_____________________________________________________________ Anderson County Board of Commissioners _____________________________________________________________ Regular Agenda Tuesday, February 18, 2014 @ 6:30 p.m. 1. Call to Order / Roll Call 2. Prayer by Pastor William Caldwell, Mt. Sinai Baptist Church in recognition of Black History Month Pledge of Allegiance 3. Appearance of Citizens 4. Approval and Correction of Agendas

• Consent Agenda • Regular Agenda

5. A. Director of Schools

• Any questions from Commissioners

B. County Mayor

• Budget Committee Appointment – Christopher K. Phillips • Anderson County Medical Examiner appointment – Dr. Darinka Mileusnic-Polchan to a five year term • Any questions from Commissioners

C. Law Director

• Any questions from Commissioners

D. Departments

a. Purchasing Agent - Report

E. Reports from Committees

a. Audit Committee Report by Chairman Iwanski b. Budget Committee Report by Budget Director Chris Phillips c. Highway Committee Report by Chairman Alderson d. Operations Committee Report by Chairman Hitchcock

6. New Business

7. Adjourn

Respectfully Submitted,

Chuck Fritts, Chairman

ANonnsoN CouNrv GovERr\MENTTrnnvFneNr

Cotxrv MeYon

February 12,2014

To: Anderson County Board of CommissionersFrom: County Mayor Terr), Frank

Re: Budget Committee appointment

I wish to appoint Christopher K. Phillips to the Anderson County Budget Committee with aneffective date of February 22,2014. The appointment will fill an existing vacancy.

100 Nonrn MerN Srnmr, Surre 208 . CLnrroN, TeNNessep . 377 16Puoue: (865) 457 -6200 . Er"rtrL: rrneNr@eNoERsoNrN.oRG

ANonnsoN CouNrv GovnnxMENTTsnnv Fnem<

CorrNrv Mevon

MEMORANDUM

February 12,2014

To: Anderson County Board of CommissionersFrom: County Mayor Terry Frank

In compliance with TCA 38-7-104, I wish to reappoint Dr. Darinka Mileusnic-Polchan as theAnderson County Medical Examiner. As county medical examiner, Dr. Darinka Mileusnic-Polchan is eligible for reappointment for a five-year term with confirmation by the countylegislative body.

100 Nonru Men Srnrer, Sulrr 208 . CLrNroN, Te Nressee . 37716PuoNe : (86 5) 457 -6200 . EN,r.clL: rrnaNr@eNoERSoNrN.oRc

6. coDlraione! Fritt! Doved fo. county co.riaslon to PetitionrDOf for r tt.tfic lurvey of Edg.!oo! Rd. sccond€d byCo&iaaioner tfhite. tlotion c.Eried by voic. vot .

?. Co@ilrion€r aritts .oved fol Planning Co@l'asion tocontect any Comilsioncr their diltrict ln ,hich r€zoning rill b€taking pL.ce. SecoBd.d by Corritslon€! wandoll. trotion ctlricdby eoice vota.

school D€partpent Report

No action tekeD at thia tr&e.

Countv l,Lvor Repolt

8. corrirlionor cox rovcd to ePProv€ Eelolution to aPPoint Dr.Darinh t ileulniq)olchan r! tl..a futdoaron County Hodtcal Exaainer.nd lbolilh ths offlce of County Coaon€r. Seconded byco@illion€r Flitta. l,lotion carrled by voice vote,

9nUergon 6ount , $,ennet,,ee

Ioar! of Commiggionerg

R-ESOLUTTON NO. 0G0&304

A RISIOLUTION TO APPOINT D& DARINKA MILE,USNIC-POLCHAN AS THE ANDERSON COUN'TY MEDICAL EXAMINERAND ABOLISH THE OTTICE OF COUNTY CORONER

WHEREAS, the fornrer Anderson County Medical Examiner, Dr. Curtis Sexton. has

retircd from his position rrd the County Coroner, Pder Sexton, ha.s resignul frorn hisposirio,qard ,-'ts z+a-+J+<- qowing .o"*1^fif[tffir,tWHEnEAS, T.C.A. $ 8-9-l0l et s€{t. provides legsl authority for th€ Aldcrson CoUlflty -oYLVht\tea t , b <-Lcgislative Body to lppoint tfic County Mcdical Examina and abolish the position of (. Of 0 n<4.7-courty Coroocr, snd

---\_/TCA

Zt--7-tO! lgWIIEREAS, as reauired by Tennessce law, tlle County Msyor called a convention of tlrc 6OV€-f'n trnCphycicianr in the County to dctrminc ifany local docton were intcroted in the vacant - ,, _ .' .tJMedical Examiner position, and aUttOnt\f

WIIEREAS, none of the physicianr in Andetson County requcsted to bc nomiflEted forthe position of County M€dicrl Exrmircr, rnd

WIIBREAS, urbscqucntly Anderson Couoty tras requested bids from iderestedpsthologicsl Sroups within ttre regioq and

WUEREAS, a&er rccdving these bids ir wrs dclemined rh.t Univcrsiry parlrologistslocated st the University of Tenn€ssec was the lowest and best bidder for the MedicalExaminer and Medicsl lnvestigator sewi;es, and

WII&RE S, the Anderson Courty Board o[ Commissiones wishes to award thccontr.d for Mcdic.l Exrrnincr tnd lnv€saigstor s€fvices to University psthologists fortlrc next (scal ycar, and

IIPRIAS, Universiry prthologi$ lus r€commenfu rhar Dr. Drrinka Mitansnic_Polcb.n rgsrmc ahc rolc of Andcrson Coonry Mcdic.l Exlmillc, cfF6{ive July I, 2OOt,ard

R.ECU4R SESSTON JUUE 16,2008

REGUIAR SESSION 1063 Jr[rE 16. 2008

WIIEREAS, since Uniyersity Pathologist has agteed to provide death scene

investigatioo under tll€ cunqrt cootrad therc will be no need for a County Coroner.

NOW TUEREFORE, BE lT RESOLVED by thc Andecon County LcSisl.tive Body

nleetinS in regular sessions this l6tt day ofJune 20o8 lhat we hereby appoinl Dr. Darinka

Milqrsnic-Polchan to the OIIice of Anderson County Medical Examiner.

UE ft rURTIIER RESOLVED, that the Omce of the Arrdcrson County Corotrer is

hereby abolished.

DULY PASSED APPROVED AND DFFECTIVE this Ii day ofJuly, 2fi)E.

AT|EST:

f7* /,*(-R* LyEt C"irnry M"y-

-.- M_ruJcfi Colc, Cordy Cle*

9. co@j,rrlonor Cox uovad Co g ot P€rDirrion for th. coufitYLse Dir€ctoa to ftle lrrluit rrgrinat PEo-td l!bu]..nce Servicof,or vioJ.ntion of EMtl .tcluaiv. fr.nchiaa if all o.gotiationg!rj,l- s.cond6d by Couir.ione8 BolJ.ing. l.lot.ion c..si.d try voice

ODorationt Co@itt6€ R.port

10. ConDir.ioner Mctra.rey aovad to amrove lecoD€ndltj,on fto!Op€retions Colleitta€ th€ Coqt€nlttion Plrn shell. S€conded byCo@isaioner Cillenrrters - NO: Cox. Xotion caaried by voic€ vote.

11. Cosilriona! }tcxaley aov6d to rpprove racon€ndrtj-on fro[Op€lltiona Cornr-lttaa t,o allo, tlt6 Boerd of t.urtse6 to Daher.colnendrtlona to th6 Countf' Co@ialion concerning banefit planchanEea and crtlblirh pt blic quarterty ban.fit la.tinga aa a yayto rec.ivc lnlrue froa .qrloy..a . S.cond.d by Cdli!.ionerBilolki. Motlon calrLad by voic. vot€,

12. Co@ialioneE FEi.ltr rovqd to atlrrovE r€co--e-,l.tion fEo!Op€fltl'on! CoDi,ttee th. r.ror,ution ot,poling tha ost bll,lhEnt ofto11 Eoa& on th6 propoa.d XDorvillc Pu!. ry, !u.bj.ct to th. LrrDir.ector ch.trglng looa 1.tr9n89t. S.condad by CuirlionarBol.ling- l.lotion errrl.d by voLce vote.

9ntertron Gountp, @,ennctrgee

Sosr! of Commiggionerg

RESOLUTTON NO. 305 6-08

A RESOLUTION OPPOSING THE ESTABLISHMENT OF TOLLROADS ON THE PROPOSED KNOXVILLE PARKWAY.

_ . WEf,R.EAS, ihc Fo?o6.d Ktroxviuc hury eolJd coru.cl I{On-?5 ir t.ldoo County lo I_?5in Andcrson C(rlty by parsing lhrluth a lalBc sactim of tbc sootllcm ponioll of And€rson Count]i ard

WEEnf, S, due to limit d srarc ard fcd.tEl fi[diry fot retqoflatiG olficirls from theT.mEs.. D.perh.r of TlEns"ortdiqt GDSD erSgrsted paying for rtrc tslroxvilc part*ay with tolls.whi:h would .160 dlo* tha projcC to tr\rc r! asrabrrd toaattc: oa

lw.rrsk, County Co',tnissi6n Clxi'r

BE IA REMET.GERED TEAT TEE A}IDERSON COUNTI BOARD OF COTJ!{TY

cotl.llsslotfERs !'ET IN REqJIAR SASSIOII otl ''LNE 16 ' 2008 mrB IxEFOLI.oHINC COa IISSIONEnS PRESENT: t'tt'RRELL ALBRIGEI ' HrRX ALDERSON 'JOEN AI.I.EY, ROBIN BII'SXI, DAVID BOI'I'ING ' I{IXE COX' \'ERRI

"NZESTT, CEUCI( FRTTAS, SCOTT CILI'EXTGTERS ' DOUG IIAI,N ' MYRON

IIIAIIgKI, ROBERT I{CI(AIIEI, JOrlN STUEY' TRACEI NANDEI'I' AXD JERRY

wiuE. ABSENT: IiTIfNEY HITcHcocl(.

PEay.r giv€n by ChePlin atlck Mrnsfiold'

Pledg€ of Al].oglance led by Coo|[isrione' l{andcll '

1- co@illioneE cox aov.d to al4,roee th6 agenda ' s€condod bycomiaaiono! Allsy.

couisaionei Biloski Eoved to trend tha aganda for t}l6Medic.l Ex.liner Rerolution unde. county lLyof. eddinq both AuditR6port! .nd Eove Olr.r.tj.ons Co@lttee RaPort aftor County Laroircctor. Sccond.d by CorliaaioneE Frittt. At€ndont c'EEi€d by

Arlcnded notion carriad by voice vota.

2. Co!|lj.rrioner Frittr lovod to sPPlovo notrai€s ' gocondod byCo@ilaioner Cox. t{otion carri€d by volco t.ote.

3. coreiraione! Fiitt! lovad to rPPlovo notary bon&.sacondod by Co@ilrionar cot. lilctlon carti,ed by voica vota.

Not ry Bon&

Lisa BalleyBric T Blentlcyxathloan A BysrtX.-rin! L Chrdr.IJ.Jean€tto Davl!vlcti Eaat66t6Ei L El1i!&lna Strlt!€n Flc€&rnSon&r f Gle€nValeEi,o Arn arolEsonRobin R ,,i63e!Linde c LovelyLobbla LuquranBavarly xcl(!r.yTedy l,trEie MoltoD

llclt€an Suretycleir. M chit oodDavid l.t rk Doug:,.!Rar lllcn Ga6!Du.tin cill€yG€lrave louilc Erlmes.rohn XeckRobin Elir..b€th MolelendXo.h PrttonScotty L Sp€araIol1y A ge!,!ourB.tty I'Lrl. v.nd.rgriff

Univ.rrr1 Sur.tyL€.h Cilb€rt

Notrri€s

Auto OxnertSusan ConovaE

orvid u Letchi,kotffho!.r i, XorganDonnr Pinlartoncelia M RrineeReb€ccr xiD Schrtd€ER€gina Casol SchulttgEbrinr SherroodT..@!r trrn Sullivanw L!'nn Suttonxendry tackottBlaDdi Nicole Taylo!laulh. flarlgllalo3eph l. Tuttonf..ey R lrtrtonkthur X.nn.th lfoodt

Sttt f.Ekthur tr 8ro.t IIIXi.b.rly C.!tl,o D.CtD.lngIoni SritJr LrddP..Er.t lart IttLtt

RIJI Sur.tyr, lf Uorri.Jeff Sc.rborot thy F Sol,vera

O1d R.tn,b!.tcMarth! tnn Larteral.lrdJudi.th RobL..on ilhit field

REGT'IAR SESSION 10 60 irIrNE 16,2008

@EectorlEpcE

6, Comml$iorer McKrmcy Eovod to rpprovc tlc confrct of ArdllronCoorty Govetr[GEt end Unlwnlty Preohgbt3, P,C. Sccondcd by ComEb.to[crBoltiDS. Motl,on crrrled by voacc vot!. (Scc Pnrctsdng Dcpt)

7. CommltrloDer WrDdcll Dovcd to .pprove Ir.tG Agrc.m.nt bcttyeeD ArthrrRced Brrter rnd wlfg Mrry Brrkcr, tho llDdowDcr* r[d Andcrron CountyGoycrnment" Ern Wolf Ydley Co[ycdeDce CeDtar. Sccoldcd by Commlrsl,onerBolltr& ModoD crrrled by volc. vot , (Sc! PurcLl'hS Dcpt)

t. CommblloD€r Wrudell Dov€d to rpproyc Dr[tc chr[ge to Librrt?Forndrdou, Sccotrdcd by Commbslon€r Albdght Motlon crrrled by volcc vote.

9. Commi$loner Cor Elovcd to.pprove e rpecl mcedng or Algutt 30,2010rt 630 p.m. to clcct r Jrvcoflc Judgc. Scconded by CommbsloDer Botlitrg. Modotrcrrrlcd by volce Yotc,

10. Commlgsioncr Whlte moy.d to not go lnio Erecutlve Sc$lon .t the c[d ofCounty Connfurio[ serrloD. S.condcd by CommildoDer Eftchcock Modol frllcdby volce votc.

ll. CorDmbdoDcr Cor Eovcd to co[vcne Ex.cndw Sc'rloD rt ttre c[d of CoutyCoEEi$loD s.xlo!. Sccondcd by Commbrlorcr Glllowrt rr.

Vothg Ayc: Albrlght, Ald.noq Auef,, Boling Hlocld, Cor, Flltt!, clll€rwlters,Iw.nskl, McKrmey rnd W.!dcll. NO: Crcucy, grun, trltdcoclq Shucy mdWhlle, MotioD c*rlcd.

Purctrth! Commltt e R.port

12. Comnkrloner Frltts movcd to rpprovc r two yc.r cortrrct wltt Utlt dStr&c CeUulrr. Scco[drd by Comdtrloncr A-lbrlght Modon crrried by volce votaAhtrl!: Crc$ey,

13. CommfusloDer Fdttr Boved to rpprov€ r ftvc ycrr contrct wlth OtieElevrtor. Secondcd by ComElalaoDcr Alb ght

Votlng Aye: AtbrlSht, Alderto!, Alley, Cor, Crc.r"y, Frtttr, Erua, Iwrnsld rndShuey. NO: Bllorkt BoIIlng, clllctrw.tcrr, Eitchcoct, McKrcy, Wudelt rndWhltc. Motlon c.rrl.d.

1,1. Commlsrloner Albrtght movcd to rpprovc e thrcc ycrr coDtr.ct wltt LlfGSrfcty lrrpectorr cotirgcDa on thc Coulty Attomcy. Sccolded by ComB&slo[crWLItc. Modou crrrlcd by volcc votr-

Elqhw.v CopEItt t nepora

15. Comm&sioncr AHcr.rou moved to rpprovc r.c!rD.rd.do[ fron thcIlSbw?y.Comgq:e th€ foll,owiDg mr& trto rhe couDty rord ryttem. Sccorded byCommbsloner Bollhg. Modon crrrled by volcc votc.

REGULAS, SESSION

Budga Committca MinutesJuly 6, 2010

AUGUST 162010

PageSoflt

2042

k ,i,

Orrrcn Or Tm CouNry L.q.w DTRECToRANDERSow Corrxry, -fEtml.EssEE

101 South Main Street, Suite 310CLINTON, TENNESSEE 377 16

N. JAYYEAGERLaw Director

TELEPHONE: (865) 457-6290FACSIMILE: (865)4s7-377sF'.-eil: jyeager@aclawdirectm. com

MEMORANDT]M

TO: i\rts.MaryMurphy

CC: County Commission

FR.OM: N. Iay Yeager

DATE: August 11,2010

RE: Law Qirector's Report - August 16,2010 County Commission Meeting

Please add the following items to the County Commission Agenda under the Law Director's Report.

A. Contract Approvals:l) Randolph, John -Briceville Convenience Center2) Bridge Computer Systems, Inc. {lerk and Master3) State of TN Dept of Safety {ounty Clerk4) Institutional Wholesale Company, Inc. -Schools5) Woods, Tiffaney -Public defender6) Computer Network Engineering -Juvenile Court7) Byrd, Iordan -Purchasing8) Brooks, Franklin -Purchasing9) Business Machines {ounty Clerkl0) ProMaster Janitorial Services {ounty ClerkI l) US Cellular -Purchasing12) Sara Lee Bakery @evised) -schools13) Thompsoq Durrell -purchasing14) Computer Systems Plus -Election Commission15) ABDO Publishing -Library16) Audio Edition -Library17) Baker & Taylor -Library18) Book Wholesalers -Library19) Books-A-Million -Library20) Bound-to-stay-Bound -Library2l) Borders -Library22)Brodart -Library23) Brodart by Nubro -Library24) Capstone publishers -Library25) Center point Large print _Library

I

Page 2 of 3

Mary MurphyAugust 11,2010

C.

B.

26) Central Programs -Library27) Davidson -Library28) Enslow Publishers -Library29) Films Media Group -Library30) Follett -Library31) Garreth Stevens -Library32) Gaylord -Library33) H.W. Wilson -Library34) Heinemann Raintree -Library35) Highsmith -Library36) Ingram -Library37) Mdwest Tape -Library38) Marshall Cavendish -Library39) Lerner Publishing -Library40) Library Video -Library41) Perma-Bound -Library42) Power Kids Press -Library43) Jr. Library Guild -Library44) Penworthy -Library45) Scholasticlibrary -Library46) Sa1em Press -Library47) Rosen Publishing -Library48) Remrded Books -Library49) Spoken Arts -Library50) Social Studies School Service -Library51) World Book -Library52) Vemon Library -Library53) Teachers Discovery -Library

Zoning Violations:1) Batho, Donald2) Haynes, Chris

Bond Renewals1) Edgemore Meadows2) Stardust Acquisition Company 8853) Stardust Acquisition Company 886

Joint Permanent Easements1) McKamey, James and Floyd2) Temple Baptist Church / Atisa Ann Owens

D.

fi z Medical Examiner contract- ur parhology (needs county commission Approval)IY

':--" ' I Page3of3Ms. MaryMurphyAugust 11,2010

F. Food Concessionaire Rules, Regulations and Bid Requirements (Information and inputonly - request to defer to Operations Committee as previously requested)

G. Credit Union Merger (information and request to defer to Operations Committee)

H. East Wolf Valley Convenience Center Contract (needs County Commission Approval)

I. Library Foundation legal name (Needs County Commission Approval)

aS-Oainqr"nt Tax Sale (information to be provided at meeting)

i Juvenile Court Judge Election Update (County Commission Guidance Requested)1) Appropriation needed for attorney2) Appropriation needed for security

L. Lawsuit Updatesl) Wright v. Anderson County (Case settled)2) Ripley v. Anderson County (New Lawzuit filed)

,z)cfiE*tlcs Complaint - County Mayor (County Commission Guidance Requested)

)

PURCHASING COMMITTEE MEETING MINUTES

February 10, 2014

Committee Members: Terry Frank – Present Jerry White – Absent Zach Bates – Present Jerry Creasey – Present Scott Daugherty - Present Pamela Cotham, Purchasing Agent – Present Comcast – Three year contracts for the three circuit court locations (Courthouse, Juvenile Court and Oak Ridge General Sessions locations) for internet service through February 1, 2017. Commissioner White made a motion to approve and to forward to County Commission with a recommendation for approval. Commissioner Creasey seconded the motion and the motion passed. Advanced Correctional Healthcare. A revised cover letter from county attorney stating the contract does not require commission approval Purchasing Agent request to withdraw it from agenda. Commissioner White made a motion to withdraw the contract from the agenda. Commissioner Bates seconded the motion and the motion passed. Adventa Hospice d.b.a.Amedisys – Non-emergency ambulance service agreement for the EMS Department for the period of February 19, 2014 thru February 19, 2015. Commissioner White made a motion to approve and to forward to County Commission with a recommendation for approval. Commissioner Creasey seconded the motion and the motion passed. SSC Andersonville Operating Co., LLC d.b.a. Norris Health & Rehabilitation Center – Transportation services for the period of November 25, 2013 thru June 30, 2016. Commissioner White made a motion to approve and to forward to County Commission with a recommendation for approval. Commissioner Creasey seconded the motion and the motion passed. Summit View Healthcare – Transportation services for the EMS Department for the period of November 25, 2013 thru June 30, 2016. Commissioner Creasey made a motion to approve and to forward to County Commission with a recommendation for approval. Commissioner White seconded the motion and the motion passed. Securus – Commissioner White made a motion to add the contract to the agenda. Scott Daugherty seconded the motion and the motion passed. Securus –Commissioner White made a motion to re-bid the Inmate telephone system. Scott Daugherty seconded the motion and the motion passed. Commissioner Bates voted no. The meeting adjourned at 5:15 p.m.

1

coMbAsTBUSIN ESSAccounl l{ame: Anderson Co.

BUSINESS SERVICE ORDER AGREEMENT

Circuit Court It)#:7193798

TION

Address 1 100 N MAIN ST City CLINTON

Stat6 TN

Primad Conlacl Name Parula Cotham ZIP Code 37716

Business Phone (865) 457-6218

Em€,| Address purchashg@andeMh.org

Tochnh€l Co.tad Name Ty'€r Mayeg

lochni€l Cont€cl Buglness Phone (86s) 46164?t

Plopeiy Managd Cdlact Narne

Tedr Contacl Onsite? Yes

Teh.icEl Contacl Email lmayes@andeFoncouls.org

X

Busln..! Slcn.lu.! SuDoort S€rvice Term (Months) | 36

COICAST BUSINESS SERVICES DETATLS

VOICE SEIECIIONS qu.ntlty Untt C6t Tot tco3tFlllFealurc Vci@ Lines

Add F.F. Voi.e !in6 d Dto

VOICE OPTIONS SelErlontxl Totrt Co.r0

DiEclory Lisling Suppre$ion

Bu3iness

Buslna3s

Eusiness lntehet'

.8ullfus|nbmt3,ndl]{,€bdl.E3!r@ r'bd $..d d... rm Cold ridd. hC) rr'Gd odoor €n'arfug.rh.3-.cod+dd..Mhad

'Fr€ry c.nd ffi rh rrd b cbns. h' Mq6i ottu .F.r oir.r'jc ,' iny

.lrbd:...io€aoelrdEda.|*n.|h'ld

tu x0nrrwrF Nobror ur*s 3pd&.ry d.d b.ld h h|lG*bnor''!]ro!.n*,

mlnl mDTA/mOTATypo t oloullot l{RC IRC

'Nd.!.r.6r. h bE orfE d Fld& vi*.d.hMb. Iv -ldc & drraE d &{.ri. in d*lffddllon.lhGc

riedlE q .opt'rqr t-. rq tub 6nb d In $y d .r ol rh€ !.M6. In

Comcast Business Packages

Paclage Nam€: Cen:MP pt00+ S40_3yr

PACKAGE OESCRIPTION

Dis@unr off Blsiness Intsm€t D10O+ llt99.95l fq dr$dnled.ate1159,95 wiih pwchas€ oa Businoss Voke or Businsss TV. MRC Oiscountsio ralo cad .nd ol o.iglnal tem. 3yr lem rcquircd. Taxes, Usage, Fees,

NTERNET SELECnON$ Sel.ctlon(x) Toi.r Cosr

f,ther Oeturc'100 Plus s199.95

t9.95

TVSELECTIOI{S S€l.cllon(X) Toirl costx 54.95

Infqh.rion I E.torrainment

Music Choie SLndalone

Tv OPTPil9 S.l.cllon Tohl C6t

Music Chcie w/CohEsl Bl,siness

TV OUTLETII Ou.dty Urltcot Tot lco6t0 9.95 IO.00

0 $5.00 $0.00

Od€lFqh Ve6bn v20

:,-,I',':::: BUSINESS SERVICE ORDER AGREEMENTE U)INE>)Accounl Name: Andorson Co. Circult Cou]l lD#:7193798

BUSINESS TOTAL SERVICE CHARGES

Totsl Mo.thly Setuic€ Ch€rge

Prcmo{on.l C.d. {f appliclblo)

Di@nl Or' InLm(itapolksbb)

Oisdnt Of Vid.o(il.ppliebb)

oi!@m oi vd{if apdkebb)

Disnl On SignatuE Suppdl(if ap9lieble)

!E9!s3l!gei!e413a0

Total Recurring Montt ry arrr,' [----l;;-l' ^prkd. '&d,

d, d H hB.d k ry rrdy

Total lmtallation Chatg"",' l------G-oo-l

r{STRUCT|ONS- Slandard Installarion waivor fo. purchase of 2 or mor€ flodocts of

Clas TV when co.rrEcted fcr 2 d morc voars.

