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HomeMy WebLinkAbout5738BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement'(this "BAA"), effective October 10, 2017 (the "Effective Date"), is entered into by and between the City of Bremerton (the "Business Associate") and Molina Healthcare of Washington,,Inca (the "Company") (each a "Party" and collectively the �_�._ "Parties"). For purposes of this Agreement, the Business Associate will act via the Bremerton Fire Department. WHEREAS, the Parties have engaged or intend to engage in one or more agreements (each, an "Agreement" and collectively, the l"Agreements") which allows the exchange of PHI (the "Services") on behalf of the Company; WHEREAS, the Parties are committed to complying with the Health Insurance Portability and Accountability Act of 1996 ("HIPAA")land the Health Information Technology for Economic and Clinical Health Act ("HITECH") and any regulations promulgated thereunder (collectively the "HIPAA Rules"); and WHEREAS, this BAA, in conjunction with the HIPAA Rules, sets forth the terms and conditions pursuant to which protected health information (in any format) that is created by or received from the Company or a third party ion behalf of the Company, y ,-.,I be handled between the Business Associate and the Company and with third parties during the term of the Agreement(s) and after its termination. NOW THEREFORE, the Parties agree as follows: 1. DEFINITIONS Unless otherwise provided for in this BAA, terms used in this -BAA shall have the same meanings as set forth in the HIPAA Rules lincluding, but not limited to the following: "Availability," "Confidentiality," "Data Aggregation," "Designated Record Set," "Health Care Operations," "Integrity," "Minimum Necessary," "Notice of Privacy Practices," "Required By Law," "Secretary," and "Subcontractor." Specific definitions are as follows: "Breach" shall have the same meariing as the term "breach" at 45 CFR 164.402. "Business Associate" shall have the same meaning as the term "business associate" at 45 CFR 160.103 and in reference to the party to this BAA, shall mean the first party listed in the first paragraph of this BAA. "Compliance Date" shall mean, in each case, the date by which compliance is required under the referenced provision of the HIPAA, the HITECH Act or the HIPAA Rules, as applicable; provided that, in any case for which that date occurs prior to the effective date of this BAA, the Compliance Date shall mean the effective date of this BAA. meaning as the term "electronic protected Molina Healthcare Omnibus BAA - Single State 1-1-17 "or "Electronic PHI" shall have the same information" at 45 CFR 160.103. "HIPAA Rules" shall mean the Privacy, Security, Breach Notification, and Enforcement Rules at 45 CFR Part 160 and Part 164. "Protected Health Information" or `PHI" shall have the same meaning as the term "protected health information" at 45 CFR 160.103. "Privacy Rule" means the Standard's for Privacy of Individually Identifiable Health Information, set forth at 45 CFR Parts 160 and 164. "Security Incident" shall have the same meaning as the term "security incident" at 45 CFR 164.304. 1 "Security Rule" means the Security Standards for the Protection of Electronic Protected Health Information, set forth at 45 CFR Parts 160 and 164. "Services" shall mean, to the extent and only to the extent they involve the creation, use or disclosure of PHI, the services provided by the Business Associate to the Company under the Agreement(s), including those set forth in this BAA, as amended by written consent of the parties from time to time. "Unsecured PHI" shall have the same meaning as the term "unsecured Protected Health Information" at 45 CFR 164.402. 1 2. GENERAL PROVISIONS 2.1 Effect. This BAA supersedes any prior business associate agreement between the Parties and those portions of any Agreement between the Parties that involve the disclosure of PHI by the Company to Business Associate. To the extent any conflict or inconsistency between this BAA and the terms and conditions of any Agreement exists, the terms of this BAA shall prevail. 2.2 Amendment. The Compan this BAA to maintain consistency and/or ( directive, regulation, or government spons business days' notice to the Business Ass( compliance. The Company may otherwise business days prior written notice to the B parties as evidenced by the amendment be execute a mutually agreeable amendment receipt of the Company's written notice to immediately terminate this BAA and any. the Business Associate's use or disclosure Agreement(s) on behalf of the Company. Molina Healthcare Omnibus BAA - Single State 1-1.17 y may, without Business Associate's consent, amend ompliance with any state or federal law,'policy, ored program requirement, upon forty-five (45) ciate unless a shorter timeframe is necessary for materially amend this BAA only after forty-five (45) ustness Associate and only if mutually agreed to by the in executed by each party hereto. If the Parties fail to mithin forty-five (45) days of the Business Associate's amend this BAA, the Company shall have the right to kgreement(s) between the Parties which may require of PHI in performance of services described in such 3. SCOPE OF USE AND 3.1 The Business Associate may use or disclose PHI as required to provide Services and satisfy its obligations under the Agreeinent(s), if such use or disclosure of PHI would not violate the Privacy Rule. 3.2 The Business Associate may not use or further disclose PHI in a manner that would violate the Privacy Rule if done by the Company, except that the Business Associate may use or disclose PHI as necessary: a. for the proper management and administration of the Business Associate as provided in Section 3.3; and b. to provide Data Aggregation services relating to the Health Care Operations of the Company if required under the Agreement. 