Common use of REQUIRED ATTACHMENTS Clause in Contracts

REQUIRED ATTACHMENTS. This BA Agreement will be considered incomplete without the submission of the completed Form 1295 as referenced in section 9.11. COUNTY shall be responsible to include Form 1295, attached as Exhibit A, to this BA Agreement prior to Business Associate review and execution. For the purposes of this BA Agreement, the following statement applies in regard to Form 1295: Exhibit A is a required component of this BA Agreement. Form 1295 is attached and must be completed prior to approval of this BA Agreement by COUNTY. The Parties involved in this BA Agreement are governmental entities and are not required by the Texas Ethics Commission to complete their Form 1295. Approved on this day of , 2016, by Commissioners Court Order No. . SIGNED AND EXECUTED this day of , 2016. BUSINESS ASSOCIATE Signature _ Printed Name _ Title _ Date COUNTY OF TARRANT STATE of TEXAS B. Xxxx Xxxxxxx County Judge APPROVED AS TO FORM: Criminal District Attorney’s Office*

REQUIRED ATTACHMENTS. This BA Agreement will be considered incomplete without the submission of the completed Form 1295 as referenced in section 9.11. COUNTY shall be responsible to include Form 1295, attached as Exhibit A, to this BA Agreement prior to Business Associate review and execution. For the purposes of this BA Agreement, the following statement applies in regard to Form 1295: Exhibit A is a required component of this BA Agreement. Form 1295 is attached and must be completed prior to approval of this BA Agreement by COUNTY. The Parties involved in this BA Agreement are governmental entities and are not required by the Texas Ethics Commission to complete their Form 1295. Approved on this day of , 20162019, by Commissioners Court Order No. . SIGNED AND EXECUTED this day of , 20162019. BUSINESS ASSOCIATE Signature _ Printed Name _ Title _ Date COUNTY OF TARRANT STATE of TEXAS B. Xxxx Xxxxxxx County Judge APPROVED AS TO FORM: Criminal District Attorney’s Office*

REQUIRED ATTACHMENTS. This BA Agreement will be considered incomplete without the submission of the completed Form 1295 as referenced in section 9.11. COUNTY shall be responsible to include Form 1295, attached as Exhibit A, to this BA Agreement prior to Business Associate review and execution. For the purposes of this BA Agreement, the following statement applies in regard to Form 1295: Exhibit A is a required component of this BA Agreement. Form 1295 is attached and must be completed prior to approval of this BA Agreement by COUNTY. The Parties involved in this BA Agreement are governmental entities and are not required by the Texas Ethics Commission to complete their Form 1295. Approved on this day of , 2016, by Commissioners Court Order No. . SIGNED AND EXECUTED this day of , 2016. BUSINESS ASSOCIATE Signature _ Printed Name _ Title _ Date COUNTY OF TARRANT STATE of TEXAS B. X. Xxxx Xxxxxxx County Judge APPROVED AS TO FORM: Criminal District Attorney’s Office*

REQUIRED ATTACHMENTS. This BA Agreement will be considered incomplete without the submission of the completed Form 1295 as referenced in section 9.11. COUNTY shall be responsible to include Form 1295, attached as Exhibit A, to this BA Agreement prior to Business Associate review and execution. For the purposes of this BA Agreement, the following statement applies in regard to Form 1295: Exhibit A is a required component of this BA Agreement. Form 1295 is attached and must be completed prior to approval of this BA Agreement by COUNTY. The Parties involved in this BA Agreement are governmental entities and are not required by the Texas Ethics Commission to complete their Form 1295. Approved on this day of , 2016, by Commissioners Court Order No. . SIGNED AND EXECUTED this day of , 2016. BUSINESS ASSOCIATE Signature _ Printed Name _ Title _ Date COUNTY OF TARRANT STATE of TEXAS B. Xxxx Xxxxxxx County Judge APPROVED AS TO FORM: Criminal District Attorney’s Office*

REQUIRED ATTACHMENTS. This BA Agreement will be considered incomplete without the submission of the completed Form 1295 as referenced in section 9.11. COUNTY shall be responsible to include Form 1295, attached as Exhibit A, to this BA Agreement prior to Business Associate review and execution. For the purposes of this BA Agreement, the following statement applies in regard to Form 1295: Exhibit A is a required component of this BA Agreement. Form 1295 is attached and must be completed prior to approval of this BA Agreement by COUNTY. The Parties involved in this BA Agreement are governmental entities and are not required by the Texas Ethics Commission to complete their Form 1295. Approved on this day of , 20162019, by Commissioners Court Order No. . SIGNED AND EXECUTED this day of , 20162019. BUSINESS ASSOCIATE Signature _ Point of Contact Name, Title Printed Name _ Subrecipient Name Title _ Date COUNTY OF TARRANT STATE of TEXAS B. Xxxx Xxxxxxx County Judge APPROVED AS TO FORM: Criminal District Attorney’s Office*

REQUIRED ATTACHMENTS. This BA Agreement will be considered incomplete without the submission of the completed Form 1295 as referenced in section 9.11. COUNTY shall be responsible to include Form 1295, attached as Exhibit A, to this BA Agreement prior to Business Associate review and execution. For the purposes of this BA Agreement, the following statement applies in regard to Form 1295: Exhibit A is a required component of this BA Agreement. Form 1295 is attached and must be completed prior to approval of this BA Agreement by COUNTY. The Parties involved in this BA Agreement are governmental entities and are not required by the Texas Ethics Commission to complete their Form 1295. Approved on this day of , 20162019, by Commissioners Court Order No. . SIGNED AND EXECUTED this day of , 20162019. BUSINESS ASSOCIATE Signature _ Printed Name _ Title _ Date COUNTY OF TARRANT STATE of TEXAS B. X. Xxxx Xxxxxxx County Judge APPROVED AS TO FORM: Criminal District Attorney’s Office*