30601001_BAA_MARICOPACOUNTY_101524_PARTIAL [FOR SIGNATURE].PDF

Maricopa County — Formal (2024-12-11)

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BUSINESS ASSOCIATE AGREEMENT 
 
BETWEEN 
 
Maricopa County 
 
AND 
 
THE CDC FOUNDATION 
I. 
PURPOSE 
Maricopa County (hereafter referred to as “Covered Entity”) and the CDC Foundation (hereafter referred to as “Business 
Associate”) desire to enter into this Business Associate Agreement (hereafter, “BA Agreement” or “the Agreement”) for the 
purpose of protecting the privacy and security of clients’ health information under the Health Insurance Portability and 
Accountability Act of 1996 (HIPAA), including all pertinent regulations ( 45 CFR Part 160 and Part 164), as amended by 
Subtitle D of the Health Information Technology for Economic and Clinical Health Act HITECH), Title XIII of the American 
Recovery and Reinvestment Act of 2009 (Pub. L. 111-5). 
 
II. 
DEFINITIONS   Terms used, but not otherwise defined, in this Agreement shall have the same meanings as set forth in HIPAA 
and HITECH.  A change to HIPAA or HITECH which modifies any defined term, or which alters the regulatory citation for 
the definition, shall be deemed incorporated into this Agreement. 
a. 
Breach.  “Breach” shall have the meaning given under HITECH Section 13400, 42 U.S.C § 17921, and 45 CFR §164.402. 
b. Data Aggregation.  “Data Aggregation” shall have the meaning given under the Privacy Rule, including, but not limited 
to, 45 CFR §164.501. 
c. 
Designated Record Set.  “Designated Record Set” shall have the same meaning as the term “designated record set” in 45 
CFR §164.501. 
d. Disclose” and “Disclosure” shall have the meaning given in 45 CFR §160.103. 
e. 
Electronic Protected Health Information. "Electronic Protected Health Information" (referred to below as EPHI) shall have 
the same meaning as the term "electronic protected health information" in 45 CFR § 160.103. 
f. 
HIPAA.  “HIPAA” shall mean the Health Insurance Portability and Accountability Act of 1996, Public Law 104-91, as 
amended, and related HIPAA regulations (45 CFR Parts 160-164.) 
g. HITECH.  “HITECH” shall mean the Health Information Technology for Economic and Clinical Health Act, found in 
Title XIII of the American Recovery and Reinvestment Act of 2009, Public Law 111-005. 
h. Individual. "Individual" shall have the same meaning as the term "individual" in 45 CFR § 160.103 and shall include a 
person who qualifies as a personal representative in accordance with 45 CFR § 164.502(g).  
i. 
Privacy Rule.  “Privacy Rule” shall mean the Standards for Privacy of Individually Identifiable Health Information codified 
at 45 CFR Part 160 and Part 164, Subparts A and E and any other applicable provisions of HIPAA, or amendments thereto, 
including HITECH.   
j. 
Protected Health Information. "Protected Health Information" (referred to below as PHI) shall have the same definition 
contained in 45 CFR §160.103. For purposes of this Agreement, PHI is limited to the information created or received by 
Business Associate from or on behalf of Covered Entity. “Protected Health Information" includes, without limitation, 
"Electronic Protected Health Information," as defined below. 
k. Required By Law. “Required By Law” shall have the meaning given to the term under the Privacy Rule, including but not 
limited to, 45 CFR §164.103, and any additional requirements created under HITECH. 
l. 
Secretary. "Secretary" shall mean the Secretary of the U. S. Department of Health and Human Services or his/her designee.  
m. Security Incident.  “Security Incident” shall have the meaning given in 45 CFR §164.304. 
n. Security Standards.  “Security Standards” shall mean the Standards for the Protection of Electronic Protected Health 
Information that are codified at 45 CFR Part 160 and Part 164, Subparts A and C, and any other applicable provision of 
HIPAA, or amendments thereto, including HITECH. 
o. Unsecured PHI.  ‘Unsecured PHI” shall mean PHI that is not secured through the use of a technology or methodology 
specified by the Secretary in guidance or as otherwise defined in Section 13402 of HITECH. 
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p. “Use” or “Uses” shall have the meaning given in 45 CFR §160.103. 
 
