Common use of Certification Regarding Use of State Funds Clause in Contracts

Certification Regarding Use of State Funds. In the case that Party is an employer and this Agreement is a State Funded Grant in excess of $1,001, Party certifies that none of these State funds will be used to interfere with or restrain the exercise of Party’s employee’s rights with respect to unionization. State of Vermont – Attachment C Revised AHS – 9-3-2014 ATTACHMENT E BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services operating by and through its Department of Vermont Heath Access (“Covered Entity”) and Central Vermont Medical Center (“Business Associate”) as of January 1, 2015. This Agreement supplements and is made a part of the Contract to which it is an attachment. Covered Entity and Business Associate enter into this Agreement to comply with standards promulgated under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), including the Standards for the Privacy of Individually Identifiable Health Information, at 45 CFR Parts 160 and 164 (“Privacy Rule”), and the Security Standards, at 45 CFR Parts 160 and 164 (“Security Rule”), as amended by Subtitle D of the Health Information Technology for Economic and Clinical Health Act (HITECH), and any associated federal rules and regulations. The parties agree as follows:

Certification Regarding Use of State Funds. In the case that Party is an employer and this Agreement is a State Funded Grant in excess of $1,001, Party certifies that none of these State funds will be used to interfere with or restrain the exercise of Party’s employee’s rights with respect to unionization. State of Vermont – Attachment C Revised AHS – 9-3-2014 ATTACHMENT E BUSINESS ASSOCIATE AGREEMENT AGREEMENT‌‌ This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services Services, operating by and through its Department of Vermont Heath Health Access (“Covered Entity”) and Central Vermont Medical Center (“Business Associate”) as of January October 1, 20152014 (“Effective Date”). This Agreement supplements and is made a part of the Contract contract/grant to which it is an attachmentattached. Covered Entity and Business Associate enter into this Agreement to comply with standards promulgated under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), including the Standards for the Privacy of Individually Identifiable Health Information, at 45 CFR Parts 160 and 164 (“Privacy Rule”), and the Security Standards, at 45 CFR Parts 160 and 164 (“Security Rule”), as amended by Subtitle D of the Health Information Technology for Economic and Clinical Health Act (HITECH), and any associated federal rules and regulations. The parties agree as follows:

Certification Regarding Use of State Funds. In the case that Party is an employer and this Agreement is a State Funded Grant in excess of $1,001, Party certifies that none of these State funds will be used to interfere with or restrain the exercise of Party’s employee’s rights with respect to unionization. State of Vermont – Attachment C Revised AHS – 97-31-2014 2012 ATTACHMENT E BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services Services, operating by and through its Department of Vermont Heath Health Access (“Covered Entity”) and Central the Vermont Medical Center Association of Hospital and Health Services (“Business Associate”) as of January July 1, 20152012 (“Effective Date”). This Agreement supplements and is made a part of the Contract grant to which it is an attachmentattached. Covered Entity and Business Associate enter into this Agreement to comply with standards promulgated under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), including the Standards for the Privacy of Individually Identifiable Health Information, at 45 CFR Parts 160 and 164 (“Privacy Rule”), and the Security Standards, at 45 CFR Parts 160 and 164 (“Security Rule”), as amended by Subtitle D of the Health Information Technology for Economic and Clinical Health Act (HITECH), and any associated federal rules and regulationsAct. The parties agree as follows:

Certification Regarding Use of State Funds. In the case that Party is an employer and this Agreement is a State Funded Grant in excess of $1,001, Party certifies that none of these State funds will be used to interfere with or restrain the exercise of Party’s employee’s rights with respect to unionization. State of Vermont – Attachment C Revised AHS – 9-3-2014 ATTACHMENT E BUSINESS ASSOCIATE AGREEMENT AGREEMENT‌ This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services Services, operating by and through its Department of Vermont Heath Health Access (“Covered Entity”) and Central Vermont Medical Center Little Rivers Health Care, Inc. (“Business Associate”) as of January October 1, 20152014 (“Effective Date”). This Agreement supplements and is made a part of the Contract contract/grant to which it is an attachmentattached. Covered Entity and Business Associate enter into this Agreement to comply with standards promulgated under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), including the Standards for the Privacy of Individually Identifiable Health Information, at 45 CFR Parts 160 and 164 (“Privacy Rule”), and the Security Standards, at 45 CFR Parts 160 and 164 (“Security Rule”), as amended by Subtitle D of the Health Information Technology for Economic and Clinical Health Act (HITECH), and any associated federal rules and regulations. The parties agree as follows:

