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HomeMy WebLinkAboutContract 63559CSC No. 63559 CITY OF FORT WORTH AGREEMENT FOR MOBILE INTEGRATED HEALTH SERVICES This Agreement for Mobile Integrated Health Services ("Agreement") is made between the City of Fort Worth ("Fort Worth"), a home -rule municipal corporation organized under the laws of the state of Texas, and Vitas Healthcare of Texas, L.P. a domestic limited partnership ("Facility"). Fort Worth and Facility are each a "Parry" and collectively the "Parties" to this Agreement. WHEREAS, Fort Worth, by and through the Fort Worth Fire Department, provides regulated prehospital emergency medical services ("EMS") and emergency ambulance transportation ("EMS System") to the public within its jurisdiction and of those jurisdictions who have executed an EMS Interlocal Agreement with Fort Worth; WHEREAS, as the licensed EMS Provider of Fort Worth's EMS System, Fort Worth also provides mobile integrated health services ("MIH") to enrolled clients; WHEREAS, MIH includes non-exclusive services that are designed to enhance, coordinate, effectively manage, and integrate out of hospital care, to improve outcomes, enhance the client's experience of care, and improve the efficiency and effectiveness of healthcare services provided to enrolled clients; and WHEREAS, the purpose of this Agreement is to state the terms and conditions under which Fort Worth will provide MIH services to Facility and Facility's patients who elect to enroll in Fort Worth's MIH program; NOW THEREFORE, known by all these present, Fort Worth and Facility, acting herein by the through their duly authorized representatives, agree to the following terms: I. SCOPE OF SERVICES 1.1 Fort Worth will provide enrolled patients of Facility with the services described in Paragraph 1 of Exhibit "A" attached hereto and incorporated herein by this reference (the "MIH Services") 1.2 Facility will provide Fort Worth with the services, and perform the obligations, described in Paragraph 2 of Exhibit "A" attached hereto and incorporated herein by this reference. II. TERM 2.1 This Agreement will be effective upon execution by Fort Worth's Assistant City Manager and will expire on September 34 of the next fiscal year of Fort Worth, unless terminated earlier in accordance with the terms and conditions of this Agreement. This Agreement may be renewed by the written, mutual, agreement of the Parties for an unlimited number of one-year renewals, each a "Renewal Term." OFFICIAL RECORD MIH Services Agreement CITY SECRETARY page 1 of 12 FT. WORTH, TX III. COMPENSATION 3.1 As compensation for the MIH Services provided by Fort Worth, Facility will compensate Fort Worth at the times and amounts set forth in Exhibit "B" which is attached hereto and incorporated herein by this reference ("MIH Fees"). Fort Worth and Facility may modify the MIH Fees only by mutually executing a written amendment to this Agreement. 3.2 Fort Worth will charge the MIH Fees to Facility in the amount set forth in Exhibit "B" for MIH Services. Fort Worth may charge the Facility's patients in accordance with Fort Worth's EMS System fee schedule in the event that the Facility's patient requires transport or other EMS System services. If a Facility patient requires EMS System services, the patient or their insurance company will be billed by Fort Worth, and payment of any fees associated with EMS System services will be the responsibility of the patient. IV. TERMINATION 4.1 Convenience. Either Fort Worth or Facility may terminate this Agreement at any time and for any reason by providing the other party with 30 days written notice of termination. 4.2 Breach. If either party commits a material breach of this Agreement, including but not limited to the Facility failing to pay to Fort Worth any amount due hereunder, the non -breaching Party must give written notice to the breaching party that describes the breach in reasonable detail. The breaching party must cure the breach ten (10) calendar days after receipt of notice from the non -breaching party, or other time frame as agreed by the parties. If the breaching party fails to cure the breach within the stated period, the non -breaching party may, in its sole discretion, and without prejudice to any other right under this Agreement, law, or equity, immediately terminate this Agreement by giving written notice to the breaching party. 