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THE INFORMATION IN THIS BOX IS NOT A PART OF THE CONTRACT AND IS FOR COUNTY USE ONLY
Arrowhead Regional Medical Center
Department Contract Representative Andrew Goldfrach
Telephone Number (909) 580-6150
Contractor City of Rialto on behalf of its Fire
Department
Contractor Representative
Telephone Number (909) 820-2525
Contract Term Date of Execution through June 30,
2030
Original Contract Amount N/A
Amendment Amount N/A
Total Contract Amount N/A
Cost Center 8242
Grant Number (if applicable) N/A
AFFILIATION AGREEMENT FOR RESIDENCY AND FELLOWSHIP ROTATIONS
This Affiliation Agreement for Residency and Fellowship Rotations (“Agreement") is entered into by and between San Bernardino County (“County”) on behalf of Arrowhead Regional Medical Center ( “ARMC”) and the City of Rialto on behalf of its Fire Department (“Receiving Site”).
WITNESSETH:
WHEREAS, ARMC operates approved Graduate Medical Education (“GME”) programs for resident and fellow physicians (collectively, “Trainees”) which require clinical experiences for Trainees in accordance with the Accreditation Council for Graduate Medical Education (“ACGME”) or other equivalent accrediting agency;
WHEREAS, the Receiving Site operates a Fire Department which provides pre- hospital medical care and transport to its patients;
WHEREAS, the parties acknowledge a desire to contribute to health-related education for the benefit of Trainees and to meet community needs;
Contract Number
SAP Number
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WHEREAS, it is to the benefit of the parties that the Trainees in the GME Programs at ARMC have the opportunity for clinical experience to enhance their capabilities as practitioners;
WHEREAS, the facilities of each party have unique attributes that are of benefit to Trainees in their training, and the parties have agreed that Trainees in the GME programs at ARMC should participate in clinical rotations with the Receiving Site; and
WHEREAS, Receiving Site will accept certain Trainees of ARMC for training in accordance with the terms and conditions of this Agreement and the applicable ACGME Program Letter of Agreement; and
NOW, THEREFORE, the parties hereto enter into this Agreement as a full statement of their respective responsibilities, and in consideration of the representations made above and the covenants and conditions set forth herein, the parties agree as follows:
I. General Information
A. General Relationship
Based upon the terms and conditions set forth in this Agreement, Receiving Site shall make its facilities available to Trainees for the purpose of participating in rotations and receiving clinical training and supervision in the specific specialties agreed upon by the parties. ARMC may not send a Trainee to Receiving Site for rotations unless and until the parties have entered into the required ACGME Program Letter of Agreement (“PLA”) relating to that specific rotation. Unless otherwise stated in the PLA, all PLAs executed during the term of this Agreement shall be subject to the terms and conditions of this Agreement. All PLAs to this Agreement must be executed by the relevant specialty GME program director and the Desi gnated Institutional Official of ARMC. The number of Trainees, the duration of rotation, and schedule for the rotations at Receiving Site in the respective medical specialties shall be determined based on the pertinent PLAs or mutual agreement by the ARMC GME program director for the applicable specialty and the Site Director at Receiving Site. All actions taken as a result of this A greement shall be in accordance with the Receiving Site and ARMC rules and regulations that are in effect during the term of the Agreement.
B. Standards of Operations
The parties, at their own expense, shall operate and maintain their respective facilities in accordance with the standards prescribed and maintained by state and federal law, and other applicable accrediting agencies.
The parties shall each assume sole responsibility for the accreditation of their respective GME program(s) they sponsor (if any) and for obtaining required approval in accordance with the standards prescribed by the ACGME or the applicable accrediting agencies. During the term of this Agreement, both parties agree to comply with all such applicable ACGME or applicable accrediting agency standards for GME training, the PLAs between the parties relating to the pertinent specialty, and to collaborate as may be required for accreditation purposes.