III. 
USE OR DISCLOSURE OF PHI BY BUSINESS ASSOCIATE 
a. 
Except as otherwise limited in this Agreement, Business Associate may use or disclose PHI to perform functions, activities, 
or services for, or on behalf of, Covered Entity as specified in the Memorandum of Agreement (MOA) entered into between 
the parties on October 15, 2024, or as otherwise provided by law, if such use or disclosure would not violate the Privacy 
Rule or the Security Standards if done by Covered Entity.  
b. Except as otherwise limited in this Agreement, Business Associate may use PHI for the proper management and 
administration of the Business Associate or to carry out the legal responsibilities of the Business Associate, and may 
disclose PHI for those purposes provided that as to any such disclosure: 1)  the disclosure is required by law; or 2) Business 
Associate obtains reasonable assurances from the person to whom the information is disclosed that it will remain 
confidential and will be used or further disclosed only as required by law or for the purpose for which it was disclosed to 
the person, and the person notifies the Business Associate of any instances of which the person is aware in which the 
confidentiality of the information has been breached. 
c. 
Business Associate will notify the Covered Entity of any breach of confidentiality or security by a person to whom the 
Business Associate has disclosed PHI pursuant to this Section, and will mitigate and/or assist the person and the Covered 
Entity in mitigating any harmful effects resulting from the breach of information. 
d. Except as otherwise limited in this Agreement, Business Associate may use PHI to provide Data Aggregation services to 
Covered Entity as permitted by 42 CFR § 164.504(e)(2)(i)(B). 
e. 
Business Associate may use PHI to report violations of law to appropriate Federal and State authorities, consistent with § 
164.502(j)(1). 
f. 
Business Associate may disclose PHI to any of its subcontractors for use in filling the obligations of this Agreement as 
long as the subcontractor agrees in writing to the restrictions and conditions in this Agreement with respect to PHI. 
g. Business Associate may disclose PHI to another entity as authorized by the Covered Entity in a separate written agreement 
or amendment to this agreement, if such disclosure of PHI would not violate the Privacy Rule or HITECH if done by 
Covered Entity itself. 
h. Business Associate, upon entering into an agreement using PHI for any of its functions and activities on behalf of the 
Covered Entity or in its general operations, will make available that agreement to the Covered Entity upon request. 
 