4.3 Duties and Obligations of the Parties. In the event that this Agreement is terminated prior to the Expiration Date, Facility shall pay Fort Worth for services actually rendered up to the effective date of termination and Fort Worth shall continue to provide the Facility with services requested by the Facility and in accordance with this Agreement up to the effective date of termination. Upon termination of this Agreement for any reason, Facility shall provide Fort Worth with copies of all completed or partially completed documents prepared under this Agreement. In the event Facility has received access to Fort Worth information or data as a requirement to perform services hereunder, Facility shall return all Fort Worth provided data to Fort Worth in a machine-readable format or other format deemed acceptable to Fort Worth. V. REQUIRED DOCUMENTATION 5.1 To facilitate Fort Worth's provision of the MIH Services, upon request by Fort Worth, Facility shall provide Fort Worth with all documentation reasonably required by Fort Worth in connection with the MIH Services as soon as reasonably possible. Further, Facility shall maintain such documentation for the longer of six (6) years after termination of this Agreement, or the period required by applicable state law. MIH Services Agreement Page 2 of 12 5.2 Fort Worth will provide patient care reports for enrolled Facility patients that receive MIH Services electronically using Fort Worth's ePCR system, as may be required. Contemporaneously with the execution of this Agreement, Facility agrees to execute a Business Associate Agreement with Fort Worth on the template provided by Fort Worth. VI. HIPAA 6.1 It is the intent of the parties to comply fully with the Health Insurance Portability and Accountability Act, Texas Health and Safety Code Chapter 181, and implementing regulations issued pursuant thereto (collectively "HIPAA" herein). The parties agree that protected health information (hereinafter referred to as "Protected Health Information" or "PHI") is subject to protection under HIPAA, and it is the intent of the parties to be in full compliance with, state and federal law, including applicable provisions of HIPAA, the Health Information Technology for Economic and Clinical Health Act ("HITECH") its related regulations, and all applicable state privacy and security laws related to access of PHI by the Parties. To the extent that the services performed under this Agreement are determined to be performing a transaction subject to HIPAA or the HITECH Act, the Business Associate Agreement shall control. 6.2 Each party shall implement and maintain such safeguards as are necessary to ensure that the PHI is not used or disclosed except as is provided in this Agreement and any referenced documents, including the Business Associate Agreement. VII. RECORDS 7.1 To the extent required by Section 1395x(v)(1)(I) of Title 42 of the United States Code, until the expiration of four years after the termination of this Agreement, Fort Worth shall, upon written request, make available to the Secretary of the United States Department of Health and Human Services, or to the Comptroller General of the United States General Accounting Office, or to any of their duly authorized representatives, a copy of this Agreement and such books, documents, and records as are necessary to certify the nature and extent of the costs of the Services provided by Fort Worth under this Agreement. 7.2 Facility shall retain all documents produced because of services provided hereunder for a period of three (3) years (hereafter referred to as "retention period") from the date of termination of the Agreement. If, at the end of the retention period, there is litigation or other questions arising from, involving, or concerning this documentation or the services provided hereunder, Facility shall retain the records until the resolution of such litigation or other such questions. Facility agrees that Fort Worth shall have access to and the right to examine at reasonable times any directly pertinent books, documents, papers and records of Facility involving transactions relating to this Agreement at no additional cost to Fort Worth. Facility agrees that Fort Worth shall have access during normal working hours to all necessary Facility property and shall be provided with adequate and appropriate workspace in order to conduct audits in compliance with the provisions of this section. Fort Worth shall give Facility not less than 10 days' written notice of any intended audits. MIH Services Agreement Page 3 of 12 VIII. INDEMNIFICATION 8.1 Facility covenants and agrees to FULLY INDEMNIFY, DEFEND and HOLD HARMLESS, Fort Worth and the elected officials, employees, officers, directors, volunteers and representatives of Fort Worth, individually and collectively, from and against any and all costs, claims, liens, damages, losses, expenses, fees, fines, penalties, proceedings, actions, demands, causes of action, liability and suits of any kind and nature, including but not limited to, personal or bodily injury, death and property damage, made upon Fort Worth directly or indirectly arising out of, resulting from or related to Facility's activities under this Agreement, including any acts or omissions of Facility, any agent, officer, director, representative, employee, consultant or subcontractor of Facility, and their respective officers, agents employees, directors and representatives while in the exercise of the rights or performance of the duties under this Agreement. The