OrdelFom v€6io. v20

!3$fif|l BUsrNEss sERvrcE oRDER AGREEMENT

Account Name: Anderson Co. Circult Court lD#:7193798

I COMCAST BUSINESS lNtERl'lET CONFIGIIRATION DETAILS

Equipment Seleclion D3.0lP Gateway

Business Web Hosling

Transfer Existinq Comcast.nel Email NO

Number of Static lPs' 1

Outlot Malls Outlst Typs

Digil,al

Additional Comments:

OUTLETS 9 A UP QUANNW

Oigital

HDTV

DTA

Phon€ # Typ€ Voic€mail

Toll Fro. # Celllnq Or|llmtion Aloa Aasociatod Tl{

D.tal13

Dilaclory

Oi@ctdy Lbting Phon€ Nuhb€r

DiEcto.y Listing Display Name

DA/DL Heads Ten haomatid

D'OL Hgador Code Info{mtion

Slandsd Industry Cod6 Infornatton

Cu3tom€r Equlp|l|ent

Hunt Gaoup Configuretlon Dgtalls

Phone Syslem Tvp€ ( K€v Syst€m, PBX, Orherl

Pho.'e Svstem ManufacluEr

Hunt Grouo Pilol Number

Addlaloml Voice Dsaall3

Calld lO Display Nare (m3x 15char.)

Intematio.al Di8lins (Y6YNo)

Call Bloctins (Yost{o)

Auro-Altendanr (Y6/No)

tuorForm Ve.llon v20

33$fi4;l BUsrNEss sERvrcE oRDER AGREEMENT

Accounl Name: Ande6on Co. Circult Court

CUSTOMER BILLING INFORMATION

Billing Account N.me Anderson Co. Clrcultcourt Ciiy Clldon

ailling Nan's (3rd Pary Ac.olnts)

Addr6s 1 100 orlh flaln Sl.

Billing Con|lct N€me P.m.l. Cothln

' lf yes. pleas pmvitle ancl a acn bx oxenption caiiicale.

lO#:7193798

Stal€ T{zlP code 37716

Eilling Contacl Emaal purch$h9@.ndoEontn.org

Billinq Co.taclPhono (1651 /t57iill8

AGREEMENT

1 . This Comcast Business Service Order Agfoemenl sets torth lho lerms and condilions under which Comcast Cable CommunicalionsManagemenl, LLC and its opeEting affiliales ('Comcast') will provide the S€ ic€s to Cuslom€r. This Comcasl Business Service OrderAgreernenl consists of this dodJrn€nl ('SOA'), lhe stanclerd Comc€sl Business Terms and Condilions (Tenns and Corditioos'), and anyjoinlly executed amendnrenls ('Amendments"), colleclively relered to as the -l€Gemenl'. In the €vsnl of inconsistency among thesedocuments, precedence will be es follows: (1) Amendments, (2) Terms and Conditions. and (3) this SOA. Thls Aoreement shallcommenceand become a legally binding agreement upon Custorne/s execution of the SOA. The Agre€ment shall terminale as set forth in th€ Terms andCondilions (hltp://business.@mcast.@firnems-@ndilions,tndex.aspx). Allcapitalized lerms not defined in this SOA shall rellect th6 d€fnitionsgiven lo them in the Terms and Conditions. Use of the Ssrvices ls also subject lo the then currenl High-Speed Int€mel for BusinessAcr€piable Use Pollcy localed al http://business.comcast.convlerms-condilionvindex.aspx (or any successor URL), and the then cunent Hlgh-Speed Intemet for Eusin€ss Privacy Policf krcated at hflp://busirEss.c.mcast.convlerms-conditions ndex.aspx (or any succ€ssor IJRL), bolhof which Comcasl may updats from time to time.

FOR SIGNATURE SUPPoRT CUSTOMERS ONLY: lnsled of lhe comcast Business Terms and Condilions, your Agreem€nt includes theSignature Support Terms and Conditions available at http://business.signaturesupport.comcast,com/terms-an&condilions.html.

2. Each Co.ncasl Business Service ('S€rvice') canies a 30 day money b6ck guerantee. lf within the first thirty days iollo,ving Serviceactivalion Cusbmer is nol completely satisfied, Cuslomer may cancel S€rvice and Comcast will issue a rcfund tor SeMce charges actuallypaid by Custotner, custom instiall€tion, voice usage chaEes, and optionalservice lees excluded.In order to b€ eligible for the refund,Cuslomer must cancel S€Mcs within nhirly daF of aclivalion and tetum any Cofirast-provided equipment in good wo*ing order. ln no eventshall the refund exceed S500.0O.

FOR SIGNATURE SUPPORT CUSTOMERS ONLY: The guarantee is applicable only lo Signature Suppod subscrlption plans. lf you use theseMce in lhe first 30 days, you will h,e returdod your subscriplion fees, but charged the epplicable on€-time fee.

3,IF CUSTOMER IS SUBSCRIBING TO COMCAST'S BUSINESS VOICE SERVICE, IACKNOWLEDGE RECEIPTAND UNDERSTANDINGOF THE E911 NOTICE:

EgI I NOTICEComcasl Business Voice s€ruice ('Voice") may have the E911 limilstions sfrecife! below:' In order for 9 l 1 calls to be properly direct€d to emergency servic€s using Voace, Comcasl must havo th€ conect service address ior lheVoice Cusiomer, It Voic€ is moved to a difforent location without Comcasfs approval, 911 calls may t€ direclgd lo lhe wrong emerg€ncyauthoity, may tmnsmitlh€ wrong address, an(Vor Voice (including 911) may faitaltogether.

. voice uses eleclrical po/er in lhe Customer's p€mis€s. lf lhere is an elect'jcal po €r outag6, 91 1 calling may be intcffupted af lhe batt€ryback-up in the associat€d multimedia terminaladapler is not installed, fails, oris exhausled atler sevelal hours,

' Voice calls, includirE calls lo 91 1 , may not be completed if there is a problom wilh nelwgrk fgciliti€s. Including network congestion,networi,/equipmenvpower failure, or another technical probl€m.

' Comcast will need seversl businoss days b update a Cuslorher service address in lhe E91 1 system, All change requests and questbnsshould b€ direcred ro 1-800-391-3000. usE oF volcE AFTER DELIVERY oF Tllts DooUMENT coNsTtTUTEs cusToMERACKNOWLEDGEIUENT OF THE E911 NOTICE AAOVE,

4. To complete a Voace oader, Cuslomer must execute a Comc€st Lolter or Authorization ('LOA") and submit it to Comc€sl, o. Comc€st's thirdparly old€rentry integrator, as direcbd by Comcast,

5 New lelephone numbeE ere subject lo drange pfttr to lhe install. Cuslomers should not print lheir new number on stationery or cards unlilafler the installis complete.

6. Modmcstons: All modificatbns lo the Agrsement, if any, musl be captured in a wrilten Amendment, executed by an authoded ComcastSenior Vice President and the Cuslom€r. Atl other att6mpts to modiry ihe Agre€menl shall be vcid and non-binding on Comcast. Custcm€r byslgning b€low, agrees and accepts the Terms snd Conditions of lhis Agrsement.

CUSTOIIER SIGI{ATUREAy signing b€bw, Cuslofi€. agl€6 a.d acc€pts th6 Tems and Co.dib@s orthb Aoresmsni, Generallem3 .nd Condltids @n be found aih(p:/&usiness.@m@s|cordtems-conditids/index.asor,

Titls:

FOR COiICAST USE ONLY

5€16 R6prsr. v6: D€an Pahbi

Sales R€p.e$ntativeCode: 10231220

S.lss M€nsge./Dtrdror Bda. McDa.i.l

Orvbion: C€nt'.|

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;,";';;.':: BUSINESS SERVICE ORDER AGREEMENTD(JJ \E>>Accounl Nam€: Ahderson Co. Clrcult courl lOt:7205505

CUSTOMER INFORMATION

Add.ess 1 i01 S MAIN ST Cily CLINTON

Addro$ 2 sTE 200 stabs TN

P.imary Contacl Name P€mla Cotham ZIP Code 37716

&)sin€ss Phone (8651 457.621a

Erur AddEs_elBi!91q:g!gl!jg__

T€dhical Conlad Nan|e Tyter Mry€s

T€drnhll conract Bu3lnoss Phd€ (855) 45:)€821

Prepody Manager Conl,act Name

T6dr Co.ltrct Onsile? Yes

Tech^b€l Conbcr Eroil tmyes@ander$icolrts.or9

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PactageName: Cen:MP_D1@+-t40_3yt

PAqT"AGE DESCRIPTIOII

ffiwilh Durchse ot aultnss Voic€ or Ausi.oss TV- MRC Oisc@nls

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;,",:.,.:I:: BUSINESS SERVICE ORDER AGREEMENTE'\JJI Ir. EIJAccount Name: Anderson Co. Clrcuit Court lt #:7205505

TOTAL SERVICE

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Accounl Nahe: Anderson Co. Chcult Coud iDfl|'7205505

Transler Eisting Comcast.nel Ernail

Number of Slatic lPsr 1

Equlprn€nt Seleclion D3.0 lP Galeway

Business Web Hostinq No

Outl.t D.tall3 Locatlon Oull.t Typo

DiSital

Additlonal ComtrFnts:

OUTLETS9&UP OUANTITY

Oigilal

HDTV

DTA

TION DE1AILS

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Details

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C6[ Bloddng (Ye6mo)

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33$fi||] BusrNEss sERvrcE oRDER AGREEMENT

Account Name: Ande6on Co. Clrcult Court lD*:7205505

Ai[ing A@uni Nam And€ron Co. Clrclit Cou.I

Billins Nainc (3.d Pany Accoodts)

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Eillins Cdtrcl Phqr€ (165) 45?42i6

AGREEMENT

1. Thls Comcast Bwiness SeNlco Ord€r Agreement sets lorth lhe isrms snd mndilions urder which Comcast Cable CommunicationsMamgean€nt, LLC and its ope€ting aiiliales ('Corncasf) rvill provlde ttE Servi:es to Cusiom€r. This Comcast Eusiness Seryice OrderAoeerEnl coGisls of this document ('SOA'), the standsrd Comcast Business Tems ard Coridilions (Tenrts and Condilions'), and anyiolntly executed emendrnents CArnendm€nts'), colleclively refered to as the 'Agreemenl'. In lh6 evenl of inconsistency among lhesedocumenls, precedence willbe as blows: ( 1) AmeMments, (2) Tenns srd Condltions, snd (3) this SOA This Agreern€nl shallcommenceand beco.ne a legally bindlng agr€ement upon Custom€/s execulion of tl|e SOA. Tl|e Agreemenl shall lermirEte ss 5et forth In the Tems ar|dConditions (http://business.conrcast.cornfterms-conditionMn(bx.aspx). All capltallzed isrms nol defingd in lhls SOA shall reltect the delinitionsgiven io lhem in the Tenns snd Conditbns. Use of the Servi:es ls also sublect lo the th6n clnenl High€peed Intemet for BuslnossAcc€ptable Use Pollcy bcated al http://business.conEast.corn/brms-conditions/index.espx (or any successor URL), aM the then cunenl High-Speed Inlemel for Busir€ss Pdvacy Policy loc€ted at hnp://bu9ln€ss.corncast.cony'terms-conditions/index.aspx (or any successor URL), bothof wfiich Corncasl may updaie trom tim€ to lime.

FOR SIGNATURE SUPPORT CUSTOITERS ONLY: Instead of the Comcast Euslness Tems and Cooditions, your A€reement includ€s theSignature Suppon Terms srd Conditions evailable at http//busin6ss.signaturesupport.comcasl-com/tenns-snd-conditbns.himl.

2. Each Comcast Bt/siness Service (Servlce') canies s 30 clay money back guaranl€€. lf withln the frst trirty daF follorving Serviceadivalim Custorner l5 not compblely sslisiied. Custome. rnay cancel Service and Comcest witl issue a r€fuM tor Service d|arges aclualtpald by Custofi€r, custom anslslbtbn, voice usage cf|aE6s. and optjooal servke fees excluded. In oder lo be €loible ior the aefund,Customer must cancel Service wllhin thirv days of activalion erld lelum any Comcaslprovided equipmenl in good working order. In no sventshallthe refund erce€d S50O.0O.

FOR SIGMTURE SUPPORT CUSTOMERS ONLY: The gua.€nt6e is applicable only lo Slgnature Support subscription plans. lf you use theseMce in the first 30 days, you will be r€funded your subscriptim tues. but chargpd the appticabte one-time fee.

3, IF CUSTOMER IS SUBSCRIBING TO COiICAS]-S BUSINESS VOICE SERVICE, IACKNOWLEDGE RECEIPIAND UNDERSTANDINGOF THE E911 NOTICE:

E911 NOTICECofiEast Business Vdc6 service Crr'obe") may havs the E911 limitetions specifted belo!,v:' In order loa 9l t calls to be paoperly dkected lo em€rlency servbes usir! Vdce, Cofirsst m|lst have tir€ conect servics ddress for tl|eVoic€ Cuslorner lf Vcice b moved b a difier€nl loc€tlon wilhout Coftcasts approval, 9J r ca|b may be directed to th€ w'ong erBrgencyarrlhodly, may |ransmit the wong addr€$, and/or Voice (including 911) may feiteltogether

' Voice uses elec{rical pc /er in the Custorn€/s premi6e6. tf there ls an electical pow€r outag€, 91 I celling nray b€ Intenupted if the baile.,back-up in lhe assoclaled multlm€dla leminal edapler is not lnstalled, fails, or is exhausted aft€r aeveral hours.

' Voice c€lls. induding calls to 91 | , may nol be completed if there ls a problsn with nelwo.k faciliths, irdudlr{ n€lvro.k congestioo,networldequipmenl/pq €r failure, or snother technical orobl€m.

'Comc€sl will need s€veral business dal/s b update a Cu3lofh€r selvice address in the Egt 1 syst6m. All changg requesls and quostionsshould be dkecled to 140G391-3000. USE OF VOICE AFIER OEL|VERY OF TH|S OOCUMENT CONSTIITIES CUSTOMERACKNOWLEOGEMENT OF THE Egi 1 NOTICE ABOVE.

il To complete a Voice oder, Cusbm€r mt,sl exocule a Cont€st Letter o. Authod2aton CLOA1 a.d submit it lo Comc€st. oi Comc€sfs thirdp€rly order 6ntry inbgrato.. 6 dirccled by Comcasl.

5. New telephone numbeas are subject lo change prbr to ihe install- Cuslorn€rs should not prinl their new number on slialimery or cards unlilan€r the install is combbla.

6. Modilicaions: All rnodifcalions to the Agreement, if any. must be captuGd in e wrilien Arnendmen! executed by an euthodzed Co.nc€BtS€nior Vice Pre3uont and the Cuslo.ner. All oth€r eltehpls to modify fie Agr*rEnt shall be vold and mn-bindh6 on Comcast. Custrner byslgnlng below, agr€es and acc€pts the Terms and Conditions of thb Agroem€nt.

CUSTOIIER SIGNATUREBy rigni.p beb{r, C!.tod|€ a9|E5 dd.@prs the TGft lnd Cddiirc ofttu Aereom€nt. G€ndEl T€fins and Cdditbns 6n b€ tound at

Slgnaturcl

FOR COIICAST USE ONLY

Sal€3 R€o.6€nbdvo: tlaan Paldnbi

$l€s Reg€s€nladv€ Cod€: 10231220

Oivsion: C6nrEr

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E ORDER AGREEMENTBUSINESSAccount Name: Ande,son Co. Clrcuil Courl lD#:7,|93865

INFORMA

Add€s 1 101 AUS TERMINAL Ro

Prim€ry Cdtacr Nam€ Pr@la Cothlm

Bulin€ss Phon€ (865) 457{218

Fmil Add€ss ourchesi.o@endEe.t .orc

City OAK RIOGE

staie TN

ZIP Cod6 37430

Techniel Cor0act Name Tyle. Mayes

Ie.r'nlcal Conrrct Burrn€ss Phone (66s) 463-6a21

Ptoterty Manags Cdlact Name

T€ch Concrd Onsit6? Yos

Todhical Conlaci Emll trnaFs@and6lsdcoo.t!.s9

coltcAsT

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Bualns63 TV'

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Comcast 8uslne33 Peckagea

PackaseNam€: C6n:MP_0100+-!()-3yt

DESCRIPTION

MRC Obcounl ofi Ausr.Ess Ini.mcl D l0O+ (5199.95) to. di$o{nisd rale1159.95 wif| purchas€ ol Busin*s Vote q Business TV. MRC Discolnt!o Ele @d erd ot origi'|al l€m. 3yr lerm requircd. Iaxss, usa96, Feesi

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x $9.95

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COMCASTBUSINESSAccounl Name: Andersoh Co. Circuit Court

BUSINESS SERVICE ORDER AGREEMENT

lD#:7193865

BUSINESS TOTAL SERVICE CHARGES

$0.00 tofi

Toll F@ Aclteation Fe

lr W.ll lvlrlfi I Sot!!!!!qrop2 Plus Drcps

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SPECIAL INSTRUCTIONSCodeBPOhsiBlW6lv€r2/2 -SrandrEr hstattato.r or nors Fod'Jcls of Bu3lnoss Cbs Iniomot 8udn6s Class

Clas! Tv wha contraded fo.2 or rnore yea6.

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du'irilii BUsrNEss sERVrcE oRDER AGREEMENT

Account ame: And€i6on Co. Clrcult Courl lD#:7193865

Transfur Existing Cornc€st.net Email NO

Numb€r of static lPs.'5d,'Ets66|hnEq€dtsr^r|cPJtj$|Fr.rdEofubqi.d

Equipment Selectron D3.0lP Galeway

Buslness Web Hostlng No

CO CAST SUSINESS Tv CONFIGURATION OETAILS

Outlst lHalb Loc:tlon Ot Uot Type Additional Comments:

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Phone Swlem Manufactuer

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tlunt Grouo Confountion T

Addltion l Volce ddb

Cat€r rD Obprry Nams (r'at r5 dar.)

Intginalibndl D8ling (Ye3/No) No

Cai Bloding (Yss/No)

drto-Attend.nt (YedNo)

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COMCASTBUSINESSAccounl Name:

BUSINESS SERVICE ORDER AGREEMENT

Anderson Co, Clrcuit Courl lO#:7193865

BILLING INFORI'ATIONBiliing ,a@unl Nam€ And..ro. Co. Circult Coun crty 0.k Rldg.

Billhs Nam (3rd Pady Accoont ) slare TN

Address I tol 8Ul Termlhrl Rd, ZIP Code 37430

Bitang Co.'iact Email p.ct6lng@.nd.Eont .ors

afiing Cont€c! Narn€ Pam.b Cothrn Billi.g Conracr Pione l!65, /(i7{218

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AGREEMENT

1, This Comcesl B6iness S€Nice Order Agreement sols forth the lennr and conditibrB under which Comcasl Cable CommunicationsManagement LLC and its opereting afiiliates ('Corncasf) will provite th€ SeNi:es to Cuslomer. This Comcast Busine$ Service OrderAgreomenl consists of this docurnent (5OA"), lhe slsndsrd Comcast Business Tems and CoMilions (Terms and Condiiions'), and anyjcinty execuled arnertments ('An|endmenb'), colleclivev refered to as lhe 'Agreemenf. h lhe svent of in@.tsislency emong lhesedocumenls, prEcedence will b€ as fo|blvs: (1) Arnendments, (2) Teins and Cordilions, and (3) this SOA. This Agreement shall commenceand bocorne a l€galt binding agreemenl upon Custome/s execulioo ol the SOA, The ,€reement shall teminate es set forlh in the Terms sndConditions (htts://business-corncastcory'lems-condilions/index.aspx). Alt capilalized terms not (blined in this SOA shall refect the definitbnsgiven b them in th€ Tems a.d Cd|ditbns. Use of the SeNices ls also subj€ct lo the lh€n current High-Sp€ed Internet for BusinessAcceptebls Us€ Poliq located at htlp://busln€s6.coryrc€sl.con lems-conditionsy'index,aspx (o. any successor URL), and the then qJnent High-Speed Inlemel for Business Privacy Policy localed at httpJ/buslness,corncast.corn/tems-condlllonMnd€x,aspx (or any succe$or URL), bothofwhi$ ConEast may update from tirn€ to lime.

FOR SIGMTURE SUPPORT CUSTOMERS ONLY: Instead of the Comcast Eusiness Tems and Condilbns, your Agrsernenl includes tl|eSignatue Support Tenns and Conditbns available at htlp://busifEss.signaturesupport.comcasl.@fiVterms€ndcondilions.lrtml.

2. Each Comc€st Busi.r€ss Service ("Service') canias a 30 day money back guarante€. It within lhe frsl thiny days follovring Seryiceaclivalio CusiofiEr is not completev satisfied. Custorner may cancel S€rvice and Comcasl will issue a reftrnd ior SeMce dra€es adualvpaid by Cusio.ner, @stom installation, wice usage ciErges, and optiooal s€|vice fees excluded. In order to be eliglble for the refund,Customff must cancel Service within $irty days of sctivatjon and retum eny Comcasfprovidd €quipment ln good \No*ing order, In no eventshall the retund etceed S50O.00.

FOR SIGNATURE SUPPORT CUSTOMERS ONLY: The guarantee is applic€ble only lo Signalure Suppo.t subscdpton plans. lf you us€ lheservice In the frst 30 days, you wlll t€ retunded your subscription tues. trut clla€ed the applicable one-tame fee.

3. IF CUSTOMER IS SUBSCRISING TO COMCASTS BUSINESS VOICE SERVICE. I ACKNOWLEDGE RECEIPTANO UNDERSTANDINGOF THE E911 NOTICE:

E911 NOTICEComcast Eusiness Voice s€Nice (1/olce') may hav6lhe E911 limitations specmed below:. In oKbr foa 91 1 c€lls to be prop€dy directod b em€rgefty s€rvi:€s uslng Voi,:e, Comcast must have lhe con€d sorvlce address for theV(fue Custofiler lf Volce b mo\r€d b a different bcation without Co.ncasts app.oval, 91t celb may be direcbd to the worE emergencyauthorily, may transmlt the wroog address, anct/or Voice (i.Etuding 91'l ) may fail attog€ther.

. Vdce uses 6bctical pofler in the Cuslo.nor's premis€s. lf lh6re b an ele(trical porer ootag6, 911 c€lling may be inienupted if the batteryback-up in the ass€ialed multirnedia tarmiml adaptsr is not Insttalled, failB, oa is erhaust€d sfrer several hours,

' Vdce calls, induding calls to 9l J , may not bg completed it ih6re is a prcblem with nenvork fadlilies, lrdudirE nen^ork cong€stbn,netvvorid€quipmenvpower failurc, or amlher ledtnbal Foblem.

. Coricast will need several business d9F b updale e Custorl€r servit€ addGss in tl|e Egl 1 system. All chsng€ requests and q@stionsshould be dirscled to 1{0G391-3000. USE OF VOICE AFTER DELIVERY OF THIS OOCUMENT CONS1TUIES CUSTOMERACKNOWLEDGEMENT OF THE E911 NOTICE ABOVE.

4. To cofiplete a Vdce order, Custorner musl €xeqrte a Comcast Lettar or AJthorl2etion ("LOA') ard submn lt to Comcast, d Co(|lc€sfs thirdparty od€r entry integrelof, as dirocted by corncast.

5. Nev tglephone numb€B ar€ subiect to d|arEe prbr lo th€ instiall. Custdr|erc should not pdnl theh new number on stationery or csds unlilaffer th6 Install is complole.

6. Modificatons: All modlficatons to the Agreem€nt, if eny, hust be c€ptured in a writldn Amendment, exeqJted by sn aulhodzed CodrcaslSenior Vice P|osident and the Custorner. ,Jl othor anompts lo modify the Agre€monl shall be void and non-blnding on Concast. Cuslomer byslgning below, aor€€s and acc€pts tl|e T6rms and Conditions of this Agreefient.

CUSTOIIER SIGNATUREAy lignhg below, Clsioindr dg.e6.nd .cc€pi5 the T€rmi snd Coodirio.s otlhls ag@||Mt. G€n€El T€ms and Conditiois can b€ lound at

Slgnaluroi

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FOR COMCAST USE ONLY

Ssl€s R€oro3€nlrtv€r Ooan Palofnbi

Sal€s Rso.es€nt liv6 Cod€: 10231220

s6r€3 Maft s6/Di€do._ed9!MsQedr[__

Divilton: cenlEl

Lc€d lD: 7lg3465

frorForn ve|sbn Y20

OFFICE OF THE COUNTY LAW DIRECTORANDERSON COUNTY. TENNESSEE

I 0 I South Main Street, Suite 3 I 0CLINTON, TENNESSEE 37716

N. JAY YEACERl,aw Director TELEPHONE| (86s) 457 4290

FACSIMILE: (865)451-317sEmail: iveaeer@aclal*director.com

February 6,2014

VIAHANDDELIVERY

Mrs. Pamela CothamAnderson County Purchasing Agent100 North Main Street, Room 214Clinton, TN 37716

RE: Advanced Correctional Healthcare, Inc. , Correction to Approval Letter

Dear Pamela:

Pursuant to your request for clarification regarding my approval letter related to the above-referencedcontract amendment, I went back and reviewed the curent contract with Advanced CorrectionalHealthcare and discovered that the contract termination date is Jwre 30.2014. I was under the mistakenimpression this contract terminated on Jrme 30,2015; therefore, I do not believe this contractamendment needs to be approved by County Commission since it does not extend beyond the currentfiscal year.

I'm deeply sorry for the confusion and please accept my sincerest apologies for this oversight.

Please feel free to call or write if you have questions or additional concerns.

