12-13 - Charity Care Policy & Texas Ambulance Supplemental Payment Program Agreement with Public Consulting Group

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and federal courts of Lamar County, Texas shall have exclusive jurisdiction over the enforcement of this Agreement. 22. Form 1295. Texas Government Code section 2252.908 requires disclosure of certain matters by contractors entering a contract with a local governmental entity such as CLIENT. PCG has reviewed section 2252.908 and PCG confirms that it shall: (1) complete Form 1295 and electronically file it with the Texas Ethics Commission (TEC); and (2) submit to CLIENT the signed Form 1295, including the certification of filing number of the Form 1295 with the TEC, at the time PCG executes and submits this Agreement to CLIENT. Form 1295 is available on the TEC's website. This Agreement is not effective until the requirements listed above are satisfied and any award of this Agreement by CLIENT is expressly made contingent upon PCG's compliance with these requirements. The signed Form 1295 may be submitted to CLIENT in an electronic format. 23. Conflicts of Interest. Texas Local Government Code Chapter 176 (Chapter 176) requires the disclosure of certain matters by contractors doing business with or proposing to do business with local governmental entities such as the CLIENT. PCG has reviewed Chapter 176 and, if it is required to do so, shall complete, and return Form CIQ promulgated by the TEC, which is available on the TEC website, within seven days of the date of submitting this Agreement to CLIENT, or within seven days of becoming aware of a matter that requires disclosure under Chapter 176, whichever is applicable. 24. Non -Boycott Verification. For purposes of Chapter 2270 of the Texas Government Code, PCG represents and warrants that, at the time of execution and delivery of this Agreement, neither PCG, nor any wholly owned subsidiary, majority owned subsidiary, parent company, or affiliate of PCG, boycotts Israel. PCG agrees that, except to the extent otherwise required by applicable federal law, neither PCG nor any wholly owned subsidiary, majority owned subsidiary, parent company, or affiliate of PCG, will boycott Israel during the term of this Agreement. The terms "boycotts Israel" and "boycott Israel" as used in this clause have the meaning assigned to the term "boycott Israel" in section 808.001 of the Texas Government Code. 25. No Business with Foreign Terrorist Verification. For purposes of Subchapter F of