3.3 The Business Associate may use or disclose PHI for the proper management and administration of the Business Associate or to carry out the legal responsibilities of the Business Associate. Any disclosures of PHI under this section may be made only if: a. the disclosures are required by law, or b. the Business Associate obtains reasonable assurances from the person to whom the PHI is disclosed that the PHI w ll 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 notifies the Business Associate of any instances of which it is aware in which the confidentiality of the! PHI has been breached. 3.4 The Business Associate shall not request, use or release more than the Minimum Necessary amount of PHI required to accomplish the purpose of the use or disclosure and shall comply with 42 U.S.C. § 17935(b) as of its Compliance Date. The Business Associate hereby acknowledges that all PHI created or received from, or on behalf of, the Company, is as between the parties, the sole property of the Company. 3.5 The Business Associate or its agents or Subcontractors shall not perform any work outside the United States of America that involves access to, use of, or disclosure of, PHI without the prior written consent of the Company in each instance. 4. OBLIGATIONS OF THE The Business Associate shall: 4.1 Not use or disclose PHI Required by Law. Molina Healthcare Omnibus BAA - Single State 1-1-17 ASSOCIATE than permitted or required by this BAA or as 4.2 Establish and use disclosure of PHI. safeguards to prevent the unauthorized use or 4.3 Implement administrative, physical, and technical safeguards that reasonably and appropriately protect the Confidentiality, Integrity, and Availability of the Electronic PHI that it creates, receives, maintains, or transmits on behalf of the Company. The Business Associate shall, as of the Compliance Date, comply with the applicable standards at Subpart C of 45 CFR Part 164. 4.4 Promptly report to the Company any unauthorized use or disclosure of PHI, Breach of Unsecured PHI, or Security Incident, within no more than five (5) days, after Business Associate becomes aware of the unauthorized use or disclosure of PHI, Breach of Unsecured PHI or Security Incident. The Business Associate shall take all reasonable steps to mitigate any harmful effects of such unauthorized use or disclosure, Breach of Unsecured PHI, or Security Incident. The Business Associate shall indemnify the Company against any losses, damages, expenses or other liabilities including reasonable attorney's fees incurred as a result of the Business Associate's or its agent's or Subcontractor's unauthorized use or disclosure of PHI, Breach of Unsecured PHI, or Security Incident, including, but not limited to, the costs of notifying individuals affected by a Breach lof Unsecured PHI. Indemnification is subject to an ability to demonstrate that no agency relationship exists between the parties. 4.5 The Business Associate shall, following discovery of a Breach of Unsecured PHI, notify the Company of such Breach as required at 45 CFR 164.410, without unreasonable delay, and in no event more than thirty (30) days after the discovery of the Breach. The notification by the Business Associate to the Company shall include: (1) the identification of each individual whose Unsecured PHI was accessed, acquired, used or disclosed during the Breach; and (2) any other available information that the Company is. required to include in its notification to individuals affected by the Breach including, but not limited to, the following: a. a brief description of what happened, including the date of the Breach and the date of the discovery of the Breach; b. a description of the types of Unsecured PHI that were involved in the Breach; and c. a brief description of what the Business Associate is doing to investigate the Breach, to mitigate harm to individuals and to protect against any further Breaches. 4.6 In accordance with 45 CFR 164.502(e)(1)(ii) and 164.308(b)(2), if applicable, ensure that any Subcontractors or agents that create, receive, maintain, or transmit PHI on behalf of the Business Associate agree to the same restrictions, conditions, and requirements that apply to the Business Associate with respect to such information. 4.7 Within ten (10) days of receiving a request, make available PHI in a Designated Record Set to the Company as necessary to satisfy the Company's obligations under 45 CFR Molina Healthcare Omnibus BAA - Single State 1-1-17 4.8 Within fifteen (15) days of a Designated Record Set as directed or agr iving a request, make any amendment(s) to PHI in to by the Company pursuant to 45 CFR 164.526. 