Attachment A - Specifications of Work to be Performed Attachment B - Payment Provisions Attachment C - Customary State Contract provisions Attachment E - Business Associate Agreement Attachment F - Customary Contract Provisions of the Agency of Human...Business Associate Agreement • November 11th, 2022 • Vermont
Contract Type FiledNovember 11th, 2022 JurisdictionBY THE STATE OF VERMONT: BY THE CONTRACTOR: E-SIGNED by Mark Larson March 29, 2014on 2014-03-29 10:41:20 GMT E-SIGNED by Michael Bailit March 28, 2014on 2014-03-28 21:21:28 GMT Mark Larson, Commissioner Date312 Hurricane Lane, Suite 201Williston, VT 05495-2087Phone: 802-879-5901Email: Mark.Larson@state.vt.us Michael Bailit, Title Date56 Pickering StreetNeedham, MA. 02492Phone: 781 453-1166Email:mbailit@bailit-health.com
ContractBusiness Associate Agreement • October 31st, 2022 • Vermont
Contract Type FiledOctober 31st, 2022 Jurisdiction
Attachment A - Specifications of Work to be Performed Attachment B - Payment Provisions Attachment C - Customary State Contract provisions Attachment E - Business Associate Agreement Attachment F - Customary Contract Provisions of the Agency of Human...Business Associate Agreement • December 24th, 2020 • Vermont
Contract Type FiledDecember 24th, 2020 Jurisdiction
ContractBusiness Associate Agreement • November 10th, 2020 • Vermont
Contract Type FiledNovember 10th, 2020 Jurisdiction
Attachment A - Specifications of Work to be Performed Attachment B - Payment Provisions Attachment C - Customary State Contract provisions Attachment E - Business Associate Agreement Attachment F - Customary Contract Provisions of the Agency of Human...Business Associate Agreement • September 18th, 2020 • Vermont
Contract Type FiledSeptember 18th, 2020 Jurisdiction
ContractBusiness Associate Agreement • September 17th, 2020 • Vermont
Contract Type FiledSeptember 17th, 2020 Jurisdiction
ContractBusiness Associate Agreement • September 6th, 2020 • Vermont
Contract Type FiledSeptember 6th, 2020 Jurisdiction
Approval by the Attorney General's Office is required. Approval by the Secretary of Administration is required.Business Associate Agreement • May 5th, 2020 • Vermont
Contract Type FiledMay 5th, 2020 JurisdictionAttachment C - Customary State Contract provisions Attachment D - Modifications of Insurance Attachment E - Business Associate Agreement
Attachment A - Specifications of Work to be Performed Attachment B - Payment Provisions Attachment C - Customary State Contract provisions Attachment E - Business Associate Agreement Attachment F - Customary Contract Provisions of the Agency of Human...Business Associate Agreement • May 5th, 2020 • Vermont
Contract Type FiledMay 5th, 2020 JurisdictionBY THE STATE OF VERMONT: BY THE CONTRACTOR: E-SIGNED by Mark Larson February 25, 2014on 2014-02-25 20:41:08 GMT E-SIGNED by Steve Markenson February 24, 2014on 2014-02-24 16:37:14 GMT Mark Larson, Commissioner Date 312 Hurricane Lane, Suite 201Williston, VT 05495-2087Phone: 802-879-5901Email: Mark.Larson@state.vt.us Steve Markenson, President Date 2191 Defense Highway, Suite 401Crofton, MD 21114Phone: 410-721-0500Email: SMarkenson@WBAResearch.com
Attachment A - Specifications of Work to be Performed Attachment B - Payment Provisions Attachment C - Customary State Contract provisions Attachment E - Business Associate Agreement Attachment F - Customary Contract Provisions of the Agency of Human...Business Associate Agreement • May 5th, 2020 • Vermont
Contract Type FiledMay 5th, 2020 JurisdictionBY THE STATE OF VERMONT: BY THE CONTRACTOR: E-SIGNED by Mark Larson September 29, 2014on 2014-09-29 19:23:49 GMT E-SIGNED by Timothy Masse September 29, 2014on 2014-09-29 18:51:42 GMT MARK LARSON, COMMISSIONER DATE312 Hurricane Lane, Suite 201Williston, VT 05495-2087Phone: 802-879-5901Email: Mark.Larson@state.vt.us TIMOTHY MASSE, PRESIDENT DATE148 College Street, 2nd Floor Burlington, VTPhone: 802-862-4593Email: tmasse@craofvt.com