//

N. Jay

With best regard

Enclosures: I 1 pages (current contract with ACH)-. ..' ::- -":e : .:; -'

: ;

OFFICE OF THE CoUNTY LAw DIRECTORANDERSON COUNTY. TENNESSEE

l0l South Main Street, Suite 310CLINTON, TENNESSEE 37716

N. JAY YEACERLaw Director

TELEPHONET (865\ 4';1J.290 ;:-FACSIMILE: (865) 4F775

=Email: rleaeerg acla\r di$c-ctor co4{

= -'<t:Z <tt

Jalll'tary 17,2014

Sheriff Paul WhiteAnderson County Sheriff s Office101 South Main Street, Suite 400Clinton, TN 37716

RE: Advanced Correctional Healthcare, Inc. - Amendment for Inmate Medical Services Contract.

Dear Sheriff White:

Pursuant to a request from Captain Davidson, I have reviewed the above-referenced contractamendment as to legal form. After review, I am satisfied this document meets all standards forcontract formation under current Tennessee law; therefore, I have approved this amendment as to legalform.

Since this agreement amends an existing multi-year contract and extends beyond the cunent fiscalyear, it must be submitted and approved by County Commission.

This approval is to legal form only. I have been involved in the negotiations ofthis contract with MikeCoffey, area representative for Advanced Correctional Healthcare. After a meeting with Mr. Coffey,Lieutenants Allen and Parker, along with Captain Davidson, we were successful in lowering the cost ofthis contract by $74.16 per day and agreeing to quarterly renegotiations based on average daily inmatepopulation.

CaptainDavidson has also agreed to submit invoices for various routine supplies and equipment to Mr.Cofley for review. Mr. Coffey is convinced he can review existing contracti with otheivendors andfind savings through his network ofsuppliers.

Please let me know if you have questions or concems regarding this amendment, or any issue related toinmate medical care.

WEnclosures: four pages

cc:Purchasing Agent, Mrs. Pamela CothamCaptain Davidson

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2().o

AMENDMENT TO THE AGREEMENT FOR THE PROVISION OF INMATE HEALTH SERVICESANDERSON COUNTY. TDNNESSEE

rhe AGREEMENT entered in,o on@!d3l3"oi{-0$fi"* *"'couNTY), the Anderson county Sheriff (hereinafter "SHERIFF"),

County of Anderson, Tennessee (hereinafterand Advanced Conectional Healthcare, Inc.

at 12:01 A.M.(hereinafter "ACH"), is AMENDED as follows, effective

Tbe following sections are hereby amended ss follows:

l.l I MANAGEMENT SERVICES. ACH will provide management services to include: a comprehensive StrategicPlan; Peer Review; CQI; Cost ContainmenU Utilization Management; and a Risk Management program specificto the FACILITY's medical operations.

The following sections are hereby added as follows:

1.26 AFFORDABLE CARE ACT. In the event the Affordable Care Act causes any changes to come about which mayaffect this AGREEMENT, the parties agree to reopen this AGREEMENT for good faith negotiations with respectto such matters.

1.27 PRISON RAPE ELIMINATION ACT OF 2003 (PREA). ACH endeavors to comply with PREA, applicablePREA standards, and the FACILITY's policies related to PREA for preventing, detecting, monitoringinvestigating and eradicating any form of sexual abuse within the FACILITY. ACH acknowledges that, inaddition to self-monitoring the FACILITY may conduct .mnounced or unannounced monitoring to include on-site monitoring.

2.13 DUTY TO PROTECT INMATES/DETAINEES. The non-delegable duty to protect INMATES/DETANEES is,and always will be, vested in the SHERIFF. This AGREEMENT does not result in the assumption of a non-delegable duty by ACH. As such, the SHERIFF specifically retains the duty and obligation for security of theINMATES/DETAINEES.

The following sections rre hereby amended as follows:

3.0 ANNUAL AMOUNT/MONTHLY PAYMENTS. The annualized amount to be paid by the COUNTY to ACHunder this ACREEMENT is to be Four Hundred Ninery Thousand Eight Hundred Forty-Nine Dollars andThirteen Cents ($490,849.13). The COUNTY will make monthly payments of Forty Thousand Nine HundredFour Dollars and Nine Cents ($40,904.09), which is equal to 1/12 of the annualized amount, during the term ofthis AGREEMENT. ACH will bill the COLTNTY approximately thirty (30) days prior to the month in whichservices are to be rendered. The COUNTY agrees to pay ACH prior to the tenth (10*) day ofthe month in whichservices are rendered.

3.1.0 AVERAGE DAILY POPULATION (ADP). ADP for a given quarter will be determined from the FACILITYcensus records. For billing purposes, the COIINTY INMATE/DETAINEE ADP will be 323 and the NON-COUNTY INMATE/DETAINEE ADP will be 7. INMATES/DETAINEES who are not presently incarcerated inthe FACILITY (i.e., persons on electronic monitoring or probation, or who are hospitalized, or in halfway housingor early release housing) should not be counted in either ADP reported to ACH by the COUNTY. The ADPsreported to ACH should only be those INMATES/DETAINEES presently incarceraled in the FACILITY.

3.1'l 'l COUNTY INMATES/DETAINEES. When the ADP exceeds or falls below the contracted rate in any calendarquarter, the compensation variance will be figured on the average number of COUNTY INMATES/DETAINEESabove or below the contracted ADP for that quarter multiplied by the per diem rate of $0.72 per inmate per day.(Example: If the ADP for a quarter is 333, additional compensation due will be calculated as follows: l0 x S0.izx9l)

I of3

The following sections bave been amend€d and renumbered as follows:

5.9 HOLD TIARMLESS AND INDEMNIFY.

5'9.0 ACH will hold harmless and indemnif the COUNTY, SHERIFF, and FACILITY (together with theirrespective employees) against any loss or damage, including reasonable attomeys'fees and other costs oflitigation, caused or necessitated by the negligent, reckless, intentional, or deliberately indifferent conductof ACH or its employees, wbich is related to medical treatment or caxe provided by ACH. With respect toany claim for indemnification, the party claiming a right to indemnity will (i) give written notice thereofto AcH within a reasonable period following the event or occurrence as to which the right toindemnification is or may be asserted and (ii) allow ACH (including the employees, agents, and counsel)reasonable access to any of its employees, property, and records for the purposes of conducting aninvestigation of such claim and for the purpose of obtaining statements, phbtographs, and taking iuchother steps as may be necessary to preserve evidence ofthe occurrence on which the claim is based. Iftheparty claiming a right to indemnity denies ACH reasonable access zls set forth, after written requesttherefore, the party claiming a right to indemnity will assume sole responsibility for the claim for Jhictrindemnification is sought and will not be entitled to indemnity.

5-9-t The CO[INTY will hold harmless ACH (and its employees) against any loss or damage, includingreasonable attomeys' fees and other costs of litigation, caused or necessitated by the negligent, recklesslintentional, or deliberately indifferent conduct of the COUNTY or its employees, which is related tomedical treatment or care provided bv ACH.

5.I I INSURANCE.

5.11.0 ACH will maintain commercial automobile liability insurance with a minimum limits of One MillionDollars ($l'000,000) per occurrence, covering ox'ned, hired, and non-owned automobiles.

5.1l.l AcH will maintain one or more commercial general liability insurance policies with minimum limits ofbodily injury and/or property damage: one Million Dollars ($1,000,000i each occurrence and an arulualpolicy aggregate ofTwo Million Dollars ($2,000,000).

5.1 1.2 ACH will maintain professional liability insurance, including civil rights liability, with minimum limits ofone Million Dollars ($1,000,000) each occurrence, Three uitlion oollars 1$3,0d0,000) annual aggregate.

5'11'3 AcH will maintain workers' compensation and employer's liability insurance covering its employeeswhile on the FACILITY's premises that complies with the statutory minimum requirements in theapplicable stat{s).

5'11'4 ADDITIONAL INSUREDS. ACH will name the SHERIFF and the COUNTY as an additional insuredunder the commercial automobile, commercial general and professional liability portions of insurance andprovide the coUNTY with a Certificate of Insurance spacific to correctionil facilities evidencing theterms ofthe insurance coverage and policy limits.

2of3

R"EASON FOR CHANGE: Update contract language; add required PREA & ACA language; increase annual contractprice; increased county per diem rate; adjusted ADPs; named county and sheriff on ACH insurance policies.

AMENDMENT AGREED TO AND ACCEPTED:

ADVANCED CORRECTIONAL HEALTHCAR"E. INC.

Ne;l Leuthold, MBAPresident/Comptroller

l"aa- 1L+

Anderson County Purchasing Agent

CO UNTYI)II ANDERSON, TENNESSEE

Paul White, Anderson County Sheriff

and retum via fax to 309.272.3449 or email to rlewis@advancedch.com

3 of 3

Jay Yeager

From:Sent:To:Cc:Subject:Attachments:

Mike Coffey <mcoffey@advancedch.com>Thursday, January 16, 2014 9:'16 AMJay Yeagertntwistedsticks@gmail.comMedical addendum changesAnderson TN amendment 1 -1 4-201 4.odt

Mr. Yeager, please see the attached addendum with the changes you requested for the medical department. Please letme know if this is acceptable. lf everything looks OK please sign and return to me at your earliest convenience. After wereceive the signed addendum we will proceed in the interview process of new staff.Please contact me if you have any questions.

Also, I look forward to reviewing any invoices and pricing in any area of the jail and county departments. I will start theprocess in dietary as soon as I receive the most current one month invoices. That should be a substantial amount ofsavings. Please let me know if you would like a tour of the mattress operation at Sevier county. I would be happy tomake the arrangements.

Tha nks

Mike Coffey

Michael CoffeyExpense AnalystPhone: 309-241-6300www.advancedch.com

**Py.*,rysfPThis transmiasion (including attached pages) maycontain medic!l info.metion orother information that is privileged or confidentia I and is intended onlyfor thenemed addressee(s). lf you are not a named addressee, you are hereby notified that any use, disclosure orcopying ofthis transmission is prohibited. lfyou recievedth i5 transmission in error, please destroy allcopies and notiryAdvanced Correctional Healthc!re bycalling (309) 692-8tOO immediately.

Ornrcr Or Tlrr CouNry L.c.w DnEcroRAxrnnsoN Cornrny, TENNESSEE

l0l South Main Street, Suite 310CLINTON, TENNESSEE 377 I6

' ' ,i:: i:i i;Y, PU , C q

20lq "llf'l 23 fr4 4,20

TELEPHONE: (865) 451-6290FACSIMILE: (865)457-377sEmail: jyeag€r@aclawdirec!cr.conr

N. JAY YEAGERLalv Director

January 24,2014

Nathan SweetAnderson County EMS314 Public Safety LaneClinton, TN 37716

RE: Adventa Hospice, LLC. - Non-Emergency Ambulance Services Agreement

Dear Nathan:

Pursuant to your request dated January 24,2014,I have reviewed the above-referenced connacrfor legal form' After review, I am satisfied this document meets or exceeds all requirements fbrcontract formation under Tennessee law. Therefore, I have approved this contracias to legalform-

The term of this contract extends beyond the fiscal year, therefore it must be presented to CountyC o mmission for approval.

This approval is to legal form only. I assume, since you submitted this contract to my office forapproval that you have read this agreement, and the terms and conditions set forth ari desirableto you and the department involved. I have not been involved in the negotiations of this contract;however, ifyou would like additional guidance and advice regarding a Jpecific provision of thecontract, please feel free to contact me. Furthermore, for the purpose of the approval process, itis assumed that this contract has been properly bid, ifrequired, and budgeted according to staielaw.

Please call, if you have additional questions or concems..(K7tEnclosure: 15 pages

\-2-l-\qr \..No-dd XG\no'l*- Kur^ *1^l,d,nln\ +{L vlr5-t*t" 1<

NON EMERGENCY AMBULANCE SERVICES AGREEMENT

|HIS AMBULANCE SERVICES AGREEMENT (the "Agreement") is made and

entererl into this l3th day of December, 2013 (the "Effective Date") by and between

Adventa llospice, L.L.C. dba Amedisys Ilospice, an Adventa Company ("IIospice")and County of Anderson EMS Department dba Anderson County EMS ("Provider")"

RECITAIS

A. WI-IBI{RAS, }Iospice operates a licensed hospice program.

B. W1-IEREAS, Provider is a duly licensed transport provider that is certifiedto partioipale in the Medicare and Medicaid programs.

C. WIII,REAS, Hospice desires to engage Provider, and Provider desires to beengaged, to provide Services (as the term is defined below) to Hospice palients, inaccordance with the terms and conditions of this A$eement.

AGREEMENTS

ln consideration of the Recitals and mutual agreements that follow, the partiesagreo to the following terms and conditions:

t. Bcp=orslbtlrlrqslBreyrds.

(.a) Provision of Services.

(D Services. At the request qfan authorized Hospice staffmember, I'rovider shall provide ambulance and non-emergency transport services,including non-medical wheelchair transportation, to Hospice patients referred to Providerby Hospice ("Services"). Services shall be delivered in accordance with the patient's planof care.

(ii) Supplies and Equipment" Provider shall provide, properlymaintain, and service all supplies, equipment, and vehicles required for the provision ofServices.

(iii) Availabilitv. Provider shall be available to provide Servicesduring regular business hours and, if necessary, on a 24-hour basis; and shall maintainsufficient personnel who have the requisite training, skills, and experience to meet thisoblisation.

,dmbulance Agreement

(iv) Pick-Up. Provider shall provide Services on a timely basis.

Provider and Hospice shall establish a mutually agreeable schedule for Provider to pickup Hospice patients in need of transport.

(b) Professional Standards and Credentials.

(i) Professional Standards. Provider shall ensure that allServices are provided in a safe and effective manner by qualified personnel. Servicesshall meet or exceed the current standards for providers of such Services and shall be incompliance with all applicable larrvs, rules, regulations, professional standards, and

licensure requirements, including those relating to patient health and safety.

(ii) Credentials.

[a] Licensure. Provider represents and warrants that it ltas

and will maintain in good standing during the term of this Agreement all federal, state,and local licenses, registrations, and certifications required by law to provide Services.Upon Hospice's request, Provider shall provide Hospice with evidence ofsuch licenses,registrations, and certifications.

tbl Backeround Checks. Provider shall obtain criminalbackground checks on all ernployees who have direct contact with Hospice patients oraccess to Hospice patients' records. Unless state law specifies otherwise, Provider shallobtain the background check within three months of the date of employment for all statcsthat the individual has lived ol worked in the past three years. If an employee mustobtain a background check as a condition of the employee's licensure, Provider is notobligated to obtain an additional background check as long as the employee's license iscurrent.

[c] Qualifications ofPersonnel. Personnel who provideServices shall be reasonably acceptable to Hospice. Provider represents and warrants thatpersomel providing Services: [i] are duly licensed, credentialed, certified, and/orregistered as required under applicable state laws; [ii] possess the education, skills,training, and other qualifications necessary to provide Services; and [iii] based oncriminal background checks conducted by Provider, are eligible to provide Services andhave not been found to have engaged in improper or illegal conduct relating to theelderly, children, or vulnerable individuals. Provider shall enswe that its personnel keepcunent with these qualifications. Upon Hospice's request, Provider shall provide Hospicewith proofofan individual's qualifications to provide Services.

td] Disciplinary Action. Provider represents and warrantsthat neither it nor any of its personnel is under suspension or subject to any disciplinaryproceedings by any agency having jurisdiction over professional activities ofProvider or

Ambulance Agreement

its personnel and is not under any formal or informal investigation or preliminary inquiryby such department or agency for possible disciplinary action.

[e] Exclusion from Medicare or Medicaid. Providerrepresents and warrants that neither Provider nor its personnel has been, at any time,excluded from participation in any federally funded health care program including,without limitation, Medicare or Medicaid; nor has been convicted or found to haveviolated any federal or state fraud aad abuse iaw or illegal remuneration law.

(c) Authorization of Services. Provider shall provide Services toHospice patients only with the authorization of designated personnel of Hospice.Provider shall confirm coverage of Services by contacting Hospice prior to supplyingServices.

(d) Oualitv Assessment and Performance Imgrovement Activities.Provider shall cooperate with Hospice in its hospice-wide quality assessment andperformance improvement activities. Components of the quality assessmenl andperformance improvement program include: (i) data collection; (ii) reporting adversepatient events, analyzing their causes, and implementing preventive actions andmechanisms; and (iii) taking actions to improve performance. Upon request, Hospiceshall provide Provider with a description of its quality assessment and performanceimprovement program and information on relevant performance improvement projects.Third parly payors may also impose their own utilization management or qualityassurance requirements which Provider must meet. Cooperating in such activities shallnot constitute a waiver ofany legal privileges or rights that may apply to the informationthat is shared. Hospice shall maintain the confidentiality of such information in whateverform it is provided.

(e) Coordination of Care. Provider shall participate in any meetings,when requested, for the coordination, supervision, and evaluation by Hospice oftheprovision of Services. Hospice and Provider shall communicate with one anotherregularly, via phone, fax, email and /or in person, and as needed for each particularHospice patient.

(f) Policies and Procedures. In providing Services, Provider shall abideby patient care protocols, patients' plans ofcare, and applicable Hospice policies andprocedures. Provider shall incorporate into its orientation of staff the information relatedto infection control and the hospice philosophy, which are attached as Exhibit A.Provider shall maintain documentation of staff attendance at orientation and the contentof the training, and shall provide llospice with such documentation upon request.

(g) Cooperation with Complaints. In the event of any complaint filed byor with respect to a Hospice patient receiving Services, or any investigation initiated by

Ambulance Agreement Dec. 2008

any governmental agency, or any litigation commenced against Hospice, Provider shallfully cooperate with Hospice in an effort to respond to and resolve the same in a timelyand effective manner. Provider shall also cooperate fully with any insurance companyproviding protection to Hospice in connection with investigations. In this connection,Provider shall notify Hospice promptly ofany inquiries, claims and investigations, and

cooperate fully with the directions of Hospice with respect thereto.

2. Responsibilities of Flospice.

(a) ProfessionalManagementResponsibility.

(D Compliance with Law. I{ospice shall retain responsibility as

the care provider to all Hospice patients and family units, pursuant to the MedicareConditions ofParticipation for Hospice Care and state and local laws and regulations.This includes admission and/or discharge ofpatients, patient and family assessments,reassessments, establishment of Hospice plan of care, authorization of all services, andmanagement of the care through interdisciplinary team meetings.

(iD esAdil4ta! 3!d Eyabaflqa. Hospice shall retainresponsibility for coordinating, cvaluating, and administering the hospice program, as

well as ensuring the continuity ofcare of Hospice patients, which shall includecoordination of Services. Methods used to evaluate the care may include: [a] periodicsupervisory visits; [b] review ofthe qualifications of personnel providing Services;[c] review of documentation; [d] evaluation of the response ofa Hospice patient to theplan ofcare; [e] discussion with patient and patient's caregivers; [fl patient evaluationsurveys; and [g] quality improvenent data.

(b) Hosoice Care Trainine. Hospice shall ensure that Provider's staffwho have contact with Hospice patients and families receive orientation about thehospice philosophy as well as education regarding infection control. Provider's staff shallreceive in-service training and education programs as necessary to facilitate the provisionof safe and effective care to Hospice patients.

(c) Desiqnation of Flosoice Representative. For each Hospice patient,Hospice shall designate a registered nurse, who will be responsible for coordinating andsupervising services provided to a Hospice patient and available 24 hours per day, 7 daysper week, for consultation with Provider conceming a Hospice patient's plan of care. TheHospice representative shall monitor Provider and be available to provide information toProvider regarding the provision of Sewices and to coordinate the periodic evaluation ofpatient progress and outcomes of care upon request.

Ambulanc€ Agreement

(d) Provision of Information. Hospice shall provide for the ongoingsharing of information with Provider and shall provide Provider with the informationnecessary to render Services in accordance with *ris Agreement, the Hospice patient'splan of care, assessments, treatment plaming, and care coordination. Hospice shallnotify Provider ofpatient's coverage status for Services.

(e) Policies and Procedures. Hospice shall provide Provider with copiesof Hospice's policies and procedures applicable to the provision of Services and shallmeet with Provider to review such policies and procedures, as necessary. CurrentHospice policies on infection control and the hospice philosophy are attached as ExhibitA.

(0 Cooneration with Complaints. In the event of any complaint filed byor with respect to a Hospice patient receiving Services or any investigation initiated byany govemrnental agency or any litigation commenced against Provider, Hospice shallfully cooperate with Provider in an effort to respond to and resolve the same in a timelyand effective manner. Hospice shall also cooperate fully with any insurance companyproviding protection to Provider in connection with investigations. In this corurection,Hospice shall notify Provider promptly of any inquiries, claims, and investigations.

3. Billine and Pavment.

(a) Covered Hospice Patients. Within 10 calendar days of the end ofthemonth and within at least 30 days of providing Services, Provider sha1l submit to Hospicean accurate and complete statement of Services provided to Hospice patients who areeligible for and elect to receive the hospice benefit under Medicare and/or Medicaid, andany other patients Hospice designates to receive Services at Hospice's expense(collectively, "Covered Hospice Patients"). The statement shall include informationusually provided to third-parry payors to verify services and charges including, but notlimited to: The name of the Covered Hospice Patient; a description of the Servicesprovided; the date Services were provided; the total charges to Hospice for each CoveredHospice Patient; and any other information requested by Hospice. Hospice shall payProvider within 60 days after receipt of a final and complete statement. Payment byHospice with respect to such bills shall be considered final, unless adjustments arerequested in writing by Provider within 30 days of receipt of paynent. Hospice shallhave no obligation to pay Provider for any Services if Hospice does not receive a bill forsuch Services within 120 days following the date on which the Services were rendered.All invoices shall be submitted to:

Amedisys, IncAccowrts Payable DeptP.O. Box 90002Baton Rouge, LA 70879-0002

Ambulance Agreement

Or to: hospiceaccountspayable@amedisys.comAll charges shall be made in accordance with the rate payment schedule set forth inExhibit B. Unless otherwise requested by Hospice, Provider shall not seek directpayrnent for Services from any Hospice patient identified to Provider as a CoveredHospice Patient.

(b) Non-Covered Hospice Patients. Provider may bill usual andcustomary charges for all Services provided under this Agreement directly to Hospicepatients who are not Covered Hospice Patients or their applicable third-party payor.Provider shall not seek payment from Hospice in the event of default of financialobligations on the part of a Hospice patient or third-party payors. Hospice will, to theextent permitted by law, provide Provider with any information it may reasonablyrequire to obtain payment from any payor or other permissible payment source.

(c) Limitation on Hosoice's Financial Responsibilitv. Hospice shallbear no financial responsibility, obligation, or other liability to reimburse Provider forany charges, costs, expenses, or other fees for services provided to Hospice patients whoare not Covered Hospice Patients; that are not in conformity with the plan ofcare for agiven Covered Hospice Patient; and/or that are provided without the prior authorizationofHospice.

(d) Rates. Except as otherwise set forth in this Agreement, Providershall accep the rates set forth in Exhibit B as payment in full for Services provided toCovered Hospice Patients. The rates represent fair market value and do not take intoaccount the volume or value of referrals.

4. Insurance and Hold Harmless.

(a) Insurance. Each party shall obtain and maintain appropriateprofessional liability, commercial general liability, worker's compensation andemployer's liability insurance coverage in accordance with the minimum amountsrequired from time to time by applicable federal and state laws and regulations, but atno time shall the terms or coverage amounts of Facility's professional liability,commercial general liability, and employer's liability insurance be less than $l millionper claim and $3 million in the aggregate. Facility shall name Hospice as an additionalinsured under the professional liability and commercial general liability policies.Facility shall provide evidence ofsuch insurance to Hospice prior to the effective dateofthis agreement. Facility shall ensure that Hospice receives at least 30 days'noticeprior to the termination ofany insurance policy required by this Agreement.

(b) Mutual Hold Harmless. Each party hereby agrees to indemnify andhold harmless and defend the other party from and against any and all claims, suits,damages, fines, penalties, liabilities, losses, damages, costs and expenses (includingreasonable attomey's fees and court costs) resulting from or arising out of, any claimed

Ambulance Agreement D€c. 2008

willful negligent act or omission, fault, or misconduct by the indemniffing party or anyof its directors, officers, employees, agents, or volunteers pertaining to the serviceshereunder.

5. Records.

(a) Creation and Maintenance of Records. Provider shall prepare andmaintain complete and detailed records concerning each Hospice patient receivingServices under this Agreement in accordance with prudent recordkeeping proceduresand as required by applicable federal and state laws and regulations and Medicare andMedicaid program guidelines. Provider shall retain such records for six years from thedate of discharge ofeach Hospice patient or such other time period as required byapplicable federal and state law. Each record shall completely, promptly, andaccurateiy document all Services provided to, and events conceming, each Hospicepatient. Each record shall document that the specified services are fumished inaccordance with this Agreement and shall be readily accessible and systemicallyorganized to facilitate retrieval by either party. Provider shall cause each entry madefor Services provided to be signed and dated by the person providing such Services.

(b) Access bv Flospice. Provider shall permit Hospice or its authorizedrepresentative, upon reasonable notice, to review and make photocopies ofrecordsmaintained by Provider relating to the provision of Services including, but not limited to,clinical records and billing and payment records. This section shall survive thetermination of this Agreement.

(c) Inspection by Govemment. In accordance with 42 U.S.C.$ 1395x(vXlXD and 42 C.F.R. g 420.300, et seq., Provider shall make available, until theexpiration offive years from the termination of this Agreement, upon wdtten request, tothe Secretary of Health and Human Services of the United States, and upon request, tothe Comptroller General of the United States, or any of their duly authorizedrepresentatives, this Agreement and any of its books, documents, and records that arenecessary to certify the nature and costs of Medicare-reimbursable services providedunder this Agreement. If and to the extent Provider carries out any of its duties under thisAgreement through a subcontract with a related organization having a value or cost of$10,000 or more over a l2-month period, then Provider shall ensure that the subcontractcontains a clause comparable to the clause in the preceding sentence. Nothing containedin this section shall be construed as a waiver by either parfy ofany legal rights ofconfidentiality with respect to patient records and proprietary information.