4.9 Maintain and make available to the Company, within twenty (20) days of receiving a request, the information required to provide an accounting of disclosures to the individual as necessary to satisfy the Company's obligations under 45 CFR 164.528. 4.10 Make its internal practices, books and records relating to the use or disclosure of PHI received from or on behalf of the Company available to the Company or the U. S. Secretary of Health and Human Services for purposes of determining compliance with the HIPAA Rules. 4.11 To the extent the Business in the HIPAA Rules) on behalf of the Cor HIPAA Rules, "Administrative Requirem date(s) and shall not: (a) change the defini segment in a standard; (b) add any data el (c) use any code or data elements that are implementation specification or are not in change the meaning or intent of the stands Associate shall comply with any applicabl provide the Secretary with adequate docui Title 42 U.S.C. Section 1320d-2. associate conducts Standard Transaction(s) (as defined pany; Business Associate shall comply with the nts," 45 C.F.R. Part 162, by the applicable compliance ion, data condition or use of a data element or rents or segments to the maximum defined data set; ither marked "not used" in the standard's he standard's implementation specification(s); or (d) d's implementation specifications. The Business certification and compliance requirements (and entation of such compliance) under subsection (h) of 4.12 To the extent the Business Associate is to carry out one or more of the Company's obligation(s) under Subpart E of 45 CFR Part 164, comply with the requirements of Subpart E that apply to the Company in the performance of such obligation(s). 5. MISCELLANEOUS 5.1 Indemnification. In additio party will indemnify and defend the other damages, expenses or other liabilities, inc of any breach by such party'of any repress obligation expressly contained herein by other representatives. 5.1.A Should a legal dispute meaning of a provision of this Agrees fees. 5.2 Interpretation. Any amb compliance with the HIPAA Rules. 5.3 No Third Party Beneficiari to confer, nor shall anything herein confet respective successors or assigns of the Pas whatsoever. Molina Healthcare Omnibus BAA - Single Shahe 1.1-17 to any indemnities set forth in the Agreement(s), each arty from and against any and all claims, losses, .ding reasonable attorney's fees, incurred as a result station, warranty, covenant, agreement or other ch party, its employees, agents, Subcontractors or between the Parties as to -any obligation under or each Party shall pay all its own costs and attorney's ty in this BAA shall be interpreted to permit ;. Nothing express or implied in this BAA is intended upon any person other than the Parties and the yes, any rights, remedies, obligations, or liabilities 5.4 Governine Law and Venue. notwithstanding any conflicts of law provi., County Superior Court. This BAA shall be governed by j*ashingtori law ions to the contrary. The venue shall be the Kitsap 5.5 Notices. Any notices to be given hereunder to a Party shall be made via certified U.S. Mail or express courier to such Party's address given below, and/or (other than for the delivery of fees) via facsimile to the facsimile telephone numbers listed below: If to Business Associate, to: City of Bremerton Fire Department 911 Park Avenue Bremerton, WA 98337 Attn:.Fire Chief Fax: (360)473-5397 If to the Company, to: 6. TERM AND TERMINATION OF BAA Molina Healthcare, Inc. 200 Oceangate, Suite 100 Long Beach, CA 90802 Attn: Privacy Official Fax: 562-499-0789 6.1 Term. The Term of this BAA shall be effective as of the effective date set forth in the first paragraph of this BAA, and shall tIerminate on date that the last Agreement remaining in force between the parties is terminated or expires, or on the date either Party terminates as authorized in paragraph 6.2 below, whichever is sooner. 6.2 Termination. Either Party may terminate for convenience or cause upon five (5) days written notice to the other Party. 6.3 Obligations of Business A! BAA for any reason, and if feasible, Busi; to by the Company, destroy all PHI receiN received by Business Associate on behalf maintains in any form. If PHI is destroye with certification of such destruction. BL except as Required By Law. If return or c from the Company, or created, maintainer Company, is not feasible, Business Assoc Molina Healthcare Onmibus BAA - Single State 1.1-17 ociate Upon Termination. Upon termination of this ;ss Associate shall return to the Company or, if agreed d from the Company, or created, maintained, or f the Company, that the Business Associate still , Business Associate agrees to provide the Company iness Associate shall not retain any copies of PHI struction of all PHI, and all copies of PHI, received or received by Business Associate on behalf of the to shall: Continue to use appropriate sa 164 with respect to Electronic as provided for in this Section and eguards and comply with Subpart C of 45 CFR Part 'HI to prevent use or disclosure of the PHI, other than i, for as long as Business Associate retains the PHI; b. Not use or disclose the PHI redained by Business Associate other than for the purposes for which such PHI was retained and subject to the same conditions set forth in Section.3 above which applied prior to termination. 