05_HIPAA BAA CONTRACTOR ACKNOWLEDGEMENT.pdf

This is a HIPAA Business Associate Agreement (BAA) Contractor Acknowledgement form required by the State of California for the procurement of Cerilliant Certified Spiking Solutions under Request for Bids (RFB) 26200758-1 and contract opportunity 15760P-CHEM-123D-SB55. The solicitation is for brand-name-only chemical products restricted to Cerilliant certified spiking solutions used in forensic and analytical laboratory applications. The bid due date is April 13, 2026, with the solicitation posted on March 30, 2026. Qualified bidders must be authorized to supply Cerilliant brand products and must complete and submit all standardized forms as outlined in the Purchasing Required Forms Appendix (revised June 6, 2024), including mandatory Certified Business Enterprise (CBE) forms demonstrating certification status and eligibility to compete. The contract term and any renewal options are not specified in the available procurement documents.

Contractors selected for this contract must acknowledge and comply with HIPAA BAA requirements, confirming their understanding of Protected Health Information (PHI) safeguarding obligations, breach notification protocols, and implementation of appropriate administrative, physical, and technical controls. The brand-name-only restriction limits competition to authorized Cerilliant distributors or the manufacturer itself, which the procuring agency has determined necessary to ensure regulatory compliance, analytical accuracy, and compatibility with existing laboratory infrastructure. Specific award values, budget allocations, incumbent supplier information, and detailed pricing framework will be established through the price sheet component of the bid document. Failure to submit complete and properly executed forms may result in bid disqualification.