HomeMy WebLinkAboutMEDICAL PSYCHOLOGY ASSOCIATES - CONTRACT - AGREEMENT MISC - MEDICAL PSYCHOLOGY ASSOCIATESOfficial Purchasing Document
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SERVICES AGREEMENT
THIS AGREEMENT made and entered into the day and year set forth below by and
between THE CITY OF FORT COLLINS, COLORADO, a Municipal Corporation, hereinafter
referred to as the "City" and SCOTT D WYLIE, PSY.D., MSCP, LLC DBA MEDICAL
PSYCHOLOGY ASSOCIATES, hereinafter referred to as "Service Provider".
WITNESSETH:
In consideration of the mutual covenants and obligations herein expressed, it is agreed by
and between the parties hereto as follows:
1. Scope of Services. The Service Provider agrees to provide services in accordance with the
scope of services attached hereto as Exhibit A, consisting of one (1) page(s) and
incorporated herein by this reference. Irrespective of references in Exhibit A to certain
named third parties, Service Provider shall be solely responsible for performance of all
duties hereunder.
2. Contract Period. This Agreement shall commence upon signing by all parties and shall
continue in full force and effect until April 30, 2019, unless sooner terminated as herein
provided. In addition, at the option of the City, the Agreement may be extended for additional
one year periods not to exceed four (4) additional one year periods. Renewals and pricing
changes shall be negotiated by and agreed to by both parties. Written notice of renewal
shall be provided to the Service Provider and mailed no later than thirty (30) days prior to
contract end.
3. Delay. If either party is prevented in whole or in part from performing its obligations by
unforeseeable causes beyond its reasonable control and without its fault or negligence, then
the party so prevented shall be excused from whatever performance is prevented by such
cause. To the extent that the performance is actually prevented, the Service Provider must
provide written notice to the City of such condition within fifteen (15) days from the onset of
such condition.
4. Early Termination by City/Notice. Notwithstanding the time periods contained herein, the
City may terminate this Agreement at any time without cause by providing written notice of
termination to the Service Provider. Such notice shall be delivered at least fifteen (15) days
prior to the termination date contained in said notice unless otherwise agreed in writing by
the parties. All notices provided under this Agreement shall be effective when mailed,
postage prepaid and sent to the following addresses:
Service Provider: City: Copy to:
Medical Psychology Associates
Attn: Scott Wylie, Psy.D., MSCP
113 Coronado Ct., Ste 202
Fort Collins, CO 80525
City of Fort Collins
Attn: Jeff Hubach
PO Box 580
Fort Collins, CO 80522
City of Fort Collins
Attn: Purchasing Dept.
PO Box 580
Fort Collins, CO 80522
In the event of early termination by the City, the Service Provider shall be paid for services
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rendered to the date of termination, subject only to the satisfactory performance of the
Service Provider's obligations under this Agreement. Such payment shall be the Service
Provider's sole right and remedy for such termination.
5. Contract Sum. The City shall pay the Service Provider for the performance of this Contract,
subject to additions and deletions provided herein, One Hundred Fifty Dollars ($150) per
hour in accordance with the attached Exhibit "A", consisting of one (1) page, and
incorporated herein by this reference.
6. City Representative. The City will designate, prior to commencement of the work, its
representative who shall make, within the scope of his or her authority, all necessary and
proper decisions with reference to the services provided under this agreement. All requests
concerning this agreement shall be directed to the City Representative.
7. Independent Service provider. The services to be performed by Service Provider are those
of an independent service provider and not of an employee of the City of Fort Collins. The
City shall not be responsible for withholding any portion of Service Provider's compensation
hereunder for the payment of FICA, Workmen's Compensation or other taxes or benefits or
for any other purpose.
