HomeMy WebLinkAboutIU Health Inc./CFD/ Amendment of AgreementIU Health Inc. – Amendment Letter Template – 09.25.2023
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AMENDMENT OF AGREEMENT
This document serves as an amendment (“Amendment”) of the Affiliation Agreement (original
commencement date of July 1, 2023, and original termination date of June 30, 2024) (the
“Affiliation Agreement”) between Indiana University Health, Inc. and City of Carmel, an
Indiana municipal corporation, by and through its Board of Public Works and Safety (city).
(“School”).
The Parties desire to amend the Affiliation Agreement to update certain responsibilities as set forth
herein.
1. Definitions. Capitalized terms used in this Amendment but not defined in this Amendment
will have the meanings assigned to them in the Affiliation Agreement.
2. Section III School Responsibilities - Section (III)(E) of the Affiliation Agreement is deleted
and replaced with the following:
“Before faculty/students begin a rotation, inform faculty/students about pertinent OSHA
regulations (for example Bloodborne pathogens, personal protective equipment, infection
prevention, etc.) and HIPAA regulations.”
3. Section III School Responsibilities – Section (III)(H)(3) of the Affiliation Agreement is
deleted and replaced with the following:
“Receive the following vaccinations: measles, mumps, rubella, varicella, and Hepatitis B
(or Hepatitis B vaccination declination form on file) or shows appropriate antibody titer. IU
Health strongly recommends students obtain the TDAP vaccination. Annual influenza
vaccination is also required unless an exception is granted based on medical or religious
grounds. An exception to the influenza vaccination granted by School must be submitted if
requested by IU Health in advance of the first day of the Student’s rotation at an IU Health
Facility.”
4. No Other Modifications. Except as otherwise set forth in this Amendment, all other provisions
of the Affiliation Agreement shall remain unchanged.
5. Effective Amendment. The changes described herein shall commence on September 1, 2024.
The Parties agree that this Amendment has been duly prepared and executed in accordance
with the terms of the Affiliation Agreement and will be considered part of the Affiliation
Agreement once signed by all Parties.
By Benjamin J Legge at 12:49 pm, Sep 23, 2024
Docusign Envelope ID: 2FA3A901-44A9-4A1A-B7C5-BF575DE41EAF
CITY OF CARMEL, INDIANA INDIANA UNIVERSITY HEALTH, INC.
by and through its Board of Public
Works and Safety
By: By:
Laura Campbell, Presiding Officer Authorized Signature
Date:
Printed Name
James Barlow, Member
Date:
Title
Alan Potasnik, Member FID/TIN:
Date:
ATTEST: Date:
Jacob Quinn, Clerk
Date:
Docusign Envelope ID: 2FA3A901-44A9-4A1A-B7C5-BF575DE41EAF
10/2/2024
10/2/2024
10/2/2024
10/2/2024