6.4 Survival. The obligations of Business Associate under this Section shall survive the termination of this BAA and remain in force as long as Business Associate stores or maintains PHI in any form or format (including archival data). Termination of the BAA shall not affect any of the provisions of this BAA that, by wording or nature, are intended to remain effective and to continue in operation. INTENDING TO BE LEGALLY BOUT' executed by their duly authorized represen "Business Associate" nnlr' iT�Tame Mayor, City of Bremerton 10 /S 'I 111C a Molina Healthcare Omnibus BAA -Single State 1-1-17 ), the parties hereto have caused this BAA to be tives. "Company" tgnatuic Timothy Zevnik Print Name Privacy OMciai loot. l L Title D21C MOLINA HEALTHCARE, INC. MUTUAL DATA EXCHANGE NON -DISCLOSURE AGREEMENT This Nondisclosure Agreement (the "Agreement") dated as of this 10th day of October, 2017 (the "Effective Date") is between Molina Healthcare, Inc., its subsidiaries and affiliates, ("Molina") having a principal place of business at 21540 301h Drive SE Ste 400, Bothell, WA 98021, and the City of Bremerton ("Receiving Party" or "City"), having a principal place of business at (345 6th Street, Suite 600, Bremerton, WA 98337) (each a "Party" and collectively the "Parties"). For purposes of this Agreement, the City of Bremerton will act via the Bremerton Fire Department. PURPOSE. The Parties shall have information (as defined below) for the sole utilizers who are established Molina memt management services. Additionally, under communicate with each other about a men such disclosure actually take place, to prote disclosure, the Parties agree as follows: 1. Confidential Information. As uses mean all trade secrets (if any) or confiden Protected Health Information ("PHI") about concerning patients, members, and provide health plan members, employees and'provi+ limited to rates, financials, business develo responses and preparation therefore, respoi inventions, developments, business relatior information developed, known, accessed or either Party in connection with Purpose, desi by the use of an appropriate 'confidential sta confidential or proprietary information is disc foregoing, information which is orally or visu, an appropriate letter, proprietary stamp or le state, prior to the disclosure, that the inform that a reasonable Party would consider it to confidential or proprietary. Confidential Inf( notes, studies or other documehts prepared (as defined below) to the extent they con Confidential Information of the other Party, inspection of any 'proprietary equipment ' or objects embodying Confidential information, -cess to, and engage in a mutual exchange of confidential purpose of allowing the Parties to identify frequent EMS :rs, and to allow referral by the City to Molina for care this Agreement, the City and Molina will be able to bees medical and/or behavioral health conditions. Should :t such confidential information from unauthorized use and in this Agreement, the term "Confidential Information" shall ial or proprietary' information, including, but not limited to, each Party's patients and members; personal information s; financial information relating to either Party's operations, ers; and proprietary business information, including but not ,ment, strategic information, contract terms, research, RFP ses and evaluations of RFP determinations and/or awards, ships, client or member lists, vendor contracts, and other acquired as a result, or in relation to services provided by Inated as such in writing by either Party, whether by letter or ip or legend, prior to or at the time any such trade secret or )sed by either Party to the other Party. Notwithstanding the ly disclosed by either Party, or is disclosed in writing without end, shall constitute Confidential Information if 1)the Parties tion is confidential., 2) the nature of the information is such ie confidential, or 3) the Parties know that the information is rmation shall also include: (i) all analyses, compilations, by or on behalf of either Party or any of its representatives ain, reflect or are based upon or derived from any such And (ii) any information which can be obtained by visual materials, including hardware, software; or other physical provided to either Party. Notwithstanding the broadness of the definition of Confidential Information, this section does not authorize release of information beyond the Purpose of this Agreement. Notwithstanding the foregoing, Confidential Information shall not include information which: (a) is or becomes part of the public domain without breach of this Agreement; (b) the Parties can establish by competent proof was known to either Party prior to disclosure hereunder; (c) each Party can establish has been independently developed by either Party without the use of any Confidential Information; or, (d) is explicitly approved for release bj written authorization of either Party. 