C. ACGME Affiliation Approval
The parties understand and agree that if this Agreement is not acceptable to and/or is found not to meet the standards prescribed by the ACGME at any time, now or in the future, this Agreement shall be immediately terminated upon written notice by one party to the other party.
D. Licenses
The parties shall, through the term of this Agreement, maintain any license(s) or verify the maintenance of such license(s) necessary for the provision of the Trainee(s)’ services hereunder as required by the laws and regulations of the United States, the State of California, and all other applicable governmental agencies and accrediting bodies. Each party shall notify the other party immediately in writing of its inability to obtain or maintain such license(s). Said inability shall be cause for immediate termination of this Agreement as determined solely by the party receiving such notice; 3 of 14
the prior thirty (30) day advanced written notice of termination set forth in Section XII of this Agreement shall not be required.
II. Training Issues and Duties
A. Reserved.
B. Rotation Directors
Receiving Site will designate a qualified physician that is is employed or contracted with Receiving Site to provide coordination and oversight of Trainees’ educational activities and assignments while training with the Receiving Site. Such person will be considered the Site Director with the Receiving Site and shall have expertise in the medical specialty that Trainees will receive receiving training in.
C. Patients
The parties agree that all patients of Receiving Site may be part of the clinical training program, if agreed to by the patient’s treating physician and the patient. It is understood and agreed that it is the responsibility of Receiving Site and its medical staff members to assure consent has been obtained from each patient prior to allowing Trainee(s) to attend to any such patient as part of the training program at Receiving Site.
D. Confidentiality
1. Patient Information. ARMC shall inform Trainees that they may not disclose to any third party, except where permitted or required by law or where such disclosure is expressly approved by Receiving Site in writing, any medical record or other patient information regarding Receiving Site patients, and that they must comply with all federal and state laws and regulations, and all bylaws, rules, regulations, and policies of Receiving Site and Receiving Site’s medical staff, regarding the confidentiality of such information. Except where required by law or where necessary and in the regular course of the graduate medical education program and performance of duties thereunder, the discussion, transmission or narration in any form of patient information, medical or otherwise, is forbidden.
2. Privacy of Health Information. ARMC acknowledges that Receiving Site must comply with the applicable provisions of the Administrative Simplification section of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), and the requirements of any regulations promulgated thereunder, including, without limitation, the federal privacy regulations as contained in 45 C.F.R. Parts 160 and 164, and the federal security standards as contained in 45 C.F.R.
Parts 160, 162 and 164 (collectively, the “HIPAA Regulations”). Accordingly, Receiving Site may only disclose Protected Health Information or Individually Identifiable Health Information, as defined in 45 CFR 160.103 (collectively, “Protected Health Information”) to a Trainee for purposes of providing treatment to Receiving Site patients or training the Trainee to be a health care provider. A Trainee may only request or use Protected Health Information about a Receiving Site patient for treatment and training program purposes. A Trainee may only disclose Protected Health Information about a Receiving Site patient for treatment purposes to other health care providers involved in the patient’s treatment or to Receiving Site’s workforce members involved in the Trainee’s training program. A Trainee shall not disclose Protected Health Information to ARMC or its faculty, employees, agents or representatives, unless (1) such disclosure is required by law or (2) disclosure is required for treatment or training purposes and permitted by applicable laws.
Trainees shall not request, use or further disclose any Protected Health Information other than for the treatment and training purposes specified in this Agreement or where permitted by applicable laws. ARMC will inform its Trainees to comply with HIPAA and related privacy laws. ARMC will promptly report to Receiving Site any uses or disclosures, of which ARMC or Trainees become aware, of Protected Health Information in violation of this Agreement. ARMC will cooperate fully with the Receiving Site in investigating any potential or actual breaches of Protected Health 4 of 14
Information or other Receiving Site data as a result of any Trainee conduct, including assistance, if requested, in conducting any risk of compromise or harm analyses. Each party will make its internal practices, books and records relating to the use and disclosure of Protected Health Information available to the Secretary of the United States Department of Health and Human Services to the extent required for determining compliance with HIPAA and the HIPAA Regulations.
