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HomeMy WebLinkAboutC-5746 - Business Associate AgreementAMENDMENT NO. TWO TO BUSINESS ASSOCIATE AGREEMENT BETWEEN IMAGETREND, INC. AND CITY OF NEWPORT BEACH THIS AMENDMENT NO. TWO TO BUSINESS ASSOCIATE AGREEMENT ("Amendment No. Two') is made and entered into as of this 8th day of August, 2017 ("Effective Date"), by and between the CITY OF NEWPORT BEACH, a California municipal corporation and charter city ("City"), and IMAGETREND, INC., a Minnesota corporation ("IMAGETREND"), whose address is 20855 Kensington Blvd., Lakeville, MN 55044, and is made with reference to the following: RECITALS A. On November 25, 2013, City and IMAGETREND entered into an Agreement ("Agreement") to ensure that IMAGETREND will become a "Business Associate" of City by agreeing to appropriately safeguard protected health information ("PHI") that is created, received, maintained, or transmitted on behalf of the City in compliance with the applicable provisions of Public Law 104-191 of August 21, 1996, known as the Health Insurance Portability and Accountability Act of 1996, Subtitle F — Administrative Simplification, Sections 261, et seq., as amended ("HIPAA"), the regulations codified at 45 C.F.R. Parts 160 and 164 ("HIPAA Regulations"), and with Public Law 111-5 of February 17, 2009, known as the American Recovery and Reinvestment Act of 2009, Title XII, Subtitle D — Privacy, Sections 13400, et seq., the Health Information Technology and Clinical Health Act, as amended (the "HITECH Act"). B. On July 18, 2016, City and IMAGETREND entered into Amendment No. One to the Agreement to authorize IMAGETREND to share certain electronic PHI data from City's records, to update Section B(5) and Section G(1) of the Agreement, and to document the addition of Section K and Exhibit A to the Agreement ("Amendment No. One"). C. IMAGETREND is a provider of data management services and a current Business Associate of City; D. Both City and IMAGETREND desire to enter into this Amendment No. Two to document the addition of Exhibit A to the Agreement. NOW, THEREFORE, it is mutually agreed by and between the undersigned parties as follows: 1. Exhibit A The Agreement is hereby amended to include Exhibit A — ePHI Data Export, attached hereto and incorporated herein by reference. The provisions set forth in Exhibit A are agreed upon by both City and IMAGETREND. 2. Integrated Contract Except as expressly modified herein, all other provisions, terms, and covenants set forth in the Agreement shall remain unchanged and shall be in full force and effect. In the event of a conflict between this Amendment No. Two and the Agreement or Amendment No. One to the Agreement, the terms of this Amendment No. Two shall prevail. By executing this Amendment No. Two, the parties hereto agree to be bound by the terms of the Agreement, as amended by Amendment No. One and this Amendment No. Two. [SIGNATURES ON NEXT PAGE] Imagetrend, Inc. Amendment No. Two Page 2 IN WITNESS WHEREOF, the parties have caused this Amendment No. Two to be executed on the dates written below. APPROVED AS TO FORM: CITY ATTORNEY'S OFFICE ATTEST: Q Date: CITY OF NEWPORT BEACH, a California mu icipal corporation Date: 314 �d? By: LA rfL- Charles Duncan Fire Chief IMAGETREND: Imagetrend, Inc., a Minnesota corporation Date: Signed in Counterpart I o oA A � /�� By: y: Leilani I. Brown Michael J President Attachments: Date: Bv: McBrady Signed in Counterpart Valerie McBrady Secretary & Treasurer [END OF SIGNATURES] Exhibit A — ePHI Data Export Imagetrend, Inc. Amendment No. Two Page 3 IN WITNESS WHEREOF, the parties have caused this Amendment No. Two to be executed on the dates written below. APPROVED AS TO FORM: CITY ATTORNEY'S OFFICE Na Harp ATTEST: Date: Leilani I. Brown City Clerk Attachments CITY OF NEWPORT BEACH, a California ,mu icipal corporation Date: $ By: C W44-1-11 Charles Duncan Fire Chief IMAGETREND: Imagetrend, Inc., a Minnesota corporation Date: 4 (0 'd%()(Y By: �= Ua44e.MeBrady U oe Gmv,( SeefetaFy-&4:ro�r Coe) [END OF SIGNATURES] Exhibit A — ePHI Data Export Imagetrend, Inc. Amendment No. Two Page 3 EXHIBIT A ePH I Data Export Imagetrend, Inc. Amendment No. Two Page A-1 1'��111 IMAGETREND'N,. ePHI Data Export Between ImageTrend, Inc. ("ImageTrend"), a Minnesota Corporation located at 20855 Kensington Blvd., and City of Newport Beach ("the Data Owner") residing at 100 Civic Center Drive, Newport Beach, California 92660 for transmitting ePHI data to Wittman Enterprises, LLC ("Transferee") located at 11093 Sun Center Drive Rancho Cordova, CA 95670. Whereas; ImageTrend is a provider of data management services and a current Business Associate to the Data Owner and; Whereas; the Data Owner wishes ImageTrend to share certain ePHI data from the Data Owner's System in ImageTrend's capacity as a Business Associate with Transferee 1. Data Export Purpose The purpose of this Data Export is to provide data necessary to Transferee to enable Transferee to provide billing services and other associated services to Data Owner. 2. Data Export Set Up ImageTrend shall transmit to Transferee the data identified by Data Owner in the attached Workbook ("Identified Data'). The export will be set up subsequent return of the completed Workbook by Data Owner to ImageTrend. 3. Authorization Data Owner hereby authorizes ImageTrend to transmit and disclose the Identified Data, and to disclose and transmit other data reasonably necessary to achieve the data export's purpose outlined in Section 1 above. This Agreement modifies any prior agreements of the parties only to the extent necessary to effect this agreement, and does not otherwise change the terms of any prior agreements between the parties. 4. Right to Revoke or Terminate Data Owner may terminate or revoke the right to transmit or disclose data granted to ImageTrend by this Agreement at any time by providing reasonable written notice to ImageTrend and providing a commercially reasonable period of time in which to effect the termination. The parties have read, understand, and have authority to agree to the terms of this Agreement. 20855 Kensington Blvd., Lakeville, MN 55044 Tel: (952) 469-1589 Toll Free: (888) 469-7789 Fax: (952) 985-5671 M AMENDMENT NO. ONE TO BUSINESS ASSOCIATE AGREEMENT BETWEEN IMAGETREND, INC. AND CITY OF NEWPORT BEACH THIS AMENDMENT NO. ONE TO BUSINESS ASSOCIATE AGREEMENT ("Amendment No. One") is made and entered into as of this 18th day of July, 2016 ("Effective Date'), by and between the CITY OF NEWPORT BEACH, a California municipal corporation and charter city ("City"), and IMAGETREND, INC., a Minnesota corporation ('IMAGETREND"), whose address is 20855 Kensington Blvd., Lakeville, MN 55044, and is made with reference to the following: RECITALS A. On November 25, 2013, City and IMAGETREND entered into an Agreement ("Agreement") to ensure that IMAGETREND will become a "Business Associate" of City by agreeing to appropriately safeguard protected health information ("PHI") that is created, received, maintained, or transmitted on behalf of the City in compliance with the applicable provisions of Public Law 104-191 of August 21, 1996, known as the Health Insurance Portability and Accountability Act of 1996, Subtitle F — Administrative Simplification, Sections 261, et seq., as amended ("HIPAA" ), the regulations codified at 45 C.F.R. Parts 160 and 164 ("HIPAA Regulations"), and with Public Law 111-5 of February 17, 2009, known as the American Recovery and Reinvestment Act of 2009, Title XII, Subtitle D — Privacy, Sections 13400, et seq., the Health Information Technology and Clinical Health Act, as amended (the "HITECH Act'). B. IMAGETREND is a provider of data management services and a current Business Associate of City; C. Both City and IMAGETREND desire to enter into this Amendment No. One to authorize IMAGETREND to share certain electronic PHI data from City's records, to update Section B(5) and Section G(1) of the Agreement, and to document the addition of Section K and Exhibit A to the Agreement. NOW, THEREFORE, it is mutually agreed by and between the undersigned parties as follows: Obligations of Business Associate Section B(5) of the Agreement is amended in its entirety and replaced with the following: "In accordance with 45 CFR 164.502(e)(1) and 164.308(b), ensure that any subcontractors that create, receive, maintain, or transmit PHI on behalf of IMAGETREND agree to the same restrictions, conditions, and requirements that apply to IMAGETREND with respect to such information;" 2. Notices Section G(1) of the Agreement is amended in its entirety and replaced with the following: "All notices, demands, requests or approvals to be given under the terms of this Agreement shall be given in writing, and conclusively shall be deemed served when delivered personally, or on the third business day after the deposit thereof in the United States mail, postage prepaid, first-class mail, addressed as hereinafter provided. All notices, demands, requests or approvals from IMAGETREND to City shall be addressed to City at: Attn: Kristin Thompson, EMS Division Chief Fire Department City of Newport Beach 100 Civic Center Dr. PO Box 1768 Newport Beach, CA 92658 3. No Attorneys' Fees The Agreement is hereby amended to include Section K: "In the event of any dispute or legal action arising under this Agreement, the prevailing party shall not be entitled to attorneys' fees." 4. Exhibit A The Agreement is hereby amended to include Exhibit A — ePHI Data Export, attached hereto and incorporated herein by reference. The provisions set forth in Exhibit A are agreed upon by both City and IMAGETREND. 5. Integrated Contract Except as expressly modified herein, all other provisions, terms, and covenants set forth in the Agreement shall remain unchanged and shall be in full force and effect. In the event of a conflict between this Amendment No. One and the Agreement, the terms of this Amendment No. One shall prevail. By executing this Amendment No. One, the parties hereto agree to be bound by the terms of the Agreement, as amended this Amendment No. One. [SIGNATURES ON NEXT PAGE] Imagetrend, Inc. Page 2 IN WITNESS WHEREOF, the parties have caused this Amendment No. One to be executed on the dates written below. APPROVED AS TO FORM: CITY ATTORN ,S 6 FICE Date: By: Aaron C. Harp �I y City Attorney ATTEST: P p Date: 0 �q. By: & LUWAA*k- - Leilani I. Brown City Clerk CITY OF NEWPORT BEACH, a California municipal corporation Date:__ UL By: Scott Poster Fire Chief IMAGETREND: Imagetrend, Inc., Minnesota corporation Date: y- /I/ -ol D/ (o By; go, / e) ichael J. M y Presiden Date: `7 //'/ Z4�L/o By:� Valerie McBrady Secretary & Treasurer [END OF SIGNATURES] Attachments: Exhibit A - ePHI Data Export Imagetrend, Inc. Page 3 EXHIBIT A ePHI Data Export Imagetrend, Inc. Page A-1 "n I MAG E TREND',,,,. ePHI Data Export Between ImageTrend, Inc. ("ImageTrend"), a Minnesota Corporation located at 20855 Kensington Blvd., and City of Newport Beach ("the Data Owner"), whose address is 100 Civic Center Drive, Newport Beach, California 92658 for transmitting ePHI data to Elite ("Transferee") located at 20855 Kensington Blvd., Lakeville, MN 55044 Whereas; ImageTrend is a provider of data management services and a current Business Associate to the Data Owner and; Whereas; the Data Owner wishes ImageTrend to share certain ePHI data from the Data Owner's System in ImageTrend's capacity as a Business Associate with Transferee 1. Data Export Purpose The purpose of this Data Export is to provide data necessary to Transferee to enable Transferee to provide billing services and other associated services to Data Owner. 2. Data Export Set Up ImageTrend shall transmit to Transferee the data identified by Data Owner in the attached Workbook ("Identified Data'). The export will be set up subsequent return of the completed Workbook by Data Owner to ImageTrend. 3. Authorization Data Owner hereby authorizes ImageTrend to transmit and disclose the Identified Data, and to disclose and transmit other data reasonably necessary to achieve the data export's purpose outlined in Section 1 above. This Agreement modifies any prior agreements of the parties only to the extent necessary to effect this agreement, and does not otherwise change the terms of any prior agreements between the parties. 4. Right to Revoke or Terminate Data Owner may terminate or revoke the right to transmit or disclose data granted to ImageTrend by this Agreement at any time by providing reasonable written notice to ImageTrend and providing a commercially reasonable period of time in which to effect the termination. 20855 Kensington Blvd., Lakeville, MN 55044 Tel: (952) 469-1589 Toll Free: (888) 469-7789 Fax: (952) 985-5671 r 0 BUSINESS ASSOCIATE AGREEMENT BETWEEN IMAGETREND, INCORPORATED AND CITY OF NEWPORT BEACH THIS BUSINESS ASSOCIATE AGREEMENT ("Agreement") is entered this 25°i day of November, 2013 ("Effective Date") between THE CITY OF NEWPORT BEACH, a California municipal corporation and charter city ("City") and IMAGETREND, INCORPORATED, a Minnesota corporation ("IMAGETREND, INCORPORATED") whose address is 20855 Kensington Blvd. Lakeville, MN 655044 and is made with reference to the following: RECITALS A. City is a municipal corporation duly organized and validly existing under the laws of the State of California with the power to carry on its business as it is now being conducted under the statutes of the State of California and the Charter of the City. B. IMAGETREND, INCORPORATED is the City's contracted outside billing company, contracted with to provide statements to and collect payments from patients who have received paramedic field services and emergency ambulance transportation services from the City. C. This Agreement is executed to ensure that IMAGETREND, INCORPORATED will appropriately safeguard protected health information ("PHI") that is created, received, maintained, or transmitted on behalf of the City in compliance with the applicable provisions of Public Law 104-191 of August 21, 1996, known as the Health Insurance Portability and Accountability Act of 1996, Subtitle F — Administrative Simplification, Sections 261, et seq., as amended ("HIPAA"), the regulations codified at 45 C.F.R. Parts 160 and 164 ("HIPAA Regulations"), and with Public Law 111-5 of February 17, 2009, known as the American Recovery and Reinvestment Act of 2009, Title XII, Subtitle D — Privacy, Sections 13400, et seq., the Health Information Technology and Clinical Health Act, as amended (the "HITECH Act"). NOW, THEREFORE, it is mutually agreed by and between the undersigned parties as follows: A. General Provisions 1. Meaning of Terms. The terms used in this Agreement shall have the same meaning as those terms defined in the HIPAA, the HIPAA Regulations, and the HITECH Act. 2. Regulatory References. Any reference in this Agreement to a regulatory section means the section currently in effect or as amended. 3. Interpretation. Any ambiguity in this Agreement shall be interpreted to permit compliance with the HIPAA, the HIPAA Regulations, and the HITECH Act. B. Obligations of Business Associate 1. IMAGETREND, INCORPORATED shall not use or further disclose protected health information ("PHI") other than as permitted or required by this Agreement or as required by law; 2. IMAGETREND, INCORPORATED shall use appropriate safeguards and comply, where applicable, with the HIPAA Security Rule with respect to electronic protected health information ("e-PHI") and implement appropriate physical, technical and administrative safeguards to prevent use or disclosure of PHI other than as provided for by this Agreement; 3. IMAGETREND, INCORPORATED shall report in writing to City each security incident (as defined in the HIPAA Security Rule) or any use or disclosure of PHI not provided for by this Agreement no later than three (3) business days after becoming aware of such security incident or non -permitted use or disclosure. If such security incident or non -permitted use or disclosure constitutes a breach of unsecured PHI, then IMAGETREND, INCORPORATED shall comply with the requirements of Section B.4. below; 4. IMAGETREND, INCORPORATED shall investigate each unauthorized access, acquisition, use or disclosure of PHI that it discovers to determine whether such unauthorized access, acquisition, use or disclosure constitutes a reportable breach of unsecured PHI. If IMAGETREND, INCORPORATED determines that a reportable breach of unsecured PHI has occurred, IMAGETREND, INCORPORATED shall notify City of such breach in writing without unreasonable delay but no later than sixty (60) days after discovery of the breach, in accordance with 45 C.F.R. §164,410(c). City shall have sole control over the timing and method of providing notification of such breach to the affected individual(s), the Secretary and, if applicable, the media, as required by the HITECH Act. IMAGETREND, INCORPORATED shall reimburse City for its reasonable costs and expenses in providing the notification, including, but not limited to, any administrative costs associated with providing notice, printing and mailing costs, and costs of mitigating the harm (which may include the costs of obtaining credit monitoring services and identity theft insurance) for affected individuals whose PHI has or may have been compromised as a result of the breach; 5. In accordance with 45 CFR 164.502(e)(1)(ii) and 164.308(b)(2), IMAGETREND, INCORPORATED shall ensure that any subcontractors that create, receive, maintain, or transmit PHI on behalf of IMAGETREND, INCORPORATED agree to the same restrictions, conditions, and IMAGETREND, INCORPORATED requirements that apply to IMAGETREND, INCORPORATED with respect to such information; 6. IMAGETREND, INCORPORATED shall make PHI in a designated record set available to City and to an individual who has a right of access in a manner that satisfies the City's obligations to provide access to PHI in accordance with 45 CFR §164.524 within 30 days of a request; 7. IMAGETREND, INCORPORATED shall make any amendment(s) to PHI in a designated record set as directed by the City, or take other measures necessary to satisfy the City's obligations under 45 CFR §164.526; 8. IMAGETREND, INCORPORATED shall maintain and make available information required to provide an accounting of disclosures to the City or an individual who has a right to an accounting within 60 days and as necessary to satisfy the City's obligations under 45 CFR §164.528; 9. To the extent that IMAGETREND, INCORPORATED is to carry out any of the City's obligations under the HIPAA Privacy Rule, IMAGETREND, INCORPORATED shall comply with the requirements of the Privacy Rule that apply to the City when it carries out that obligation; 10. IMAGETREND, INCORPORATED shall make available to the Secretary of the Department of Health and Human Services its intemal practices, books, and records relating to the use and disclosure of PHI received from, or created or received by IMAGETREND, INCORPORATED on behalf of, the City, for purposes of determining IMAGETREND, INCORPORATED'S and the City's compliance with HIPAA, the HIPAA Regulations, and the HITECH Act; 11. IMAGETREND, INCORPORATED shall restrict the use or disclosure of PHI if the City notifies IMAGETREND, INCORPORATED of any restriction on the use or disclosure of PHI that the City has agreed to or is required to abide by under 45 CFR §164.522; and 12. If the City is subject to the Red Flags Rule (found at 16 CFR §681.1 et seq.), IMAGETREND, INCORPORATED agrees to assist the City in complying with its Red Flags Rule obligations by: (a) implementing policies and procedures to detect relevant Red Flags (as defined under 16 C.F.R. §681.2); (b) taking all steps necessary to comply with the policies and procedures of the City's Identity Theft Prevention Program; (c) ensuring that any agent or third party who performs services on its behalf in connection with covered accounts of the City agrees to implement reasonable policies and procedures designed to detect, prevent, and mitigate the risk of identity theft; and (d) alerting the City of any Red Flag incident (as defined by the Red Flag Rules) of which it becomes aware, the steps it has taken to mitigate any potential harm that IMAGETREND, INCORPORATED may have occurred, and provide a report to the City of any threat of identity theft as a result of the incident. C. Permitted Uses and Disclosures by Business Associate The specific uses and disclosures of PHI that may be made by IMAGETREND, INCORPORATED on behalf of the City include: 1. The preparation of invoices to patients, carriers, insurers and others responsible for payment or reimbursement of the services provided by the City to its patients; 2. Preparation of reminder notices and documents pertaining to collections of overdue accounts; 3. The submission of supporting documentation to carriers, insurers and other payers to substantiate the healthcare services provided by the City to its patients or to appeal denials of payment for the same; and 4. Other uses or disclosures of PHI as permitted by HIPAA necessary to perform the services that IMAGETREND, INCORPORATED has been engaged to perform on behalf of the City. D. Relationship of Parties 1. IMAGETREND, INCORPORATED is an independent contractor and not an agent of City under this Agreement. IMAGETREND, INCORPORATED has the sole right and obligation to supervise, manage, contract, direct, procure, perform or cause to be performed all of IMAGETREND, INCORPORATED'S obligations under this Agreement. E. Indemnification 1. Notwithstanding anything to the contrary in the underlying services agreement between the City and IMAGETREND, INCORPORATED, at IMAGETREND, INCORPORATED'S expense, IMAGETREND, INCORPORATED agrees to indemnify, defend and hold harmless City and City's employees, directors, officers, managers, or agents (the "Indemnities") from and against any and all fines, penalties, damages, losses, claims or causes of action and expenses (including, without limitation, court costs and reasonable attorneys' fees) arising from any violation of the HIPAA, the HIPAA Regulations, or the HITECH Act or from any negligence or wrongful acts or omissions, including but not limited to failure to perform its obligations that results in a violation of the HIPAA, the HIPAA Regulations, or the HITECH Act, by IMAGETREND, INCORPORATED or its employees, directors, officers, subcontractors, agents or other members of IMAGETREND, INCORPORATED'S workforce. IMAGETREND, INCORPORATED IMAGETREND, INCORPORATED'S obligation to indemnify the Indemnities shall survive the expiration or termination of this Agreement for any reason. F. Term and Termination 1. The term of this Agreement shall be effective as of the Effective Date and shall terminate as of the date that all of the PHI provided by City to IMAGETREND, INCORPORATED, or created or received by IMAGETREND, INCORPORATED on behalf of City, is destroyed or retumed to City, or, if it is infeasible to retum or destroy the PHI, protections are extended to such information, in accordance with Section F.3 below. 2. Upon City's knowledge of a material breach or violation of this Agreement by IMAGETREND, INCORPORATED, City shall either: a. Notify IMAGETREND, INCORPORATED of the breach in writing, and provide an opportunity for IMAGETREND, INCORPORATED to cure the breach or end the violation within ten (10) business days of such notification; provided that if IMAGETREND, INCORPORATED fails to cure the breach or end the violation within such time period to the satisfaction of City, City shall have the right to immediately terminate this Agreement and the underlying services agreement between City and IMAGETREND, INCORPORATED upon written notice to IMAGETREND, INCORPORATED; b. Upon written notice to IMAGETREND, INCORPORATED, immediately terminate this Agreement and the underlying services agreement between City and IMAGETREND, INCORPORATED if City determines that such breach cannot be cured; or c. If City determines that neither termination nor cure is feasible, City shall report the violation to the Secretary. 3. Upon termination of this Agreement for any reason, IMAGETREND, INCORPORATED shall return to the City or destroy all PHI received from the City, or created, maintained, or received by IMAGETREND, INCORPORATED on behalf of the City that IMAGETREND, INCORPORATED still maintains in any form. IMAGETREND, INCORPORATED shall retain no copies of the PHI. However, if IMAGETREND, INCORPORATED determines that neither return nor destruction of PHI is feasible, IMAGETREND, INCORPORATED shall notify City of the conditions that make retum or destruction infeasible, and may retain PHI provided that IMAGETREND, INCORPORATED (a) continues to comply with the provisions of this Agreement for as long as it retains PHI, and (b) further limits uses and disclosures of such PHI to those purposes that make the retum or destruction of PHI infeasible. IMAGETREND, INCORPORATED G. Notices 1. All notices, demands, requests or approvals to be given under the terms of this Agreement shall be given in writing, and conclusively shall be deemed served when delivered personally, or on the third business day after the deposit thereof in the United States mail, postage prepaid, first-class mail, addressed as hereinafter provided. All notices, demands, requests or approvals from IMAGETREND, INCORPORATED to City shall be addressed to City at: Attn: Cathy Ord, EMS Manager Fire Department City of Newport Beach 100 Civic Center Dr. PO Box 1768 Newport Beach, CA 92658 2. All notices, demands, requests or approvals from City to IMAGETREND, INCORPORATED shall be addressed to IMAGETREND, INCORPORATED at: Attention: Michael J. Brady IMAGETREND, INCORPORATED 20855 Kensington Blvd Lakeville, MN 55044 H. Amendment to Comply with Law 1. This Agreement shall be deemed amended to incorporate any mandatory obligations of City or IMAGETREND, INCORPORATED under the HITECH Act and its implementing HIPAA Regulations. Additionally, City and IMAGETREND, INCORPORATED agree to take such action as is necessary to amend this Agreement from time to time as necessary for City to implement its obligations pursuant to the HIPAA, the HIPAA Regulations, or the HITECH Act. Applicable Law and Venue 1. This Agreement shall be governed by and construed in accordance with the laws of the State of Califomia (without regards to conflict of laws principles). City and IMAGETREND, INCORPORATED agree that all actions or proceedings arising in connection with this Agreement shall be tried and litigated exclusively in the State or federal (if permitted by law and if a party elects to file an action in federal court) courts located in Orange County, California. AGETREND, INCORPORATED J. Counterparts This Agreement may be executed in two or more counterparts, each of which shall be deemed an original and all of which together shall constitute one and the same instrument. IN WITNESS WHEREOF, the parties have caused this Agreement to be executed on the dates written below. APPROVED AS TO FORM: CITY OF NEWPORT BEACH, OFFICE OF THE CITY ATTORNEY A California municipal corporation Date: Date: DEC 1 7 Z013 By: A: s C. Harp Ci Attorney ATTEST: Date: o2, j. >< By: Leilani I. Irown City Cleric By: Chief Scott Poster Fire Department IMAGETREND, INCORPORATED, a Minnesota corporation Date: By: IC AEL J. Date: f al O I; 1 By: MAGETREND,INCORPORATED