IV. 
DUTIES OF BUSINESS ASSOCIATE RELATIVE TO PHI 
a. 
Business Associate shall comply with the Confidentiality provision contained in the MOA and any Confidentiality 
Agreement signed by the Business Associate pursuant to that Contract for so long as this BA Agreement remains in effect. 
b. Business Associate shall not use or disclose PHI other than as permitted or required by this Agreement or as required by 
law.  Business Associate will not use PHI in any manner that would constitute a violation of the Privacy Rule, Security 
Standards, HIPAA, or HITECH if so used by Covered Entity. 
c. 
Business Associate shall develop, implement, maintain, and use appropriate safeguards to prevent any use or disclosure of 
PHI or EPHI other than as provided by this Agreement, and shall implement administrative, physical, and technical 
safeguards to comply with the Security Standards as required by 45 CFR Sections 164.308, 164.310, 164.312 and 164.316 
in order to protect the confidentiality, integrity, and availability of EPHI or PHI that Business Associate creates, receives, 
maintains, or transmits, to the same extent as if Business Associate were a Covered Entity, pursuant to HITECH Section 
13401, 42 U.S.C. § 17931.  These safeguards are required regardless of the mechanism used to transmit the information. 
d. Business Associate shall adopt the effective and appropriate technical safeguards and technology and methodology 
standards provided in any guidance issued by the Secretary pursuant to HITECH Sections 13401-13402, 42 U.S.C. §§ 
17931-17932.  
e. 
Business Associate agrees to mitigate, to the extent practicable, any harmful effect that is known to Business Associate of 
a use or disclosure of PHI by Business Associate in violation of the requirements of this Agreement or of a Breach of 
Unsecured PHI, pursuant to 45 CFR § 164.530(f) and HITECH § 13402.  
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f. 
Business Associate shall notify Covered Entity by the most expedient manner within one business day of any use or 
disclosure of PHI or EPHI not authorized by this Agreement or in violation of any applicable federal or state laws or 
regulations of which Business Associate becomes aware, or of any suspected or actual Security Incident or Breach, unless 
delayed in accordance with 45 CFR §164.412.  Business Associate shall notify Covered Entity immediately upon the law 
enforcement delay being lifted.  
g. In addition to the notification required by IV(f), Business Associate will provide written notification of a Breach of 
Unsecured PHI to Covered Entity without unreasonable delay and in no event later than 5 calendar days after discovery of 
the Breach.  A Breach of Unsecured PHI shall be treated as discovered by the Business Associate as of the first day on 
which such breach is known to Business Associate or, by exercising reasonable diligence, would have been known to the 
Business Associate.  Notification of a Breach of Unsecured PHI required by this paragraph shall comply with HITECH 
Section 13402, 42 U.S.C. § 17932, and 45 CFR § 164.410.  The Breach notice shall include, to the extent possible, the 
identification of each individual whose Unsecured PHI has been, or is reasonably believed by the Business Associate to 
have been, accessed, acquired, or disclosed during the Breach.  Business Associate shall provide Covered Entity with the 
following information at the time of the Breach notification or promptly thereafter as soon as information becomes 
available: 
1. A brief description of what happened, including the date of the Breach and the date of the discovery of the Breach, if 
known, and the nature of the non-permitted use or disclosure; 
2. A description of the unsecured PHI that was involved in the Breach (such as whether full name, social security number, 
date of birth, home address, account number, diagnosis, disability code, or other types of information were involved); 
3. Who made the non-permitted use or disclosure; 
4. Who received the non-permitted use or disclosure; 
5. Any steps individuals should take to protect themselves from potential harm resulting from the Breach; and 
6. What Business Associate is doing to investigate the Breach, to mitigate harm to individuals, and to protect against any 
further breaches. 
h. Business Associate shall ensure that any agent or subcontractor to whom it provides PHI received from Covered Entity, or 
that creates, receives, maintains, or transmits PHI on behalf of Business Associate, agrees to the same restrictions and 
conditions that apply through this Agreement to Business Associate with respect to such information, including this 
paragraph, and agrees to implement reasonable and appropriate safeguards to protect such PHI, including the safeguards 
required by paragraph IV(c) and IV(d) above with respect to PHI.  Business Associate shall implement and maintain 
sanctions against agents and subcontractors that violate such restrictions and conditions and shall mitigate the effects of 
such violation.  
i. 
Business Associate shall provide access, at the request of Covered Entity, and in the time and manner designated by 
Covered Entity, to PHI in a Designated Record Set, to Covered Entity or, as directed by Covered Entity, to an Individual 
in order to fulfill the requirements of 45 CFR § 164.524 if the Business Associate has PHI in a designated record set.  If 
Business Associate receives a request directly from an Individual, Business Associate will direct the Individual to the 
Covered Entity. 
j. 
Business Associate shall make any amendment(s) to PHI in a Designated Record Set that the Covered Entity directs or 
agrees to pursuant to 45 CFR § 164.526 at the request of Covered Entity or an Individual, and in the time and manner 
designated by Covered Entity, if Business Associate has PHI in a Designated Record St.  Business Associate shall not 
amend PHI received from the Covered Entity or created and/or provided to the Business Associate on behalf of the Covered 
Entity unless the amendment is directed by or consented to by the Covered Entity.  If an Individual requests an amendment 
of PHI directly from Business Associate or any of its agents or subcontractors, Business Associate will direct Individual 
to Covered Entity.  The Business Associate shall provide a copy of the amended PHI to the Covered Entity.   
k. Business Associate agrees to document such disclosures of PHI and information related to such disclosures 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 CFR § 164.528.    Business Associate agrees to collect and maintain disclosure information as it relates to PHI 
including: (i) the date of disclosure; (ii) the name of the entity or person who received the PHI and, if known, the address 
