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HomeMy WebLinkAboutContract B. Method of Payment. On a monthly or no less than quarterly basis during any quarter
in which Work is performed,the Consultant shall submit a voucher or invoice in a form
specified by the City, including a description of what Work has been performed, the
name of the personnel performing such Work, and any hourly labor charge rate for
such personnel. The Consultant shall also submit a final bill upon completion of all
Work. Payment shall be made by the City for Work performed within thirty (30)
calendar days after receipt and approval by the appropriate City representative of the
voucher or invoice. If the Consultant's performance does not meet the requirements
of this Agreement, the Consultant will correct or modify its performance to comply
with the Agreement. The City may withhold payment for work that does not meet the
requirements of this Agreement.
C. Effect of Payment. Payment for any part of the Work shall not constitute a waiver by
the City of any remedies it may have against the Consultant for failure of the
Consultant to perform the Work or for any breach of this Agreement by the
Consultant.
D. Non-Appropriation of Funds. If sufficient funds are not appropriated or allocated for
payment under this Agreement for any future fiscal period, the City shall not be
obligated to make payments for Work or amounts incurred after the end of the
current fiscal period, and this Agreement will terminate upon the completion of all
remaining Work for which funds are allocated. No penalty or expense shall accrue to
the City in the event this provision applies.
5. Termination:
A. This Agreement terminates eleven (11) months after its effective date. However, the
City reserves the right to terminate this Agreement at any time before such date, with
or without cause by giving sixty (60)calendar days' notice to the Consultant in writing.
In the event of such termination or suspension, all finished or unfinished documents,
data, studies, worksheets, models and reports, or other material prepared by the
Consultant pursuant to this Agreement shall be submitted to the City, if any are
required as part of the Work.
B. In the event this Agreement is terminated by the City, the Consultant shall be entitled
to payment for all hours worked to the effective date of termination, less all payments
previously made. If the Agreement is terminated by the City after partial performance
of Work for which the agreed compensation is a fixed fee, the City shall pay the
Consultant an equitable share of the fixed fee. This provision shall not prevent the
City from seeking any legal remedies it may have for the violation or nonperformance
of any of the provisions of this Agreement and such charges due to the City shall be
deducted from the final payment due the Consultant. No payment shall be made by
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the City for any expenses incurred or work done following the effective date of
termination unless authorized in advance in writing by the City.
6. Warranties And Right To Use Work Product: Consultant represents and warrants that
Consultant will perform all Work identified in this Agreement in a professional and
workmanlike manner and in accordance with all reasonable and professional standards
and laws. Compliance with professional standards includes, as applicable, performing the
Work in compliance with applicable City standards or guidelines (e.g. design criteria and
Standard Plans for Road, Bridge and Municipal Construction). Professional engineers shall
certify engineering plans, specifications, plats, and reports, as applicable, pursuant to
RCW 18.43.070. Consultant further represents and warrants that all final work product
created for and delivered to the City pursuant to this Agreement shall be the original work
of the Consultant and free from any intellectual property encumbrance which would
restrict the City from using the work product. Consultant grants to the City a non-
exclusive, perpetual right and license to use, reproduce, distribute, adapt, modify, and
display all final work product produced pursuant to this Agreement. The City's or other's
adaptation, modification or use of the final work products other than for the purposes of
this Agreement shall be without liability to the Consultant. The provisions of this section
shall survive the expiration or termination of this Agreement.
7. Record Maintenance: The Consultant shall maintain accounts and records, which
properly reflect all direct and indirect costs expended and Work provided in the
performance of this Agreement and retain such records for as long as may be required by
applicable Washington State records retention laws, but in any event no less than six
years after the termination of this Agreement. The Consultant agrees to provide access
to and copies of any records related to this Agreement as required by the City to audit
expenditures and charges and/or to comply with the Washington State Public Records Act
(Chapter 42.56 RCW). The provisions of this section shall survive the expiration or
termination of this Agreement.
8. Public Records Compliance: To the full extent the City determines necessary to comply
with the Washington State Public Records Act, Consultant shall make a due diligent search
of all records in its possession or control relating to this Agreement and the Work,
including, but not limited to, e-mail, correspondence, notes, saved telephone messages,
recordings, photos, or drawings and provide them to the City for production. In the event
Consultant believes said records need to be protected from disclosure, it may, at
Consultant's own expense, seek judicial protection. Consultant shall indemnify, defend,
and hold harmless the City for all costs, including attorneys' fees, attendant to any claim
or litigation related to a Public Records Act request for which Consultant has responsive
records and for which Consultant has withheld records or information contained therein,
or not provided them to the City in a timely manner. Consultant shall produce for
distribution any and all records responsive to the Public Records Act request in a timely
PAGE 3 OF 10
manner, unless those records are protected by court order. The provisions of this section
shall survive the expiration or termination of this Agreement.
