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HomeMy WebLinkAboutAGMT - DXTerity (COVID-19 Testing)DocuSign Envelope ID: 25DCOB11-7EDA-4EM-94CF-E839D26FA6171 DxTerity DxTerity Employer Testing Agreement Between DxTerity, Inc. and The City of Seal Beach THIS AGREEMENT is entered effective as of January 12, 2021 (the "Effective Date"), between DxTerity Diagnostics, Inc., with offices located at 19500 South Rancho Way Suite 116, Rancho Dominquez, California, 90220 ("DxTerity") and The City of Seal Beach with offices located at 211 Eighth Street, Seal Beach, CA 90740 ("Company"). DxTerity and Company shall be referred to hereafter individually as a "Party' and collectively as the "Parties" to this Agreement. Company wishes to engage DxTerity as a provider for the SafeWorkDx Employer Testing Services ("Services") as defined in Exhibits A and B, upon the terms and conditions set forth in this Agreement and DxTerity wishes to provide to Company's employees and individuals the Services upon those terms and conditions described below. The Company understands that the Services under this Agreement are offered in accordance with Emergency Use Authorizations from the FDA for COVID-19 Testing and Clinical Laboratory guidelines as required. The Services are not reimbursable by any federal health care program or commercial insurance companies. The Company is responsible for all costs associated with the Services. Important limitations of the COVID-19 Employer Testing Service: I. All employees using the Services must sign a voluntary informed consent form prior to the collection of samples for shipment to DxTerity. It is the Company's responsibility to obtain the consent. II. The Company Understands the instructions provided to company representatives must be followed both by the individual and the responsible representatives to conduct this service. III. Further the Company understands: a. As with all tests, there are risks of false positives. b. As with all tests, there is a risk of false negatives. There is also a risk that some infected individuals may have some level of COVID-19 infection below the sensitivity of the testing method. c. There is an on-going risk of COVID-19 infection, so repeat testing of employees on a regular basis should be considered as appropriate. d. This Service tests only for the presence of the virus that causes COVID-19 (SARS-CoV-2). e. Company should guide employees on CDC guidelines instructing employees displaying flu-like, or COVID-like symptoms to be sent home, and to contact their medical provider and self -isolate. In consideration of the mutual covenants hereinafter set forth, the parties, intending to be legally bound, agree as follows: 1. Term This Agreement shall begin on the Effective Date and continue for a period of six -months or as specified in the quotation (the "Initial Term") and automatically renewed thereafter for a six-month term within 15 days of the expiry of the then active term (collectively, the "Term"). 2. Testing Services; DxTerity Certification and Standard of Work (a) Services: Upon the request of Company, DxTerity shall provide Company with COVID-19 Employer Testing Services in accordance with service ordering and delivery instructions. DxTerity represents and warrants to Company that it will perform all Services under this Agreement in a professional and timely manner consistent with DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 DxTerity applicable laws as they relate to testing methods and CLIA requirements. For clarity, for purposes of CLIA regulations, the Company's Administrator is the authorized person to determine which employees and individuals shall be tested. (b) Turn Around Time/Non-Reportable Rate: DxTerity shall use its best efforts, but not less than commercially reasonable efforts, to ensure that its turnaround time for electronic delivery of COVID-19 testing results to the designated Company Administrator is within 48 hours from the time of specimen receipt at DxTerity. Valid testing results include a negative, positive or indeterminate result. Some percentage of samples fail quality control and have a non -reportable result. DxTerity shall retest at no charge for samples which fail due to DxTerity procedures. Samples which fail due to failure of the individual collecting the specimen to follow instructions shall be the responsibility of the Company. (c) The Company Administrator will assign a Site Representative to serve as the point of contact and the Site Representative will be required to follow prescribed instructions for shipping, safe handling of biospecimens and Protected Health Information (PHI). For shipment of samples from home each individual shall be responsible for completing the specimen collection in accordance with the instructions for use which includes the ordering, registering, and shipment of a self -collected sample. 3. Certifications All testing performed by DxTerity shall be in accordance with applicable state and federal requirements. DxTerity shall maintain, and hereby certifies its employees are in possession of, all appropriate training, licenses, permits, accreditation and certifications required under applicable law, rule or regulation for DxTerity to perform the Services ("Required Approvals"). If for any reason DxTerity loses or is denied any Required Approval to perform one or more tests pursuant to this Agreement, DxTerity shall immediately notify Company at the address provided above and Company shall discontinue referral of any such services, in the state, or states, affected until such time as DxTerity can demonstrate it has the Required Approval. 4. Pricing, Invoicing, Purchase Orders "Pricing for Services provided by DxTerity to Company is via a DxTerity Quotation for Services. For Exhibit A Testing Services (Site Based Collection) an invoice shall be provided via email to the Accounts Payable personnel. Payment terms for the Site Based service are payable in advance for the coming month of testing service provided or unless as provided in the DxTerity Quotation for Services. The obligations to deliver testing for the shipped Covid-19 Saliva Collection kits expires three months from the date of shipment. For Exhibit B Testing for At Home Service the Company shall be invoiced for all kits shipped from a valid order placed by the Site Representative and ordered by the individual being tested. The obligation to deliver testing for the shipped Covid-19 Saliva Collection kits expires 30 days from the shipment of the kit. DxTerity will not be entitled to receive payment for Services that produce invalid or inconclusive results, except where the cause of such invalid result is due to the negligence of the Company or deliberate alteration of the sample. COVID-19 saliva collection kits cannot be returned or refunded once shipped to the site or home of an individual. Company shall issue a valid purchase order (s) to DxTerity before an order for Covid-19 Saliva Collection kits can be processed/shipped and delivered under Exhibit A or B." S. Representations and Warranty (a) DxTerity represents that all Personal Health Information (PHI) is encrypted and protected within DxTerity's SafeWorkDx Platform in compliance with HIPAA regulations. DxTerity will use this PHI solely for the Services provided for herein and reported as mandated by public health agencies. 2 DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 DxTerity (b) Warranty: DxTerity warrants the Services will be performed by CLIA -licensed and CAP -accredited personnel and in accordance with established protocols for COVID-19 Testing under EUA. (c) Warranty; Limitation of Damages. EXCEPT AS OTHERWISE SET FORTH IN THE AGREEMENT, DXTERITY MAKES NO OTHER WARRANTIES, EXPRESS OR IMPLIED, WITH RESPECT TO THE SERVICES AND ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, ARE HEREBY DISCLAIMED. DXTERITY DISCLAIMS ANY LIABILITY ARISING FROM ANY DECISION OR DETERMINATION BY COMPANY OR BY A THIRD PARTY CONCERNING WHETHER ANY EMPLOYEE OR CONTRACTOR'S PRESENCE IN THE WORKPLACE IS SAFE IF SUCH DECISION IS BASED, IN WHOLE OR IN PART, ON THE RESULTS OF THE SERVICES PROVIDED UNDER THE TERMS OF THIS AGREEMENT. IN NO EVENT WILL EITHER PARTY BE LIABLE TO THE OTHER PARTY FOR ANY LOSS OF PROFITS, LOSS OF USE, BUSINESS INTERRUPTION, COST OF COVER, OR INDIRECT, SPECIAL, INCIDENTAL, OR CONSEQUENTIAL DAMAGES OF ANY KIND IN CONNECTION WITH OR ARISING OUT OF THE PERFORMANCE OF THIS AGREEMENT, WHETHER ALLEGED AS A BREACH OF CONTRACT OR TORTIOUS CONDUCT, INCLUDING NEGLIGENCE. 