No attorney-client, accountant-client or other legal or equitable privilege shall be deemed to have been waived by ARMC or Receiving Site by virtue of this Section.
E. Non-Discrimination
The parties agree to make no unlawful distinction among Trainee(s) covered by this Agreement on the basis of race, color, sex, age, disability, religion, national origin, or any other legally protected status based on California and federal laws.
F. Trainee Decorum
Receiving Site shall notify the ARMC Program Director of the pertinent GME program if any Trainee’s conduct is found unacceptable to Receiving Site. ARMC shall take appropriate action to correct the unacceptable conduct of the Trainee(s) in accordance with the policies and procedures or rules and regulations of ARMC’s GME program. ARMC shall advise Trainee(s) of their responsibility to abide by Receiving Site’s policies, as applicable, including, but not limited to, patient confidentiality and the Drug Free Workplace A ct. Receiving Site agrees to orient such Trainee(s) to its policies and procedures for which they will be held accountable. Receiving Site agrees to provide ARMC’s Trainee(s) with its own Trainee Information Handbook or equivalent, which includes general policies regarding graduate medical education training.
G. Corrective Action/Grievance
ARMC will adhere to its own policies concerning graduate medical education issues, including academic discipline, complaints and grievances from their Trainee(s). An individual Trainee’s disciplinary problems relating to conduct at Receiving Site shall be evaluated jointly by ARMC and Receiving Site in conference. Any corrective action shall be undertaken consistent with the policies of the ARMC’s GME program, but Receiving Site may immediately remove from participation in training with Receiving Site and bar from returning any Trainee who poses an immediate threat or danger to personnel or patients or to the quality of medical services provided by Receiving Site, based on the reasonable discretion of Receiving Site . Further, a t any time during the Term of this Agreement, Receiving Site may demand that ARMC withdraw from the GME Program any Trainee whose conduct is deemed unacceptable in Receiving Site’s reasonable discretion.
H. Health Verification
Upon reasonable request and subject to all applicable laws, ARMC shall provide to Receiving Site satisfactory evidence that each Trainee who will be on-site at Receiving Site is free from contagious disease and does not otherwise present a health hazard to Receiving Site patients, employees, volunteers or guests prior to their participation in the program at Receiving Site.
ARMC will instruct the Trainees that they shall be responsible for arranging for the Trainee’s medical care and/or treatment, if necessary, including transportation in case of illness or injury while participating in training with Receiving Site. In no event shall this Agreement make Receiving Site financially or otherwise responsible for said medical care and treatment.
I. Academic Standing and Medical Licensure
All Trainee(s) must be in good academic standing, appropriately qualified, and shall meet and comply with either the requirements regarding state licensure or the postgraduate training registration requirements of the Medical Board of California or Osteopathic Board of California.
J. Trainee Duties
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The duration of Trainee rotations and scope of activities of Trainees at Receiving Site shall be jointly determined by the parties consistent with the pertinent P LA(s) between the parties. The general duties of the Trainee(s) shall include, but not be limited to, the following: histories and physical examinations, discharge summaries, consultations, care for inpatients and respective services, surgical and medical procedures and outpatient clinic service, under supervision by members of the medical staff as appropriate.
K. Medical Records
Medical records may be completed by Trainee(s) in compliance with the standard and restrictions imposed by the applicable regulatory agencies. The parties understand and agree, however, that ultimate and final responsibility for medical records completion lies with Receiving Site’s Medical Staff members and/or Supervising Physician, not ARMC.
