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Memorandum of Understanding Template 3

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Memorandum of Understanding Template 3 Page 2
Memorandum of Understanding Template 3
ARIZONA Agreement No.
COLLABORATOR Agreement No.
X X
X X
ARIZONA
Technical:
X
X
X
X
Administration: Authorized Official:
Lewis Barbieri, Director
Office of Research and Contract Analysis Office of Research and Contract Analysis
The University of Arizona The University of Arizona
888 N. Euclid, Room 515 888 N. Euclid, Room 515
Tucson, Arizona 85719 Tucson, Arizona 85719
5. NON-FUND OBLIGATING DOCUMENT. This agreement is neither a fiscal nor a
funds obligation document. Any endeavor or transfer of anything of value involving
reimbursement or contribution of funds between the parties to this agreement will be
handled in accordance with applicable laws, regulations, and procedures. Such
endeavors will be outlined in separate agreements that shall be made in writing by
representatives of the parties and shall be independently authorized by appropriate
statutory authority. This agreement does not provide such authority. Each party shall
be fiscally responsible for their own portion work performed under the MOU.
6. [DELETE CLAUSE IF NOT APPLICABLE] HIPAA COMPLIANCE. The parties
agree to abide by all applicable Federal and State laws/regulations addressing patient
confidentiality.
The Parties shall be responsible for obtaining from each subject, prior to the subject's
participation in the Study:
a. a signed informed consent in a form approved in writing by the CIRB or institution’s IRB
based on the anticipated protocol and in conformity with applicable research guidelines; and
b. if such language is not already included in the informed consent, an authorization
permitting routine disclosures necessitated by the study and permissible under applicable
State and Federal law.
7. CONFLICT OF INTEREST. This agreement is subject to the provisions of A.R.S 38-
511 and ARIZONA may cancel this agreement if any person significantly involved in
negotiating, drafting, securing or obtaining this agreement for or on behalf of
ARIZONA becomes an employee or a consultant to any other party with reference to the
subject matter of this agreement while this agreement or any extension thereof is in
effect.
Memorandum of Understanding Template 3