Attachment B Sample Contracts

Attachment B PROFESSIONAL SERVICES CONTRACT EDS#_____________________
Attachment B • October 10th, 2018 • Indiana

This Contract (this "Contract”), entered into by and between the Indiana Department of Child Services (the “State” or "DCS") and _________________________ (the “Contractor”) (jointly, “the Parties”), is executed pursuant to the terms and conditions set forth herein. In consideration of those mutual undertakings and covenants, the parties agree as follows:

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STANDARD PROFESSIONAL SERVICES AGREEMENT
Attachment B • August 9th, 2018 • California

This Agreement is made and entered into this day of , 20 , by and between the CITY OF SAN RAFAEL (hereinafter "CITY"), and (hereinafter "CONTRACTOR").

BUSINESS ASSOCIATE AGREEMENT
Attachment B • October 18th, 2016

Except as otherwise provided in this Agreement, Arissa Cost Strategies, LLC hereinafter referred to as BUSINESS ASSOCIATE, may use, access or disclose Protected Health Information to perform functions, activities or services for or on behalf of the COUNTY OF SAN BERNARDINO, hereinafter referred to as the COVERED ENTITY, as specified in this Agreement and the attached CONTRACT, provided such use, access or disclosure does not violate the Health Insurance Portability and Accountability Act (HIPAA), 42 United States Code (USC) 1320d et seq., and its implementing regulations, including but not limited to, 45 Code of Federal Regulations (CFR) Parts 160, 162, and 164, hereinafter referred to as the Privacy and Security Rules and patient confidentiality regulations, including but not limited to, California Civil Code 56 – 56.16, 56.20, 56.36, and Health and Safety Codes 1280.1, 1280.3, 1280.15, 130200 and the requirements of the Health Information Technology for Economic and Clinical Health A

ATTACHMENT B
Attachment B • December 1st, 2016

The work or services under the contract with the Town of Lyons (“Town”) to which this Attachment B is attached (“Agreement”) is/are funded in whole or in part through State of Colorado Community Development Block Grant Disaster Recovery Program (“CDBG-DR”) funds, which require compliance with all the provisions contained in this Attachment B to the Agreement and all other applicable Federal and State laws and regulations. The provisions below are incorporated into and made part of the Agreement. If the Agreement is between the Town and the “Consultant,” the term “Contractor” as used herein shall mean the “Consultant.”

For Option 2 (Non-Monetary Assistance) MEMORANDUM OF UNDERSTANDING (MOU)
Attachment B- • December 10th, 2020

This Memorandum of Understanding (MOU) is by and between the Association of State and Territorial Health Officials (“ASTHO”) and (state agency name). ASTHO and State Agency are collectively referred to as “Parties”).

BUSINESS ASSOCIATE AGREEMENT
Attachment B • August 22nd, 2016

Except as otherwise provided in this Agreement, A Plus Court Reporters, Inc. hereinafter referred to as BUSINESS ASSOCIATE, may use, access or disclose Protected Health Information to perform functions, activities or services for or on behalf of the COUNTY OF SAN BERNARDINO, hereinafter referred to as the COVERED ENTITY, as specified in this Agreement and the attached CONTRACT, provided such use, access or disclosure does not violate the Health Insurance Portability and Accountability Act (HIPAA), 42 United States Code (USC) 1320d et seq., and its implementing regulations, including but not limited to, 45 Code of Federal Regulations (CFR) Parts 160, 162, and 164, hereinafter referred to as the Privacy and Security Rules and patient confidentiality regulations, including but not limited to, California Civil Code 56 – 56.16, 56.20, 56.36, and Health and Safety Codes 1280.1, 1280.3, 1280.15, 130200 and the requirements of the Health Information Technology for Economic and Clinical Health