L. Responsibilities of ARMC
In addition to those other responsibilities of ARMC as set forth in this Agreement, ARMC shall be responsible for the following: (a) ensur ing that the Program Directors for the relevant specialty at ARMC are reasonably available for consultation with Receiving Site, Trainee(s), and supervising faculty for all purposes associated with the relevant medical specialty p rogram; (b) retaining responsibility for the overall planning, administration and coordination of the GME programs at ARMC; (c) informing all of its Trainees who rotate through Receiving Site of the requirement to abide by the applicable policies, rules and regulations and bylaws of Receiving Site; (d) requiring each Trainee to carry an identification card issued by Receiving Site and to conspicuously display his/her name badge when engaging in rotation activities with Receiving Site; (e) assisting in the planning and implementation of the clinical education program relating to Trainees’ training with Receiving Site; and (f) operating its GME program in accordance with federal, state and l ocal laws, rules and regulations. In addition:
M. Responsibilities of Receiving Site
In addition to the other obligations of Receiving Site as set forth in this Agreement, Receiving Site agrees to:
1. Assist in the planning and implementation of the clinical education program and to supervise and instruct the assigned Trainee(s) during their clinical rotations with Receiving Site;
2. Designate a qualified member of Receiving Site ’s medical staff as the Site Director who will be responsible for the educational and experiential supervision of the Trainee(s) in the implementation of the clinical experience;
3. Permit assigned Trainee(s) to use its patient care and patient service facilities for clinical education according to the mutually approved curricula;
4. Permit Trainees to use of such supplies and equipment as are commonly available to physicians for patient care at Receiving Site;
5. Permit use of the following facilities and services by Trainee(s), if available:
a. Parking areas;
b. Locker storage and dressing facilities, and sleep rooms for overnight call duty, as available; c. Access to sources of information for clinical education purposes:
i. charts, nursing station references;
ii. procedure guides, policy manuals;
iii. medical dictionaries, pharmacology references and other reference suitable to the clinical area;
iv. required health information relating to Receiving Site patients
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6. Retain the right to remove, suspend or refuse access to any Trainee(s) who, in Receiving Site ’s reasonable discretion, determines has failed to abide by Receiving Site’s policy(ies) and procedure(s) and/or who do not meet Receiving Site’s standards for safety, health, cooperation, or ethical behavior, and during any pending investigations of such conduct by Receiving Site.
7. Comply with federal, state and local laws and ordinances concerning the confidentiality of Trainee(s) records;
8. Invite the participation of Trainee(s) to such educational activities as conferences, rounds, and similar experiences including utilization review, quality assurance, evaluation and monitoring activities, as deemed appropriate by Receiving Site;
9. Require Trainee(s) and instructors to participate, to the extent scheduled or otherwise requested and approved by Receiving Site, in activities and assignments that are of educational value and consistent with the requirements of the ACGME;
10. Require Trainee(s) to participate in orientation programs provided by Receiving Site, including training for compliance with HIPAA;
11. Require Trainees to cooperate in performance improvement and risk management activities designed to identify, evaluate and reduce risk of patient injury and enhance the quality of patient care;
12. Require Trainees to cooperate in the preparation and maintenance of a complete medical record for each patient in whose care he/she participates in compliance with all state and federal laws and regulations, applicable accrediting agenc y and ACGME and ARMC’s Bylaws, Rules and Regulations and policies, where applicable. The medical record for Receiving Site patients shall, at all times, remain the property of Receiving Site;
13. Retain ultimate professional and administrative accountability for all patient care for patients of the Receiving Site;
14. Audit the duty hours of Trainees assigned to it and will assure that these duty hours will not exceed the work hour restrictions imposed by the ACGME; and
15. Take reasonable measures to provide the following to Trainees that train with Receiving Site under this Agreement:
a. Orientation to and information about Receiving Site’s security measures, fire safety and disaster protocols, and any additional recommended personnel safety and security precautions;
b. Instruction in Receiving Site’s policies and procedures for infection control including the handling and disposal of needles and other sharp objects, and in protocols for injuries and incident reporting including those resulting from needle stick injuries and other exposures to blood or body fluids; and
c. First aid and other emergency treatment available on- site, including, but not limited to, immediate evaluation for risk of infection and appropriate follow-up care of Trainee in the event of a needle stick injury or other exposure of Trainee to blood or body fluids.