6. Methods Modified or Added During the Contract Period Due to the evolving nature of the COVID-19 crisis and available test solutions, DxTerity may provide additional service options, collection devices or reporting, or may modify the existing Service offering. DxTerity shall notify Company of the change and provide training to Company as necessary to provide these Services. 7. Promotional Material DxTerity understands and agrees that it shall not reference the Company by name, logo, or in any other capacity as a user of the service or otherwise in DxTerity's client letters, marketing information and other promotional materials without advance written consent from the Company. 8. Confidential Information and Privacy Protection (a) Confidential Information: DxTerity acknowledges that it may gain access to Company's confidential business information in the course of performing DxTerity's obligations under this Agreement. Except as required by law or legal process, DxTerity agrees that it will hold in confidence, safeguard, and not use (except as required by those employees, officers, directors, or consultants, acting pursuant to this Agreement or as required by law or legal process) or disclose, disseminate or make available to third parties, patient information (including but not limited to, social security numbers, addresses, insurance information, results, and diagnosis information), and any other Company confidential information ("Confidential Information"). DxTerity agrees to treat such Company Confidential Information with the same degree of care that it treats its own proprietary information, but with no less than a reasonable degree of care. (b) Exceptions to Confidential Information: Notwithstanding subsection (a) above, information shall not be deemed Confidential Information if it (i) is or becomes generally known to the public through no unlawful act of DxTerity; (ii) was known to DxTerity at the time of disclosure; (iii) is disclosed with the prior written approval of Company; (iv) was independently developed by DxTerity without any use of Company's Confidential Information; (v) becomes known to DxTerity from a source other than Company without breach of this Agreement and otherwise not in violation of Company's rights; or (vi) is required to be disclosed in accordance with law or court order. (c) Return of Confidential Information: DxTerity shall promptly return or destroy all Company Confidential Information it holds in written form and all copies of it, in any format, upon Company's written demand or the expiration or termination of this Agreement, except for Confidential Information that may be incorporated into any DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 DxTerity information that DxTerity is required to maintain by law to verify the work that it performed, which may be retained by DxTerity subject to the restrictions contained in this Section 11. (d) Confidential Health Information. DxTerity acknowledges that, in the performance of the Services under this Agreement, DxTerity may gain access to certain sensitive or private information related to the health or well-being of an individual or individuals ("Confidential Health Information"), which information is stored by or accessible to Company. DxTerity agrees to: (i) use or disclose the Confidential Health Information only as is required to perform services pursuant to this Agreement; (ii) safeguard such information to the same extent as it does its own Confidential Health Information and proprietary information, but with no less than a reasonable degree of care; (iii) limit the making of any copies, extracts or reproductions of Confidential Health Information to those occasions which are necessary to carry out DxTerity's obligations under this Agreement and safeguard the copies, extracts or reproductions made of such information; (iv) not use such information after termination of this Agreement for any reason unless otherwise agreed; and (v) access only the Confidential Health information necessary to perform the duties under this Agreement. (e) HIPAA PHI. DxTerity will receive all Biospecimens in a de -identified, coded format that protects patients' identity and privacy. In the event that any protected health information ("PHI') within the meaning of the Health Insurance Portability and Accountability Act of 1996, and its amendments thereto, including 45 CFR Parts 160 and 164, as amended by the Health Information Technology for Economic and Clinical Health Act and the Final Omnibus Rules (collectively "HIPAA") is received by DxTerity, DxTerity shall comply with all applicable requirements under HIPAA to safeguard such PHI and prevent the use or disclosure of such PHI other than as provided for under this Agreement. Each of the Parties will, and will cause their respective personnel to, comply with its own applicable obligations under HIPAA and other guidelines, policies and regulations pertaining to using patient samples and PHI. 9. Indemnification, Insurance (a) Indemnification. Subject to Section 5(c), each Party agrees to indemnify, defend and hold harmless the other Party and its members, managers, directors, officers, employees, representatives and agents from and against any and all claims, demands, actions, losses, expenses, damages, liabilities, costs (including, without limitation, interest, penalties and reasonable attorney's fees) and judgments for any bodily injury, property damage or any other damage or injury to the extent caused by the negligence or willful misconduct of the indemnifying Party or any of its employees or agents in performing their obligations under this Agreement. (c) Insurance: DxTerity agrees to maintain professional liability and commercial general liability insurance to cover its Services provided hereunder in the minimum amounts of One Million Dollars ($1,000,000) per occurrence and Two Million Dollars ($2,000,000) annual aggregate. DxTerity agrees to furnish Company upon request with a current and valid certificate of insurance from DxTerity's insurance carrier verifying the nature and amounts of coverage and DxTerity agrees to keep and maintain such insurance coverage in full force and effect during the term of this Agreement. 10. Regulatory Compliance Compliance with Law/Material Breach: Each party represents and warrants that in the performance of its obligations under this Agreement, it will comply with all applicable laws, rules or regulations ("Applicable Laws"), including, but not limited to, the federal Physician Self -Referral Law, 42 U.S.C. 1395nn ("Stark Law"), and the regulations promulgated thereunder, similar state physician self -referral laws and regulations, the federal Medicare/Medicaid Anti -kickback Law (42 USC 13202-7b) and regulations promulgated thereunder and similar state Anti -kickback laws and regulations, and HIPAA. Failure by either party to comply with any Applicable Law as required hereby shall be considered a material 4 DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 DxTerity breach of this Agreement. In the event of a determination that this Agreement is not in compliance with any Applicable Law, then the parties shall negotiate in good faith to bring this Agreement into compliance. All amendments to this Agreement to bring this Agreement into compliance must be mutually agreed to by both parties in writing. If such agreement cannot be reached, either party may terminate this Agreement by written notice to the other party. 11. Legislative / Regulatory Modification In the event any Medicare and/or Medicaid laws, rules, regulations or payment policies; or any rules or policies of any third -party payer; or any other federal, state or local law, rule, regulation or policy; or any interpretation thereof at any time during the term of this Agreement is modified, implemented, threatened to be implemented, or determined to prohibit or in any way materially change the method or amount of reimbursement or payment (1) for services under this Agreement, or (2) for services to patients of a party necessitated as a result of this Agreement, or by virtue of the existence of this Agreement has or will materially affect the ability of DxTerity to engage in any commercial activity on terms at least as favorable to Company as those reasonably attributable as of the date hereof (all of the foregoing being hereinafter collectively referred to as "Changes," and individually, a "Change"), then the parties to this Agreement shall negotiate in good faith to amend this Agreement to provide for payment of compensation hereunder to the extent applicable. DxTerity shall provide Company prompt notification if any If action is taken against DxTerity to revoke, suspend, or terminate its applicable federal or state license(s) to operate a clinical laboratory, or to revoke, suspend or terminate participation in Medicaid, Medicare or other federally funded programs. 