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Page 1 of 6 AFFILIATION AGREEMENT Agreement #: Agreement Amount: $ Agreement Start Date: Agreement Termination Date: This financial Affiliation Agreement (“Agreement”) shall be effective [Date of Approval] (“Effective Date”). The parties to this Agreement are [Name of Institution] (“School”), and Maricopa County (“County”), a political subdivision of the State of Arizona, administered by its Human Services Department. The School and the County are collectively referred to as the “Parties” and individually as a “Party.” WHEREAS, the School shall identify senior nursing students (“Students”) to participate in the County’s Student Nurse Practice Readiness Program (the “Program”). The Students will be placed with local clinical employers which will provide hands-on training experiences as part of their overall education and which may qualify for academic credit, as determined by the School; and WHEREAS, The County has contracted with Robin Schaeffer Consulting, LLC., the (“Liaison”) between the County and the School for the Program activities. WHEREAS, the School shall provide oversight of the Students’ capstone experience; and WHEREAS, the County, will provide the School with funding for oversight of the Students in the Program. WHEREAS, it is to the benefit of both the School and the County to cooperate in the educational preparation of Students, to ensure knowledge, confidence, and skills to be considered practice ready. NOW, THEREFORE, IT IS MUTUALLY AGREED that the Parties may work cooperatively to ensure Student success in the Program according to the following terms and conditions: 1. Program Description and Mutual Responsibilities of the Parties. 1.1 The School shall retain full control and responsibility for the academic education of the Students. Any educational goals and objectives for the Program must be provided by the School to the Liaison prior to the start of Student participation. 1.2 The number of Students identified to participate in the Program and scheduled for educational, clinical, and hands-on training assignments shall be arranged in advance by mutual agreement between the Liaison and the School. In the event it becomes necessary to cancel a reserved space or change a Student assignment, the School will immediately notify the Liaison. 1.3 The School agrees to designate for participation in the Program only senior Nursing Students who have completed the necessary training, appropriate prerequisites, and didactic work for the Program and who are in good standing. All Students shall be subject to the Program standards’ admission and participation. Page 2 of 6 1.4 At all times during the term of this Agreement, all services shall be performed in accordance with all applicable standards established by law or ordinance, or established by the rules and regulations of any federal, state, or local agency, department, commission, association, or other pertinent governing, accrediting, or advisory body having the authority to set standards for the County and the School. 1.5 The County, the School and the Liaison agree to cooperate with each other and share information, to the extent allowed by law, in the event of any investigation, audit, peer review matter, disciplinary action or third-Party liability claim arising out of the Program, or any services provided under this Agreement or any adverse event that may result in liability to the other Party in connection with its performance under this Agreement. 2. School’s Responsibilities. 2.1 Participate in the Program from effective date through December 31, 2022. 2.2 Provide the Liaison in advance of each Student’s placement: Student name and program of study; placement beginning and ending dates and total Program hours required; any curriculum objectives for the Program experience, as applicable; and any necessary paperwork for Student’s performance while participating in the Program activities. 2.3 Ensure Students meet all requirements for placements with clinical employers. The School is responsible for knowing all legal requirements relating to fingerprinting, fingerprint clearance cards, and certifications. 2.4 Maintain a list of Students from their school participating in the Program 3. County’s Responsibilities. 3.1 Provide the School with funding for the oversight of Students participating in the Program. 3.1.1 Schools of nursing who provide BSN students may be compensated a one- time payment of $8,000 for faculty oversight 3.1.2 School of nursing who provide ADN students may be compensated a one- time payment of $4,000 for faculty oversight 3.2 Communicate with the Liaison on Program activities. 4. Liaison’s Responsibilities. 4.1 Work with the School to identify eligible senior nursing students to participate in the Program which yields the highest probability of producing a practice-ready nurse. 4.2 Maintain a list of all Students participating in the Program 4.3 Work with clinical employers to identify work areas for each Student. Page 3 of 6 4.4 Ensure clinical employers identify a Preceptor to work one on one with each Student participating on the Program. 4.5 Identify the Point of Contact for Program activities. 4.6 Liaison between the County and the School for execution of this Agreement. 4.7 Complete Student placement Agreements with each Student and submit to County to ensure Stipends are provided each participant. 5. Family Educational Rights and Privacy Act (“FERPA”). The School shall abide by the limitations set forth under FERPA and regulations at 34 C.F.R. § 99.33 regarding the protection of educational data. Student information shall be held in strict confidence and not to be used or disclosed except as permitted or required for Student placement or allowed by law, or as authorized in writing by Student. 6. Termination of Student Experience. Notwithstanding any other provisions in this Agreement, a Student’s participation in the Program may be terminated if the Student’s work, conduct, or health might have A detrimental effect on the Program, staff, or operations. The clinical employer, the Liaison, and/or the School shall not be arbitrary or discriminatory in the exercise of this right. 7. Student Expenses, Health Insurance and Emergency Medical Care. Students shall be responsible for maintaining their own health insurance throughout the entire term of their participation in the Program. Students shall not be entitled to any defense or indemnity by the County. 8. Student Stipends. Students shall be provided with a Stipend of $500 for successful completion of the Program. The County shall provide the Stipends directly to each Student. 9. Indemnification. To the fullest extent permitted by law, each Party shall defend, indemnify, and hold harmless the other Party, its agents, representatives, officials, officers, directors, employees, volunteers, departments, agencies, boards, committees, and commissions for, from, and against all claims, damages, losses and expenses, including, but not limited to, attorney fees, court costs, expert witness fees, and the cost of appellate proceedings, relating to, arising out of, or alleged to have resulted from the negligent acts, errors, omissions or mistakes relating to the performance of this Agreement. Each Party’s duty to defend, indemnify, and hold harmless the other Party, its agents, representatives, officials, officers, directors, employees, volunteers, departments, agencies, boards, committees, and commissions shall arise in connection with any claim, damage, loss, or expense that is attributable to bodily injury, sickness, disease, death, or injury to, impairment, or destruction of property, including loss of use resulting therefrom, caused by any negligent acts, errors, omissions, or mistakes in the Party’s performance of this Agreement including any person for whose acts, errors, omissions, or mistakes a Party may be legally liable. The amount and type of insurance coverage requirements set forth in Section 10 below will in no way be construed as limiting the scope of the indemnity in this Section. Further, the scope of indemnification does not extend to the sole negligence of either Party. Page 4 of 6 10. Insurance. Both parties shall maintain insurance or funded self-insurance as follows: (i) commercial general liability insurance coverage with minimum limits of $1,000,000 per occurrence and $2,000,000 annual aggregate; (ii) professional liability insurance coverage with minimum limits of $1,000,000 per occurrence and $3,000,000 annual aggregate; and (iii) workers’ compensation insurance to cover obligations imposed by federal and state statutes applicable to the respective Party’s employees engaged in the Program. Upon written request, a Party shall provide to the other Party a certificate of insurance evidencing such insurance coverage. Each Party shall endeavor to provide thirty (30) calendar days prior written notice to the other Party of any modification or termination of required insurance. The School shall ensure Students are insured by the School’s Professional Liability and Workman’s compensation insurance policies. 11. Relationship of the Parties. Each Party is a separate and independent institution, and this Agreement shall not be deemed to create a relationship of agency, employment, or partnership between or among them. Each Party understands and agrees that this Agreement establishes a bona fide educational training relationship, and the agents and employees of each respective Party are not employees or agents of the other Party. 12. Term. Unless terminated earlier as described in Section 13 below, the term of this Agreement shall be for the period identified on page 1 of this Agreement. The County may, at its option and with the agreement of the School, renew the term of this Agreement. 13. Termination of Agreement. This Agreement may be terminated by either Party upon thirty (30) days prior written notice to the other Party; provided, however, Students participating in an ongoing clinical experience at the time shall be given the opportunity to complete their participation. In such event, all applicable provisions of this Agreement shall remain in force during the extension period from the effective date of termination, until the end of the academic term in which the Students are enrolled. 14. Notices. Communications regarding the Program shall go through the Parties’ Representatives. Any legal notice that is required or permitted to be given by a Party to the other shall be deemed to have been sufficiently given if personally delivered or deposited in the U.S. Mail in a properly stamped envelope, addressed to: For School For Maricopa County: Human Services Department Jacqueline Edwards, Director 234 North Central Avenue, 3rd Floor Phoenix, Arizona 85004 Jacqueline.Edwards@Maricopa.gov 602-506-4812 For Liaison: Robin Schaeffer 7438 E. Knowles Ave Mesa AZ 85209 robin@rnconsulting.org 480-296-8904 Page 5 of 6 15. Amendments. This Agreement may be amended from time to time only by written agreement of the Parties. 