N. Direct Supervision
While obtaining training at Receiving Site, the clinical activities of Trainee(s) shall be directly supervised by p hysicians in good standing who shall be called “Supervising Physicians .” The Supervising Physicians shall be designated by the Site Director, who are responsible for the supervision of each Trainee’s performance while at Receiving Site.
O. Evaluation of Trainee(s)
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Receiving Site agrees that its Supervising Physicians shall provide to ARMC’s GME Program written reports which document and evaluate the participation of ARMC’s Trainees in the rotation at Receiving Site in procedures and activities and the skills with which they were performed. Receiving Site shall be responsible to provide such evaluation forms to ARMC in the timeframe and frequency requested by ARMC.
P. Medical Staff Membership
The presence of Trainee(s) from ARMC at Receiving Site is based upon their continued participation in ARMC’s Residency Training Program. As such, it is understood and agreed that Trainee(s) assigned to Receiving Site shall not be granted medical staff membership or privileges at Receiving Site during their rotation as part of their educational requirement in the GME Program.
III. Payment and Billing
ARMC shall not bill Receiving Site or any private or public third party payer for services rendered by Trainees while participating in rotations with Receiving Site. For purposes of billing to Medicare, Receiving Site shall retain the right to submit any claim for the participation of any Trainee while training at Receiving Site to the extent permitted by applicable law.
IV. Insurance
Receiving Site and County are authorized self -insured public entities for purposes of Professional Liability, General Liability, Automobile Liability and Workers’ Compensation and warrant that through their insurance policies or respective programs of self -insurance, they have adequate coverage or resources to protect against liabilities arising out of the performance of the terms, conditions or obligations of this Agreement.
V. Indemnification:
A. County agrees to defend, indemnify and hold harmless the Receiving Site, its officers, employees, agents and volunteers from any and all claims, actions, losses, damages, and/or liability resulting from the County’s negligent acts or omissions which arise from the County’s performance of its obligations under this Agreement.
B. Receiving Site agrees to defend, indemnify, and hold harmless the County, its officers, employees, medical staff, agents and volunteers from any and all claims, actions, losses, damages and/or liability resulting from Receiving Site’s negligent acts or omissions which arise from the Receiving Site’s performance of its obligations under this Agreement.
C. In the event the County and/or Receiving Site is found to be comparatively at fault for any claim, action, loss or damage which results from their respective obligations under the Agreement, the County and/or Receiving Site shall indemnify the other to the extent of its comparative fault.
VI. OSHA Regulation
Receiving Site and ARMC certify awareness of the Occupational Safety and Health Administration (OSHA) of the U.S. Department of Labor, the derivative Cal/OSHA standards and laws and regulations relating thereto, and shall comply therewith as to all relative elements under this Agreement. ARMC shall be responsible for compliance by Trainees with the final regulations issued by the Occupational Safety and Health Administration governing employee exposure to blood borne pathogens in the workplace under Section VI(b) of the Occupational Safety and Health Act of 1970, which regulations became effective Ma rch 6, 1992 and as may be amended or superseded from time to time (the “Regulations”), including but not limited to responsibility as “the employer” to provide all employees with (a) information and trai ning about the hazards associated with blood and other potentially infectious materials, (b) information and training about the protective measures to be taken to minimize the risk of occupational exposure to blood borne pathogens, (c) training in the appropriate 8 of 14
actions to take in an emergency involving exposure to blood and other potentially infectious materials, and (d) information as to the reasons the employee should participate in hepatitis B vaccination and post-exposure evaluation and follow-up. ARMC's responsibility with respect to the Regulations also shall include the provision of the hepatitis B vaccination in accordance with the Regulations.
VII. Status of Receiving Site and the County:
The parties expressly understand and agree that this Agreement is not intended and shall not be construed to create the relationship of agent, servant, employee, partnership, joint venture, or association between Receiving Site on the one hand and the County on the other hand , but rather is an agreement by and between independent contractors.