Certification Regarding Use of State Funds. In the case that Party is an employer and this Agreement is a State Funded Grant in excess of $1,001, Party certifies that none of these State funds will be used to interfere with or restrain the exercise of Party’s employee’s rights with respect to unionization. State of Vermont – Attachment C Revised AHS – 9-3-2014 ATTACHMENT E BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services Services, operating by and through its Department of Vermont Heath Health Access (“Covered Entity”) and Central Vermont Medical Center Xxxxx Xxxxx, Inc. DBA PDI Creative Communications (“Business Associate”) as of January 1November 7, 20152014. This Agreement supplements and is made a part of the Contract contract/grant to which it is an attachmentattached. Covered Entity and Business Associate enter into this Agreement to comply with standards promulgated under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), including the Standards for the Privacy of Individually Identifiable Health Information, at 45 CFR Parts 160 and 164 (“Privacy Rule”), and the Security Standards, at 45 CFR Parts 160 and 164 (“Security Rule”), as amended by Subtitle D of the Health Information Technology for Economic and Clinical Health Act (HITECH), and any associated federal rules and regulations. The parties agree as follows:

Certification Regarding Use of State Funds. In the case that Party is an employer and this Agreement is a State Funded Grant in excess of $1,001, Party certifies that none of these State funds will be used to interfere with or restrain the exercise of Party’s employee’s rights with respect to unionization. State of Vermont – Attachment C Revised AHS – 9-3-2014 ATTACHMENT Attachment E BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services Services, operating by and through its Department of Vermont Heath Health Access (“Covered Entity”) and Central Vermont Medical Center H.I.S. Professionals, LLC, (“Business Associate”) as of January 1September 29, 20152014 (“Effective Date”). This Agreement supplements and is made a part of the Contract contract/grant to which it is an attachmentattached. Covered Entity and Business Associate enter into this Agreement to comply with standards promulgated under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), including the Standards for the Privacy of Individually Identifiable Health Information, at 45 CFR Parts 160 and 164 (“Privacy Rule”), and the Security Standards, at 45 CFR Parts 160 and 164 (“Security Rule”), as amended by Subtitle D of the Health Information Technology for Economic and Clinical Health Act (HITECH), and any associated federal rules and regulations. The parties agree as follows:

Certification Regarding Use of State Funds. In the case that Party is an employer and this Agreement is a State Funded Grant in excess of $1,001, Party certifies that none of these State funds will be used to interfere with or restrain the exercise of Party’s employee’s rights with respect to unionization. State of Vermont – Attachment C Revised AHS – 9-3-2014 ATTACHMENT E BUSINESS ASSOCIATE AGREEMENT AGREEMENT‌ This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services Services, operating by and through its Department of Vermont Heath Health Access (“Covered Entity”) and Central Vermont Medical Center Community Health Services of Lamoille Valley (“Business Associate”) as of January October 1, 20152014 (“Effective Date”). This Agreement supplements and is made a part of the Contract contract/grant to which it is an attachmentattached. Covered Entity and Business Associate enter into this Agreement to comply with standards promulgated under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), including the Standards for the Privacy of Individually Identifiable Health Information, at 45 CFR Parts 160 and 164 (“Privacy Rule”), and the Security Standards, at 45 CFR Parts 160 and 164 (“Security Rule”), as amended by Subtitle D of the Health Information Technology for Economic and Clinical Health Act (HITECH), and any associated federal rules and regulations. The parties agree as follows:

