DATE:______________________________ NAME OF GRANTEE: TYPE GRANTEE LEGAL NAME BY:__________________________________________________________________ (Signature) TITLE: TYPE REP'S TITLE HERE (Authorized Representative and Affiant) ATTACHMENT H HIPAA BUSINESS ASSOCIATE AGREEMENT – This solicitation does not require a HIPAA Business Associate Agreement.
DATE:______________________________ NAME OF GRANTEE: TYPE GRANTEE LEGAL NAME BY:__________________________________________________________________ (Signature) TITLE: TYPE REP'S TITLE HERE (Authorized Representative and Affiant) ATTACHMENT H – HIPAA BUSINESS ASSOCIATE AGREEMENT This solicitation does not require a HIPAA Business Associate Agreement.
PPP%20RFGP%20MORA%20FINAL%20%2011-7-14.docx