VIII. Debarment and Suspension
The parties respectively certifies that neither they nor any of their principals and officers are presently disbarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency. (See the following United States General Services Administration’s System for Award Management website https://www.sam.gov). The parties each further certif y that if it is a business entity that must be registered with the California Secretary of State, it is registered and in good standing with the Secretary of State. Each party represents and warrants that it is not and at no time has been convicted of any criminal offense related to health care nor has been debarred, excluded, or otherwise ineligible for participation in any federal or state government health care program, including Medicare and Medicaid. Further, each party represents and warrants that no proceedings or investigations are currently pending or to the party’s knowledge threatened by any federal or state agency seeking to exclude the party from such programs or to sanction the party for any violation of any rule or regulation of such programs.
IX. Exclusion Lists Screening
Each party shall screen all of its current and prospective owners, legal entities, officers, directors, employees, contractors, and agents (“Screened Persons”) against (a) the United States Department of Health and Human Services/Office of Inspector General (“OIG”) List of Excluded Individuals/Entities (available through the Internet at http://www.oig.hhs.gov ); (b) the General Services Administration’s System for Award Management (available through the Internet at http://www.sam.gov), and (c) any applicable state healthcare exclusion list (collectively, the “Exclusion Lists”) to ensure that none of the Screened Persons are currently excluded, debarred, suspended, or otherwise ineligible to participate in Federal healthcare programs or in Federal procurement or non -procurement programs, or have been convicted of a criminal offense that falls within the ambit of 42 U.S.C. § 1320a-7(a), but have not yet been excluded, debarred, suspended, or otherwise declared ineligible (each, an “Ineligible Person”). If, at any time during the term of this Agreement any Screened Person becomes an Ineligible Person or proposed to be an Ineligible Person, the party who determined the existence of the Ineligible Person shall immediately notify the other party of the same.
X. Exclusivity
This Agreement is nonexclusive and does not affect either party’s ability to contract with other entities for the same type of services.
XI. Term and Termination
A. This Agreement shall be effective as of the date fully executed and shall remain in effect through June 30, 2030, unless earlier terminated by the parties under the provisions of this Agreement.
B. This Agreement may be terminated, with or without cause, by either party at any time after giving the other party thirty (30) days advance written notice of its intention to terminate. The ARMC Chief Executive Officer is authorized to terminate this Agreement on behalf of the County. Any termination 9 of 14
by Receiving Site shall not be effective as to any Trainee who at the mailing of said notice to County was participating in clinical training with Receiving Site until such Trainee has completed the training at the Receiving Site for the then current academic year.
C. Any written notice given under this Agreement shall be sent, postage prepaid, by certified mail, return receipt requested, to the following person(s) as the case may be:
ARROWHEAD REGIONAL MEDICAL CENTER
400 N. Pepper Avenue
Colton, CA 92324
Attn: ARMC Chief Executive Officer
RIALTO FIRE DEPARTMENT
150 S. Palm Avenue
Rialto, CA 92376
Unless otherwise stated in this Agreement, notice is deemed effective two (2) business days from the date of mailing.
XII. Modification
No modification, amendment, supplement to, or waiver of any provision of this Agreement shall be binding upon the parties unless made in writing and duly signed by all parties.
XIII. Assignment
Neither party hereto shall assign its rights or obligations in this Agreement without the express written consent of the other party.
XIV. Rules of Construction
The language in all parts of this Agreement shall in all cases be construed as a whole, according to its fair meaning, and not strictly for or against either party. Section headings in this Agreement are for convenience only and are not to be construed as a part of this Agreement or in any way limiting or amplifying the provisions hereof. All pronouns and any variations thereof shall be deemed to refer to the masculine, feminine, neuter, singular or plural, as the identifications of the person or persons, firm or firms, corporation or corporations may require.