12. Termination Company may terminate this Agreement within 60 -days' notice subject to any payments due DxTerity for the periods contracted testing service. DxTerity may terminate this Agreement in the event that Company materially breaches this Agreement upon 60 days' written notice specifying the nature of the breach, if such breach has not been cured within such 30 -day period. 13. Miscellaneous (a) Assignment: Without the prior written consent of the other party hereto, which consent shall not be unreasonably withheld, neither party may assign any of its rights or obligations hereunder. Notwithstanding anything to the contrary herein contained, either party may assign its rights or obligations hereunder in the entirety to its parent or any subsidiary or successor corporation without prior written consent; provided, however, that nothing contained herein shall release the assigning party from its obligations hereunder. Subject to the foregoing, this Agreement inures to the benefit of, and is binding upon, the successors and assigns of the parties hereto. (b) Notice: Except as otherwise expressly provided in this Agreement, all notices hereunder shall be in writing, personally delivered, sent by certified mail, return receipt requested, or by confirmed email, addressed to the other party as follows: If to DxTerity: James B. Healy CFO SVP Business Development DxTerity Diagnostics, Inc. If to Company: As Noted in Quotation for Service Phone: (310) 537-7857 Email: jhealy@dxterity.com DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 DxTerity Either party may change its address to which notices shall be sent by a notice that conforms to the requirements of this subsection. (c) Entire Agreement: This Agreement, including Exhibits, together with any duly executed Non -Disclosure agreement between the parties, contains the entire understanding between Company and DxTerity and supersedes all prior agreements, understandings, and arrangements between them relating to the subject matter hereof. No amendment, change, modification or alteration of the terms and conditions hereof shall be binding unless in writing and signed by the parties to be bound. (d) Choice of Law: This Agreement shall be governed by and construed in accordance with the laws of California. (e) Waiver: The failure of either party to this Agreement to exercise or enforce any right conferred upon it hereunder shall not be deemed to be a waiver of any such right nor operate to bar the exercise or performance thereof at any time or times thereafter, nor shall a waiver of any right hereunder at any given time be deemed a waiver thereof for any other time. (f) Severability: It is the intention of the parties that the provisions of this Agreement shall be enforceable to the fullest extent permissible under applicable laws, and that the invalidity or unenforceability of any provisions under such laws will not render unenforceable, or impair, the remainder of the Agreement. If any provisions hereof are deemed invalid or unenforceable, either in whole or in part, this Agreement will be deemed amended to modify, or delete, as necessary, the offending provisions and to alter the bounds thereof in order to render it valid and enforceable. (g) Non -Exclusive Arrangement: DxTerity acknowledges that this is a non-exclusive arrangement and that this Agreement places no restrictions on Company's ability to use other laboratories and that Company does not guarantee any minimum volume of specimens to be referred to DxTerity for Testing Services under this Agreement. (h) Relationship of the Parties: Nothing contained in this Agreement shall be construed as creating a joint venture, partnership, or employment relationship between the parties. Neither party is an agent of the other, and neither party has any authority whatsoever to bind the other party, by contract or otherwise. (i) Force Majeure: Either party shall be excused from non-performance or delay in performance to the extent that such non-performance or delay in performance arises out of causes beyond the control and without the fault or negligence of the non-performing party. Such cases include, but are not limited to, acts of God, acts of a public enemy or terrorism, laws or acts of any government in either its sovereign or contractual capacity, fires, floods, epidemics, pandemics, strikes or freight embargo. Each party shall promptly notify the other of any such circumstance and its probable duration as a result of which such party claims its inability to perform this Agreement. (j) Section Headings: Section headings contained in this Agreement are for reference purposes only and shall not affect, in any way, the meaning and interpretation of this Agreement. (k) Execution in Counterparts: This Agreement may be executed simultaneously in one or more counterparts, each of which shall be deemed an original, but all of which shall constitute the same instrument. (L) Third Parties. Nothing in this Agreement, whether express or implied, is intended to confer any rights or remedies under or by reason of this Agreement on any person other than the parties to it. N. DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 DxTerity IN WITNESS WHEREOF, the duly authorized representatives of the parties have executed this Agreement effective as of the Effective Date. COMPANY: DxTerity Diagnostics, Inc. Docuftfwd by: Name: James B. Healy Title: CFO SVP Business Development 1/12/2021 COMPANY: The City of Seal Beach By:F;cuSiyned by: (L l" Name: Jill Ingram Title: City Manager 1/14/2021 7 DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 DxTerity Exhibit A SafeWorkDx Employer Testing Service Site Based Service Product Description: On Site Employer Testing for COVID-19 DxTerity Diagnostics Inc. "DxTerity" has developed COVID-19 testing that provides employers with cost-effective, confidential access to RNA testing for their employees and contractors that may have the SARS CoV-2 virus ("SARS-CoV-2 RNA Testing"). DxTerity is a CLIA -licensed, CAP -accredited clinical laboratory. DxTerity's SARS-CoV-2 test has been CLIA - validated and approved for FDA Emergency Use Authorization. The DxTerity Employer Testing Service uses a saliva collector for collection by employees from their workplace of site utilizing our SafeWorkDx' Platform ("Services"). The platform allows the Company to place batch orders for sites to conduct testing of authorized individuals. Once the company account is established, designated representatives can conduct testing events, place orders, process shipping and view results within the SafeWorkDxT"" Platform. The service requires the Company representative to: 1) Complete Consent Forms and populate required information in the SafeWorkD)J' Platform. 2) Schedule collection events, places orders and conduct collection events. 3) Register manifest and specimens in the platform. 4) View reports in the platform to review results and share with individuals as needed. The Company Administrator oversees the ordering and the administration of Company protocols regarding workplace safety. All test results are reported back to the Company Administrator with both group and individual reports. The Company representative provides reports to the individual Employee/Contractor. The "Services" include: • Supply of saliva collection kits, specimen labels and packaging materials for shipment of saliva collection kits to DxTerity. • Company sample collection interface and online testing portal SafeWorkDx. • Training a Company Administrator, Site Representative and/or delegates to manage sample collection, shipping, safe handling, and handling of PHI, • SARS-CoV-2 RNA testing and reporting. Attachments for instructions to perform Exhibit A: • Quote for Services • Example Consent Form • Shipping of Biohazardous Materials • Responsibilities of Site Representative • Patient Fact Sheet • FAQs • Instructions for Use of Saliva Collection Device 8 DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 DxTerity Exhibit B SafeWorkDx Employer Testing Service From Home Product Description: Employer Testing for COVID-19 From Home DxTerity Diagnostics Inc. "DxTerity" has developed COVID-19 testing that provides employers with cost-effective, confidential access to RNA testing for their employees and contractors that may have the SARS CoV-2 virus ("SARS-CoV-2 RNA Testing"). DxTerity is a CLIA -licensed, CAP -accredited clinical laboratory. DxTerity's SARS-CoV-2 test has been CLIA - validated and approved for FDA Emergency Use Authorization. The DxTerity Employer Testing Service uses a saliva collector for collection by employees from home utilizing our SafeWorkDxT^^ Platform ("Services"). The platform allows the Company to place individual orders for employees or other authorized individuals to receive testing kits at their home address. Once the order is placed by the Company the individual receives account creation and login to the platform. In the platform the employee performs the following: 1) Employee/Contractor completes Consent Form and required Information in SafeWorkDxT"" Platform. 