indemnity provided for in this paragraph shall not apply to any liability resulting from the sole negligence of Fort Worth, its officers or employees, in instances where such negligence causes personal injury, death, or property damage. IN THE EVENT FACILITY AND FORT WORTH ARE FOUND JOINTLY LIABLE BY A COURT OF COMPETENT JURISDICTION, LIABILITY SHALL BE APPORTIONED COMPARATIVELY IN ACCORDANCE WITH THE LAWS FOR THE STATE OF TEXAS, WITHOUT, HOWEVER, WAIVING ANY GOVERNMENTAL IMMUNITY AVAILABLE TO FORT WORTH UNDER TEXAS LAW AND WITHOUT WAIVING ANY DEFENSES OF THE PARTIES UNDER TEXAS LAW. 8.2 The provisions of this indemnity section are solely for the benefit of the parties hereto and not intended to create or grant any rights, contractual or otherwise, to any other person or entity. Facility shall advise Fort Worth in writing within 24 hours of any claim or demand against Fort Worth or Facility known to Facility related to or arising out of Facility's activities under this Agreement and shall see to the investigation and defense of such claim or demand at Facility's cost. Fort Worth shall have the right, at its option and at its own expense, to participate in such defense without relieving Facility of any of its obligations under this paragraph. IX. NOTICE 9.1 Notices. Notices required pursuant to the provisions of this Agreement shall be conclusively determined to have been delivered when (1) hand -delivered to the other party, its agents, employees, servants or representatives; or (2) received by the other parry by United States Mail, registered, return receipt requested, addressed as follows: TO FORT WORTH: City of Fork Worth Attn: Assistant City Manager 100 Fort Worth Trail Fort Worth TX 76102 With Copy to the City Attorney TO FACILITY: Vitas Healthcare of Texas, L.P. Attn: Eric Dengler, General Manager 6100 Western Place, Suite 800 Fort Worth, TX 76107 MIH Services Agreement Page 4 of 12 lat same address X. INSURANCE Facility must provide Fort Worth with certificate(s) of insurance documenting policies of the following types and minimum coverage limits that are to be in effect prior to commencement of any MIH Services pursuant to this Agreement: 10.1 Coverage and Limits (a) Commercial General Liability: $1,000,000 - Each Occurrence $2,000,000 — Aggregate (b) Automobile Liability: $1,000,000 - Each occurrence on a combined single limit basis Coverage will be on any vehicle used by Facility, or its employees, agents, or representatives while providing Services under this Agreement. "Any vehicle" will be any vehicle owned, hired and non -owned. (b) Worker's Compensation: Statutory limits according to the Texas Workers' Compensation Act or any other state workers' compensation laws where the Services are being performed Employers' liability $100,000 - Bodily Injury by accident; each accident/occurrence $100,000 - Bodily Injury by disease; each employee $500,000 - Bodily Injury by disease; policy limit (c) ProfessionaI Liability (Errors & Omissions): $1,000,000 - Each Claim Limit $1,000,000 - Aggregate Limit Professional Liability coverage may be provided through an endorsement of the Commercial General Liability (CGL) policy, or a separate policy specific to Professional E&O. Either is acceptable if coverage meets all other requirements. Coverage must be claims -made and maintained for the duration of the contractual agreement and for two (2) years following completion of services provided. An annual certificate of insurance must be submitted to Fort Worth to evidence coverage. 10.2 General Requirements MIH Services Agreement Page 5 of 12 (a) The commercial general liability and automobile liability policies must name Fort Worth as an additional insured thereon, as its interests may appear. The term Fort Worth includes its employees, officers, officials, agents, and volunteers in respect to the contracted services. (b) The workers' compensation policy must include a Waiver of Subrogation (Right of Recovery) in favor of Fort Worth. (c) A minimum of Thirty (30) days' notice of cancellation or reduction in limits of coverage must be provided to Fort Worth. Ten (10) days' notice will be acceptable in the event of non-payment of premium. Notice must be sent to Fort Worth in accordance with the notice provision of this Agreement. (d) The insurers for all policies must be licensed and/or approved to do business in the State of Texas. All insurers must have a minimum rating of A- VII in the current A.M. Best Key Rating Guide or have reasonably equivalent financial strength and solvency to the satisfaction of Risk Management. If the rating is below that required, written approval of Risk Management is required. (e) Any failure on the part of Fort Worth to request required insurance documentation will not constitute a waiver of the insurance requirement. ( Certificates of Insurance evidencing that Facility has obtained all required insurance will be delivered to Fort Worth prior to Fort Worth proceeding with any MIH Services pursuant to this Agreement. XI. GENERAL PROVISIONS 11.1 Governmental Powers. It is understood and agreed that by execution of this Agreement, Fort Worth does not waive or surrender any of its governmental powers or immunities. 