HomeMy WebLinkAboutResolution - 2019-R0157 - Department Of State Health Services - Epidemiology Capacity Expansion Grant - 05_14_2019Resolution No. 2019-RO157
Item No. 6.11
May 14, 2019
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the acts of the Mayor of the City of Lubbock in executing, on behalf of the City of
Lubbock, Department of State Health Services Contract No. HHS000436300019 under the Texas
Epidemiology Capacity Expansion Grant Program, by and between the City of Lubbock and the
State of Texas acting by and through the Department of State Health Services, and all related
documents is hereby ratified in full. Said Contract is attached hereto and incorporated in this
resolution as if fully set forth herein and shall be included in the minutes of the City Council.
Passed by the City Council on May_14, 2019
DANIEL M. POPE, MAYOR
ATTEST:
APPRO ED AS TO CONTENT:
Katherine Wells, Director of Public Health
APPROVED AS TO FORM:
Ry oo � City Attorney
ccdocslRES.DSHS Contract No. HHS000436300019 Ratification
4.5.19
DocuSign Envelope ID: 9D90139F-5769-42F6-A129-E4799663C935
SIGNATURE DOCUMENT FOR
DEPARTMENT OF STATE HEALTH SERVICES
CONTRACT No. HHS000436300019
UNDER THE
TEXAS EPIDEMIOLOGY CAPACITY EXPANSION GRANT PROGRAM
I. PURPOSE
The Department of State Health Services (System Agency), and City of Lubbock (Grantee) (each
a Party and, collectively, the Parties) enter into the following grant contract to provide funding for
infectious disease surveillance and epidemiology activities (the Contract).
II. LEGAL AUTHORITY
This Contract is authorized by and in compliance with the provisions of Texas Government Code
Chapter 791, and Chapters 12 and 121 of the Texas Health and Safety Code.
III. DURATION
The Contract is effective on September 1, 2019 and terminates on August 31, 2021 (Contract
Period), unless renewed, extended, or terminated pursuant to the terms and conditions of the
Contract. The System Agency, at its own discretion, may extend this Contract subject to terms
and conditions mutually agreeable to both Parties.
IV. BUDGET
The total amount of this Contract will not exceed ONE HUNDRED TwENTY-FIVE THOUSAND
THREE HUNDRED THIRTY-NINE DOLLARS ($125,339.00). Grantee is allocated SIXTY-TWO
THOUSAND SIX HUNDRED SEVENTY DOLLARS ($62,670.00) from September 1, 2019 to August
31, 2020 (FY 2020) and SIXTY-TWO THOUSAND SIX HUNDRED SIXTY-NINE DOLLARS
($62,669.00) from September 1, 2020 to August 31, 2021 (FY 2021).
Expenditures may not exceed the above allocated amounts within the specified timeframes.
All expenditures under the Contract will be in accordance with ATTACHMENT B - BUDGET.
V. NOTICE TO PROCEED
Funding for this Contract is dependent on final legislative appropriations. No FY 2020 work may
begin and no charges may be incurred until the System Agency issues a written notice to proceed
(NTP) to Grantee. This NTP may include an amended or ratified budget which will be incorporated
into this Contract by a subsequent amendment, as necessary. Notwithstanding the preceding, at
the discretion of the System Agency, Grantee may be eligible to receive reimbursement for eligible
expenses incurred during the Contract Period as defined herein and by 2 CFR §200.309,
VI. SERVICES PERFORMANCE MEASURES AND REPORTING REQUIREMENTS
System Agency Contract No. HHS000436300019 Page I of 49
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Grantee understands and agrees that upon the Effective Date, Grantee will be responsible for
performing all services proposed in the Statement of Work, attached hereto as ATTACHMENT A -
STATEMENT OF WORK in accordance will all federal and state laws applicable to this Contract.
Further, Grantee shall be subject to the performance measures and reporting requirements as stated
in ATTACHMENT A - STATEMENT OF WORK.
VII. CONTRACT REPRESENTATIVES
The following will act as the Representative authorized to administer activities under this
Contract on behalf of their respective Party.
System Agency
The Department of State Health Services
Attention: Caeli Paradise
1100 West 49" Street, MC 1990
Austin, TX 78756-4204
(512)776-3767
C'ael i.paradiseAdshs.texas.,ov
Grantee
City of Lubbock
Attention: Katherine Wells
PO Box 2000
Lubbock, TX 79457
(806) 775-2941
kwel Is'1 My I ubbock.us
VIII. LEGAL NOTICES
Any legal notice required under this Contract shall be deemed delivered when deposited by the
System Agency either in the United States mail, postage paid, certified, return receipt requested; or
with a common carrier, overnight, signature required, to the appropriate address below:
System Aaency
The Department of State Health Services
Attention: General Counsel
1100 West 49t" Street, MC 1911
Austin, TX 78756-4204
Grantee
City of Lubbock
Attention: Daniel Pop
PO Box 2000
Lubbock, TX 79457
System Agency Contract No. HHS000436300019 Page 2 of 49
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Notice given by Grantee will be deemed effective when received by the System Agency. Either Party
may change its address for notice by written notice to the other Party.
SIGNATURE PAGE FOLLOWS
System Agency Contract No. HHS000436300019 Page 3 of 49
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,SIGNATURE PAGE FOR SYSTEM AGENCY
CONTRACT NO. HHS000436300019
SYSTEM AGENCY GRANTEE
DEPARTMENT OF STATE HEALTH SERVICES CITY OF LUBBOCK
Docuftned by: DocuSIgned by:
Cw�t, a 4r6x 13FO3785316664OF
Ata it,�, e6ft,
87AFpJ2A0024A9.
.
Imelda Garcia Associate CornmissioWlel Pope Mayor
Name, Title Name, Title
Date of execution: April 5, 2019 Date of execution: April 5, 2019
THE FOLLOWING ATTACHMENTS TO SYSTEM AGENCY CONTRACT NO. HHS000436300019 ARE
HEREBY INCORPORATED BY REFERENCE:
ATTACHMENT A - STATEMENT OF WORK
ATTACHMENT B - BUDGET
ATTACHMENT C - UNIFORM TERMS AND CONDITIONS (VERSION 2.15 - GRANTEE)
ATTACHMENT D - DSHS - SUPPLEMENTAL AND SPECIAL CONDITIONS - GRANTEE
ATTACHMENT E - DATA USE AGREEMENT
ATTACHMENTS FOLLOW
System Agency Contract No. HHS000436300019 Page 4 of 49
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ATTACHMENT A
STATEMENT OF WORK
I. GRANTEE RESPONSIBILITIES
Grantee will:
A. Perform surveillance and epidemiology activities for all notifiable conditions with an
emphasis on conditions reported through the National Electronic Disease Surveillance
System (NEDSS). Activities must be performed whether the Grantee uses NEDSS for
disease reporting or not. Information on the NEDSS notifiable conditions can accessed
at https://txnedss.dslis.state.tx.us:8009/PHIN_Dox/UserResources, file name "Program
Areas in NBS Reportable Disease 2016.xlsx;
B. Use NEDSS as the primary surveillance system. An alternative primary surveillance
system may be used with prior from DSHS Emerging and Acute Infectious Disease
Branch ("Branch"). Approval is contingent on a negotiated implementation plan to
ensure electronic data is imported into NEDSS;
C. Ensure that required data elements of notifiable conditions from the Grantee's primary
surveillance system can be seamlessly imported electronically into NEDSS by May 1 ",
2020. Alternatively, data may be manually entered by Grantee staff according to the
Branch guidance documents;
D. Adhere to the Branch updated guidance when conducting surveillance and epidemiology
activities including, but not limited to:
1. The Emerging and Acute Infectious Disease Guidelines
http://www.dslis.texas.gov/[DCU/investigation/Investiaatioii-Guidance.doc,
2. NEDSS Data Entry Guide-
htt2s:/ltxnedss.dshs.state.tx.tis:8009/PHINDox/UserResources/; and
3. Epi-Case Criteria Guide-
https:lhvww.dshs.texas. og_ v/IDCU/investigation/Guidance-Manuals/
E. Conduct timely monitoring and management of incoming infectious disease laboratory
reports. Ensure all laboratory reports are entered into NEDSS, if received on paper or
verbally from providers;
F. Maintain knowledge of all health care facilities, providers and laboratories in the
Grantee's jurisdiction that are processing infectious disease laboratory reports not
received through NEDSS. Provide technical assistance to these facilities, providers and
laboratories to ensure there is an established method for receiving and processing
laboratory reports in a timely manner;
G. Ensure the Epidemiologist(s):
1. Conducts case and outbreak investigations on all notifiable conditions reported
through NEDSS;
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2. Provides technical assistance and guidance to other Grantee staff (e.g.
communicable disease nurses) who are conducting case and outbreak
investigations, responding to disease reports, implementing measures to prevent
further spread of disease, or coordinating prophylactic measures where appropriate;
and
3. Assesses the quality of surveillance data, perform analyses on surveillance data,
and prepare situational updates on outbreaks.
H. Attempt to complete one -hundred percent (100%) of questionnaires requested by the
Branch. Complete and submit at least seventy-five percent (751/o) of questionnaires
related to all pertinent case and outbreak investigations within five (5) business days after
the date requested by the Branch. Completed questionnaires include those in which the
patient is contacted but refuses some or the entire questionnaire. Questionnaires for
which no contact is made with the patient do not constitute a completed interview;
This applies to the notifiable conditions, including, but not limited to, in this table.
Listeriosis
Salmonellosis Clusters
Shiga toxin -producing Escherichia coli
STEC Clusters
1. Submit completed questionnaires related to notifiable conditions and outbreak
investigations to DSHS through a secure electronic method to the designated Branch
epidemiologist or to fax number (512) 776-7616 no later than one (1) business day after
completion of interview;
This applies to the notifiable conditions, including, but not limited to, in this table.
Cholera
Influenza A novel/variant
Listeriosis
Novel coronavirus
Salmonellosis Clusters
Shiga toxin -producing Escherichia coli
STEC Clusters
Vibrio parahaemol ticus
I Vibrio vulnificus infection
Vibriosis other or unspecified
J. Attempt to complete questionnaires related to outbreaks and notifiable conditions by
making a documented effort to contact the patient at least three (3) times during normal
business hours. if these attempts fail, Grantee must make an effort to contact the patient
at least once after normal business hours. Questionnaires where efforts to contact the
patient were unsuccessful are considered lost to follow-up and are not considered a
completed questionnaire. This applies to the notifiable condition, not limited to,
Salmonellosis Clusters;
K. Investigate and document, through NEDSS, at least seventy-five percent (75%) of risk
behavior and exposure information on select case investigations. This applies to the
notifiable condition, not limited to, Hepatitis B, acute;
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L. Monitor the submission of required isolates for notifiable conditions reported through
NEDSS. Ensure at least ninety percent (90%) of these isolates or those related to
outbreak investigations are submitted for confirmatory and/or molecular testing to the
DSHS Laboratory in Austin, Texas or to another public health laboratory as designated
by DSHS and previously approved by the Branch;
This applies to the notifiable conditions, including but not limited to, in this table.
Botulism foodborne
Botulism infant
Botulism other/unspecified
Botulism wound
Cholera
Haemophilus influenzae (under 5 years
old
Listeriosis
Meningococcal disease (Neisseria
menin itidis
Shiga toxin -producing Escherichia coli
STEC
Vibrio parahaemolyticus
Vibrio vulnificus infection
Vibriosis other or unspecified
M. Investigate and document at least ninety percent (90%) of confirmed and probable
notifiable conditions correctly and completely within thirty (30) days of initial report;
This applies to the notifiable conditions, including but not limited to, in this table.