9. Independent Contractor Relationship:
A. The Consultant is retained by the City only for the purposes and to the extent set forth
in this Agreement.The nature of the relationship between the Consultant and the City
during the period of the Work shall be that of an independent contractor, not
employee.The Consultant, not the City, shall have the power to control and direct the
details, manner or means of Work. Specifically, but not by means of limitation, the
Consultant shall have no obligation to work any particular hours or particular
schedule, unless otherwise indicated in the Scope of Work or where scheduling of
attendance or performance is mutually arranged due to the nature of the Work.
Consultant shall retain the right to designate the means of performing the Work
covered by this agreement, and the Consultant shall be entitled to employ other
workers at such compensation and such other conditions as it may deem proper,
provided, however, that any contract so made by the Consultant is to be paid by it
alone, and that employing such workers, it is acting individually and not as an agent
for the City.
B. The City shall not be responsible for withholding or otherwise deducting federal
income tax or Social Security or contributing to the State Industrial Insurance
Program, or otherwise assuming the duties of an employer with respect to Consultant
or any employee of the Consultant.
C. If the Consultant is a sole proprietorship or if this Agreement is with an individual,the
Consultant agrees to notify the City and complete any required form if the Consultant
retired under a State of Washington retirement system and agrees to indemnify any
losses the City may sustain through the Consultant's failure to do so.
10. Hold Harmless: The Consultant agrees to release, indemnify, defend, and hold harmless
the City, elected officials, employees, officers, representatives, and volunteers from any
and all claims, demands, actions, suits, causes of action, arbitrations, mediations,
proceedings, judgments, awards, injuries, damages, liabilities, taxes, losses, fines, fees,
penalties, expenses, attorney's or attorneys' fees, costs, and/or litigation expenses to or
by any and all persons or entities, arising from, resulting from, or related to the negligent
acts, errors or omissions of the Consultant in its performance of this Agreement or a
breach of this Agreement by Consultant, except for that portion of the claims caused by
the City's sole negligence.
Should a court of competent jurisdiction determine that this agreement is subject to RCW
4.24.115, (Validity of agreement to indemnify against liability for negligence relative to
construction, alteration, improvement,etc.,of structure or improvement attached to real
PAGE 4 OF 10
estate...) then, in the event of liability for damages arising out of bodily injury to persons
or damages to property caused by or resulting from the concurrent negligence of the
Consultant and the City, its officers, officials, employees and volunteers, Consultant's
liability shall be only to the extent of Consultant's negligence.
It is further specifically and expressly understood that the indemnification provided in
this Agreement constitute Consultant's waiver of immunity under the Industrial
Insurance Act, RCW Title 51, solely for the purposes of this indemnification. The Parties
have mutually negotiated and agreed to this waiver. The provisions of this section shall
survive the expiration or termination of this Agreement.
11. Gifts and Conflicts: The City's Code of Ethics and Washington State law prohibit City
employees from soliciting, accepting, or receiving any gift, gratuity or favor from any
person, firm or corporation involved in a contract or transaction. To ensure compliance
with the City's Code of Ethics and state law,the Consultant shall not give a gift of any kind
to City employees or officials. Consultant also confirms that Consultant does not have a
business interest or a close family relationship with any City officer or employee who was,
is, or will be involved in selecting the Consultant, negotiating or administering this
Agreement, or evaluating the Consultant's performance of the Work.
12. City of Renton Business License: The Consultant shall obtain a City of Renton Business
License prior to performing any Work and maintain the business license in good standing
throughout the term of this agreement with the City.
Information regarding acquiring a city business license can be found at:
http://www.rentonwa.gov/cros/One.aspx?portalld=7922741&pageld=9824882
Information regarding State business licensing requirements can be found at:
http://dor.wa.gov/doing-business/register-my-business
13. Insurance: Consultant shall secure and maintain:
A. Commercial general liability insurance in the minimum amounts of $1,000,000 for
each occurrence/$2,000,000 aggregate for the Term of this Agreement.
B. In the event that Work delivered pursuant to this Agreement either directly or
indirectly involve or require Professional Services, Professional Liability, Errors and
Omissions coverage shall be provided with minimum limits of $1,000,000 per
occurrence. "Professional Services", for the purpose of this section, shall mean any
Work provided by a licensed professional or Work that requires a professional
standard of care.
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C. Workers' compensation coverage, as required by the Industrial Insurance laws of the
State of Washington, shall also be secured.
D. Commercial Automobile Liability for owned, leased, hired or non-owned, leased, hired
or non-owned, with minimum limits of $1,000,000 per occurrence combined single
limit, if there will be any use of Consultant's vehicles on the City's Premises by or on
behalf of the City, beyond normal commutes.