2. Protected Health' Information. and their Representatives may have acct as such term is defined by 45 C.F.R. 164 with the Privacy Rule issued by the U.S. Insurance Portability and Accountability A+ NDAP_HI_M utua1032016 10/11/2017 6:38 AM connection with the Purpose of this Agreement, the Parties s to and receive certain Protected Health Information ("PHI") 01. Such PHI may be used or disclosed only in accordance )epartment of Health and Human Services under the Health of 1996 ("HIPAA"). Furthermore, the Parties must safeguard any electronic protected health information tt other Party as required by the Security Ri Services under HIPAA and under Subtitle Clinical Health Act ("HITECH Act") provision ("ARRA") and its implementing regulations. the laws and regulations noted above whett "Business Associate" under HIPAA, the HITE at they create, receive, maintain, or transmit on behalf of the ile issued by the U.S. Department of Health and Human ) of the Health Information Technology for Economic and s in the American Recovery and Reinvestment Act of 2009 Each Party may only use or disclose PHI in accordance to or or not the Parties, or any individual Party, qualifies as a :H Act, ARRA and their respective. regulations. Each Party agrees, and shall cause its respective representatives to agree, not to use or disclose PHI it receives other than as permitted ori required by law or this Agreement, to use commercially reasonable and appropriate safeguards to prevent the use or disclosure of the PHI other than for the Purpose of this Agreement, to mitigate, to the extent practicable, any harmful effect that is known to either Party or its representatives of a use or disclosure of PHI by each Party or its Representatives in violation of this Agreement, and to report to the other Party any use or disclosure of PHI not provided for by this Agreement. Except as otherwise permitted herein, upon termination of this Agreement for any reason, each Party shall return or destroy, and shall cause its representatives to return or destroy, all PHI received from the other Party. Each Party and its representatives shall retain no copies of any PHI provided during the consideration of a Possible Transaction. 3. Non -Disclosure and Use. Each Confidential Information, except as and to Confidential Information for any purpose engineer, de -compile or disassemble any I the other Party's Confidential Information Confidential Information of the other Pa protection in any country that is filed on beh Confidential Information to manufacture, or derived from the other Party's -Confidential of any unauthorized use or disclosure of its possession of such Confidential Information reproduce any of the other Party's Confic permission; and, (h) promptly destroy or Information of the Party and all copies there foregoing, either Party may disclose the otl and contractors (collectively, "Representath out the Purpose, provided that each such P and provided further that any Representativ bound hereby. The Parties understand and of any reports or analyses prepared by th internal controls or risk management polici Agreement by its Representatives. 4. Disclosure Required by Law. If ( the other Party transmits the Confidential interrogations, requests for information c process) to disclose any of the Confidentia the other Party with prompt written noticE appropriate remedy and/or waive complian order or other remedy is not obtained, or Agreement, the other Party or its Repre; Information which it is legally required to c assurance, to the extent that such assu accorded the Confidential Information. 5, OwnershIg: No License. Each I all such Confidential Information to the NDAPHI_MutUW032016 1011 1/201 7 8:38 AM (00043358;1) arty agrees that it shall (a), not disclose the other Party's the extent expressly permitted hereby; (b) not use Molina's other than the Purpose specified above; (c) not reverse ardware, software, or other physical objects which embody or permit any third Party to do the same; (d) not include ty in any application for patent or utility model or design Of of, assigned to, or licensed by either Party; (e) not use the !nable manufacture by itself or third Parties, products that are nformation; (f) promptly notify the other Party upon discovery Confidential Information and take reasonable steps to regain and prevent further breach of this Agreement; (g) not copy or antial Information without the other Party's express written return to the other Party, upon request, all Confidential Df (and certify to such action in writing). Notwithstanding the er Party's Confidential Information to its officers, employees es") who need to know the Confidential Information to cavy 3presentative is informed of the provisions of this Agreement a who is not an officer or employee of the Party agrees to be agree that Representatives of either Party may retain copies :m for the other Party if required by such Representative's m. Each Party shall be responsible for any breach of this ther Party or any of its Representatives, or anyone to whom Information, becomes legally obligated (by oral questions, documents, subpoena, investigative demand or similar Information, the Parties will use their best efforts to provide so that each Party may seek a protective order or other ;e with the provisions of this Agreement. If such protective either Parry waives compliance with the provisions of this entatives will furnish only that portion of the Confidential sclose and will exercise its diligent efforts to obtain reliable ince can be obtained, that confidential treatment will be represents and warrants that it has the authority to provide ir Party pursuant to the terms hereof. All Confidential -2- Information, including all drawings, docui Information provided by either Party and all c each Party. Either Party shall not, by virtue c acquire any right or license, express or irr copyright, invention, discovery or improveme ants and other tangible manifestations of Confidential pies and reproductions thereof, shall remain the property of this Agreement or the provision of Confidential Information, 'ied, with respect to any Confidential Information, patent, , or any application therefore, of the other Party. 