(d) Destruction of Records. Provider shall take reasonable precautionsto safeguard records against loss, destruction, and unauthorized disclosure.

Ambulance Agreement Dec. 2008

6. Confrdentiality. Each party acknowledges that as part of its performanceunder this Agreement, it may be required to disclose to the other parfy certaininformation pertaining to Hospice patients (collectively, "Patient lnformation") and mayalso be required to disclose to the other parfy certain business or funncial information(collectively, with the Patient Information, the "Confidential Information"). Each partyagrees that it shall treat Confidential Information with the same degree ofcare it affordsits own similarly confidential information and shall not, except as specifically authorizedin writing by the other party or as otherwise required by law, reproduce any Confidentiallnformation or disclose or provide any Confidential Information to any person. A partythat discloses Confidential Information shall be entitled to injunctive reliefto prevent abreach or threatened breach of this section, in addition to all other remedies that may beavailable. This section shall survive termination ofthis Agreement.

7. Term and Termination.

(a) Term. This Agreement shall have an initial term of one yearbeginningontheEffectiveDate(''InitialTerm'')@s,

(b) rermination. fl n 4o-z' ZT:i: '407

(D Without Cause. This Agreement may be terminated by eitherparty for any reason by providing at least 90 days' prior written notice to the other party.In the event of termination of this Agreement during the first year of the term, the partiesshall not enter into a new agreement for the same or substantially the same arrangementfor the duration of the year. This provision shall survive termination ofthis Agreement.

(iD Mutual Wrinen Aereement. This Agreement may terminateat any time after the Initial Term upon written agreement ofthe parties.

(iii) For Cause. Either party may terminate this Agreement upon30 days' prior written notice to the other party, if the other party breaches this Agreementand fails to cure such breach within such 30-day period.

(iv) Change in Law. In the event there are substantial changes orclarifications to any applicable laws, rules or regulations that materially affect, in theopinion of either party's legal .counsel, any party's right to reimbursement from third-partypayors or any other legal right ofany party to this Agreement, the affected parry may, bywritten notice to the other party, propose such modifications to this Agreement as may benecessary to comply with such change or clarification. Upon receipt of such notice, theparties shall engage in good faith negotiations regarding any appropriate modifications tothis Agreement. If such notice is given and the parties are unable within 60 days

Ambulance Agrcement Dec.2008

thereafter to agree to appropriate modifications to this Agreement, either party mayterminate this Agreement by providing at least 30 days' notice to the other party.

(v) Immediate Termination. Notwithstanding the above, Hospicemay immediately terminate this Agreement if:

[a] Failure to Possess Oualifications. Provider or itspersonnel are excluded from any federal health program or no longer possess the

necessary qualifications, certifications, and/or licenses required by federal, state, and/orlocal laws to provide Services.

tbl Liquidation. Provider commences or has commencedagainst it proceedings to liquidate, windup, reorganize, or seek protection, relief, or aconsolidation of its debts under any law reiating to insolvency, reorganization, or relief ofdebtors or seeking the appointment of a receiver or trustee.

[c] Failure to Have lnsurance. Provider ceases to have

any of the insurance required under this Agteement.

tdl Threats to Health. Safetv or Welfare. Provider fails toperform its duties under this Agreement and Hospice determines in its full discretion thatsuch failure threatens the health, safety, or welfare of any patient.

[e] Commission of Misconduct. Provider commits an actof misconduct, fraud, dishonesty, misrepresentation, or moral hrpitude involvingHospice or its patients.

(c) Effect of Termination on Availabilitv of Services. In the event thisAgreement is terminated, Provider shall work with Hospice in coordinating thecontinuation of Services to existing Hospice patients and shall continue to provideServices to Hospice patients after this Agreement is terminated, if Hospice determinesthat removing Services would be detrimental to Hospice patients. In such case, Servicesshall continue to be provided in accordance with the terms set forth in this Agreement.This section shall survive termination of this Agreement.

8. Notification of Material Events. Provider shall immediately notify Hospiceof:

(a) Ownershio Change. Any change in 1070 or more of its ownership.

(b) Business Address Chanee. Any change in business address.

(c) Licensure Actions. The commencement of any action on licenses,permits, or other legal authorizations including, but not limited to, any sanctions,

Ambulance Agr€ement Dec. 2008

intermediate or otherwise, administrative or judicial fines, penalties, investigations orreports ofaction by federal or state ofncials against Provider or its personnel.

(d) Exclusion. Any threatened, proposed, or actual exclusion of it orany of its subcontractors or personnel from any govemment program including, but notlimited to, Medicare or Medicaid.

(e) Insurance. The cancellation or modification of any of the insurancecoverage Provider is required to have under this Agreement.

(0 Liquidation. The commencement of any proceeding to liquidate,windup, reorganize, or seek protection, relief, or a consolidation ofProvider's debts underany law relating to insolvency, reorganizadon, or reliefofdebtors or seeking theappointment of a receiver or trustee.

(g) Violations lnvoivins Mistreatment, Neglect or Abuse. All allegedviolations involving mistreatment, neglect, or verbal, mental, sexual, and physical abuse,including injuries of unknown source, and misappropriation ofpatient property byanyone fumishing services on behalf of Hospice, to the extent that Provider or Provider'spersonnel has knowledge ofsuch events.

(h) Patient Grievances. A Hospice patient's grievance regardingtreatment or care that is (or fails to be) fumished and the lack ofrespect for property byanyone who is furnishing services on behalf of Hospice.

9. Nondiscrimination. The parties agree that in the performance of thisAgreement they will not discriminate or permit discrimination against any person orgroup ofpersons on the grounds ofrace, color, sex, age, religion, or national origin in anymanner prohibited by federal or state laws.

10. Independent Contractor. In performance of the services discussed herein,Hospice and Provider shall each be, and at all times are, acting and performing as anindependent contractor, and not as a partner, a co-venturer, an employee, an agent, or arepresentative of the other. No employee or agent of one party to this Agreement shall beconsidered an employee or agent ofthe other party.

11. Use of Name or Marks. Neither Hospice nor Provider shall have the rightto use the name, symbols, trademarks, or service marks of the other party in advertisingor promotional materials or otherwise without receiving the prior written approval ofsuch other party; provided, however, that one party may use the name, symbols, or marksof the other party in written materials previously approved by the other party for thepurpose of informing prospective Hospice patients and attending physicians of theavailability of the services described in this Agreement.

Ambulance Agreemena

l0Dec. 2008

12. MiscellaneousProvisions.

(a) Amendment. No amendment, modification, or discharge of thisAgreement, and no waiver hereunder, shall be valid or binding unless set forth inwriting and duly executed by the parties hereto.

(b) Severability. This Agreement is severable, and in the event that any

one or more ofthe provisions hereof shall be deemed invalid, illegal, or unenforceable inany respect, the validity, legality, and enforceabiiity of the remaining provisionscontained herein shall not in any way be affected or impaired thereby.

(c) Headings. The descriptive headings in this Agreement are forconvenience only and shall not affect the construction of this Agreement.

(d) Govemins Law. This Agreement, the rights and obligations of theparties hereto, and any claims or disputes relating thereto, shall be govemed by andconstrued in accordance with the laws of the State of Tennessee .

(e) Nonassignability. Provider shall not assign or transfer, in whole orin part, this Agreement or any of Provider's rights, duties or obligations under thisAgreement without the prior written consent of Hospice, and any assignment or transferby Provider without such consent shall be null and void.

(0 Waiver. The waiver by either party of a breach or violation of anyprovision in this Agreement shall not operate or be construed as a waiver ofanysubsequent breach or default ofa similar nature, or as a waiver of any such provisions,rights, or privileges hereunder.

(g) Binding Effect. This Agreement shall be binding upon and inure tothe benefit of the parties hereto and their respective successors and permitted assigns.

(h) No Third-Part)' Beneficiaries. Except as expressly providedelsewhere herein, nothing in this Agreement is intended to be construed or be deemed tocreate any rights or remedies in any third party.

(i) Force Maieure. In the event that either party's business or operationsare substantially intemrpted by acts of war, fire, labor strike, insurrection, riots,earthquakes, or other acts of nature ofany cause that is not that party's fault or is beyondthat party's reasonable control, then that party shall be relieved of its obligations only asto those affected operations and only as to those affected portions of this Agreement forthe duration of such interruption.

C) No Requirement to Refer. This Agreement is not intended toinfluence the judgment ofany physician or provider in choosing medical specialists or

Ambulance Agr€ement I I

Dec 2008

medical facilities appropriate for the proper care and treatment of residents. NeitherProvider nor Hospice shall receive any compensation or remuneration for referrals.

(k) Nonexclusive Asreement. This Agreement is intended to be

nonexclusive, and either party may use any provider for the same or similar services.

0) Counterparts. This Agreement may be executed in any number ofcounterparts, all of which together shall constitute one and the same instrument.

(m) Notices. All notices or other communications which may be or are

required to be given, served, or sent by any party to the other party pursuant to thisAgreement shall be in writing, addressed as set forth below, and shall be mailed by first-class, registered, or certified mail, retum receipt requested, postage prepaid, ortransmitted by hand delivery or facsimile. Such notice or other communication shall be

deemed sufficiently given or received for all purposes at such time as it is delivered to theaddressee (with the retum receipt, the delivery receipt, the affidavit or messenger or theanswer back being deemed conclusive evidence ofsuch delivery) or at such time as

delivery is refused by the addressee upon prcsentation. Each party may designate bynotice in writing a new address to which any notice or communication may thereafter be

so given, served, or sent.

TO: HOSPICEAdventa Hospice, L.L.C., #55295959 S. Sherwood Forest Blvd.Baton Rouge, LA 70816Attn: Contracting Dept.

TO: PROVIDERAnderson County EMSP.O. Box 2510Macon, GA 31203Attn:

(n) Entire Agreement. This instrument contains the entire ageement ofthe parties hereto and supersedes all prior oral or written agreements or understandingsbetween them with respect to the matters provided for herein. This Agreement may notbe modified or amended except by mutual consent of the parties, and any suchmodification or amendment must be in writing duly executed by the parties hereto, andshall be attached to, and become a part of, this Agreement.

Ambulance Agreementt2

The parties have executed this Agreement as of the day, month and yeax f,rstwritten above.

Adventa Hospice, L.L.C:

Name: Michael MayesTitle: Strateeic SourcingSpecialist

Anderson County EMS:

By:Name:Title:

Anbulanc€ AgreementIJ

EXHIBITA

THE HOSPICE PHILOSOPHY

Hospice affirms life. Hospice recognizes dying as a normal Process. Hospice neither hastens norpostpones death. Hospice exists in the hope and beliefthat through appropriate care and the promotion ofa caring community sensitive to their needs, Hospice Patients and families may be free to attain a degree

ofmental and spiritual preparation for death that is satisfactory to them.

ADMISSION CRITERIA

The Hospice Patient has a confirmed diagnosis ofa terminal disease.

The Hospice Patient has limited life expectancy. For the purpose of Medicare,Medicaid limited lifeexpectancy is 6 months or less, ifthe disease follows its normal course.

The Hospice Palient is in the advanced stages of terminal illness when therapies are not longer utilized forcure or eradication ofthe Hospice Patient's primary disease process. Palliative therapies will be used tocontrol defined signs and symptoms, which result from the disease.

The Hospice Patient and family know the expected outcome ofthe disease.

The Hospice Patient, family and primary care/Attending Physician understand and agree, that by electingthe Medicare/Medicaid benefit for Hospice Services, that all of the aforementioned parties have acceptedthat medical science has exhausted its ability to cure or restore the Hospice Patient to good health and thatthe Hospice Patient will no longer seek diagnostic, curative and./or aggressive treatments and accepts theprovisions ofa covered services as defined by Medicare Hospice regulations.

The physician, Hospice Patient and family request Hospice Sewices.

Hospice Infection Control Policv

Policy:

The hospice agency shall have an effective infection control program designed to improve patient and staffhealth outcomes by identifying and reducing the risk of infection among and between patients, staff and'volunteers. The components ofthe Infection Control Program are:

t Surveillance* ldentification* Prevention{. Control* lnvestigation* Reporting

The program will be outlined and implemented in accordance with U.S. Department of Health and HumanServices, Centers for Disease Control, Occupational Health and Safety Administration and State Law andRegulation.Staff and direct care volunteers Wll receive mandatory infection control education at least annually;contracted staff, patients and caregivers will receive infection control educalion appropriate to theirdiagnoses and needs as per the Amedisys Infection Control Manual.

1AAmbulance Agrcement

Exhibii 1

Dec. 2008

EXHIBIT BLISTING OF SERVICES AND RATES

AI{DERSON COUNTY EMS

Fxhibit 1

15

Description HCPCS Code Charge

BLS Non-Emergency A0428 $400

BLS Emergency 40429 $49s

ALS Non-Emergency A0426 $600

ALS I Emergency 40427 $605

AIS 2 Emergency 1,0433 $71s

Specialty Care Transport 40434 $825

BLS Non-Emergency A0428 $400

Paramedic Interceot 0432 $715

ALL MILEAGE 1i0425 $10

Ambulance Agreement

N. JAY YEAGERLaw Director

Orrtcn Or THr Couxry LAw DTRECToRANDERSoN CouIqTy. TENNESSEE

l0l South Main Street, Suite 310CLINTON, TENNESSEE 377I6

'l'':-::ll CiY. PtJRC|1

20lq ilN 2] Ptl 4' 20

TELEPHQNE: (86s) 457 -6290FACSIMILEI (865) 45-l-3775Email : jyeagt'@aclawdirectcr.com

Jxuary 24,2014

lrJathan SweetAnderson County EMS314 Public Safety LaneClinton, TN 37716

RE: Health Care services Agreement - ssc Andersonville operating co., LLC d/b/a NotisHealth & Rehabilitation Center

Dear Nathan:

Pusuant to your request dated January 24,2014, I have reviewed the above-referenced connacrfor legal form. After review, I am satisfied this document meets or exceeds all requirements 1brcontract formation under Tennessee law. 'I'herefore, I have approved this contract as to legalfomr.

The term of this contract extends beyond the fiscal year, therefore it must be presented to ColntyC om m i s s io n for appr ov al.

This approval is to legal form only. I assume, since you submitted this contract to my office forapproval that you have read this agreement, and the terms and conditions set forth are desirableto you and the departrnent involved. I have not been involved in the negotiations of this conrracr;however, if you would like additional guidance and advice regarding a specific provision ofthecontract, please feel free to contact me. Furthermore, for the pu4pose of the approval process, itis assumed that this contract has been properly bid, ifrequired, and budgeted according to grarelaw.

Please call, if you have additional questions or concems.

With kindest regards, /,/- ,/' / -af/ /'/ ,/t t ' f ,t2. a^7 2'l/45/-

N. laufreaoer /

Enclosure: 16 pages

\ -aD-\\

ffi G\tn"" * (r,,,^* f\b-d.\ +t' wr.b"^^rl^ K-

HEALTH CARE SERVICES AGREEMENT

(Tr ansp ort ation S erv i c es)

This Health Care Services Agreement ("Agreement") is by and between SSC Andersonville OperatingCompany, LLC dlb/a Norris Health and Rehabilitation Center, and Anderson County EMS ("Contractor").Any notices or other communicatioas required or permitted to be given pursuant to this Agreement shall be sent tothe parties at the addresses set forth on the signature page to this Agreement.

l. Term. This Ageement shall conmence on November 25, 2013 and shall expire on June 30 ,2016, unless earlierterminated as provided herein. In the event this Agreement is terminated prior to one year from the commencementdate, the parties shall not enter into a substantially similar agrcement until the exptation of at least one (l) yearfollowing the commencement date.

2. Services and Compensation. Contractor shall provide the services to Facility and its residents (the "Services"),and shall receive compensation for those Services, as set forth on Exhibit A attached hereto and incorporated hereinby reference.

3. 3. Payment. In the event Facility is required by the compensation provisions set forth in Exhibit A to payContractor directly for the Seruices, Facility shall pay Contractor within forry-five (45) days ofreceipt by Facility oiContmctor's accurate and complete invoice containing all documentation required by Facility, including a line itemlist of all Seryices provided by Contractor for each resident to include HCPCS or other applicable coJing, servrc"date(s), quantities and charges. Invoices submitted later than one hundrecl twenty (120) dayi following thi date theService was provided shall be deemed untimely, and Facility shall not be required to pay Contraitor for suchSeryices.

4. Terrnination. This Agreement may be terminated as follows:

. a. Withoul Cause. Either party may terminate this Agreement without cause by providing at least sixty (60)days pdor wdtten notice to the other party.

b. Breach. Either party shall have the right to terminate this Agreement in the event ofthe other party's breachof this Agreement by providing at least thirty (30) days written notice to the other party. Any suci notice shallspecify the cause upon which it is based. The violating party shall have the thfty (30iday notice period in which torediq/ the cause specified in the notice oftermination, or, if such cause is not rectified to ihe satisiaction ofthe non-breaching party within such thirty (30) day period, this Agreement shall thereupon automatically terminate.

. c. Material Change. To the extent that changes in laws, regulations, or the method or amount ofreimbursement require the restructuring of the relationship between the parties established by this Agreement, theparties shall negotiate in good faith-to amend this Ageement and otherwise restructure their relationship in order toeffectuate their mutually agreed upon purposes. If the parties are unable to resolve the matter withi; thirty (30)days, either party may, at its option, immediately terminate this Agreement.

d'. Immediate Terminqtion. Facility may immediately terminate this Agreement upon the occurrence ofany ofthe following events: (i) loss or suspension of any license of Contractor iequired for the provision of Servicespursuant to this Agreement or the imposition of any sanction against Confiactor under fedeial or state Aaud andabuse_ laws and regulations or any other federal or state laws or regulations relating to Contractor's participation inthe Medicare or state Medicaid programs; (ii) appointment of a reieiver for Contriactor's assets, an assignment byContractor for the benefit of its creditors or any relief taken or suffered by Contractor under any bantuptcy orinsolvency act; or (iii) anyjeopardy to the health or safety ofresidents ofthe Facility.

e. Automatic Termination. This Agreement shall automatically terminate in the event either party is excludedfrom p_articipation in any federally funded health care program, including Medicare or Medicaid, as ofthe effectivedate ofsuch exclusion.

5. General Terms and Conditions. The General Terms and Conditions set forth on Exhibit B attached hereto arerncorporated herein by reference as though fully set forth herein. Facility and Conhactor sh;ll comply with theGeneral Terms and Conditions as part ofthis Agreement,

1046248.1 A-I

6. Entire Agreement. This Agreement, including the Exlibits A-C attached hereto and referenced herein,contains the sole and entbe agreement between the parties regarding the subject matter hereof and supersedes anyand all prior written or oral agreements between the parties. The Agreement will not be co[strued in favor of oragainst any party by reason of the extent to which any party participated in the prepamtion of the Agreement. Ifeither party has made any change to the Agreement that said pafty did not bring to the other party's attention in away that is reasonably calculated to put the other party on notice ofthe change, the change shall not become part ofthe Asreement.

IN WITNFSS WHEREOF' the paaies by their dulyy'uthorized representatives have entered into this Agreement asof tne//-Qay ot Ja,t----/ ' .2s!:/

FACILITY;SSC Andersonville Operating Company LLC d/b/aNorris Health and Rehabilitation Center3382 Andersonville PikeAndersonville, TN 37705

?;+$r*zz, Gy ,zp/n^ /AA/"*'//.

Address for Notices:3382 Andersonville Pike, Andersonville,TNAttn: Executive D ectorFacsimile:

Copy to:SSC Andersonville Operating CompanyLegal DepartmentOne Ravinia DriveSuite 100

Atlanta, GA 30346

CONTRACTOR:Anderson County EMS

By,

Name:

Title:

Address lor Notices:314 Public Safety LaneClinton, TN 37716

1046248.1 A-2

Attn: Nathan Sweet, DirectorFacsimile: (865) 457-9701

1046248.1 A-3

Exhibit A

Iransportation Services and Compensation

1. Services. Contractor shall provide, on a non-exclusive basis, emergency and non-emergency medicaltransportation seryices to Facility's residents twenty-four (24) hours a day, seven (7) days a week. Contractor shallprovide the Seryices Promptly and in accordance with the medical needs ofthe resident. Facility shall abide by theAnderson County resolution governing ambulance services.

a. For all scheduled requests for Services, Conhactor agrees to have its driver arrive at the patient'sdesignated pick-up location promptly at the scheduled time. For all unscheduled requests for non-emergencyServices, Contractor agrees to have its ddver arive at the patient's designated pick-up location as promptly as

possible and, in any event, no later than one (1) hour afler the unscheduled request has been made. EmergenayServices will be provided as promptly as possible in accordance with applicable legal and regulatory standards.

b. Contractor shall provide a telephone number for Facility to initiate transportation requests for Services and,upon receiving such a request from Facility, Contractor will use its dispatcher to arrange for the timely provision ofServices as required under the terms ofthis Agreement.

c. Contractor shall use Contractor's own equipment and/or supplies in the performance ofthe Services.Contractor shall use appropriately licensed and/or ceftified vehicles and equipment to provide the Serviceshereunder and shall keep such vehicles and its equipment and supplies in good order, condition, and repair pusuantto applicable legal and regulatory requirements. Contractor will maintain, and provide to Facility upon request,written service records for all servicing ofthe vehicle(s) used by Contractor to provide Services under the terms ofthis Agreement.

d. Contractor shall file a written report and provide documentation to Facility with respect to any knowninjuries occuring to residents during transport (falls, etc.), indicating the twe of injuy, the place and time that theinjury occurred, and any other information requested by Facility.

2. Compensation.

a Consolidated Billing Semices. "Consolidated Billing Services" shall mean and include those Servicesprcvided to residents during the course of a stay in the Facility which is covered under Medicare Part A, except asotherwise provided in 42 u.s.c. g l395yy, 42 c.F.R. g 411.15, applicable cMS progam Memoranda andTransmittals, or the Skilled Nursing Facility Provider and Supplier Coding Files, as published and amended orupdated by CMS.

. _ i. Facility shall compensate Contractor for any Consolidated Billing Services provided to Facilityresidents at 100% Medicare Fee Schedule for ambulance services to Medicare patients.

ii. Contractor's invoice for Consolidated Billing Sewices shall include accurate and completedocumentation of each Service provided, including an itemized list of Services performed for each resident. HCPCSor other applicable coding, Seryice date(s), and applicable charges.

iii. Contractor shall provide additional documentation regarding Consolidated Billing Services, asreasonably requested by Facility. Confactor shall have th€ right, upon request, to audit Contractor,s charges forConsolidated Billing Services.

iv. In the event Contractor receives payment from Facility for a Consolidated Billing Service, andpayment for the Service is later disallowed or recouped by Medicare, Contractor shall repay t; Facility suchamounts to the extent that such disallowance or recoupment resulted from the acts, err-ori or omissions ofContractor' At its option, Facility may either offset the amounts disallowed or recouped from any future paymentsdue to Contractor hereunder or may require Contractor to repay such amounts immediately upon Facility,s iequesr.

A-410-46248.1

Exhibil 1

b. Direct Bill Services. Contractor shall invoice the resident, the resident's responsible party, Medicare,Medicaid, a managed care organization or any other third party reimbursement source (collectively relerred to as the"Appropdate Payor") for all Services to residents other than Consolidated Billing Services ("Direct Bill Services")at rates not to exceed Confractor's usual charge for Services and in accordance with applicable requirements offederal and state laws and regulations. Contractor agrees to accept payments from such Appropriate Payors aspa]'ment in full for Direct Bill Services rendered under this Agreement. Contractor shall not bill Facility for DirectBill Services, and Facility shall have no obligation to compensate Contractor for such Services.

r046248.1

Exhipit 1

Exhibit B

General Terms and Conditions

l. Incorporation by Reference. These General Terms and Corditions are incorporated by reference into theAgreement to which they are attached. Capitalized terms not defined herein shall have the meaning set forth in theAgreement.

2. Licenses, Permits and Accreditations. The Facility, in accordance with applicable law, is responsible forobtaining Services that meet professional standards and principles that apply to professionals providing suchServices in the Facilify and for the timeliness of the Services. Accordingly, Contractor hereby represents andwarrants to the Facility that Contractor and each of its employees, agents and subcontractors who perform Serviceson behalf of Contractor pursuant to this Ageement (the "Contractor Personnel"): (a) are, and will remain at all timesthroughout the term ofthis Agreement, authorized to participate in the Medicare and state Medicaid programs andshall comply with all conditions of Participation or other requkements applicable to participation in such programs;(b) have, and will maintain at all times thoughout the term of this Agreement, ail the n"cessary qualifications,certifications, licenses and/or accreditations required by federal, state and local laws and regulations tL provide theServices covered by this Agreement, including but not limited to state and federal DOT regulations applicable tooperations ofcommercial vehicles providing healthcare transportation (collectively, "Contractor Licensei;';; 1cy willprovide the Services in accordance with the professional standards and principles applicable to their profesion; and(d) are not, and at no time have been, excluded from participation ir any lederaliy funded health care program,including Medicare or Medicaid, or sanctioned under any applicable state or federal fraud and abuse statutes.Contractor will provide Facility with a copy of the Contractor Licenses upon request. Contractor shall provideprompt written notice to the Facility of any changes in the Contractor Licenses, including any temporary orpermanent suspension or revocation of any Contractor License, or any sanction or proposed sanction or ixclusionagainst Contactor, or any offltcer, director or owner of Contractor, in comection with pirticipation in any federallyfunded health care program.