THERESA FORTNERBusiness Associate Agreement • May 5th, 2020 • Vermont
Contract Type FiledMay 5th, 2020 JurisdictionState Fiscal Manager Program Manager For the Contractor Name: Natalie Elvidge Jenney Samuelson Theresa Fortner Phone #: 802-879-7956 802-872-7532 802-922-1387 E-mail: Natalie.Elvidge@state.vt.us Jenney.Samuelson@state.vt.us Theresa.Fortner@vtmednet.org
LAURA D’ANGELOBusiness Associate Agreement • May 5th, 2020 • Vermont
Contract Type FiledMay 5th, 2020 JurisdictionState Fiscal Manager Program Manager For the Contractor Name: Natalie Elvidge Jenney Samuelson Laura D’Angelo Phone #: 802-879-7956 802-872-7532 802-380-2775 E-mail: Natalie.Elvidge@state.vt.us Jenney.Samuelson@state.vt.us ldangelo97@gmail.com
Attachment A - Specifications of Work to be Performed Attachment B - Payment Provisions Attachment C - Customary State Contract provisions Attachment E - Business Associate Agreement Attachment F - Customary Contract Provisions of the Agency of Human...Business Associate Agreement • May 5th, 2020 • Vermont
Contract Type FiledMay 5th, 2020 JurisdictionBY THE STATE OF VERMONT: BY THE CONTRACTOR: E-SIGNed by Mark Larson on 2013-Jun-11 E-SIGNed by David Mickelson on 2013-Jun-11 MARK LARSON, COMMISSIONER DATE DAVID MICKELSON, PRESIDENT DATE
LEE BRYAN DBA BRYAN RESEARCHBusiness Associate Agreement • May 5th, 2020 • Vermont
Contract Type FiledMay 5th, 2020 JurisdictionState Fiscal Manager Program Manager For the Contractor Name: Natalie Elvidge Jenney Samuelson Lee Bryan Phone #: 802-879-7956 802-872-7532 802-870-3433 E-mail: Natalie.Elvidge@state.vt.us Jenney.Samuelson@state.vt.us lee@bryanresearch.com
Attachment A - Specifications of Work to be Performed Attachment B - Payment Provisions Attachment C - Customary State Contract provisions Attachment E - Business Associate Agreement Attachment F - Customary Contract Provisions of the Agency of Human...Business Associate Agreement • May 5th, 2020 • Vermont
Contract Type FiledMay 5th, 2020 JurisdictionBY THE STATE OF VERMONT: BY THE CONTRACTOR: E-SIGNED by Tom Boyd December 17, 2014on 2014-12-17 15:38:48 GMT E-SIGNED by Girish Panicker December 16, 2014on 2014-12-16 19:31:19 GMT TOM BOYD, DEPUTY COMMISSIONER DATE312 Hurricane Lane, Suite 201Williston, VT 05495-2087Phone: 802-578-4359Email: Tom.Boyd@state.vt.us GIRISH PANICKER, CHIEF EXECUTIVE OFFICER DATE2021 Girard Blvd. SE, Suite 200Albuquerque, NM 87106Phone: 505-217-3725Email: Girish.Panicker@speridian.com
Approval by the Attorney General's Office is required. Approval by the Secretary of Administration is required.Business Associate Agreement • May 5th, 2020 • Vermont
Contract Type FiledMay 5th, 2020 JurisdictionTo the extent notices are made under this agreement, the parties agree that such notices shall only be effective if sent to the following persons as representative of the parties:
LAURA CARLEUBusiness Associate Agreement • May 5th, 2020 • Vermont
Contract Type FiledMay 5th, 2020 JurisdictionState Fiscal Manager Program Manager For the Contractor Name: Natalie Elvidge Jenney Samuelson Laura Carleu Phone #: 802-879-7956 802-872-7532 802-279-3692 E-mail: Natalie.Elvidge@state.vt.us Jenney.Samuelson@state.vt.us ldcarleu@gmail.com
Approval by the Attorney General's Office is required. Approval by the Secretary of Administration is required.Business Associate Agreement • July 11th, 2016 • Vermont
Contract Type FiledJuly 11th, 2016 JurisdictionTo the extent notices are made under this agreement, the parties agree that such notices shall only be effective if sent to the following persons as representative of the parties:
ContractBusiness Associate Agreement • June 20th, 2016 • Vermont
Contract Type FiledJune 20th, 2016 Jurisdiction
ContractBusiness Associate Agreement • February 22nd, 2016 • Vermont
Contract Type FiledFebruary 22nd, 2016 Jurisdiction