices.(SeePHAM,Section17-4000.)3.Ifallitemsbeingreporteddonotfitononepage,makecopiesandwritethenumberofpagesbeingsentintheupperright-handcorner(e.g."Page1of3r)4.TheCDPHProgramContractManagershouldretainonecopyandsendtheoriginalto;CaliforniaDepartmentofPublicHealth,AssetManagement,MS1801,P.O.Box997377,Sacramento,CA95899-7377.5.UsetheversionontheCDPHIntranetformssite.TheCDPH1204consistsofonepageforcompletionandonepagewithinformationandinstructions.Formoreinformationoncompletingthisform,callAMat(916)341-6168.COPH1204(aft3> I.RecitalsCountyofFresno15-10940Page1of14ExhibitIHIPAABusinessAssociateAddendumA.Theunderlyingcontract(Agreement),towhichthisHIPAABusinessAssociateAddendumisattachedtoandmadeapartof,hasbeendeterminedtoconstituteabusinessassociaterelationshipundertheHealthInsurancePortabilityandAccountabilityActof1996,PublicLaw104-191fHiPAA”),theHealthInformationTechnologyforEconomicandClinicalHealthAct,PublicLaw111-005(’theHITECHAct"),42U.S.C.section17921etseq.,andtheirimplementingprivacyandsecurityregulationsat45CFRParts160and164(“theHIPAAregulations").B.TheDepartmentofPublicHealth(“CDPH")wishestodisclosetoBusinessAssociatecertaininformationpursuanttothetermsoftheAgreement,someofwhichmayconstituteProtectedHealthInformation(“PHi”),Includingprotectedhealthinformationinelectronicmedia("ePHI”),underfederallaw,andpersonalinformation("PI")understatelaw.C.AssetforthintheAgreement,Contractor,hereandafter,istheBusinessAssociateofCDPHactingonCDPH'behalfandprovidesservices,arranges,performsorassistsintheperformanceoffunctionsoractivitiesonbehalfofCDPHandcreates,receives,maintains,transmits,usesordisclosesPHIandPI.CDPHandBusinessAssociateareeachapartytotheAgreementandarecollectivelyreferredtoasthe“parties."D.ThepurposeofthisAddendumistoprotecttheprivacyandsecurityofthePHIandPIthatmaybecreated,received,maintained,transmitted,usedordisclosedpursuanttotheAgreement,andtocomplywithcertainstandardsandrequirementsofHIPAA,theHITECHActaridtheHIPAAregulations,including,butnotlimitedto,therequirementthatCDPHmustenterintoacontractcontainingspecificrequirementswithContractorpriortothedisclosureofPHitoContractor,assetforthin45CFRParts160and164andtheHITECHAct.E.ThetermsusedinthisAddendum,butnototherwisedefined,shallhavethesamemeaningsasthosetermshaveintheHIPAAregulations.AnyreferencetostatutoryorregulatorylanguageshallbetosuchlanguageasIneffectorasamended.II.DefinitionsA.BreachshallhavethemeaninggiventosuchtermunderHIPAA,theHITECHAct,andtheHIPAAregulations.B.BusinessAssociateshallhavethemeaninggiventosuchtermunderHIPAA,theHITECHAct,andtheHIPAAregulations.C.CoveredEntityshallhavethemeaninggiventosuchtermunderHIPAA,theHITECHAct,andtheHIPAAregulations.D.ElectronicHealthRecordshallhavethemeaninggiventosuchtermintheHITECHAct,including,butnotlimitedto,42U.S.CSection17921andimplementingregulations.E.ElectronicProtectedHealthInformation(ePHI)meansindividuallyidentifiablehealthinformationtransmittedbyelectronicmediaormaintainedinelectronicmedia,includingbutnotlimitedtoelectronicmediaassetforthunder45CFRsection160.103.F.IndividuallyIdentifiableHealthInformationmeanshealthinformation,includingdemographicinformationcollectedfromanIndividual,thatiscreatedorreceivedbyahealthcareprovider,healthplan,employerCDPHHIPAABAA8-14 CountyofFresno15-10940Page2of14ExhibitiHIPAABusinessAssociateAddendumorhealthcareclearinghouse,andrelatestothepast,presentorfuturephysicalormentalhealthorconditionofanindividual,theprovisionofhealthcaretoanindividual,orthepast,present,orfuturepaymentfortheprovisionofhealthcaretoanindividual,thatidentifiestheindividualorwherethereisareasonablebasistobelievetheinformationcanbeusedtoidentifytheindividual,assetforthunder45CFRsection160.103.G,PrivacyRuleshallmeantheHIPAARegulationthatisfoundat45CRFParts160and164.H.PersonalInformationshallhavethemeaninggiventosuchterminCaliforniaCivilCodesection1798.29.I.ProtectedHealthInformationmeansindividuallyidentifiablehealthinformationthatistransmittedbyelectronicmedia,maintainedinelectronicmedia,oristransmittedormaintainedinanyotherformormedium,assetforthunder45CFRsection160.103.J.Requiredbylaw,assetforthunder45CFRsection164.103,meansamandatecontainedinlawthatcompelsanentitytomakeauseordisclosureofPHIthatisenforceableinacourtoflaw.Thisincludes,butisnotlimitedto,courtordersandcourt-orderedwarrants,subpoenasorsummonsissuedbyacourt,grandjury,agovernmentalortribalinspectorgeneral,oranadministrativebodyauthorizedtorequiretheproductionofinformation,andaciviloranauthorizedinvestigativedemand.ItalsoincludesMedicareconditionsofparticipationwithrespecttohealthcareprovidersparticipatingintheprogram,andstatutesorregulationsthatrequiretheproductionofinformation,includingstatutesorregulationsthatrequiresuchinformationifpaymentissoughtunderagovernmentprogramprovidingpublicbenefits.K.SecretarymeanstheSecretaryoftheU.S.DepartmentofHealthandHumanServices("HHS")ortheSecretary'sdesignee.L.SecurityIncidentmeanstheattemptedorsuccessfulunauthorizedaccess,use,disclosure,modification,ordestructionofPHIorPI,orconfidentialdatathatisessentialtotheongoingoperationoftheBusinessAssociate'sorganizationandintendedforinternaluse;orinterferencewithsystemoperationsinaninformationsystem.M.SecurityRuleshallmeantheHIPAAregulationthatisfoundat45CFRParts160and164.N.UnsecuredPHIshallhavethemeaninggiventosuchtermundertheHITECHAct,42U.S.C.section17932(h),anyguidanceissuedpursuanttosuchActandtheHIPAAregulations.III.TermsofAgreementA.PermittedUsesandDisclosuresofPHIbyBusinessAssociatePermittedUsesandDisclosures.ExceptasotherwiseindicatedinthisAddendum,BusinessAssociatemayuseordisclosePHIonlytoperformfunctions,activitiesorservicesspecifiedintheAgreement,for,oronbehalfofCDPH,providedthatsuchuseordisclosurewouldnotviolatetheHIPAAregulations,ifdonebyCDPH.Anysuchuseordisclosuremust,totheextentpracticable,belimitedtothelimiteddataset,asdefinedin45CFRsection164.514(e)(2),or,ifneeded,totheminimumnecessarytoaccomplishtheintendedpurposeofsuchuseordisclosure,incompliancewiththeHITECHActandanyguidanceissuedpursuanttosuchAct,andtheHIPAAregulations.CDPHHIPAABAA0-14 