Certification Regarding Use of State Funds. In the case that Party is an employer and this Agreement is a State Funded Grant in excess of $1,001, Party certifies that none of these State funds will be used to interfere with or restrain the exercise of Party’s employee’s rights with respect to unionization. State of Vermont – Attachment C Revised AHS – 9-3-2014 ATTACHMENT E BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services operating by and through its Department of Vermont Heath Access (“Covered Entity”) and Central Vermont Medical Center Pacific Health Policy Group (“Business Associate”) as of January 1February 2, 20152015 (“Effective Date”). This Agreement supplements and is made a part of the Contract to which it is an attachment. Covered Entity and Business Associate enter into this Agreement to comply with standards promulgated under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), including the Standards for the Privacy of Individually Identifiable Health Information, at 45 CFR Parts 160 and 164 (“Privacy Rule”), and the Security Standards, at 45 CFR Parts 160 and 164 (“Security Rule”), as amended by Subtitle D of the Health Information Technology for Economic and Clinical Health Act (HITECH), and any associated federal rules and regulations. The parties agree as follows:

Certification Regarding Use of State Funds. In the case that Party is an employer and this Agreement is a State Funded Grant in excess of $1,001, Party certifies that none of these State funds will be used to interfere with or restrain the exercise of Party’s employee’s rights with respect to unionization. State of Vermont – Attachment C Revised AHS – 911-37-2014 ATTACHMENT 2012 Attachment E BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services operating by and through its Department of Vermont Heath Health Access (“Covered Entity”) and Central Vermont Medical Center Stone Environmental, Inc. (“Business Associate”) as of January July 1, 20152013 (“Effective Date”). This Agreement supplements and is made a part of the Contract to which it is an attachment. Covered Entity and Business Associate enter into this Agreement to comply with standards promulgated under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), ) including the Standards for the Privacy of Individually Identifiable Health Information, Information at 45 CFR Parts 160 and 164 (“Privacy Rule”), ) and the Security Standards, Standards at 45 CFR Parts 160 and 164 (“Security Rule”), as amended by Subtitle subtitle D of the Health Information Technology for Economic and Clinical Health Act (HITECH), and any associated federal rules and regulationsAct. The parties agree as follows:

Certification Regarding Use of State Funds. In the case that Party is an employer and this Agreement is a State Funded Grant in excess of $1,001, Party certifies that none of these State funds will be used to interfere with or restrain the exercise of Party’s employee’s rights with respect to unionization. State of Vermont – Attachment C Revised AHS – 97-31-2014 2012 ATTACHMENT E BUSINESS ASSOCIATE AGREEMENT AGREEMENT‌ This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services Services, operating by and through its Department of Vermont Heath Health Access (“Covered Entity”) and Central Vermont Medical Center The Greater Burlington YMCA (“Business Associate”) as of January November 1, 20152012 (“Effective Date”). This Agreement supplements and is made a part of the Contract grant to which it is an attachmentattached. Covered Entity and Business Associate enter into this Agreement to comply with standards promulgated under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), including the Standards for the Privacy of Individually Identifiable Health Information, at 45 CFR Parts 160 and 164 (“Privacy Rule”), and the Security Standards, at 45 CFR Parts 160 and 164 (“Security Rule”), as amended by Subtitle D of the Health Information Technology for Economic and Clinical Health Act (HITECH), and any associated federal rules and regulationsAct. The parties agree as follows:

Certification Regarding Use of State Funds. In the case that Party is an employer and this Agreement is a State Funded Grant in excess of $1,001, Party certifies that none of these State funds will be used to interfere with or restrain the exercise of Party’s employee’s rights with respect to unionization. State of Vermont – Attachment C Revised AHS – 97-31-2014 2012 ATTACHMENT E BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services Services, operating by and through its Department of Vermont Heath Health Access (“Covered Entity”) and Central Vermont Medical Center Information Technology Leaders (“Business Associate”) as of January July 1, 20152012 (“Effective Date”). This Agreement supplements and is made a part of the Contract grant to which it is an attachmentattached. Covered Entity and Business Associate enter into this Agreement to comply with standards promulgated under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), including the Standards for the Privacy of Individually Identifiable Health Information, at 45 CFR Parts 160 and 164 (“Privacy Rule”), and the Security Standards, at 45 CFR Parts 160 and 164 (“Security Rule”), as amended by Subtitle D of the Health Information Technology for Economic and Clinical Health Act (HITECH), and any associated federal rules and regulationsAct. The parties agree as follows:

Certification Regarding Use of State Funds. In the case that Party is an employer and this Agreement is a State Funded Grant in excess of $1,001, Party certifies that none of these State funds will be used to interfere with or restrain the exercise of Party’s employee’s rights with respect to unionization. State of Vermont – Attachment C Revised AHS – 6-9-3-2014 ATTACHMENT E BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services operating by and through its Department of Vermont Heath Access (“Covered Entity”) and Central Vermont Medical Center Healthfirst, Inc. (“Business Associate”) as of January 1, 20152015 (“Effective Date”). This Agreement supplements and is made a part of the Contract to which it is an attachment. Covered Entity and Business Associate enter into this Agreement to comply with standards promulgated under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), including the Standards for the Privacy of Individually Identifiable Health Information, at 45 CFR Parts 160 and 164 (“Privacy Rule”), and the Security Standards, at 45 CFR Parts 160 and 164 (“Security Rule”), as amended by Subtitle D of the Health Information Technology for Economic and Clinical Health Act (HITECH), and any associated federal rules and regulations. The parties agree as follows:

Certification Regarding Use of State Funds. In the case that Party is an employer and this Agreement is a State Funded Grant in excess of $1,001, Party certifies that none of these State funds will be used to interfere with or restrain the exercise of Party’s employee’s rights with respect to unionization. State of Vermont – Attachment C Revised AHS – 9-3-2014 ATTACHMENT E BUSINESS ASSOCIATE AGREEMENT AGREEMENT‌‌ This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services Services, operating by and through its Department of Vermont Heath Health Access (“Covered Entity”) and Central Vermont Medical Center Brattleboro Memorial Hospital (“Business Associate”) as of January October 1, 20152014 (“Effective Date”). This Agreement supplements and is made a part of the Contract contract/grant to which it is an attachmentattached. Covered Entity and Business Associate enter into this Agreement to comply with standards promulgated under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), including the Standards for the Privacy of Individually Identifiable Health Information, at 45 CFR Parts 160 and 164 (“Privacy Rule”), and the Security Standards, at 45 CFR Parts 160 and 164 (“Security Rule”), as amended by Subtitle D of the Health Information Technology for Economic and Clinical Health Act (HITECH), and any associated federal rules and regulations. The parties agree as follows:

Certification Regarding Use of State Funds. In the case that Party is an employer and this Agreement is a State Funded Grant in excess of $1,001, Party certifies that none of these State funds will be used to interfere with or restrain the exercise of Party’s employee’s rights with respect to unionization. State of Vermont – Attachment C Revised AHS – 9-3-2014 ATTACHMENT E BUSINESS ASSOCIATE AGREEMENT AGREEMENT‌ This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services Services, operating by and through its Department of Vermont Heath Access Mt. Ascutney (“Covered Entity”) and Central Vermont Medical Mt. Ascutney Hospital and Health Center (“Business Associate”) as of January October 1, 20152014 (“Effective Date”). This Agreement supplements and is made a part of the Contract contract/grant to which it is an attachmentattached. Covered Entity and Business Associate enter into this Agreement to comply with standards promulgated under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), including the Standards for the Privacy of Individually Identifiable Health Information, at 45 CFR Parts 160 and 164 (“Privacy Rule”), and the Security Standards, at 45 CFR Parts 160 and 164 (“Security Rule”), as amended by Subtitle D of the Health Information Technology for Economic and Clinical Health Act (HITECH), and any associated federal rules and regulations. The parties agree as follows:

