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Child Care Provider Registration Agreement Page 19 3.19 SUPPORTING DOCUMENTS AND INFORMATION In addition to any documents, reports, or information required by any other Section of this Agreement, you shall furnish the Department with any further documents and information deemed necessary by the Department. 3.20 INVESTIGATIONS You agree to cooperate with any State investigation of suspected criminal, civil, or administrative misconduct related to contractual compliance. Investigations may include examination of specific allegations, reports, or other information indicating possible violations of law or this Agreement, searches, interviews, interrogations, evidence collection and preservation and various methods of examination. 3.21 REPORTING SERIOUS INJURIES AND DEATHS You agree to report all serious injuries and deaths as defined in Section 1.1, Definition of Terms, to the CCA Contracts Unit, within one (1) business day. 3.22 CHILD ABUSE MANDATED REPORTING REQUIREMENT In accordance with A.R.S. §13-3620, you agree to comply with mandated reporting of child abuse or neglect. 3.23 CHILD CARE RESOURCE & REFERRAL (CCR&R) You agree to be listed in the local CCR&R data base to receive training information and child care referrals. You agree to cooperate with the local CCR&R by providing current business operational information on, and any changes to, this information. 3.24 THIRD PARTY ANTITRUST VIOLATIONS You assign to the State any claim for overcharges resulting from antitrust violations to the extent that those violations concern materials or services supplied by third parties to you toward fulfillment of this Agreement. 3.25 APPLICABLE TAXES 1. You agree to pay all federal, state and local taxes applicable to your operation and any persons employed by you. You shall, and you shall require all subcontractors to, hold the State harmless from any responsibility for taxes, damages and interest, if applicable, and contributions required under federal and/or state and local laws and regulations and any other costs including transaction privilege taxes, unemployment compensation insurance, Social Security and Worker’s Compensation. 2. In order to receive payment under this Agreement, you shall have a current State of Arizona Substitute W-9 form [see Attachment #6] on file with the Department. 4.0 THE DEPARTMENT OF ECONOMIC SECURITY: RIGHTS AND RESPONSIBILITIES 4.1 REFERRALS The Department makes no guarantee to purchase specific quantities of services or to refer Clients to you. 4.2 PAYMENT: 1. ADES will pay you a specified amount for each unit of service designated in the Certificate of Authorization, and actually provided to a Client and as permitted by Section 3.9. Claims for Payment, of this Agreement. ADES will not pay you more than the maximum number of authorized units indicated on the Certificate of Authorization. 2. ADES will pay you in accordance with the Child Care Provider Rate Agreement (CC-214) [see Attachment #4] executed by you and the Department or any revised rates established by the Department pursuant thereto. CCA-1210B (4-16) – Arizona Department of Economic Security