E. Consultant shall name the City as an Additional Insured on its commercial general
liability policy on a non-contributory primary basis. The City's insurance policies shall
not be a source for payment of any Consultant liability, nor shall the maintenance of
any insurance required by this Agreement be construed to limit the liability of
Consultant to the coverage provided by such insurance or otherwise limit the City's
recourse to any remedy available at law or in equity.
F. Subject to the City's review and acceptance, a certificate of insurance showing the
proper endorsements, shall be delivered to the City before performing the Work.
G. Consultant shall provide the City with written notice of any policy cancellation, within
two (2) business days of their receipt of such notice.
14. Delays: Consultant is not responsible for delays caused by factors beyond the
Consultant's reasonable control. When such delays beyond the Consultant's reasonable
control occur, the City agrees the Consultant is not responsible for damages, nor shall the
Consultant be deemed to be in default of the Agreement.
15. Successors and Assigns: Neither the City nor the Consultant shall assign, transfer or
encumber any rights, duties or interests accruing from this Agreement without the
written consent of the other.
16. Notices: Any notice required under this Agreement will be in writing, addressed to the
appropriate party at the address which appears below (as modified in writing from time
to time by such party), and given personally, by registered or certified mail, return receipt
requested, by facsimile or by nationally recognized overnight courier service.Time period
for notices shall be deemed to have commenced upon the date of receipt, EXCEPT
facsimile delivery will be deemed to have commenced on the first business day following
transmission. Email and telephone may be used for purposes of administering the
Agreement, but should not be used to give any formal notice required by the Agreement.
PAGE 6 OF 10
CITY OF RENTON CONSULTANT
Wendy Rittereiser Tony Ciez
1055 South Grady Way 601 Union Street
Renton, WA 98057 Seattle, WA 98101
Phone: (425) 430-7659 Phone: 206 577-5592
WRittereiser@Rentonwa.gov Tony.Ciez@usi.com
Fax: (425) 430-7665 Fax: 206 362-8509
17. Discrimination Prohibited: Except to the extent permitted by a bona fide occupational
qualification, the Consultant agrees as follows:
A. Consultant, and Consultant's agents, employees, representatives, and volunteers
with regard to the Work performed or to be performed under this Agreement, shall
not discriminate on the basis of race, color, sex, religion, nationality, creed, marital
status, sexual orientation or preference, age (except minimum age and retirement
provisions), honorably discharged veteran or military status, or the presence of any
sensory, mental or physical handicap, unless based upon a bona fide occupational
qualification in relationship to hiring and employment, in employment or application
for employment, the administration of the delivery of Work or any other benefits
under this Agreement, or procurement of materials or supplies.
B. The Consultant will take affirmative action to insure that applicants are employed and
that employees are treated during employment without regard to their race, creed,
color, national origin, sex, age, sexual orientation, physical, sensory or mental
handicaps, or marital status. Such action shall include, but not be limited to the
following employment, upgrading, demotion or transfer, recruitment or recruitment
advertising, layoff or termination, rates of pay or other forms of compensation and
selection for training.
C. If the Consultant fails to comply with any of this Agreement's non-discrimination
provisions, the City shall have the right, at its option, to cancel the Agreement in
whole or in part.
D. The Consultant is responsible to be aware of and in compliance with all federal, state
and local laws and regulations that may affect the satisfactory completion of the
project, which includes but is not limited to fair labor laws, worker's compensation,
and Title VI of the Federal Civil Rights Act of 1964, and will comply with City of Renton
Council Resolution Number 4085.
18. Miscellaneous: The parties hereby acknowledge:
A. The City is not responsible to train or provide training for Consultant.
PAGE 7 OF 10
B. Consultant will not be reimbursed for job related expenses except to the extent
specifically agreed within the attached exhibits.
C. Consultant shall furnish all tools and/or materials necessary to perform the Work
except to the extent specifically agreed within the attached exhibits.
D. In the event special training, licensing, or certification is required for Consultant to
provide Work he/she will acquire or maintain such at his/her own expense and, if
Consultant employs, sub-contracts, or otherwise assigns the responsibility to perform
the Work, said employee/sub-contractor/assignee will acquire and or maintain such
training, licensing, or certification.
E. This is a non-exclusive agreement and Consultant is free to provide his/her Work to
other entities, so long as there is no interruption or interference with the provision of
Work called for in this Agreement.
F. Consultant is responsible for his/her own insurance, including, but not limited to
health insurance.
G. Consultant is responsible for his/her own Worker's Compensation coverage as well as
that for any persons employed by the Consultant.