Botulism foodborne
Botulism, infant
Botulism other/unspecified
Botulism wound
Campy lobacteriosis
Carbapenem-resistant Enterobacteriaceae
CRE
Cryptosporidiosis
Cholera
Hemolytic uremic syndrome
ostd iarrheal
Hepatitis C acute
Hepatitis E acute
Influenza A novel/variant
Influenza -associated pediatric mortality
Listeriosis
Multi -drug Resistant Acinetobacter
MDR -A
Salmonellosis
Shiga toxin -producing Escherichia coli
STEC
Streptococcus invasive Group A
Streptococcus invasive Group B
T hoid fever Salmonella T hi
Vancomycin-intermediate
Staphylococcus aureus VISA
Vancomycin-resistant Staphylococcus
aureus coa ulase- ositive VRSA
Vibrio parahaernolyticus
Vibrio vulnificus infection
Vibriosis other or unspecified
Yersiniosis
N. Submit responses to quarterly reports sent by the Branch that contain results for
performance measures H through M during quarterly time periods of the contract. Submit
via electronic mail to EAIDBcontracts@dshs.texas.gov within 20 business days from the
date sent out by the Branch;
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O. Follow corrective action plan issued by the Branch for any performance measure needing
improvement;
P. Maintain open communication with other local health departments, regional health
departments, and/or the Branch as necessary to ensure investigations are conducted
efficiently and expeditiously;
Q. Notify public health jurisdiction(s) of known cases or potential cases that do not reside
in grantees jurisdiction (e.g. exposed contacts to a case who reside in another jurisdiction)
with in one (1) business day;
R. Ensure the respective regional health department and the Branch are informed of certain
suspected cases and outbreaks. Also keep the regional health department and the Branch
up-to-date on significant developments for the duration of those investigations;
S. Educate, inform, and train the medical community and local providers on the importance
of reporting notifiable conditions within Contractors jurisdiction. Ensure that providers
collecting and shipping specimens for testing by the DSHS Laboratory adhere to
collecting and shipping guidance in the Emerging and Acute Infectious Disease
Guidelines;
T. Present local training on epidemiology and surveillance related rules and regulations as
requested. Conduct local level data analysis and utilize recent data findings to target and
share recommendations/best practices for preventing disease spread;
U. Participate in outbreak/cluster-related conference calls and responses relevant to the
Grantee's jurisdiction as directed by DSHS;
V. Participate in quarterly conference calls, scheduled by the Branch, to provide updates,
progress reports, and other necessary communications;
W. Work with DSHS during any technical reviews and quality assurance visits conducted
by DSHS;
X. Ensure that preparedness activities include infectious disease epidemiology and
surveillance. These activities may include: planning and conducting preparedness
exercises, providing technical assistance for community health assessments, developing
community health improvement plans, and participating in Community Assessment for
Public Health Emergency Response (CASPER). For more information on CASPER can
be found at the following link.
https:,''www.cdc.aov/nceh/hsbr`disaster/cast)er/defatilt.htm);
Y. Provide epidemiology surge capacity to surrounding jurisdictions in the event of a
major statewide or regional outbreak or disaster; as directed by DSHS;
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Z. Retain an Epidemiologist(s) dedicated to conducting infectious disease surveillance and
epidemiology activities. The Epidemiologist(s) must have, preferable, a Master of Public
Health (MPH) or equivalent degree or at least two years working experience as an
Epidemiologist performing infectious disease epidemiology and surveillance activities;
AA. Ensure newly hired Epidemiologist(s) are offered a salary up to (but not to exceed) the
midpoint State salary range equivalent to an Epidemiologist I (B19). See compensation
schedule at:
littp:I1www.hr.sao. texas. govlCompensationSystetn/ScheduieAB?scheduleType-2018B;
BB. Require its staff to attend training, conferences, and meetings, as directed by the Branch.
Epidemiologist(s) funded by this contract will be required to attend the workshop and
training listed below. Should additional funding become available, other DSHS
sponsored training, workshops, and conferences may be attended with prior Branch
approval.
l . The annual Epidemiology and Laboratory Capacity (ELC) Workshop conducted by
the Branch or another Branch -approved substitute training; and
2. The DSHS NEDSS training in Austin with certification completion within thirty
(30) days of hire (if not already a certified NEDSS user).
CC. Obtain prior approval from the Branch of any redirection of duties for Epidemiologist(s)
funded by this contract;
DD. Notify the Branch within forty-eight (48) hours of any personnel actions, including the
details and outcome of such actions, involving any staff funded by this contract. A written
report will be submitted within seventy-two (72) hours. Personnel actions include issues
that develop regarding violations of the project, state, and/or Federal policies, procedures,
requirements, and laws;
EE. Ensure staff funded by this contract are compliant with the following Texas rules and
statue related to infectious disease data confidentiality and security:
1. Texas Administrative Code (TAC), Title 25 Health Services, Section 97.10-
https://texres4.sos.state.tx,us/public/readtac$ext.TacPage?sI—R&apt)-9&p dir=&p
rloc—&p floc-&p ploc=&pg=1 &p tac=&ti=25&pt-1 &ch-97&r1=10; and
2. Texas Health and Safety Code 81.046-
https-k-statutes. cap itol.texas.rov/Docs/HS/pdf/HS.8l .pdf .
FF. Ensure newly hired staff funded by this contract successfully complete local
confidentiality and security training 30 days from hire and continue to receive refreshed
training as appropriate thereafter;
GG. Implement a monitoring system to detect breaches in confidential data and security of
protected health information;
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HH. Notify the Branch to facilitate confidential information exchange with jurisdictions
located outside of Texas. Contact with another state to discuss confidential disease
investigation can only be made with prior approval from the Branch;
II. Submit a monthly report that lists all reported clusters and outbreaks along with
information on investigation findings on the tracking sheet provided by the Branch.
Monthly reports are due on the 15th calendar day of each month. Each report must cover
activities that occurred during the preceding month. Submit monthly reports by electronic
mail to EAIDBcontracts(a.dshs.texas.gov. All reports should be clearly identified with
the Grantees Name, Contract Number, IDCU/SUR, and the month the report covers;
JJ. Provide a written report, when requested by the Branch, detailing at least 3 success stories
relating to disease investigations and/or epidemiological work conducted by staff funded
by this contract;
KK. Complete the Vacancy Report whenever an Epidemiologist position funded by this
Contract has become vacant and again when the vacancy has been filled. Within 5
business days of the vacancy, the Vacancy Report must be submitted by email to
EA1DBcontractsodshs.texas.gov. Vacant positions existing for more than sixty (60)
days may result in a decrease in funds; and
LL. Complete the DSHS programmatic budget update form quarterly. Within 5 days of the
end of the quarter, the form must be submitted by email to
EA I DBcontracts a,dshs.texas.gov;
MM. Grantee shall initiate the purchase of all Equipment approved in writing by the DSHS in
the first quarter of the Contract term, as applicable. Failure to timely initiate the purchase
of Equipment may result in the loss of availability of funds for the purchase of
Equipment. Requests to purchase previously approved Equipment after the first quarter
in the Contract must be submitted to the assigned DSHS contract manager;
NN. Controlled Assets include firearms, regardless of the acquisition cost, and the following
assets with an acquisition cost of $500 or more, but less than $5,000: desktop and laptop
computers (including notebooks, tablets and similar devices), non -portable printers and
copiers, emergency management equipment, communication devices and systems,
medical and laboratory equipment, and media equipment, Controlled Assets are
considered Supplies.
00. Grantee shall maintain an inventory of Equipment, supplies defined as Controlled Assets,
and real property and submit an annual cumulative report of the equipment and other
property on DSHS Contractor's Property Inventory Report at
http://www.dshs.texas.gov/contracts/fonns.shtm to the assigned DSHS contract manager
by e-mail not later than October 15 of each year; and
PP. DSHS funds must not be used to purchase buildings or real property without prior written
approval from the DSHS. Any costs related to the initial acquisition of the buildings or
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real property are not allowable without written pre -approval.
II. PERFORMANCE MEASURES
The System Agency will monitor the Grantee's performance of the requirements in
ATTACHMENT A and compliance with the Contract's terms and conditions.
III. INVOICE AND PAYMENT
A. Grantee will request payments using the State of Texas Purchase Voucher (Form B-13)
at http://www.dslis.state.tx.us/grants/forms.shtm, Voucher and any supporting
documentation will be mailed or submitted by fax or electronic mail to the
addresses/number below.
Department of State Health Services
Claims Processing Unit, MC 1940
1100 West 49th Street
P.O. Box 149347
Austin, Texas 78714-9347
FAX: (512) 776-7442
EMAIL: invoices a.dshs.state.tx.us
Email: EAIDBcontracts@udshs.texas.gov
B. Grantee will be paid on a cost reimbursement basis and in accordance with
ATTACHMENT B, BUDGET of this Contract. Travel costs must not exceed General
Services Administration (GSA) rates located at https:/hvww.gsa.frov/travel/platl-
book/per-diem-rates unless the Grantee has an established travel policy that has been
reviewed and approved by DSHS.
C. Grantee will submit a final Financial Status Report, B-13, and B-13A for the service
period of September 1, 2019, through August 31, 2020, must be submitted by October
15, 2020, Any B-13s submitted after this date may not be reimbursed.
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ATTACHMENT B
BUDGET
CITY of LUBwcK
Contract No. HHS000436300019
Categorical
September 1,
Budget
2019 to August
31f 2020
PERSONNEL
$47,030.00
FRINGE BENEFITS
$14,410.00
TRAVEL
$1, 230.00
EQUIPMENT
$0.00
SUPPLIES
$0.00
CONTRACTUAL
$0.00
OTHER
$010q ,
TOTAL DIRECT
$62,670.00
CHARGES
INDIRECT
$0.00
CHARGES
TOTAL
$62,670.00
September 1, Total Contract
2020 to August
Amount
31, 2021
$47,030.00
$94,060.00
$14,409.00
$28,819.00
$1,230.00
$2,460.00
$0.00
$0.00
$0.00
$0.004
$0.00
$0.00
$0.00
$0.00
$62,669.00 $125,339.00
$0.00 $0.00
$62,669.00 $125, 339.00
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ATTACHMENT C
UNIFORM TERMS AND CONDITIONS (VERSION 2.15 - GRANTEE)
HH8C Unrorm Terms and Condi0ons Version 2.15
Published and Effective. September 1, 2017
Responsible Me: Chief Counsel
TEXAS
Health and Human Services
Health and Human Services Commission
HHSC Uniform Terms and Conditions - Grant
Version 2.15
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TA BLE OF CONIr FATS
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9,15
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Grantee Uniform Terms and owmmms
N^»mm
Systern Agency Contract No. BB8000436200019 Page 15xf49
DocuSign Envelope ID: 9D90139F-5769-42F6•A129-E4799663C935
ARTICLE I. DEFINITIONS AND INTERPRETIVE PROVISIONS
1.01 Definitions
As used in (his Contract, unless the context clearly indicates otherwise, the following terms and
conditions have the meanings assigned below:
"Amendment" means a written agreement, signed by the panics hereto, which documents
changes to the Contract other than those permitted by Work Orders or Technical Guidance
Letters, as herein defined.
"Attachment" means documents, terms, conditions, or additional information physically added
to this Contract following the Signature Document or included by reference, as if physically,
within the body of this Contract.
"Contract" means the Signature Document, these Uniform Terms and Conditions, along with any
Attachmonts, and any Amandments, or Technical Guidance Letters that may be issued by the
System Agency, to be incorporated by reference herein for all purposes if issued.
"Deliverable" means the work product(s) required to be submitted to the System Agency
including all reports and project documentation.
"Effective Dote" means the date agreed to by the Parties as the date on which (he Contract takes
effecl.
"Federal Fiscal Year' means the period beginning October 1 and ending September 30 each
year, which is the annual accounting period for the United States government,
"GAAP" means Generally Accepted Accounting Principles.
"GASB 'means the Governmental Accounting Standards Board.
"Grantee" means the Party receiving funds under this Contract, if any. May also be referred to as
"Contractor" in certain attachments.
"Health and Human Services Commission" or "1IIISC" means the administrative agency
established under Chapter 531, Texas Government Code or its designee.
"jet}" means historically Underutilized Business, as defined by Chapter 2161 of the Texas
Government Code.
"Intellectual Property" means inventions and business processes, whether or not patentable;
works of authorship; trade secrets; trademarks; service marks; industrial designs; and creations
that are subject to potential legal protection incorporated in any Deliverable acid first created or
developed by Grantee, Grantee's contractor or a subcontractor in perforating the Project.
"Mentor Prot&&' means the Comptroller of Public Accounts' leadership program found at:
http:r/www.window.state.tx.us/procurement: prog/hub/mentorprotcgc+.
(Grantee Uniform Terms and Condittom
Page 4 of 19
v. 9.1.17
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"Parties" means the System Agency and Grantee, collectively.
"Party" means either the System Agency or Grantee, individually.
"Program' means the statutorily authorized activities of We System Agency under which this
Contract has been awarded.
"Project 'moans specific activities of the Grantee that are supported by funds provided under this
Contract.
"Public Information Act" or "PIA" means Chapter 552 of tha Texas Government Code.
"Statement of Work" means the description of activities performed in completing the Project, as
specified in the Contract and as may be amended.
"Signature current" means the document executed by both Parties that specifically sets forth
all of the docilments that constitute the Contract.
"Solicitation or "RFA"" means the document issued by the System Agency under which
applications for Program funds were requested, which is incorporated herein by reference for all
purposes in its entirety, including a]I Amendments and Attachments.
"Solicitation Response" or "Application" means Grantee's full and complete response to the
Solicitation, which is incorporated herein by reference for all purposes in its entirely, including
any Attachments and addenda.
"State Fiscal Year" means the period beginning September l and ending August 31 each year,
which is the annual accounting period for the State of Texas.
"State of Texas Texrravei' means Texan Administrative Code, Title 34, Part 1, Chapter 5,
Suhchapter C, Section 5.22, relative to travel reimbursements under this Contract, if any.
"Syalcm Aeencv" means HHSC or any of the agencies of the State of Texas that are overseen by
HHSC under authority granted under State law and the officers, employees, and designees of
those agencies. These agencies include: HHSC and the Department of State Health Services.
'"Icchnical Guidance tter" or ":MU" moans an instruction, clarification, or interpretation of
the requirements of the Contract, issued by flee System Agency to the Grantee.
1.02 Interpretive Provisions
a. The meanings of defined terms are equally applicable to the singular and plural forms of the
defined terns,
b. The words "hereof" `herein," "hereunder," and similar words refer to this Contract as a
whole and not to any particular provision, section, Attachment, or schedule of this Contract
unless otherwise specified.
c. The term "including" is not limiting and means "including without limitation" and, unless
otherwise expressly provided in this Contract, (i) references to contracts (including this
Contract) and other contractual instruments shall be deemed to include all subsequent
Amendments and other modifications thereto, but only to the extent that such Amendments
and other modifications are not prohibited by the terns of this Contract, and (ii) references to
Grantee Uniform Terms and Conlitiam
Ike 5 of 19
v.9,1 IT
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any statute or regulation are to be construed as including all statutory and regulatory
provisions consolidating, amending, replacing, supplementing, or interpreting the statute or
regulation.
d. Any references to "sections," "appendices," or "attachments" are references to sections,
appendices, or attachments of the Contract.
e. Any references to agreements, contracts, statutes, or administrative rules or regulations in the
Contract are references to these documents as amended, modified, or supplemented from
time to time during the tern of the Contract.
f. The captions and headings of this Contract are for convenience of reference only and do not
affect the interpretation of this Contract.
S. All Attachments within this Contract, including those incorporated by reference, and airy
Amendments are considered part of the terms of this Contract.
h. This Contract may use several different limitations, regulations, or policies to regulate the
same or similar matters. All such limitations, regulations, and policies are cumulative and
each will be performed in accordance with its terns_
i. Unless otherwise expressly provided, reference to any action of the System Agency or by the
System Agency by way of consent, approval, or waiver will be deemed modified by the
phrase "in its sole discretion."
j. Time is of the essence in this Contract.
ARTICLE If PAYMENT METHODS AND RESTRICTIONS
2.01 Payment Methods
Except as otherwise provided by the provisions of the Contract, the payment method will be one
or more of the following:
a. cost reimbursement. This payment method is based on an approved budget and submission
Of a request for reimbursement of expenses Grantee has incurred at the time of the request,
h. unit rauc/tee-for-service. This payment method is based on a fixed price or a specified rate(s)
or fee(s) for delivery of a specified unit(s) of service and acceptable submission of all
required documentation, forms and/or reports; or
c. advance payment. This payment method is based on disbursal of the minimum necessary
funds to carry out the Program or Project where the Grantee has implemented appropriate
safeguards. This payment method will only be utilized in accordance with governing law
and at the sole discretion of the System Agency.
Grantees shall bill the System Agency in accordance with the Contract. Unless otherwise
specified in the Contract, Grantee shall submit requests for reimbursement or payment monthly
by the last business day of the month following the month in which expenses were incurred or
services provided. Grantee shall maintain all documentation that substantiates invoices and make
the documentation available to the System Agency upon request.
1.01 Final Killing Submission
Unless otherwise provided by the System Agency, Grantee shall submit a reimbursement or
payment request as a final close-out invoice not later than forty-five (45) calendar days following
the end of the term of the Contract. Reimbursement or payment requests received in the System
Grantee Uniform Terms and Corxlitiom
Rage 6 of 19
V. 9.1.17
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Agency's offices more than forty-five (45) calendar days following the termination of the
Contract may not be paid.
2.03 Financial Status Reports (FSRs)
Except as otherwise provided in these General Provisions or in the terms of any Program
Attachment(s) that is incorporated into the Contract, for contracts with categorical budgets,
Grantee shall submit quarterly FSRs to Accounts Payable by the last business day of the month
following the end of each quarter of the Program Attachment term for System Agency review
and financial assessment. Grantee shall submit the final FSR no later than forty-five (45)
calendar days following the end of the applicable term.
2.04 Debt to State and Corporate Status
Pursuant to Tex. Gov. Code § 403.055, the Department will not approve and the State
Comptroller will not issue payment to Grantee if Grantee is indebted to the State for any reason,
including a tax delinquency. Grantee, if a corporation, certifies by execution of this Contract that
it is current and will remain current in its payment of franchise taxes to the State of Texas or that
it is exempt from payment of franchise laxcs Under Texas law CI'ex. Tax Code §§ 171.001 et
seq.). If tax payments become delinquent during the Contract terns, all or part of the payments
under this Contract may be withheld until Orantee's delinquent tax is paid in full.
2.05 Application of Payment Due
Grantee agrees that any payments due under this Contract will be applied towards any debt of
Grantee, including but not limited to delinquent taxes and child support that is owed to the State
of Texas.
2.06 Use of Funds
Grantee shall expend funds provided under this Contract only for the provision of approved
services and for reasonable and allowable expenses directly related to those services.
2.07 Use for Match Prohibited
Grantee shall not use funds provided under this Contract for matching purposes in securing other
funding without the writlen approval of the System Agency.
2.09 Program Income
Income directly generated from funds provided under this Contract or earned only as a result of
such funds is Program Income. Unless otherwise required under the Program, Grantee shall use
the addition alternative, as provided in UGMS § _.25(gx2), for the use of Project income to
further the Program, and Grantee shall spend the Program Income on the Project. Grantee shall
identify and report this income in accordance with the Contract, applicable law, and any
programmatic guidance. Grantee shall expend Program Income during the Contract tern and
may not carry Program Income forward to any succeeding term_ Grantee shall refund program
income to the System Agency if the Program Income is not expended in the tern in which it is
earned. The System Agency may base future funding levels, in part, upon Grantee's proficiency
in identifying, billing collecting, and reporting Program Income, and in using it for the purposes
and under the conditions specified in this Contract.
Grantee Uniform Terms and Conduioru
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2.09 Nonsupplanting
Grantee shall not use funds from this Contract to replace or substitute for existing funding from
other but shall use funds from this Contract to supplement existing state or local funds currently
available. Grantee shall make a good faith effort to maintain its current level of support.
Grantee may be required to submit documentation substantiating that a reduction in state or local
funding, if any, resulted for reasons other than receipt or expected receipt of funding under this
Contract,
ARTICLE Ill. STATE AND FEDERAL FUNDING
3.01 Funding
This Contract is contingent upon the availability of sufficient and adequate funds. If funds
become unavailable through lack of appropriations, budget cuts, transfer of funds between
programs or agencies, amendment of the Texas General Appropriations Act, agency
consolidation, or any other disruptions of current funding for this Contract, the System Agency
may restrict, reduce, or terminate funding tinder this Contract. This Contract is also subject to
immediate cancellation or temunatinn, without penalty to the System Agency, if sufficient and
adequate funds are not available. Grantee will have no right of action against the System Agency
if the System Agency cannot perform its obligations tinder this Contract as a result of lack of
funding for any activities or functions contained within the scope of this Contract. In lie event of
cancellation or termination under this Section, the System Agency will not be required to give
notice and will not be liable for any damages or losses caused or associated with such
termination or cancellation.
3.02 No debt Against the Slate
The Contract wil I not be construed as creating any debt by or on behalf of the State of Texas.
3.03 Debt to State
If a payment law prohibits the Texan Comptroller of Public Accounts from making a payment,
the Grantee acknowledges the System Agency's payments under the Contract will be applied
toward eliminating the debt or delinquency. This requirement specifically applies to any debt or
delinquency, regardless of when it arises.
3.04 Recapture of Funds
The System Agency may withhold all or part of any payments to Grantee to offset overpayments
made to the Grantee. Overpayments as used in this Section include payments (i) made by the
System Agency that exceed the maximum allowable rates; (ii) that are not allowed wider applicable
laws* rules, or regulations; or (iii) that are otherwise inconsistent with this Contract, including any
unapproved expenditures. Grantee understands and agrees that it will be liable to the System
Agency lbr any costs disallowed pursuant to financial and compliance sudit(s) of funds received
under this Contract. Grantee ftalher understands and agrees that reimburxemenl of such
disallowed costs will be paid by Grantee from funds which were not provided or otherwise made
available to Grantee under this Contract,
Grantee Untform Terms and C ondnims
pegs a of 19
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ARTICLE IV ALLOWABLE COSTS AND AUDIT REQUIREM1:NTS
4.01 Allowable Costs.
System Agency will reimburse the allowable costs incurred in performing the Project that are
sufficiently documented. Grantee must have incurred a cost prior to claiming reimbursement and
within the applicable terns to be eligible for reimbursement under this Contract. The System
Agency will determine whether costs submitted by Grantee are allowable and eligible for
reimbursement. If the System Agency has paid ftmds to Grantee for unallowable or ineligible
costs, the System Agency will notify Grantee in writing, and Grantee shall return the funds to the
System Agency within thirty (30) calendar days of the date of this written notice. The System
Agency may withhold all or part of any payments to Grantee to offset reimbursement for any
unallowable or ineligible expenditure that Grantee has not refunded to the System Agency, or if
financial status report(s) required under the Financial Status Reports section are not submitted by
the due date(s). The System Agency may take repayment (recoup) from finds available under
this Contract in amounts necessary to fblfill Grantee's repayment obligations. Applicable cost
principles, audit requirements, and administrative requirements include -
Applicable Entity
Applicable Cost
Audit
Administrative
Principles
Requirements
Requirements
State, Local and
2 CFR, Parr 225
2 CFR Part 200,
2 CFR Part 200 and
Tribal Governments
Subpart F and
UGMS
UGMS
Educational
2 CFR, Part 220
2 CFR Part 200,
2 CFR Part 200 and
Institutions
Subpart F and
UGMS
UGMS
Non -Profit
2 CFR, Part 230
2 CFR Part 200,
2 CFR Part 200 and
Organizations
Subpart F and
UGMS
UGMS
For -profit
48 CFR Part 31,
2 CFR Part 200,
2 CFR Pact 200 and
Organization other
Contract Cost
Subpart F and
UGMS
than a hospital and an
Principles
UGMS
organization named in
Procedures, or
OMB Circular A-122
uniform cost
(2 CFR Part, 230) as
accounting
not subject to that
standards that
circular.
comply with cost
principles
acceptable to the
federal or state
awarding agency
v. 91.17
Grantee Uniform Terms and Conditions
Page 9 of 19
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OMB Circulars will be applied with the modifications prescribed by UGMS with effect given to
whichever provision imposes She more stringent requirement in the event of a conflict.
4.02 Independent Single or Program -Specific Audit
If Grantee, within Grantee's fiscal year, expends a total amount of at least SEVEN HUNDRED
FIFTY 'THOUSAND DOLLARS ($750,000) in federal finds awarded, Grantee shall have a
single audit or program -specific audit in accordance with 2 CFR 200. The $750,000 federal
threshold amount includes federal funds passed through by way of state agency awards. If
Grantee, within Grantee's fiscal year, expends a total amount of at least $750,000 in state fiends
awarded, Grantee must have a single audit or program -specific audit in accordance with UGMS,
State of Texas Single Audit Circular, The audit must be conducted by an independent certified
public accountant and in accordance with 2 CFR 200. Government Auditing Standards, and
UGMS_ For -profit Grantees whose expenditures meet or exceed the federal or stale expenditure
thresholds slated above shall follow the guidelines in 2 CFR 200 or UGMS, as applicable, for
their program- specific audits. HHSC Single Audit Services will notify Grantee to complete the
Single Audit Determination Form. If Grantee fails to complete the Single Audit Determination
Form within thirty (30) calendar days after notification by HIISC Single Audit Services to do so,
Grantee shall be subject to the System Agency sanctions and remedies for non-compliance with
this Contract. Each Grantee that is required to obtain a single audit most competitively re -
procure single audit services once every six years. Grantee shall procure audit services in
compliance with this section, state procurement procedures, as well as with the provisions of
UGMS,
4.03 Submission of Audit
Due the earlier of 30 days after receipt of the independent certif ied public accountant's report or
nine months after the end of the f iscal year, Grantee shall submit electronically, one copy of the
Single Audit or Program -Specific Audit to the System Agency as directed in this Contract and
another copy to, single_audit_report hhse.state.tx.us
ARTICLE AFFIRMATIONS, ASSURANCES AND CERTIFICATIONS
5.01 General Affirmations
Grantee certifies that, to the extent General Affirmations are incorporated into the Contract under
the Signature Document. the General Affinnations have been reviewed and that Grantee is in
compliance with each of the requirements reflected therein.
5.02 Federal Assurances
Grantee further certifies that, to the extent Federal Assurances are incorporated into the Contract
under the Signature Document, the Federal Assurances have been reviewed and that Grantee is
in compliance with each of the requirements reflected therein.
5.03 Federal Certifications
Grantee further certifies, to the extent Federal Certifications are incorporated into the Contract
under the Signature Document, that the Federal Certifications have been reviewed, and that
Grantee is in compliance with each of the requirements reflected therein. In addition, Grantee
certifies that It is In compliance with all applicable federal laws, rules, or regulations, as they
may pertain to this Contract.
Grantee Uniform Terms and Conditions
Page loaf III
V. 9.1.17
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ARTICLE VI ONMERSHIP AND INTELLECTUAL PROPERTY
6.01 Ownership
The System Agency will own, and Grantee hereby assigns to the System Agency, all right, title,
and interest in all Deliverables.
6.02 Intellectual Property
a. The System Agency and Grantee will retain ownership, all rights, title, and interest in and to,
their respective pre-existing Intellectual Property. A license to either Party's pre-existing
Intellectual Property must be agreed to under this or another contract.
b. Grantee grams to the System Agency and the Stale of Texas a royalty -free, paid up,
worldwide, perpetual, non-exclusive, non -transferable license to use any Intellectual Property
invented or created by Grantee, Grantee's contractor, or a subcontractor in the performance of
tine Project. Grantee will require its contractors to grant such a license under its contracts.
ARTICLE V11 RECORDS, AUDIT, AND DISCLOSURF,
7.01 Books and Records
Grantee will keep and maintain under GAAP or GASB, as applicable, full, true, and complete
records necessary to fully disclose to the System Agency, the Texas State Auditor's Office, the
United States Government, and their authorized representatives sufficient information to
determine compliance with the terms and conditions of (his Contract and all state and federal
rules, regulations, and statutes. Unless otherwise specified in this Contract, Grantee will
maintain legible copies of this Contract and all related documents for a minimum of sever (7)
years after the termination of the contract period or seven (7) years after the completion of any
litigation or dispute involving the Contract, whichever is later.
7.02 Access to records, books, and documents
In addition to any right of access arising by operation of law, Grantee and any of Grantee's
affiliate or subsidiary organizations, or Subcontractors will permit the System Agency or any of
its duly authorized representatives, as well as duly authorized federal, state or local authorities,
unrestricted access to and the right to examine any site where business is conducted or Services
are performed, and all records, which includes but is not limited to financial, client and patient
records, hooks, papers or documents related to this Contract. If the Contract includes federal
fiends, federal agencies that will have a right of access to records as described in this section
include_ the federal agency providing tine funds, the Comptroller General of tine United States,
the General Accounting Office, the Office of the Inspector General, and any of their authorized
representatives. In addition, agencies of the State of Texas that will havo a right of access to
records as described in this section include: the System Agency, IIIISC, IIIISC's contracted
examiners, the Slate Auditor's Office, the Texas Attorney General's Office, and any successor
agencies. Each of these entities may be a duly authorized authority. If deemed necessary by the
System Agency or any duly authorized authority, for the purpose of investigation or hearing,
Grantee, will produce original documents related 10 this Contract. the System Agency and any
duly authorized authority will have the right to audit billings both before and after payment, and
all documentation that substantiates the billings, Grantee will include this provision concerning
Grantee Vni form Terms and rgndiiims
Page 1 i of 19
v, 9,I,t*
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the right of access to, and examination of, sites and information related to this Contract in any
Subcontract it awards.
7.03 Response/compliance with audit or inspecdon findings
a. Grantee must act to ensure its and its Subcontractor's compliance with all corrections
necessary to address any finding of noncompliance with any law, regulation, audit
requirement, or generally accepted accounting principle, or any other deficiency identified in
any audit, review, or inspection of the Contract and the goods or services provided
hereunder. Any such correction will be at Grantee or its Subcontractor's sole expense.
Whether Grantee's action corrects the noncompliance will be solely the decision of the
System Agency.
b. As part of the Services, Grantee must provide to HHSC upon request a copy of those portions
of Grantee's and its Subcontractors' internal audit reports relating to the Services and
Deliverables provided to the State under the Contract.
7.04 SAO Audit
Grantee understands that acceptance of funds directly under the Contract or indirectly through a
Subcontract under the Contract acts as acceptance of the authority of the State Auditor's Office
(SAO), or any successor agency, to conduct an audit or investigation in connection with those
funds. Under the direction of the legislative audit committee, an entity that is the subject of an
audit or investigation by the SAO mast provide the SAO with access to any information the SAO
considers relevant to the investigation or audit. Grantee agrees to cooperate fully with the SAO
or its successor in the conduct of the audit or investigation, including providing all records
requested. Grantee will ensure that this clause concerning the authority to audit funds received
indirectly by Subcontractors through Grantee and the requirement to cooperate is included in any
Subcontract it awards.
7.05 Confidentiality
Any specific confidentiality agreement between the Parties takes precedent over the terms of this
section. To the extent permitted by law, Grantee agrees to keep all information confidential, in
whatever form produced, prepared, observed, or received by Grantee. The provisions of this
section remain in full force and effect following termination or cessation of the services
performed under this Contract.
7.06 Public Information Act
Information related to the performance of this Contract may be subject to the PIA and will be
withheld from public disclosure or released only in accordance therewith. Grantee must make all
information not otherwise excepted from disclosure under the PIA available in portable
document file (".pdf') format or any other format agreed between the Parties.
ARTICLE V1II CONTRACT MANAGEMENT AND EARLY TERMINATION
&01 Contract Management
To ensure full perforntanee of the Contract and compliance with applicable law, the System
Agency may take actions including:
a. Suspending all or part of the Contract,
Grwtee Uniform Terms and Conditions
Page 12 of 19
v 9.I.11
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b. Requiring the Grantee to take specific corrective actions in order to remain in compliance
with term of the Contract;
c. Recouping payments made to the Grantee found to be in error,
d. Suspending, limiting, or placing conditions on the continued performance of the Project;
e. Imposing any other remedies authorized under this Contract; and
f. hnposing any other remedies, sanctions or penalties permitted by federal or state statute, law,
regulation, or rule.
0.02 Termination for Convetdence
The System Agency may terminate the Contract at any time when, in its sole discretion, the
System Agency determines that termination is in the best interests of the State of Texas. The
termination will be effective on the date specified in HHSC's notice of termination.
&03 Termination for Cause
Except as ollienvise provided by the U.S. Bankruptcy Code, or any successor law, the System
Agency may terminate the Contract, in whole or in part, upon either of the following conditions;
a. Mnterial Breach
'The System Agency will have the right to terminate the Contract in whole or in part if the
System Agency determines, at its sole discretion, that Grantee has materially breached the
Contract or has failed to adhere to any laws, ordinances, rules, regulations or orders of any public
authority having jurisdiction and such violation prevents or substantially impairs perfomianco of
Grantee's duties under the Contract. Grantee's misrepresentation in any aspect of Grantee's
Solicitation Response, if any or Grantee's addition to the Excluded Parries List System (EPLS)
will also constitute a material breach of the Contract.
b. Failure to Maintain Financial Viability
'Ihe System Agency may terminate the Contract if, in its sole discretion, the System Agency has
a good faith belief that Grantee no longer maintains the financial viability required to complete
the Services and Deliverables, or otherwise fully perform its responsibilities under the Contract.
8.04 Equitable Settlement
Any early termination under this Article will be subject to the equitable settlement of the
respective interests of the Parties up to the date of termination,
ARTICLE IX MISCELLANEOUS PROVISIONS
9.01 Amendment
The Contract may only be amended by an Amendment executed by both Parties.
9.02 Insurance
Unless otherwise specified in this Contract, Grantee will acquire slid maintain, for the duration of
this Contract, insurance coverage necessary to ensure proper fulfillment of this Contract and
potential liabilities thereunder with Cnancially sound and reputable insurers licensed by the
Texas Department of Insurance, in the type slid amount customarily carried within the industry
as determined by the System Agency. Grantee will provide evidence of insurance as required
Grantee Uniform Teens and Coalitions
Inge 13 of 19
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under this Contract, including a schedule of coverage or underwriter's schedules establishing to
the satisfaction of die System Agency die nature and extent of coverage granted by each such
policy, upon request by the System Agency. In the event that any policy is determined by the
System Agency to be deficient to comply with the terms of this Contract, Grantee will secure
such additional policies or coverage as the System Agency may reasonably request or that are
required by law or regulation. If coverage expires during the term of this Contract, Grantee must
produce renewal certificates for each type of coverage.
These and all other insurance requirements under the Contract apply to both Grantee and its
Subcontractors, if any. Grantee is responsible for ensuring its Subcontractors' compliance Willi all
requirements.
9.03 Ugal Obligations
Grantee mvill comply with all applicable federal, state, and local laws, ordinances, and
regulations, including all federal and state accessibility laws relating to direct and indirect use of
information and communication technology. (hantee will be deemed to have knowledge of all
applicable laws and regulations and be deemed to understand them. In addition to any other act
or omission that may constitute a material breach of the Contract, failure to comply with this
Section may also be a material breach of the Contract.
9.04 Permlfting and Licensurc
At Grantee's sole expense, Grantee will procure and maintain for the duration of this Contract
any state, county, city, or federal license, authorisation, insurance, waiver, permit, qualification
or certification required by statute, ordinance, law, or regulation to be held by Grantee to provide
the goods or Services required by this Contract. Grantee will he responsible for payment of all
taxes, assessments, fees, premiums, permits, and licenses required by law. Grantee agrees to be
responsible for payment of any such government obligations not paid by its contactors or
subcontractors during performance of this Contract.
9.05 Indemnity
'TO THE EXTENT ALLOWED BY LAW, GRANTEE WILL DEFEND, INDEMNIFY, AND HOLD
HARMLESS THE STATE OF TEXAS AND ITS OFFICERS AND EMPLOYEES, AND THE SYSTEM
AGENCY AND ITS OFFICERS AND EMPLOYEES, FROM AND AGAINST ALL CLAIMS, ACTIONS,
SUITS, DEMANDS, PROCEEDINGS, COSTS, DAMAGES, AND LIABILITIES, INCLUDING ATTORNEYS'
FEELS AND COURT COSTS ARISING OUT OF, OR CONNECTED WTTII, OR RESULTING FROM:
a. GRANCFF.'S PERFORMANCE OF THE CONTRACT, INCLUDING ANY NEGLIGENT ACTS OR
OMISSIONS OF GRANTEE, OR ANY AGENT, EMPLOYEE, SUBCONTRACTOR, OR SUPPLIER OF
GRANTEE, OR ANY THIRD PARTY UNDER THE CONTROL, OR SUPERVISION OF GRANTEE, IN
THE EXECUTION OR PERFORMANCE OF THIS CONTRACT; OR
b. ANY BREACH OR VIOLATION OF A TrATtrTF., ORDINANCE., GOVERNMENTAL REGULATION,
STANDARD, RULE, OR BREACH OF CONTRACT BY GRANTEE, ANY AGENT, EMPLOYER,
SUBCONTRACTOR, OR SUPPLIER OF GRANTEE, OR ANY THIRD PARTY UNDER THE, CONTROL
OR SUPERVISION OF GRANTEE, IN THE EXECUTION OR PERFORMANCE OF THIS CONTRACT;
OR
c. EMPLOYMENT OR ALLEGED EMPLOYMENT, INCLUDING CLAIMS OF DISCRIMINATION
ACAINST GRANTEE, ITS OFFICERS, OR 11-S AGENTS; OR
Grantee Uniform Terms and Condritom
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d. WORK UNDER THIS CONTRACT THAT INFRINGES OR MISAPPROPRIATES ANY RIGHT OF ANY
THIRD PERSON OR ENTITY BASED ON COPYRIGHT, PATENT, TRADE SECRET, OR OTHER
INT£LI.ECTUAIL, PROPERTY RIGHTS.
GRANTEE WILL COORDINATE ITS DEFENSE WITH THE SYSTEM AGENCY AND ITS COUNSEL.
THIS PARAGRAPH IS NOT INTENDED TO AND WILL NOT HE CONSTRUED TO REQUIRE. GRANTEE
TO INDEMNIFY OR HOLD HARMLESS THE STATE OR THE SYSTEM AGENCY FOR ANY CLAIMS OR
LIABILITIES RRSUI.TING SOLELY FROM THE GROSS NEGLIGENCE OF THE SYSTEM AGENCY OR
ITS EMPLOYEES. THE PROVISIONS OF THIS SECTION WILL SURVIVE TERMINATION OF THIS
CorfrRAcr,
9.06 Assignments
Grantee may not assign all or any portion of its rights under, interests in, or duties required under
this Contract without prior written consent of the System Agency, which may be withheld or
granted at the sole discretion of the System Agency, Except where otherwise agreed in writing
by the System Agency, assignment will not release Grantee from its obligations under the
Contract.
Grantee understands and agrees the System Agency may in one or more transactions assign,
pledge, or transfer the Contract. This assignment will only be made to another Stale agency or a
non -state agency that is contracted to perform agency support.
9.07 Relationship of the Parties
Grantee is, and will be, an independent contractor and, subject only to the terms of this Contract,
will have the sole right to supervise, manage, operate, control, and direct performance of the
details incident to its dudes under this Contract. Nothing contained in this Contract will be
deemed or construed to create a partnership or joint venture, to create relationships of an
employer -employee or principal -agent, or to otherwise create for the System Agency any
liability whatsoever with respect to the indebtedness, liabilities, and obligations of Grantee or
any other Party.
Grantee will be solely responsible for, slid the System Agency will have no obligation with
respectto,
a. Payment of Grantee's employees for all Services performed;
b. Ensuring each of its employees, agents, or Subcontractors who provide Services or
Deliverables under the Contract are properly licensed, certified, or have proper permits to
perform any activity related to the Work;
c. Withholding of income taxes. PICA, or any other taxes or fees;
d. Ltdustrial or workers' compensation insurance coverage;
e. Participation in any group insurance plans available to employees of the State of Texas;
f. Participation or contributions by the State to the State Employees Retirement System;
g. Accumulation of vacation leave or sick leave; or
It. Unemployment compensation coverage provided by (lie State.
9.08 Technical Guidance Letters
In the sole discretion of the System Agency, and in conformance with federal and state law, the
System Agency may issue instructions, clarifications, or interpretations as may be required
during Work performance in the form of a Technical Guidance Letter. A TGL must be in
Grantee Uniform Terms and Condinmu
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writin& and may be delivered by regular mail, electronic mail, or facsimile transmission. Any
TOL issued by the System Agency will be incorporated into the Contract by reference herein for
all purposes when it is issued.
9.09 Governing Law And Venue
This Contract and the rights and obligations of the Parties hereto will be governed by, and
construed according to, the laws of the State of Texas, exclusive of conflicts of law provisions,
Venue of any suit brought under this Contract will be in a court of competent jurisdiction in
Travis County, Texas unless otherwise elected by the System Agency. Grantee irrevocably
waives any objection, including any objection to personal jurisdiction or the laying of venue or
based on the grounds of forum non conveniens, which it may now or hereafter have to the
bringing of any action or proceeding in such jurisdiction in respect of this Contract or any
document related hereto.
9.10 Severability
If any provision contained in this Contract is held to be unenforceable by a court of law or
equity, this Contract will be construed as if such provision did not exist and the non -
enforceability of such provision will not be held to render any other provision or provisions of
this Contract unenforceable.
9.11 Survivability
Termination or expiration of this Contract or a Contract for any reason will not release either
party from any liabilities or obligations in this Contract that the parties have expressly agreed
will survive any such termination or expiration, remain to be performed, or by their nature would
be intended to be applicable following any such termination or expiration, including maintaining
confidentiality of information and records retention.
9.12 Force Majeure
Except with respect to the obligation of payments under this Contract, if either of the Parties,
after a good faith effort, is prevented from complying with any express or implied covenant of
this Contract by reason of war; terrorism; rebellion; riots; strikes; acts of God; any valid order,
rule, or regulation of governmental authority; or similar events that are beyond the control of the
affected Party (collectively referred to as a "Force Majeure'), then, while so prevented, the
affected Party's obligation to comply with such covenant will be suspended, and the affected
Party will not be liable for damages for failure to comply with such covenant. In any such event,
the Party claiming Force Majeure will promptly notify the other Party of the Force Majeure
event in writing and, if possible, such notice will set forth the extent and duration thereof.
9.13 No Waiver of Provisions
Neither failure to enforce any provision of this Contract nor payment for services provided under
it constitute waiver of any provision of the Contract.
9.14 Publicity
Except as provided in the paragraph below, Grantee must not use the name of, or directly or
indirectly refer to, the System Agency, the State of Texas, or any other State agency ill any
media release, public announcement, or public disclosure relating to the Contract or its subject
Gmrnee Uniform Terms and Conditions
Page 16 of 19
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matter, including in any promotional or marketing materials, customer lists, or business
presentations,
Grantee may publish, at its sole expense, results of Grantee performance under the Contract with
the System Agency's prior review and approval, which the System Agency may exercise at its
sole discretion. Any publication (writ(en, visual, or sound) will acknowledge the support
received from the System Agency and any Federal agency, as appropriate.
9.15 Prohibition on Non -compete Restrictions
Grantee will not require any employees or Subcontractors to agree to any conditions, such as
non -compete clauses or other contractual arrangements that would limit or restrict such persons
or entities from employment or contracting with the State of Texas.
9.16 No Waiver of Sovereign Immunity
Nothing in the Contract will be construed as a waiver of sovereign immunity by the System
Agency.
9.17 Entire Conti -act and Modification
The Contract constitutes the entire agreement of the Parties and is intended as a complete and
exclusive statement of the promises, representations, negotiations, discussions, and other
agreements that may have been made in connection with the subject matter hereof Any
additional or conflicting terms in any future document incorporated into the Contract will be
harmonized with this Contract to the extent possible by the System Agency.
9.18 Counterparts
This Contract may be executed in any number of counterparts, each of which will be an original,
and all such counterparts will together constitute but one and the same Contract.
9.19 Proper Authority
Each Party hereto represents and warrants that the person executing this Contract on its behalf
has full power and authority to enter into this Contract. Any Services or Work performed by
Grantee before this Contract is effective or after it ceases to be effective are perforated at the sole
risk of Grantee with respect to compensation.
9.20 Employment Verification
Grantee will confirm the eligibility of all persons employed during the contract term to perform
dirties within Texas and all persons, including subcontractors, assigned by the contractor to
perform work pursuant to the Contract.
9.21 Civil Rights
a. Grantee agrees to comply with state and federal anti -discrimination laws, including-.
I. Title Yl of the Civil Rights Act of 1964 (42 U.S.C. §2000d of seq.);
2. Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. §794);
3. Americans with Disabilities Act of 1990 (42 U.S.G. §12101 er seq.);
4. Age Discrimination Act of 1975 (42 U.S.C. §§6101.6107);
5. Title IX of the Education Amendments of 1972 (20 U.S.C. §§1681-1688);
6. Food and Nutrition Act of 2008 (7 U.S.C. §2011 of seq.); and
V. 9.1.17
Grantee Uniform Terms and Conditions
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7. The System Agency's administrative odes, as set forth in the Texas Administrative Code,
to the extent applicable to this Agreement.
Grantee agrees to comply with all amendments to the above -referenced laws, and all
requirements imposed by the regulations issued pursuant to these laws. These laws provide in
part that no persons in the United States may, on the grounds of race, color, national origin,
sex, age, disability, political beliefs, or religion, be excluded from participation in or denied
any aid, care, service or other benefits provided by Federal or State funding, or otherwise be
subjected to discrimination.
b. Grantco agrees to comply with Title V1 of the Civil Rights Act of 1964, and its implementing
regulations at 45 C.F.R. Part 80 or 7 C_F.R. Part 15, prohibiting a contractor from adopting
and implementing policies and procedures that exclude or have the effect of excluding or
limiting the participation of clients in its programs, benefits, or activities on the basis of
national origin. State and federal civil rights laws require contractors to provide alternative
methods for ensuring access to services for applicants and recipients who cannot express
themselves fluently in English. Grantee agrees to take reasonable steps to provide services
and information, both orally and in writing, in appropriate languages other than English, in
order to ensure that persons with limited English proficiency are effectively informed and
can have meaningful access to programs, benefits, and activities.
c. Grantee agrees to post applicable civil rights posters in areas open to the public infomting
clients of their civil rights and including contact information for the HHS Civil Rights Office.
Il1e lwsterr, are available on the HHS websile at: 11ttnJAthscx.hhsc.texas.ttoy/system-sutmurt-
services'civil-riQhtsyt)ubl ications
d. Grantee agrees to comply with Executive Order 13279, and its implementing regulations al
45 G.F.R. Part 87 or 7 C.F.R. Part 16. 'Ihese provide in part that any organisation that
participates in programs funded by direct financial assistance from the United States
Department of Agriculture or the United States Department of health and fluntatt Services
shall not discriminate against a program beneficiary or prospective progratn beneficiary on
the basis of religion or religious belief.
e. Upon request, Grantee will provide HHSC Civil Rights Office with copies of all of the
Granlce's civil rights policies and procedures.
f. Grantee must notify IIHSC's Civil Rights Offiice of any civil rights complaints received
relating to its performance under this Agreement. This notice must he delivered no more than
ten (10) calendar days alter receipt of a complaint. Notice provided pursuant to this suction
must be directed to:
HHSC Civil Rights Office
701 W. 5151Street, Mail Coda W206
Austin, Texas 78751
Phone Toll Free: (889) 388-6332
Phone: (512) 438-4313
Grantee ilntform Terms and Conditions
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TCY Toll Free: (877) 432-7232
Fax: (512) 438-5885.
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Grantee Uniform Terms and Conditions
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ATTACHMENT D
SUPPLEMENTAL AND SPECIAL CONDITIONS
SUPPLEMENTAL CONDITIONS
There are no Supplemental Conditions for this Contract that modifies this Contract's HHS Uniform
Terms and Conditions.
SPECIAL CONDITIONS
SECTION 10.01 NOTICE OF CONTRACT ACTION
Grantee shall notify their assigned contract manager if Grantee has had any contract suspended or
terminated for cause by any local, state or federal department or agency or nonprofit entity within
five days of becoming aware of the action and include the following:
a. Reason for such action
b. Name and contact information of the local, state or federal department or agency or entity;
c. Date of the contract;
d. Date of suspension or termination; and
e. Contract or case reference number.
SECTION 10.02 NOTICE OF BANKRUPTCY
Grantee shall notify in writing its assigned contract manager of its plan to seek bankruptcy
protection within five days of such action by Grantee.
SECTION 10.03 NOTICE OF CRIMINAL ACTIVITY AND DISCIPLINARY ACTIONS
a. Grantee shall immediately report in writing to their contract manager when Grantee has
knowledge or any reason to believe that they or any person with ownership or controlling
interest in the organ ization/business, or their agent, employee, contractor or volunteer
that is providing services under this Contract has:
I. Engaged in any activity that could constitute a criminal offense equal to or greater
than a Class A misdemeanor or grounds for disciplinary action by a state or federal
regulatory authority; or
2. Been placed on community supervision, received deferred adjudication, or been
indicted for or convicted of a criminal offense relating to involvement in any financial
matter, federal or state program or felony sex crime.
b. Grantee shall not permit any person who engaged, or was alleged to have engaged, in any
activity subject to reporting under this section to perform direct client services or have direct
contact with clients, unless otherwise directed in writing by the System Agency.
Section 10.04 Grantee's Notification of Change of Contact Person or Key Personnel
The Grantee shall notify in writing their contract manager assigned within ten days of any change
to the Grantee's Contact Person or Key Personnel.
SECTION 10.05 DISASTER SERVICES
In the event of a local, state, or federal emergency, including natural, man- made, criminal,
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terrorist, and/or bioterrorism events, declared as a state disaster by the Governor, or a federal
disaster by the appropriate federal official, Grantee may be called upon to assist the System
Agency in providing the following services:
a. Community evacuation;
b. Health and medical assistance;
c. Assessment of health and medical needs;
d. Health surveillance;
e. Medical care personnel;
f. Health and medical equipment and supplies;
g. Patient evacuation;
h. In -hospital care and hospital facility status;
i. Food, drug and medical device safety;
j. Worker health and safety;
k. Mental health and substance abuse;
1. Public health information;
in. Vector control and veterinary services; and
n. Victim identification and mortuary services.
SECTION 10.06 SERVICES AND INFORMATION FOR PERSONS WITH LIMITED ENGLISH
PROFICIENCY
a. Grantee shall take reasonable steps to provide services and information both orally and
in writing, in appropriate languages other than English, to ensure that persons with
limited English proficiency are effectively informed and can have meaningful access to
programs, benefits and activities.
b. Grantee shall identify and document on the client records the primary language/dialect
of a client who has limited English proficiency and the need for translation or
interpretation services and shall not require a client to provide or pay for the services of
a translator or interpreter.
c. Grantee shall make every effort to avoid use of any persons under the age of 18 or any
family member or friend of the client as an interpreter for essential communications with
a client with limited English proficiency, unless the client has requested that person and
using the person would not compromise the effectiveness of services or violate the
client's confidentiality and the client is advised that a free interpreter is available.
SECTION 10.07 INTERIM EXTENSION AMENDMENT
a. Prior to or on the expiration date of this Contract, the Parties agree that this Contract can
be extended as provided under this Section.
b. The System Agency shall provide written notice of interim extension amendment to the
Grantee under one of the following circumstances:
1. Continue provision of services in response to a disaster declared by the governor; or
2. To ensure that services are provided to clients without interruption.
c. The System Agency will provide written notice of the interim extension amendment that
specifies the reason for it and period of time for the extension.
d. Grantee will provide and invoice for services in the same manner that is stated in the
Contract.
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e. An interim extension under Section (b)(1) above shall extend the term of the contract not
longer than 30 days after governor's disaster declaration is declared unless the Parties
agree to a shorter period of time.
f. An interim extension under Section (b)(2) above shall be a one-time extension for a
period of time determined by the System Agency.
SECTION 10.08 GRANTEE'S CERTIFICATION OF MEETING OR EXCEEDING TOBACCO -FREE
WORKPLACE POLICY MINIMUM STANDARDS.
Grantee certifies that it has adopted and enforces a Tobacco -Free Workplace Policy that meets or
exceeds all of the following minimum standards of.
a. Prohibiting the use of all forms of tobacco products, including but not limited to cigarettes,
cigars, pipes, water pipes (hookah), bidis, kreteks, electronic cigarettes, smokeless tobacco,
snuff and chewing tobacco;
b. Designating the property to which this Policy applies as a "designated area," which must
at least comprise all buildings and structures where activities funded under this Contract
are taking place, as well as Grantee owned, leased, or controlled sidewalks, parking lots,
walkways, and attached parking structures immediately adjacent to this designated area;
c. Applying to all employees and visitors in this designated area; and
d. Providing for or referring its employees to tobacco use cessation services.
If Grantee cannot meet these minimum standards, it must obtain a waiver from the System
Agency.
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ATTACHMENT E
DATA USE AGREEMENT
1111S DATA Ust AGREEMENT
Thin: Data Use Agreement ("DIJA"), effective as of die date the Base Contract into which
it is incorporated is signed ("Effective Dale"), is entered into by and between a Texas Health and
Human Services Enterprise agency ("IiHS"), and the Contractor identified in the Base Contract, a
political subdivision of the Slate of Texas ("CONTRACTOR.
ARTICLE 1.
PURPOSE; APPLICABILITY; ORDER OF PRECEDENCE
The purpose of this DUA is to facilitate creation, receipt, maintenance, use, disclosure or
access to Confidential In omiation with CONTRACTOR, and describe CONTRACTOR'S rights
and obligations with respect to the Confidential lnfarrnation. 4SCFR I64.504(e){1}-(3). This DUA
also describes HHS's remedies in the event of CONTRACTOR's noncompliance with its
obligations under this DUA. This DUA applies to bout Business Associates and contractors who
arc not Business Associates who create, receive, maintain, use, disclose or have access to
Confidential Info nation on behalf of HHS, its programs or clients as described in the Base
Contract.
As of the F,1Tcctive Date of this DUA, if arty provision of the Buse Contract, including any
General Provisions or Uniform Tonns and Conditions, conflicts with this DUA, this DUA controls.
ARTICLE 2,
DEFINITIONS
For the purposes of this DUA, capitalized, underlined terms have the meanings set forth. in
the following: Health Insurance Portability and Accountability Act of 1996, Public Law 104-191(42
U.S.C. §1320d, el seq.) and regulations thereunder in 45 CPR Parts 160 and 164, including all
amendments, regulations and guidance issued thereafter, The Social Security Act, including Section
1137 (42 U.S.C. §§ 1320b-7), Title XVI of die Act; The Privacy Act of 1974, as amended by the
Computer Matching and Privacy Protection Act of 1988, 5 U.S.C. § 552a and regulations and
guidance thereunder; Internal Revenue Code, Title 26 of the United States Code and regulations and
publications adopted under that code, including IRS Publication 1075; 41013 Memorandum 07-18;
Texas Business and Commerce Code Ch. 521; Texas Government Code, Ch. 552, and Texas
Government Code §2054.1 125, hi addition, the following terms in this DUA arc defined as follows:
"Authorized Purpose" means the specific purpose or purposes described in die Statement
of Wort: of the Base Contract for CONTRACTOR to fulfill its obligations tinder the Base Contract,
or any other purpose expressly authorized by HHS in writing in advance.
"Authorized User" means a Person-
(1) Who is authorized to create, receive, maintain, have access to, process, view,
handle, examine, interpret, or analyze Confidential Information pursuant to this DUA;
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(2) For whom CONTRACTOR warrants and represents has a demonstrable need to
create, receive, maintain, use, disclose or have access to the Confidential Information; and
(3) Who has agreed in writing to be bound by the disclosure and use limitations
pertaining to the Confidential Information as required by this DUA,
"Confidential information" means any communication or record (whether oral, written,
electronically stored or transmilted, or in any other form) provided to or made available to
CONTRACTOR, or Holt CONTRACTOR may, for an AAMorized Purposecreate, receive, maintain,
use, disclose or have access to, that consists of or includes any or all of the following;
(1) Client Information:
(2) Protected Health Information in any farm including without limitation, Electronic
Protected llealtln Information or 1lnsecured Protected Health Information (herein "PIII");
(3) Sensitive Personal Information defined by Texas Business and Commerce Code
Ch. 521;
(4) Federal Tax Information:
(5) Individually Identifiable Health_Information as related to ILIPAA, Texas HIPAA
and rcrsonal Identifying lnfotmation under the Texas ldentity Theft Enforcement and Protection
Act;
(6) Social Security Administration Data, including, without limitation, Medicaid
information;
(7) All privileged work product;
(8) All information designated as confidential under the constitution and laws of the
State of Texas and of the United States, including Hte Texas Health & Safety Code and the Texas
Public Information Act, Texas Government Code, Chapter 552.
"Legally Authorized Representative" of the Individual, as defined by Texas law, including
as provided in 45 CFR 435.923 (Medicaid); 45 CPR 164.502(gxi) (111PAA); Tex. Occ. Code §
151.002(6�'fex. H. & S. Code §166.164, and Estates Coda Ch. 752.
ARTICLE 3.
CONTRACTOR'S DUTIES REGARDING CONFIDENTIAL, INFORMATION
3.01 Obligations of CONTRACTOR
CONTRACTOR agrees that:
(A) CONTRACTOR will exorcise reasonable care and no less than the same
de,gr" of care CONTRACTOR uses to protect its own confidential, proprietary and trade
secret information to prevent any portion of the Confidential Information front being used in
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a manner that is not expressly an Authorized Purpose under this DUA or as Required by Law.
45 CFR 164.502(b)(1); 45 CFR 164.514(a)
(B) Except as R9guimd by 1A CONTRACTOR will not disclose or allow access
to any portion of the Confidential Information to any Person or other entity, other than
Authorized Use's Workforce or Sa&o9ttractors (as defined in 4S CPR 160.103) of
CONTRACTOR who have completed training in confidentiality, privacy, security and the
importance of prompllyreporfing any Event or Breach to CONTRACTOR's management, to
carry out CONTRACTOR's obligations in connection with the Authorized EMse.
I IHS, at its election, may assist CONTRACTOR in training and education on specific or
unique HHS processes, systems and/or requirements. CONTRACTOR will produce
evidence of completed training to IIHS upon request. 45 C.F.R. 161.308(a)(5)(i); Texas
Health & SgJety Code §181.101
(C) CONTRACTOR will establish, implement and maintain appropriate
sanctions against any member of its Workforce or Subcontractor who fails to comply with this
DUA, the Base Contract or applicable law. CONTRACTOR will maintain evidence of
sanctions and produce it to HHS upon request.45 CF.R. 164.308(a)(1)(ri)(C); 164530(e);
164.410(b); 164.530(b)(1)
(D) CONTRACTOR will not, except as otherwiso permitted by this DUA,
disclose or provide access to any Confidential Information on the basis that such act is
Regti red by Law without notifying either HHS or CONTRACTOR's own legal counsel to
detemtine whether CONTRACTOR should object to the disclosure or access and seek
appropriate relief, CONTRACTOR will maintain an accounting of all such requests for
disclosure and responses and provide such accounting to HHS within 48 hours of HHS'
request. 45 CFR 164.504(e)(2)(u)(A)
(E) CONIRAMT)R will not attempt to re -identify or further identify
Confidential Information or De-identifie j Information, or atlempl io contact any Individuals
whose records are contained in the Confidential Inform ion. except for an Authorjzed
Pumosewithout express written authorization from HMS or as expressly permitted by the
Base Contract. 45 CFR 164.502(4(2)(1) turd (ii) CONTRACTOR will not engage in
prohibited marketing or sale of Confidential Information. 45 CFR 164.501. 164.308(a)(3)
and (4); Texas flealtlr & Tafery Code Ch. 181.002
(F) CONTRACTOR will not permit, or enter into any agreement with a
Subcontractor to, create, receive, maintain, use, disclose, have access to or transmit
�4'nf tdential Information to carry out CONTRACTOR's obligations in connection with the
Authorized PuMose on behalf of CONTRACTOR, unless Subcontractor agrees to comply
with all applicable laws, rules and regulations. 45 CFR 164.502(e)(1)(u); 164.504(e)(1)(r)
and (2).
(G) CONTRACIOR is directly responsible for compliance with, and enforcement
of,, all conditions for creation, maintenance, use, disclosure, transmission and Destruction of
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Confidential Information and the acts or omissions of Subcontractors as may be reasonably
necessary to prevent unauthorized use. 45 CFR 164.504(e)(5); 42 CFR 431.300, el seq.
(H) If CONTRACTOR maintains PHI in a e is enated Record Set which is
Confidential Information and subject to this Agreement, CONTRACTOR will make Pill
available to III IS in a Designated Record Set upon request. CONTRACTOR will provide FM
to an Individual, or Laagally Authorized Rcrotesentative of the Individual who is requesting
P111 in compliance with the requirements of the HIPAA I ivacy Rceedatiur�,}t .
CONTRACTOR will release PHI in accordance with the HIPAA Privacy Re nations upon
receipt of a valid written augiorization. CONTRACTOR will make other Confidential
Information in CONTRACTOR's possession available pursuant to the requirements of
H IPAA or other applicable law upon a determination of a Breach of Unsecured PHI as defined
in HIPAA. CONTRACTOR will maintain an accounting of all such disclosures and provide
it to HHS within 48 hours of HHS' request. 45 CFR 164.524and 164.504(e)(2)Cu)(E).
(1) If Pill is subject to this Agreement, CONTRACTOR will make HI as
required by HIPAA available to HHS for review subsequent to CONTRACTOR's
incorporation of any amendments requested pursuant to HIPAA. 45 CFR
I64.504(e)(2)(ri)(E) and (n.
(J) If Mi is subject to this Agreement, CONTRACTOR will doo-mmment and make
available to HHS the 'LH[ required to provide access, an accounting of disclosures or
amendment in compliance with the requirements oflhe HIPAA Privacy Regulations. 45 CFR
164,504(e)(2)(d)(G) and 164 528,
(K) If CONTRACTOR receives a request for access, amendment or accounting
of LW from an individual with a right of access to information subject to this DUA, it will
respond to such request in compliance with the HIPAA Privacy Rogidations.
CONTRACTOR will maintain an accounting of all responses to requests for access to or
amendment of J?,LII and provide it to HHS within 48 hours of HHS' request. 45 CFR
164.504(e)(2).
(L) CONTRACTOR will provide, and will cause its Subcontractors and agents
to provide, to II1IS periodic written certifications of compliance with controls and
provisions relating to information privacy, security and breach notification, including
without limitation information related to data transfers and the handling and disposal of
Confidential Information. 45 CFR 164.308; 164.530(c); 1 TAC202,
(M) Except as otherwise limited by this DUA, the Base Contract, or law
applicable to the Confidential Infomialion, CONTRACTOR may use M for the proper
management and administration of CONTRACTOR or to carry out CONTRACTOR's
legal responsibilities. Fxvept as otherwise limited by this DUA, the Base Contract, or law
applicable to the Confidential Information CONTRACTOR may disclose PHI for the
proper management and administration of CONTRACTOR, or to carry out
CONTRACTOR's legal responsibilities, if: 45 CFR 164.504(e)(4)(A).
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(1) Disclosure is Required by Law, provided that CONTRACTOR complies with
Section 3.01(D); or
(2) CONTRACTOR obtains reasonable assurances from the person or entity to
which the information is disclosed drat the person or entity will:
(a)Maintain the confidentiality of the Confidential Infonnakn in accordance
with this DUA;
(b) Use or further disclose the information only as Ee titres d by Law or for
the Authorized Purpose for which it was disclosed to the Person; and
(c)Notify CONTRACTOR in accordance with Section 4.01 of any Event or
Breach of Confidential hnfonmalion of which the Person discovers or should have
discovered with the exercise of reasonable diligence. 45 CFR
164.504(e)(4)Q(B).
(N) Except as otherwise limited by this DUA, CONTRACTOR will, if required
by law and requested by HHS, use commercially reasonable effortsto use ZW to provide data
aggregation services to HHS, as that term is defined in the HI I'A 45 C.F.R. §164.501 and
permitted by HIPAA. 45 CFR 164.504(e)(2)(O(B)
(0) CONTRACTOR will, on the termination or expiration of this DUA or the
Base Contract, at its expense, send to HHS or Destroy, at HHS's election and to the extent
reasonably feasible and permissible by law, all Confidential Information received from li HS
or created or maintained by CONTRACTOR or any of CONTRACTOR's agents or
Subcontractors on HHS's behalf if that data contains Confidential Information.
CONTRACTOR will certify in writing to HHS that all die Confidential 1 foi nation that has
been created, received, maintained, used by or disclosed to CONTRACTOR, has been
Destroyed or sent to 1111S, and that CONTRACTOR and its agents and Subcontractors have
retained no copies thereof. Notwithstanding the foregoing, HHS acknowledges and agrees
that CONTRACTOR is not obligated to send to HHSC and/or Deslrov any Confidential
Information if federal law, slate law, the Texas State Library and Archives Commission
records retention schedule, and/or a litigation hold notice prohibit such delivery or
Destruction. If such delivery or Destruction is not reasonably feasible, or is impermissible by
law, CONTRACTOR will immediately notify HHS of the reasons such delivery or
Destruction is not feasible, and agree to extend indefinitely the protections of this DUAto the
Confidential Information and limit its fwther uses and disclosures to the purposes that make
the return delivery or Destruction of the Confidential Information not feasible for as long as
CONTRACTOR maintains such Confidential Information. 45 CFR 164.504(e)(2)(u)(J)
(P) CONTRACTOR will create, maintain, use, disclose, transmit or Destroy
Confidential Information in a secure fashion that protects against any reasonably anticipated
threats or hazards to the security or integrity of such information or unauthorized uses 45
CFR 164.306, 164.530(c)
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(Q) If CONTRAC IDR accesses, transmits, stores, and/or maintains Confidential
Lmformation. CONTRACTOR will complete and return to HHS at
infosecurity t(�t hhse.stateUms the HHS information security and privacy initial inquiry (SPI)
at Attachment I . The SPI identifies basic privacy and security controls with which
CONTRACTOR must comply to protect HHS Confidential Won -nation, CONTRACTOR
will comply with periodic security controls compliance assessment and monitoring by HHS
as required by state and federal law, based on the type of Confidential Information
CONTRACTOR creates, receives, maintains, uses, discloses or has access to and the
Authorized Purpose and level of risk. CONTRACTOR's security controls will be based on
the National Institute of Standards and Technology (NISI) Special Publication 900-53.
CON'CRAC7IOR will update its security controls assessment whenever there are significant
changes in security controls for HHS Confidential Information and will provide the updated
document to HHS. HHS also reserves time right to request updates as needed to satisfy state
and federal monitoring requirements, 45 CFR 164.306.
(R) COMIRACIDR will establish, implement and maintain reasonable
procedura), administrative, physical and technical safeguards to preserve and maintain the
confidentiality, integrity, and availability of the Confidential Informationand with respect to
PI:I.L as described in the HIPAA Privacy and Security ReauloWns. or other applicable laws
or regulations relating to Confidential Information to prevent any unauthorized use or
disclosure of C nfidential Information as long as CONTRACTOR has such Confidential
Inform tion in its actual or constructive possession. 45 CFR 164.308 (administrative
safeguards): 164.310 07hysied safeguarrtc), 164.312 (technical safeguards);
164. S30(c)(privacy safeguards).
(S) CONTRACTOR will designate and identify, a Person or Persons. as Privacv
Official 45CFR 164.S30(a)(1) and Information Secitrity Official, each of whom is authorized
to act on behalf of CONTRACTOR and is responsible for the development and
implementation of the privacy and security requirements in this DUA. CONTRACTOR will
provide name and currant address, phone number and e-mail address for such designated
officials to HHS upon execution of this DUA and prior to any change. If such persons fail to
develop and implement the requirements of the DUA, CONTRACTOR will replace them
upon HHS request. 45 CFR 16.308(a)(2).
(T) CONTRACTOR represents and warrants that its Authorized Users each have
a demonstrated need to Imoty and have access to Confidential Information solely to time
mini stun extent necessary to accomplish die Authorized I'trruosc pursuant to this DUA and
the Base Contract, and Rulher, that each has agreed in writing to be bound by the disclosure
and use limitations pertaining to the Confidential Information contained in this DUA 43
CFR 161.502; 164.514(4).
(U) CONIRACTOR and its Subcontractors will maintain an updated, complete,
accurate and numbered list of Authorized Users, their signatures, titles and the date tlity
agreed to be bound by the terms of this DUA, at all times and supply it to HHS, as directed,
upon request.
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(V) CONTRACTOR will implement, update as necessary, and document
reasonable and appropriate policies and procedures for privacy, security and DrLiLch of
Confidential Information and an incident response plan for an LKepLor Breach to comply
with the privacy, security and breach notice requirements of this DUA prior to conducting
work under the Statement of Work 45 CFR 164.308; 164.316; 164.514(a); 164.530()(1).
(W) CONTRACTOR will produce copies of its information security and privacy
policies and procedures and records relating to the use or .disclosure of Confidential
Inform 'on received from, created by, or received, used or disclosed by CONTRACTOR for
an Authorized Puryose for HHS's review and approval within 30 days of execution of this
DUA and upon request by HHS the following business day or other agreed upon time frame.
45 CFR 164.308; 1641514(o.
(X) CONTRACTOR will make available to HITS any information HITS requites
to fulfill IMS's obligations to provide access to, or copies of, EM in accordance with HIPAA
and other applicable laws and regulations relating to Confidential Information.
CONI'RAUFOR will provide such information in a time and manner reasonably agreed upon
or as designated by the Secretary of the U.S. Department of Health and Human Sen'ices, or
other federal or state law. 45 CFR 164 504(e)(2)(tffl .
(Y) CON-lRAC MR will only wnducl secure transmissions of Confidential
Information whether in paper, oral or electronic form, in accordance with applicable rules,
regulations and laws. A secure trnnsmission of electronic Confidential Information in motion
includes, but is not limited to, Secure File Transfer Protocol (SFTP) or EncLation at an
appropriate level. If required by rule, regulation or law, }IIIS Confidential Information at rest
requires &wWion unless there is other adequate administrative, technical, and physical
security. All electronic data transfer and cormuunications of Confidential Information will be
through secure systems. Proof of system, media or device security and/or Encryption must be
produced to HITS no later than 48 hours after HHS's written request in response to a
compliance investigation, audit or the 13iscovery of an E.v= or ac , Otllenvise, requested
production of such proof will be made as agreed upon by the parties_ Ikridentiftcation of HHS
Conlidentia] Information is a means of security. With respect to de -identification of PA
"secure" means de-idenf lied according to HIPAA Privacy standards and regulatory guidance.
45 CFR 164.312; 164.530(to.
(Z) For each type of Confidential Information CONTRACTOR creates, receives,
maintains, rises, discloses, has access to or transmits in the performance of the Statement of
Work, CONTRACTOR will comply with the following laws rules and regulations, only to
the extent applicable and mcprired by law;
Title 1, Part 10, Chapter 202, Subehapler B, Texas Administrative Code;
The Privacy Act of 1974;
OMB Memorandum 07-16;
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• The Federal Information Security Management Act of 2002 (FISMA);
• The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
as defined in the DUA;
• Internal Revenue Publication 1075 - Tax Information Security Guidelines
for Federal, State and Local Agencies;
• National Institute of Standards and 'Cecltnology (NISI) Special Publication
800-66 Revision 1 - An Introductory Resource Guide for Implementingthe
Health Insurance Portability and Accountability Act (HIPAA) Security
Rule;
• NIST Special Publications 800-53 and 800-53A Recommended Security
Controls for Federal Information Systems and Organizations, as currently
revised,
a NIST Special Publication 800-47 - Security Guide for Interconnecting
Information Technology Systems;
• NIST Special Publication 800-89, Guidelines for Media Sanitization;
• NIST Special Publication 800-111, Guide to Storage of Encryption
Technologies for End User Devices containing PHI; and
Any other Stale or federal law, regulation, or administrative rule relating to the specific IIHS
program area that CONTRACTOR supports on behalf of HHS.
(AA) Notwithstanding anything to the contrary herein. CONTRACTOR will treat
any Personal Identifying Infornuution it creates, receives, maintains, uses, transmits, destroys
and/or discloses in accordance with Texas Business and Commerce Code, Chapter 521 and
other applicable regulatory standards identified in Section 3.01(Z), and jndividually
Ldent'fiable Health Information CONTRACTOR creates, receivos, maintains, uses,
transmits, destroys and or discloses in accordance with HIPA and other applicable
regulatory standards identified in Section 3.01(Z).
ARTICLE 4.
BREACH NOTICE, REPORTING AND CORRECTION REQUIREMENTS
4.01 Breach or Event Notification to HHS. 45 CNR 164.400414.
(A) CONTRACTOR will cooperate filly with HHS in investigating, mitigating to
the extent practicable and issuing notifications directed by HHS, for any •Event or Breach of
Confidential Information to the extent and in the manner determined by HHS.
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(B) CONTRACTOR'S obligation begins at the Discovery of an Event or Breach
and continues as long as related activity continues, until all effects of the Lvent are mitigated
to HHS's reasonable satisfaction (the "incident response period"), 45 CFR 164.404.
(C) Breach Notice:
(1) Initial Notice.
(a) For federal information, including without limitation, Fedeml
Tax Informat* Social Seeurily AdministEgign Data, and Medicaid Client
Information within the first, consecutive clock hour of Diwov and for
all other types of Confidential Information not more than 24 hours after
Discovery, or in a timeframe otherwise approved by HHS in writing, initially
report to HHS's Privacy and Security Officers via email at:
privacy@HHSC.siate.txms and to the HHS division responsible for this
DUA; and IRS Publication 1075; Privacy Act of 1974, as amended by the
Computer Matching and Privacy Protection Act of 1988, 5 U.S.C. § 552a;
OMB Memorandum 07-16 as cited in HHSC-CMS Contracts for
infomnation exchange.
(h) Report all information reasonably available to
CONTRACTOR about the &DA or Breach of the privacy or security of
Confidential Infomation, 45 CFR 164.410
(c) Name, and provide contact information to IIIIS for,
CONTRACTIDWs single point of contact who will communicate with HHS
both on and off business hours during the incident response period.
(2) Formal Notice. No later than two business days after the Initial Notice
above, provide formal notification to privacy@H1ISC.state.tx.vs mid to the HHS
division responsible for this DUA, including all reasonably available information
about the Event or Breach and CONTRACTOR'S investigation, including without
limitation and to the extent available: For (a) - (m) bdinit, 45 CFR 164.400-414
(a) The date theEven( or beach cx:cured;
(b) The dale of CONTRACTOR' and, if applicable,
Subcontractor'SDiscovc
(c) A brief description of the Fvent or Breach; including how it
occurred and who is responsible (or hypotheses, if not yet determined);
(d) A brief description of COMMACfOWs. investigation and the
status of the investigation;
(e) A description of the types and amount of Confidential
Information involved;
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(f) Identification of and number of all Individuals reasonably
believed to be affected, including first and last name of the Individ,}.,ial and if
applicable the, UgAlly Authorized Renresentalivc, last known address,
age, telephone number, and email address if it is a preferred contact method,
to the extent known or can be reasonably determined by CONTRACTOR at
that time;
(g) CONTRACTOR's initial risk assessment of the Event or
Breach demonstrating whether individual or other notices are required by
applicable law or this DI.IA for HHS approval, including an analysis of
whether there is a low probability of compromise of the Confidential
Information or whether any legal exceptions to notification apply;
(h) CONTRACTOR's recommendation for HHS's approval as to
the steps Individuals and'or CONIRACItOR on behalf of Individuals
should take to protect the Individuals from potential harm, including without
limitation COWRACTIOR's provision of notifications, credit protection,
claims monitoring, and any specific protections for a Legally Authorized
&2Wentalive to take on behalf of an Individual with special capacity or
circumstances;
(i) The steps CONTRACTOR has taken to mitigate the harm or
potential harm caused (including without limitation the provision of
sufficient resources to mitigate);
0) The steps CONTRACTOR has taken, or will lake, to prevent
or reduce Ilse likelihood of recurrence of a sini lar Lvent or BrLach
(k) Identify, describe or estimate the Penongs Workforce.
Subcontractor, or Individuals and any law enforcement that may he involved
in the Event or Breach:
(1) A reasonable schedule for CONTRACTOR to provide regular
updates during normal business hours to the foregoing in die future for
response to the Ev, ern or Breach but no less than every three (3) business
days or as otherwise directed by HHS, including information about risk
estimations, reporting, notification, if any, mitigation, corrective action, root
cause analysis and when such activities are expected to be completed; and
(m) Any reasonably available, pertinent information, documents or
reports related to an Ly!nA or Breach dial IRIS requests following
fi ove .
4,02 Investigation, Response and Mitigation. 45 CFR 164.308, 310 and 312;164.530
(A) CONTRACTOR will immediately conduct a full and complete investigation,
respond to the Event or Bmc commit necessary and appropriate staff and resources to
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expeditiously respond, and report as required to and by HHS for incident response purposes
mid for purposes of HHS's compliance with report and notification requirements, to the
reasonable satisfaction of HHS.
(B) CONTRACTOR will complete or participate in a risk assessment as directed
by IRIS following an Cvent or Broach • and provide the final assessment, corrective actions
and mitigations to HHS for review and approval.
(C) CONTRACTOR will fully cooperate with HHS to respond to inquiries and/or
proceedings by state and federal authorities, Persons and/or Individuals about the Event or
Broach.
(D) CONTRACTOR will fully cooperate with HHS's efforts to seek appropriate
injunctive relief or otherwise prevent or curtail such Event or Breach, or to recover or protect
any Confidential Information, including complying with reasonable corrective action or
measures, as specified by HHS in a Corrective Action Plan if directed by IIHS under the Base
Contract.
4,03 Breach Notification to Individuals and Reporting to Authorities. Tex. Bus, &
Comm. Code §521.053; 45 CFR 164.404 (Individuals), 164.406 (Medan); 164.409
(Authoritles)
(A) HHS may direct CONTRACTOR to provide Breach notification to
Individuals, regulators or third -parties, as specified by HHS following a Breach.
(B) CONTRACTOR shall give HHS an opportunity to review and provide
feedback to CONTRACTOR and to confirm that CONTRACTOR's notice meets all
regulatory requirements regarding the time, manner and content of any notification to
Individualsregulators or third -panics, or any notice required by other state or federal
authorities. MIS shall have ten (10) business days to provide said feedback to
CONTRACTOR. Notice letters will be in CONTRACTOR's name and on CONTRACTOR's
letterhead, unless otherwise directed by HHS, and will contain contact information, including
the name and title of CONTRACTOR's representative, an email address and a toll -free
telephone number, if required by applicable law, rule, or regulation, for the lndivi4ual to obtain
additional information.
(C) CONTRACTOR will provide HHS with copies of distributed and approved
communications.
(D) CONTRAC'•IOR will have the burden of demonstrating to the reasonable
satisfaction of I II IS that mty notification required by I11 iS was timely made. If there are delays
outside of CONTRACTOR's control, CONTRACTOR will provide written documentation of
the reasons for the delay.
(E) If HHS delegates notice requirements to COMIRAC71'011, 1-111S shall, in the
time and manner reasonably requested by CONTRACTOR, cooperate and assist with
CONTRACTOR's information requests in order to make such notifications and reports.
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ARTICLE 5.
STATEMENT OF WORK
"Statement of Work" means die services and deliverables to he performed or provided by
CONTRACTOR, or on behalf of CONTRACTOR by its Suboontractom or agents for HHS that are
described in detail in the Base Contract. The Statement of Work, including any fixture amendments
thereto, is incorporated by reference in this DUA as if set out word-for-word hareinn.
ARTICLE 6.
GENERAL PROVISIONS
6,01 Oversight or Confidential Information
CONTRACTOR acknowledges and agrees that HHS is entitled to oversee and monitor
CONTRACTOR's access to and creation, receipt, maintenance, use, disclosure of the Confidential
Infomation to confirm that CONTRACTOR is in compliance with this DUA.
6.02 IIIIS Commitment and Obligations
HHS will not request CONTRACTOR to create, maintain, transmit, use or disclose PHI in
any mariner that would not be permissible under applicable law if done by 1111S.
6.03 HHS Right to Inspection
At any time upon reasonable notice to CONTRACTOR, or if MIS determumes that
CONTRACTOR has violated this DUA, HHS, directly or through its agent, will have the right to
inspect the facilities, systems, hooks and records of CONTRACTOR to monitor compliance with this
DUA. For purposes of this subsection, HHS's agent(s) include, without limitation, the HHS Office of
the Inspector General or the Office of the Attorney General of Texas, outside consultants or legal
counsel or other designee.
6.04 Term; Termination of DUA; Survival
This DUA will be effective on the date on which CONTRACTOR executes the DUA, acid
will terminate upon termination of the Base Contract and as set forth herein. If the Base Contract is
extended or amended, this DUA shall be extended or amended concurrent with such extension or
amendment.
(A) HHS may immedialely terminate this DUAand Base Contract upon a material
violation of this DUA
(B) Termination or Expiration of this DUA will not relieve CONTRACTOR of its
obligation to return or Destroy the Confidential Information as set forth in this DUA and to
continue to safeguard the Confidential Information until such time as determined by HHS.
(C) If 1-111S determines that CONTRACTOR has violated a material tern of this
DUA; HHS may in its sole discretion:
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(1) Exercise any of its rights including but not limited to reports, access
and inspection wider this DUA and/or the Base Contract; or
(2) Require CONTRACTOR to submit to a Corrective Action Plan,
including a plan for monitoring and plan for reporting, as HHS may determine
necessary to maintain compliance with this DUA; or
(3) Provide CONTRACTOR with a reasonable period to cure the
violation as determined by HHS; or
(4) Terminate the DUA and Base Contract immediately, and seek relief in
a court of competent jurisdiction in Texas.
Before exercising any of these options, HHS will provide written notice to
CONTRACTOR describing the violation, the requested corrective action CONTRACTOR
may take to cure the alleged violation, and the action HHS intends to take if the alleged
violated is not timely cured by CONTRACTOR.
(D) If neither termination nor care is feasible, HHS shall report the violation to the
Secretary of the U.S. Department of Ilealth and Human Services.
(E) 'the duties of COMIRACfOR or its Subcontractor under this DUA survive
the expiration or termination of this DUA until all the Confidential Informaliou is Destroyed
or returned to HHS, as required by this DUA.
6.05 Governing Law, Venue and Litigation
(A) The validity, construction and perfomanoe of this DIIA and the legal relations
among the Parties to this DUA will be governed by and construed 51 accordance with the Iaws
of the State of Texas.
(13) The Parties agree that the courts of Texas, will be the exchrsive Ventre for any
litigation, special proceeding or other proceeding m between the parties that may be brought,
or arise out of, or in connection with, or by reason of this DUA
6.06 Injunctive Relief
(A) CONTRACTOR acknowledges and agrees that HHS may suffer irreparable
injury if CONTRACTOR or its Subcontractor fails to comply with any of the terns of this
DUA with respect to the Confidential Information or a prevision of HIPAA or other laws or
regulations applicable to Conftd ntial Information.
(B) CONTRACTOR further agrees that monetary damages may be inadequate to
compensate HHS for CONTRACTOR's or its Subcontr _ or's failure to comply. Accordingly,
CONTRACTOR agrees that HHS will, in addition to any other remedies available to it at law
or in equity, be entitled to seek injunctive relief without posting a bond and without the
necessity of demonstrating actual damages, to enforce the terns of this DUA
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6.07 Responsibility.
To the extent permitted by the Texas Constitution, laws and rules, and without waiving any
immunities or defenses available to CONTRACTOR as a governmental entity, CONTRACTOR
shall be solely responsible for its own acts and omissions and the acts and omissions of its
employees, directors, officers, Subcontractors and agents. HHS shall be solely responsible for its
own acts and omissions.
6.08 Insurance
(A) As a govennnental entity, and in accordance with the limits of the Texas Tort
Claims Act, Chapter 101 of the Texas Civil Practice and Remedies Code, CONTRACTOR
either maintains commercial insurance or self -insures with policy limits in an amount
sufficient to cover CONTRACTOR's liability arising under this DUA. CONTRACTOR will
request that 11118 be named as an additional insured. HHSC reserves the right to consider
alternative means for CONTRACTOR to satisfy CONTRACTOR's financial responsibility
under this DUA Nothing heroin shall relieve CONTRACTOR of its financial obligations set
forth at Ibis DUA if CONTRACTOR fails to maintain insurance.
(B) CONTRACTOR will provide HHS with written proof that required insurance
coverage is in effect, at the request of HHS.
6.08 Fees and Costs
hxeept as otherwise specified in this DUA or the Base Contract, if any legal action or other
proceeding is brought for the enforcement of this DUA, or because of an alleged dispute, contract
violation, Event. Breachdefault, misrepresentation, or injunctive action, in connection with any of
the provisions of this DUA, each party will bear their own legal expenses and the other cost incurred
in that action or proceeding.
6.09 Entirety of the Contract
This DUA is incorporated by reference into the Base Contract as an amendment thereto
and, together with the Base Contract, constitutes the entire agreement between the parties. No
change, waiver, or discharge of obligations arising under those document% will be valid unless in
writing and executed by the party against whom such change, waiver, or discharge is sought to be
enforced. If any provision of the Base Contract, including any Oeneral Provisions or Uniform
Terms and Conditions, conflicts with this DUA, this DUA controls.
6.10 Automatic Amendment and Interpretation
If there is (i) a change in any law, regulation or rule, state or federal, applicable to HIPPA and/or
Confidential Information, or (ii) any change in the judicial or administrative interpretation of any
such law, regulation or rule„ upon the effective date ol'such change, this DUA shall be deemed to
have been automatically amended, interpreted said read so that the obligations imposed oil HMS
and/or CONTRACTOR remain in compliance with such changes. Any ambiguity in this DUA will
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be resolved in favor of a meaning that permits HHS and CONTRACTOR to comply with HIPAA
or any other law applicable to Confidential Inforniation.
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TACCHO VERSION
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System Agency Contract No. HHS000436300019 Page 49 of 49
Certificate Of Completion
Envelope Id: 9D90139F576942F6A129E4799663C935
Subject: NEW $125,339; HHS000436300019; City of Lubbock; DSHS/LIDS/lDCU-SUR
Source Envelope-
Document Pages: 56 Signatures: 2
Certificate Pages 2 Initials: 0
AutoNav: Enabled
Envelopeld Stamping Enabled
Time Zone: (UT"6 00) Central Time (US & Canada)
Record Tracking
Status: Original Holder, Texas Health and Human Services
4/5/2019 2:21-14 Pint Commission
PCS DocuSign@hhsc.state.tx.us
Signer Events Signature
Daniel Pope
dpope@mylubbock us
Mayor ll �roarewicaa+oF
City of Lubbock
Security Level: Emall, Account Authentication Signature Adoption_ Pre -selected Style
(None) Using IP Address: 208.84.91.45
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Imelde Garcia
°r-"r'by'
`�"&
C1187-GUMM24019,
imeldam.garcia@dshs.texas.gov
Associate Commissioner
Texas Health and Human Services Commission
Signature Adoption: Pre -selected Style
Security Level: Email, Account Authentication
(None)
Using IP Address: 107.77.218.122
Signed using mobile
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature
Editor Delivery Events Status
Agent Delivery Events Status
Intermediary Delivery Events Status
Certified Delivery Events Status
Carbon Copy Events Status
CMS COPIED
CMUcontracts@dshs.texas.gov
Security Level: Email, Account Authentication
(None)
Electron lc Record and Signature Disclosure:
Not Offered via DocuSign
Doc1JitC
>trcvtlro
Status: Completed
Envelope Originator:
Texas Health and Human Services Commission
1100 W. 49th St.
Austin, TX 78756
PCSDocuSign@hhSG.St8leAx.us
IP Address- 167.137.1.15
Location: DocuSign
Timestamp
Sent: 4/5/2019 2:27:30 PM
Viewed: 4/5/2019 2:32:38 PM
Signed: 4/5/2019 2:33:40 PM
Sent: 4/5/2019 2:3142 PM
Viewed: 4/5/2019 3:32:41 PM
Signed: 4/5/2019 3:33:12 PM
Timestamp
Timestamp
Timestamp
Timestamp
Timestamp
Timestamp
Sent 4/5/2019 2:27:29 PM
Carbon Copy Events
Rebecca Delgado
rebecce.delgedo@hhsc. state.tx.us
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Status
COPIED
Caeli Paradise COPIED
Caell.paradise@dshs.texas.gov
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Katherine Wells
kwelis@mail.ci.lubbock.tx.us
Director of Public Health
Security Level: Email, Account Authentication
(None)
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Notary Events
Envelope Summary Events
Envelope Sent
Certified Delivered
Signing Complete
Completed
COPIED
Signature
Status
Hashed/Encrypted
Security Checked
Security Checked
Security Checked
Timestarrip
Sent: 4/5/2019 2:27:29 PM
Sent: 4/5/2019 2.27:29 PM
Sent: 4/512019 2:27:30 PM
Viewed: 4/5/2019 3:43:00 PM
Tlmestamp
Timestamps WMMII
415/2019 2:33:42 PM
4/5/2019 3:32:41 PM
4/5/2019 3:33:12 PM
4/5/2019 3:33:12 PM
Payment Events Status Timestamps