2) Employee/Contractor completes a screener for symptoms. 3) Employee/Contractor places order. 4) Employee/Contractor receives kit and registers order and specimen in platform and collects sample. S) Employee/Contractor and Company representative returns to platform to review results. The Company must designate a Company Administrator who oversees the ordering of from home kits and the administration of Company protocols regarding workplace safety. All test results are reported back to the Company Administrator, and the individual Employee/Contractor. The "Services" include: • Supply of saliva collection kits, specimen labels and packaging materials for home shipment of saliva collection kits to DxTerity • Individual and company online testing portal access for SafeWorkDxT" • Training a Company Administrator, Site Representative and/or delegates to manage the process. • SARS-CoV-2 RNA testing Orders for the From Home COVID-19 Employer Testing Service: Orders properly executed from the platform will be delivered to the individual Employee/Contractor within 2-3 days of order. Return shipment as described in the DxTerity Test Kit Instructions for Use, must be delivered to FedEx before shipment cutoff for next day delivery. DxTerity is not responsible for re -testing Employees/Contractors for non - reportable results due to the failure of an Employee/Contractor to follow the DxTerity Test Kit Instructions for Use. DxTerity will replace any orders/tests which are damaged in shipment or lost by shipper. Attachments for instruction to perform Exhibit -B• • Quote for Services • Online Consent Form • DxTerity Test Kit Instructions for Use • Responsibilities of Site Representative • Patient Fact Sheet • Instructions for Use of Saliva Collection Device 9 DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 DxTerity Contact: Brett Swansiger Chief Commercial Officer Office: (310) 537-7857 Email: bswansiger@dxterity.com For: Jennifer Robles Executive Assistant to the City Manager City of Seal Beach 211 Eighth Street, Seal Beach, CA 90740 irobles@sealbeachca.gov Phone: (562) 431-2527 Ext. 1326 COVID-19 Project Services, Materials & Support: DxTerity Diagnostics 19500 S Rancho Way, Suite 116 Rancho Dominguez, CA 90220 Number: CVD -1000915 Created: January 12, 2021 Expires: July 12, 2021 • Qualitative detections of nucleic acid from SARS-CoV-2 in saliva • Site Representative training, software and supporting documentation • Biohazard shipping return containers and packaging materials with instructions and FedEx return air bills • Confidential COVID-19 reporting to Company Administrator via "From Work" testing program • Confidential COVID-19 reporting to Employee and Company Administrator via "At -Home" testing program • Results provided within 24 hours from receipt at DxTerity testing facility excluding samples requiring retest due to sample quality or indeterminate results. Retest results reported within 48 hours. Service Options List Price Discount Price Monthly Quantity Total One-time Account Set-up per Site/Business Unit Account registration, software and training. Outbound shipment of saliva collection devices, bar code scanner(s), Class B packaging materials for return to DxTerity and FedEx pre -label for shipment $ 2,500 Ds A� J 1 Waved "From Work" SARS-CoV-2 (COVID-19) Testing Forecast per client. Discounted subscription requires 6 -month commitment First 30 days: employee weekly testing $ 125 $ 50 1 500 $ 25,000 Month One Sub -Total $ 25,000 Each Additional 30 days: employees 1x weekly $ 125 $ 50 1 500 $ 25,000 "At -Home" SARS-CoV-2 (COVID-19) Single Collection Kit. Includes priority FedEx return shipping First 30 days: Estimated Single Collection Testing Services $ 125 n/a $ Month One Sub -Total —125 $ Each Additional 30 days: employees 1 x weekly --Fs n/a $ Page 1 of 3 CONFIDENTIAL DxTerity Diagnostics Inc. 19500 S. Rancho Way, Suite 116, Rancho Dominquez, CA 90220 DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 DxTerity Special Notes and Instructions: This non-binding quote assumes an executed agreement between The City of Seal Beach and DxTerity for the Employer COVID-19 Testing Solution. Accounts will be shipped saliva collection and return shipping supplies in one-month intervals or otherwise mutually agreed upon for the "From Work" testing solution. "At -Home" testing kits will be delivered via UPS priority shipping; 1 -2 -day delivery depending on location. Invoicing: 1. One-time account set-up fee and first month's saliva collection supplies for testing services due upon receipt. 2. Subsequent monthly supplies will be billed for the coming months testing requirements and shipment of that month's collection materials. Signatory Name: Jill Ingram Title: City Manager Email: jingram@sealbeachca.>;ov Phone: (562) 431-2527 Ext. 1300 Account Registration Information 1. Total number of employees: 2. Target Start Date: Jan 12, 2021 3. Designated Company Administrator (test result management) a. Name: Brian Gray, Sergeant b. Email: bgray@sealbeachca.gov c. Phone: (562) 799-4100 ext.1658 Legal Notifications Name: Gloria Harper Title: City Clerk Email: gharper@sealbeachca.gov Phone: (562) 431-2527 Ext. 1305 4. Testing plan a. Testing interval: Weekly b. Monthly (30 day) projections: 125 per week/ 500 per month 5. At -Home testing will be ordered directly via DxTerity's portal and managed by Company/Site Administrator The price for At -Home testing is fixed at $125 per unit and is not impacted by monthly volumes Specimen Collection and Shipping SafeWorkDx "From Work" saliva specimens can be collected Monday thru Friday for FedEx pick-up the same day. Express return delivery to DxTerity by 10:00 am next business day is required. "From Work" saliva samples should not be collected Saturday or Sunday based on Spectrum solutions established 48-hour stability from time of sample collection to PCR testing. SafeWorkDx "At -Home" saliva specimens should only be collected Monday thru Friday for return same day via FedEx using any FedEx drop box location utilizing the pre -paid return shipping materials provided. "At -Home" saliva samples should not be collected Saturday — Sunday due to some limitations within FedEx regarding single sample Saturday delivery to DxTerity. Page 2 of 3 Confidential DxTerity Diagnostics Inc. DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 DxTenty All specimens must be properly prepared and packed for shipment in accordance with the packaging requirements found in International Air Transportation (IATA) UN3733 Biological Substance Category B instruction 650 (Dangerous Goods Regulations) and Department of Transportation (DOT) regulations. City of Seal Beach Accepted Quote:—Dm°ft°°dby: ,�i(L ( a By: =r az�aze�ooaassf... Date: Jill Ingram City Manager 1/14/2021 Page 3 of 3 Confidential DxTerity Diagnostics Inc. DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 DxTerity SARS-CoV-2 RT -PCR CE Test DxTerityDisease%Coronavirus 2019 Fact Sheet for Patients (COVID-19) You are being given this Fact Sheet because your sample(s) was tested for the Coronavirus Disease 2019 (COVID-19) using the DxTerity SARS CoV-2 RT -PCR CE Test. This Fact Sheet contains information to help you understand the risks and benefits of using this test for the diagnosis of COVID-19. After reading this Fact Sheet, if you have questions or would like to discuss the information provided, please talk to your healthcare provider. For the most up to date information on COVID-19 please visit the CDC Coronavirus Disease 2019 (COVID-19) webpage: www.cdc.gov/COVID19 What is COVID-19? COVID-19 is caused by the SARS-CoV-2 virus which is a new virus in humans causing a contagious