11.2 No Waiver. The failure of Fort Worth or Facility to insist upon the performance of any term or provision of this Agreement or to exercise any right granted herein shall not constitute a waiver of Fort Worth's or Facility's respective right to insist upon appropriate performance or to assert any such right on any future occasion. 11.3 Governing_ Law and Venue. This Agreement shall be construed in accordance with the laws of the State of Texas. If any action, whether real or asserted, at law or in equity, is brought on the basis of this Agreement, venue for such action shall lie in state courts located in Tarrant County, Texas or the United States District Court for the Northern District of Texas, Fort Worth Division. 11.4 Severabilitv. If any provision of this Agreement is held to be invalid, illegal or unenforceable, the validity, legality and enforceability of the remaining provisions shall not in any way be affected or impaired. MIH Services Agreement Page 6 of 12 11.5 Force Maieure. Fort Worth and Facility shall exercise their best efforts to meet their respective duties and obligations as set forth in this Agreement, but shall not be held liable for any delay or omission in performance due to force majeure or other causes beyond their reasonable control, including, but not limited to, compliance with any government law, ordinance or regulation, acts of God, acts of the public enemy, fires, strikes, lockouts, natural disasters, wars, riots, epidemics or pandemics, material or labor restrictions by any governmental authority, transportation problems, restraints or prohibitions by any court, board, department, commission, or agency of the United States or of any States, civil disturbances, other national or regional emergencies, and/or any other similar cause not enumerated herein but which is beyond the reasonable control of the Party whose performance is affected (collectively "Force Majeure Event"). The performance of any such obligation is suspended during the period of, and only to the extent of, such prevention or hindrance, provided the affected Parry provides notice of the Force Majeure Event, and an explanation as to how it hinders the party's performance, as soon as reasonably possible, as determined in the Fort Worth's discretion, after the occurrence of the Force Majeure Event. The form of notice required by this section shall be the same as section 13 above. 11.6 Headings Not Controlling. Headings and titles used in this Agreement are for reference purposes only and shall not be deemed a part of this Agreement. 11.7 Review of Counsel. The parties acknowledge that each party and its counsel have reviewed this Agreement and that the normal rules of construction to the effect that any ambiguities are to be resolved against the drafting party shall not be employed in the interpretation of this Agreement or exhibits hereto. 11.8 Amendments. No amendment of this Agreement shall be binding upon a party hereto unless such amendment is set forth in a written instrument and duly executed by an authorized representative of each party. 11.9 Entiretv of Agreement. This Agreement, including any exhibits attached hereto and any documents incorporated herein by reference, contains the entire understanding and agreement between Fort Worth and Facility, their assigns and successors in interest, as to the matters contained herein. Any prior or contemporaneous oral or written agreement is hereby declared null and void to the extent in conflict with any provision of this Agreement. 11.10 Counterparts. This Agreement may be executed in one or more counterparts and each counterpart shall, for all purposes, be deemed an original, but all such counterparts shall together constitute one and the same instrument. An executed Agreement, modification, amendment, or separate signature page shall constitute a duplicate if it is transmitted through electronic means, such as fax or e-mail, and reflects the signing of the document by any party. Duplicates are valid and binding even if an original paper document bearing each parry's original signature is not delivered. 11.11 Signature Authority. The person signing this agreement hereby warrants that he/she has the legal authority to execute this agreement on behalf of the respective party, and that such binding authority has been granted by proper order, resolution, ordinance or other authorization of the MIH Services Agreement Page 7 of 12 entity. Each party is fully entitled to rely on these warranties and representations in entering into this Agreement or any amendment hereto. 