8. Subcontractors. Service Provider may not subcontract any of the Work set forth in the
Exhibit A, Statement of Work without the prior written consent of the city, which shall not be
unreasonably withheld. If any of the Work is subcontracted hereunder (with the consent of
the City), then the following provisions shall apply: (a) the subcontractor must be a reputable,
qualified firm with an established record of successful performance in its respective trade
performing identical or substantially similar work, (b) the subcontractor will be required to
comply with all applicable terms of this Agreement, (c) the subcontract will not create any
contractual relationship between any such subcontractor and the City, nor will it obligate the
City to pay or see to the payment of any subcontractor, and (d) the work of the subcontractor
will be subject to inspection by the City to the same extent as the work of the Service
Provider.
9. Personal Services. It is understood that the City enters into the Agreement based on the
special abilities of the Service Provider and that this Agreement shall be considered as an
agreement for personal services. Accordingly, the Service Provider shall neither assign any
responsibilities nor delegate any duties arising under the Agreement without the prior written
consent of the City.
10. Acceptance Not Waiver. The City's approval or acceptance of, or payment for any of the
services shall not be construed to operate as a waiver of any rights or benefits provided to
the City under this Agreement or cause of action arising out of performance of this
Agreement.
11. Warranty.
a. Service Provider warrants that all work performed hereunder shall be performed with the
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highest degree of competence and care in accordance with accepted standards for work
of a similar nature.
b. Unless otherwise provided in the Agreement, all materials and equipment incorporated
into any work shall be new and, where not specified, of the most suitable grade of their
respective kinds for their intended use, and all workmanship shall be acceptable to City.
c. Service Provider warrants all equipment, materials, labor and other work, provided under
this Agreement, except City-furnished materials, equipment and labor, against defects
and nonconformances in design, materials and workmanship/workwomanship for a
period beginning with the start of the work and ending twelve (12) months from and after
final acceptance under the Agreement, regardless whether the same were furnished or
performed by Service Provider or by any of its subcontractors of any tier. Upon receipt
of written notice from City of any such defect or nonconformances, the affected item or
part thereof shall be redesigned, repaired or replaced by Service Provider in a manner
and at a time acceptable to City.
12. Default. Each and every term and condition hereof shall be deemed to be a material element
of this Agreement. In the event either party should fail or refuse to perform according to the
terms of this agreement, such party may be declared in default thereof.
13. Remedies. In the event a party has been declared in default, such defaulting party shall be
allowed a period of ten (10) days within which to cure said default. In the event the default
remains uncorrected, the party declaring default may elect to (a) terminate the Agreement
and seek damages; (b) treat the Agreement as continuing and require specific performance;
or (c) avail himself of any other remedy at law or equity. If the non-defaulting party
commences legal or equitable actions against the defaulting party, the defaulting party shall
be liable to the non-defaulting party for the non-defaulting party's reasonable attorney fees
and costs incurred because of the default.
14. Binding Effect. This writing, together with the exhibits hereto, constitutes the entire
agreement between the parties and shall be binding upon said parties, their officers,
employees, agents and assigns and shall inure to the benefit of the respective survivors,
heirs, personal representatives, successors and assigns of said parties.
15. Indemnity/Insurance.
a. The Service Provider agrees to indemnify and save harmless the City, its officers, agents
and employees against and from any and all actions, suits, claims, demands or liability
of any character whatsoever brought or asserted for injuries to or death of any person
or persons, or damages to property arising out of, result from or occurring in connection
with the performance of any service hereunder.
b. The Service Provider shall take all necessary precautions in performing the work
hereunder to prevent injury to persons and property.
c. Without limiting any of the Service Provider's obligations hereunder, the Service Provider
shall provide and maintain insurance coverage naming the City as an additional insured
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under this Agreement of the type and with the limits specified within Exhibit B, consisting
of one (1) page, attached hereto and incorporated herein by this reference. The Service
Provider before commencing services hereunder, shall deliver to the City's Purchasing
Director, P. O. Box 580, Fort Collins, Colorado 80522, one copy of a certificate
evidencing the insurance coverage required from an insurance company acceptable to
the City.
16. Entire Agreement. This Agreement, along with all Exhibits and other documents
incorporated herein, shall constitute the entire Agreement of the parties. Covenants or
representations not contained in this Agreement shall not be binding on the parties.
17. Law/Severability. The laws of the State of Colorado shall govern the construction
interpretation, execution and enforcement of this Agreement. In the event any provision of
this Agreement shall be held invalid or unenforceable by any court of competent jurisdiction,
such holding shall not invalidate or render unenforceable any other provision of this
Agreement.
18. Prohibition Against Employing Illegal Aliens. Pursuant to Section 8-17.5-101, C.R.S., et.
seq., Service Provider represents and agrees that:
a. As of the date of this Agreement:
1. Service Provider does not knowingly employ or contract with an illegal alien who will
perform work under this Agreement; and
2. Service Provider will participate in either the e-Verify program created in Public Law
208, 104th Congress, as amended, and expanded in Public Law 156, 108th
Congress, as amended, administered by the United States Department of Homeland
Security (the “e-Verify Program”) or the Department Program (the “Department
Program”), an employment verification program established pursuant to Section 8-
17.5-102(5)(c) C.R.S. in order to confirm the employment eligibility of all newly hired
employees to perform work under this Agreement.
b. Service Provider shall not knowingly employ or contract with an illegal alien to perform
work under this Agreement or knowingly enter into a contract with a subcontractor that
knowingly employs or contracts with an illegal alien to perform work under this
Agreement.
c. Service Provider is prohibited from using the e-Verify Program or Department Program
procedures to undertake pre-employment screening of job applicants while this
Agreement is being performed.
d. If Service Provider obtains actual knowledge that a subcontractor performing work under
this Agreement knowingly employs or contracts with an illegal alien, Service Provider
shall:
1. Notify such subcontractor and the City within three days that Service Provider has
actual knowledge that the subcontractor is employing or contracting with an illegal
alien; and
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2. Terminate the subcontract with the subcontractor if within three days of receiving the
notice required pursuant to this section the subcontractor does not cease employing
or contracting with the illegal alien; except that Service Provider shall not terminate
the contract with the subcontractor if during such three days the subcontractor
provides information to establish that the subcontractor has not knowingly employed
or contracted with an illegal alien.
e. Service Provider shall comply with any reasonable request by the Colorado Department
of Labor and Employment (the “Department”) made in the course of an investigation that
the Department undertakes or is undertaking pursuant to the authority established in
Subsection 8-17.5-102 (5), C.R.S.
f. If Service Provider violates any provision of this Agreement pertaining to the duties
imposed by Subsection 8-17.5-102, C.R.S. the City may terminate this Agreement. If
this Agreement is so terminated, Service Provider shall be liable for actual and
consequential damages to the City arising out of Service Provider’s violation of
Subsection 8-17.5-102, C.R.S.
g. The City will notify the Office of the Secretary of State if Service Provider violates this
provision of this Agreement and the City terminates the Agreement for such breach.
19. Special Provisions. Special provisions or conditions relating to the services to be performed
pursuant to this Agreement are set forth in Exhibit C – HIPPA Business Associate
Agreement, consisting of eight (8) pages, attached hereto and incorporated herein by this
reference.
THE CITY OF FORT COLLINS, COLORADO
By:
Gerry Paul
Purchasing Director
DATE:
SCOTT D WYLIE, PSY.D., MSCP, LLC DBA
MEDICAL PSYCHOLOGY ASSOCIATES
By:
Printed:
Title:
CORPORATE PRESIDENT OR VICE PRESIDENT
Date:
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Corporate President
4/27/2018
Dr. Scott D Wylie
5/1/2018
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EXHIBIT A
SCOPE OF SERVICES
Service Provider will conduct Fit-For-Duty examinations in accordance with Equal Employment
Opportunity Commission (EEOC) and Occupational Safety and Health Act (OSHA) guidelines
on an as needed basis.
Service Provider will receive a verbal or written (via email) request for services from the City’s
designated representative. Service Provider will obtain case specifics and provide to the City’s
designated representative an overall plan for the assessment with all estimated costs and any
additional needs. Should services exceed this initial estimate, Service Provider will request
additional approval from the City’s designated representative for the additional work at each
additional $600 (4-hour) increment.
Invoices for services should be emailed upon completion of work or monthly, whichever is
earlier, to invoices@fcgov.com with a copy to the City’s designated representative. The City
pays invoices on Net 30 terms.
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EXHIBIT B
INSURANCE REQUIREMENTS
1. The Service Provider will provide, from insurance companies acceptable to the City, the
insurance coverage designated hereinafter and pay all costs. Before commencing work
under this bid, the Service Provider shall furnish the City with certificates of insurance
showing the type, amount, class of operations covered, effective dates and date of
expiration of policies, and containing substantially the following statement:
“The insurance evidenced by this Certificate will not reduce coverage or limits and
will not be cancelled, except after thirty (30) days written notice has been received
by the City of Fort Collins.”
In case of the breach of any provision of the Insurance Requirements, the City, at its
option, may take out and maintain, at the expense of the Service Provider, such
insurance as the City may deem proper and may deduct the cost of such insurance from
any monies which may be due or become due the Service Provider under this
Agreement. The City, its officers, agents and employees shall be named as additional
insureds on the Service Provider 's general liability and automobile liability insurance
policies for any claims arising out of work performed under this Agreement.
2. Insurance coverages shall be as follows:
A. Workers' Compensation & Employer's Liability. The Service Provider shall
maintain during the life of this Agreement for all of the Service Provider's
employees engaged in work performed under this agreement:
1. Workers' Compensation insurance with statutory limits as required by
Colorado law.
2. Employer's Liability insurance with limits of $100,000 per accident,
$500,000 disease aggregate, and $100,000 disease each employee.
B. Commercial General & Vehicle Liability. The Service Provider shall maintain
during the life of this Agreement such commercial general liability and automobile
liability insurance as will provide coverage for damage claims of personal injury,
including accidental death, as well as for claims for property damage, which may
arise directly or indirectly from the performance of work under this Agreement.
Coverage for property damage shall be on a "broad form" basis. The amount of
insurance for each coverage, Commercial General and Vehicle, shall not be less
than $1,000,000 combined single limits for bodily injury and property damage.
In the event any work is performed by a subcontractor, the Service Provider shall
be responsible for any liability directly or indirectly arising out of the work
performed under this Agreement by a subcontractor, which liability is not covered
by the subcontractor's insurance.
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EXHIBIT C
HIPAA BUSINESS ASSOCIATE AGREEMENT
This Business Associate Agreement ("Agreement") is entered into on this date of March 15,
2018 (the "Effective Date"), by and between City of Fort Collins ("Covered Entity") and Scott D
Wylie, Psy.D., MSCP, LLC DBA Medical Psychology Associates ("Business Associate").
RECITALS:
WHEREAS, Covered Entity and Business Associate mutually desire to outline their
individual responsibilities with respect to the use and/or disclosure of Protected Health Information
("PHI") as mandated by the Privacy Rule promulgated under the Administrative Simplifications
subtitle of the Health Insurance Portability and Accountability Act of 1996 ("HIPAA") including all
pertinent regulations issued by the U.S. Department of Health and Human Services as outlined
in 45 C.F.R. Parts 160, 162 and 164; (“HIPAA Privacy Rules and/or Security Standards”)and
WHEREAS, Covered Entity and Business Associate understand and agree that the HIPAA
Privacy Rules and Security Standards requires the Covered Entity and Business Associate enter
into a Business Associate Agreement which shall govern the use and/or disclosure of PHI and
the security of PHI and ePHI.