respiratory illness. COVID-19 can present with a mild to severe illness, although some people infected with COVID-19 may have no symptoms at all. Older adults and people of any age who have underlying medical conditions have a higher risk of severe illness from COVID-19. Serious outcomes of COVID-19 include hospitalization and death. The SARS- CoV-2 virus can be spread to others not just while one is sick, but even before a person shows signs or symptoms of being sick (e.g., fever, coughing, difficulty breathing, etc.). A full list of symptoms of COVID-19 can be found at the following link: www.cdc.gov/coronavirus/2019-ncov/ symptoms-testing/symptoms What is the DxTerity SARS CoV-2 RT -PCR CE Test? The test is designed to detect the virus that causes COVID-19 in saliva specimens. Why was my sample tested? You were tested because your healthcare provider believes you may have been exposed to the virus that causes Where can I go for updates and more information? COVID-19 based on your signs and symptoms (e.g., fever, cough, difficulty breathing), and/or because: • You live in or have recently traveled to a place where transmission of COVID-19 is known to occur, and/or • You have been in close contact with an individual suspected of or confirmed to have COVID-19. • You and your healthcare provider believe there is another reason to investigate your COVID-19 infection status. Testing of the samples will help find out if you may have COVID-19. What are the known and potential risks and benefits of the test? Potential risks include: • Possible discomfort or other complications that can happen during sample collection. • Possible incorrect test result (see below for more information). Potential benefits include: • The results, along with other information, can help your healthcare provider make informed recommendations about your care. • The results of this test may help limit the spread of COVID-19 to your family and those you come in contact with. What does it mean if I have a positive test result? If you have a positive test result, it is very likely that you have COVID-19. Therefore, it is also likely that you may be placed in isolation to avoid spreading the virus to others. You should follow CDC guidance to reduce the potential transmission of disease. The most up-to-date information on COVID-19 is available at the CDC General webpage: www.cdc.gov/COVID19. In addition, please also contact your healthcare provider with any questions/concerns. DxTel 14.y www.dxterity.com LAB -0297 02 DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 DxTerity SARS-CoV-2 RT -PCR CE Test There is a smaller possibility that this test can give a positive result that is wrong (a false positive result) particularly when used in a population without many cases of COVID-19 infection. Your healthcare provider will work with you to determine how best to care for you based on the test results along with medical history, and your symptoms. What does it mean If I have a negative test result? A negative test result means that the virus that causes COVID-19 was not found in your sample. However, it is possible for this test to give a negative result that is incorrect (false negative) in some people with COVID-19. You might test negative if the sample was collected early during your infection. You could also be exposed to COVID-19 after your sample was collected and then have become infected. In particular, people infected with COVID-19 but who have no symptoms may not shed enough virus to trigger a positive test. This means that you could possibly still have COVID-19 even though the test result is negative. If your test is negative, your healthcare provider will consider the test result together with all other aspects of your medical history (such as symptoms, possible exposures, and geographical location of places you have recently traveled) in deciding how to care for you. If you have no symptoms but have been tested because your doctor thought you may have been exposed to COVID-19, you should continue to monitor your health and let your healthcare provider know if you develop any symptoms of COVID-19. If you develop symptoms you may need another test to determine if you have contracted the virus causing COVID-19. It is important that you work with your healthcare provider to help you understand the next steps you should take. If you develop symptoms or your symptoms get worse you should seek medical care. If you have the following symptoms you should seek Immediate medical care at the closest emergency room: • Trouble breathing • Persistent pain or pressure in the chest • New confusion • inability to wake up or stay awake • Bluish lips or face Is this test FDA -approved or cleared? No. This test is not yet approved or cleared by the United States FDA. When there are no FDA -approved or cleared tests available, and other criteria are met, FDA can make tests available under an emergency access mechanism called an Emergency Use Authorization (EUA). The EUA for this test is supported by the Secretary of Health and Human Service's (HHS's) declaration that circumstances exist to justify the emergency use of in vitro diagnostics for the detection and/or diagnosis of the virus that causes COVID-19. This EUA will remain in effect (meaning this test can be used) for the duration of the COVID-19 declaration justifying emergency of IVDs, unless it is terminated or revoked by FDA (after which the test may no longer be used). What are the approved alternatives? There are no approved available alternative tests. FDA has issued EUAs for other tests that can be found at: www.fda.gov/emerqency-preparedness-and-response/ mcm-legal-regulatory-and-pol icy-framework/emergeng- use-authorization Where can I go for updates and more information? The most up-to-date information on COVID-19 is available at the CDC General webpage: www.cdc.gov/COVID19. In addition, please also contact your healthcare provider with any questions/concerns. DxTe~ty www.dxterity.com LAB -0297 02 DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 Site Representative Responsibilities DxTerity Site Representative Responsibilities The Company's Site Representative performs important responsibilities in the conduct of employer COVID-19 Testing processes. The Site Representative is the authorized person that determines which employees should be tested based on CDC guidelines. The Site Representative shall be deemed qualified by the Company to serve as a primary point of contact and will be required to complete prescribed safety and privacy training prior to assuming this role. The Key Responsibilities of this role include: 1. Being trained and certified for Universal Precautions and Personal Protective Equipment (PPE) use. 2. Organizing company safety measures to conduct the collection of the samples. 3. Determination of testing requirement for site employees. 4. Ensuring safe collection and handling of specimens. 5. Being trained to use and maintain the DxTerity COVID-19 Samples and Reporting Platform. 6. Understanding of HIPAA and associated security necessary to protect employee private health information and accurate recording of samples within the platform. DxTe~ty www.dxterity.com Determination of Testing The Site Representative will perform the critical role on behalf of the company to ascertain Direct Threat assessment per the EEOC Pandemic preparedness In the workplace and the American with Disability Act as modified on March 21, 2020 or subsequent modifications for COVID-19 and determine the requirements for testing. Criteria for testing to follow the CDC guidance for Evaluating and Testing Persons for Coronavirus Disease 2019 (COVID-19), which can be found at https://www.cdc.gov/ coronavirus/2019-nCoV/hcp/clinical-criteria.html. Safe Handling and Shipping of Specimens Samples will be collected in a suitable setting under the supervision of a trained representative. Employee will be provided Instructions for Use (IFU) for the collection of saliva samples and the Site Representative will be trained to supervise employee collections and answer any questions on the use of the device. The Site Representative will follow the DxTerity "Instructions for Preparing Samples for Shipping:' Generally, potentially pathogenic specimens and shipments containing these specimens shall be handled while wearing PPE (lab coat, gloves, mask, safety goggles) and following Universal Safety Precautions. LAB -0300 01 DocuSign Envelope ID: 25DC01311-7EDA4E7D-94CF-E839D26FA6F1 Site Representative Responsibilities Shipment