Common use of XX WITNESS WHEREOF Clause in Contracts

XX WITNESS WHEREOF. the Parties hereto have caused their duly authorized representatives to execute this Agreement as of the Effective Date. XXXX XXXXXXXXXX CANCER RESEARCH CENTER By: USER INSTITUTION By: Xxxxxxx Xxxxxx, PhD Name Director, Technology Management, Name Business Development & Industry Relations Title Date: Title Date: WHI Investigator, User Principal Investigator, and Collaborators, by affixing their signatures below, acknowledge that they have read and understood the terms of this Agreement, the attached CMS DUA 19098, and the U.S. Department of Justice Privacy Act of 1974 (xxxx://xxx.xxxxxxx.xxx/opcl/privacy- act-1974). Include all collaborators, statisticians/analysts who will have access to the CMS data via the VDE under the direct supervision of the User. WHI Investigator By: Name: Xxxxxx Xxxxxxxx, PhD Title: WHI CCC Principal Investigator Date: User Principal Investigator Collaborator/ Statistician/Analyst By: Name: Title: Date: By: Name: Title: Date: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES DATA USE AGREEMENT DUA # Form Approved OMB No. 0938-0734 RSCH-2017-51309 (AGREEMENT FOR USE OF CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) DATA CONTAINING INDIVIDUAL IDENTIFIERS) #-3 AGREES TO PROVIDE THE 5SER WITH DATA THAT RESIDE IN A #-3 0RIVACY !CT 3YSTEM OF 2ECORDS AS IDENTIFIED IN THIS !GREEMENT. )N EXCHANGE, THE 5SER AGREES TO PAY ANY APPLICABLE FEES; THE 5SER AGREES TO USE THE DATA ONLY FOR PURPOSES THAT SUPPORT THE 5SER’S STUDY, RESEARCH OR PROJECT REFERENCED IN THIS !GREEMENT, WHICH HAS BEEN DETERMINED BY #-3 TO provide assistance to CMS in monitoring, managing and improving the Medicare and Medicaid programs or the services PROVIDED TO BENEFICIARIES; AND THE 5SER AGREES TO ENSURE THE INTEGRITY, SECURITY, AND CONFIDENTIALITY OF THE DATA BY COMPLYING with the terms of this Agreement and applicable law, including the Privacy Act and the Health Insurance Portability and !CCOUNTABILITY !CT. )N ORDER TO SECURE DATA THAT RESIDE IN A #-3 0RIVACY !CT 3YSTEM OF 2ECORDS; IN ORDER TO ENSURE THE INTEGRITY, SECURITY, AND CONFIDENTIALITY OF INFORMATION MAINTAINED BY THE #-3; AND TO PERMIT APPROPRIATE DISCLOSURE AND USE of such data as permitted by law, CMS and National Heart, Lung, and Blood Institute enter into this agreement to comply with the following specific paragraphs. (Requestor)

Appears in 1 contract

Samples: Agreement for Use

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XX WITNESS WHEREOF. the Parties hereto have caused their duly authorized representatives to execute this Agreement as of the Effective Date. XXXX XXXXXXXXXX CANCER RESEARCH CENTER By: USER INSTITUTION By: Xxxxxxx Xxxxxx, PhD Name Director, Technology Management, Name Business Development & Industry Relations Title Date: Title Date: WHI Investigator, User Principal Investigator, and Collaborators, by affixing their signatures below, acknowledge that they have read and understood the terms of this Agreement, the attached CMS DUA 19098, and the U.S. Department of Justice Privacy Act of 1974 (xxxx://xxx.xxxxxxx.xxx/opcl/privacy- act-1974). Include all collaborators, statisticians/analysts who will have access to the CMS data via the VDE under the direct supervision of the User. WHI Investigator By: Name: Xxxxxx Xxxxxxxx, PhD Title: WHI CCC Principal Investigator Date: User Principal Investigator Collaborator/ Statistician/Analyst By: Name: Title: Date: By: Name: Title: Date: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES DATA USE AGREEMENT DUA # Form Approved OMB No. 0938-0734 RSCH-2017-51309 (AGREEMENT FOR USE OF CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) DATA CONTAINING INDIVIDUAL IDENTIFIERS) #-3 AGREES TO PROVIDE THE 5SER WITH DATA THAT RESIDE IN A #-3 0RIVACY !CT 3YSTEM OF 2ECORDS AS IDENTIFIED IN THIS !GREEMENT. )N EXCHANGE, THE 5SER AGREES TO PAY ANY APPLICABLE FEES; THE 5SER AGREES TO USE THE DATA ONLY FOR PURPOSES THAT SUPPORT THE 5SER’S STUDY, RESEARCH OR PROJECT REFERENCED IN THIS !GREEMENT, WHICH HAS BEEN DETERMINED BY #-3 TO provide assistance to CMS in monitoring, managing and improving the Medicare and Medicaid programs or the services PROVIDED TO BENEFICIARIES; AND THE 5SER AGREES TO ENSURE THE INTEGRITY, SECURITY, AND CONFIDENTIALITY OF THE DATA BY COMPLYING with the terms of this Agreement and applicable law, including the Privacy Act and the Health Insurance Portability and !CCOUNTABILITY !CT. )N ORDER TO SECURE DATA THAT RESIDE IN A #-3 0RIVACY !CT 3YSTEM OF 2ECORDS; IN ORDER TO ENSURE THE INTEGRITY, SECURITY, AND CONFIDENTIALITY OF INFORMATION MAINTAINED BY THE #-3; AND TO PERMIT APPROPRIATE DISCLOSURE AND USE of such data as permitted by law, CMS and National Heart, Lung, and Blood Institute enter into this agreement to comply with the following specific paragraphs. (Requestor)

Appears in 1 contract

Samples: Agreement for Use

XX WITNESS WHEREOF. the Parties hereto have caused their duly authorized representatives to execute this Agreement as of the Effective Date. XXXX XXXXXXXXXX CANCER RESEARCH CENTER By: USER INSTITUTION By: Xxxxxxx Xxxxxx, PhD Name Director, Technology Management, Name Business Development & Industry Relations Title Date: Title Date: WHI Investigator, User Principal Investigator, and Collaborators, by affixing their signatures below, acknowledge that they have read and understood the terms of this Agreement, the attached CMS DUA 19098, and the U.S. Department of Justice Privacy Act of 1974 (xxxx://xxx.xxxxxxx.xxx/opcl/privacy- act-1974). Include all collaborators, statisticians/analysts who will have access to the CMS data via the VDE under the direct supervision of the User. WHI Investigator By: Name: Xxxxxx Xxxxxxxx, PhD Title: WHI CCC Principal Investigator Date: User Principal Investigator Collaborator/ Statistician/Analyst By: Name: Title: Date: By: Name: Title: Date: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES DATA USE AGREEMENT DUA # Form Approved OMB No. 0938-0734 RSCH-2017-51309 (AGREEMENT FOR USE OF CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) DATA CONTAINING INDIVIDUAL IDENTIFIERS) #-3 AGREES TO PROVIDE THE 5SER WITH DATA THAT RESIDE IN A #-3 0RIVACY !CT 3YSTEM OF 2ECORDS AS IDENTIFIED IN THIS !GREEMENTCMS agrees to provide the User with data that reside in a CMS Privacy Act System of Records as identified in this Agreement. )N EXCHANGEIn exchange, THE 5SER AGREES TO PAY ANY APPLICABLE FEESthe User agrees to pay any applicable fees; THE 5SER AGREES TO USE THE DATA ONLY FOR PURPOSES THAT SUPPORT THE 5SER’S STUDYthe User agrees to use the data only for purposes that support the User's study, RESEARCH OR PROJECT REFERENCED IN THIS !GREEMENTresearch or project referenced in this Agreement, WHICH HAS BEEN DETERMINED BY #-3 TO which has been determined by CMS to provide assistance to CMS in monitoring, managing and improving the Medicare and Medicaid programs or the services PROVIDED TO BENEFICIARIESprovided to beneficiaries; AND THE 5SER AGREES TO ENSURE THE INTEGRITYand the User agrees to ensure the integrity, SECURITYsecurity, AND CONFIDENTIALITY OF THE DATA BY COMPLYING and confidentiality of the data by complying with the terms of this Agreement and applicable law, including the Privacy Act and the Health Insurance Portability and !CCOUNTABILITY !CTAccountability Act. )N ORDER TO SECURE DATA THAT RESIDE IN A #-3 0RIVACY !CT 3YSTEM OF 2ECORDSIn order to secure data that reside in a CMS Privacy Act System of Records; IN ORDER TO ENSURE THE INTEGRITYin order to ensure the integrity, SECURITYsecurity, AND CONFIDENTIALITY OF INFORMATION MAINTAINED BY THE #-3and confidentiality of information maintained by the CMS; AND TO PERMIT APPROPRIATE DISCLOSURE AND USE and to permit appropriate disclosure and use of such data as permitted by law, CMS and National Heart, Lung, and Blood Institute enter into this agreement to comply with the following specific paragraphs. (Requestor).

Appears in 1 contract

Samples: Agreement for Use

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XX WITNESS WHEREOF. the Parties hereto have caused their duly authorized representatives to execute this Agreement as of the Effective Date. XXXX XXXXXXXXXX CANCER RESEARCH CENTER By: USER INSTITUTION By: Xxxxxxx Xxxxxx, PhD Name Director, Technology Management, Name Business Development & Industry Relations Title Date: Title Date: WHI Investigator, User Principal Investigator, and Collaborators, by affixing their signatures below, acknowledge that they have read and understood the terms of this Agreement, the attached CMS DUA 19098, and the U.S. Department of Justice Privacy Act of 1974 (xxxx://xxx.xxxxxxx.xxx/opcl/privacy- act-1974). Include all collaborators, statisticians/analysts who will have access to the CMS data via the VDE under the direct supervision of the User. WHI Investigator By: Name: Xxxxxx Xxxxxxxx, PhD Title: WHI CCC Principal Investigator Date: User Principal Investigator Collaborator/ Statistician/Analyst By: Name: Title: Date: By: Name: Title: Date: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES DATA USE AGREEMENT DUA # Form Approved OMB No. 0938-0734 RSCH-2017-51309 (AGREEMENT FOR USE OF CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) DATA CONTAINING INDIVIDUAL IDENTIFIERS) #-3 AGREES TO PROVIDE THE 5SER WITH DATA THAT RESIDE IN A #-3 0RIVACY !CT 3YSTEM OF 2ECORDS AS IDENTIFIED IN THIS !GREEMENTCMS agrees to provide the User with data that reside in a CMS Privacy Act System of Records as identified in this Agreement. )N EXCHANGEIn exchange, THE 5SER AGREES TO PAY ANY APPLICABLE FEESthe User agrees to pay any applicable fees; THE 5SER AGREES TO USE THE DATA ONLY FOR PURPOSES THAT SUPPORT THE 5SER’S STUDYthe User agrees to use the data only for purposes that support the User's study, RESEARCH OR PROJECT REFERENCED IN THIS !GREEMENTresearch or project referenced in this Agreement, WHICH HAS BEEN DETERMINED BY #-3 TO which has been determined by CMS to provide assistance to CMS in monitoring, managing and improving the Medicare and Medicaid programs or the services PROVIDED TO BENEFICIARIESprovided to beneficiaries; AND THE 5SER AGREES TO ENSURE THE INTEGRITYand the User agrees to ensure the integrity, SECURITYsecurity, AND CONFIDENTIALITY OF THE DATA BY COMPLYING and confidentiality of the data by complying with the terms of this Agreement and applicable law, including the Privacy Act and the Health Insurance Portability and !CCOUNTABILITY !CTAccountability Act. )N ORDER TO SECURE DATA THAT RESIDE IN A #-3 0RIVACY !CT 3YSTEM OF 2ECORDSIn order to secure data that reside in a CMS Privacy Act System of Records; IN ORDER TO ENSURE THE INTEGRITYin order to ensure the integrity, SECURITYsecurity, AND CONFIDENTIALITY OF INFORMATION MAINTAINED BY THE #-3and confidentiality of information maintained by the CMS; AND TO PERMIT APPROPRIATE DISCLOSURE AND USE and to permit appropriate disclosure and use of such data as permitted by law, CMS and National Heart, Lung, and Blood Institute enter into this agreement to comply with the following specific paragraphs. (Requestor).

Appears in 1 contract

Samples: Agreement for Use

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