CountyofFresno15-10940Page3of14ExhibitIHIPAABusinessAssociateAddendum1.SpecificUseandDisclosureProvisions,ExceptasotherwiseindicatedinthisAddendum,BusinessAssociatemay:a.Useanddiscloseformanagementandadministration.UseanddisclosePHIforthepropermanagementandadministrationoftheBusinessAssociateprovidedthatsuchdisclosuresarerequiredbylaw,ortheBusinessAssociateobtainsreasonableassurancesfromthepersontowhomtheinformationisdisclosedthatitwillremainconfidentialandwillbeusedorfurtherdisclosedonlyasrequiredbylaworforthepurposeforwhichitwasdisclosedtotheperson,andthepersonnotifiestheBusinessAssociateofanyinstancesofwhichitisawarethattheconfidentialityoftheinformationhasbeenbreached.b,ProvisionofDataAggregationServices.UsePHItoprovidedataaggregationservicestoCDPH.DataaggregationmeansthecombiningofPHIcreatedorreceivedbytheBusinessAssociateonbehalfofCDPHwithPHIreceivedbytheBusinessAssociateinitscapacityastheBusinessAssociateofanothercoveredentity,topermitdataanalysesthatrelatetothehealthcareoperationsofCDPH.B.ProhibitedUsesandDisclosures1.BusinessAssociateshallnotdisclosePHIaboutanindividualtoahealthplanforpaymentorhealthcareoperationspurposesifthePHIpertainssolelytoahealthcareitemorserviceforwhichthehealthcareproviderinvolvedhasbeenpaidoutofpocketinfullandtheindividualrequestssuchrestriction,inaccordancewith42U.S.C.section17935(a)and45CFRsection164.522(a).2.BusinessAssociateshallnotdirectlyorindirectlyreceiveremunerationinexchangeforPHI,exceptwiththepriorwrittenconsentofCDPHandaspermittedby42U.S.C.section17935(d)(2).C.ResponsibilitiesofBusinessAssociateBusinessAssociateagrees:1.Nondisclosure.NottouseordiscloseProtectedHealthInformation(PHI)otherthanaspermittedorrequiredbytheAgreementorasrequiredbylaw.2.Safeguards.Toimplementadministrative,physical,andtechnicalsafeguardsthatreasonablyandappropriatelyprotecttheconfidentiality,integrity,andavailabilityofthePHI,includingelectronicPHI,thatitcreates,receives,maintains,usesortransmitsonbehalfofCDPH,incompliancewith45CFRsections164.308,164.310and164,312,andtopreventuseordisclosureofPHIotherthanasprovidedforbytheAgreement,BusinessAssociateshallimplementreasonableandappropriatepoliciesandprocedurestocomplywiththestandards,implementationspecificationsandotherrequirementsof45CFRsection164,subpartC,incompliancewith45CFRsection164.316.BusinessAssociateshalldevelopandmaintainawritteninformationprivacyandsecurityprogramthatincludesadministrative,technicalandphysicalsafeguardsappropriatetothesizeandcomplexityoftheBusinessAssociate'soperationsandthenatureandscopeofitsactivities,andwhichincorporatestherequirementsofsection3,Security,below.BusinessAssociatewillprovideCDPHwithitscurrentandupdatedpolicies.3.Security.TotakeanyandallstepsnecessarytoensurethecontinuoussecurityofailcomputerizeddatasystemscontainingPHIand/orPI,andtoprotectpaperdocumentscontainingPHIand/orPI.Thesestepsshallinclude,ataminimum:CDPHHIPAACM8-14 CountyofFresno15-10940Page4of14ExhibitIHIPAABusinessAssociateAddenduma.ComplyingwithallofthedatasystemsecurityprecautionslistedinAttachmentA,theBusinessAssociateDataSecurityRequirements;b.AchievingandmaintainingcompliancewiththeHIPAASecurityRule(45CFRParis160and164),asnecessaryinconductingoperationsonbehalfofCDPHundertheAgreement;c.ProvidingalevelandscopeofsecuritythatisatleastcomparabletothelevelandscopeofsecurityestablishedbytheOfficeofManagementandBudgetinOMBCircularNo.A-130,AppendixIII-SecurityofFederalAutomatedInformationSystems,whichsetsforthguidelinesforautomatedinformationsystemsinFederalagencies;andd.Incaseofaconflictbetweenanyofthesecuritystandardscontainedinanyoftheseenumeratedsourcesofsecuritystandards,themoststringentshallappiy.ThemoststringentmeansthatsafeguardwhichprovidesthehighestlevelofprotectiontoPHifromunauthorizeddisclosure.Further,BusinessAssociatemustcomplywithchangestothesestandardsthatoccuraftertheeffectivedateoftheAgreement.BusinessAssociateshalldesignateaSecurityOfficertooverseeitsdatasecurityprogramwhoshallberesponsibleforcarryingouttherequirementsofthissectionandforcommunicatingonsecuritymatterswithCDPH,D.MitigationofHarmfulEffects,Tomitigate,totheextentpracticable,anyharmfuleffectthatisknowntoBusinessAssociateofauseordisclosureofPH!byBusinessAssociateoritssubcontractorsinviolationoftherequirementsofthisAddendum.E.BusinessAssociate’sAgentsandSubcontractors.1.Toenterintowrittenagreementswithanyagents,includingsubcontractorsandvendors,towhomBusinessAssociateprovidesPHIorPIreceivedfromorcreatedorreceivedbyBusinessAssociateonbehalfofCDPH,thatimposethesamerestrictionsandconditionsonsuchagents,subcontractorsandvendorsthatapplytoBusinessAssociatewithrespecttosuchPHIandPIunderthisAddendum,andthatcomplywithallapplicableprovisionsofHIPAA,theHITECHActandtheHIPAAregulations,includingtherequirementthatanyagents,subcontractorsorvendorsimplementreasonableandappropriateadministrative,physical,andtechnicalsafeguardstoprotectsuchPHIandPI.BusinessAssociateshallincorporate,whenapplicable,therelevantprovisionsofthisAddendumintoeachsubcontractorsubawardtosuchagents,subcontractorsandvendors,includingtherequirementthatanysecurityincidentsorbreachesofunsecuredPHIorPibereportedtoBusinessAssociate.2.Inaccordancewith45CFRsection164.504(e)(1)(ii),uponBusinessAssociate'sknowledgeofamaterialbreachorviolationbyitssubcontractoroftheagreementbetweenBusinessAssociateandthesubcontractor,BusinessAssociateshall:a.ProvideanopportunityforthesubcontractortocurethebreachorendtheviolationandterminatetheagreementifthesubcontractordoesnotcurethebreachorendtheviolationwithinthetimespecifiedbyCDPH;orb.immediatelyterminatetheagreementifthesubcontractorhasbreachedamateria!termoftheagreementandcureisnotpossible.CDPHHIPAASAAB-14 CountyofFresno15-10940Page5of14ExhibitiHIPAABusinessAssociateAddendumF.AvailabilityofInformationtoCDPHandIndividuals.Toprovideaccessandinformation:1.ToprovideaccessasCDPHmayrequire,andinthetimeandmannerdesignatedbyCDPH(uponreasonablenoticeandduringBusinessAssociate'snormalbusinesshours)toPHIinaDesignatedRecordSet,toCDPH(or,asdirectedbyCDPH),toanindividual,inaccordancewith45CFRsection164.524.DesignatedRecordSetmeansthegroupofrecordsmaintainedforCDPHthatincludesmedical,dentalandbillingrecordsaboutindividuals;enrollment,payment,ciaimsadjudication,andcaseormedicalmanagementsystemsmaintainedforCDPHhealthplans;orthoserecordsusedtomakedecisionsaboutindividualsonbehalfofCDPH.BusinessAssociateshallusetheformsandprocessesdevelopedbyCDPHforthispurposeandshallrespondtorequestsforaccesstorecordstransmittedbyCDPHwithinfifteen(15)calendardaysofreceiptoftherequestbyproducingtherecordsorverifyingthattherearenone.2.IfBusinessAssociatemaintainsanElectronicHealthRecordwithPHI,andanindividualrequestsacopyofsuchinformationinanelectronicformat,BusinessAssociateshallprovidesuchinformationinanelectronicformattoenableCDPHtofulfillitsobligationsundertheHITECHAct,includingbutnotlimitedto,42U.S.C.section17935(e).3.IfBusinessAssociatereceivesdatafromCDPHthatwasprovidedtoCDPHbytheSocialSecurityAdministration,uponrequestbyCDPH,BusinessAssociateshallprovideCDPHwithalistofailemployees,contractorsandagentswhohaveaccesstotheSocialSecuritydata,includingemployees,contractorsandagentsofitssubcontractorsandagents.G.AmendmentofPHI.Tomakeanyamendment(s)toPHIthatCDPHdirectsoragreestopursuantto45CFRsection164.526,inthetimeandmannerdesignatedbyCDPH.H.InternalPractices.TomakeBusinessAssociate’sinternalpractices,booksandrecordsrelatingtotheuseanddisclosureofPHIreceivedfromCDPH,orcreatedorreceivedbyBusinessAssociateonbehalfofCDPH,availabletoCDPHortotheSecretaryoftheU.S.DepartmentofHealthandHumanServicesinatimeandmannerdesignatedbyCDPHorbytheSecretary,forpurposesofdeterminingCDPH'compliancewiththeHIPAAregulations.IfanyinformationneededforthispurposeisintheexclusivepossessionofanyotherentityorpersonandtheotherentityorpersonfailsorrefusestofurnishtheinformationtoBusinessAssociate,BusinessAssociateshallsocertifytoCDPHandshallsetforththeeffortsitmadetoobtaintheinformation,I.DocumentationofDisclosures.TodocumentandmakeavailabletoCDPHor(atthedirectionofCDPH)toanIndividualsuchdisclosuresofPHI,andinformationrelatedtosuchdisclosures,necessarytorespondtoaproperrequestbythesubjectIndividualforanaccountingofdisclosuresofPHI,inaccordancewiththeHiTECHActanditsimplementingregulations,includingbutnotlimitedto45CFRsection164.528and42U.S.C.section17935(c).IfBusinessAssociatemaintainselectronichealthrecordsforCDPHasofJanuary1,2009,BusinessAssociatemustprovideanaccountingofdisclosures,includingthosedisclosuresfortreatment,paymentorhealthcareoperations,effectivewithdisclosuresonorafterJanuary1,2014.IfBusinessAssociateacquireselectronichealthrecordsforCDPHafterJanuary1,2009,BusinessAssociatemustprovideanaccountingofdisclosures,includingthosedisclosuresfortreatment,paymentorhealthcareoperations,effectivewithdisclosuresonorafterthedatetheelectronichealthrecordisacquired,oronorafterJanuary1,2011,whicheverdateislater.Theelectronicaccountingofdisclosuresshallbefordisclosuresduringthethreeyearspriortotherequestforanaccounting.CDPHHIPAA8AA8-14 CountyofFresno15-10940Page6of14ExhibitIHIPAABusinessAssociateAddendumJ.BreachesandSecurityIncidents.DuringthetermoftheAgreement,BusinessAssociateagreestoimplementreasonablesystemsforthediscoveryandpromptreportingofanybreachorsecurityincident,andtotakethefollowingsteps:1.NoticetoCDPH.(1)TonotifyCDPHimmediatelybytelephonecallplusemailorfaxuponthediscoveryofabreachofunsecuredPHIorPIinelectronicmediaorinanyothermediaifthePHIorPIwas,orisreasonablybelievedtohavebeen,accessedoracquiredbyanunauthorizedperson,oruponthediscoveryofasuspectedsecurityincidentthatinvolvesdataprovidedtoCDPHbytheSocialSecurityAdministration,(2)TonotifyCDPHwithin24hoursbyemailorfaxofthediscoveryofanysuspectedsecurityincident,intrusionorunauthorizedaccess,useordisclosureofPHIorPIinviolationoftheAgreementandthisAddendum,orpotentiallossofconfidentialdataaffectingtheAgreement.AbreachshallbetreatedasdiscoveredbyBusinessAssociateasofthefirstdayonwhichthebreachisknown,orbyexercisingreasonablediligencewouldhavebeenknown,toanyperson(otherthanthepersoncommittingthebreach)whoisanemployee,officerorotheragentofBusinessAssociate.NoticeshallbeprovidedtotheCDPHProgramContractManager,theCDPHPrivacyOfficerandtheCDPHinformationSecurityOfficer.IftheincidentoccursafterbusinesshoursoronaweekendorholidayandinvolveselectronicPHI,noticeshallbeprovidedbycallingtheCDPHITSDServiceDesk.Noticeshallbemadeusingthe"CDPHPrivacyIncidentReport”form,includingallinformationknownatthetime.BusinessAssociateshallusethemostcurrentversionofthisform,whichispostedontheCDPHPrivacyOfficewebsite(www.CDPH.ca.gov,Upondiscoveryofabreachorsuspectedsecurityincident,intrusionorunauthorizedaccess,useordisclosureofPHIorPI,BusinessAssociateshalltake:a.Promptcorrectiveactiontomitigateanyrisksordamagesinvolvedwiththebreachandtoprotecttheoperatingenvironment;andb.AnyactionpertainingtosuchunauthorizeddisclosurerequiredbyapplicableFederalandStatelawsandregulations.2.InvestigationandInvestigationReport.Toimmediatelyinvestigatesuchsecurityincident,breach,orunauthorizedaccess,useordisclosureofPHIorPi.Within72hoursofthediscovery,BusinessAssociateshallsubmitanupdated“CDPHPrivacyIncidentReport"containingtheinformationmarkedwithanasteriskandallotherapplicableinformationlistedontheform,totheextentknownatthattime,totheCDPHProgramContractManager,theCDPHPrivacyOfficer,andtheCDPHInformationSecurityOfficer:3.CompleteReport.ToprovideacompletereportoftheinvestigationtotheCDPHProgramContractManager,theCDPHPrivacyOfficer,andtheCDPHInformationSecurityOfficerwithinten(10)workingdaysofthediscoveryofthebreachorunauthorizeduseordisclosure.Thereportshallbesubmittedonthe“CDPHPrivacyincidentReport"formandshallincludeanassessmentofallknownfactorsrelevanttoadeterminationofwhetherabreachoccurredunderapplicableprovisionsofHIPAA,theHITECHAct,theHIPAAregulationsand/orstateiaw.Thereportshallalsoincludeafull,detailedcorrectiveactionplan,includinginformationonmeasuresthatweretakentohaltand/orcontaintheimproperuseordisclosure,IfCDPHrequestsinformationinadditiontothatlistedonthe"CDPHPrivacyIncidentReport"form,BusinessAssociateshallmakereasonableeffortstoprovideCDPHwithsuchinformation.Ifnecessary,aSupplementalReportmaybeusedtosubmitrevisedoradditionalinformationafterthecompletedreportissubmitted,bysubmittingtherevisedoradditionalinformationonanupdated"CDPHPrivacyIncidentReport"form,CDPHwillreviewCDPHHIPAASAA8-14 CouniyofFresno15-10940Page7of14ExhibitIHIPAABusinessAssociateAddendumandapprovethedeterminationofwhetherabreachoccurredandindividualnotificationsarerequired,andthecorrectiveactionplan.4.NotificationofIndividuals.IfthecauseofabreachofPHIorPIisattributabletoBusinessAssociateoritssubcontractors,agentsorvendors,BusinessAssociateshallnotifyindividualsofthebreachorunauthorizeduseordisclosurewhennotificationisrequiredunderstateorfederallawandshallpayanycostsofsuchnotifications,aswellasanycostsassociatedwiththebreach.Thenotificationsshallcomplywiththerequirementssetforthin42U.S.C.section17932anditsimplementingregulations,including,butnotlimitedto,therequirementthatthenotificationsbemadewithoutunreasonabledelayandinnoeventlaterthan60calendardays.TheCDPHProgramContractManager,theCDPHPrivacyOfficer,andtheCDPHInformationSecurityOfficershallapprovethetime,mannerandcontentofanysuchnotificationsandtheirreviewandapprovalmustbeobtainedbeforethenotificationsaremade.5.ResponsibilityforReportingofBreaches.IfthecauseofabreachofPHIorPIisattributabletoBusinessAssociateoritsagents,subcontractorsorvendors,BusinessAssociateisresponsibleforallrequiredreportingofthebreachasspecifiedin42U.S.C.section17932anditsimplementingregulations,includingnotificationtomediaoutletsandtotheSecretary,ifabreachofunsecuredPHiinvolvesmorethan500residentsoftheStateofCaliforniaoritsjurisdiction,BusinessAssociateshallnotifytheSecretaryofthebreachimmediatelyupondiscoveryofthebreach,ifBusinessAssociatehasreasontobelievethatduplicatereportingofthesamebreachorincidentmayoccurbecauseitssubcontractors,agentsorvendorsmayreportthebreachorincidenttoCDPHinadditiontoBusinessAssociate,BusinessAssociateshallnotifyCDPH,andCDPHandBusinessAssociatemaytakeappropriateactiontopreventduplicatereporting.Thebreachreportingrequirementsofthisparagraphareinadditiontothereportingrequirementssetforthinsubsection1,above.6.CDPHContactInformation.TodirectcommunicationstotheabovereferencedCDPHstaff,theContractorshaiiinitiatecontactasindicatedherein.CDPHreservestherighttomakechangestothecontactinformationbelowbygivingwrittennoticetotheContractor.SaidchangesshallnotrequireanamendmenttothisAddendumortheAgreementtowhichitisincorporated.CDPHProgramContractManagerCDPHPrivacyOfficerCDPHInformationSecurityOfficerSeetheScopeofWorkexhibitforProgramContractManagerinformationPrivacyOfficerPrivacyOffice,doOfficeofLegalServicesCaliforniaDepartmentofPublicHealthP.O.Box997377,MS0506Sacramento,CA95899-7377Email:orivacv(5)cd»h,ca.aovTelephone;(877)421-9634ChiefInformationSecurityOfficerinformationSecurityOfficeCaliforniaDepartmentofPublicHealthP.O.Box997413,MS6302Sacramento,CA95899-7413Telephone:ITServiceDesk{916)440-7000or(800)579-0874CDPHHIPAABAA8-14 