3. Compliance. Contractor shall provide, and shall ensure that the Contractor Personnel provide. the Servlces roFacility's residents in accordance with (a) all applicable requirements of federal, state or iocal laws, rules and./orrequlations, including official interpretations of those requiriments by the entities charged with implementing andenforcing them, including, without limitation, nondisciimination on the basis of race, color, national origin,handicap, age, or other protected class; (b) accepted professional standards of practice; and (c) ail Facility poliiiesand procedures and any revisions thereto that are applicable to the provision of Services to Facility residents, copiesof which shall be provided to Contractor. contractor shall tarticipate, as reasonably requested, in quilitymonitoring programs established by Facility. If applicable, vindor igrees to comply with the piovisions ofparagraphs I through 7 of41 C.F.R. Section 60-1.4(a); the affirmative action for disabled workers clauses set forthin 4l C.F.R. Section 60-741.5(a); and the affirmative action for veterans clauses set forth in 4l C,F.R. Section 60-250.4, which are incorporated by reference herein.

4, Corporate Compliance Program.

^ a. Contractor acknowledges Facility's Corpomte Compliance Program and receipt of Facility,s Code ofConduct, including its mechanism for reporting suspected fraud, abuse or other illegil or unethiial activities(Hotline (800) 572-9981). If Contractor has its own compliance program, contracto. ..!r"sent. and warrants thatthe Contractor Personnel who provide billing services or patient care services with resiect to federal health careprogram beneficiaries at Facility shall read and understand Confiactor's integrity brochure, which includes itsstandards of conduct, prior to commencement of Services under this Agreemenl. To the extent that Contractor'sstandards of c-onduct and integdty program differ in any matedal respect affecting ethical conduct from thecompliance information and requirements contained in the Facility's Codi of Conduct,-Contractor shall inlbrm thecontractor Personnel of such additional information and requiiements and that Facility has a mechanism forreporting misconduct. contractor agrees to obtain and retain a signed certification from each of the con[acrorPersonnel providing Services to the Facility that they have receivid, read and understand Contractor's integrityprogram, including its standards of conduct and any additional information provided by Contractor,s CornpliinciOfficer reJating to Facility's Code of Conduct and agree to abide by such requirements therein. Such certificationshall be obtained prior to commencement of Services under this Agieement, shall be maintained by Contractor andshall be made available for review by Facility or Facility's agents uton reasonable request.

1046248.1

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b. If Contactor does not maintain a compliance program Contractor represents and vr'arrants that each oftheContractor Personnel who provide billing services or patient care services with respect to federal health careprogram beneficiaries at Facility shall read and review Facility's Code of Conduct prior to commencement ofServices under this Agreement. Contractor agrees to obtain and retain a signed certification Aom each of theContractor Personnel providing Seryices to the Facility that they have received, read and understand Facility's CodeofConduct and agree to abide by the requirements ofFacility's Corporate Compliance Program. Such certificationshall be obtained prior to commencement of Seruices under this Agreement, shall be maintained by Contractor andshall be made available for review by Facility or Facility's agents upon reasonable request.

5' Patient Records. Facility and Contractor shall each prepare and maintain records conceming Facility'sresidents receiving Services under this Agreement, in accordance with applicable federal and state laws, regulationsand program guidelines. Contractor shall provide to Facility documentation of the Seruices provided to, and anyother relevant information regarding Contractor's contact with, Facility residents hereunder. If the Servrces areprovided on the Facility premises, such documentation shall be made in the residents' medical record or chart, whichshall be and remain the property of the Facility. If the Services are provided off of the Facility premises, suchdocumentation shall be on the forms and in the format required by Facility policies and procedures in accordancewith applicable laws, regulations and program guidelines. Contractor hereby agrees to maintain the confidentialityof all information and records relating to Facility's residents which it acquires in the course of performing theServices and to assure that such confidentiality is maintained by each ofthe Contractor Personnel providing Servicespusuant to this Agreement.

6. HIPAA Compliance. See Exhibit C.

7. Record Retention Requirements.

a. All records created by Contractor in connection with the provision of Services pursuant to this Agreement,including patient records and records related to billing and payment, shall be retained by Facility and Contractor fora period ofseven (7) years lrom the date the Service was provided or such greater time period as may be required byapplicable law. Facility shall be permitted to inspect and/or duplicate any patient record, chart or other record ofContractor relating to.the provision of Services hereunder by Contmctor for any business purpose, including,without limitation, determining Contractor's compliance with the terms of this Agreeminti ensuring safi,dependable and efficient patient care; satisrying Facility's obligations to any patient; or defending any allegition ofmalpractice or ot}ler Iiabiliry against Facility.

b To the extent the value or cost of Services furnished under this Agreement is $10,000 or more oyer atwelve month period, then Contractor, for a period of four (4) years after the fumishing ofsuch Services, shall retainand shall make available upon written request by the Secretary of the Department of Health and Human Services,the Comptroller General, or their authorized representatives, a copy ofthis Ageement and all books, documents andrecords that are necessary to certify the nature and extent of the costs incured by Facility under this Agreement.Contractor further agrees that in the event Contractor carries out any of its duties under this Agreement ihrough apermitted subconfact with a related organization with a value or cost of $10,000 or mo.e over a twelve monthperiod, such subcontract shall contain a provision requidng the related organization, for a period of four (4) yearsafter the furnishing of such Services, to retain and to make available upon written request by the Secretary of theDepartment of Health and Human Seryices, the Comptroller General, oi their authorized representatives, a copy ofsuch subcontract and all books, documents and records of such organization that are necessary to vedry the natureand extent of such costs. Contractor agrees to notiry the Facility promptly of the nature and sc-ope of anygovemmental request for access to books and records related to this Agreement and to provide to the Facility, ormake available, copies of any books, records or documents proposed to be provided. Any disclosure under thisparagraph shall not be construed as a waiver ofany other legal rights to which such party may be entitled.

c. This Section shall suryive the exptation or termination of this Agreement.

8' Insurance. Contractor shall, at its sole cost and expense, procurer keep and maintain throughout the term ofthis Agreement, insurance coverage in the minimum amount ofone million dollars ($1,000,000) pir occurrence andthree million dollars ($3,000,000) annual aggregate, for professional liability, negligence, errors ind omissions, andcommercial general liability and applicable state statutory limits for workers compensation. In addition, contractorshall maintain commercial auto liability insurance with limits ofat least three million dollars ($3,000,000j combined

1046248.r

Erhiiolt'i

single limit and such insurance shall include a minimum of $5,000 in medical payment coverage. Said insurancepolicies shall cover all services Contractor, its dfectors, oficers, employees, agents and/or contractors provide.Cootactor shall provide Facility with evidence of such insurance promptly upon request. In the event Contractorprocues a "claims made" policy to meet the insurance requtements herein, Contractor agees to purchase "tail"coverage upon the termination ofany such policy providing for an indefinite reporting period.

9. Indemnilication. Each party shall indemnify, defend, and hold the other party harmless from and against anyand all losses, claims, suits, damages, liabilities and expenses (including, without limitation, reasonable attomeys'fees) of any nature or kind whatsoever arising out of or resulting from, dfectly or indirectly: (a) a party's breach ofthis Agreement, including, without limitation, breach of any representation, waranty, or covenant of such party inthis Ageement; and (b) any alleged negligent or intentional acts or omissions of a party, its agents or employees,based upon, arising out of or attributable to the performance or non-performance of thet respective obligationsunder this Agreement. Upon notice, the other party shall resist and defend, at its own expense, any such claim oraction. Said indemnity is in addition to any other rights the indemnified pafty may haye against the indemnifyingparty. This Section shall survive the expiration or Iermination of this Agreement.

10. Independent Contractor. Nothing contained herein or any document executed in connection herewith shallbe deemed or construed by the parties hereto, nor by any third party, as creating the relationship of principal andagent, employer and employee, partnership, or joint venture between the parties. Each party herby acklowledgesthat neither it nor its Agents shall have any right or entitlement in or to any of the unemployment, workerscompensation, health, pension, retirement, or other benefit programs now or hereafter available io the other party,semployees.

11. Arbitration.hereofshall be senled arbitration in the counry in which the Facility is locared. in the rules of theAmerican Health Alternative Dispute Resolution Servrce the laws of the State inwhich the Facility is award rendered by the final and binding upon each of theparties, and judgment thereof entered in any jurisdiction. Dwing the pendency of any sucharbifation and until final judgment has this Agreement shall remain in full force and effectunless otherwise terminated as Agreement. Notwithstanding anything to the confiary in thisSection, any party may seek a order or other interim injunctive or provisional relief from acourt of properrelief is obtainr

first resorting arbitration procedures set fofih in this Section. If any sucharbitrator(s) shall address the

parties agree to abide by the arbitrator,s such relief. This Section shall survive theor termination ofthis Asreement.

No AEBxaaott*n O*dispute or controversy arising under this Agr"eeme-nt or any amendment

modification or termination of such relief in the

12. Cumulation of Remedies; No Waiver. The various rights, options, elections, powers, and remedies of therespective parties as provided in this Agreement are in addition to any others that said parries may be entitled to bylaw, shall be construed as cumulative, and no one ofthem is exclusive ofany ofthe others, or of any right or priorityallowed by law. The failure of a party to exercise any of its rights or to give any notice with respict t-o any defaultby the other party or otherwise to insist upon the strict performance of thi other'party's obligations hereunder shallnot be deemed a waiver ofsuch party,s right with respect thereto in the future.

13. Attorney's Fees. If Contractor or Facility brings any action to interpret or enforce this Agreement, or fordamages for any alleged breach hereof, whether by arbitation or otherwise, rhe prevailing party iriany such actionshall be entitled to reasonable attorneys' fees and costs as awarded by the arbitrator in addition to all ot'her recovery,damages and costs. This section shall survive the expiration or termination ofthis Agreement.

14._ Governing Law; statutory References. This Agreement shall be governed by and construed in accordancewith the laws of the State in which the Facility is located, without regard io the confiict of laws rules of such State.Any reference in this Agreement to any statute, regulation, ruling, or administrative order or decree shall include andbe a reference to any successor statute, regulation ruling, or administrative order or decree.

15.. Force Majeure' Neither party hereto shall be liable for any delay or failure in the performance of anyobligation under this Agreement or for any loss or damage (including indire;t or consequential damage) to the extentthat such nonperformance, delay, loss or damage results from any contingency which is beyond the-control of suchparty' provided such contingency is not caused by the fault or negligenie of such party.' A contingency for the

8

Exhlbit'ir046248.I

purposes of this Agreement shall include Acts of God, fires, floods, earthquakes, explosions, storms, wars,hostilities, blockades, public disorders, quarantine restrictions, embargoes, and compliance with any law, order orcontrol of, or insistence by any govemmental or military authority.

16. Confidentiality. The parties hereto shall hold in confidence the information contained in this Agre€ment orother information about a party, and each of them hereby acknowledges and agrees that all information related tothis Agreement or other information about a party, not otherwise known to the public, is confidential and proprietaryand is not to be disclosed to third persons without the prior wdtten consent of each of the parties except (a) to theextent necessary to comply with any law, rule or regulation, including, without limitation, any rule or regulationpromulgated by the SEC, or the valid order of any govemmental agency or any court of competent jurisdiction; (b)to its auditon and its attomeys as part of its normal reporting or review procedure; (c) to its insurance agent to theextent necessary to obtain appropriate insurance; or (d) as necessary to enforce its rights and pedorm its agreementsand obligations under this Agreement. This Section shall survive the expiration or termination ofthis Ageement.

17. Miscellaneous. This Agreement may not be modified, amended or supplemented, nor may any term orcondition be waived, except by an agreement in writing signed by both parties. Neither this Agreement nor any ofthe duties or obligations of Confiactor hereunder shall be assigned or delegated by Contractor without prior wnttenconsent of Facility. Subject to the restdctions against transfer or assignment as herein set fonh, the provisions ofthis Agreement shall inure to the benefit of, and shall be binding on, the heirs, assigns, successors, personalrepresentativ€s, estates and legatees of each of the parties hereto. This Agreement shall constitute the ent[eagreement befween the parties hereto with respect to the transactions contemplated hereby and shall supersede allprior or contemporaneous negotiations, understandings, and agreements. There are no representations, agreements,arrangements or understandings, oral or written, between or among the parties hereto relating to the subject matter ofthis Agreement that are not fully expressed herein. If any provision of this Agreement is found to be invalid orunenforceable by any court or other lawful forum, such provision shall be ineffective only to the extent that it is incontavention of applicable laws without invalidating the remaining provisions of this Agreement, unless suchinvalidity or unenforceability would defeat an essential business purpose ofthis Agreement.

1E' SurviYal. Except as otherwise expressly provided in this Agreement, all covenants, agreements, representationsand wananties, express and implied, shall survive expiration or termination ofthis Agreement.

19. Signatures. This Agreement may be executed in any number of counterparts, each of which shall be deemedan original, but all of which shall constitute one and the same agreement. Facsimile signatures shall be acceptable asoriginals. Any individual signing this Agreement on behalf of an entity hereby represents an{ wananis in hisindividual capacity that he has full authority to do so on behalf of such entity; provided, however, that Connacroracknowledges and agrees that this Agreement is not binding on the Facility until accepted by the Facility,s DirectorofOperations as evidenced by his or her signature on the Agreement.

9

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t046248.1

Exhibit C

Business Associate Addendum

Business Associate and Covered Entity are parties to a Services Agreement (the "Agreement"). Forpurposes of complying with the Administrative Simplification requirements of the Health Insurance Portability andAccountability Act of 1996, as amended, and the regulations promulgated thereunder (collectively, "HIPAA") andthe requirements of Subtitle D ofthe Health Information Technology for Economic and Clinical Health Act and theregulations promulgated thereunder (collectively, "HITECH), if and only to the extent that Business Associate isacting as a business associate (as deflred by HIPAA) ofCovered Entity, the parties agree as follows:

l. Definitions. Capitalized terms used, but not otherwise defined in this Addendum, shall have the samemeaning as those terms in the HIPAA regulations and HITECH, and the following capitalized terms shall be giventhe following meanings:

1.1. "Breach" means the acquisition, access, Use or Disclosure of PHI in a manner not permitted under thePdvacy Rule that poses a significant risk of financial, reputational, or other harm to the Individual who is the subjectof the PHI. Breach does not include: (a) Use or Disclosure of Protected Health Information (PHI) that does notinclude the identifiers listed at 45 c.F.R. $ 164.514(eX2), dare of birth, and zip code; (b) any unintentionalacquisition, access, or Use of PHI by a member of Business Associate's Workforce or a person acting under theauthority of Business Associate, if such acquisition, access or Use was made in good faith and within the person'sscope of authority and does not result in further Use or Disclosure in a manner not permifted under the Privacy Rule;(c).any inadvertent Disclosure by a person who is authorized to access PHI at Business Associate to anotier penonauthorized to access PHI at Business Associate, provided the information received as a result of such Disclosure isnot further Used or Disclosed in a manner not permitted under the Privacy Rule; or (d) a Disclosure of PHI whereBusiness Associate has a good faith beliefthat an unauthorized person to whom the Disclosue was made would notreasonably have been able to retain such information.

1 2. "Compliance Date" means, in each case, the date by which compliance is required under the refercncedprovision of HITECH.

1.3. "Disclose" and "Disclosure" mean, with respect to Protected Health Information, the release, transfer,provision of access to, or divulging in any other manner of Protected Health Information outside BusinessAssociate's internal operations or to other than its employees.

l.4. "HITECH" means the Health Information Technology for Economic and Clinical Health Act, enactedas part of the American Recovery and Reinvestment Act of 2009, pub. Law No. lll-5, and any regulationspromulgated thereunder. References in this Addendum to a section or subsection of title 42 of the iJnitid StatesCode are references to provisions ofHITECH. Any relerence to provisions ofHITECH in this Addendum shall bedeemed a reference to that provision and its existing and future implementing regulations, when and as each iseffective.

l.5 "Privacy Rule" means the Standards for Privacy of lndividually ldentifiable Health Information at 45C.F.R Part 160 and Part 164, Subparts A and E.

1.6. "Protected Health Information" or "PHI" means information, including demographic information that(a) relates to the past, present or future physical or mental health or condition of an individual, the provision oflealt! care to an individual, or the past, present or future payment for the provision of health care to an individual;(b) identifies the individual (or for which there is a reasonable basis for believing that the information can be used toidenti0/ the individual); and (c) is received by Business Associate from or on behalfofCovered Entity. or is createdby Business Associate for covered Entity, or is made accessible to Business Associare by Covered Eniity.

l.7. "Security Rule" means the Security Standards for the Protection of Electronic protected HealthInformation at 45 C.F.R Part 164, Subpan C.

l.8. "Unsecured Protected Health Information" or "Unsecured PHI" means Protected Health Informationthat is not rendered unusable, unreadable, or indecipherable to unauthorized individuals throush the use of a

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t046248.1

technology or methodology specified by the Secretary in the guidance issued under section 13402(h)(2) ofPublicLaw 1 I l-5.

1.9. "Use" ol "Uses" mean, with respect to Protected Health Information, the sharing, employment,application, utilization, examination or analysis of such Protected Health Information within Business Associate'sintemal operations.

2. Confidentiality Obligation. Business Associate will not Use or Disclose PHI other than as permitted bythe Ageement or this Addendum, or as Required by Law.

3. Permitted Uses and Disclosures ofPHI. Business Associate shall Use or Disclose PHI only as necessaryto perform services under the Agreement or as Required by Law, provided such Use or Disclosure would not: (i)violate the Privacy Rule, Security Rule, other applicable provisions of HIPAA or HITECH if done by CoveredEntity; or (ii) violate the minimum necessary policies and procedures ofCovered Entity.

4 Safeguards' Business Associate shall protect PHI from any improper oral or written disclosure byenacting and enforcing safeguards to maintain the security of and to prevent any Use or Disclosure ofPHI other thanis permitted by this Agreement. Such safeguards shall include administrative, physical, and technical safeguardsthal reasonably and appropriately protect the confidentiality, integdty, and availability of any electronic PHI that itcreates, receives, maintains, or tansmits on behalf of Cover€d Entity. As of the Compliance Date for 42 U.S.C. $17931, Business Associate shall comply with the Security Rule requirements set forth at 45 C.F.R g0 164.308,164.310, 164312, and 164.316, as well as additional requirements of HITECH that relate to securiiy and areapplicable to Covered Entity. As of the Compliance Date for 42 U,S.C. $ 17934, Business Associate shall alsocomply with the requirements of Subtitle D ofHITECH that relate to pdvacy and are applicable to Covered Entity.

5. Access and Amendment. Upon the request ofCovered Entity, Business Associate shall: (a)makethe pHIspecified by Covered Entity available to Covered Entity or to the Individual(s) identified by Covered Entity as beingentitled to access in order to meet the requirements under 45 C.F.R. S 164.524; and (b) make pHI available toCovered Entity for the purpose of amendment and incorporate changes or amendments to PHI when notified to doso by Covered Entity.

- 6. Accounting. Upon Covered Entity's request, Business Associate shall provide to Covered Entity or, whendirected in writing by Covered Entity, directly to an Individual in a time and manner specified by Cov.r"d Entity, unaccounting of each Disclosure of PHI made by Business Associate or its employees, agenti, representatives orsubcontractors as would be necessary to permit Covered Entity to respond to a request by an Individual for anaccounting of Disclosures of PHI in accordance with 45 CFR $ 164.528. Any accounting provided by BusinessAssociate under this subsection shall include: (a) the date of the Disclosure; (b) the name, and address ifknown, ofthe entity or person who received the PI{I; (c) a brief description of PHI disclosed; and (d) a brief statement ofthepurpose of the Disclosure. For each Disclosure that could require an accounting under this subsection, BusinessAssociate shall document the information specified in (a) through (d), above, and shall securely irtuin thisdocumentation for six (6) years from the date ofthe Disclosure.

7' Access to Books and Records. Business Associate shall make its intemal practices, books and recordsrelating to the Use and Disclosure of PHI pursuant to this Addendum available to the Sicretary ofthe Department ofHealth and Human Sewices for purposes ofdetermining Covered Entity's compliance with HipAA. Covered Entityshall have the right to access and examine ("Audit") the books, records, and other information ofBusiness Associaterelated to this Addendum. Such Audit rights shall be in addition to and notwithstanding any audit provisions setforth in the Agreement. Business Associate shall cooperate fully with any such Audit(s) a;d shall provide all books,records, data and other documentation reasonably requested by Covered Entity. Covered Entity miy make copies ofsuch docum€ntation. To the extent possible, Covered Entity will provide Business Associate reasonable notice ofthe need for an Audit and will conduct the Audit at a reasonable iime and place. Notwithstanding the foregomg,Covered Entity will not have access to any books, records, data and/or documentation related to iny of BuiineisAssociate's other clients.

8 Agents and Subcontractors. Business Associate shall require all subcontractors and agents to which itprovides PHI received from, or created or received on behalf of Covered Entity, to agee to;ll of the samerestrictions and conditions conceming such PHI to which Business Associate is bound in tbi; Addendum.

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1046248.1

9. Reporting of Violations. Business Associate shall report to Covered Entity any Use or Disclosure of PHInot authorized by this Addendum immediately upon becoming aware of it. This reporting obligation includes,without limitation, the obligation to report any Secudty Incident, as that lerm is defined in 45 C.F.R. $ 164.304.

9.1. Breach Notification. Business Associate also shall notifu Covered Entity ofany Breach ofUnsecuredPHI. Such notification shall occur without unreasonable delay and in no case later than fifreen (15) days afterBusiness Associate discovers the Breach in accordance with 45 C.F.R. $ 164.410. The notification shall complywith the Breach notification requirements set forth at 42 U.S.C. $ 17832 and its implementing regulations at 45C.F.R. $164.410 and shall include: (a) to the extent possible, the identification of each person whose UnsecuredPHI has been, or is reasonably believed by Business Associate to have been, accessed, acquled, or Disclosed duringsuch Breach; and (b) any other available information about the Breach, including: (i) a description of whathappened, including the dates ofthe Breach and discovery ofthe Breach, ifknown; (ii) a description ofthe O?es ofUnsecured PHI involved in the Breach; (iii) any steps affected persons should take to protect themselves fiompotential harm resulting from the Breach; and (iv) the steps Business Associate is taking Io investigate the Breach,mitigate harm to individuals, and to protect against any further Breaches. Business Associate shall provide CoveredEntity with such additional information about the Breach either at the time of its initial notification to CoveredEntity or as promptly thereafter as the information becomes available to Business Associate.

10. Term and Termination.

10.1. This Addendum begins on the Effective Date and remains in effect for the entire term of theAgreement unless otherwise terminated as provided below.

10 2. In addition to and notwithstanding the termination provisions set forth in the Ageement, both thisAddendum and the Agreement may be terminated by Covered Entity in the event that Covered Entity determrnesBusiness Associate has violated a material term of this Addenclum and such violation has not been remedied withinfifteen ( 15) days following wriften notice to Business Associate.

103. Except as provided below, upon termination of this Addendum, Business Associate shall eitherretum or destroy all PHI in the possession or confol ofBusiness Associate or its agents and subcontractors and shallretain no copies of such PHL However, if Covered Entity determines that neither retum nor destruction of pHI isfeasible, Business Associate may retain PHI provided that it extends the protections of this Addendum to the pHIand limits further Uses and Disclosures to those purposes that make the retum or destruction of the pHI infeasible,for so long as Business Associate maintains such pHI.

ll lnconsistent Terms; Interpretation. Ifany portion ofthis Addendum is inconsistent v,,ith the terms oftheAgeement, the terms ofthis Addendum shall prevail. Except as set forth above, the remaining provisions of theAgreement are ratified in their entirety. Any ambiguity in this Addendum shall be resolved lo Dermit coveredEntity to comply with the Privacy Rule, Security Rule, other applicable provisions ofHIPAA, and HiTECH and anyregulations promulgated thereunder.

12. Regulatory References, A reference in this Addendum to a section in the Privacy Rule, Secudty Rule,other applicable provisions of HIPAA or HITECH or any regulations promulgated thereundei means the section asin effect or as amended.

l3 Amendment. Covered Entity and Business Associate agree to take such action as is necessary to amendthis Addendum ftom time to time as is necessary for the parties to comply with the requirements of ihe privacyRule, security Rule, other applicable provisions of HlpAA, or HIT-giH and any regulations promulgatedthereunder. Notwithstanding the foregoing, Covered Entity may unilaterally amend this addlendum as is necessaryto comply with applicable laws and regulations and the requirements of applicable state and federal regulatoryauthorities' Covered Entity will provide written notice to Buliness Associate of such amendment and its efiectivedale. Unless such la\rys, regulations or regulatory authorities require otherwise, the signature ofBusiness Associatewill not be required in order for the amendment to take effect.

14. Indemnification. Business Associate shall defend, indemni! and hold hamless Covered Entity and itsdirectors, officers, employees, and agents (collectively, the 'lndemnities',) ftom and against any and ali claims,losses, damages, suits, fees, judgments, costs and expenses, including reasonable

-attomeyi' fees, that the

1046248.1 gl?ritr;t ',

Indemnitees may suffer or incur arising out of or in connection with Business Associate's breach, non-performance,non-compliance, or failure to observe any term of this Addendum.

15. Survival. The respective rights and obligations ofBusiness Associate under section 7, subsection 10.3 andsection l4 ofthis Addendum shall survive the termination ofthis Addendum and the Asreement.

to46z4g.1 f3 " ", .:-\/ilthll '.-!--l\ I ll!Jli

Page 1of 3

From: R. David Reaves/FAC/SavaSCTo: TLEOPPER@Anderson EMS.com

Date: Friday, January lO,2OL4 10:1oAMSubject: Fw: Re: EMS Contract - Norris

Please see attached revisions.Thanks,DR

R. David ReavesAdministrator, InterimRD Reaves (o Sava SC, co mNorris Health & Rehabilitation Center - 33699

----Forwarded by R. David Reaves/FAC/SavaSC on 01/10/2014 1O:1OAM ----_To: R' David Reaves/FAc/savasc@savasc, Anthony J. Abela/REG/ops/savasc@savasc, LisaR. Edmonds/FAC/SavaSC@SavaSCFrom : Tammy X. Savidge-Moore/Dlv/SavascDatet 0t/07 /20!4 t2i32pYCc: TLEOPPER@AndersonEMS.oroSubject: Re: EMS Contract - Noriis

David:

Attached is the contract with Anderson County EMS. I wish all contracts looked like this one.There are really no changes. I changed the name of the facility to the correct legal name, anothe correct places for notice. Indicated on page A-2 how many exhibits are incluled in thecontract. Looks fine for signature.

than ks

(See attached file: 20140107122019. pdf)

Tammy Savidge-MooreOperations CounselSava Seniorcare Consulting Services, LLCOne Ravinia Drive, Suite 1500Atlanta, ceorgia 30346678-443-7061 Office770-510-8981 Cell

- Jessie c. Bridges---01/03 /2014 r2isr:13 pM---David going forward rammy is the LegaiAttorney that will be assisting with contracts that the Facil

From : Jessie C. Bridges/GC/AS/SavaSCTo: R. David Reaves/FAC/SavaSC@SavaSC,

https://ltc213d.ltcsvc.com,/Mail/RDReaves.nsf/(%24Sent)/f'C4A7670A315343A85257C5... Ut7 t2OI4

Page 2 of 3

Cc: Tammy X. Savidge-Moore/DIV/SavaSC@SavaSCDate: 01/03/2014 12:51 PMSubject: Re: EMS Contract - Norris

David going forward Tammy is the Legal Attorney that will be assisting with contracts that theFacilities request . She will take a look at the attached and contact vou.

Thanks

Jessie BridgesSavaSeniorCare Administrative ServicesOne Ravinia Drive, 15th FloorAtlanta, GA 30346Tel: (678) 443-6944Fax: (832) 467-8450jcbridges@savasc. com

WARNINGCONFIDENTIAL AND PRIVILEGED INFORMATIONunless otherwise indicated or obvious from the nature of the following communication, theinformation contained herein is attorney-client privileged and confideitial information/workproduct' The communication is intended for the use of the individual or entity named above. Ifthe reader of this transmission is not the intended recipient, you are hereby notified that anydissemination, distribution or copying of this communliation is strictly prohibited. If you navereceived this communication in error or are not sure whether it is privileged. please immediatelynotify us by return e-mail and destroy any copies, electronic. paper or ofherwise, whicn youmay have of this communicatton.

R. David Reaves- - -01103/2014 11:58:09 AM---From:Jessie C. Bridges/GC/AS/SavaSC@SavaSC,

R. David Reaves/FAC/SavaSC To:

From: R. David Reaves/FAC/SavaSCTo: lessie C. Bridges/GC/AS/SavaSC@SavaSC,Cc: Anthony J. Abela/REG/OpS/SavasC@SavaSC, TLEOPPER@ANDERSON EMS.COM, Lisa R.Ed monds/FAC/SavaSC@SavaSCDate: 01/03/2014 11 :58 AMSubject: EMS Contract - Norrrs

trl'r.ihi'l ',

https://ltc2l3d.ltcsvc.com,Mail/RDReaves.nsfl(%24Sent)/rc4A7670 A315343Ag5257c5...

Jessie, Please find attached contact from Anderson EMS, I presented them with the savatemplate, and they prefer that we submit their contract for approve through our system.Please review and forward exceptions and/or approval to both myself, rarimy and rony Abe a.Tammys contact is found below,

1/r7 /2014

Page 3 of3

Email address for Tammy @ ACEMSTLEOPPER(AANDERSONEMS.COMPhone 855-457-8609Thanks for vour assista nce.DR

R. David ReavesAdministrator, InterimRD Reaves@Sava SC. co mNorris Heafth & Rehabilitation center - 33699(see attached file: Anderson county EMs.pdf)

Attachments:

Anderson County EMS.pdf ZOL OLOT I22OIg.odf

F*ffibr{ +

https://ltc2l3d.ltcsvc.com,/Mail/RDReaves.nsf/(%24 sentyEC4A7670A315343Ag5257c5... U17 t2014

Onnrcn Or THn Couxry Lew DrnrcronANDERSON COUNTY. TnrvNrssEr,

l0l South Main Street, Suite 310CLINTON, TENNESSEE 37716

: ii,';lilii iTY. PURC"I

?0lq Jlll 2l Pl'l 4' 20

N. JAY YEAGERLaw Dir€ctor

TELEPHONE: (865) 4 57 -6290FACSIMILE: (86s)45'/-3775Ernail: jyeager@aclawdircctor.com

Jamary 24,2014

Nathan SweetAnderson County EMS314 Public Safety LaneClinton. TN 37716

RE: Summit View Healthcare Agreement - EMS

Dear Nathan:

Pursuant to your request, I have reviewed the above-referenced contract for legal form. Afterreview, I am satisfied this document meets or exceeds all requirements for contract formationunder Tennessee law. Therefore, I have approved this contract as to legal form.

The term of this contract extends beyond the fiscal year; therefore it must be pre,rented to countyC o mmis s ion fo r approval.

This approval is to legal form only. I assume, since you submitted this contract to my office forapproval that you have read this agreement, and the terms and conditions set forth are desirableto you and the department involved. I have not been involved in the negotiations ofthis contract;however, ifyou would like additional guidance and advice regarding a specific provision ofthecontract, please feel free to contact me. Furthermore, for the purpose ofthe approval process, itis assumed that this contract has been properly bid, ifrequired, and budgeted according to statelaw.

Please call, ifyou have additional questions or concems.

With kindest regards

N. Jay Yeager

Enclosure: 13 pagescc: Pamela Cotham

,//

stregard2 ///. //

72 7*'*--

tr aq-\\€ wro^ud T\fCd"* \ (r,'* *T*U\ -tt!- ru7"trol4

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Jan, 16, 2014J 12:39Plv1s SUl/lillT VIt|! 0F LAKE CITY

HIALTH CARE SERVI.qPS ACRPEMENT

(Ttanspo atIon S6nices)

^-, Tlir- l"ot$^C*e.Sorvloes,Agreement (.,Agnemenf) is by rld bswsen $UMMIT VIEW HEALTHCAR4

1l.L Aldot"ol .CTlly EMS C.Contrilctof '). Any notice$ or othcr communicadons rrquircd or permitted to bc

giver Putsuint to thif Agrcomcnt lhall bc aent to thc parties Bt 0!e addr6ls6s rst furtlr on ihe elgnattrro page to thisAgrc€m6nl.

I' Term. Thls Agreement shall comm6nco on Novcthbct 25, 2013 and rhall oxplre on Junc 30 , 2016, uuless earlierT_Ij-nlTtEd

alProlided hcrcin. In tho cvent thi.s Agreemcnt ls rerminated priorio one yeo. torn rtt" rommencrmen,

:^1,1"-:ll qlles srall not cntcr in(o I sub3tantially similar ogreencnt unril thB expir-rrion of ar ler$t ore (t) y6urrcllowmg lhc Commcncon6nt date,

2' - Setviccs rnd CotrpGrselior. Conkactor shsll provldo tho rorvices to Facility and hs residentJ (the ,,Scrvlco8,),

tod shall rcceivc comPehsation for tho$o sewiccs, al set fonh on Erhib A nnacled hut.to uno io.i.port"a iiu.lnby rcfercnce.

3' 3' Psvmenl In rhc evorr Faciriry.is required by rhe compensation provrsions set forlh in Hhihilr\ ro pEyConFacmr.dlFccrly for the Serviccs, Paillity stratl pay-contrrcfoi wittiin forty-fivo (45) days of receipt by Fooillv of

"c_l{T!|"'j: r:"*no rrd oomprEr' invotci

-containing all <tocumcnrrtion requi.ed;y'r;;ilit; il;i"iifi; lil;ii.,

Tl_::,",1.:::.t.cfl plovlded by ConFactor for each rcsident to include HCICS or olhor ipFlLrblc coding, rervicc

oarc(s)' quantitiss and chargog, InYoices submiltcd lf,tet than ons hundled to,on(y (lz0) drys followlng rh;dsto th€seryice was prcvid€d shrll bc doomod untimely, ard Faoiliry shail nor be 'oi'.lirei'rol"yi""t*?.i-r. ,"*Services,

4. Telhlnallon, Thir A$cgmrnttnay bo tcrftln|&d as follows:

,^.."o:-,!_n!:I !!!^:: Slther pnny may terminrre rfiis Agreemen! whhour csusc by prdeidlng ,r lesrt sixry (60)oays pflor tlritten notice to lho olher party.

^. .J: !y:!. \llher party rhal I .haye $e righljo.rfirnlnsre ris Agrcenop In thc evenr of the ohor pa.Ity,s h eachor lnE Agreomenr by proyiding at lclst rhirty Oo) dayr written noties to tho othcr perty. any ,ucii n6ti."-.musPcol& the csuse uPon which it ir based.

-Thc viot*lng party slntl hEve rh6 rhtrty (3o)'aii""rLr'p"r"aG *ir.iio

tcctl$.thc cnuse specified in fto nollse ofterrninationioi', lf'such cause is not rcitified t'o it o saricilirton otrn" nol,-breacbiug party wlrhrn such rhirty (30) day perrod, thi; Agreernent ctt tt ihrreupon ,otomnic'rty tcrminrre,

__,_?...,!orriol Change. To rhe. oxtcnt that chang$ in hwr, rrgulatlo,ns, or the meihod or amduht gfr€rmDursomonl rcquiro the rO$tructurint of lhe rclalionlhip bcrween the panics Establishod by this Agreemenl thepsnies shall no8orlsro in good feilh to rmcnd rhis ngreernent and qtherwi'si reskusrure thair t tationstip in oi.Ocrio:L..".11irj1rl}i-:t!,1e'ceg oegn puryo{er. rf-rho psnias ile unatliro resolvi thc rnneer wi6,iii tm,ry ltoto0ys, ctrner psny hEy, at its opiio , ilnmcdiahly tormindc this Agr€tmont.

d, lmmediala Ternin r/or. Facility may immediaioly teminate thi$ Agrc nc,rr upo11 thc oc6unenco ofgly of1.r-"1:^l]:yl_rC..:r:l*:

(i) loss or susponsion of any riceiao of Cont aoor.i"qui.ua fii ttre prw;i;; ;i s;ft;,I]L:lulll 1"tY AFEemEnt or the impositioh ofany $inction Egcinrt Conrsctor under Sdeiql or stat6 fraud rndleuss la\Ys 8ro reBulNtlons or anv olher f€dol€l or slato laws ot rctulalions r€lrting to Con${otor's participation intho Medicare or state Mediqid proqmrns; (ii) nppoinireir oi, ,c?ilu.i iir conrri"ror,s ,*.t , *'*rii".rr"iuyConractor for fte bencfir of in'ore]dhon o.

"niy' ruiiof t"trn ;r;"idj-by cantractor trnder ,ny bankruprcy orittsolvcncy acq or (i.ii) FnyjcoFardy ro rhe h.,afrf, o, ."foiy oiirriOo,c olifrc facifity.

e' Aulonqda f.lntnauon. This ,{g166hsrt shatt autom0llcally tErmina[e in lhs evol}r cit]r6r pfttry ls gxcludcdfiom p-articipation ln any federally lundcid heatttr care prognm,'tn.i'"ji"! piLO,c.r. or Medicaid. ,s ofrhe eflectiyedate ofsuch exoluclon.

5' Gehetal Tcr|nl lhd condittohs, The,Gcrrc(al Tcrms snd conditions sci fonh on Bxtdbit B ntsched hercl0 arcincor'ora(ed herein bv r.ferenco as thoush tult scr tonrt rruJn.ll"iiiry "na

b""iffiil*n.i;il;i;il il;General Trrnx snd Conditions as pa* of rh-ls ,qe,ec.*i.

No,3575 P, 2

r046248..1 A.l

Jan, 16. 2014312:39PIW SU|iI[4]T VIEII OF LAKI CITY

Address for Noticcr:204 lndu$trisl P{* DrlvoLake qry, TN 37?69

Attn: Exccutivo Dir€ctorFacsimilo:

Copy tolSommttVles of Lake City

CONTRACTOR:Ander$on Coltnay EMS

6'- Entlre Agrcemcot This Agreemcnt, inoludlng rhe Exhibits attached hcrcn and refercnctd herein, cont|lnr rhEsole and ontlre agreement betqcon lhe pgnics regarding the subjc$ mrner h€reof and suporoedes anyand Nll ptidrwriltcn or ortlagleements betwccn tho paflies. The AE,rcement will notbo construed in favor ofqr asainst anv Dartvby reason ofthc oxt€arl to which any prrty p{rticipntcd in the prcpnration oftha Agreemrnt. if oirftoi-puty ftui inuaiany change to tho Agreoment that soid porty did not b,ri[g toihe other partyk attontion in fl vgy rh;r b;ersonabtycalsulated to put the oh$ pa}ty on notice ofthe chrnge, ftc changc shali noibecome pan ofthe Agrccrnent. 'IN WITNESS W-HEREOF lh€ Pdrtics by their duly authorlzed representativos have cnrercd into thl! Ag6smert rsof iho _ day of , z0_.

F'ACILITY:somrnlt view of Lake Clty

N0.3575r P. 3r

By,

Namc:

title:

Addrsss fot Notices:3 | 4 Publlc Safety LanoClinlon, TN 37716Attn: Nathar Sw€cq DirccrorFaosimil (865)417-9701

By:Execiltive Dirctdr

o,'"rn!,ur,7(z!-

APPROVEEAS TP LEGAL FO RM

1046248.1

lan, 16, 2014j 12:39PlVi SUN]I/IT VIEW OF LAKE C]TY

Erltlblt A

TnIsnortallo|| Sot'ylc|! rrd, Compsnsntigq

l- servlcss. cont(r6tof' srall proyid€, on a non-exclusivs barlo, emergency and non.emergency modicallransponation servicos to Frcllliyrs residents tw€nty-four (?4) hours I day, sevin (i) days a week. Contractor ahqllprovide thc Services promptly nnd In accordance wfth rhe medical ncodr of rhe rssiOent Facilify'rhalt abide by lheAndet:on Cotlnty resolution govcming tmbulrnce jervices.

a. For all scheduled requestJ for Seryices, Contr{sror s$eo$ ro hnve its drjvc, sfiivs tho psticnt,$designatcd pick+rp locaalon Ptompdy at the schedol€d timc. For sllunschedutid r€quesls fDrroFemirt6ncyssruieca, contractor agree$ to hrvs it8 driver adivg ar rhc parient's dcslgnarcd pick up location |tr promptly mpossible and, in any event, no lalel thrn ona (l) hour. aftel the unscheduled r.oquost hrs bccn rnadc. EmcrgcncyServlcco wlll be provided ss promptty $ postlblc In sccordnncc with applicsbl6 lcEal and regulatory standards.

b. Contracror shall Pfovide a tel6phone numbBr for Facllity to initiate hanspofation rcquorE for seryioes a[d,upon receiving such a rcqucat froo Facilitt Contrsctor willugo ltr dirpatcher to nnrnge for the tiriely provlslon ofServlces ls required und€r lhe tcrms ofthl! Agleom€nt.

c' Cor)hffctor $hall use Controclor'.t owl equjpmsht snd/or $upplios in lhe pgformatrco ofthe Sorvicgs-contrector sholl uso appropliatcly licenscd and/or cortlflod vchicles Erd equipment to provldc tho selviceshercunder and shall kcqi ruch vehiolo$ and its cqrriprnent md supplics in good ordcr, iondirion, snd reFsh pursusnrto applicable legal and regulttory roquiroments. confactor will nalntsin, and provide to Facility upon rcqrrcst,urJoon re(vice tecordr for all sorviolng oftho whiclc(s) uscd by Co{uaotor to provide scrviccs unier grc ienns oflhis ,{8|6crnent,

d. Conlrictorthsll tile r witten report and providc docurnctrlation !o F ciliry wirh roslret ro sny krowoinjuri€s occuning to resldonB durlng transport (falls, etc), indlccting the type of injury, tho pltcc and iime that theinjury occurrcd, and lny ddtcr ihformadon requcsted by Fac lry.

2. Compenratlon.

a'. Contolldated .ailling. Senieer. 'consollditcd Billing Serviccs" rhsll nc.n fird lnolude rhose Seiyiccs

13-19:1-tt,1-r.dAt .dur,ip,$1 gouy 91a shy i,' th. Facitiry:vhich is covcred under v.ail*i Fon a, ereet-*mnerwrse provrded n 42 u.s.c, $ -I

t?fyy, 42 c.F.R. g all.ls, spplicablo cMs progrsn Mcmoranda-and\ansnjltals, o1 rlc skilled Nurslng Frcllily Providff and Supplloi Ciiing Fites, as publ-ished and amcndcd orupda(ed by CMS.

.. i. Flclllly shall cornpensale- c_ontnctor for sny consolidated Billing Scrvlcos provld€d ro Fsciliryresidenb at I00% Medicarc Foo ichedule for ambular"e aeruiro, to Midicire pdde;t$.

ii' conrrsctot'c lnvoice for consolidshd Blllhtg Serviccs shall includc accuhte and comDletedoctrmenlation of eachscrvicc provided,.including an itemi""a''nrr or sorvi.is f".ioii; f;;i;#;.cli;itior otherapplicable coding Servlcc darc(s). ad apllicable chargcs.

.iii. contractor ohnll. provide sdditionil. documonrE{on regar.ding Consolidotc<t Bllling Services, aslearon3llr rgQuestcd by racility. cohr6*or shalr ttave u,o

"ighi rpo; toquerr, to

"oat c*riom"r,e oiuffi to.,Consclldrrod Billinq Servicos.

iv. tn rhJ e"ent conrrrcror .rcceivc! prymBnt from pflcility for a consoridated Birring seruico, s dpoyment for the sorvice fu lotu dtusllow.ed or- ricouped by Medioaie, conhaetor strall repay ti'ru"ifiry'ru.fr

amounts to the ertent thet suoh disallownncc or reioupment resultcd from the acts, eniri o, o*issii[$-Jrcontr.cror. Ar irs option, Facflrry rnay eirhcr ofrrrr ht;;i;;;i.;iil;;j or rocouped aom any ftruro pnymonreduc to con'actor hereundcr or miy requir" contto.mtioiijrv .".rt*"""1 r*rodlirery upon riciiiry;; il;;;i. -

N0,3575 P 4

Evhii:it 1

| 0.45'r,18- |

Jan, 16. 2014'12:39PlVl'' SUI\4I\,4IT ViEtf 0F LAKE CITy No,35i5r P. 5'

D' Dirccl BIll Semlces, conractot shall involce ih! rolldeDtr'lhe rorldenr's rslponsiblo party, Modlcffo,Mcdicaid, a rnanaged care orgnolzhtion or any oiher ahird pftry roimbjrgc|nont soDrcc (collccrlvoly refencd to as the"Approprtate Pavor") for all servlcos tn resiiene otGr rdrn eonsotioaieJ iiui'g s"iir*r gniic* Citt*"i."r$at rotes rot to excced co[tactor's usurl chalEe for $orvices oad in accordanci wirh eppiicrble requircmclts oi'f€deral and _srate

l$vs snd regulations, Contractor.+grees ro ,.*p puyrnrnr, ftom such rpprop,rlit p.Vii.J iipavrnent in full for Dtect Bill s0tvic6s rctrdoned undor-this agrecrninti 6onotctor stratt not biri ri"iiriy roioi,=.iBill s*eicce, lnd Frcilt.y 6hall have m obllgetion to compe;sit. Conra"iorio, ,urh Screice!.

t046.r{8.1

Exhibit 'l

Jan. 16. 2014r l2:39P[.4rr SUI\III]T VIE|| OF LAKE CIIY

D:hlbli B

G€ncrll Terms and Conditlon!

I' Incorporalloh by f,olergnca. Thcso General Tems and Condltions arc incorporat€d by roforenco inro rheAgeement ro whloh tlley 8re atttohed. crpltsljzed lerms mt detinEd heroin sh0ll htde d,r ru*inc *.if":n[-in uruAgreemcnt,

2' Llccnsc, Pcrmtts snd Accrcdltrtiohs, Thc Facility, in rccordance whh applicablc law, is responslblo forobtrining s$viecr dtnt tneet urofoggional standrrds ano pr;n"lples-itrat rppg li p.oroarion"r. pr"'"iilrg'r*r,Setvlces in thE-Prclllty and for the limeliness ol lhe sc.vicoe.-' eccorarngly, corrracror horcby r€presfiis ardwalantf !o thc Facitity lhat conhactor nhd rash of.lts omployc66, rgorts an;'subconnactors .irrr" iorrJ* iii"l*,on behalfofcqntractor Prrsuant to this Agrcoment (tho "coniacror Fersorinel'1; (e) ar", uoa *il dinoin lt iriiiro,tluoughour.thc tErnr of thiE AgltEmon!. aorhorizcd io_panlclpote tn tte t"iealoirea'na ,Lt" UoAi.iid-pi"g.i*, ,"0sDrll comply with aU conditiolu of panicipatiortr other rcq;rircmems rpplicable ro po.li"iprtion in e rirr, irffir'(b) have' and lvill mainlain nt at{ iirrer ihroughout ftc rerm of drk .igi-em.nt, a[ rho n€cessary qua1ff*ri'ns,ccttificatlons, IicenseE a[do! acslcditalions requircd by fcdcral, stqre sni locnl lnrvs and rogutations to provlde theservices cover€d by this Agreehent, inctudini but no-r lhnfted ro srrre

""a f.arrrfooiiirg,]iiirir';ff;;# b

:!_t-1lj'::: "f *T ter.

"ial vohic les providing h arl rhcare trsnapqnrtion (correcirvoly, . c"",r".'.ii iiri"#ij, iij

"il r

Provlqe |ne lelvlces jn accordanco wilh the profcsBionol staDdsrds and principlcr ipplicabte to thctr pmfession and(d) Ere not, and at nq tjme have baen, exoirrtrea froo p",ri"ip"rion rn'*y i"arniiy n na.Jrr.ulth';;;;;.[o;*,including Medicarc or Medicaid or Eanctiored undcr'any airpricauli riire or fed-cral fuud ana **r'*raiqies.contrdetor.will prwlde Facility with a gqpy of tho conriscrii Liccnece'uFon requcst qohhactor shall prsvideplompt written notiao to the Faciliry- of any chqges 11 rho conrraoror Lir"nr.i, inotoatnt uny r.rpoiuiy'or.permsnsnt ouspenjion or revoealion ofsny Conmator Liconsg or anj, sanctlon or proposed sincrion or exclusionagainsl contractor, or any ofiicor; dirc*or or owrer of con*aciori in ionnection wlih pl"ri"ip"ti*'ii'*irlia.rrryfundcd lcalth cro program.

3' --€ornpliance' Conkaoror shall provlde, and shall €nsuro rhat the contrtctor Foruonncl provldo, ths serviccs toFaclllty's residenis in accordance wrth (a) itt appiii.ur. iequir.mr"r* oi r.a""r, shrc or Lcal lr;;;-;,b. ;;i",.

:"^gjlii.jLT,"o,lii":S:lr"Lj11"*.'",r:tt:nr ortriow i.qui,i**nii'6y tle enr;rici.trrgea *irrr inrpilrmenrtnf inalil"f;'p -,1|:_ llTdln&. *.,,F:, limirsrlol, hondiscriminatlon on the basis of ra'ce, cotor, narional oiisin.rranorcnp, ?g€, or oflrer prohcted class; (b) accepted professionrl slandard* ofpractice; and (c) nll Faciliy ooliiiesanq Proceoures and any tevisions therelo that rre-applicable to thc provision of Scrvlccs jo nacility rcsidenr, copiesof rvhlcl shalt be provided rc contsaclor. conFqctor srrarl iqnioipqre, sr reasonably roqi.rt o, in''quititvmonitorirg lrrcgrams establish.d by^ Facilrtl_ .lf opplicoble, vcndor'"gr.eer to comply-whh'the p*"isio'ris orPary9tlp]t- | lhrough 7 of4l c.F'R. sectior 60J.4(aji fio Efrirmilive acn:on for disabled workers cla'uses sei'iirh111 | c.l.R; sEc,tion 60'74 | -5(a); and the afnrmativo sction f6r veterans ctrrses set forth in 4l c.F.R. s;ctiil;0.z)u.4, lvhtch are Incorporalsdby referenCo helsiI.

4, Corporute Compltffhce pr6grqh.