of the entity or person: (iii) a brief description of the PHI disclosed; and (iv) a brief statement of purpose of the disclosure 
that reasonably informs the Individual of the basis for the disclosure, or a copy of the written request for disclosure under 
45 CFR § 164.502(a)(2)(ii) or 164.512, if any.  Business Associate will maintain records related to disclosures of PHI for 
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at least six (6) years after the date of the disclosure.  The provisions of this subparagraph shall survive termination of this 
Agreement. 
l. 
Business Associate will provide to Covered Entity or an Individual, in the time and manner designated by Covered Entity, 
information collected in accordance with Section IV(k) of this Agreement, to permit Covered Entity to respond to a request 
by an Individual for an accounting of disclosures of PHI in accordance with 45 CFR § 164.528.  In addition, Business 
Associate agrees to make PHI available for purposes of accounting of disclosures as required by Section 164.528 of the 
Privacy Rule and Section 13405(c)(3) of HITECH, 42 U.S.C. § 17935(c)(3).  If the request for an accounting is delivered 
directly to Business Associate or its agents or subcontractors, Business Associate shall within five (5) days of a request 
forward it to Covered Entity in writing. 
m. Business Associate shall comply with any requests for restrictions on certain disclosures of PHI pursuant to Section 
164.522 of the Privacy Rule to which Covered Entity has agreed and of which Business Associate is notified by Covered 
Entity 
n. Business Associate shall comply, pursuant to HITECH and its implementing regulations, with all additional requirements 
of the Privacy Rule, including those contained in 45 CFR 164.502(e) and 164.504(e)(1)(ii) at such time as the requirements 
are applicable to Business Associate, pursuant to HITECH Section 13404, 42 U.S.C. § 17934. 
o. If applicable, and if requested by Covered Entity, Business Associate will provide a copy of Covered Entity’s Notice of 
Privacy Practices to the client at the time of first contact, and maintain documentation of the client’s receipt of the Notice. 
p. Business Associate shall make its internal practices, books, and records, including policies and procedures and PHI, 
relating to the use and disclosure of PHI received from, or created or received by Business Associate on behalf of, Covered 
Entity available to the Secretary for purposes of the Secretary determining compliance with the Privacy Rule. Business 
Associate shall comply and cooperate with any request for documents or other information from the Secretary directed to 
Covered Entity that seeks documents or other information held by Business Associate.  Business Associate shall provide 
to Covered Entity a copy of any PHI that Business Associate provides to the Secretary concurrently with providing such 
PHI to the Secretary. 
q. Business Associate and its agents and subcontractors may only request, use, or disclose the minimum amount of PHI 
necessary to accomplish the purpose of the request, use, or disclosure pursuant to  this agreement and consistent with 
Covered Entity’s minimum necessary policies and procedures.  Except as otherwise permitted by HIPAA standards, until 
the effective date on which the Secretary issues guidance on what constitutes “minimum necessary,” when using or 
disclosing PHI or responding to a request for PHI, Business Associate and its agents or subcontractors must limit such 
PHI, to the extent practicable, to a Limited Data Set, or if more information than a Limited Data Set is required, to the 
minimum necessary to accomplish the intended purpose of such use, disclosure or request.  After the effective date on 
which the Secretary issues guidance on what constitutes “minimum necessary,” Business Associate and its agents or 
subcontractors shall only request, use, and disclose the minimum amount of PHI necessary to accomplish the purpose of 
the request, use or disclosure, and shall comply with the Secretary’s guidance on what constitutes “minimum necessary.”  
See HITECH Section 13405, 42 U.S.C. § 17935.   
r. 
Business Associate shall provide Covered Entity reasonable access to its premises for review and demonstration of its 
internal practices and procedures for safeguarding PHI of Covered Entity for purposes of determining that Business 
Associate has complied with this Agreement and HITECH; provided that 1) the Parties mutually agree in advance upon 
the scope, location and timing of such access, and 2) Covered Entity shall protect confidential and proprietary information 
of Business Associate to which Covered Entity has access. 
s. 
Business Associate acknowledges that Business Associate has no ownership rights with respect to the PHI. 
t. 
If Business Associate knows of a pattern of activity or practice of Covered Entity that constitutes a material breach or 
violation of Covered Entity’s obligations under the Agreement or other arrangement, Business Associate must take 
reasonable steps to cure the breach or end the violation. If the steps are unsuccessful, Business Associate must terminate 
the Agreement or other arrangement if feasible, or, if termination is not feasible, report the problem to the Secretary.  
Business Associate shall provide written notice to Covered Entity of any pattern of activity or practice of the Covered 
Entity that Business Associate believes constitutes a material breach or violation of the Covered Entity’s obligations under 
the Agreement within five (5) days of discovery and shall meet with Covered Entity to discuss and attempt to resolve the 
problem as one of the reasonable steps to cure the breach or end the violation. 
u. Business Associate acknowledges that if it violates any of the requirements provided under this Business Associate 
Agreement, Business Associate will be subject to the same civil and criminal penalties that a Covered Entity would be 
subject to if such Covered Entity violated the same requirement. 
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v. The additional requirements of HITECH that relate to privacy and security and that are made applicable with respect to 
covered entities shall also be applicable to Business Associate and shall be and by this reference are incorporated into this 
Agreement.   
w. Business Associate will contact the Covered Entity’s Privacy Officer at rebecca.sunenshine@maricopa.gov at any time 
clarification or guidance is needed regarding compliance with the terms of this Agreement. 
x. Business Associate shall not use or disclose PHI for fundraising or marketing purposes. 
y. Business Associate may not enter into any agreements with its agents or subcontractors pertaining to its obligations under 
this Agreement without the express written consent of Covered Entity. 
 