NOW, THEREFORE, the parties hereto agree as follows:
Article I. Definitions. When used in this Agreement and capitalized, the following terms have
the following meanings:
Section 1.01 "Breach" shall mean the unauthorized acquisition, access, use, or
disclosure of PHI which comprises the security or privacy of such
information. However, the term 'breach' shall not include (1) any
unintentional acquisition, access, or use of PHI by an employee or
individual acting under the authority of a covered entity or business
associate if such acquisition, access, or use was made in good faith
and within the course and scope of the employment or other
professional relationship of such employee or individual, respectively,
with the covered entity or business associate; and such information is
not further acquired, accessed, used, or disclosed by any person; or (2)
any inadvertent disclosure from an individual who is otherwise
authorized to access protected health information at a facility operated
by a covered entity or business associate to another similarly situated
individual at same facility; and (3) any such information received as a
result of such disclosure is not further acquired, accessed, used, or
disclosed without authorization by any person.
Section 1.02 "Electronic Protected Health Information" or “ePHI” shall mean
Protected Health Information transmitted by electronic media or
maintained in electronic media.
Section 1.03 "Individual" shall have the same meaning as the term "Individual" in 45
C.F.R. §164.501 and shall include a person who qualifies as a personal
representative in accordance with 45 C.F.R. §164.502(g).
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Section 1.04 "Privacy Rule" shall mean the Standards for Privacy of Individual
Identifiable Health Information as set forth at 45 C.F.R. Parts 160 and
164 Subparts A and E.
Section 1.05 "Protected Health Information" or "PHI" shall have the same meaning
as the term "protected health information" in 45 C.F.R. § 164.501,
limited to the information created or received by Business Associate
from or on behalf of Covered Entity.
Section 1.06 "Required by Law" shall have the same meaning as the term "required
by law" in 45 C.F.R. § 164.501.
Section 1.07 "Secretary" shall mean the Secretary of the Department of Health and
Human Services or his or her designee.
Section 1.08 “Security Incident” shall mean any attempted or successful
unauthorized access, use, disclosure, modification or destruction of
information or systems operations in an electronic information system.
Section 1.09 “Security Rule” shall mean the Standards for Security of PHI, including
ePHI, as set forth at 45 C.F.R. Parts 160 and 164 Subpart C.
Section 1.10 “Unsecured Protected Health Information” shall mean protected health
information that is not rendered unusable, unreadable, or
indecipherable to unauthorized individuals through the use of a
technology or methodology specified by the Secretary.
Terms used but not defined in this Agreement shall have the same meaning as those
terms in the HIPAA regulations.
Article II. Obligations and Activities of Business Associate Regarding PHI.
Section 2.01 Business Associate agrees to not use or further disclose PHI other than
as permitted or required by this Agreement or as Required by Law.
Section 2.02 Business Associate agrees to use appropriate safeguards to prevent
use or disclosure of the PHI other than as provided for by this
Agreement.
Section 2.03 Business Associate agrees to ensure that any agents, including sub-
contractors (excluding entities that are merely conduits), to whom it
provides PHI agree to the same restrictions and conditions that apply
to Business Associate with respect to such information.
Section 2.04 Business Associate agrees to provide access, at the request of
Covered Entity, and in a reasonable time and manner designated by
Covered Entity, to PHI in a Designated Record Set that is not also in
Covered Entity's possession, to Covered Entity in order for Covered
Entity to meet the requirements under 45 C.F.R. § 164.524.
Section 2.05 Business Associate agrees to make any amendment to PHI in a
Designated Record Set that the Covered Entity directs or agrees to
pursuant to 45 C.F.R. § 164.526 in a reasonable time and manner
designated by Covered Entity.
Section 2.06 Business Associate agrees to make internal practices books and
records relating to the use and disclosure of PHI available to the
Secretary, in a reasonable time and manner as designated by the
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Covered Entity or Secretary, for purposes of the Secretary determining
Covered Entity's compliance with the Privacy Rule. Business Associate
shall immediately notify Covered Entity upon receipt or notice of any
request by the Secretary to conduct an investigation with respect to PHI
received from the Covered Entity.
Section 2.07 Business Associate agrees to document any disclosures of PHI that are
not excepted under 45 C.F.R. § 164.528(a)(1) as would be required for
Covered Entity to respond to a request by an Individual for an
accounting of disclosures of PHI in accordance with 45 C.F.R.
§ 164.528.
Section 2.08 Business Associate agrees to provide to Covered Entity or an
Individual, in a time and manner designated by Covered Entity,
information collected in accordance with paragraph (g) above, to permit
Covered Entity to respond to a request by an Individual for an
accounting of disclosures of PHI in accordance with 45 C.F.R.
§ 164.528.
Section 2.09 Business Associate agrees to use or disclose PHI pursuant to the
request of Covered Entity; provided, however, that Covered Entity shall
not request Business Associate to use or disclose PHI in any manner
that would not be permissible under the Privacy Rule if done by
Covered Entity.
Article III. Permitted Uses and Disclosures of PHI by Business Associate.
Section 3.01 Business Associate may use or disclose PHI to perform functions,
activities or services for, or on behalf of, Covered Entity provided that
such use or disclosure would not violate the Privacy Rule if done by
Covered Entity.
Section 3.02 Business Associate may use PHI for the proper management and
administration of Business Associate and to carry out the legal
responsibilities of Business Associate.
Section 3.03 Business Associate may disclose PHI for the proper management and
administration of Business Associate and to carry out the legal
responsibilities of Business Associate if:
(i) such disclosure is Required by Law, or
(ii) Business Associate obtains reasonable assurances from the person
to whom the information is disclosed that such information will
remain confidential and used or further disclosed only as
Required by Law or for the purposes for which it was disclosed to
the person, and the person agrees to notify Business Associate
of any instances of which it is aware that the confidentiality of the
information has been breached.
Section 3.04 Business Associate shall limit the PHI to the extent practicable, to the
limited data set or if needed by the Business Associate, to the minimum
necessary to accomplish the intended purpose of such use, disclosure
or request subject to exceptions set forth in the Privacy Rule.
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Section 3.05 Business Associate may use PHI to provide Data Aggregation services
to Covered Entity as permitted by 42 C.F.R. § 164.504(e)(2)(i)(B).
Article IV. Obligations of Covered Entity Regarding PHI.
Section 4.01 Covered Entity shall provide Business Associate with the notice of
privacy practices that Covered Entity produces in accordance with 45
C.F.R. § 164.520, as well as any changes to such notice.
Section 4.02 Covered Entity shall provide Business Associate with any changes in,
or revocation of, authorization by an Individual to use or disclose PHI,
if such changes affect Business Associate's permitted or required uses
and disclosures.
Section 4.03 Covered Entity shall notify Business Associate of any restriction to the
use or disclosure of PHI that Covered Entity has agreed to in
accordance with 45 C.F.R. § 164.522, if such restrictions affect
Business Associate's permitted or required uses and disclosures.
Section 4.04 Covered Entity shall require all of its employees, agents and
representatives to be appropriately informed of its legal obligations
pursuant to this Agreement and the Privacy Rule and Security
Standards required by HIPAA and will reasonably cooperate with
Business Associate in the performance of the mutual obligations under
this Agreement.
Article V. Security of Protected Health Information.
Section 5.01 Business Associate has implemented policies and procedures to
ensure that its receipt, maintenance, or transmission of all protected
health information (“PHI”), either electronic or otherwise, on behalf of
Covered Entity complies with the applicable administrative, physical,
and technical safeguards required protecting the confidentiality,
availability and integrity of PHI as required by the HIPAA Privacy Rules
and Security Standards.
Section 5.02 Business Associate agrees that it will ensure that agents or
subcontractors agree to implement the applicable administrative,
physical, and technical safeguards required to protect the
confidentiality, availability and integrity of PHI as required by HIPAA
Privacy Rules and Security Standards.
Section 5.03 Business Associate agrees to report to Covered Entity any Security
Incident (as defined 45 C.F.R. Part 164.304) of which it becomes
aware. Business Associate agrees to report the Security Incident to
the Covered Entity as soon as reasonably practicable, but not later than
10 business days from the date the Business Associate becomes
aware of the incident.
Section 5.04 Business Associate agrees to establish procedures to mitigate, to the
extent possible, any harmful effect that is known to Business Associate
of a use or disclosure of PHI by Business Associate in violation of this
Agreement.
Section 5.05 Business Associate agrees to immediately notify Covered Entity upon
discovery of any Breach of Unsecured Protected Health Information (as
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defined in 45 C.F.R. §§ 164.402 and 164.410) and provide to Covered
Entity, to the extent available to Business Associate, all information
required to permit Covered Entity to comply with the requirements of 45
C.F.R. Part 164 Subpart D.
Section 5.06 Covered Entity agrees and understands that the Covered Entity is
independently responsible for the security of all PHI in its possession
(electronic or otherwise), including all PHI that it receives from outside
sources including the Business Associate.
Article VI. Term and Termination.
Section 6.01 Term. This Agreement shall be effective as of the Effective Date and
shall remain in effect until the Business Associate relationship with the
Covered Entity is terminated and all PHI is returned, destroyed or is
otherwise protected as set forth in Section 7(d).
Section 6.02 Termination for Cause by Covered Entity. Covered Entity may
terminate its contract(s) or business association with Business
Associate if Covered Entity determines that Business Associate has
violated a material term of the contract, to include this Agreement.
Section 6.03 Termination by Business Associate. This Agreement may be
terminated by Business Associate upon 30 days prior written notice to
Covered Entity in the event that Business Associate, acting in good
faith, believes that the requirements of any law, legislation, consent
decree, judicial action, governmental regulation or agency opinion,
enacted, issued, or otherwise effective after the date of this Agreement
and applicable to PHI or to this Agreement, cannot be met by Business
Associate in a commercially reasonable manner and without significant
additional expense.
Section 6.04 Effect of Termination. Upon termination of this Agreement for any
reason, at the request of Covered Entity, Business Associate shall
return or destroy all PHI received from Covered Entity, or created or
received by Business Associate on behalf of Covered Entity. Business
Associate shall not retain any copies of the PHI unless necessary for
proper document retention/archival purposes only or if such PHI is
stored as a result of backup email systems that store emails for
emergency backup purposes. If the return or destruction of PHI is
infeasible, Business Associate shall extend the protections of this
Agreement to such PHI and limit further uses and disclosures of such
PHI to those purposes that make the return or destruction infeasible,
for so long as Business Associate maintains such PHI.
Article VII. Amendment.
The parties may agree to amend this Agreement from time to time in any other respect
that they deem appropriate. This Agreement shall not be amended except by written
instrument executed by the parties.
Article VIII. Severability.
The parties intend this Agreement to be enforced as written. However, (i) if any portion
or provision of this Agreement will to any extent be declared illegal or unenforceable
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by a duly authorized court having jurisdiction, then the remainder of this Agreement,
or the application of such portion or provision in circumstances other than those as to
which it is so declared illegal or unenforceable, will not be affected thereby, and each
portion and provision of this Agreement will be valid and enforceable to the fullest
extent permitted by law; and (ii) if any provision, or part thereof, is held to be
unenforceable because of the duration of such provision, the Covered Entity and the
Business Associate agree that the court making such determination will have the
power to modify such provision, and such modified provision will then be enforceable
to the fullest extent permitted by law.
Article IX. Notices.
All notices, requests, consents and other communications hereunder will be in writing,
will be addressed to the receiving party's address set forth below or to such other
address as a party may designate by notice hereunder, and will be either (i) delivered
by hand, (ii) made facsimile transmission, (iii) sent by overnight courier, or (iv) sent by
registered mail or certified mail, return receipt requested, postage prepaid.
If to the Covered Entity:
City of Fort Collins
Attn: Director of Human Resources
PO Box 580
Fort Collins, CO 80522
Copy:
If to the Business Associate:
Scott D Wylie, Psy.D., MSCP, LLC DBA
Medical Psychology Associates
113 Coronado Ct., Ste 202
Fort Collins, CO 80525
Article X. Regulatory References.
A reference in this Agreement to a section in the Privacy Rule means the referenced
section or its successor, and for which compliance is required.
Article XI. Headings and Captions.
The headings and captions of the various subdivisions of the Agreement are for
convenience of reference only and will in no way modify or affect the meaning or
construction of any of the terms or provisions hereof.
Article XII. Entire Agreement.
This Agreement sets forth the entire understanding of the parties with respect to the
subject matter set forth herein and supersedes all prior agreements, arrangements
and communications, whether oral or written, pertaining to the subject matter hereof.
City of Fort Collins
Attn: Purchasing Dept.
PO Box 580
Fort Collins, CO 80522
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Article XIII. Binding Effect.
The provisions of this Agreement shall be binding upon and shall inure to the benefit
of both Parties and their respective successors and assigns.
Article XIV. No Waiver of Rights, Powers and Remedies.
No failure or delay by a party hereto in exercising any right, power or remedy under
this Agreement, and no course of dealing between the parties hereto, will operate as
a waiver of any such right, power or remedy of the party. No single or partial exercise
of any right, power or remedy under this Agreement by a party hereto, nor any
abandonment or discontinuance of steps to enforce any such right, power or remedy,
will preclude such party from any other or further exercise thereof or the exercise of
any other right, power or remedy hereunder. The election of any remedy by a party
hereto will not constitute a waiver of the right of such party to pursue other available
remedies. No notice to or demand on a party not expressly required under this
Agreement will entitle the party receiving such notice or demand to any other or further
notice or demand in similar or other circumstances or constitute a waiver of the right
of the party giving such notice or demand to any other or further action in any
circumstances without such notice or demand. The terms and provisions of this
Agreement may be waived, or consent for the departure therefrom granted, only by
written document executed by the party entitled to the benefits of such terms or
provisions. No such waiver or consent will be deemed to be or will constitute a waiver
or consent with respect to any other terms or provisions of this Agreement, whether or
not similar. Each such waiver or consent will be effective only in the specific instance
and for the purpose for which it was given, and will not constitute a continuing waiver
or consent.
Article XV. Governing Law.
This Agreement will be governed by and construed in accordance with the laws of
the State of Colorado.
Article XVI. Interpretation.
It is the Parties' intent to comply strictly with all applicable laws, including without
limitation, HIPAA, state statutes, or regulations (collectively, the "Regulatory Laws"),
in connection with this Agreement. In the event there shall be a change in the
Regulatory Laws, or in the reasoned interpretation of any of the Regulatory Laws or
the adoption of new federal or state legislation, any of which are reasonably likely to
materially and adversely affect the manner in which either Party may perform or be
compensated under this Agreement or which shall make this Agreement unlawful, the
Parties shall immediately enter into good faith negotiations regarding a new
arrangement or basis for compensation pursuant to this Agreement that complies with
the law, regulation or policy and that approximates as closely as possible the economic
position of the Parties prior to the change. In addition, the Parties hereto have
negotiated and prepared the terms of this Agreement in good faith with the intent that
each and every one or the terms, covenants and conditions herein be binding upon
and inure to the benefit of the respective Parties. To the extent this Agreement is in
violation of applicable law, then the Parties agree to negotiate in good faith to amend
this Agreement, to the extent possible consistent with its purposes, to conform to law.
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IN WITNESS WHEREOF, the parties have executed this Business Associate Agreement as
of the Effective Date.
BUSINESS ASSOCIATE:
SCOTT D WYLIE, PSY.D., MSCP, LLC DBA
MEDICAL PSYCHOLOGY ASSOCIATES
By:
Print Name:
Title:
COVERED ENTITY:
CITY OF FORT COLLINS, COLORADO
By:
Gerry Paul
Purchasing Director
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Dr. Scott D Wylie
Corporate President
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DocuSign Envelope ID: A8C6A7C8-49DF-40A7-9C61-07DB501C80BC