Certification Regarding Use of State Funds. In the case that Party is an employer and this Agreement is a State Funded Grant in excess of $1,001, Party certifies that none of these State funds will be used to interfere with or restrain the exercise of Party’s employee’s rights with respect to unionization. State of Vermont – Attachment C Revised AHS – 911-37-2014 2012 ATTACHMENT E BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services Services, operating by and through its Department of Vermont Heath Health Access (“Covered Entity”) and Central Vermont Medical Center Xxxxxxx-Xxxxxxx & Associates, Inc. (“Business Associate”) as of January 1February 15, 20152014 (“Effective Date”). This Agreement supplements and is made a part of the Contract contract/grant to which it is an attachmentattached. Covered Entity and Business Associate enter into this Agreement to comply with standards promulgated under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), including the Standards for the Privacy of Individually Identifiable Health Information, at 45 CFR Parts 160 and 164 (“Privacy Rule”), and the Security Standards, at 45 CFR Parts 160 and 164 (“Security Rule”), as amended by Subtitle D of the Health Information Technology for Economic and Clinical Health Act (HITECH), and any associated federal rules and regulations. The parties agree as follows:

Certification Regarding Use of State Funds. In the case that Party is an employer and this Agreement is a State Funded Grant in excess of $1,001, Party certifies that none of these State funds will be used to interfere with or restrain the exercise of Party’s employee’s rights with respect to unionization. State of Vermont – Attachment C Revised AHS – 9-3-2014 ATTACHMENT E BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services operating by and through its Department of Vermont Heath Access (“Covered Entity”) and Central Vermont Medical Center Program for Quality in Health Care (“Business Associate”) as of January 1, 20152015 (“Effective Date”). This Agreement supplements and is made a part of the Contract to which it is an attachment. Covered Entity and Business Associate enter into this Agreement to comply with standards promulgated under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), including the Standards for the Privacy of Individually Identifiable Health Information, at 45 CFR Parts 160 and 164 (“Privacy Rule”), and the Security Standards, at 45 CFR Parts 160 and 164 (“Security Rule”), as amended by Subtitle D of the Health Information Technology for Economic and Clinical Health Act (HITECH), and any associated federal rules and regulations. The parties agree as follows:

Certification Regarding Use of State Funds. In the case that Party is an employer and this Agreement is a State Funded Grant in excess of $1,001, Party certifies that none of these State funds will be used to interfere with or restrain the exercise of Party’s employee’s rights with respect to unionization. State of Vermont – Attachment C Revised AHS – 9-3-2014 ATTACHMENT E BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services Services, operating by and through its Department of Vermont Heath Health Access (“Covered Entity”) and Central Vermont Northwestern Medical Center (“Business Associate”) as of January October 1, 20152014 (“Effective Date”). This Agreement supplements and is made a part of the Contract contract/grant to which it is an attachmentattached. Covered Entity and Business Associate enter into this Agreement to comply with standards promulgated under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), including the Standards for the Privacy of Individually Identifiable Health Information, at 45 CFR Parts 160 and 164 (“Privacy Rule”), and the Security Standards, at 45 CFR Parts 160 and 164 (“Security Rule”), as amended by Subtitle D of the Health Information Technology for Economic and Clinical Health Act (HITECH), and any associated federal rules and regulations. The parties agree as follows:

Certification Regarding Use of State Funds. In the case that Party is an employer and this Agreement is a State Funded Grant in excess of $1,001, Party certifies that none of these State funds will be used to interfere with or restrain the exercise of Party’s employee’s rights with respect to unionization. State of Vermont – Attachment C Revised AHS – 6-9-3-2014 ATTACHMENT E BUSINESS ASSOCIATE AGREEMENT This Business Associate Agreement (“Agreement”) is entered into by and between the State of Vermont Agency of Human Services Services, operating by and through its Department Office of Vermont Heath Health Access (“Covered Entity”) and Central Vermont Medical Center Trustees of Dartmouth College (“Business Associate”) as of January 1June 5, 20152014 (“Effective Date”). This Agreement supplements and is made a part of the Contract contract/grant to which it is an attachmentattached. Covered Entity and Business Associate enter into this Agreement to comply with standards promulgated under the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), including the Standards for the Privacy of Individually Identifiable Health Information, at 45 CFR Parts 160 and 164 (“Privacy Rule”), and the Security Standards, at 45 CFR Parts 160 and 164 (“Security Rule”), as amended by Subtitle D of the Health Information Technology for Economic and Clinical Health Act (HITECH), and any associated federal rules and regulations. The parties agree as follows: