Attachment E Sample Contracts

ATTACHMENT E
Attachment E • July 23rd, 2020 • Mississippi

This Contract is made and entered into by and between the Mississippi Transportation Commission (“the Commission” or “MTC”), a body corporate of the State of Mississippi, acting by and through the duly authorized Executive Director of the Mississippi Department of Transportation (MDOT”),

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ATTACHMENT E – PON 3914
Attachment E – • June 3rd, 2019 • New York

personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individuals(s), or the person upon behalf of which the individual(s) acted, executed the document.

AGREEMENT BETWEEN THE VENTURA COUNTY TRANSPORTATION COMMISSION AND Proposer FOR PROFESSIONAL SERVICES
Attachment E • November 21st, 2019 • California

This is an agreement (“Agreement”) by and between the Ventura County Transportation Commission, hereinafter referred to as VCTC, and Proposer hereinafter referred to as CONTRACTOR, to provide professional Financial Auditing services.

BUSINESS ASSOCIATE AGREEMENT
Attachment E • June 11th, 2013

Except as otherwise provided in this Agreement, Malmquist, Fields and Camastra, ALC 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

DATA USE AGREEMENT BETWEEN THE
Attachment E • October 23rd, 2019

This Data Use Agreement (“DUA”) is effective as of the date of the Base Contract into which it is incorporated (“Effective Date”), by and between the Texas Health and Human Services System, which includes the Texas Health and Human Services Commission and the Department of State Health Services (“HHS”) and Contractor (the "Base Contract").

SETTLEMENT AGREEMENT BETWEEN MIRON ENTERPRISES, LLC,
Attachment E • March 18th, 2019

Pursuant to Article 12 of the Commission’s Rules of Practice and Procedure (Rules), the Consumer Protection and Enforcement Division (CPED) and Miron Enterprises, LLC (Miron) (collectively referred to hereafter as “the Settling Parties”) respectfully submit to the Commission this Settlement Agreement (Settlement). The instant Settlement resolves all of CPED’s issues identified in its protest to Miron’s Application.

INDEMNITY AND RELEASE AGREEMENT
Attachment E • October 25th, 2021

In consideration of the above-referenced project, the undersigned potential proposer (“Proposer”) is requesting to have access to the various project locations on SMART’s right-of-way (“Site”). If approved by SMART, Proposer hereby agrees as follows:

HIPAA BUSINESS ASSOCIATE AGREEMENT
Attachment E • January 5th, 2018 • Utah

This Business Associate Agreement (“Agreement”) is entered into between the State of Utah (“STATE”) and (“BUSINESS ASSOCIATE”) for purposes of compliance with the Health Insurance Portability and Accountability Act of 1996, 45 C.F.R Parts 160, Part 162, and Part 164, as amended (“HIPAA”), and the Health Information Technology for Economic and Clinical Health Act, 45 C.F.R. Part 160, as amended (“HITECH Act”).

dotCMS Contributor Agreement ("Agreement")
Attachment E • May 18th, 2021

Thank you for your interest in contributing to the dotCMS Platform. In order to clarify the intellectual property license granted with Contributions from any person or entity, dotCMS must have a dotCMS Contributor Agreement ("DCA") on file that has been signed by each Contributor, indicating agreement to the terms below. This license is for your protection as a Contributor as well as the protection of dotCMS and all dotCMS users; it does not change your rights to use your own Contributions for any other purpose. If you have not already done so, please complete and send an original signed Agreement.

ATTACHMENT E – DRAFT AGREEMENT FOR
Attachment E – • February 28th, 2023

This Agreement (“Agreement”) is between CITIZENS PROPERTY INSURANCE CORPORATION (“Citizens”), a legislatively created Florida governmental entity, having its principal place of business at 2101 Maryland Circle, Tallahassee, Florida 32303, and VENDOR NAME (“Vendor”) having its principal place of business at VENDOR ADDRESS. Citizens and Vendor shall each be known as a “Party,” and collectively shall be known as the “Parties.”

SETTLEMENT AGREEMENT BETWEEN MIRON ENTERPRISES, LLC,
Attachment E • March 18th, 2019

Pursuant to Article 12 of the Commission's Rules of Practice and Procedure (Rules), the Consumer Protection and Enforcement Division (CPED) and Miron Enterprises, LLC (Miron) (collectively referred to hereafter as “the Settling Parties”) respectfully submit to the Commission this Settlement Agreement (Settlement). The instant Settlement resolves all of CPED's issues identified in its protest to Miron's Application.

Attachment E
Attachment E • January 4th, 2022

This Agreement/Order involves the use of funds from a Federal government grant or cooperative agreement—or funds from a subcontract at any tier relating to a Federal government grant or cooperative agreement—and the following clauses from the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (“Uniform Guidance”), Appendix II are incorporated into and form a part of the terms and conditions of the Agreement/Order. The full text of the Uniform Guidance may be found at 2 CFR Part 200. Seller/Vendor agrees to flow down all applicable clauses from the Uniform Guidance to lower-tier subcontractors.

ATTACHMENT E
Attachment E • 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

ATTACHMENT E
Attachment E • April 11th, 2019

Certified Business Firms must have an equal opportunity to participate in the performance of contracts financed with state funds. By submitting its offer, Bidder certifies that it has taken, and if there are further opportunities, will take reasonable steps to ensure that Certified Business Firms are provided an equal opportunity to compete for and participate in the performance of any subcontracts resulting from this procurement.

SAMPLE BIOFUEL CONTRACT FORM
Attachment E • May 4th, 2017 • Hawaii

This contract (“Contract”) is made this day of by and between HAWAIIAN ELECTRIC COMPANY, INC., a Hawaii corporation, with its principal place of business at 900 Richards St., Honolulu, Hawaii, 96813, United States of America (“HECO”), and

DRAFT AGREEMENT FOR SINKHOLE ENGINEERING SERVICES
Attachment E - • June 18th, 2020

This Agreement (“Agreement”) is between CITIZENS PROPERTY INSURANCE CORPORATION (“Citizens”), a legislatively created Florida governmental entity, having its principal place of business at 2101 Maryland Circle, Tallahassee, Florida 32303, and [VENDOR NAME] (“Vendor”) having its principal place of business at [VENDOR ADDRESS]. Citizens and Vendor shall each be known as a “Party,” and collectively shall be known as the “Parties.”

ATTACHMENT E
Attachment E • October 2nd, 2023
ATTACHMENT E
Attachment E • September 24th, 2018

We hereby warrant and represent that we are the owner of a valid United States copyright in the above Copyrighted Work(s); the Copyrighted Work(s) is original and does not violate or infringe upon the rights of any person, firm or other entity; we have the full right, power and authority to grant this license; and we will be responsible for payment of all sums due to the writer(s) of the Copyrighted Work(s) by reason of your exercise of the rights granted herein.

Attachment E
Attachment E • February 16th, 2018 • New York

acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument, the individuals(s), or the person upon behalf of which the individual(s) acted, executed the document.

ATTACHMENT E – STATEMENT OF WORK WATER SYSTEM MASTER PLAN
Attachment E • October 6th, 2017

This Statement of Work is executed as of the day of , 2017 by and between the Town of Whitestown ("Whitestown") and ms consultants, inc. ("Engineer"). Whitestown and Engineer agree that all of the Services authorized by this Statement of Work shall be subject to the terms and conditions set forth within the Uniform Contract for Services for General Engineering Services between Whitestown and Engineer dated September 14, 2016 (the "Master Agreement"). Upon execution of this Statement of Work, the Master Agreement shall be incorporated into and be considered a part of this Statement of Work as if set forth herein in its entirety. Any capitalized terms which are not defined herein shall have the meanings defined in the Master Agreement.

STANDARD EQUIPMENT MAINTENANCE AGREEMENT
Attachment E • November 10th, 2015 • California
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CityBuild/First Source Hiring Agreement
Attachment E • February 22nd, 2008 • California

This First Source Hiring Agreement (this “Agreement”), is made as of , by and between , the First Source Hiring Administration, (the “FSHA”), and the undersigned contractor (“Contractor”):

ATTACHMENT E PA-HMIS COLLABORATIVE PARTICIPATION AGREEMENT
Attachment E • October 13th, 2016 • Pennsylvania

This Pennsylvania Homeless Management Information System Participation Agreement (hereinafter referred to as “Agreement”) is by and between the Commonwealth of Pennsylvania, acting through the Department of Community and Economic Development a body politic and corporate and an instrumentality exercising public and essential governmental functions of the State of Pennsylvania with offices located at 400 North Street Harrisburg, PA 17120 (“DCED”) and _(insert legal name of Participant), a __(insert type of entity, i.e. County or Municipal Government, non-profit, for-profit, faith-based, etc.)___, with principal offices located at _(insert full address and county)__ (“Participant”). The signature of the authorized representative of the Participant below indicates its agreement with the terms of this agreement (“Agreement”) and is a prerequisite of the establishment of a Pennsylvania HMIS account for such Participant.

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