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System Agency Contract No.HHSREV 100001023 <br />ATTACHMENT 1. SUBCONTRACTOR AGREEMENT FORM <br />System Agency CONTRACT NUMBER HHSREV100001023 <br />The DUA between System Agency and Contractor establishes the permitted and required uses and <br />disclosures of Confidential Information by Contractor. <br />Contractor has subcontracted with (SUBContractor) for <br />performance of duties on behalf of CONTACTOR which are subject to the DUA. SUBContractor <br />acknowledges, understands and agrees to be bound by the identical terms and conditions applicable to <br />Contractor under the DUA, incorporated by reference in this Agreement, with respect to System Agency <br />Confidential Information. Contractor and SUBContractor agree that System Agency is a third -party <br />beneficiary to applicable provisions of the subcontract. <br />System Agency has the right but not the obligation to review or approve the terms and conditions of the <br />subcontract by virtue of this Subcontractor Agreement Form. <br />Contractor and SUBContractor assure System Agency that any Breach or Event as defined by the DUA <br />that SUBContractor Discovers will be reported to System Agency by Contractor in the time, manner and <br />content required by the DUA. <br />If Contractor knows or should have known in the exercise of reasonable diligence of a pattern of activity <br />or practice by SUBContractor that constitutes a material breach or violation of the DUA or the <br />SUBContractor's obligations Contractor will: <br />1. Take reasonable steps to cure the violation or end the violation, as applicable; <br />2. If the steps are unsuccessful, terminate the contract or arrangement with SUBContractor, if <br />feasible; <br />3. Notify System Agency immediately upon reasonably discovery of the pattern of activity or <br />practice of SUBContractor that constitutes a material breach or violation of the DUA and keep <br />System Agency reasonably and regularly informed about steps Contractor is taking to cure or <br />end the violation or terminate SUBCONTACTOR's contract or arrangement. <br />This Subcontractor Agreement Form is executed by the parties in their capacities indicated below. <br />CONTRACTOR SUBCONTRACTOR <br />BY: BY: <br />NAME: NAME: <br />TITLE: <br />TITLE: <br />DATE .201 . DATE: <br />System Agency Data Use Agreement V.8.3 HIPAA Omnibus Compliant April 1, 2015 <br />Attachment 1 <br />Page 1 of 1 <br />