HomeMy WebLinkAboutPD Whole Person Care Data Sharing; First AddendumDocuSign Envelope ID: 8BECB882-CB1C-494F-B901-691AA811309B
WHOLE PERSON CARE DATA SHARING AGREEMENT
FIRST ADDENDUM
THIS ADDENDUM is made and entered into on the 30th day of December, 2021, by and
between the COUNTY OF MARIN, a political subdivision of the State of California ("County") and
City of San Rafael Police Dept ("Partner").
RECITALS:
WHEREAS, the County and Partner entered into a Whole Person Care Data Sharing
Agreement ("DSA") dated 3/25/2019 ("Date"); and
WHEREAS, Section 6.A. of the DSA provided a termination date of December 31, 2021;
and
WHEREAS, the County's contract with the Department Health Care Services ("DHCS") to
serve as the Marin County Whole Person Care Pilot Lead and to serve as a Business Associate of
DHCS has a termination date of June 30, 2022; and
WHEREAS, County and Partner desire to align the DSA's termination date with that of
the County's contract with DHCS and amend Section 6.A to provide a termination date of June
30, 2022;
NOW, THEREFORE, the County and Partner agree to modify the DSA as set forth below:
Whole Person Care Data Sharing Agreement:
1. Except as otherwise provided herein, all terms and conditions of the DSA
shall remain in full force and effect.
2. Section 6.A. is hereby amended to read as follows:
Term and Termination.
A. Term. This Agreement shall be effective from the Effective Date until
this Agreement is terminated by either Party or June 30, 2022,
whichever is earlier. Either Party may only terminate this Agreement
for any reason if that Party is no longer sharing Protected Information
for the County's WPC program. Termination shall be achieved by
providing the other Party with sixty (60) days prior written notice.
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DocuSign Envelope ID: 8BECB882-CB1C-494F-B901-691AA811309B
IN WITNESS WHEREOF, the County and Partner hereto have executed this Addendum on the
day first written above.
COUNTY OF MARIN
A Califoi &9'Kgty
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a-P'st,
By:
Gary Naja-Riese, HHS WPC Director
APPROVED AS TO FORM:
County Counsel
ATTEST:
County Clerk
PARTNER
E,A DocuSigned by:
114 S"l
993F965ECOA44DA...
Name of Partner
TYPE OF BUSINESS ENTITY (check one):
Individual/Sole Proprietor
Partnership
Corporation (may require 2 signatures)
q
Limited Liability Company
Other (please specify: municipality )
Signature
Jim Schutz
Print Name
city Manager
Title
Additional Signature (only if required)
Print Name
Title
Federal I.D. No.
State I.D. No.
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