procedures for all specimens shall be according to the provisions governing the transport of biological substances (Category B UN3373), IATA requirements, and diagnostic specimens. The specimen tubes are required to be sealed, leakproof, and organized in a box/rack. The tubes should not be loose and shall be packed securely to avoid breaking and leakage. The box/rack with tubes shall be placed in a secondary leakproof packaging such as a box/ bag containing absorbent material in case of leakage. This in turn should be placed in a DxTerity prescribed shipping container or DOT equivalent. The shipment shall include a de -identified samples manifest with subject and container identifiers. All samples shall be shipped for next -day arrival. Courier service must be qualified to handle the UN3372 requirements. Universal Precautions and Personal Protective Equipment (PPE) Site Representative is required to be trained in Universal Precautions for Infectious Diseases. The Company may choose to use a service provider who is certified in these measures or undergo training for them. Universal Precautions are a method of infection control recommendations issued by CDC in which all human body fluids are treated as if known to be potentially infectious. These precautions include measures such as prohibiting eating, drinking, using cell phones or other personal electronic devices, smoking, applying cosmetics or lip balm, or handling contact lenses in a work area where there is a reasonable likelihood of occupational exposure to infectious substances and pathogens. Key to Universal Precautions is the requirement for the use of Personal Protective Equipment (PPE) such as a laboratory coat (resistant to liquid penetration), gloves, and safety glasses. When transporting and handling specimens containing or suspected of containing pathogens on the ATPS -L list (air transmittable pathogens, such as SARS-CoV-2) a face shield is required in addition to a face mask, goggles, gloves and lab coat. DxTerity www.dxterity.com Laboratory coats must be removed when exiting the designated collection area to go to a lunchroom, bathroom, offices, conference rooms, or any other area not designated to handle samples. Remove PPE before leaving the work area and place gloves and lab coats in the appropriate container for disposal. After removal of gloves or other personal protective equipment, hands must be washed with soap and water immediately (or as soon as feasible), or decontaminated with an approved hand sanitizer and then washed with soap and water as soon as possible. Decontamination Work surfaces should either be covered with disposable materials or be decontaminated with 1:10 bleach dilution in water, 10% stabilized bleach, or any disinfectant spray that has been approved for use to inactivate viruses and bacteria. Decontamination steps include a wipe down of exposed area after each use with bleach, followed by 70% alcohol (ethanol or isopropanol) wipe down and dry. Saliva specimen spills should be treated by wiping down the spill with absorbent paper towels moistened with 1:10 bleach, then 70% alcohol. COVID-19 Platform Sample Input and Reporting DxTerity will authorize the Site Representative to perform employee registration and sample collection recording for shipping site collection devices. The Site Representative will be provided the COVID-19 Samples and Reporting Platform login for processing and User Manual for training on the system functions. The system provides security measures such as encryption and de -identification of employee identity so that the Site Representative is the only person authorized to view the specific employee results. This Site Representative will be responsible for coordination with Company Human Resources and any privacy related issues. DxTerity lab personnel will not have access to any employee identity information. LAB -0300 01 DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 Instructions for Preparing Samples for Ambient Shipping DxTenty Instructions for Preparing Samples for Ambient Shipping This Function is Critical and Required This document is written to provide the site coordinator, or other Employer designee, instructions on how to properly prepare and pack collected samples for shipment in accordance with the packaging requirements found in International Air Transportation (IATA) UN3733 Biological Substance Category B instruction 650 (Dangerous Goods Regulations) and Department of Transportation (DOT). It is important to schedule pickup of your properly packaged sample with FedEx on the same day you collect it before the last pickup for Express overnight shipping. Do not collect or schedule pickups on Saturday or Sunday. Do not bring to a FedEx office. Failure to do so may result in a failure to process your sample. The designee should read through and be trained to these instructions prior to preparing samples for shipment. DxTerity has made every effort to provide the required key shipping materials. It is highly recommended the Employer only uses shipping kits provided by DxTerity or purchase shipping kits and packaging specifically designed for the shipment of diagnostic and clinical specimens in compliance with IATA UN3733 Biological Substance Category B instruction 650 (Dangerous Goods Regulations). The Shipper bears the ultimate legal responsibility and liability for properly performing these tasks in accordance with the Department of Transportation (DOT) and International Air Transport Association (IATA) Regulations. It is the shipper's responsibility to receive training on the proper packaging, documentation and shipping requirements in order to comply with the International Air Transport Association (IATA) and the Federal Department of Transportation (DOT) regulations. DxTeritywww.dxterity.com LAB -0302 02 DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 Instructions for Preparing Samples for Ambient Shipping Standard Shipping Kits These are the standard shipping kits the Employer may receive from DxTerity. These kits may vary as each Employer's requirements may be unique. Specimen Specimen Transport Bag De4dentified Rack with Absorbent Material Sample Manifest .v Outer Packing Transport Box Materials FedEx List of Packing Tape Labels Label Contents not Included Card Kit A — Rack Style Box Size 12" x 10" x 6" Kit is best to ship 20 — 80 samples per box • 1 - 2 Specimen Racks • 1 - 2 Specimen Transport Bags with Absorbent Material • Labels: (1) UN3373, (2) Arrow Labels, (1) List of Contents card • Packing Materials • (1) FedEx Express Airway Bill Label for overnight shipment (may or may not be included) • (1) Outer Transport Box • Packing Tape to seal box (not included) 2 DxTel 1 `y www.dxterity.com Note: For ease of handling, a single box should never contain more than 80 samples unless first discussed and approved by DxTerity prior to preparing shipment. IATA and DOT regulations limit to 4L of Specimen per shipping box. r, ( Absorbent Specimen De -Identified Specimen Pouch Transport Bag Sample Manifest Fed'Ex Outer Packing FedEx UN3373 Transport Box Materials OverPak CD FedEx List of Packing Tape Labels Label Contents not included Card Kit B — Absorbent Specimen Pouch Style Box Size Varies Kit Is best to ship 1 — 20 samples per box 1 — 20 Absorbent Specimen Pouches • 1-2 Specimen Transport Bags • Labels: (1) UN3373, (2) Arrow Labels, (1) kit Contents card • Packing Materials (1) FedEx Express Airway Bill Label for overnight shipment (may or may not be included) • (1) Outer Transport Box • (1) FedEx UN3373 OverPack • Packing Tape to seal box (not included) LAB -0302 02 DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 Instructions for Preparing Samples for Ambient Shipping Packaging Instructions These Instructions are designed to assist In the packaging of samples in Note: Always wear appropriate DxTerity provided ambient biological substance category B shipping system. Personal Protective Equipment (PPE) Completed Samples will either be placed In cardboard disposable racks or and follow washing and sanitizing absorbent tube pouches. The below Instructions will provide a guide for both. guidelines as outlined by the Centers for Disease Control and Prevention (CDC). 1 sample rack in Specimen Bag with Absorbent Material. Tubes in Absorbent Specimen Pouch(s) placed In Specimen Bag (Pouches act as absorbent material). 