-__j:_. C,:1111:.9 f!9*lrdg.* F_aciliry'6 Cqpo,aro Cornpliance progran and rcceipt of paciliry,s Code ofLoroucr' Ircluoln5 !k mEchanisrn fol rcPorting surpcctcd fraud, Ebusc oy otlur lllegit or unerhiial ritiviues(Hotline (E00) 572'998t), If contrrctor.his ite iwn conpurnce ptogrur, c*rroo,or r.i*r."t, i"Jivi"ii * rr,uttho conxaolor PeHdnnol vho provide.billing services

".prii.nr Li?,.i'ri.os wllh respect to frderil hgqlrh carrplo8rsm benefrciaries at Facility sball rcad-and undcrsrand conractor,s inr"grty b;;;ur€,

"niji-'iii.iilji" rr-stondard$ of coh(tucf, prior to commcnccment of soryiccr under thli ngrcoment To thc cxtsni thal Contractor'sstsndsrds of gondud and integriry prqsr'm diffcr ir any .ut.tiri t;p."t orrrcting ethicar .o'duot fiom h6complirnce informsdon &nd rcquirelnonb- cortdihed in thr iascllllyli coo-J or conau"t-colr.acr* iirJiitirorm gl-,

contraqor personner of suoh idaltional infor "ri; ;;d fi;f;inlJ -o t ut Frciriry hos a mcchanrsm forrepofiing miscor\duct. conracror agreca ro obrain mu rit"i"-a, sig"J-oirtification f.ori .""i ;iil;cffiil,Personncl.provlding setvices to rho Fscilicy tr"t trr.y rro"" i"*iliilr# uno unders!{nd conlrecror,a in1"grltyprogrom, inoluding irs 6tend6tds of corrdusi and arry iddklonat inconiration provlded by contrictors comptiinciolficer rolsti'a to Facility's codo of conauc_t "na

igree ro abiuu iy ru.i, r.quit ronts lherpin. such cartificsrionshill be obtained Frlor (o cornrltencornent,of servicos-under thit nliorri"i rlru be msintained by conndc(or Endshsll ba n'ade svailsble for revicw by Faclltry or Facility,s agcnts up'on i.iio'n"uf" .equorr

N0.3575t P 6'

Exhlbit 'l

t046u8.r

JAN. ]6, 2014J]2:40PMVI SU[4I\/IT VIEW OF tAKt CITY No,3575t P, 7r

b. If Con8actor doos nor mainllin I cotnplitncs program Conlractor tcpr€sentJ and rvsnants thst oach of ficConuaclof PerSonnel who provide billilg genices ot pstient crte servicer with rotpect to fodersl hcalth csrcprogram beneficilrios at Facility .lhall read and rcview F cility's Code of Conduct pdor ro comrncncemcnt ofSeruices under this Agrcoment, Conbaclor aBrcfi to obtain rhd retain a sigled ccnlficdion froh cach of th6Contlactor Personnol provlding Servicos to tho Faciliry thnt $ey have reccived) re|d snd undorctand Fqcllity'$ Cod€ofConduct and agree to {bldd by ahc rcqulBhcnts ofFaciliry'r Corporqlc Complioncc Prograol, Such ceitificdion3ball be obl0incd prlor to commoficfinent ofSsrvices undcr this Agreenrenq shall be msintainBd by Contractor thdrltoll bo made avrllable for rcviow by Facility or Facility's agenrs tpon raasonable rsquest

5. Pritlerl Rccotds, Fscility snd co rncbr shatl taclr prepffe ard mrintait rccords concoming Facilityr$residents rcceiving Servicor undar rhis Agreenent, in accordgnce with appllcable fedclAl tnd stat€ lrwr, reg lationsand proglom guidelinls. Contracldr gl|0ll Fovid6 to lacilify dooumEutrtion of the Scl'\rlcos provlded io, and all]ofter r6l6vanl informrtion re8a.ding Contraotor's contacr with, Faoility residenls hereundor- If the Servioor lteprovidtd on the Faci lity promires, such documentalion rhall be mddo ln he rEsidfttr' mFdical rctold or chart, whlchshall bc and remain the popeny of the Pacility. lf rho servicos ar6 provided of of thc Fscility prcmir€s, snchdocumentation rhall be on thc foftls flnd in rlle formdt rcqulred by Facility policics and ptocedures in accordancewitlt applicablo hws, regulations End progrsm guidclines. Conrrrctor herdby egrees to milntrin t6e conlidantinliryof $ll Information ond )'ecords relatin8 ro naciliry's residents whlch ir acquir€s ln the couxe of performing lhcServices aud to sssur€ thal such confidentiollty h maintrincd by cach oftlte Contsactor Penonncl providirrg Sctvicespurcuarlr to thig A$ternenl.

6^ HIPAA compllA[c.. See E$ibit C,

7. Rocotd Retontlon Rcquiremcnt!.

a. All tecordc creoied by Contractor in cotllrEtion with tho provision ofSsrvices purousnr to thle Agrc€ment,ircludirg pati€nt rccords and rccords reland to billing rnd paynent, shall bE Tetaincd by Facility ard CoNrscror fors pcrlod of seven (7) years ftom thc date tho Scrvicc wr* provided or such $eater timc p6ded as may be Taqulfed byappticEble law. Feclllty shall be pormittsd to hspccl andlor duplicate sny prtienr rctrrd, chan or other rccord ofConfracmr rElflting lo lho provision of Saryloes hereundcr by Conirlctor for Eny busincss purpole, including,without limi(stior, determlttlng Contracor's conpli0nce lvith the tBrms of Ihlg Agreeme[q ensuHng safo,dependdle and eflicient pdtlcff care; $atisSing Fooility's obligltlonr to any padcni; or defcnding any allcg*ion ofmalplertico or othsr liabiliry a$inst Facility.

b. To tho oxtert ihE valuo or oost 0f Sefllcog ftrnished undor lhis Agrperncnr ls $10,000 or moro ovo! atwelve month period, lh Contrsgtor, for a p€fiod offtfi (4) yeNrs afier the fumishlF8 ofsuch Services, shall rotsinand shlll tnake available upon urlnen requ$t by tho Secretory ofthe Dcpsrtmert of Hoalth and Human SeMces,the Couptroller Csneral, or th8ir tuthorized reprc.scntEtivos, a copy oftlie Agreemcnt and sll bool(s, documefiB lhdr€8ords that are ncca$ary to cedlry the nnturc and oxtent of lhe cosls Inourred by Facility undor this Agrcerncnt.Cor (sctor further rgfe€s that in fte cvcnr Contsactor cffrl6s out any of its dutf6s ulrdEr thi$ AgrBemont 0fough apornlcod s{bcoollrct wlth s rslated orgsnizstlon }vith ft value or cort of $10,000 or rnoro ovGr a lwclvc mont}period, such lubconlmct slrsll .ontain s prcvision reguiring the roldtcd organizarion, for a pctlod of four (4) yearsaffer thc furnlEhing of such Seruiccs, to rctsin nnd to |ni*o availdblo upo4 rtrirren mqu€!! by rhc Sectetary of tllcDepartment ofHeqlth and flurnon Sqrvicac, rhc C0mptrollcr Gener6l, or ther dufiorlz€d rcpresentativB!, s copy of$uch subcontrect ,nd sll books, documents and records of such orga ization that rro nece$tary to veris the natureand ertgnt of such costs. Counactor og(c€s to nodry rhe Faciliry pronptly of the nanne ond scopo of rnygovcmmenlal lsquest for acce$ to bqqlc and rBoord0 r8lated to thir Agreemeat nnd to provide to th€ Facility, olmike amilable, coPles of any books, Iccotds or docurlchts proposed to bo provided. Any dlsclosurc under thitparagraph shall not be corutiued as I wsiver ofauy o0rer legal tighE to which suoh party rnry be entitled.

c. Thls Section shall errrvive the expifttlon or tErrninstion ofthis Agreement.

8. Inlurence. ContrSc(or shallr d its solc cost ind s,xpense, FJoruro, kecp and mainttln tfuoughout the lcrm ofahls Agro6fielt, lnsuranco coverago in tho mirfrngflr nErsunt ofone nilllon dollars ($1,000,000) pir ocouficnco sndrhrco million doll(s ($3,000000) annual rggrcgale, for professional llabllity, ncgligcncq cvors ind onissions, andcommcrcislgencr8l liabilify snd applictblo srate shtutory llrnih for work6rs compensalion. Ih addition, contrdctorshall lntiDlfrirt commercill 6uto liabiliry lnsnlbncF vith llmlk qfqt least tlrcs,nitlion dollars ($3,000,000) cornbine<I

6

i:;thiioit 'r

ti,46z4E.t

Jan, 16. 20l4rl2r40PlvlM Sl.|\4t\flT VIEW 0F LAKE CITv No,35751 P, 8]

(Vd ARgtra*rtau. nV+Arbitrfiloh, Any diopute or controveny arisiog under this Alrccmruron,

^ny qropure or conrrovelsy arisiog Under this ASrccment or rny fihcndment hereof or the ble{ch

bo se[led b] srblrlffion. in rho coirnty inivhicf, rt o f*ittty is locatca,-in ecsoioance trlllb,Jheru|sE-of rhoL&wy€rs A6sociadon Ahemativc Di0puh Resolution Service and(is locatcd. Any award rcndered by the arbitator sha[-tl€fii*iiiJi,

'i'i-n$il"i""i":'il'1'#11":j.ffl',i:;'il"f-"-11111111L'*:::9+rpry-"{.rl hwr orthe.st0t6 rhr! ruLquEu. ,tnv awQrq rrnoereo Dy ahe sditat.r s}rrl.tffinar and binding upon

"och of thepanies,. and Judgm\rhcrcof mry be cnl6no in uny iruqguuffi[iltrcn. oortng rhe pendency of any such

l:b,ttr:tilT rnq unlit finfugrnent theroon has b;1;l-cntei!-O-rdsiiigran*t .r,U remrin in {hI frrce and cffccrunless othttwise tcrrninateFls4rovidglinaf,s neri.r."i H"i*'rt-rtr'r""iing anyrhing o ri," "ur"[1,i-ir,i."*:1"1-T-V_ ryF,r:t.see k a tebx(f,rerlraining-order or orher inierim'rq;unctive or provisional relicf fiom scflrrt- of proper Jurisdicljguvnf6ut-firv-Fi*qrt,ie.lo-lhc arlir,rrlon procejui", lot forttr in it i, s.orion_ f nny su"i

:llj:! j:,"934-tftn-ltbirrator(s) ehqll addrbJ& .ontinuun.",-nlJiriJiion or rsnninirion of such rerier in rhe

:11"i2*!9.!{i::,agree t9 abide by rhe rrbirrao}Nqision regaffi *.r,,.rirr. This Sccrion shal rurvivc rhe0r tErminalion ofrhlb Agredmenl.

7

::;thibi'l 'i

single linit and suclt lnnrancc rhall inclu{s a rninirngnr oft5i,000 i[ nedicf,l payment coverago. Said inaurenceporrcres sharl cover 4[ Aervices conhac_tor, lrs directore, ;tr;;;;;;;;i;y;.r, agcns and/or conftaorors provid6.contactor siall providc Fsolltty rvih ovld€rc€ of $uch insu.ance pr#prli upon reques!. In tho e1,onr conrncrorprocurq a "crairns madc" porcy ro mccr rhe. insurince ,equrr"mc:nrs'iiiiitn, contraltor ugri.i ro ili.i;;idii;covcrsge upon tho lermination ofany suoh policyproviding ior an indefinltc ieporting pelioi9' . In-dahrilicsllon' Each pany shall_indemniS, dcfeud, and fiold rhc 6th6r pafiy llrrmlcss fron and ,Eainrt Bnvand all losses, crarms, suirs, dernrses, riabilrrres i"a "ie"i* ri,,"i,ra"g. ;iiir,l"iiriiiiii]rJ" ,1iililffii,{;;r:;;{fres) of any haturc orktnd wharsooverarising out of or rosulrini t"., a?*ivlil^a]lJuji?;;ililH;l;r;,thls Agreemont, includins, without llntltltion; bnoch of n"i ..p-,oriil'.,i"ti,

"ar?6nry, or cownant ofsuch psrry inthis Agreeme j end (b) any altegcd nodigrnt o, intentioirl u.i.; o;i;;iln, oralary, ir, uginr, o.l^i[v!*ba$€d upon, arising out or or arrriuuta[tito tt. fJ'to,.a".i oi non-p"iro'rr*." or tilk rc;p;;i"; ;l'ifi;;iunder thi' Agreemrsr, Upon no1l6g the othor party chall ,orm rni aol*a, * lo o"n "*pinuu,,ny

r;"h;il;;;nction s0id indcmniry is in tddltlon to.any olirer iigttrr rlo inomoiiJ patty may traw aEairst ths indemnifyingpaty. Thi$ Sectior! shall survive tho expiration or teririnarion ofrhi, ;g;;;"r.10.

_ I|xlcpendcnt Contt.rcaon Nothing contalncd. hercin ol aty documolt ex€cufed in conncction herewith shallbe deemed.or construed by the prrthr rrererq nor by any trrird iurty, ;;io.tirg tb. rorarionship of principal andBgoht, Employcr f,nd Emptoyee, portncrship, orjoinr venturc between the particsl Each pany r,.ity ,i.'ti",ir.ag*that heiher it nor iF Agert. ohatl havc rny tight or entitlement ir, o':to cny of rhe uninrploymenl *".i!,,comp^onsation, health, peu$ion, rotircrnqnl, or orhei bcncfit prog**r *rr'oi h.reit r avritaure io tie or'ner party;iEmployces,

12, cumulatlolr of Rerncdlcri No Waivcr, The variotr: rigfite, optioni, alccdonr, powers, and remedies of ths

i:iJ..*Tiflj:.:::,'::t1:9_l,l ,.1[ Acr:rment are in adttirio-n_ro any orhcrs rhot srili*ri.r'r"i u. ,r,iiirot ivrsw. Inau oe collswued as culnultrtivo._tnd rto one ofthEm ia extlusiw ofany ofthe othors, or ofany right or priorityallowed by law' Tho failurt of a part!.b exercise any of its righrs or to give any notico wlth respect to €ny dcflulrby rh6 ofter pMy or otholu/ise to'instut upon rhe striir perrorm-aacc ofrlic orhor party r otigario:ns r,ereuriro, ,iiirDot bo dearncd a waiver ofsuch party's right,"ith ,.cpcct thcr.o in n" fuiurc,

13' Att0rtroytf Ftes, lf Coltfdclor or Facility brlngs any action to interpret or cnforce $is Agrecme[t, or ford.nsg€s ford0v sllsgcd brcsoh hcreo4.M,"urci uy "r6ttation

ot iil**irrl'$u p.ou" r"e p"ny t.1"i ;i;ii "*i""shall be entillcd to rc8$onablc sttortltvs' fecs ana costs as.award€o uyitr"'aiiir.aror ;n lddirion to all othcr recovery,damrger and cosrs. This $ecrion *h.sri survive rhr cxFirrtlon sr termination oit,is G;;;;:'

'' -- **' '"""'"''14., GovernhrS-Lrw; St*tutory REfereDccs. This Agreernent rhrlt be govcrned by and constuod in accor<tarcewith the laws of the state in which the F cility i3 locsr;d, withour regur.a io ttu

"onnlct of laws rulcs of such stste.Any t€fetcnce In thit Agreement to any staluto, rcBulrrion, ruling, or frministrativo otder or dccrct shsll include nndbD a toference to rny succ€ssor statut€;l.egrrlldon -nllng,

or aarni.nirrraiue'order o, arsrcE.

t5' Force M*Jeurc' Ncithc.0"", t::P_ti',,be liablo for.any dclay o. raiturc in the porformance ofanyobligation undcrthis Agrccmcnr or for any loss or damage (includin! rndirecr or cons"quenrlol damage) to the cxlentthat sush nonperforrnsncc, delay, logs or damngalesulritom any clontingcncy vhich is boyohd the contrql ofsuchpsrty, provided such contirgency rs not causei uy tr* iarrii

"i-n"grilen?'or uu.n party. A contirgency for rho

LO462/8,t

JAN, ]6, 2014J12:4OPI!1ilI SUMNIIT VIEW OF LAKE C]TY

pu.pglts o.f this Ag.eement shatl inolude Ads of Ood, fir'x, floods, carthquakes, exptosions, srollns, wafs,hostilities, blockadoc, public disorders, qtrsnhiine reshictionq cmbargoe!, rna conplliuce witlr oiv raw, oia.. o,con.rol of, or in8isience by any govemmenul or nllitary authoriry. -

16'. Confldcntirllty, The PBnles hcrslo shsll hotd in confidence th€ information contelned in thls Agreed6nr orother- uformation nblul_d psrty, End Each of them h6$by ocknovledges ond rgrEes thtr all informatio;r relatcd totht$ Agrtomcrt or othEr infoflhttion about I psty, nd! otherwise lrrol|/n ro lhc publac, is confidcntlSl ond proprietsryrnd is rot to be di$olosed_to rhlrd persons withJut thc prior rvritton conscnt oi each'"i ii" p*i"i-!i..pi'(.5-i;',h"exrent nc0ess6ry 10 gqmply with ryry luy trrl: or regulation, iocluding, wirhout limitarion, any rute oi rigutirionProrrulgacd by the sBc, or the v6lld order of any g6*roa*tot lgcnoiy or any cortrt ofcornpeicntlurtrUiciion; ilyto lls {uditoK and il$. ntltmeys as prrt.ofits normai reporting or rJvicw procedure; (c) to its insumice ag.nt to ir"cld€nt n€cessary to obtsifl appropriate iruurqnce; or (dfas uecessary ro enforce lts righis ud pcrform lb alree!flchtsand obllgations under lhis AgroBmont Thi$ Scotion shall suavige th€ oxpilution or tetrninatlon ofthis AgE-omcnr.

17. MiecGlla[eous.. Thle Agreerncnt may not be modiflcd, amended or supplrrn€ntEd, nor may 8ny t€lli orcondltion be welved, except,by an agreotnanl in vriling signed by both panicr.' irleithor ftis Ag;eemenr ior any oflho dudes 0r oblitations of Conhactor hcreundef shall be assigned or deiegatod by Congactor ;irhour prior ,"ri'trrncorsetr of Facility-.

-Subject to r}e restrictlond against tronsfci or assignnient as herein set fonh, the provlsions ofrrs Agrooment sh0 InUrp l0 th6 bcnEfit of, and Shqll be binding on, tlrc helrS, assigns, successor.s, pffsoslalrbPressntatives, estatos ard_ lsgatcet of each o[rho panicr heretol This Agmen6nt s-hall constitute the eutireaS,reement bdween the porlie$ hfi€to wlth-respect ro rc lrsnsrctions contorhpiat€d hereby ana slult .uperseOe ittPriol'or contempoftneous noSotistions, [ndersiandings, and agrccmsnts. Thcie ato no mpiesoorstious, s'grecments,anangomonB 0r undohttnding$, oral or wlidcn, betwccn ot rnioDg thc psflies hcrcto lelating to lhe subjec'l mattei Jflhis ABreoncnt ltat ttt not fully oxptesred hcr6ln. If any provision'of this Agreemom ii found ro "be invalid ortnenforceablo by any court or orher lawful fortrrl ruch provision thall b6 InoffE*ctive only ro the exteai tf,.iif i, i"contrsv.ention of applicablo Inws rvilhout involidadng ihe remaining provlslohr of thij ngrecment, untess suchrnv8lmrry or unertorceability would def.at an Cssential business pUrporc ofthis Agr€Ement.

10,_ survlvul. Exc€pt os othe^visc expfo3sly providcd b thii Agr6sn€nt, all covensnrs, agr'Ernenls, r.pr."entationsand warrandor, express and implicd, shrllsurvive erpirrrion or termftration 0fthls AgrEen".nt

19- Slgnrlrr€3..ThjsAgroomontmaybcct.outedin{nynumbfiofcounterparto,oachofrvblchshallbedc6medan-orlglnal, but all ofwhich shall col$titut€ on6 and lhe seme agrcetncnt, Facsimileslgnarures stra[ Le qcceptsltc a;originols,. Any irdlvldual signint this Agrcenchr ol behalf-of an *rtty htrOy riprali"i";;;;";;'6;;;;individurl.capscify th{t he h's full nurherity to do sq on bchalf of such entity; providea, howuver, rhat Cont;sroracknowledges and agreff that this AArcoment is not binding orr tho Facility untit'accepted Uy tho ficitityi Di;;;;ofOperdtions rE evidenced by his or her slgnature on tho AFecment

N0.35751 P 99

8

Flrhihir,." i /irl.r I

10.46248.1

Jan,16, 2014:12:40Plvlill S{]MN4IT VIE!{ 0F LAKt CITY

q

3..'lrihir-,\lJIt.Jll

Er[iFil C

Eu$lhess Arroclrt€ Add€hqum

Businu's Associate and covcred Ert ty- are parllcr to a scryrces Agrsemsnr (lte ,,Agre0monc"). Fbrpurposes ofcomplying lryitb thc

^dmiflisrative.Sltnplitication requiremenr.r oftie Henlth irrruranjc porabiiity ana

Accountibiriry Act of 1996, qs sruerrded,.and rhc rogutations pro-mulgateo ther€under (coli;"tivery, 'ribee;i ,"athe requlrcmerts ofsubdrle D ofthc Hcrlth Infonnaiion Technology ior Economic ano ctinicol lieahh Acr snd fteregulatlons. promulgatsd thereundor.(colleclively, "HITEC}f ), lf;;d only to the exten! iltrt Business Aosociatr ,sEering n5 a blsiness eesocratr (ac defurd by tIIpAA) of covercd Endty, rhi panlos agre.

"; i;n;;; "'-'-'""

!- Dolinitlobs. CapitallEed tems [ssd, bu( not orlt$wise deliued in this Addendum, sholl have rhe saplemearing $ ttose tonhs in lho IIIFAA reguladons and HITECH, and thc following capit titui ii.r,"*f,uifi. jw*the folloving rncnnings:

l. l r18t0sch" tnisns rbe acquishlon, access, Uso or Disclosrrre ofPHl in r rnaf|ner not pormined under rheFrivscy Rulc lhrt poscs a significant-iisk of f-nsncial, npuuiionir, oiiihir rrarm to rlo lndividrrrl rrvho is thc subiccr9f thc FHt. Breach does not include: (a) use or pisclosure oii"rorec;;i H;;th l"il;;#?p,i#i;.il#,;"inclrdc trhc idenriti$s sted ar 4s c.p.R. $ t64Ji4ae)(4 uir.'"i ui,t, and zip codo; tuj a,,y

""int"-niil"rracquisition, acceas, or Us6 of pHl by a rnomber of Euiiniis Assoctqro,s Workforci * u irirln ,itl.i u"ao. ir,"authority of.B$sino$$ Associalo, if such rcquirition, accoss or Use was mad€ in good AiUri"i *itf,in iiu pi.*^t::rt*.:t$|1lY:Xq does no. result in ftraher Use orDisclosure in a minnw noipermirred undsr thc privrcy Rutej(or.sny rlrr ecrl9ht Disctostlto by a person who is aulhorlzed to access PHI at Business Assooistc ro onorher'pcrionaulhorizcd to occess PHI ot Buslness Assoclato, providcd the information received as a result of such Disclo'surs lsnot llttlher Uscd ot'Disclosed ln a manqe-r not !;rmitted under the Privaoy Rulo; or (d) r Disclosurc oipHi *ir.,

"Busittosr.Associatc hN I good fallh beliefthat in urnuthorized priron'io nilrorn rhe oi$clo3ur6 u,as modd would norressonably haye becn rblE to retain such infomlallon, .

_. 1.1,_uComplioncc Dgt6" meang h each crse,lho dat€ by whlch compliance is required under rhe reforonccdprovisioD ofHlTECH.

l'3' "Disolose- 8nd "Disclosure" mean, wilh respec! lo Protected Herlor lnformarioq thc rclcdrE, aransf€r,provislor. oi acc63s to, or divulgihg- in any otol manncr ir ii"tiiiia Heatth Infotrnstign oubia"'suri"rr"Associato's intelrBl opordfions or to oiher $an its cmployees.

1,4. ,'HITECH" maans rhe Hrtlth Lrfolmaaion Te{hoolory for Economic and Clinical Hedlth Act, errtctcdas part of rc Arnerican Rccovory gnd X-clnvpsament Aor of 2d09, pub, Law No. lll_5, una uny r.iuraiio"*promulBsted lhcrcunder. Rofercncar in rhis Addcndum ro r soclion orlslit.ootion of ti$6 42 of ihe Ufli&d Srgtescod6 610 leferenccs to provisioru ofHrTgcu. nny rorer-L ro p.o"irio* ornrrecH in rhir ,{ddcndum shalt bedeemed I rof*cncc to rhat provision and le exist-ing ond firturJ i*piern-ring retulfltionr, when End as cach is6ffective.

^ - - - I '5"'Privdcy Rule" meang the st{ndards for Privacy of Individualty Identifisble Hoallh Informn or,t 45C.F.R Part 160 and Part t64, Subpnfts A and E.

1,6. "Prctccted Hcarlh Informntiox" or "pHI" mesns information, incruding demdlrqphic inforrnadon thar(a) relatcs to thc past' pro56n! or tutute physical or rnonrot h.uli-h oi oonoition ofin i.alri,iuii, rr," p.""lrion'orhoalth cffc to 0h individuat, ol lhe oast, ptoionr or tuturo payment for ttrf frovisiorr oflcahh ctc ro ln indivldual;(b) ld-entifies the Individual (or for whish'rtterols a r*rona'b-te'6uuir tor-ier6ning rrrat drc informtrlou san b€ used toidentis ore individual); and (c) is rucoiv€o uy n"aineis assoc"ii'i", oi'"" u,irrf of a";.;.JB;iit;; l; ;;;;by Busir6ls Associ.re for cov€r€d Enrlty, oiis mado accessibie o'g,r;i;ss nrso.iutu tv covercd Entiry.

l'7''rseau ly Rulc" means thc .security Stsndards for ftc protectior of Etectronic protected Heolthlnfoirnntion at45 C.F,R Pafi 164, Subpart C,

1.8' "unseaurcd prorccM Hearrh Inrerrnrtion" ot "unsecured FHl,' m6!ns proEcted Healrh Infomationthat is rol rondered unusable, unreadsble, or tnoeoiptrerluri'io *""riirir"o individuals through the use ofE

No. 3575I P. 100

r0462{t.l

Jan, 16, 2014 l2:4lPMl SUI\,4IIIT VIE\{ OF LAKE C]TY N0.3575 P 1l

rachnology or mr(hodolop specifiod by the Secretary in tho guid{trce issqed under seclion t3d02(h)(2) of Prtblic

Law I I t-5,

1.9, "Use" or'U$os'' me L vith Iss9sd ut Pmtccted Heallh lnformation, the shfiing, Qtnploym€nt,

applicttlon, utilization, cxamilrtior or analy$is of auch Protected Health Inform8tion within Burinosr Assoclah's

intcmal op6rstions.