6. No Implied Obligations or Agency.This Agreement shall not obligate either Party to enter an agreement for any goods or services, or to make or respond to any proposal therefore and shall not obligate either Party to disclose Confidential Information to the other. Neither Party is authorized to act for, or on behalf of, the other Party under this Agreement. Each Party is an independent contractor, and no principal/agent or partnership relationship is created between them by this Agreement. 7. Effectiveness; Term; Termination. 1 This Agreement shall become effective on the Effective Date. This Agreement shall terminate: (a) at any time upon written notice to the other Party; (b) immediately in the event the Parties hereto I execute an agreement effectuating the Purpose in which event the confidentiality provisions containedl therein shall govern the use of all Confidential Information provided hereunder, or, (c) two years from I the Effective Date. Notwithstanding the foregoing, Each Party's obligations hereunder with respect to Confidential Information disclosed by either Party prior to termination shall continue in perpetuity. 8. Specific Performance. Each Party acknowledges that irreparable damage would occur to either Party in the event any of the provisions of this Agreement were not performed in accordance with their specific terms. Accordingly, each Party shall be entitled to an injunction to prevent breach of this Agreement and to enforce specifically the terries and provisions hereof , in addition to any other remedy to which such Party may otherwise be entitled, in the Kitsap County Superior Court in the State of Washington. I 9. HIPAA Provisions. a. Construction. This Agr( and comply with the Health Insurance Po and security rules promulgated there u Agreement shall be resolved in favor of a b. Business Associate Ag Associate Agreement contemporaneously t shall be construed as broadly as necessary to implement I and Accountability Act ("HIPAA") of 1996 and the privacy as amended from time to time. Any ambiguity in this ing that complies with HIPAA and the HIPAA Regulations. lent. The parties hereby agree to enter into a Business the execution of this Agreement. 10. Governing Law. This Agreement shall be governed by the laws of the State of Washington without regard to its rules regarding conflicts of law. 11. Indemnification. Each Party will indemnify and defend the other Party from and against any and all claims, losses, damages, expenses or other liabilities, including reasonable attorney's fees, incurred as a result of any breach by such Party of any representation, warranty, covenant, agreement or other obligation expressly contained herein by such Party, its employees, agents, Subcontractors or other representatives. I 12. Legal Disputes. Should a legal meaning of a provision of this Agreement, 13. Miscellaneous. The terms and c Parties and supersede all communications written, with respect to the subject matter h shall be effective unless reduced to writing enforce any term hereof shall not be deem shall be binding upon, inure to the benefi assigns of the Parties hereto. NDAPHI_Mutua1032016 10/11/2017 8:38 AM (00043358:1) e arise between the Parties as to any obligation under or Party shall pay all its own costs and attorney's fees. 3nditions herein constitute the entire understanding of the negotiations, arrangements and agreements, either oral or reof. No amendments to or modifications of this Agreement and executed by both Parties. The failure of either Party to .d a waiver of any rights contained herein. This Agreement of and be enforceable by, the respective successors and -3- 14. Facsimile/Electronic Mail. This A executed copies, certified electronic signatun Document Format or similar format, and an,, executing this Agreement shall be deemed Agreement may be executed in two or mor original, but all of which, taken together, shall Remainder of NOAPHI_MukWO32016 10/11/2017 8:38 AM {00043358;1) reement may be executed by the exchange of faxed or copies delivered by electronic mail in Adobe Portable signature transmitted by such means for the purpose of i original signature for purposes of this Agreement. This counterparts, each of which shall be deemed to be an institute one and the same instrument. page intentionally left blank IN WITNESS WHEREOF, the date set forth below. City of Bremerton Name:—Patty 'Title: ,Mayor of the City of Bremerton 'o//2l // NDAPHI_Mutua1032016 90/11/2017 8:39 AM (00043358;1) hereto have caused this Agreement to be executed on the Molina Healthcare of Washington, Inc. By- Name: y Name: Peter Adler Title: Plan President Date: 101////-7 -S-