2.2 3 DxTel • Y www.dxterity.com Step 1 Place Completed Samples in provided Specimen Rack or Absorbent Specimen Pouches During employee collection, sample collection tubes should have been placed in disposable racks or in absorbent tube pouch. If this has not been done, then do so. Ensure all employee linkage activities and consent forms have been completed before shipping. Note: The buffer in the collection device is designed to inactivate the virus, however a small risk of external sample collector contamination does exist. Step 2 Place Racks in Specimen Bag containing Absorbent sheet Important: The absorbing material must be sufficient to absorb the entire contents of all primary receptacles. The closed saliva sample tube is considered the primary receptacle and is 95kpa rated. The Specimen Bag is considered secondary receptacle. Secondary receptacle must also be leak proof, so it is important to completely seal the Specimen Bag. If using Specimen Tube Absorbent Pouch, one tube pouch is rated to absorb contents of one tube. Additional absorbent material is not necessary, but acceptable to have. 2.1 If using Absorbent Specimen Pouches skip to step 2.2. Place each completed Specimen Rack in the provided 13" x 18" Specimen Bag with biohazard symbol containing the provided absorbent material, (2) 6"x6" absorbent sheets or (1)12" x 12" sheets per bag. Only one rack (up to 40 tubes) is to be placed in a single Specimen Bag. Completely seal the Specimen Bag. 2.2 Place sample tubes stored in Absorbent Specimen Pouches into provided Specimen Bag. Completely seal the Specimen Bag. Do Not overfill Specimen Bag as it will prevent the bag to completely seal when closing. LAB -0302 02 DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 Instructions for Preparing Samples for Ambient Shipping Step 3 Package Samples sealed in Specimen Transport Bags into the Outer Transport Box Important: Secondary packaging must be in a rigid outer packaging (no envelopes). At least one side of the outer packaging must have a minimum dimension of 100mm x 100mm (4in x 4in). You must include an itemized list of contents between the secondary packaging (Specimen Bag) and the outer packaging. Ensure the De -Identified Sample Manifest for all samples being shipped is included with the shipment. 3.1 Place the bagged Specimen Racks or bagged Absorbent Specimen Pouches containing samples in the box using the provided packing material as cushioning. When using Specimen Racks, place the racks side by side. Ensure to place racks upright in box. Orientation when using pouches does not matter. Note: If only shipping a single rack, place the rack in the bottom middle of the box. if the kit came with an extra empty rack, it is acceptable to use the empty rack placed side by side of the filled rack to act as packing filler. 3.2 Fill in the remaining space in the box with packing material. 3.3 Place the De -Identified Shipping Manifest into one of the boxes included in the shipment. 3.4 Properly fill out List of Contents Card and place on top of packing material. The List of Contents card should specify the contents in the box. If not marked already, ensure to check off: Diagnostic Specimens, Glass and/or Plastic Tubes, Tube Separator Bag(s), Secondary Container, Absorbent Pad(s), Transport Media or Preservative. Close and seal the box. Kit A - Specimen Rack Style 111�- De-Identified Shipping Manifest Kit B - Absorbent Specimen Pouch Style t 1� 4 DxTel 1 ly www.dxterity.com LAB -0302 02 DocuSign Envelope ID: 25DC01311-7EDA-4E7D-94CF-E839D26FA6F1 Instructions for Preparing Samples for Ambient Shipping 2 ii O raea�r 1, FedEx UN3373 OverPak 'For Sorurday Delivery �S4TtxtW1Y orw, Yes �C O'tl""" FedEx Paper Airway Bill O4:OOPM — 5PM Last Pick up Step 4 Labeling. Applies to all provided shipping kits Important: One "UN3373 Biological Substance Category B" Label must be on the box. There are specific requirements for this label so use the one provided or purchase from a vendor if not supplied. You must have a "to" and a "from" listed on the package. The FedEx Airway Bill Label will show this when preprinted Airway Bills are provided by DxTerity. If Shipper creates the Airway Bill, it is ultimately their responsibility to ensure it is created and applied correctly. If not already applied, apply the labels to outer box 4.1 Apply one (1) UN3373 label to one of the long sides of the box. 4.2 Only applicable when shipping with specimen rack style shippers: Apply two (2) arrow sticker on the box. One each on opposing box faces with arrows facing up. 4.3 If the outer box is too small to properly apply the FedEx Airway Bill, insert the sealed package into a FedEx UN3373 OverPak. Seal the OverPak and apply the airway bill to the center of the OverPak. DO NOT cover the UN3373 marking with the airway bill 4.4 Apply the FedEx Express Airway Bill Label. If a FedEx Paper Airbill is used check the box "Yes - Shipper's Declaration is not required" under "6. Special Handling". `If shipping on a Friday for Saturday delivery check the box "Saturday Delivery" under "6. Special Handling". Step 5 Schedule Pick Up with FedEx \ Important: It is important to schedule pickup of your properly packaged sample with FedEx on the same day you collect it before the last pickup for Express overnight shipping. Do not collect or schedule pickups on Saturday or Sunday. Do not bring to a FedEx office. Failure to do so may result in a failure to process your sample. It is typically required to schedule pickups 2.5hrs ahead of needed pick up. Last pick up is usually between 4:00 PM and 5:00 PM local time, but verify with your local office. A. Visit FedEx Ship Manager' at fedex.com or Schedule a Pickup under the Ship tab. B. Or Call 1.800.GoFedEx 1.800.463.3339 and speak to a customer % service representative. 5 DxTelv WWWAxterity.com LAB -0302 02 DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 DxTenty Funnel / Embudo Solution / Soluci6n Cap pa Saliva Collection Tube rb Tube Tubo Dev i e e Fill Line /Linea de Ilenado English Fill the tube with saliva to the black wavy line. Fill the tube until your saliva (not including bubbles) is at or just above the wavy line. DO NOT OVERFILL. Replace the funnel with the fluid cap. Remove the funnel from the tube. Screw on the enclosed cap TIGHTLY to release the viral RNA inactivating and stabilization solution into your saliva. t� Firmly screw cap down to release solution and seal tube. You will know it works when the blue solution from the cap is released into the tube. Firmly tighten cap to assure the cap and tube is completely sealed. 0 Shake the tube for at least five seconds. 5 SEC{ This will ensure your sample mixes thoroughly 1 with the stabilizing solution. REF SDNA-1000 Cap choking hazard. Keep out of reach of children. Wash with water if liquid solution comes in contact with eyes or skin. DO NOT INGEST LIQUID. This kit is designed for the collection of human saliva samples. Made in USA, Patent Pending. For research use only. Not for use in diagnostic procedures. LABEL LEGEND - U, Consult instructions for use E: Caut,on,consultinstructions for use j7 Use by date (Collect saliva by) I Temperature limit v; Catalog number md Manufacturer cc CE Marking - Batch code Espanol Llene el tubo con saliva hasta la linea negra ondulada. Llene el tubo hasta que su saliva (sin considerar las burbujas) alcance o se encuentre justo sobre la linea ondulada. NO LO LLENE EN EXCESO. Reemplace el embudo por la tapa del Ifquido. Extraiga el embudo del tubo. Enrosque FUERTEMENTE la tapa adherida para liberar la soluci6nque estabilizara y inacitiba el viral RNA en su saliva. Enrosque con firmeza la tapa hacia abajo para liberar la soluclon y sellar el tubo. Sabra si funciona cuando la solution azul de la capa se libere en el tubo. Enrosque con firmeza la tapa para asegurarse de que la tapa y el tubo fasten totalmente sellados. Agite el tubo al menos cinco segundos. Esto garantizara que su mustra se mezcle bien con la solucidn estabilizante. Riesgo de asfizia con la tape. Mantenga fuera del alcance de los ni6as. Lavese con agua si la solucibn liquida entra en contacto con los ojos o la pieL NO INGIERA EL LIQUIDO. Este kit este disenado para to recoleccian de muestras de saliva humana. Hecho en EE. UU. Patente pendiente. Solo para use con fines investigativos. No debe utitizarse en procedimientos de diagn6stico. LEYENDA DE LA EnQUEFA. LIJ Consulte las instructions de use Ln Precaucion: consulte las inst rucciones ee use 8 Fecha de vencimiento ljunte la saliva antes del i Limite de temperatura Numero de catalogo ri Fabneante cc DistintivoCE w: C6digodel tote DocuSign Envelope ID: 25DCOBI1-7EDA-4E7D-94CF-E839D26FA6F1 EXAMPLE EMPLOYEE CONSENT FOR EMPLOYER TESTING Your Company, COMPANY