Agmt21 Kaiser Grant Agreement - Laserfiche WebLink

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Kaiser Foundation Hospitals, Northern California Region - Grant Agreement - 126899 Page 1 In addition to the specific terms of the Grant Award Letter for Grant Number 126899, Kaiser Foundation Hospital’s (“KFH”) award of this Grant, managed by the KFH Northern California Community Benefit Programs Division, is contingent upon Grantee’s compliance with the following terms and conditions, and Grantee agrees to all these terms and conditions. Together, the Grant Award Letter and these terms and conditions are “the Agreement.” 1. Tax-Exempt Status Grantee is a (i) tax-exempt organization currently recognized by the Internal Revenue Service (“IRS”) as a public charity described in section 501(c)(3), (8), (10) or (19) or 501(k) or 509(a)(1), (2), or (3) of the Internal Revenue Code of 1986, as amended (the “Code”) or (ii) a local, state or federal government agency. If Grantee is a public charity as described in (i), then Grantee represents and warrants that Grantee’s tax-exempt status under the Code has not been revoked or modified since the issuance of the IRS determination letter provided to KFH and shall not be revoked or modified during the term of this Grant; and there is no issue presently pending before any office of the IRS that could result in any proposed changes to Grantees’ tax-exempt status under the Code; and Grantee shall immediately notify KFH if Grantee’s tax-exempt status is revoked, suspended or modified during the term of this Grant. 2. Expenditure of Funds This Grant must be used for the project identified in the Grant Award Letter, as described in the Grantee’s proposal and related correspondence, and may not be expended for any other purposes without KFH’s prior written approval. If the Grant is intended to support a specific project or to provide general support for a specific period, any portion of the Grant unexpended at the completion of the project at the end of the period shall be returned immediately to KFH, unless otherwise agreed by KFH in writing. Grantee may not expend any Grant funds for any purpose that is not charitable or educational, for any political or lobbying activity, or for any purpose other than one specified in Section 170(c)(2)(b) of the Code. Grantee must obtain prior written approval from KFH for changes to budgetary allocations that amount to 10% or more of the total budget of the Grant award or for changes to the Grant period. Grantee may not use any portion of this grant in connection with the enrollment of individuals in any Qualified Health Plan or non-Qualified Health Plan. If Grantee serves as a Certified Enrollment Entity or Navigator funded by the California Health Benefit Exchange (Covered California), Grantee will fully comply with any applicable state and federal statutes, regulations, and sub-regulatory guidance requiring disclosure of receipt of this funding to Covered California and consumers receiving application assistance from Grantee’s personnel . 3. No Assignment or Delegation Grantee may not assign, or otherwise transfer, its rights or delegate any of its obligations under this Grant without prior written approval from KFH. REV: 05-11-21 RL ATTY/AGR.2021.108/Kaiser Permanente (Grant) (Page 3 of 7)