HomeMy WebLinkAbout5245Contract Number.
Vendor
Sub�ect
Department.
File Class
Begin Date.
End Date
Review Date
Vault Date.
5245
ASSOCIATION OF WASHINGTON CITIES
Drug and Alcohol Consortium Services
Human Resources
LEG 12-1
4/1/2013
Comments: Automatically renewed with paid annual fee
.�
D R U G 8
ALCOHOL
CONSORTIUM
AGREEMENT
For Drug and Alcohol Consortium Services
Association of Washington Cities
This agreement �s made between the Association of Washington Cities, hereafter referred to as AWC, and the
below named crty or public agency, hereafter referred to as "agency" The agency desires to have AWC,
through its afFi�iation with a testmg provider of it's choice, provide drug and alcohol testing services
The agency shall pay AWC a membership fee and appropriate per employee fees for random testing as
specified in the Member Price list prior to testing services being provided A WorkSAFE Service, Inc will bdl
the agency directly and the agency is responsible for all other testing costs mcurred on behalf of the agency
The agency agrees to submit payment to A WorkSAFE Serv�ce, Inc within forty-five (45) days of the date
bdled Interest on unpaid accounts wdl accrue at twelve percent (12%) per annum ftom the date untd paid
The agency agrees to provide AWC with a copy of its adopted atcohol and drug testing policy and p�ocedures
pnor to implementation of the testing program The agency agrees to comply with and be responsible for all
requirements of federal, state, and local laws and regulations relat�ng to substance abuse testmg, inctuding
without limitation proper specimen collection and handling The agency is responsible for any damages
resulting from acts or omissions of the agency under the agency's alcohol and drug testing policy
The term of the agreement shall be one (1) year, effectwe , o l l , 201� The agreement wdl be
renewed automatically each year at the end of the term upon eceipt of payment of the annual fee and
appropnate random testing fees as determined by AWC, unless either party notifies the other, m writing, of its
intent not to renew Fadure to pay the appropnate fees by the first of January each year will result in automatic
termination of the agreement
The agency agrees to indemnify, defend and hold AWC, its directors, officers, agents and employees harmless
from any claim, loss, cost and/or expense (including court costs and attomeys fees) arismg out of or resulting
from any act or omission of the agency involving its receipt or use of any of the test results or other information
it receives in connection with this agreement
This agreement shall not be assignable by either party without the written consent of the other
This agreement shail be governed by and construed under the laws of the State of Washington
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Author�zes�i nature i Date
C I�
City or
����n
C� �73 sy��
Te ephone
��a��173
FAX #
��33 �7
Zip
C3�a)�/73 Si � �
Telephone
Name (Please Pnnt)
3�f S C�°�` S�f r-�+ S�. C�CX�
Address
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City State
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Contact Person Name
02/13