19. Other Provisions:
A. Approval Authority. Each individual executing this Agreement on behalf of the City
and Consultant represents and warrants that such individuals are duly authorized to
execute and deliver this Agreement on behalf of the City or Consultant.
B. General Administration and Management. The City's project manager is Wendy
Rittereiser. In providing Work, Consultant shall coordinate with the City's contract
manager or his/her designee.
C. Amendment and Modification. This Agreement may be amended only by an
instrument in writing, duly executed by both Parties.
D. Conflicts. In the event of any inconsistencies between Consultant proposals and this
Agreement, the terms of this Agreement shall prevail. Any exhibits/attachments to
this Agreement are incorporated by reference only to the extent of the purpose for
which they are referenced within this Agreement. To the extent a Consultant
prepared exhibit conflicts with the terms in the body of this Agreement or contains
terms that are extraneous to the purpose for which it is referenced, the terms in the
body of this Agreement shall prevail and the extraneous terms shall not be
incorporated herein.
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E. Governing Law. This Agreement shall be made in and shall be governed by and
interpreted in accordance with the laws of the State of Washington and the City of
Renton. Consultant and all of the Consultant's employees shall perform the Work in
accordance with all applicable federal, state, county and city laws, codes and
ordinances.
F. Joint Drafting Effort. This Agreement shall be considered for all purposes as prepared
by the joint efforts of the Parties and shall not be construed against one party or the
other as a result of the preparation, substitution, submission or other event of
negotiation, drafting or execution.
G. Jurisdiction and Venue. Any lawsuit or legal action brought by any party to enforce or
interpret this Agreement or any of its terms or covenants shall be brought in the King
County Superior Court for the State of Washington at the Maleng Regional Justice
Center in Kent, King County, Washington, or its replacement or successor. Consultant
hereby expressly consents to the personal and exclusive jurisdiction and venue of
such court even if Consultant is a foreign corporation not registered with the State of
Washington.
H. Severability. A court of competent jurisdiction's determination that any provision or
part of this Agreement is illegal or unenforceable shall not cancel or invalidate the
remainder of this Agreement, which shall remain in full force and effect.
I. Sole and Entire Agreement. This Agreement contains the entire agreement of the
Parties and any representations or understandings, whether oral or written, not
incorporated are excluded.
J. Time is of the Essence. Time is of the essence of this Agreement and each and all of
its provisions in which performance is a factor. Adherence to completion dates set
forth in the description of the Work is essential to the Consultant's performance of
this Agreement.
K. Third-Party Beneficiaries. Nothing in this Agreement is intended to, nor shall be
construed to give any rights or benefits in the Agreement to anyone other than the
Parties, and all duties and responsibilities undertaken pursuant to this Agreement will
be for the sole and exclusive benefit of the Parties and no one else.
L. Binding Effect. The Parties each bind themselves, their partners, successors, assigns,
and legal representatives to the other party to this Agreement, and to the partners,
successors, assigns, and legal representatives of such other party with respect to all
covenants of the Agreement.
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Attachment A ®r
EMPLOYEE BENEFIT SERVICE AGREEMENT
This Agreement is entered into this day of ('J r&vC ,20 I C1 ("Effective Date") by and among
Kibble&Prentice Holding Company dba USI Insurance Services Northwest("USI") and
C �` k' o 1 R e>1.-1-0 v ("Client").
WHEREAS, Client desires USI to assist in the following services:
Insurance Brokerage Services. Serve as the Client's insurance broker for purposes of
evaluating certain employee benefit insurance coverage (including, but not limited to, medical,
dental and disability insurance)and obtaining said coverage.
SECTION 4. BUSINESS ASSOCIATE AGREEMENT
USI has been retained by the Client's group health plan ("Covered Entity") as its insurance broker and will
perform certain services on behalf of the Covered Entity, in its capacity as a broker, consultant or other
service provider with respect to activities of the Covered Entity as a "group health plan" as defined in 45
C.F.R. § 160.103. In connection with the provision of such services by USI, the Covered Entity may
disclose to USI certain Protected Health Information (as defined below), concerning the Covered Entity
and its activities.
USI and the Covered Entity desire to enter into a business associate agreement for the purpose of
addressing the Privacy Rule, the Security Rule, and the Electronic Transaction Rule, (as those terms are
defined below), and for addressing the privacy and security provisions set forth in the Health Information
Technology for Economic and Clinical Health Act(the"HITECH Act"), contained in Title XIII, Subtitle D, of
the American Recovery and Reinvestment Act of 2009, and for making appropriate updates in
accordance with final regulations issued in January 2013. In consideration of the premises and other
good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, USI and
the Covered Entity agree as follows:
4.1. DEFINITIONS
4.1.1 "Agreement"shall mean this document, including all exhibits, attachments, and properly executed
amendments and addendums.