V. 
DUTIES OF COVERED ENTITY  
a. 
If applicable, Covered Entity shall provide the Business Associate with a copy of its policies and procedures implementing 
the Privacy Rule, including the Notice of Privacy Practices.  
b. Covered Entity shall notify Business Associate of any limitation(s) in Covered Entity’s Notice of Privacy Practices in 
accordance with 45 CFR § 164.520, to the extent that such limitation may affect Business Associate's use or disclosure of 
PHI. 
c. 
Covered Entity shall notify Business Associate of any changes in, or revocation of, permission by an Individual to use or 
disclose PHI, to the extent that such changes may affect Business Associate's use or disclosure of PHI, within a reasonable 
period of time after Covered Entity becomes aware of such changes to or revocation of permission.  
d. Covered Entity shall notify Business Associate of any restriction to the use or disclosure of PHI that Covered Entity has 
agreed to or must comply with in accordance with 45 CFR § 164.522 and HITECH § 13405(a), 42 USC § 17935(a), to the 
extent that such restriction may affect Business Associate's use or disclosure of PHI.  
e. 
Covered Entity will 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. 
 
VI. 
TERM AND TERMINATION  
a. 
Term. The Term of this Agreement shall be effective as of October 15, 2024 and shall terminate when all of the PHI 
provided by Covered Entity to Business Associate, or created or received by Business Associate on behalf of Covered 
Entity, is destroyed or returned to Covered Entity, or, if it is infeasible to return or destroy PHI, protections are extended 
to such information, in accordance with the termination provisions in this Section. 
b. Termination for Cause. Upon Covered Entity's knowledge of a material breach of this Agreement by Business Associate, 
Covered Entity shall do any of the following:  
1. Provide an opportunity for Business Associate to cure the breach or end the violation, and terminate this Agreement 
and MOA if Business Associate does not cure the breach or end the violation within the time specified by Covered 
Entity; 
2. Immediately terminate this Agreement and MOA if Business Associate has breached a material term of this Agreement 
and cure is not feasible;  
3. If neither termination nor cure is feasible, Covered Entity shall report the violation to the Secretary; 
4. Immediately stop all further disclosures of PHI to Business Associate pursuant to each agreement between Covered 
Entity and Business Associate that is the subject of such breach, until the breach is cured. 
c. 
Effect of Termination.  
1. Except as provided in paragraph (2) of this section, upon termination of this Agreement for any reason or upon written 
demand from 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. This provision shall apply to PHI that is in the 
possession of subcontractors or agents of Business Associate. Business Associate shall retain no copies, including 
backups, of the PHI. If the return or destruction of PHI held by the Business Associate is not permissible pursuant to 
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applicable law, the Business Associate will extend the protections of this Agreement to the PHI and limit further uses 
and disclosures to those purposes that make the return or destruction of the PHI infeasible. 
2. In the event that Business Associate determines that returning or destroying the PHI is infeasible, Business Associate 
shall provide to Covered Entity notification of the conditions that make return or destruction infeasible. Upon mutual 
agreement of the parties that 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. 
 
