UA DI AMENDMENT 1.PDF

Maricopa County — Formal (2024-03-27)

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AGREEMENT NO: C86-22-200-X-01 AMENDMENT NO: 1

AMENDMENT TO AFFILIATION AGREEMENT
BETWEEN

MARICOPA COUNTY, by and through its DEPARTMENT OF PUBLIC HEALTH

AND
THE ARIZONA BOARD OF REGENTS, acting for and on behaif of
THE UNIVERSITY OF ARIZONA

FOR THE DIETETIC INTERNSHIP PROGRAM

Section 3 beginning on page 4 of the above named Agreement is hereby amended to
add a Sub-Section D as follows:

D. THE AFFILIATE agrees that for purposes of the Family Educational Rights and
Privacy Act (“FERPA”), COUNTY will be considered an official of THE AFFILIATE
with a legitimate educational reason to have access to limited personally identifiable
information from Student records. THE AFFILIATE agrees to provide authorized
representatives of COUNTY limited personally identifiable information about
Students that is reasonably necessary for participation in the Dietetic Internship. No
other information from Student's education record will be provided unless COUNTY
provides a written consent from the Student to the release of such information or
THE AFFILIATE determines, in its sole discretion, that the release of such
information is in compliance with FERPA. COUNTY agrees that it will not further
disclose personally identifiable information about any Student that it receives from
THE AFFILIATE pursuant to this Agreement, unless the Student consents in writing
to such disclosure or unless COUNTY can otherwise legally disclose the information
under FERPA. In consideration for the receipt of the personally identifiable
information, COUNTY expressly warrants and represents that it will not use the
Student information provided by THE AFFILIATE for any purpose other than to
comply with the terms of this Agreement.

All other terms and conditions of the original Agreement shall remain in full force and
effect.

(signature page follows; rest of page intentionally left blank)

IN WITNESS WHEREOF, the parties agree to the changes indicated herein:

FOR AND ON BEHALF OF FOR AND ON BEHALF OF

MARICOPA COUNTY THE wi) eas

By By “ eq LL
Chairman, Board of Supervisors Ramachandran Radhakrishnan

Title: Director, Office of Research Contracts
Date: _ 92/23/2024

ATTEST:
APPROVED. QL,
Clerk of the Board

jua EsfAvillo, Associate General Counsel

Date

Date Py) Qe6/2Y
Date
APPROVED AS TO FORM:
Deputy County Attorney

Date