2-STATE OF ARIZONA DHS BUSINESS ASSOCIATE AGREEMENT 03.08.25.pdf

PDF 1 MB Posted

Attached to
Pest Control Services for the Arizona State Hospital
Solicitation number
BPM006675
Issued by
Maricopa County, Phoenix City, Arizona

About this file

This is a Business Associate Agreement (BAA) document executed between the Arizona Department of Health Services (ADHS) and KER Pest Management for pest control services at the Arizona State Hospital. The contract, identified as Invitation for Bid BPM006675, establishes the framework for comprehensive pest control service delivery encompassing all chemicals, materials, equipment, services, labor, travel expenses, insurances, workers' compensation fees, profits, and overhead costs. The procurement was conducted in accordance with Arizona Revised Statute 41-2533 et seq., with the solicitation posted on March 4, 2025, and proposal submissions due by March 18, 2025. The contractor of record is KER Pest Management, with Moben Ostrop listed as President, located at 7458 Managed Tele, AR 85283, with contact phone number 407-291-7815.

The BAA document incorporates HIPAA compliance requirements, establishing the contractor as a Business Associate subject to Privacy Standards and Security Standards under HIPAA regulations. The agreement obligates KER Pest Management to maintain compliance with all applicable HIPAA requirements and grants ADHS authority to terminate the agreement and underlying service agreements immediately or report violations to the Secretary if the contractor breaches HIPAA obligations and fails to cure the breach within specified timeframes. All notices to the contractor are directed to KER Pest Management's designated address, while ADHS communications are to be directed to the Chief Procurement Officer at the Office of Procurement, 150 North 18th Avenue, Suite 530, Phoenix, Arizona 85007, with Chief Operating Officer contact at the Arizona State Hospital, 2500 East Van Buren Street, Phoenix, Arizona 85008. The agreement's obligations survive contract termination to the extent required by applicable HIPAA regulations.

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Text version

8.

ATTACHMENT G:

BUSINESS ASSOCIATE AGREEMENT (BAA)

INVITATION FOR BID

B P M 0 0 6 6 7 5

ARIZONA DEPARTMENT OF

HEALTH SERVICES

150 N. 1glh Avenue, Suite 530 Phoenix, Arizona 85007

Procurement Officer Brandon Durick

PEST CONTROL SERVICES

AT THE ARIZONA STATE HOSPITAL

6.2.4.2.

6.2.4.3.

Immediately terminate this Agreement and the underlying Service Agreement(s); or

Report the violation to the Secretary if:

6.2.4.3.1.Termination is not feasible, and

6.2.4.3.2. Business Associate does not cure the breach or end the violation within the time specified by ADHS Covered Component.

NOTICES:

All notices or other communications by either party to the other hereunder shall be in writing and shall be deemed properly delivered (i) when received by the party; or (ii) three (3) days after deposit in the United States mail of such notice or communications to the parties entitled hereto, registered or certified mail, postage prepaid, to the parties at the following address (or to such other addresses as are designated in writing to all parties):

To: Chief Procurement Officer Copy to: Chief Operating Officer

Arizona Department of Health Services Arizona Department of Health Services

Office of Procurement Arizona State Hospital

150 North 18th Avenue, Suite 530 2500 East Van Buren Street

Phoenix, Arizona 85007 Phoenix, Arizona 85008

Phone Number: (602) 364-2116 Phone Number: (602) 220-6006

To: KER PEST MANAREMENT Attn: MOBEN OSTROP Address: 7458. MANAGED. TElE, AR. B5283

Phone: 407.291.7815

MISCELLANEOUS:

8.1. References. A reference in this Agreement to HIPAA, the Privacy Standards, or the Security Standards means the law or regulation as in effect on the Effective Date or as subsequently amended, and for which compliance is required.

8.2.

Amendment. The parties agree to take the action necessary to amend this Agreement from time to time so that ADHS Covered Component may comply with the requirements of HIPAA.

8.3.

Survival. The obligations of Business Associate under this Agreement shall survive the termination of this Agreement and of the underlying Service Agreements) to the extent required by Section F(2)(c).

8.4. Effect on Service Agreements). Except as specifically required to implement the purposes of this Agreement, or to the extent not consistent with this Agreement, all provisions of the underlying Service

Agreement(s) shall remain in force and effect.

I T T A C H M E N T G

B U S I N E S S A S S O C I A T E A G R E E M E N T ( B A A

INVITATION FOR BID

?PM006675

PEST CONTROL SERVICES

AT THE ARIZONA STATE HOSPITAL

ARIZONA DEPARTMENT OF

HEALTH SERVICES

150 N. 1gih Avenue, Suite, 530 Phoenix, Arizona 85007

Procurement Officer Brandon Durick

Contractor hereby acknowledges receipt and acceptance of this HIPAA Agreement and that a signed copy must the be filed with the Procurement Office.

The above referenced HIPAA Agreement is hereby 20_ by

Arizona Department of Health Services.

Signature ONe 03/09/25 Chief Procurement Officer

OSTROP PIESIDENT

contractors Name: K412 PEST MANAGEMENT

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