NAME, is offering eligible U.S. employees and contingent workers, as determined by a healthcare provider, coronavirus disease 2019 (COVID-19) diagnostic testing in an effort to: (1) allow individuals to know their current COVID-19 status and to follow the appropriate public health authority guidance(s) depending on the results and their health status; and (2) help them make decisions to protect the health and safety of their employees and contingent workers including, as applicable, allowing Your Company to determine a tested individual's eligibility to enter facilities or the facilities of customers and to allow Your Company to conduct analyses to determine whether additional precautions need to be taken to protect you or other individuals in the workplace. In order for you to make an informed decision whether or not to voluntarily be tested for COVID-19 with a test provided by your Company, you should understand the risks and benefits of the testing process and how your test results will be shared. PRIVACY NOTICE When you participate in COVID-19 testing, required personal information collected include your test results and demographic information such as name, home address, date of birth, gender, race, ethnicity, email, and phone (See Attachment A). This information will be provided to your Company, the testing laboratory, healthcare provider(s) and to public health agencies as required by law. The use of this information for the purposes of detecting COVID-19 only. I confirm that the Company is offering this test to: (1) provide me with information on my current COVID-19 status and to help me and the Company to follow the appropriate public health authority guidance(s) consistent with the test results; and (2) allow the Company to make decisions to protect the health and safety of its employees and contingent workers, including, as applicable, allowing them to determine my eligibility to enter facilities, the facilities of its customersand to conduct analyses to determine whether additional precautions need to be taken to protect me or others in the workplace. Further that: 1. My biological saliva specimens will be collected and analyzed for COVID-19 only in aprocess facilitated by DxTerity Diagnostics Inc."DxTerity", a CLIA certified high complex laboratory, authorized under FDA Emergency Use Authorization No. 20210 to perform COVID-19 Testing. 2. 1 confirm that I have read and understand the testing process as described in the FAQs, Fact Sheet for Patients and privacy disclosures provided on the DxTerity Website (https:Hdxterity.com/sars-cov-2-test- covid-19) and that both I and the Company will receive the COVID-19 test results. 3. This consent will cover recurring testing, at an interval specified by Company, and any repeat testing, if required. 4. That the Company will use and disclose my test results only as set forth in this consent and will take steps to protect the confidentiality of my test results and my test results will be reported to the United States Health and Human Services and state orlocal public health agencies, as required by law. 5. My decision to participate in the COVID-19 diagnostic testing is entirely voluntary, and I understand that there will be no adverse consequences to my employment or assignment or contract with the Company should I participate orrefuse to participate in the COVID-19 testing. 6. 1 understand that I may revoke this authorization at any time by notifying Company authorized representative(s) in writing. However, I understand that such notice will not affect disclosures made before the revocation. 7. 1 understand that the results from this test may affect my ability to work. If my test result is positive, I will be required to undergo a second confirmatory test after receiving a prescription for such test from my treating health care provider or other equivalent source before I will be permitted to return to work. 8. 1 understand that I am not entering into a doctor -patient relationship with Company. DxTerity, or the ordering healthcare provider, and that any questions or required follow up shall be my responsibility to arrange with my own physician BY SIGNING BELOW, I PROVIDE MY CONSENT TO COMPANY TO ORDER TESTING FROM DXTERITY AND PROVIDE RESULTS BACK TO THE APPOINTED COMPANY REPRESENTATIVES. Print Name Signature Date DocuSign Envelope ID: 25DCOB11-7EDA-4E7D-94CF-E839D26FA6F1 EXAMPLE EMPLOYEE CONSENT FOR EMPLOYER TESTING ATTACHMENT AEMPLOYEE DEMOGRAPHICS DATA SHEET FOR COVID-19 PUBLIC HEALTH REPORTING This represents the required information necessary to complete input into the platform for COVID-19 Reporting. USE OF THIS SPECIFIC FORM IS NOT REQUIRED First Name Middle Initial Last Name Date of Birth (MM/DD/YYY) Sex Pregnancy Status? ❑ Male ❑Other ❑Yes ❑ Female ❑ Unknown ❑No ❑Unknown Race Ethnicity ❑ American Indian/Alaska Native ❑ Hispanic ❑ Asian ❑ Non -Hispanic ❑ Black ❑ Unknown ❑ Hawaiian/Pacific Islander ❑ White ❑ Other ❑ Unknown Email Phone Address Line 1 Address Line 2 City State Zip Code Jennifer Robles From: Brett Swansiger <bswansiger@dxterity.com> Sent: Thursday, January 14, 2021 2:37 PM To: Jennifer Robles Subject: RE: Final Questions on Agreement See below Brett A. Swansiger Chief Commercial Officer DxTerit y and SVP of Managed Care bswansiger@DxTerity.com M: (253) 217-8988 DxTerity.com In [13 13 DxTerity's At -Home COVID-19 Testing available at --- amazon From: Jennifer Robles <JRobles@sea Ibeachca.gov> Sent: Thursday, January 14, 20213:26 PM To: Brett Swansiger <bswansiger@dxterity.com> Subject: Final Questions on Agreement Hi Brett, We are hoping to get signature on our agreement today. I wanted to confirm a couple of items. 1. We will be billed based on the number of kits we use the number of kits ordered for delivery. a. We are not committed to having to use a certain amount during the 6 month term, No and we can decide the number of testing we want to during that time correct? yes Example: If we want to test once a week or once every other week or once during that 6 month period, we are able to. yes 2. Also, after the 6 month term, the contract will automatically be renewed within 15 days and if we wanted to terminate, we would have to send a notification to you 60 days prior correct? You can notify us prior to the automatic renewal at any time that you do not want to renew. If at any time, the tests were to be priced differently, will we be notified? yes 4. Lastly, are we still able to drop off and pick up testing kits in case we prefer to do that? Instead of shipping? yes Thank you, Jenn CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. PRODU-2 OP ID- CAT CERTIFICATE OF LIABILITY INSURANCE DA11/04/2020Y) 11 /04/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 626-796-1313 A.J. Longo & Associates Ca. Ins. License 80524739 CN AMEACT John P. De Spirito PHONE 626-796-1313FAX 626-795-1313 (A/C, No, Ext): (A/c, No): 253 N. Lake Avenue Pasadena, CA 91101 E-MAIL S: INSURER(S) AFFORDING COVERAGE NAIC # John P. De Spirito INSURER A: Kinsale Insurance Company 0100131063 10/27/2020 INSURED Production Rx, LLC Marie Dunaway INSURER B INSURER C, 2633 Lincoln Blvd #933 Santa Monica, CA 90405 INSURER D: INSURER E: INSURER F: COVFROrF3 RFRTIPICATF NI IURPD- ocvlclnal w uaoco. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DDL NSDPOLICY UBR NUMBER POLICY EFF POLICY EXPIML LIMITS A X COMMERCIAL GENERAL LIABILITY X CLAIMS -MADE [:] OCCUR X j 0100131063 10/27/2020 10/27/2021 EACH OCCURRENCE $ 1,000,000 DAMAGE To RENTTu encs $ 50'000 IREMMED EXP (Any one person $ EXCLUDED PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY F7 EPT :] LOCf GENERAL AGGREGATE $ 2,000,000 1 PRODUCTS-COMP/OPAGG $ 2'000'000 OTHER: A AUTOMOBILE LIABILITY EOM�BBIINdeD SINGLE LIMIT nt)$ 1,000,000 BODILY INJURY Perperson) $ ANY AUTO OWNED SCHEDULED AURTEO�S ONLY AUTOS X 0100131063 10/27/20201 10/27/2021 BODILYBODILY INJURY Per accident $ X 'AUTOS ONLY X AUOTO� ONLY Pea TY DAMAGE $ $ 14IUMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE �FFICERIMFMg ER EXCLUDED 7 Ylandatory N I A PER OTH- 'STATUTE ER E.L. EACH ACCIDENT $ m NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is included as additional insured with respects to General Liability and Hired Non Owned Auto. CFRTIFICATF wii nF;R rauro . al.— U 1968-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE DxTerity Diagnostics, Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 19500 South Rancho Way Ste 116 AUTHORIZED REPRESENTATIVE � Rancho Dominguez, CA 90220 U 1968-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD