Common use of HIPPA BUSINESS ASSOCIATE AGREEMENT Clause in Contracts

HIPPA BUSINESS ASSOCIATE AGREEMENT. The “Business Associate Agreement by and between Contracting Agency and CONFIRE” is set forth in Exhibit E. The Parties have executed this Agreement on the dates indicated below. Consolidated Fire Agencies Date: , 2022 Xxxxx Ambulance, Inc Date: , 2022 By: By: Print Name: Xxxx Xxxx Print Name: Its: Acting Director Its: EXHIBIT A to CONTRACTING AGENCY AGREEMENT SCOPE OF SERVICES

HIPPA BUSINESS ASSOCIATE AGREEMENT. The “Business Associate Agreement by and between Contracting Agency and CONFIRE” is set forth in Exhibit E. The Parties have executed this Agreement on the dates indicated below. Consolidated Fire Agencies Date: , 2022 Xxxxx Ambulance, Inc City of Montclair Date: , 2022 By: By: Print Name: Xxxx Xxxx Print Name: Its: Acting Director Its: EXHIBIT A to CONTRACTING AGENCY AGREEMENT SCOPE OF SERVICES

HIPPA BUSINESS ASSOCIATE AGREEMENT. The “Business Associate Agreement by and between Contracting Agency and CONFIRE” is set forth in Exhibit E. The Parties have executed this Agreement on the dates indicated below. Consolidated Fire Agencies Date: , 2022 2023 Xxxxx Ambulance, Inc Date: , 2022 2023 By: By: Print Name: Xxxx Xxxx Xxxxxx Xxxxx Print Name: Its: Acting Interim Director Its: EXHIBIT A to CONTRACTING AGENCY AGREEMENT SCOPE OF SERVICES

HIPPA BUSINESS ASSOCIATE AGREEMENT. The “Business Associate Agreement by and between Contracting Agency and CONFIRE” is set forth in Exhibit E. The Parties have executed this Agreement on the dates indicated below. Consolidated Fire Agencies Date: , 2022 Xxxxx Ambulance, Inc 2024 Big Bear Fire Authority Date: , 2022 2024 By: By: Print Name: Xxxx Xxxx Xxxxxx Xxxxx Print Name: Its: Acting Interim Director Its: EXHIBIT A to CONTRACTING AGENCY AGREEMENT SCOPE OF SERVICESSERVICES 1. CONFIRE shall provide the following services to the Contracting Agency (“Services”):

HIPPA BUSINESS ASSOCIATE AGREEMENT. The “Business Associate Agreement by and between Contracting Agency and CONFIRE” is set forth in Exhibit E. The Parties have executed this Agreement on the dates indicated below. Consolidated Fire Agencies Date: , 2022 2024 Xxxxx Ambulance, Inc Date: , 2022 2024 By: By: Print Name: Xxxx Xxxx Xxxxxx Xxxxx Print Name: Its: Acting Interim Director Its: EXHIBIT A to CONTRACTING AGENCY AGREEMENT SCOPE OF SERVICES

HIPPA BUSINESS ASSOCIATE AGREEMENT. The “Business Associate Agreement by and between Contracting Agency and CONFIRE” is set forth in Exhibit E. The Parties have executed this Agreement on the dates indicated below. Consolidated Fire Agencies Date: , 2022 Xxxxx Ambulance, Inc 2023 City of Montclair Date: , 2022 2023 By: By: Print Name: Xxxx Xxxx Xxxxxx Xxxxx Print Name: Its: Acting Interim Director Its: EXHIBIT A to CONTRACTING AGENCY AGREEMENT SCOPE OF SERVICES

HIPPA BUSINESS ASSOCIATE AGREEMENT. The “Business Associate Agreement by and between Contracting Agency and CONFIRE” is set forth in Exhibit E. The Parties have executed this Agreement on the dates indicated below. Consolidated Fire Agencies Date: , 2022 Xxxxx Ambulance, Inc 2023 Big Bear Fire Department Date: , 2022 2023 By: By: Print Name: Xxxx Xxxx Xxxxxx Xxxxx Print Name: Its: Acting Interim Director Its: EXHIBIT A to CONTRACTING AGENCY AGREEMENT SCOPE OF SERVICES

HIPPA BUSINESS ASSOCIATE AGREEMENT. The “Business Associate Agreement by and between Contracting Agency and CONFIRE” is set forth in Exhibit E. The Parties have executed this Agreement on the dates indicated below. Consolidated Fire Agencies Date: , 2022 Xxxxx Ambulance, Inc 2024 City of Montclair Date: , 2022 2024 By: By: Print Name: Xxxx Xxxx Xxxxxx Xxxxx Print Name: Its: Acting Interim Communications Director Its: EXHIBIT A to CONTRACTING AGENCY AGREEMENT SCOPE OF SERVICESSERVICES 1. CONFIRE shall provide the following services to the Contracting Agency (“Services”):