2. contldcnttality Obltga tlon, Business Arsooiate r.vill not Use or Disclore PI{I othor than as permilttd by

the Agreom€nt or this Add€ndutt, or is RBquired by Lqw.

3, pcrmitted Urer and Dhclosures ofPIII. BusiDess Asroci{ro shdll Use or Disclosc PHI only 83 necessaly

ro perlol'm r6rvlces undcr rhe Agrcenent or ag Rcquircd by LErv, provldcd such Use or Disclo*uro would not: (t)

vioiate thc Frivncy Rule, Securiv Rrlle, oth6r rppllcablc provisions of HIFAA or tllTECH if done by CovorcdEntity; or(ii) viol;te lhe ininimuft [ccessary policits *nd procedures ofCovorod Endry.

4, Safogutrds. Business As3oci6te $h8ll F|Iotect PHI fton any improper oral or written disclosurc by

enacting snd cnforciug safcguirds to mainmln rho seourity ofrnd to prevent any Use or Disclosuro ofPHI Olher lharir permlted by this Agreemenr. Such safogurrd$ €hdll include administrative, physicel, md technictl sdfeguards

thit roaronably ald rpproprintoly prorect the confidcntialiry, intcgrity, ald availobility of rry ehctroDic PHI thrt ltcreat4, receiyss, mainiainO, or ransmlb on behalf Of Covcrcd Entily. As Of tho COmplionce Date for 42 U-S.C. $1793 t, Busin$s Associate shqll comply with the Securiry Rul6 rnquirernerts set foflh at 45 C.F,R 5$ t64.308,

164.3i0, 164,312, and t64.316, fls well Es addirionol rcqulromcnts of HITECH drst relato to socurily and sre

applicabtc ro Covered Entily, As of t[c Compliance Dotc for 42 U.S.C. $ 17934, Burlncrs Associate shall shocomplywith rhe requhomeDt8 ofsubtitlc D of HITBCH that rolsl6 to ptlvacy and are applicsble to Cov€red Entily,

5, Acscss and Amendment, Upon thorcqucst ofCovorod Enlity, Buriness Associate shall: (s) makothe PHIspccificd by Covered Bnlily available to Cov$ed Entlty or to fte lndivirtual{s) idenlified by Covdcd Entity ry b€ing

;titled to acccss ir order to mEfr he requirctnonB under 45 C.F-R. I 164,524 ; and (b) rnrko PHI svsilable toCovered Entify for the purpose of amendmcnt Gnd lncorporafe changes or smeildmErts lo PHI wh'cn notified to do

so by Covered Entity

6. Accorlting, Upon Covorcd Bntity's reguost, Busin€ss Assocl8to rhall p(ovide to CovcrEd Enlity or,_ whott

directed in wriring b/ C6vcrcd Br iiy, dir€ctly ro tn Individual ln , tftnc 6nd tnannd sp€cifi€d by Covcrcd Sntity, snaccquntlng of a8ch Disclosure of PHI made by Burlnoss Assoclale or itr cnrployees, aEent!, TeprrrcnlAtiv€s ot

subcontrastors as rfould be necessery to permlt Covctcd Entity to respond to a regueEt by sn Individuat fot a[scaounting of Disclosures of PHI ln accordance with 45 CPR $ 164,528. Any locountirg provided by Buslnoss

Associate under lhis subrcctlon sh0ll include: (r) thc drto oftho Disolosurc; (b) thc name, and addro$9 ifknown, ofthc Entity qr petson who rccclved the PHI; (c) a brief dercription ofPHl disclogedi snd (d) a briofsteldnont of lhe

purpose of the Dholosure. For each Disclogure that oould rsquiro an sccounting u8der thig subsectloll, BusiEssAssgciNlo shsll dooument the information rpccified ln (n) [rrough (d), obovo, and shall scourely tctain ]hi$

documentatior for six (6) ye{rs from lhs drte ofthc Dlsclosurc.

7- Acccss to Book3 snd Records. Businsss A$ociak shEll tnako hs i emtl praclic€s, books tud.ecord3relaling to the Use and Disalosurr ofPIJl puBuant to this Addenduth tvrllablc to the Secrctary ofthe Dspsdmchr ofHealth and Humtn SGrviceE for purpoics of d$ermining qovored Endty's complialce lltitll lIlPAA. Cwered Entity0hal[ havc thc right to accoss snd oxamine ('AudtP) tho books, records, and other informsUon ofBusiness A,Esocislcrclatcd to this Addendum. Such Audlt rlghts shall bo in rddidon to End notwitfislsnding 8ny audit provision! retforth in the Agresmelt. Burirsgg Assoclato rhall coopcrate fully with any luch Audil(s) tnd shall providc dl books,records, data rnd otfier documenlntion r€asonably requssted by Cor,e}€d Enlity. Cov6rtd Bnlity nay makc copies ofsuch dqeumenlalion, To thc cxtcnt possible, Covored Edity vlll provldg BEsiners Associate r€fi3onabl6 notice ofthc need for on Audlr and will conduct the Aldit st I reesonEble limr 6nd plrcc. Notwithshnding the fottgolng,covared Entity will rmt have access to any books, r€cords, data and/or dooumentation rElateal to rny of EusincssAssociote'r other clicntg.

E- Agents ard Subcortractors. Business A*rclate ehrll rcquirc ell subcontracaon md agents to wfiioh itprovidcs PHI received fiom, or crrBlcd or reccivcd on behalf of Covered Entity, to |grco to all of the 80rneretricdols and conditions conceming such PHI to which Bueine$ Arroolato ls bound in rhis Addcndum,

l010.{6?,18.I

Exhibit .

Jan.16, 2014 12:4lPl\4 SUIIINIIT VIIlI OF LAKE CITY

tl

Exhibit

*, i;u#ii#iTt illffilllll BwinEss.A.$ociatcrhall 'opon

to covored Enriry any usc ar Disctosuro of pHr,u,r,ouiii'"it"ri"i, rj'," Jff,ffi fiTiT;t J,Ll& i,T,"j:it'"1ffi1#'l; r:il,*fil;t":il'iig,';r"r",,",. *lirt

"###*f?;.!usiness.Associaro atso ohatl norify Covcred Enriryof any Brcach of Ungecur.ed

su,in*, A.i;iu;'d;;;#;;11-::il\:t-unleasonBblc dslav and in^no-cato ret* rhan flfteen (rst aavc an'*rtr,-',".srcac.h;fir";;;,ilrqfiF-,fHif:li},l}rl"T,1bl,'i1Jifl.,ffi;.Tiff,#ri,",i,":"ilic P R' 0l64 4lo cnd shall incluis: tal t"-trr. *r.ni po*iiir, "nJii*i,u.*,on

orc'ch Fcrson whose unsecqred

it-+:i!r:iiu;':lfy'll'"J'"i'9,."*tn*:;i#"i$ji:jen a"cesc.d,acqri,ri;,;iiiilli.ii",,,"e

llt-ry9:l*tcl"r ti" iot", oitr,. nrru'h and di$covery of r1.,0 gr.."1.1"4-tllLl_u*g: (i) a .dascriprion or wrrai

unsccured pHr Iniorved i" tr'i ii,,*u rirrl-i"y",:i#ii,Jni;ffilJ:f,ffi1fil?loHl"*Jiil#s:iy,Tilipotchtiar harm resurting f,urn thc Breoch; ano (rvi tt'c'sreps gulinrrriir*ior, r, rakinglo inv.stigsrc the Br.Ech,mltigate harm to indiriduals' and tq protect againit any ftrrrrtrr itiri-rt*. !u'ne., ./tlsocrab shart provido covered::lll :11 suctr sddtrronar lnformairon aboit il,. drr.i;'"rfi;"ri'ih'"Enrirv or ss prorhpilv rh"rraft"iq$ ir'o inro,;,i";iloiil;;;;b'd ,ffililfrrli',l-" intrisr norificAtion ro covered

10. T6Ilr| ahd 'rcrrnlnallor,

10.1. Thir Addcndum b:g:,]* :, ,h:.f!f:.jive Drr6 and romrins In effoct for the cnrirE t€rm of thEAgr66hpnt ql €ss otherwise terminared n$ providsd bolow.

r0 2' ln ^ddft;sn

16 a$d norwithsta*ing the rernrnation prcvi'i'ns set forth in the Ag.'menr, both rhrsAddendum and the Agreemenr may b je.rlntn"4 ;t ;;;il;;,,ffi;ine evenr trrar covered Enrify dcrerinincsnusrncss Assooiate has yiolatod a mnr€rial term.of lhi, AOoinA",r'ril ,uch vrotahon hds nor becn rornedicd withinflfteen (15) days followlbg wrillen noticc to nuslness Aflociad.

10.3. EXcrpi d6 provld6d bolou, upon rormin8aion df is AddendulD, Businoss Associate shEll eitherrcnnh 0r desrroy iI FHt in rhe possrssion d._"i,r,rJ"is;.i*rJili*ilri o, ,,, ugcnb and 3ubcorrractors and shatlrcra'n r0 c0pi6s of suofi pHI. riowsv6r',*i,lcovercd E;,iry;;;i;ffi no*her renr,o nor d.srrucrion of pHr isrea$rblo' Busirlc$e Associalo moY rctain'nHl proviaert rirai itl*i."i', *. o-*,1""s of rhis Addendum ao rhs pHIil,',|ffi?-$i:,:trj;:[3,f*H:itr#,1*i p'd;ffi;ilili#].imm or o,,t o.rr*

"nr,* piiitnri,,;iru,

ll' Ircontlst€rt Terms; Inlcrpretatlon. Ifany portion ofthi6 Addend\rm i$ incoDjistch! wirh the te|Trs oftheAgreem.ht' rho rerms of this aaoonirom rFll p..ylrl-Li*pi ir'ir't'iJ.li *""., t* renarnrhg provrlions of rhefffi?'ffi1fr1ff1r:"#fft5o'- Anv amblFdrv inir,it aaaenou-.sr,ail bc

-resotvediopcnntr covor.dregulations promulpted thereunder.

lle' securitv Rulo, other applioablo provisions of HIPea, sni-Hi#tilil;;yl?' Rc'ul'rory Rcferenccs' A, rcfcrorce ! rhis Addcndum to l section irrthe privacy Rue, sccuri(y Ruro,

ililHllT"lktl'J,'iions or HIPAA

"' Htrucn ii *v "eul#; i#o,go,.o ,r'rr*ndcr nerrs dre, scciion as

,,0 ,f;o*I,ilof.tjt;,f."liT,i31?o--ll,llltt*l Associarc sercc to rrke ruch acrion ds is nccorsary to amend

f"r+ s..ou.iry ili;:,;;;;'idib"iilfi.il,'."J",,,.ii,ifl". j:;r",?i'd,IXlff;',*,nl*illm,,;"*thereurder' Notrvirhstandlng rid forogoi'lg, c. ovdco t*rty rrv .ir#rliiy amcnd rhis Addendum ae

.ir ncccisary

lJ:"T,tI "J'J,.'#';'j,[,;ff "TXi:r:,:l*""

"'"d d"i;;i';liil'"i:',ppri.*ur. .o;;il1;ili;ffi;i;;

*::: yr*: 'r*.,r* '6;[";:i"ii:",!lv'i'lii:itT"'ffi:iil3fl*:,i'.TLffi';]Tl*:tSif:9";wt|r not be rcquircd in oder for the afie.udmenr rb tske egoot.

.. 14. Inrlomnlllcation. Dusincss Associatc-shall defend, indernnif and hold hrgnlcss Covercd Entity and itsdrtectors, o1licers, employees, snd sqents t."rr"r,frrry, l'f,r'.ini.r"i'i.uii,)' oo,11 uno ,grin$ Eny and all ciqimsrosses' darnages' ruirs, focs, judgminr, iorr, iou''i*p*rrllffi;J rcasonsbre 8trorneys, f€es, rhEt rho

N0,357511 P. 1212

t04624t 1

Jan, 16, 2014 l2:41P|!| SUIVI\/II VIEII 0F LAKE CIiY

Ind€mnit€os fnay suffer or incut arising out ofor it connCgiOn With BUSineSg AdooiAte's br€ACh, non-perfornanc€;

non-complianco, or failure to obselve dny rerm qfthis Addondum.

15. srrrvlyrl. Th6 ro$pecrivc rights ard obtigations of B sincar.Associfie tndcr sccllot 7, sub$action l0'3 dld

sectiou 14 oftllis Addondum ehall rurvivs tho termination of thls Addendum ald lhr Agteem€lrl

t2

Exhibit 1

No. 3575 P. 1l

1046248.1

Jan.16. 2014 l2:39Pl/ SUI\4I\,1IT VIEIi OF LAKE CiTY No.3575

ffi*rrvrEwoI LAKE CITY, LLC

FAXCOVERSHEET

DATE: # oF PAGES (TNCLUDING COVER): taTOr CEIN S FAX#:BUSINESS:PIIONE #FROMPIIONE: FAX:855-426414aSUBJECTI

*** !t*i.****** *d'***** * *CONTrIDENTIALITY NOTICE************** ****r.****

The documents aocompanying this telecopy transmission oontains confidentialinformation, belonging to the sender that is legally privileged. This information isintended for the use ofthe individual or entity named above. The authorized recipient ofthis idormation is prohibited from disclosing this information to any othet paxty and isrequired to destroy this information after its stated need has been fulfilled.

If you ato not the intended reoipient, you are hereby notified that any disolosure, copying,distribution. or action taken in reliance on the conteots of these documents is stnctlyprohibited. If you have received this telecopy in euor, please notiff the senderimmediately to arrange for the retum of these documents.

IF THIS FAXIS NOT COMPLETE, PLEASE CONTACT US AT TIIE FTUMBERII\TDICATEDABOVE.

P. 1

€-:e srcuRUS"lEDt{ttoLoGtEs

' FIRST AMENDMENT

MASTER SERVICES AOREEIIiENT

Thls fIRST AMENDMENT CFlrot Amendment) is effodtvo as of the last dats signed by a parly CFhst Am€ndment Effedtu6DatO and €mende and supplements hst cedain Conlrad for S€rvioes and Maiter Sehricea Agjeement dated July 1. 2o0s(lhe 'Agreemonf) by and- between Andorson County covernm6nt ('countf or "customef) and socurus Tochnotollei, tnc.fcontradof or'Provld€rl.

WHEREAS Customer and Provlder are parllee to th6 Agreem€nt a1d doslro to ah6nd the terms as stated hefdn:NOI/V' THEREFORE, as of ths FhGt Amsndm€nt Efiedlve Date qnd tn consHeratlon of the mutual promtsec and covenamocontain6d hereln, the pgrtles agree as folloua:

1. fgo. This Fltst Am€ndmenl shalloommsnc€ on th€ Flrst Anendm€nt Effedtue Date and shall r€main tn efi€ct throwhthe _Teffi of lhe Agroemont, Futther, h6 Term of lhe Agr€eneflt shall be enonded {or an addidonal tlro (2) veir oed6dbeghnhg on July 1, 2013 snd €ndtng dr June 30, 2015, ;nd theresfter, unloss one party dellvers to the othei.irfiGn ho0c6.olnon{e$6wsl at lea6t nln€ty (90) days.prior to the €nd of th6 ftsn cufient torm, lhls Aloement shall automatidally r€newfor ono (1) sucososivs p€.riod c{ lw€hro (12) months, Nohiithstaoding anylhlng to the contrery, lhe tems €nd conOitons ofns Agreoment shall conlhue to _apply for 8o long as Provldff continues to prcvlds h€ Applicat'rons to Customer after lhe€xprrauon cr ogrl|er terfihatlrn ot lhis Agreetnent.

:"11y*"t ?le? -..penorm lno serv|ces-lo ne uounty ar lts nsvdy conohJcte{t bu drlg 6Jte. w€ wu prcvldG lhc aemeroalur€g ano Applcatlons as afo curfonlly b€ing provlded io Countys e$stlng Faclllty 6nd lrutalt 16 Inmato phones, 1 TDDphone and I ADTMN 924 togelher wlh tho .equirod oomponenta

Conltadof SoIvic€B ._ |n sdditlon to ho iowic€s curer{ty b€lng porformed und€r the Agro€ment at ths Counv Faciiv,rtom lho ggMces 1o lhe Counw al lls nsvdv conslructed bulldno slle, Wa vdt r'n drte ihr c"m';go$rador Spq to.peform fto ssMces to the County al its nevd! conetnrted bultdrB

-6te. We wtt

foaluros and Appllcatlons as afo currontv boing

EAgrurEg ANp RELATEp spEctrtcertot.ts:

; r,icitlti, N"aqetod AAr€s.: jAndsrson County Govetnment'l00llorth Main sredCourlhouse Room 214clinton, TN 37716

30% through June 30, 201350% efisctlvo March 7,20't3r

4' ..E)aop{ a8

-exptossly am€nded by thls Rrst Am€ndment, a[ of lho t€rms, condiflons and prov'tslohs of the Agreom€nl6ha[ romain h ful force and eff€d.

@ secuRus rcdrndos[Tinl.TSroprraary a connoenud

3, colleft C3F. Etredlv€ upon commoncom€d of the new Tsrm of th6 Agre€ment (.e., July 1, 2019), provldor wtlinoease the Colhd Commission P€tcentago payable lo customer from 43% to-5796, snd ;ccorointrtvine rXcLiire-s'nr,roRELATEO SPECIFICTIONS cha eot for$ In tho Schedule to the A0lsem6nt on Fage 4 of S f irereUy extracieri rn ltsanur€ty end rsplaoed $,lth lhe follo$rlng r€visBd chdd:

'Changse wlll lake oftoct on the flrstday.of tho_month-foltowtng rucelpt of wrttiEb nouco by the Customor. Noalcsnu6t b6 slgned by a penon who har brndrng autfiortty for tha dstomer and a copy oerrvereit ioiSECURUS TECHNOLOGIES, INC.

CHIEF FINANCTAL OFFIGER1465I DALLAS PAruAVAY, SIXTH FLOOR

DALLAS, TEXAS 76254

Cornmlsslons are pald In ono-$onth sroats and aro not sr.tb.leot to fetro€cflve paymonb or adrusbnentb for noflcodelaya

3... Pr€oald cqlino cargs.. E foctive upon oommonc€ment otthe new Term of tho &rsemont (r,€., July .r. 2013), p.ovrder{I- l,l9l.9ase [E apdlcablo Percer{qg9 from 3o/o 1o 50920, and eccordtnsti rhe FAa[rriis aNo'iiiLnreosPEclHcnoNs chart s6t forth In rh€ satedrde to lhe ngre€me;r on pes€ t;f6i" iiordi;;;;; d'r d,ieniii"-ty

"noroplaced with lhe follor,vllu r€rri6od charl

Anderson Counly Govordmenl1@ llonh Maln SlreotCoudhouso Room 214Cllnton, TN 37710

43% through Jun€ 30,201367% €ffedlve March 7,2013*

EXECUTED as of the Ffst Amsndmont E fective Date.

CUSTOMER;

Andotcon County Govomment

PROVIDER:

Sscurus Technobgiss, lnc,

By:

Nams:

Tite:

Dats:

By: fu /e;<-Narne: Robsrt Plcksns

Tl0e: Chlef Operatlng officor

Date: 1-s-' ,'t-

Pleass r€turn Glined conlractlo:{485i Dallas Parl(wavSlxlh FloorDallas, To(as 75234

Attsntloni Conaacts Admlnt6tratorPhono: 872) 2774300

Appnvedas

r tror*ur ru*ornLT",#3r***n * *o*ud

Dynasty Cabinets

Pharma Packaging Clayton

Homes

Carter Trucking

Seneca Medical

Advance Auto

Mountain Road

HWY. 441

HWY. 61

Proposed 108,000 Sq. Ft. Spec. Bldg. #1

Proposed 108,000 Sq. Ft. Spec. Bldg. #2

Mountain Road needs to be widened for a distance of 1,800 feet to three 12 foot lanes with a center turn lane.

1,800 FT.

DAVID JONES INDUSTRIAL PARK MOUNTAIN ROAD PROJECT

Andersonville Volunteer Fire Department P.O. Box 340

Andersonville, TN 37705

Membership Phone: 494-5235 Membership Fax: 494-0563

JeffBagwell Fire Chief Proudly Serving Our Community since 1977

INCIDENT INVOICE �January 15, 2014

SERVICES RENDERED TO: MAILING ADDRESS (IF DIFFERENT) MEMBER NUMBER (IF APPLICABLE)

Andersonville Elem. School 1951 Mountain Rd Andersonville, TN 37705

Anderson Co. Board of Education

101 S Main St

Clinton, TN 37716

101457

INCIDENT NUMBER or INVOICE NO. 13-0000638

PROVIDER EIN 62-1644336

TYPE OF INCIDENT LOCATION DATE OF SERVICE STATION TERMS

Fire Alarm Activation 1951 Mountain Rd / Andersonville 11/08/2013 I 01 30 DAYS

Description / APPARATUS IN SERVICE E721

DATE: 11/08/2013: Fire Alarm Activation ­ No Fire

Hrs/Rate

$950.00

AMOUNT DUE

$950.00

IT IS TH EOWNERS RESPONSIBILITY TO TURN IN INVOICE TO THE INSURANCE

COMPANY AND ENSURE PAYMENT IS MADE TO THE FIRE DEPARTMENT

Payments / credits

Total Incident Invoice due $950.00

BALANCE DUE $950.00

RETURN THIS PORTION WITH YOUR PAYMENT

MEMBER NUMBER IF APPI.ICABLE: 101457

CURRENT 31-60 DAYS PAST DUE 61-90 DAYS PAST DUE TO COlLECTION Total Due Now

$950.00 $950.00

YOURPAYMENTAMOUNT$ ________ CHECK # ___ CREDIT CARD# __________ EXP. __ CVSCODEONBACK _________

1 I 1 Printed on 01/15/2014

JeffBagwell Fire Chief

Andersonville Volunteer Fire Department P.O. Box 340

Andersonville, TN 37705

Membership Phone: 494-5235 Membership Fax: 494-0563

Proudly Serving Our Community since 1977

INVOICE PRINTED ON REVERSE SIDE Please send the bottom portion 0/ invoice with your payment

January 15, 2014

Andersonville Elem. School 1951 Mountain Rd Andersonville, TN 37705

The Andersonville Volunteer Fire Department responded to a Fire Alarm Activation call on 11/08/2013 to the above address. Because this ACCOUNT is a non member of the Andersonville Volunteer Fire Department, the incident fee is due. We do not bill medical OR insurance companies for our response fee. This is the responsibility of the patient or home/property owner.

The membership office is willing to work with you and this balance. We offer monthly, quarterly, and semi­annual payments plans. Our department offers you 90 days to resolve this amount.

Our Membership Office is available Monday through Friday 8:00 a.m. - 12:00 p.m. and 1:00 p.m. - 5:00 p.m. We are closed on major holidays. Please contact our membership office to discuss this amount.

Sincerely,

~~~ AVFD - Office Manager

21 ! Printed on 01/15/2014

Why Are We Sending Money to Farragut’s Schools at the Expense of Our Own Schools?

Two decades ago, Anderson and Knox Counties were in a virtual tie for DOE payroll. Anderson County and Oak Ridge have lost a lot of economic ground since then. This year, the DOE payroll gap between Anderson and Knox Counties reached a quarter billion dollars---and the gap is growing by $16 million dollars a year ($1.3 million dollars a month.) All that extra payroll money is paying for Farragut’s schools at the expense of our own. The good news is that we have several local officials, such as Anderson County Mayor Terry Frank, who are working to solve this problem. Two officials that have not yet signed onboard are Anderson County Commission Chairman, Chuck Fritts, and Oak Ridge Mayor, Tom Beehan. The only time one hears the payroll problem mentioned during one of their meetings is during the “Appearance of Citizens” segment. That shows a clear lack of priority. Our county offers a welcoming, hometown environment to new DOE workers. Farragut---despite its edge in housing and retail---requires a longer, more difficult commute and suffers from growing congestion that reminds one of east coast gridlock. Our failure to sell ourselves to the DOE workforce costs our schools, our retail and home sectors, and our tax rates. So why is there a reluctance to take action? Anderson County Commissioner Steve Mead frames the challenge this way: “The County Commission is used to recruiting industry, but it’s not really used to recruiting new residents. That’s the problem.” Well said, Steve. The fact that this will require innovative action is the reason that leadership from the Commission Chairman and Oak Ridge Mayor are so important. Keep in mind that this is not just an “Oak Ridge” problem. Each year, nearly one hundred million dollars of DOE payroll flows into the portion of Anderson County outside of Oak Ridge. The county’s entire DOE payroll---not just the Oak Ridge segment---has been seriously hurt by our failure to compete with

Farragut. When payroll goes to the I-40 corridor, it pulls Knoxville’s economy westward, slowing important retail expansion along I-75. This directly impacts the economies of communities like Clinton, Norris, and Lake City. It also hurts the revenues of all the school systems in Anderson County. Recently, Keys Fillauer, Chairman of the Oak Ridge Board of Education, took the initiative to add an item to the monthly

school board agenda that showcases the advantages of Oak Ridge schools. County Commissioner Zach

Bates is moving to bring the DOE payroll problem before the County Commission’s powerful Operations Committee. These actions, along with the actions of Mayor Terry Frank, gives the county an important start. Yet, we also need Mayor Beehan and Chairman Fritts to act. They need to lead us in promoting Oak Ridge and Anderson County to the DOE workforce. There is an awful lot of money at stake.