11.12 Electronic Signatures. This Agreement maybe executed by electronic signature, which will be considered as an original signature for all purposes and have the same force and effect as an original signature. For these purposes, "electronic signature" means electronically scanned and transmitted versions (e.g. via pdf file or facsimile transmission) of an original signature, or signatures electronically inserted via software such as Adobe Sign. [Signature Page Follows] MIH Services Agreement Page 8 of 12 ACCEPTED AND AGREED: FORT WORTH- L)J,qj,n By: William hnson (Jun 30, 2025 11:20 CDT) Name: William Johnson Title: Assistant City Manager Date: 06/30/2025 APPROVAL RECOMMENDED: By: James Davis (Jun 29, 2025 19:32 CDT) Name: Jim Davis Title: Fire Chief CONTRACT COMPLIANCE MANAGER: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. 8rehda Rory By: Brenda Ray (Jun 29, 2025 19:20 CDT) Name: Brenda Ray Title: Purchasing Manager Date: Date: APPROVED AS TO FORM AND LEGALITY: o anpq po�fORT�pd �� �i— ATTEST: 6S. '��a By: oa°*�° Name: Taylor Paris E..... Title: Assistant City Attorney By. C\\� bIlnao I\ Name: Jannette Goodall Date: Title: City Secretary Date: CONTRACT AUTHORIZATION: M&C: 25-0531 6.10.25 FACILITY: By: _� L Name: Eric Dengler/ Title: General Manager Date: OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX MIH Services Agreement Page 9 of 12 EXHIBIT "A" — SCOPE OF SERVICES Fort Worth agrees to provide the followina services: a. Facilitate the enrollment of Facility patients who reside within Fort Worth EMS System service area into the Fort Worth Mobile Integrated Health Program ("MIH"). b, The patient's address and other personal information shall be logged into Fort Worth's Computer Aided Dispatch ("CAD") system for ready identification in the event the patient or family accesses 9-1-1. This will allow, among other things, Fort Worth emergency Communications' personnel to identify calls from a patient's address and to know who the Facility contact person is for the patient. c. In the event of a 9-1-1 call to a patient's logged resident address, a regular EMS system response will occur, with the addition of an on -duty MIH-credential EMT and/or MIH- credentialed lead paramedic ("MIN Staff'). i. Fort Worth's communications center will also notify the patient's Facility nurse of the 9-1-1 response. ii. Once on scene, the MIN Staff will work with the patient and family to assure that the wishes of the patient and family are achieved, and coordinate patient care with the Facility representative. d. During enrollment, the family or a Facility representative may contact Fort Worth for an in -home visit by an MIN Staff member if the family should become concerned about the patient's status. The MIH Staff will assist the family with the transition of the patient and help assure the patient's comfort using the in -home medications and treatment modalities supplied by Facility, including medications that have been approved by Fort Worth's Medical Director. e. Fort Worth shall keep medical records on every patient contact and provide these medical records to the designated Facility representative upon request. f. Fort Worth shall track any utilization of MIH Services by enrolled patients and will provide monthly reports of same to Facility. 2. Facility shall provide the following services to Fort Worth and fulfil the following obligations: a. Facility will introduce the concept of enrollment in MIN for all of its patients that Facility determines are eligible for enrollment in the MIN. b. Facility will facilitate the enrollment of eligible Facility patients that reside in Fort Worth's service area into the MIN, as requested or desired by the Facility's patients. MIH Services Agreement Page 10 of 12 c. Facility will inform Fort Worth's MIH Manager, or their designee, of each patient that Facility enrolls in the MIH and will provide the following information for each such patient: i. Patient's full name, date of birth, phone number, and primary payer source; ii. Name and phone number of the patients identified Durable Healthcare Power of Attorney (if designated); iii. The name and 24 hour access phone number for the Facility Nurse assigned to the patient and his/her family; iv. The name and 24-hour access phone number for the Facility Case Manager assigned to the patient and family; V. Access to all medical records for the patient enrolled in the MIH; and vi. A copy of the patient's Do Not Resuscitate (DNR) Order, or MOST, or POLST forms as available. d. Provide Fort Worth with timely updates regarding patients who are no longer enrolled in MIH. e. Provide continuing education and training to Fort Worth personnel on hospice, end -of life care, advance directives, and other topics that will facilitate Fort Worth's provision of the MIH Services. MIH Services Agreement Page 11 of 12 EXHIBIT "B" — COMPENSATION The compensation paid by Facility to Fort Worth for the MIH Services is as follows: I. Facility agrees to enroll all of their eligible patients residing in Fort Worth's EMS System service area into the MIH program on a weekly basis. 