16. Advertising, Names, and Marks. No Party shall use the name, trademark, logo, or likeness of another Party, or another Party’s employee or agent in any publicity or advertising material without such other Party’s express prior written consent; however, the existence and scope of the Program available via this Agreement may be made known to Students as a means of assistance in completing their training requirements. 17. Assignment. Neither Party shall assign any right nor delegate any duty under this Agreement without the prior written consent of the other Party, which consent shall not be unreasonably withheld. In the event of a valid assignment, this Agreement will inure to the benefit of and be binding upon each Party and its respective successors and permitted assigns. 18. Governing Law and Venue. This Agreement shall be construed in accordance with the laws of the State of Arizona. Exclusive venue for any actions or proceedings related to or stemming from this Agreement shall be in the state or federal courts sitting in Phoenix, Arizona. 19. Conflict of Interest. The County’s participation in this Agreement is subject to A.R.S. § 38-511, which provides that this Agreement may be cancelled if any person significantly involved in initiating, negotiating, securing, drafting or creating this Agreement on behalf of the County is, at any time while this Agreement, or any extension thereof, is in effect, an employee or agent of the other Party to this Agreement in any capacity or consultant of the other Party with respect to the subject matter of this Agreement. 20. Enforceability and Waiver. The invalidity or unenforceability of any terms or provisions of this Agreement shall in no way affect the validity or enforceability of any other terms or provisions. The waiver by a Party of a breach of any provisions of this Agreement shall not operate as or be construed as a waiver of any subsequent breaches of this Agreement. 21. Written Certification Under A.R.S. § 35-393.01. If the School engages in for-profit activity and has 10 or more employees and, if this Agreement has a value of $100,000 or more, then the School certifies it is not currently engaged in, and agrees for the duration of this Agreement to not engage in, a boycott of goods or services from Israel. This certification does not apply to a boycott prohibited by 50 U.S.C. § 4842 or a regulation issued pursuant to 50 U.S.C. § 4842. 22. Survival. The indemnification, hold harmless, and defense provisions of this Agreement shall have full force and effect notwithstanding any other provisions in this Agreement and shall survive the termination or expiration of this Agreement. 23. Non-exclusive Agreement. Each Party will retain complete control over such programs of its own that are outside of this Agreement. Further, each Party may enter into similar agreements with other training institutions, provided that such agreements do not materially interfere with the ability of each Party to carry out its obligations under this Agreement. 24. Compliance with Laws. Each Party shall, to the extent such provisions apply, comply with all applicable federal and state laws, ordinances, Executive Orders, rules, regulations, standards, and codes whether or not specifically referenced herein, including, but not limited to: Title VI and VII of the Federal Civil Rights Act; Title IX of the Education Amendments of 1972; the Federal Rehabilitation Act; the Age Discrimination in Employment Act; the Americans With Page 6 of 6 Disabilities Act, as amended; the Immigration Reform and Control Act of 1986 (IRCA); and Arizona Executive Order 2009-9, which mandates that all persons shall have equal access to employment opportunities. Unless exempted under federal law, the parties shall not discriminate against any student, employee, or applicant for employment because of race, age, disability, color, religion, sex, or national origin. 25. Counterparts. This Agreement may be executed in multiple counterparts, each of which shall be deemed an original, and all of which together shall constitute one and the same instrument. 26. Entire Agreement. This Agreement represents the entire agreement between the Parties with respect to the subject matter hereof, and supersedes all prior agreements and representations. 27. Authority. The persons signing this Agreement warrant that they have full authority to do so and that their signatures shall bind the parties for which they sign. IN WITNESS, the Parties have approved and signed this Agreement as of the respective dates written below. [Name of Institution] By: ______________________________ Name: ____________________________ Title: _____________________________ Date: ____________________________ MARICOPA COUNTY By: ________________________________ Name: Bill Gates Title: Chairman, Board of Supervisors Date: _______________________________ ATTESTED TO: By: ________________________________ Clerk of the Board Date APPROVED AS TO FORM: By: ________________________________