COUNTY OF SISKIYOU CONTRACT FOR SERVICES
Attachment B • May 1st, 2023 • California
DHHS HIPAA BUSINESS ASSOCIATE AGREEMENT PROVISIONS SERVICES CONTRACTS
Attachment B • May 5th, 2020
Interconnection Study Agreement (Normal Review)
Attachment B • March 24th, 2020

WHEREAS, Wabash Valley Power Association (Wabash) is an Indiana non-profit cooperative which purchases, sells, and transmits electricity to its member systems; and WHEREAS, Wabash is the all-requirements power supplier for the Cooperative, and WHEREAS, Ameren Transmission Services Co. (“Ameren”) operates a transmission system over which Wabash transmits power to Wabash and/or Cooperative facilities; and

ATTACHMENT B PROFESSIONAL SERVICES CONTRACT
Attachment B • March 18th, 2019 • Indiana

This Contract (“this Contract”), entered into by and between _____________________ (the “State”) and _________________ (the “Contractor”), is executed pursuant to the terms and conditions set forth herein. In consideration of those mutual undertakings and covenants, the parties agree as follows:

BUSINESS ASSOCIATE AGREEMENT
Attachment B • August 22nd, 2016

Except as otherwise provided in this Agreement, Veritext Corp dba Hahn & Bowersock hereinafter referred to as BUSINESS ASSOCIATE, may use, access or disclose Protected Health Information to perform functions, activities or services for or on behalf of the COUNTY OF SAN BERNARDINO, hereinafter referred to as the COVERED ENTITY, as specified in this Agreement and the attached CONTRACT, provided such use, access or disclosure does not violate the Health Insurance Portability and Accountability Act (HIPAA), 42 United States Code (USC) 1320d et seq., and its implementing regulations, including but not limited to, 45 Code of Federal Regulations (CFR) Parts 160, 162, and 164, hereinafter referred to as the Privacy and Security Rules and patient confidentiality regulations, including but not limited to, California Civil Code 56 – 56.16, 56.20, 56.36, and Health and Safety Codes 1280.1, 1280.3, 1280.15, 130200 and the requirements of the Health Information Technology for Economic and Clinical H

ATTACHMENT B
Attachment B • January 20th, 2016

("Group") (insert name of contracting Group) dated (date to be completed by Cenpatico) pursuant to which Group has agreed to provide Covered Services to Cenpatico Covered Persons through Group Clinicians (the "Agreement"); and

ATTACHMENT B
Attachment B • April 13th, 2016 • California

(“Provider”) and the City of Orinda (“City”), a municipal corporation, agree as follows. City and Provider are sometimes individually referred to herein as “Party” and collectively as “Parties.”

AGREEMENT FOR SERVICES OF INDEPENDENT CONTRACTOR
Attachment B • September 4th, 2020 • California

THIS AGREEMENT (hereafter, “Agreement”) is made by and between the SANTA BARBARA COUNTY ASSOCIATION OF GOVERNMENTS (hereafter, “SBCAG”) and KNN

This Agreement is entered into as of June 2018 to June 2018 between (“Client MJ ”)
Attachment B • April 27th, 2018

Independent Consultant: Subject to the terms and conditions of this Agreement, Client MJ hereby engages the Consultant as an independent consultant to perform the services set forth herein, and the Consultant hereby accepts such engagement.

ATTACHMENT B
Attachment B • January 21st, 2016

("Group") (insert name of contracting Group) dated (date to be completed by Cenpatico) pursuant to which Group has agreed to provide Covered Services to Cenpatico Covered Persons through Group Clinicians (the "Agreement"); and

SAMPLE PARTICIPATION AGREEMENT
Attachment B • June 18th, 2019 • New York

This Agreement is entered into by and between the New York State Energy Research and Development Authority (“NYSERDA”), having its principal place of business at 17 Columbia Circle, Albany, New York 12203, and Investor Name, having its principal place of business at Investor Address (hereinafter “Investor”, and collectively with NYSERDA, the “Parties”).

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