Va Form 10-0094d - Dental Education Affiliation Agreement Between Department Of Veterans Affairs (Va) And A School Of Dentistry As The Sponsoring Institution - 2015 Page 4
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7Rehabilitation Act of 1973, Title IX of the Education Amendments of 1972, Public Law 104-191, the Age
Discrimination Act of 1975, and all related regulations, and assures that they do not, and will not, discriminate
against any person on the basis of race, color, national origin, sex, disability, or age under any program or activity
receiving federal financial assistance.
Nothing in this agreement is intended to be contrary to state or federal laws. In the event of conflict between
terms of this agreement and any applicable state or federal law, that state or federal law will supersede the terms
of this agreement. In the event of conflict between state and federal law, federal law will govern.
When providing professional services covered by this agreement, protection of properly appointed faculty
members (except those providing services under a contract with VA) and properly appointed trainees of the
affiliated institution from personal liability while at a VA healthcare facility will be that which is provided under
the Federal Employees’ Liability Reform and Tort Compensation Act 28 U.S.C.2679 (b)-(d). The liability, if any,
of the United States for injury or loss of property, or personal injury or death shall be governed exclusively by the
provisions of the Federal Tort Claims Act.
Amendments must be bilaterally executed in writing, signed by authorized representatives of both agencies.
No oral or unilateral amendments will be effective. Only terminations done in accordance with the terms of this
agreement may be done unilaterally.
Should disagreement arise as to the interpretation of the provisions of this agreement that cannot be resolved
between the parties’ designated Points of Contact, the area(s) of disagreement will be reduced to writing by each
party and presented to the authorized officials at both participating entities. If settlement cannot be reached at this
level, the disagreement will be raised to the next level in accordance with the parties’ procedures for final
resolution. Both parties will proceed diligently in performing their obligations under this agreement pending final
resolution of any dispute arising hereunder.
TERMINATION OF AFFILIATION AGREEMENT
This affiliation agreement is in force until _________________ [insert a date that is not to exceed ten
years in the future and that allows for completion of the last training cycle during that period] and supersedes
any previous or affiliation agreement. It may be terminated in writing at any time by mutual consent with due
consideration of patient care and educational commitments, or by written notice by either party 6 months in
advance of the next training experience.
VA FORM 10-0094d
June 2015
PAGE 4 OF 6
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