CountyofFresno15-10940Page8of14ExhibitIHIPAABusinessAssociateAddendumK.TerminationofAgreement.InaccordancewithSection13404(b)oftheHiTECIHActandtotheextentrequiredbytheHIPAAregulations,ifBusinessAssociateknowsofamaterialbreachorviolationbyCDPHofthisAddendum,itshalltakethefollowingsteps:1,ProvideanopportunityforCDPHtocurethebreachorendtheviolationandterminatetheAgreementifCDPHdoesnotcurethebreachorendtheviolationwithinthetimespecifiedbyBusinessAssociate;or2.ImmediatelyterminatetheAgreementifCDPHhasbreachedamaterialtermoftheAddendumandcureisnotpossible.L.DueDiligence.BusinessAssociateshallexerciseduediligenceandshalltakereasonablestepstoensurethatitremainsincompliancewiththisAddendumandisincompliancewithapplicableprovisionsofHIPAA,theHITECHActandtheHIPAAregulations,andthatitsagents,subcontractorsandvendorsareincompliancewiththeirobligationsasrequiredbythisAddendum.MLSanctionsand/orPenalties.BusinessAssociateunderstandsthatafailuretocomplywiththeprovisionsofHIPAA,theHITECHActandtheHIPAAregulationsthatareapplicabletoBusinessAssociatemayresultintheimpositionofsanctionsand/orpenaltiesonBusinessAssociateunderHIPAA,theHITECHActandtheHIPAAregulations.IV.ObligationsofCDPHCDPHagreesto:A.NoticeofPrivacyPractices.ProvideBusinessAssociatewiththeNoticeofPrivacyPracticesthatCDPHproducesinaccordancewith45CFRsection164.520,aswellasanychangestosuchnotice.B.PermissionbyIndividualsforUseandDisclosureofPHI.ProvidetheBusinessAssociatewithanychangesin,orrevocationof,permissionbyanIndividualtouseordisclosePHI,ifsuchchangesaffecttheBusinessAssociate'spermittedorrequiredusesanddisclosures.C.NotificationofRestrictions.NotifytheBusinessAssociateofanyrestrictiontotheuseordisclosureofPHIthatCDPHhasagreedtoinaccordancewith45CFRsection164.522,totheextentthatsuchrestrictionmayaffecttheBusinessAssociate'suseordisclosureofPHt.D.RequestsConflictingwithHIPAARules.NotrequesttheBusinessAssociatetouseordisclosePHIinanymannerthatwouldnotbepermissibleundertheHIPAAregulationsifdonebyCDPH.V.Audits,InspectionandEnforcementA.Fromtimetotime,CDPHmayinspectthefacilities,systems,booksandrecordsofBusinessAssociatetomonitorcompliancewiththeAgreementandthisAddendum,BusinessAssociateshallpromptlyremedyanyviolationofanyprovisionofthisAddendumandshalicertifythesametotheCDPHPrivacyOfficerinwriting.ThefactthatCDPHinspects,orfailstoinspect,orhastherighttoinspect,BusinessAssociate’sfacilities,systemsandproceduresdoesnotrelieveBusinessAssociateofitsresponsibilitytocomplywiththisAddendum,nordoesCDPH’:CDPHHIPAABAA8-14 CountyofFresno15-10940Page9of14ExhibitIHiPAABusinessAssociateAddendum1,Failuretodetector2.Detection,butfailuretonotifyBusinessAssociateorrequireBusinessAssociate'sremediationofanyunsatisfactorypracticesconstituteacceptanceofsuchpracticeorawaiverofCDPH’enforcementrightsundertheAgreementandthisAddendum.B.IfBusinessAssociateisthesubjectofanaudit,compliancereview,orcomplaintinvestigationbytheSecretaryortheOfficeofCivilRights.U.S.DepartmentofHealthandHumanServices,thatisrelatedtotheperformanceofitsobligationspursuanttothisHIPAABusinessAssociateAddendum,BusinessAssociateshallnotifyCDPHandprovideCDPHwithacopyofanyPHIorPIthatBusinessAssociateprovidestotheSecretaryortheOfficeofCivilRightsconcurrentlywithprovidingsuchPHIorPItotheSecretary,BusinessAssociateisresponsibleforanycivilpenaltiesassessedduetoanauditorinvestigationofBusinessAssociate,inaccordancewith42U.S.C,section17934(c).VI.TerminationA.Term.TheTermofthisAddendumshallcommenceasoftheeffectivedateofthisAddendumandshallextendbeyondtheterminationoftheAgreementandshallterminatewhenalithePHIprovidedbyCDPHtoBusinessAssociate,orcreatedorreceivedbyBusinessAssociateonbehalfofCDPH,isdestroyedorreturnedtoCDPH,inaccordancewith45CFR164,504(e)(2)(ii)(l).B.TerminationforCause.Inaccordancewith45CFRsection164.504(e)(1)(ii),uponCDPH’knowledgeofamaterialbreachorviolationofthisAddendumbyBusinessAssociate,CDPHshall:1.ProvideanopportunityforBusinessAssociatetocurethebreachorendtheviolationandterminatetheAgreementifBusinessAssociatedoesnotcurethebreachorendtheviolationwithinthetimespecifiedbyCDPH;or2.ImmediatelyterminatetheAgreementifBusinessAssociatehasbreachedamaterialtermofthisAddendumandcureisnotpossible.C.JudicialorAdministrativeProceedingsBusinessAssociatewillnotifyCDPHifitisnamedasadefendantinacriminalproceedingforaviolationofHIPAA.CDPHmayterminatetheAgreementifBusinessAssociateisfoundguiltyofacriminalviolationofHIPAA.CDPHmayterminatetheAgreementifafindingorstipulationthattheBusinessAssociatehasviolatedanystandardorrequirementofHIPAA,orothersecurityorprivacylawsismadeinanyadministrativeorcivilproceedinginwhichtheBusinessAssociateisapartyorhasbeenjoined.D.EffectofTermination.UponterminationorexpirationoftheAgreementforanyreason,BusinessAssociateshallreturnordestroyallPHIreceivedfromCDPH(orcreatedorreceivedbyBusinessAssociateonbehalfofCDPH)thatBusinessAssociatestillmaintainsinanyform,andshallretainnocopiesofsuchPHI.Ifreturnordestructionisnotfeasible,BusinessAssociateshallnotifyCDPHoftheconditionsthatmakethereturnordestructioninfeasible,andCDPHandBusinessAssociateshalldeterminethetermsandconditionsunderwhichBusinessAssociatemayretainthePHI,BusinessAssociateshallcontinuetoextendtheprotectionsofthisAddendumtosuchPHI,andshalllimitfurtheruseofsuchPHItothosepurposesthatmakethereturnordestructionofsuchPHIinfeasible.ThisprovisionshallapplytoPHIthatisinthepossessionofsubcontractorsoragentsofBusinessAssociate.VII.MiscellaneousProvisionsA.Disclaimer.CDPHmakesnowarrantyorrepresentationthatcompliancebyBusinessAssociatewiththisAddendum,HIPAAortheHIPAAregulationswillbeadequateorsatisfactoryforBusinessCDPHHIPAA3AA8-14 