2. Facility agrees to pay Fort Worth one hundred fifty dollars ($150.00), the MIH Fees, for any MIH patient contact for a patient enrolled in MIH.` 3. The parties agree that Fort Worth will bill and seek reimbursement from appropriate and eligible payer sources for fees related ambulance transportation provided to patients enrolled in Fort Worth's MIH program by Facility. City will submit a detailed invoice to Facility by the tenth day of each month setting forth: 1. The name of each patient enrolled in the MIH program at any time during the prior month, the payment due for such enrollment, and the total due for enrollment of all patients; 2. The name of each non -enrolled patient with whom an emergency visit was conducted, the payment due for such visit, and the total due for all such visits; and 3. The name of each unenrolled patient whose information is uploaded into City's CAD system or modified in such system, the amount due for each such action, and the total due for 0 such actions. Facility's payments to Fort Worth are due within 30 days of receiving any invoice from Fort Worth. MIH Services Agreement Page 12 of 12 City of Fort Worth, Texas Mayor and Council Communication DATE: 06/10/25 M&C FILE NUMBER: M&C 25-0531 LOG NAME: 36FD EMS MIH PROGRAM SUBJECT (ALL) Authorize Execution of Agreements for the Mobile Integrated Health Program within the City of Fort Worth Fire Department's Emergency Medical Services Operation in Collaboration with Multiple Agencies RECOMMENDATION: It is recommended that the City Council authorize execution of agreements for the Mobile Integrated Health Program within the City of Fort Worth Fire Department's Emergency Medical Services operation, in collaboration with multiple agencies. DISCUSSION: The purpose of this Mayor and Council Communication (M&C) is to authorize execution of agreements with Kindful Health, LLC, Health Masters HomeCare, Inc., Holy Savior Hospice, LLC., Klarus Home Care, LLC, Landmark Health of California, LLC, Texas Health Harris Methodist Hospital Alliance, Cook Children's Health Plan, Holy Hospice & Palliative Care, LLC, Medically Home Group, Inc., Molina Healthcare of Texas, Inc., Silverado Hospice and Supportive Care, and Vitas Healthcare of Texas, L.P. The City of Fort Worth recognizes the growing need for innovative, cost-effective, and community -based healthcare delivery models. The Mobile Integrated Health (MIH) Program represents a proactive approach to addressing non -emergent 911 calls, frequent system users, chronic disease management, behavioral health crises, and social determinants of health by integrating public safety and healthcare resources. Through partnerships with these agencies, the Fort Worth Fire Department seeks to implement and enhance MIH services that: • Reduce non -emergency calls to 911 • Decrease avoidable emergency room visits • Provide targeted care to high -utilizer populations • Offer in -home assessments, telehealth services, and follow-up care • Improve community health outcomes and patient satisfaction • Support continuity of care for patients with chronic or complex needs One critical element of this collaborative approach includes coordination with healthcare facilities to identify and enroll eligible patients in the MIH Program. Facilities will introduce the concept of enrollment to all patients they determine to be eligible, provided those patients reside within the Fort Worth Emergency Medical Services (EMS) System service area. At the request or desire of the patient, the facility will facilitate enrollment into the MIH program. Facilities will notify the City's MIH program of each patient enrolled and provide relevant patient information necessary for continuity of care, data tracking, and program evaluation. Importantly, this program will not require funding from the City of Fort Worth. All services performed under this agreement will be compensated by the participating facilities or organizations. This ensures that MIH resources are sustainably deployed while expanding access to care through strategic partnerships. Programs under this initiative may include, but are not limited to: • Nurse Triage and Alternative Destination Transport • High Utilizer Outreach Programs • Behavioral Health and Crisis Intervention Response • Transitional Care and Chronic Disease Management • Community Paramedicine Programs The execution of agreements with partner agencies is essential to clearly define roles, responsibilities, data -sharing protocols, reimbursement models, and operational procedures. These agreements will serve ALL COUNCIL DISTRICTS. A Form 1295 is not required because: This contract legally does not require City Council approval. FISCAL INFORMATION / CERTIFICATION: The Director of Finance certifies that approval of this recommendation will have no material effect on City funds. Submitted for Citv Manaaer's Office bv: William Johnson Oriainatina Business Unit Head: Jim Davis 6801 Additional Information Contact: