Original Contract # Amendment # Max. Contract $ Contract Contact Person Contact Telephone STATE OF CONNECTICUT PURCHASE OF SERVICE CONTRACT (“POS”, “Contract” and/or “contract”) Effective December 1, 2017 The State of Connecticut Street: City: State: CT Zip: Tel#: (“Agency” and/or “Department”), hereby enters into a Contract with: Contractor’s Name: Street: City: State: Zip: Tel#: FEIN/SS#: (“Contractor”), for the provision of services outlined in Part I. The Agency and the Contractor shall collectively be referred to as “Parties”. The Contractor shall comply with the terms and conditions set forth in this Contract as follows: Contract Term / Effective Date This Contract is in effect from / / through / / . Statutory Authority The Agency is authorized to enter into this Contract pursuant to § of the Connecticut General Statutes (“C.G.S.”). Set-Aside Status Contractor IS or IS NOT a set aside Contractor pursuant to C.G.S. § 4a-60g. Contract Amendment The parties, by mutual agreement, may amend Part I of this contract only by means of a written instrument signed by the Agency and the Contractor, and, if required, approved by the Office of the Connecticut Attorney General. Part II of this Contract may be amended only in consultation with, and with the approval of, the Office of the Connecticut Attorney General and the State of Connecticut, Office of Policy and Management (“OPM”) in accordance with the section in this Contract concerning Contract Amendments. All notices, demands, requests, consents, approvals or other communications required or permitted to be given or which are given with respect to this Contract (collectively called “Notices”) shall be deemed to have been effected at such time as the Notice is hand-delivered, placed in the U.S. mail, first class and postage prepaid, return receipt requested, sent by email, or placed with a recognized, overnight express delivery service that provides for a return receipt. All such Notices shall be in writing and shall be addressed as follows: If to the Agency: State of Connecticut, Attention: If to the Contractor: Attention:
A party may modify the addressee or address for Notices by providing fourteen (14) days’ prior written Notice to the other party. No formal amendment is required. TABLE OF CONTENTS Part I Scope of Services, Contract Performance, Budget, Reports, Program-Specific and Agency-Specific Sections Part II Terms and Conditions A. Definitions 1. Bid 2. Breach 3. Cancellation 4. Claims 5. Client 6. Contract 7. Contractor Parties 8. Data 9. Expiration 10. Force Majeure 11. Confidential Information (formerly Personal Information) 12. Confidential Information Breach (formerly Personal Information Breach) 13. Records 14. Services 15. State 16. Termination B. Client-Related Safeguards 1. Safeguarding Client Information 2. Reporting of Client Abuse or Neglect 3. Background Checks C. Contractor Obligations 1. Cost Standards 2. Credits and Rights in Data 3. Organizational Information, ` Conflict of Interest, Form 990 4. Federal Funds 5. Audit and Inspection of Plant, Places of Business and Records 6. Related Party Transactions 7. Suspension or Debarment 8. Liaison 9. Subcontracts 10. Independent Capacity of Contractor C. Contractor Obligations cont’d 11. Indemnification 12. Insurance 13. Sovereign Immunity 14. Choice of Law/Choice of Forum, Settlement of Disputes, Claims Against the State 15. Compliance with Law and Policy, Facility Standards and Licensing 16. Representations and Warranties 17. Reports 18. Delinquent Reports 19. Protection of Confidential Information 20. Workforce Analysis 21. Litigation D. Changes To The Contract, Termination, Cancellation and Expiration 1. Contract Amendment 2. Contractor Changes and Assignment 3. Breach 4. Non-enforcement Not to Constitute Waiver 5. Suspension 6. Ending the Contractual Relationship 7. Transition after Termination or Expiration of Contract E. Statutory and Regulatory Compliance 1. Health Insurance Portability and Accountability Act of 1996 2. Americans with Disabilities Act 3. Utilization of Minority Business Enterprises 4. Priority Hiring 5. Non-discrimination 6. Freedom of Information 7. Whistleblowing 8. Executive Orders 9. Campaign Contribution Restriction PART I. SCOPE OF SERVICES, CONTRACT PERFORMANCE, BUDGET, REPORTS, PROGRAM-SPECIFIC AND AGENCY-SPECIFIC SECTIONS