CountyofFresno15-10940Page10of14ExhibitIHIPAABusinessAssociateAddendumAssociate'sownpurposesorthatanyinformationinBusinessAssociate'spossessionorcontrol,ortransmittedorreceivedbyBusinessAssociate,isorwiiibesecurefromunauthorizeduseordisclosure.BusinessAssociateissolelyresponsibleforalldecisionsmadebyBusinessAssociateregardingthesafeguardingofPHI.B.Amendment.ThepartiesacknowledgethatfederalandstatelawsrelatingtoelectronicdatasecurityandprivacyarerapidlyevolvingandthatamendmentofthisAddendummayberequiredtoprovideforprocedurestoensurecompliancewithsuchdevelopments.ThepartiesspecificallyagreetotakesuchactionasisnecessarytoimplementthestandardsandrequirementsofHIPAA,theHITECHAct,theHIPAAregulationsandotherapplicablelawsrelatingtothesecurityorprivacyofPHI.UponCDPH’request,BusinessAssociateagreestopromptlyenterintonegotiationswithCDPHconcerninganamendmenttothisAddendumembodyingwrittenassurancesconsistentwiththestandardsandrequirementsofHIPAA,theHITECHAct,theHIPAAregulationsorotherapplicablelaws,CDPHmayterminatetheAgreementuponthirty(30)dayswrittennoticeintheevent:1.BusinessAssociatedoesnotpromptlyenterintonegotiationstoamendthisAddendumwhenrequestedbyCDPHpursuanttothisSection;or2.BusinessAssociatedoesnotenterintoanamendmentprovidingassurancesregardingthesafeguardingofPHIthatCDPHinitssolediscretion,deemssufficienttosatisfythestandardsandrequirementsofHIPAAandtheHIPAAregulations.C.AssistanceinLitigationorAdministrativeProceedings.BusinessAssociateshallmakeitselfandanysubcontractors,employeesoragentsassistingBusinessAssociateintheperformanceofitsobligationsundertheAgreement,availabletoCDPHatnocosttoCDPHtotestifyaswitnesses,orotherwise,intheeventoflitigationoradministrativeproceedingsbeingcommencedagainstCDPH,itsdirectors,officersoremployeesbaseduponclaimedviolationofHIPAA,theHIPAAregulationsorotherlawsrelatingtosecurityandprivacy,whichinvolvesinactionsoractionsbytheBusinessAssociate,exceptwhereBusinessAssociateoritssubcontractor,employeeoragentisanamedadverseparty,D.NoThird-PartyBeneficiaries.NothingexpressorimpliedinthetermsandconditionsofthisAddendumisintendedtoconfer,norshallanythinghereinconfer,uponanypersonotherthanCDPHorBusinessAssociateandtheirrespectivesuccessorsorassignees,anyrights,remedies,obligationsorliabilitieswhatsoever.E.Interpretation.ThetermsandconditionsInthisAddendumshallbeinterpretedasbroadlyasnecessarytoimplementandcomplywithHIPAA,theHITECHAct,theHIPAAregulationsandapplicablestatelaws.ThepartiesagreethatanyambiguityinthetermsandconditionsofthisAddendumshallberesolvedinfavorofameaningthatcompliesandisconsistentwithHIPAA,theHITECHActandtheHIPAAregulations.F.RegulatoryReferences.AreferenceinthetermsandconditionsofthisAddendumtoasectionintheHIPAAregulationsmeansthesectionasineffectorasamended.G.Survival.TherespectiverightsandobligationsofBusinessAssociateunderSectionVI.DofthisAddendumshallsurvivetheterminationorexpirationoftheAgreement.H.NoWaiverofObligations.Nochange,waiverordischargeofanyliabilityorobligationhereunderonanyoneormoreoccasionsshallbedeemedawaiverofperformanceofanycontinuingorotherobligation,orshallprohibitenforcementofanyobligation,onanyotheroccasion.CDPHHIPAABAA8-14 CountyofFresno15-10940Page11of14ExhibitIHiPAABusinessAssociateAddendumAttachmentABusinessAssociateDataSecurityRequirementst.PersonnelControlsA.EmployeeTraining.AllworkforcememberswhoassistintheperformanceoffunctionsoractivitiesonbehalfofCDPH,oraccessordiscloseCDPHPHIorPImustcompleteinformationprivacyandsecuritytraining,atleastannually,atBusinessAssociate’sexpense.Eachworkforcememberwhoreceivesinformationprivacyandsecuritytrainingmustsignacertification,indicatingthemember'snameandthedateonwhichthetrainingwascompleted.Thesecertificationsmustberetainedforaperiodofsix(6)yearsfollowingcontracttermination.B.EmployeeDiscipline.Appropriatesanctionsmustbeappliedagainstworkforcememberswhofailtocomplywithprivacypoliciesandproceduresoranyprovisionsoftheserequirements,includingterminationofemploymentwhereappropriate.C.ConfidentialityStatement.AllpersonsthatwillbeworkingwithCDPHPHIorPImustsignaconfidentialitystatementthatincludes,ataminimum,GeneralUse,SecurityandPrivacySafeguards,UnacceptableUse,andEnforcementPolicies.ThestatementmustbesignedbytheworkforcememberpriortoaccesstoCDPHPHIorPI.Thestatementmustberenewedannually,TheContractorshallretaineachperson’swrittenconfidentialitystatementforCDPHinspectionforaperiodofsix(6)yearsfollowingcontracttermination.D.BackgroundCheck.BeforeamemberoftheworkforcemayaccessCDPHPHIorPI,athoroughbackgroundcheckofthatworkermustbeconducted,withevaluationoftheresultstoassurethatthereisnoindicationthattheworkermaypresentarisktothesecurityorintegrityofconfidentialdataorariskfortheftormisuseofconfidentialdata.TheContractorshallretaineachworkforcemember'sbackgroundcheckdocumentationforaperiodofthree(3)yearsfollowingcontracttermination.II.TechnicalSecurityControlsA.Workstation/Laptopencryption.Allworkstationsandlaptopsthatprocessand/orstoreCDPHPHIorPImustbeencryptedusingaFIPS140-2certifiedalgorithmwhichis128bitorhigher,suchasAdvancedEncryptionStandard(AES).TheencryptionsolutionmustbefulldiskunlessapprovedbytheCDPHInformationSecurityOffice.B.ServerSecurity.ServerscontainingunencryptedCDPHPHIorPImusthavesufficientadministrative,physical,andtechnicalcontrolsinplacetoprotectthatdata,baseduponariskassessment/systemsecurityreview.C.MinimumNecessary.OnlytheminimumnecessaryamountofCDPHPHIorPIrequiredtoperformnecessarybusinessfunctionsmaybecopied,downloaded,orexported,D.Removablemediadevices.AllelectronicfilesthatcontainCDPHPHIorPIdatamustbeencryptedwhenstoredonanyremovablemediaorportabledevice(i.e.USBthumbdrives,floppies,CD/DVD,Blackberry,backuptapesetc.).EncryptionmustbeaFIPS140-2certifiedalgorithmwhichis128bitorhigher,suchasAES.CDPHHIPAABAA8-14 CountyofFresno15-10940Page12of14ExhibitIHIPAABusinessAssociateAddendumE.Antivirussoftware.Allworkstations,laptopsandothersystemsthatprocessand/orstoreCDPHPHIorPImustinstallandactivelyusecomprehensiveanti-virussoftwaresolutionwithautomaticupdatesscheduledatleastdaily.F.PatchManagement.Allworkstations,laptopsandothersystemsthatprocessand/orstoreCDPHPHIorPImusthavecriticalsecuritypatchesapplied,withsystemrebootifnecessary.Theremustbeadocumentedpatchmanagementprocesswhichdeterminesinstallationtimeframebasedonriskassessmentandvendorrecommendations.Atamaximum,allapplicablepatchesmustbeinstalledwithin30daysofvendorrelease.G.UserIDsandPasswordControls.AllusersmustbeissuedauniqueusernameforaccessingCDPHPHIorPI.Usernamemustbepromptlydisabled,deleted,orthepasswordchangeduponthetransferorterminationofanemployeewithknowledgeofthepassword,atmaximumwithin24hours.Passwordsarenottobeshared.Passwordsmustbeatleasteightcharactersandmustbeanon-dictionaryword.Passwordsmustnotbestoredinreadableformatonthecomputer.Passwordsmustbechangedevery90days,preferablyevery60days.Passwordsmustbechangedifrevealedorcompromised.Passwordsmustbecomposedofcharactersfromatleastthreeofthefollowingfourgroupsfromthestandardkeyboard:•Uppercaseletters(A-Z)•Lowercaseletters(a-z)•Arabicnumerals(0-9)•Non-alphanumericcharacters(punctuationsymbols)H.DataDestruction.Whennolongerneeded,altCDPHPHIorPImustbewipedusingtheGutmannorUSDepartmentofDefense(DoD)5220,22-M(7Pass)standard,orbydegaussing.MediamayalsobephysicallydestroyedinaccordancewithNISTSpecialPublication800-88.OthermethodsrequirepriorwrittenpermissionoftheCDPHInformationSecurityOffice.I.SystemTimeout.ThesystemprovidingaccesstoCDPHPHIorPImustprovideanautomatictimeout,requiringre-authenticationoftheusersessionafternomorethan20minutesofinactivity.J.WarningBanners.AilsystemsprovidingaccesstoCDPHPHIorPImustdisplayawarningbannerstatingthatdataisconfidential,systemsarelogged,andsystemuseisforbusinesspurposesonlybyauthorizedusers.Usermustbedirectedtologoffthesystemiftheydonotagreewiththeserequirements.K.SystemLogging.ThesystemmustmaintainanautomatedaudittrailwhichcanidentifytheuserorsystemprocesswhichinitiatesarequestforCDPHPHIorPI,orwhichaltersCDPHPHIorPI.Theaudittrailmustbedateandtimestamped,mustlogbothsuccessfulandfailedaccesses,mustbereadonly,andmustberestrictedtoauthorizedusers.IfCDPHPHIorPiisstoredinadatabase,databaseloggingfunctionalitymustbeenabled.Audittraildatamustbearchivedforatleast3yearsafteroccurrence.L.AccessControls.ThesystemprovidingaccesstoCDPHPHIorPimustuserolebasedaccesscontrolsforalluserauthentications,enforcingtheprincipleofleastprivilege.CDPHHIPAABAA8-14 CountyofFresno15-10940Page13of14ExhibitIHIPAABusinessAssociateAddendumM.Transmissionencryption.AlldatatransmissionsofCDPHPHIorPIoutsidethesecureinternalnetworkmustbeencryptedusingaFIPS140-2certifiedalgorithmwhichis128bitorhigher,suchasAES.Encryptioncanbeendtoendatthenetworklevel,orthedatafilescontainingPHIcanbeencrypted.ThisrequirementpertainstoanytypeofPHIorPIinmotionsuchaswebsiteaccess,fiietransfer,andE-Mail.N,IntrusionDetection.Allsystemsinvolvedinaccessing,holding,transporting,andprotectingCDPHPHIorPIthatareaccessibleviatheInternetmustbeprotectedbyacomprehensiveintrusiondetectionandpreventionsolution.III.AuditControlsA.SystemSecurityReview.Allsystemsprocessingand/orstoringCDPHPHIorPimusthaveatleastanannualsystemriskassessment/securityreviewwhichprovidesassurancethatadministrative,physical,andtechnicalcontrolsarefunctioningeffectivelyandprovidingadequatelevelsofprotection,Reviewsshouldincludevulnerabilityscanningtools,B.LogReviews.Allsystemsprocessingand/orstoringCDPHPHIorPImusthavearoutineprocedureinplacetoreviewsystemlogsforunauthorizedaccess.C.ChangeControi.Allsystemsprocessingand/orstoringCDPHPHIorPImusthaveadocumentedchangecontrolprocedurethatensuresseparationofdutiesandprotectstheconfidentiality,integrityandavailabilityofdata.IV.BusinessContinuity/DisasterRecoveryControlsA.EmergencyModeOperationPlan.ContractormustestablishadocumentedplantoenablecontinuationofcriticalbusinessprocessesandprotectionofthesecurityofelectronicCDPHPHIorPIintheeventofanemergency.EmergencymeansanycircumstanceorsituationthatcausesnormalcomputeroperationstobecomeunavailableforuseinperformingtheworkrequiredundertheAgreementformorethan24hours.B.DataBackupPlan.ContractormusthaveestablisheddocumentedprocedurestobackupCDPHPHItomaintainretrievabieexactcopiesofCDPHPHIorPI.Theplanmustincludearegularscheduleformakingbackups,storingbackupsoffsite,aninventoryofbackupmedia,andanestimateoftheamountoftimeneededtorestoreCDPHPHIorPishoulditbelost.Ataminimum,theschedulemustbeaweeklyfullbackupandmonthlyoffsitestorageofCDPHdata.V.PaperDocumentControlsA.SupervisionofData.CDPHPHIorPIinpaperformshallnotbeleftunattendedatanytime,unlessitislockedinafilecabinet,fileroom,deskoroffice.Unattendedmeansthatinformationisnotbeingobservedbyanemployeeauthorizedtoaccesstheinformation.CDPHPHIorPIinpaperformshallnotbeleftunattendedatanytimeinvehiclesorplanesandshallnotbecheckedinbaggageoncommercialairplanes,B.EscortingVisitors.VisitorstoareaswhereCDPHPHIorPIiscontainedshallbeescortedandCDPHPHIorPIshallbekeptoutofsightwhilevisitorsareinthearea.COPHHIPAABAA8-14 CountyofFresno15-10940PageHof14ExhibitIHiPAABusinessAssociateAddendumC.ConfidentialDestruction.CDPHPHIorPimustbedisposedofthroughconfidentialmeans,suchascrosscutshreddingandpulverizing.D.RemovalofData.CDPHPHIorPImustnotberemovedfromthepremisesoftheContractorexceptwithexpresswrittenpermissionofCDPH.E.Faxing.FaxescontainingCDPHPHIorPIshallnotbeleftunattendedandfaxmachinesshallbeinsecureareas.Faxesshallcontainaconfidentialitystatementnotifyingpersonsreceivingfaxesinerrortodestroythem.Faxnumbersshallbeverifiedwiththeintendedrecipientbeforesendingthefax.F.Mailing.MailingsofCDPHPHIorPIshallbesealedandsecuredfromdamageorinappropriateviewingofPH!orPItotheextentpossible.Mailingswhichinclude500ormoreindividuallyidentifiablerecordsofCDPHPHIorPIinasinglepackageshallbesentusingatrackedmailingmethodwhichincludesverificationofdeliveryandreceipt,unlessthepriorwrittenpermissionofCDPHtouseanothermethodisobtained.CDPHHIPAABAA8-14 CaliforniaDepartmentotPublicHealthExhibitJTravelReimbursementInformation(LodginandPerDiemReimbursementEffective01/01/15)1.Thefollowingratepolicyistobeappliedforreimbursingthetravelexpensesofpersonsundercontract.Theterms"contract’'and/or‘'subcontract"havethesamemeaningas“grantee”and/or“subgrantee"whereapplicable.a.Reimbursementfortraveland/orperdiemshallbeattheratesestablishedfornonrepresented/excludedstateemployees.ExceptionstoCaliforniaDepartmentofHumanResources(CalHR)lodgingratesmaybeapprovedbytheCaliforniaDepatlmentofPublicHealth(CDPH)uponthereceiptofastatementon/withaninvoiceindicatingthatsuchratesarenotavailable.b.ShortTermTravelisdefinedasa24-hourperiod,andlessthan31consecutivedays,andIsatleast50milesfromthemainoffice,headquartersorprimaryresidence.Startingtimeiswheneveracontractorsubcontractemployeeleaveshisorherhomeorheadquarters.“Headquarters"isdefinedastheplacewherethecontractedpersonnelspendsthelargestportionoftheirworkingtimeandreturnstouponthecompletionofassignments.Headquartersmaybeindividuallyestablishedforeachtravelerandapprovedverballyorinwritingbytheprogramfundingtheagreement.Verbalapprovalshallbefollowedupinwritingoremail.c.Contractorsontravelstatusformorethanone24-hourperiodandlessthan31consecutivedaysmayclaimafractionalpartofaperiodofmorethan24hours.ConsultthechartappearingonPage2ofthisexhibittodeterminethereimbursementallowance.Aillodgingreimbursementclaimsmustbesupportedbyareceipt*.Ifacontractordoesnotorcannotpresentreceipts,lodgingexpenseswifinotbereimbursed.(1)Lodging{withreceipts*):TravelLocation/AreaReimbursementRateStatewide(excludingthecountiesidentifiedbelow)$90.00plustaxCountiesofNapa,RiversideandSacramento$95.00plustaxCountiesofLosAngeles,OrangeandVenturacounties,andEdwardsAFB,excludingtheCityofSantaMonicaSI20,00plustaxCountiesofAlameda,Monterey,SanDiego,SanMateo,andSantaClara$125,00plustaxCountiesofSanFranciscoandSantaMonica$150,00plustaxReimbursementforactuallodgingexpensesthatexceedtheaboveamountsmaybeallowedwiththeadvanceapprovaloftheDeputyDirectoroftheCaliforniaDepartmentofPublicHealth(CDPH)orhisorherdesignee.Receiptsarerequired,’’ReceiptsfromInternetlodgingreservationservicessuchasPriceline.comwhichrequireprepaymentforthatservice,ARENOTACCEPTABLELODGINGRECEIPTSandarenotreimbursablewithoutavalidlodgingreceiptfromalodgingestablishment.(2)Meai/SupplementalExpenses(withorwithoutreceipts):Withreceipts,thecontractorwillbereimbursedactualamountsspentuptothemaximumforeachfull24-hourperiodoftravel.Meal/ExpenseReimbursementRateBreakfast$7.00Lunch$11.00Dinner$23,00Incidentalexpenses$5.00d.Out-of-statetravelmayonlybereimbursedifsuchtravelisnecessitatedbythescopeorstatementofworkandhasbeenapprovedinadvancebytheprogramwithwhichthecontractisheld.Forout-of-statetravel,contractorsmaybereimbursedactuallodgingexpenses,supportedbyareceipt,andmaybereimbursedformealsandsupplementalexpensesforeach24-hourperiodcomputedattherateslistedinc.(2)above.Forallout-of-statetravel,contractors/subcontractorsmusthavepriorCDPHwrittenorverbalapproval.Verbalapprovalshallbeconfirmedinwriting(emailormemo).e.Incomputingallowancesforcontinuousperiodsoftraveloflessthan24hours,consultthechartappearingonPage2ofthisexhibit.CDPHCMU01(04/15)Page1of2 TravelReimbursementinformation(Continued)f,Nomealorlodgingexpenseswillbereimbursedforanyperiodoftravelthatoccurswithinnormalworkinghours,unlessexpensesareincurredatleast50milesfromheadquarters.2.|fanyofthereimbursementratesstatedhereinischangedbyCalHR,noformalcontractamendmentwillberequiredtoincorporatethenewrates.However,CDPHshallinformthecontractor,inwriting,oftherevisedtravelreimbursementratesandtheapplicableeffectivedateofanyratechange.AtCDPH'sdiscretion,changesorrevisionsmadebyCDPHtothisexhibit,excludingtravelreimbursementpoliciesestablishedbyCalHRmaybeappliedretroactivelytoanyagreementtowhichaTravelReimbursementinformationexhibitisattached,incorporatedbyreference,orappliedbyCDPHprogrampolicy.ChangestothetravelreimbursementratesstatedhereinmaynotbeappliedearlierthanthedatearatechangeisapprovedbyCalHR,3.Fortransportationexpenses,thecontractormustretainreceiptsforparking;taxi,airline,bus,orrailtickets;carrental;oranyothertravelreceiptspertainingtoeachtripforattachmenttoaninvoiceassubstantiationforreimbursement.Reimbursementmayberequestedforcommercialcarrierfares:privatecarmileage;parkingfees;bridgetolls;taxi,bus,orstreetcarfares;andautorentalfeeswhensubstantiatedbyareceipt.4.Noteonuseofautos:ifacontractoruseshis/heroracompanycarfortransportation,therateofreimbursementwillbe57,5centsmaximumpermile,Ifacontractoruseshis/heroracompanycar"inlieuofairfare,theaircoachfarewillbethemaximumpaidbytheState,ThecontractormustprovideacostcomparisonuponrequestbytheState,Gasolineandroutineautomobilerepairexpensesarenotreimbursable,5.Thecontractorisrequiredtofurnishdetailssurroundingeachperiodoftravel.Travelexpensereimbursementdetailmayinclude,butnotbelimitedto:purposeoftravel,departureandreturntimes,destinationpoints,milesdriven,modeoftransportation,etc.Reimbursementfortravelexpensesmaybewithheldpendingreceiptofadequatetraveldocumentation.6.Contractorsaretoconsultwiththeprogramwithwhichthecontractisheldtoobtainspecificinvoicingprocedures.PerDiemReimbursementGuideLengthoftravelperiodThisconditionexists.,.AllowableMeal{s)Lessthan24hoursTripbeginsatorbefore6a.m.andendsatorafter9a.m.Breakfastmaybeclaimed.Lessthan24hoursTripbeginsatorbefore4p.m.andendsatorafter7p.m.Dinnermaybeclaimed.Contractormaynotclaimlunchorincidentalsonone-daytrips.Whentripsarelessthan24hoursandthornsnoovernightstay,mealsclaimedaretaxable24hoursTripbeginsatorbefore6a.m.Breakfastmaybeclaimed.24hoursTripbeginsatorbefore11a.m.Lunchmaybeclaimed.24hoursTripbeginsatorbefore5p.m.Dinnermaybeclaimed.Morethan24hoursTripendsatorafter8a.m.Breakfastmaybeclaimed.Morethan24hoursTripendsatorafter2p.m.Lunchmaybeclaimed.Morethan24hoursTripendsatorafter7p.m.Dinnermaybeclaimed.ContractormaynotclaimmealsprovidedbytheState,mealsincludedinhotelexpensesorconferencefees,mealsIncludedintransportationcostssuchasairlinetickets,ormealsthatareotherwiseprovided.Snacksandcontinentalbreakfastssuchasrolls,juice,andcoffeearenotconsideredtobemealsCDPHCMU01(04/15)Page2of2 STATEOt'CAI.|FOKNJA-OKt>AfitMCNlOrflNANCCPAYEEDATARECORD(RequiredwhanreceivingpaymentfromtheStateofCaliforniainlieuofIRSW-9)STO.2<M(Rvv.6-2003!1INSTRUCTIONS:Completeallinformationonthisform.Sign,dale,andreturntothoStateagency(deprnlment/otficajaddressshownatthobottomofthispage.Promptreturnofthisfullycomplotudformwillpreventdelayswhenprocessingpayments.InformationprovidedInthisformwillbeusedbyStateagenciestoprepareInformationReturns(1099),SeereversesideformoreInformationandPrivacyStatement.NOTE:Governmentalentities,federal.State,andlor.nl(includingschooldistricts),arenotrequiredInsubmitthisform.2PAYEE’SLEGALBUSINESSNAME(TypeorPrint)SOLEPROPRIETOR'-ENTERNAMEASSHOWNONSSN(Last.Firat.'STfE-MAILADDRESSMAILINGADDRESSCITY,STATE,ZIPCODEBUSINESSADDRESSCITY,STATE,ZI'PCODET3PAYEEENTITYTYPECHECKONEBOXONLYENTERFEDERALEMPLOYERIDENTIFICATIONNUMBER(FEIN):LLLiLLIIPARTNERSHIPIlESTATEORTRUSTCORPORATION:OMEDICAL(CM!,dentistry,psychotherapy,chiropractic,otc.)LEGAL(o.fl.attorneystnvicfis)QEXEMPT(nonprofit)ALLOTHERS[IINDIVIDUALORSOLEPROPRIETORENTERSOCIALSECURITYNUMBER;(SSNrequiredtryaulhoniyofCaliforniaRevenueandTaxCodeSectionIfifirHf)NOTE:PaymentwillnotbeprocessedwithoutanaccompanyingtaxpayerI.D.number.4PAYEERESIDENCYSTATUSCliCaliforniaresident-QualifiedtodobusinessinCaliforniaormaintainsapermanentplaceofbusinessinCalifornia.[ZDCalifornianonresident(seereverseside)-PaymentslononresidentsforservicesmaybosubjecttoSlateincometaxwithholding.NoservicesperformedinCalifornia.CopyofFranchiseTaxBoardwaiverofStatewithholdingattached.5Iherebycertifyunderpenaltyofperjurythatthoinformationprovidedonthisdocumentistrueandcorrect.Shouldmyresidencystatuschange,IwillpromptlynotifytheStateagencybeiow.AUTHORIZEDPAYEEREPRESENTATIVE'SNAME(TypoOrPrint)SIGNATURETITLEDATETELEPHONEI)Pleasereturncompletedformto:Department/Office:UnitfSection:MailingAddress:_City/State/ZIp:Telephone:(}_Fax:().E-mailAddress: STATEOF'CAMFORNIA-MlSPAKIMttN!OrflNANUI;PAYEEDATARECORDSTD.504{Rev65003)(REVERSE)1RequirementtoComplotoPaveeDataRecord,STD.204AcompletedPayooDaraRecord,STD.204,isrequiredforpaymentstoallnon-governmentalentitlesandwillboKeptonfileateachStateagency,SinceeachStaleagencywithwhichyoudobusinessmusthaveaseparateSTD.204onfile,itispossibleforapayeetoreceivethisformfromvariousStateagencies.PayeeswhodonotwishtocompletetheSTD.204mayelecttonotdobusinesswiththeState.IfthepayeedoesnotcompletetheSTD.204andtherequiredpayeedataisnototherwiseprovided,paymentmaybereducedforfederalbackupwithholdingandnonresidentSlateincometaxwithholding.AmountsreportedonInformationReturns(1099)areinaccordancewiththeInternalRevenueCodeandtheCaliforniaRevenueandTaxationCode.2Enterthepayee’slegalbusinessname.Soleproprietorshipsmustalsoincludetheowner’sfullname,Anindividualmustlisthis/herfullname.Tiremailingaddressshouldbethoaddressatwhichthepayeechoosestoreceivecorrespondence.Donotenterpaymentaddressorlockboxinformationhere.3Checktheboxthatcorrespondstothepayeebusinesstype.Checkonlyonebox.Corporationsmustchecktheboxthatidentifiesthetypeofcorporation.TheStateofCaliforniarequiresthatalipartiesenteringintobusinesstransactionsthatmayleadtopayment(s)fromHieStateprovidetheirTaxpayerIdentificationHumber(TIN).TheT!NisrequiredbytheCaliforniaRevenueandTaxationCodeSection18646tofacilitatetaxcomplianceenforcementactivitiesandthepreparationofForm1099andotherinformationreturnsasrequiredbytheinternalRevenueCodeSection6109(a).TheTINfofindividualsandsoleproprietorshipsistheSocialSecurityNumber(SSN).Onlypartnerships,estates,trusts,andcorporationswillentertheirFederalEmployerIdentificationNumber(FEiN),4ArevouaCaliforniaresidentornonrosidont?Acorporationwillbedefinedasa"resident"ifithasapermanentplaceofbusinessinCaliforniaorir>qualifiedthroughtheSecretaryofStatetodobusinessinCalifornia.ApartnershipisconsideredaresidentpartnershipifIthasapermanentplaceofbusinessinCalifornia.AnestateisaresidentifthedecedentwasaCaliforniaresidentattimeofdeath.AtrustisaresidentifatleastonetrusteeisaCaliforniaresident.Forindividualsandsoleproprietors,theterm"resident"includeseveryindividualwhoisinCaliforniaforotherthanatemporaryortransitorypurposeandanyindividualdomiciledinCaliforniawhoisabsentforatemporaryortransitorypurpose.Generally,anindividualwhocomestoCaliforniaforapurposethatwillextendoveralongorindefiniteperiodwillbeconsideredaresident.However,anindividualwhocomestoperformaparticularcontractofshortdurationwillbeconsideredanonresident.Paymentstoailnonresidentsmaybesubjecttowithholding.NonresidentpayeesperformingservicesinCaliforniaorreceivingrent,lease,orroyaltypaymentsfromproperty(realorpersonal)iocatedinCaliforniawillhave7%oftheirtotalpaymentswithheldforStateincometaxes.However,nowithholdingisrequirediftotalpaymentstothepayeeare$1,500orlessforthecalendaryear.ForInformationonNonresidentWithholding,contacttheFranchiseTaxBoardatthonumberslistedbelow:WithholdingServicesandComplianceSection:1-888-792-4900E-maiiaddress:vjscs.gon@ttb.cs.govForhearingimpairedwithTDD,call:1-800-822-6268Wobsito:www.ftb.ca.gov5Providethename,title,signature,andtelephonenumberoftheindividualcompletingthisform.Providethedatethoformwascompleted.6ThissectionmusibecompletedbytheStateagencyrequestingIhoSTD.204,PrivacyStatementSection7(b)ofthePrivacyActor1974(PublicLaw93-579)requiresthatanyfederal.Slate,orlocalgovernmentalagency,whichrequesisanindividualtodisclosetheirsocialsecurityaccountnumber,shallinformthatindividualwhetherthatdisclosureismandatoryorvoluntary,bywhichstatutoryorotherauthoritysuchnumberissolicited,andwhatuseswillbemadeofit.itismandatorytofurnislitheinformationrequested.FederallawrequiresthatpaymentforwhichtherequestedinformationisnotprovidedissubjecttofederalbackupwithholdingandStalelawimposesnoncompliancepenaltiesofupto$20,000.Youhavetherighttoaccessrecordscontainingyourpersonalinformation,suchasyourSSN.Toexercisethatright,ploasocontactthobusinessservicesunitortheaccountspayableunitoftheStateagency(ies)withwhichyoutransactthatbusiness.AilquestionsshouldbereferredtotherequestingStateagencylistedonthebottomfrontofthisform. ctCaliforniai-toaitnaidHuman5t«vi«?aAgencyOaWcrwaOeparimen:ofPut&cHcaiViContractor’sReleaseExhibitKInstructionstoContractor:Withfinalinvoice(s)submitone(1)originalandone(1)copy.TheoriginalmustbeartheoriginalsignatureofapersonauthorizedtobindtheContractor.Theadditionalcopymaybearphotocopiedsignatures.SubmissionofPinalInvoicePursuanttocontractnumber15.10940enteredintobetweentheStateofCaliforniaDepartmentofPublicHealth(CDPH)andtheContractor(identifiecfbelow),thoContractordoesacknowledgethatfinalpaymenthasbeenrequestedviainvoicenumbor(s),inthearnount(s)of$_____anadatedIfnecessary,enter"SeeAttached"intheappropriateblocksandattachalistofinvoicenumbers,dollaramountsandinvoicedates.ReleaseofallObligationsBysigningthisform,anduponreceiptoftheamountspecifiedintheinvoicenumber(s)referencedabove,theContractordoesherebyreleaseanddischargetheState,itsofficers,agentsandemployeesofandfromanyandailliabilities,obligations,claims,anddemandswhatsoeverarisingfromtheabovereferencedcontract.RepaymentsDuetoAuditExceptions/RecordRetentionBysigningthisform,Contractoracknowledgesthatexpensesauthorizedforreimbursementdoesnotguaranteefinalallowabilityofsaidexpenses.ContractoragreesthattheamountofanysustainedauditexceptionsresultingfromanysubsequentauditmadeafterfinalpaymentwillberefundedtotheSlate,Allexpenseandaccountingrecordsrelatedtothoabovereferencedcontractmustbemaintainedforauditpurposesfornolessthanthreeyearsbeyondthedaleoffinalpayment,unlessalongertermisstaledinsaidcontract.RecycledProductUseCertificationBysigningthisform,Contractorcertifiesunderpenaltyofperjurythataminimumof0%unlessotherwisespecifiedinwritingofpostconsumermaterial,asdefinedinfhePublicContractCodeSection12200,inproducts,materials,goods,orsuppliesofferedorsoldtotheStateregardlessofwhetheritmeetstherequirementsofPublicContractCodeSection12209.ContractorspecifiesthatprinterorduplicationcartridgesofferedorsoldtothoStatecomplywilhtherequirementsofSection12156(e).RemindertoReturnStateEquipment/Property(IfApplicabio)(AppliesonlyifequipmentwasprovidedbyCDPHorpurchasedwilhorreimbursedbycontractfunds)UnlessCDPHhasapprovedthecontinueduseandpossessionofStateequipment(asdefinedintheabovereferencedcontract)foruseinconnectionwithanotherCDPHagreement,ContractoragreestopromptlyinitiatearrangementstoaccountforandreturnsaidequipmenttoCDPH,atCDPH'sexpense,ifsaidequipmenthasnotpasseditsusefullifeexpectancyasdefinedintheabovereferencedcontract.Patents/OtherIssuesBysigningthisform,Contractorfurtheragrees,inconnectionwithpatentmattersandwithanyclaimsthatarenotspecificallyreleasedassetforthabove,thatitwillcomplywithalloftheprovisionscontainedintheabovereferencedcontract,including,butnotlimitedto,thoseprovisionsrelatingtonotificationtotheStateandrelatedtothedefenseorprosecutionoflitigation.ONLYSIGNANDDATETHISDOCUMENTWHENATTACHINGTOTHEFINALINVOICEContractor'sLegalName(asnncontract):CountyofFresnoSignatureofContractororOfficialDesignee:Date:PrintedName/TitieofPersonSigning:CDPHDistribution:Accounting(Original)CDPH235S(7/07)Program