XV. Entire Agreement
This Agreement contains the final, complete, and exclusive agreement between the parties hereto. Any prior agreements, promises, negotiations or representations relating to the subject matter of this Agreement not expressly set forth herein are of no force or effect. This Agreement is executed without reliance upon any promise, warranty, or representation by any party or any representative of any party other than those expressly contained herein. Each party has carefully read this Agreement and signs the same of its own free will. No waiver of any of the provisions of this Agreement shall be deemed or shall constitute a waiver of any other provision whether or not similar nor shall any waiver constitute a continuing waiver.
XVI. Governing Law and Venue.
This Agreement is made and entered into in the State of California, and shall in all respects be interpreted, enforced, and governed by and under the laws of the State of California. The parties acknowledge and agree that this Agreement was entered into and intended to be performed in San Bernardino County, California. The parties agree that the venue of any action or claim brought by any party to this Agreement will be the Superior Court of California, County of San Bernardino, San Bernardino District. Each party hereby waives any law or rule of the court, which would allow them to request or demand a change of venue. 10 of 14
If any action or claim concerning this Agreement is brought by any third-party and filed in another venue, the parties hereto agree to use their best efforts to obtain a change of venue to the Superior Court of California, County of San Bernardino, San Bernardino District.
XVII. Counterparts and Electronic Signatures
This Agreement may be executed in any number of counterparts, each of which so executed shall be deemed to be an original, and such counterparts shall together constitute one and the same Agreement.
The parties shall be entitled to sign and transmit an electronic signature of this Agreement (whether by facsimile, PDF or other email transmission), which signature shall be binding on the party whose name is contained therein. Each party providing an electronic signature agrees to promptly execute and deliver to the other party an original signed Agreement upon request.
XVIII. Conflict of Interest
The parties hereto and their respective employees or agents shall have no interest, and shall not acquire any interest, direct or indirect, which will conflict in any manner or degree with the performance of services or obligations required by this Agreement.
XIX. Severability
The provisions of this Agreement are specifically made severable. If any clause, provision, right and/or remedy provided herein is unenforceable or inoperative, the remainder of this Agreement shall be enforced as if such clause, provision, right and/or remedy were not contained herein.
XX. Authorization
The undersigned individuals represent that they are fully authorized to execute this Agreement on behalf of the named parties.
XXI. Accreditation/License
Any action or failure to act on the part of either party that results in the threatened loss of accreditation or licensure of the other party (“Non-Fault Party”) will be considered a material breach of this Agreement, which permits the Non-Fault Party to terminate this Agreement immediately, effective upon service of notice of termination.
XXII. Standards and Regulatory Compliance
The parties’ actions under the Agreement shall comply with all applicable laws, rules, regulations, court orders and governmental agency orders. Additionally, all applicable provisions of law and other rules and regulations of any and all governmental authorities relating to the licensure and regulation of ARMC and to the operation of the graduate medical education programs shall be fully complied with by all parties hereto.
XXIV. Survival of Obligations.
The obligations of the parties under this Agreement which by their nature should continue beyond the termination or expiration of this Agreement or which provide meaning or context to any other provision, will remain in effect after termination or expiration.
IN WITNESS whereof, this Agreement has been executed by the parties hereto as of the day and year signed by the parties below.
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FOR COUNTY USE ONLY
Approved as to Legal Form Reviewed for Contract Compliance Reviewed/Approved by Department
Charles Phan, Supervising Deputy County
Counsel
Andrew Goldfrach, ARMC Chief Executive Officer
Date Date Date
SAN BERNARDINO COUNTY on behalf of
Arrowhead Regional Medical Center
CITY OF RIALTO ON BEHALF OF ITS FIRE
DEPARTMENT
(Print or type name of corporation, company, contractor, etc.)
By
Andrew Goldfrach, ARMC Chief Executive Officer (Authorized signature - sign in blue ink) Dated:
Name
(Print or type name of person signing contract)
Title
(Print or Type)
Dated:
Address