d. Continuing Privacy Obligation.  Business Associate’s obligation to protect the privacy of PHI is continuous and survives 
any termination, cancellation, expiration, or other conclusion of this Agreement or any other agreement between Business 
Associate and Covered Entity. 
 
VII. 
INDEMNIFICATION (the following does not apply to other government agencies or political subdivisions) 
Business Associate agrees to indemnify and hold harmless Covered Entity from any claims, demand, suit, loss, liability, or 
administrative penalties that the Covered Entity may sustain as a result of the Business Associate’s breach of this Agreement, 
including any breach of confidentiality by a person to whom the Business Associate has disclosed information pursuant to this 
Agreement; provided, however, that the Business Associate shall not hold the Covered Entity harmless from any claims, 
demands or causes of action arising or resulting directly or indirectly from negligence of the Covered Entity, its officers, agents, 
representatives or employees, or any person or entity not subject to the Business Associate’s supervision or control.  This 
indemnification shall include reasonable expenses including attorney’s fees incurred by defending such claims and damages 
incurred by reason of the Business Associate’s failure to comply with applicable laws and regulations or for damages caused 
by the Business Associate, its employees and/or agents, including subcontractors.  As a condition precedent to asserting a right 
of indemnity, the Covered Entity shall provide timely written notice to the Business Associate of the assertion of the claim to 
which the right of indemnification is claimed to exist. 
 