4.1.2 "Breach"shall have the same meaning as the term "breach"in 45 C.F.R. § 164.402.
4.1.3 "Electronic Health Record" shall have the same meaning as the term "electronic protected health
information" in § 13400(5) of the American Recovery and Reinvestment Act of 2009.
4.1.4 "Electronic Protected Health Information" shall have the same meaning as the term "electronic
protected health information" in 45 C.F.R. § 160.103.
4.1.5 "Electronic Transaction Rule" shall mean the final regulations issued by the U.S. Department of
Health and Human Services concerning standard transactions and code sets under 45 C.F.R.
Parts 160 and 162.
4.1.6 "Individual" shall mean the person who is the subject of the Protected Health Information or a
person who qualifies as the personal representative of the individual in accordance with 45 C.F.R.
§ 164.502(g).
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EBD Service Agreement BAA only_01 2018 Rev:1/2018
4.1.7 "Privacy Rule" shall mean the Standards for Privacy of Individually Identifiable Health Information
at 45 C.F.R. Part 160 and Part 164, Subparts A and E.
4.1.8 "Protected Health Information" shall mean any information, including genetic information, that: (a)
relates to the past, present, or future physical or mental health or condition of an Individual; (b)
the provision of health care to an Individual; (c) or the past, present, or future payment for the
provision of health care to an Individual; and that identifies the Individual or with respect to which
there is a reasonable basis to believe the information can be used to identify the Individual.
4.1.9 "Required By Law" shall have the same meaning as the term "required by law" in 45 C.F.R. §
160.103.
4.1.10 "Secretary" shall mean the Secretary of the Department of Health and Human Services ("HHS")
and any other officer or employee of HHS to whom authority has been delegated.
4.1.11 "Security Incident" shall have the same meaning as the term "security incident" in 45 C.F.R. §
160.103.
4.1.12 "Security Rule" shall mean the Security Standards and Implementation Specifications at 45
C.F.R. Parts 160 and 164, Subparts A and C.
4.1.13 "Transaction" shall have the same meaning as the term "transaction" in 45 C.F.R. § 160.103.
4.1.14 "Unsecured Protected Health Information" shall have the same meaning as the term "unsecured
protected health information" in 45 C.F.R. § 164.402.
4.2. SAFEGUARDING PRIVACY AND SECURITY OF PROTECTED HEALTH INFORMATION
4.2.1 Permitted Uses and Disclosures. USI hereby agrees that it shall be prohibited from using or
disclosing Protected Health Information provided or made available by the Covered Entity (or
another business associate of the Covered Entity) for any purpose other than as expressly
permitted or required by this Agreement.
4.2.1(a)Functions and Activities on Covered Entity's Behalf. Except as otherwise set forth in this
Agreement, the parties hereby agree that USI shall be permitted to use and/or disclose
Protected Health Information provided or made available by the Covered Entity (or
another business associate of the Covered Entity) only for the purpose of conducting the
transactions contemplated under this Agreement and only for purposes within the scope
of US l's representation of the Covered Entity.
4.2.1(b)Business Operations. USI is permitted to use and/or disclose Protected Health
Information if necessary for the proper management and administration of USI's
representation of the Covered Entity, or to carry out any legal responsibilities of USI,
provided that, with respect to any disclosure of Protected Health Information, either:
4.2.1(b)(1) the disclosure is Required By Law; or
4.2.1(b)(2) USI obtains reasonable assurances from the person to whom the Protected
Health Information is disclosed that: (a) the Protected Health Information will be held in
confidence and used or further disclosed only as for the purposes for which USI
disclosed the Protected Health Information to the person or as Required by Law; (b) the
person will use appropriate safeguards to prevent use or disclosure of the Protected
Health Information; and (c)the person immediately notifies USI of any instance of which it
©2018 USI Insurance Services Page 2
EBD Service Agreement BAA only_01 2018 Rev:1/2018
is aware in which the confidentiality of the Protected Health Information has been
breached.
4.2.1(c)Data Aggregation Services. USI is permitted to use or disclose Protected Health
Information to provide data aggregation services, as that term is defined by 45 C.F.R. §
164.501, relating to health care operations of the Covered Entity.
4.2.1(d)Minimum Necessary. USI will, in its performance of the functions, activities, services,
and operations specified above, make reasonable efforts to use, to disclose, and to
request only the minimum amount of Covered Entity's Protected Health Information
reasonably necessary to accomplish the intended purpose of the use, disclosure or
request, except that USI will not be obligated to comply with this minimum-necessary
limitation if neither USI nor Covered Entity is required to limit its use, disclosure or
request to the minimum necessary. USI and Covered Entity acknowledge that the phrase
"minimum necessary" shall be interpreted in accordance with the HITECH Act and HHS
guidance.
4.2.2 Information Safeguards.
4.2.2(a)Privacy of Covered Entity's Protected Health Information. USI will develop, implement,
maintain, and use appropriate administrative, technical, and physical safeguards to
protect the privacy of Covered Entity's Protected Health Information. The safeguards
must reasonably protect Covered Entity's Protected Health Information from any
intentional or unintentional use or disclosure in violation of the Privacy Rule and limit
incidental uses or disclosures made pursuant to a use or disclosure otherwise permitted
by this Agreement.
4.2.2(b)Security of Covered Entity's Electronic Protected Health Information. USI will develop,
implement, maintain, and use administrative, technical, and physical safeguards that
reasonably and appropriately protect the confidentiality, integrity, and availability of
Electronic Protected Health Information that USI creates, receives, maintains, or
transmits on Covered Entity's behalf as required by the Security Rule.
4.2.3 Subcontractors and Agents. USI will require any of its subcontractors and agents to which USI is
permitted by this Agreement, or in writing by Covered Entity, to disclose Covered Entity's
Protected Health Information and/or Electronic Protected Health Information, to provide
satisfactory assurances through a written agreement that meets the applicable requirements of
45 C.F.R. § 164.504(e) that such subcontractor or agent will comply with the same privacy and
security safeguard obligations with respect to Covered Entity's Protected Health Information
and/or Electronic Protected Health Information that are applicable to USI under this Agreement.
4.2.4 Prohibition on Sale of Records. USI shall not directly or indirectly receive remuneration in
exchange for any Protected Health Information of an Individual unless the Covered Entity or USI
obtains from the Individual, in accordance with 45 C.F.R. § 164.508, a valid authorization that
includes a specification of whether the Protected Health Information can be further exchanged for
remuneration by the entity receiving Protected Health Information of that Individual, except as
otherwise allowed under the HITECH Act.
4.2.5 Penalties For Noncompliance. USI acknowledges that it is subject to civil and criminal
enforcement for failure to comply with the Privacy Rule and Security Rule, as amended by the
HITECH Act.
4.3. COMPLIANCE WITH ELECTRONIC TRANSACTION RULE
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EBD Service Agreement BAA only_01 2018 Rev:1/2018
If USI conducts in whole or part electronic Transactions on behalf of Covered Entity for which
HHS has established standards, USI will comply, and will require any subcontractor or agent it
involves with the conduct of such Transactions to comply,with each applicable requirement of the
Electronic Transaction Rule. USI shall also comply with the National Provider Identifier
requirements, if and to the extent applicable.
4.4. INDIVIDUAL RIGHTS
4.4.1 Access. USI will make available to Covered Entity or, at Covered Entity's direction, to an
Individual (or the Individual's personal representative) for inspection and obtaining copies
Covered Entity's Protected Health Information about the Individual that is in USI's custody or
control, so that Covered Entity may meet its access obligations under 45 C.F.R. § 164.524. If the
Protected Health Information is held in an Electronic Health Record, then the Individual shall have
a right to obtain from USI a copy of such information in an electronic format. USI shall provide
such a copy to Covered Entity or, alternatively, to the Individual directly, if such alternative choice
is clearly, conspicuously, and specifically made by the Individual or Covered Entity.
4.4.2 Amendment. USI will, upon receipt of written notice from Covered Entity, promptly amend or
permit Covered Entity access to amend any portion of Covered Entity's Protected Health
Information, so that Covered Entity may meet its amendment obligations under 45 C.F.R. §
164.526.
4.4.3 Disclosure Accounting. To allow Covered Entity to meet its disclosure accounting obligations
under 45 C.F.R. § 164.528:
4.4.3(a)Disclosures Subject to Accounting. USI will record the information specified below
("Disclosure Information") for each disclosure of Covered Entity's Protected Health
Information, not excepted from disclosure accounting as specified below, that USI makes
to Covered Entity or to a third party.
4.4.3(b)Disclosures Not Subject to Accounting. USI will not be obligated to record Disclosure
Information or otherwise account for disclosures of Covered Entity's Protected Health
Information if Covered Entity need not account for such disclosures.
4.4.3(c)Disclosure Information. With respect to any disclosure by USI of Covered Entity's
Protected Health Information that is not excepted from disclosure accounting, USI will
record the following Disclosure Information as applicable to the type of accountable
disclosure made:
4.4.3(c)(1) Disclosure Information Generally. Except for repetitive disclosures of Covered
Entity's Protected Health Information as specified below, the Disclosure Information that
USI must record for each accountable disclosure is (i) the disclosure date, (ii) the name
and (if known) address of the entity to which USI made the disclosure, (iii) a brief
description of Covered Entity's Protected Health Information disclosed, and (iv) a brief
statement of the purpose of the disclosure.
4.4.3(c)(2) Disclosure Information for Repetitive Disclosures. For repetitive disclosures of
Covered Entity's Protected Health Information that USI makes for a single purpose to the
same person or entity (including Covered Entity), the Disclosure Information that USI
must record is either the Disclosure Information specified above for each accountable
disclosure, or (i) the Disclosure Information specified above for the first of the repetitive
accountable disclosures; (ii) the frequency, periodicity, or number of the repetitive
accountable disclosures; and (iii) the date of the last of the repetitive accountable
disclosures.
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4.4.3(d)Availability of Disclosure Information. USI will maintain the Disclosure Information for at
least 6 years following the date of the accountable disclosure to which the Disclosure
Information relates (3 years for disclosures related to an Electronic Health Record,
starting with the date specified by HHS). USI will make the Disclosure Information
available to Covered Entity within 60 calendar days following Covered Entity's request for
such Disclosure Information to comply with an Individual's request for disclosure
accounting. With respect to disclosures related to an Electronic Health Record, USI shall
provide the accounting directly to an Individual making such a disclosure request, if a
direct response is requested by the Individual.
4.4.4 Restriction Agreements and Confidential Communications. USI will comply with any agreement
that Covered Entity makes that either (i) restricts use or disclosure of Covered Entity's Protected
Health Information pursuant to 45 C.F.R. § 164.522(a), or(ii) requires confidential communication
about Covered Entity's Protected Health Information pursuant to 45 C.F.R. § 164.522(b),
provided that Covered Entity notifies USI in writing of the restriction or confidential communication
obligations that USI must follow. Covered Entity will promptly notify USI in writing of the
termination of any such restriction agreement or confidential communication requirement and,
with respect to termination of any such restriction agreement, instruct USI whether any of
Covered Entity's Protected Health Information will remain subject to the terms of the restriction
agreement. USI will comply with any restriction request if: (i) except as otherwise Required by
Law, the disclosure is to a health plan for purposes of carrying out payment or health care
operations (and is not for purposes of carrying out treatment); and (ii) the Protected Health
Information pertains solely to a health care item or service for which the health care provider
involved has been paid out-of-pocket in full.
4.5. BREACHES
4.5.1 Privacy or Security Breach. USI will report to Covered Entity any use or disclosure of Covered
Entity's Protected Health Information not permitted by this Agreement along with any Breach of
Covered Entity's Unsecured Protected Health Information. USI will treat the Breach as being
discovered in accordance with 45 CFR §164.410. USI will make the report to the Covered Entity
not more than 15 calendar days after USI learns of such non-permitted use or disclosure. If a
delay is requested by a law-enforcement official in accordance with 45 CFR §164.412, USI may
delay notifying Covered Entity for the applicable time period. USI's report will at least:
4.5.1(a)Identify the nature of the Breach or other non-permitted use or disclosure, which will
include a brief description of what happened, including the date of any Breach and the
date of the discovery of any Breach;
4.5.1(b)Identify Covered Entity's Protected Health Information that was subject to the non-
permitted use or disclosure or Breach (such as whether full name, social security
number, date of birth, home address, account number or other information were involved)
on an individual basis;
4.5.1(c)Identify who made the non-permitted use or disclosure and who received the non-
permitted disclosure;
4.5.1(d)Identify what corrective or investigational action USI took or will take to prevent further
non-permitted uses or disclosures, to mitigate harmful effects and to protect against any
further Breaches;
4.5.1(e)Identify what steps the Individuals who were subject to a Breach should take to protect
themselves;
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4.5.1(f) Provide such other information, including a written report, as Covered Entity may
reasonably request.
4.5.2 Security Incidents. USI will report to Covered Entity any attempted or successful(A) unauthorized
access, use, disclosure, modification, or destruction of Covered Entity's Electronic Protected
Health Information or (B) interference with Business Associate's system operations in Business
Associate's information systems, of which USI becomes aware. USI will make this report once
per month, except if any such Security Incident resulted in a disclosure not permitted by this
Agreement or Breach of Covered Entity's Unsecured Protected Health Information, Business
Associate will make the report in accordance with the provisions set forth in Section 4.5.1.
4.6. BAA TERM AND TERMINATION
4.6.1 Term. This Agreement shall be effective on Effective Date that USI's services to the Covered
Entity commence and shall terminate when all Protected Health Information provided by Covered
Entity to USI, or created or received by USI on behalf of Covered Entity, is destroyed or returned
to Covered Entity, or, if it is infeasible to return or destroy Protected Health Information,
protections are extended to such information, in accordance with the termination provisions in this
section.
4.6.2 Right to Terminate for Cause. Covered Entity may terminate Agreement if it determines, in its
sole discretion, that USI has breached any provision of this Agreement, and upon written notice to
USI of the Breach, USI fails to cure the Breach within 30 calendar days after receipt of the notice.
Any such termination will be effective immediately or at such other date specified in Covered
Entity's notice of termination.
4.6.3 Return or Destruction of Covered Entity's Protected Health Information. Upon termination of this
Agreement for any reason, USI, with respect to Protected Health Information received from the
Covered Entity, or created, maintained, or received by USI on behalf of Covered Entity, shall:
4.6.3.1. retain only that Protected Health Information which is necessary for USI to continue its
proper management and administration or to carry out its legal responsibilities;
4.6.3.2. return to Covered Entity or, if agreed to by Covered Entity, destroy the remaining
Protected Health Information that USI still maintains in any form;
4.6.3.3. continue to use appropriate safeguards and comply with Subpart C of 45 C.F.R. Part 164
with respect to Electronic Protected Health Information to prevent use or disclosure of the
Protected Health Information, other than as provided for in this section,for as long as USI
retains the Protected Health Information;
4.6.3.4. not use or disclose the Protected Health Information retained by USI other than for the
purposes for which such Protected Health Information was retained and subject to the
same conditions set out at Section 4.2.1(b)which applied prior to termination; and
4.6.3.5. return to Covered Entity or, if agreed to by Covered Entity, destroy the Protected Health
Information retained by USI when it is no longer needed by USI for its proper
management and administration or to carry out its legal responsibilities.
Upon Covered Entity's direction, USI will transmit the Protected Health Information to another
business associate of the Covered Entity at termination, and/or could add terms regarding USI's
obligations to obtain or ensure the destruction of Protected Health Information created, received,
or maintained by subcontractors.
4.6.4 Continuing Privacy and Security Obligation. If return or destruction of the Protected Health
Information is not feasible, USI agrees to extend the protections of this Agreement for as long as
necessary to protect the Protected Health Information and to limit any further use or disclosure so
as to be consistent with the intent of this Agreement.
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EXHIBIT A
INSURANCE BROKERAGE SERVICES
Section 1.0 Analytical Services:
1.1 Design of health care plans, cost-containment and other plan design recommendations
1.1.1 Review benefit designs and compare to Client's strategic objectives. Annually
Recommend modifications where appropriate.
1.1.2 Evaluate the impact of plan modifications on employees and the potential Annually
savings to Client.
1.1.3 Evaluate alternate carriers and product offerings. Annually
1.1.4 Provide benefit benchmarking,as appropriate. Annually
1.2 Preparation of bid specifications(RFP)(as needed)
1.2.1 Consult with Client to establish objectives for market review and identify Annually
potential carriers or vendors.
1.2.2 Assemble benefit, rate and claim data for inclusion in RFP. Annually
1.2.3 Deliver RFP to selected vendors and provide any requested additional Annually
information.
1.3 Analysis of proposals and presentation of findings
1.3.1 Compare costs, funding, benefits, contracts, negotiated provider discounts, Annually
employee network disruption issues, financial strength and anticipated
service level for each carrier or vendor, as appropriate.
1.3.2 Present USI's recommended carriers or vendors. Recommendation Annually
supported by detailed analysis.
1.3.3 Organize finalist meetings with Client, if appropriate. Annually
1.4 Renewal analysis and negotiation
1.4.1 Evaluate carrier underwriting practices. Annually
1.4.2 Negotiate with carriers based on internal underwriting analysis and market Annually
trends.
Actuarial services and certification of rates and retiree subsidy.
1.5 Reporting/Servicing Meetings
1.5.1 Claims and utilization reporting or summary.
1.5.2 Review of annual accounting (as appropriate). Annually
1.5.3 Benefit Resource Center Reports Quarterly
Section 2.0 Account Management Services:
2.1 Contract Review
2.1.1 Perform contract and Benefit Booklet review for each brokered plan Annually
2.2 Employee Meetings
2.2.1 Employee meetings and/or benefit fairs will be limited to a maximum of(1) Annually
one per fifty(50)employees
2.2.2 Benefit fairs may be selected in lieu of employee meetings and will be Annually
limited to(1)per 100 benefit eligible employees.
2.3 Employer/Employee Communications Support
2.3.1 Consolidated Benefit Summary and Mobile App Build and Updates Annually
2.3.2 USI Insider and Health&Wellness articles Monthly
2.3.3 Service Calendar Annually
2.3.4 Technical Bulletins As appropriate
2.4 Tax Reporting
2.4.1 Provide signature ready 5500 filings, along with other plan compliance Annually
materials as required by the Employee Benefits Security Administration.
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