AttC_SampleGroupBenefitsContract_MainAgreement.pdf

OEBB Contract No. #_______ Sample Group Benefit Contract Employee Assistance Program Services

Oregon Educators Benefit Board

Group Benefits Contract

This Group Benefits Contract for Employee Assistance Program (EAP) Services (the “Contract”) is between the State of Oregon, acting by and through its Oregon Educators Benefit Board (OEBB), and . (“Contractor”):

Contractor Name Address Address Phone

FAX

EMAIL

Federal Tax Identification Number:

State Tax Identification Number:

CONTRACT TERM

This Contract is effective on June 5, 2024 (“Effective Date”). Unless extended or terminated earlier in accordance with its terms, this Contract terminates on September 30, 2027. For the Contract’s term to be extended, Contractor must satisfactorily perform the required services and meet annual OEBB requirements.

PURPOSE

The purpose of this Contract is for Contractor to provide EAP Services to employees of educational entities and local governments or special districts that elect to participate in OEBB’s benefit programs, including the EAP program.

CONTRACT DOCUMENTS

This Contract consists of (a) this Group Benefits Contract without Exhibits, together with (b) the following listed exhibits which are attached and are hereby incorporated into this Contract by reference:

Exhibit A – Legal Terms and Conditions Exhibit B – Statement of Work Exhibit C – Reporting and Performance Requirements Exhibit D – Insurance Requirements Exhibit E –Privacy and Security Requirements

CERTIFICATIONS

The individual signing below on behalf of Contractor hereby certifies and swears under penalty of perjury to the best of the individual’s knowledge all of the following:

A. No Sexual Harassment. Contractor has a written policy and practice that meets the requirements, described in ORS 279A.112, of preventing sexual harassment, sexual assault and discrimination against employees who are members of a protected class. Contractor agrees, as a material term of the Contract, to maintain the policy and practice in force during the entire Contract term.

B. No Wage Discrimination. Contractor complies with ORS 652.220 and does not unlawfully discriminate against any of Contractor’s employees in the payment of wages or other compensation for work of comparable character on the basis of an employee’s membership in a Protected Class. Contractor’s continuing compliance constitutes a material element of this Contract and a failure to comply constitutes a default entitling Agency to terminate this Contract for cause. Contractor may not prohibit any of Contractor’s employees from discussing the employee’s rate of wage, salary, benefits, or other compensation with another employee or another person. Contractor may not retaliate against an employee who discusses the employee’s rate of wage, salary, benefits, or other compensation with another employee or another person.

C. No Discrimination/COBID. Contractor has not discriminated against and will not discriminate against minority, women or emerging small business enterprises certified under ORS 200.055 or against a business enterprise that is owned or controlled by or that employs a disabled veteran as defined in ORS

408.225 in obtaining any required subcontracts, and that Contractor is not in violation of any nondiscrimination laws.

D. Taxes. (a) Contractor is not subject to backup withholding because (i) Contractor is exempt from backup withholding, (ii) Contractor has not been notified by the IRS that Contractor is subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS has notified Contractor that Contractor is no longer subject to backup withholding; (b) the undersigned is authorized to act on behalf of Contractor, the undersigned has authority and knowledge regarding Contractor's payment of taxes, and to the best of their knowledge, Contractor is not in violation of any Oregon tax laws, including, without limitation, those tax laws listed in ORS 305.380(4), namely ORS Chapters 118, 314, 316, 317, 318, 320, 321 and 323 and Sections 10 to 20, Chapter 533, Oregon Laws 1981, as amended by Chapter 16, Oregon Laws 1982 (first special session); the elderly rental assistance program under ORS 310.657; and any local taxes administered by the Oregon Department of Revenue under ORS 305.620; (c) Contractor is an independent contractor as defined in ORS 670.600; and (d) the supplied Contractor tax identification numbers are true and accurate.

E. Contractor does not discriminate in its employment practices with regard to race, creed, age, religious affiliation, gender, disability, sexual orientation, national origin. When awarding subcontracts, Contractor does not discriminate against any business certified under ORS 200.055 as a disadvantaged business enterprise, a minority-owned business, a woman-owned business, a business that a service-disabled veteran owns or an emerging small business. If applicable, Contractor has a written policy and practice, that meets the requirements described in ORS 279A.112 (formerly HB 3060), of preventing sexual harassment, sexual assault and discrimination against employees who are members of a protected class.

F. Contractor is not engaged in the provision of broadband Internet access service, or if at any time Contractor is engaged in or may engage in the provision of broadband Internet access service Contractor is in compliance with Oregon Laws 2018, Chapter 88 (HB 4155) and applicable Public Utility Commission rules and will remain in compliance throughout the term of the Contract.

G. Contractor and Contractor’s employees, agents, and subcontractors are not included on:

a. the “Specially Designated Nationals and Blocked Persons” list maintained by the Office of Foreign Assets Control of the United States Department of the Treasury found at:

https://www.treasury.gov/ofac/downloads/sdnlist.pdf., or

b. the government wide exclusions lists in the System for Award Management found at: https://www.sam.gov/portal/

SIGNATURE PAGE TO FOLLOW

https://www.treasury.gov/ofac/downloads/sdnlist.pdf https://www.sam.gov/portal/

CONTRACT SIGNATURES:

In witness, the parties have caused this Contract to be executed by their duly authorized representatives.

Contractor

By: Date:

Authorized Signatory, Title

OEBB

Name, Board Chair

OEBB

Name, Administrator

Legal Sufficiency Approval

By:

Date:

AAG Name, Title, Oregon Department of Justice