VIII. 
MISCELLANEOUS 
a. 
Regulatory References.  A reference in this Agreement to a section in the Privacy Rule or the Security Standards means 
the section as in effect or as amended.  
b. Amendment.  The Parties agree to take such action as is necessary to amend this Agreement to comply with the 
requirements of the Privacy Rule, the Security Standards, HIPAA, HITECH, or any other state or federal law affecting this 
Agreement.  If a Party believes in good faith that any provision of this Agreement fails to comply with the then-current 
requirements of HITECH or its regulations, such Party shall notify the other Party in writing.  For a period of thirty days, 
the Parties shall address such concern in good faith and amend the terms of the Agreement if necessary to bring it into 
compliance.  If, after such thirty day period, the Agreement fails to comply with HIPAA, the Privacy Rule, the Security 
Standards or HITECH, then either Party has the right to terminate upon written notice to the other Party. 
c. 
Survival.  The respective rights and obligations of Business Associate under Section VI(c) and VI(d) of this Agreement 
shall survive termination of this Agreement. 
d. Interpretation.  Any ambiguity in this Agreement shall be resolved to permit Covered Entity to comply with the Privacy 
Rule and the Security Standards. 
e. 
All notices pursuant to this Agreement must be given in writing and shall be effective when received if hand-delivered or 
upon dispatch if sent by reputable overnight delivery service, facsimile, or U.S. Mail to the appropriate address or facsimile 
number.  Notification of any unauthorized use or disclosure of PHI or of a Breach of Unsecured PHI under paragraphs 
IV(f) and IV(g) shall be made to Maricopa County. 
f. 
Business Associate and Covered Entity agree that Individuals who are the subject of PHI are not third-party beneficiaries 
of this Agreement. 
g. The parties acknowledge that state and federal laws relating to electronic data security and privacy are evolving and that 
amendment of this Agreement may be required to provide for procedures to ensure compliance with such developments. 
The parties specifically agree to take such action as is necessary to implement the standards and requirements of HIPAA 
and HITECH and other applicable laws relating to the security or confidentiality of PHI.  The parties understand and agree 
that Covered Entity must receive satisfactory written assurance from Business Associate that Business Associate will 
adequately safeguard all PHI that it receives or creates pursuant to this Agreement. Upon Covered Entity’s request, 
Business Associate agrees to promptly enter into negotiations with Covered Entity concerning the terms of any amendment 
to the Agreement embodying written assurances consistent with the standards and requirements of HIPAA and HITECH 
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or other applicable laws.  Covered Entity may terminate this Agreement and MOA upon thirty (30) days written notice if 
(i) Business Associate does not promptly enter into negotiations to amend this Agreement when requested by Covered 
Entity pursuant to this Section, or (ii) Business Associate does not enter into an amendment to this Agreement providing 
assurances regarding the safeguarding of PHI that Covered Entity, in its sole discretion, deems sufficient to satisfy the 
standards and requirements of HIPAA and HITECH. 
h. If any provision of this Agreement violates any applicable statute, ordinance, or rule of law in any jurisdiction that governs 
this Agreement, such provision shall be ineffective to the extent of such violation without invalidating any other provision 
of this Agreement. 
i. 
This Agreement may not be amended, altered, or modified except by written agreement signed by Business Associate and 
Covered Entity. 
j. 
No provision of this Agreement may be waived except by an agreement in writing signed by the waiving party.  A waiver 
of any term or provision shall not be construed as a waiver of any other term or provision. 
k. The persons signing below have the right and authority to execute this Agreement for their respective entities and no further 
approvals are necessary to create a binding Agreement. 
l. 
Neither Covered Entity nor Business Associate shall use the names or trademarks of the other party or of any of the 
respective party’s affiliated entities in any advertising, publicity, endorsement, or promotion unless prior written consent 
has been obtained for the particular use contemplated. 
m. All references to specific statutes, codes, or regulations shall be deemed to be references to those statutes, codes or 
regulations as they may be amended from time to time. 
n. Neither party is an employee, agent, partner, or joint venturer of the other.  Neither party has the right or authority to 
control or direct the activities of the other or the right or authority to bind the other to any agreement with a third party or 
to incur any obligation or liability on behalf of the other party, unless expressly authorized in this or another agreement 
between the parties. 
FOR AND ON BEHALF OF 
 
 
MARICOPA COUNTY: 
 
 
 ____________________________________ 
Chairman, Board of Supervisors              Date  
 
   
 
 
 
 
 
ATTEST: 
 
 
 
 
  
 
 
 
 
 
 
 
  
______________________________________ 
Clerk of the Board  
 
        Date 
 
APPROVED AS TO FORM: 
 
______________________________________ 
Maricopa County Attorney  
         Date 
AS TO THE CDC Foundation 
BY:  
 
 
 
 
 
 
Its: 
 
 
 
 
 
 
DATE: 
 
 
 
 
 
MAILING ADDRESS: 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Docusign Envelope ID: 0B9512D7-DB1F-495D-A489-11D437B8F956
COO
11/12/2024 | 3:59:00 PM EST
600 Peachtree Streeet, NE
Suite 1000
Atlanta, GA  30308