HomeMy WebLinkAbout20062438.tiff RESOLUTION
RE: APPROVE LABORATORY SERVICES AGREEMENT AND AUTHORIZE CHAIR TO SIGN
- BANNER HEALTH, DBA NORTH COLORADO MEDICAL CENTER
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS,the Board has been presented with a Laboratory Services Agreement between
the County of Weld, State of Colorado, by and through the Board of County Commissioners of
Weld County, on behalf of the Weld County Department of Public Health and Environment, and
Banner Health, dba North Colorado Medical Center, with terms and conditions being as stated in
said agreement, and
WHEREAS,a hearing before the Board was held on the 6th day September,2006,atwhich
time the Board deemed it advisable to continue said matter until September 11,2006 at 9:00 a.m.,
and
WHEREAS, at said hearing on the 11th day of September, 2006, the Board deemed it
advisable to again continue this matter to September 13, 2006, at 9:00 a.m.when a representative
from the Department of Public Health and Environment can be present, and
WHEREAS, at said hearing on the 13th day of September, 2006, after review, the Board
deemed it advisable to approve said agreement, a copy of which is attached hereto and
incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Laboratory Services Agreement between the County of Weld, State of
Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the
Weld County Department of Public Health and Environment, and Banner Health, dba North
Colorado Medical Center be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said agreement.
2006-2438
HL0033
C� /-fCL(& cc) 09 -19 -0G
AGREEMENT CONCERNING RADIOLOGY SERVICES
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted by the
following vote on the 13th day of September, A.D., 2006, nunc pro tunc May 1, 2006.
BOARD OF OUNTY COMMISSIONERS
1Lc WELD CO NTY, COLORADO
ATTEST: ge,�
� M. ei e, Chair
Weld County Clerk tot; ,: d "g'-�► ()
BY. , I � � ..� David E. Long, Pro-Te
Deputy Cler o the Board
Willi H. Jerke
AVID AS
Robe D. Mas en
aunty Attorney
GI nn Vaad
Date of signature: C�/ IULP
2006-2438
HL0033
Memorandum
111 D I TO: M.J. Geile, Chair
OBoard of County Commissioners
• From: Mark E. Wallace,MD, MPH, Director
COLORADO Department of Public�I- �tb agd, atetAxixeoth�
Environment Val
DATE: September 8,2006
jjo
SUBJECT: Laboratory Services Agreement with
Banner Health
Enclosed for Board review and approval is a Laboratory Service Agreement between Banner
Health doing business as North Colorado Medical Center (NCMC) and Weld County on behalf
of the Weld County Department of Public Health and Environment(WCDPHE).
Under the terms of this agreement, WCDPHE will provide laboratory testing of medical samples
for the University of Northern Colorado Student Health Center which is managed by Banner
Health. The tests provided and the fees charged for these tests are listed in Attachment A of the
agreement.
The term of the agreement is for one year, commencing as of the effective date, and may be
extended for additional one year periods upon mutual written agreement of the parties.
I recommend your approval of this agreement.
Enc.
LABORATORY SERVICES AGREEMENT
THIS LABORATORY SERVICES AGREEMENT (this "Agreement"), effective on the
161 day of May, 2006 ("Effective Date") is by and between BANNER HEALTH, an Arizona
nonprofit corporation d/b/a NORTH COLORADO MEDICAL CENTER ("Banner") and
COUNTY OF WELD, STATE OF COLORADO,by and through the BOARD OF COUNTY
COMMISSIONERS OF WELD COUNTY, on behalf of the WELD COUNTY DEPARTMENT
OF PUBLIC HEALTH AND ENVIRONMENT ("Laboratory").
RECITALS
1. Banner operates North Colorado Medical Center, an acute care hospital facility
located in Greeley, Colorado ("Hospital"); and
2. Banner manages University of Northern Colorado's Student Health Center
("Student Center"). Hospital operates a clinical laboratory for the benefit of the patients it
serves,but occasionally requires the services of a qualified laboratory that is capable of
furnishing certain routine and STAT laboratory services that Hospital is unable to perform in its
own laboratory("Services"); and
3. Laboratory operates a clinical laboratory and is capable of furnishing high quality
Services to Banner; and
4. Banner desires to contract with Laboratory to provide Services on the terms and
conditions set forth herein.
AGREEMENT
NOW THEREFORE, in consideration of the mutual promises and covenants herein
contained, the adequacy of which is hereby acknowledged, the parties agree as follows:
1. Reference Laboratory Testing Services and Supplies.
1.1 Laboratory Services. Banner engages Laboratory to perform the Services
as more particularly described in Exhibit A, and incorporated herein by reference. Laboratory
shall supply all qualified personnel, materials, and equipment necessary to provide the Services
and shall devote its best ability and professional efforts in providing the Services. Laboratory
shall be responsible for the transport of specimens from Student Center to Laboratory.
Laboratory shall pick up such specimens the same morning of testing.
1.2 Laboratory Supplies. Laboratory shall furnish Hospital with specimen
laboratory forms, collection swabs, specimen analysis, and reporting using the Genprobe Aptima
Chlamydia and Neisseria gonorrhea procedure for detection of Chlamydia trachomatis and
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2006-2438
Neisseria gonorrhea from female endo-cervical specimens, and from female and male urethral or
urine specimens.
1.3 Reference Testing Results. Laboratory agrees to telephone any positive
test results to Banner representatives at the Student Center on the day of testing and mail a
written report by the following day. Testing will be performed twice per week.
1.4 CLIA Certification. Laboratory represents and warrants that its laboratory
is certified according to the Clinical Laboratory Improvement Amendments of 1988 ("CLIA")
and that Laboratory provides such laboratory services in accordance with such regulations.
Laboratory shall provide Banner with a copy of Laboratory's CLIA certificate upon request.
2. Banner Responsibilities. Banner shall retain professional control and responsibility
for the overall diagnostic and medical care of patients receiving Services from Laboratory.
Banner shall maintain complete and timely clinical records (including diagnoses, medical history,
physician's orders and progress notes)relating to Services provided by Laboratory and the
attending physician of patient shall consult with Laboratory staff as necessary. The medical
necessity of all Services provided by Laboratory shall be reviewed according to Banner's
utilization review processes. Services shall also be reviewed by the Quality Improvement
committee and Medical Staff committees of Banner as appropriate. Laboratory shall cooperate
fully with any review performed by Banner and the Medical Staff related to Services provided
hereunder.
3. Term and Termination.
3.1 Term. The term of this Agreement shall be one(1) year, commencing as of
the Effective Date and continuing until the first (1s`) anniversary of the Effective Date. The term
of this Agreement may be extended for additional one (1) year periods upon mutual written
agreement of the parties.
3.2 Termination. Either party may terminate this Agreement, with or without
cause, upon at least sixty(60) days prior written notice to the other party. In the event of a
material breach of any term of this Agreement by either party, the non-breaching party may
immediately terminate this Agreement upon written notice of such termination to the party in
breach. In the event of termination, Laboratory shall be paid by Banner for work performed but
not yet compensated.
4. Insurance. Laboratory shall obtain and maintain in force during the term of this
Agreement, comprehensive general liability insurance, including blanket contractual liability, in
the amount of One Million and No/100ths Dollars ($1,000,000.00)per occurrence and Three
Million and No/100ths Dollars ($3,000,000.00) in the annual aggregate, and workers'
compensation insurance, as required by law. Laboratory also shall provide Banner with a
certificate(s) of insurance, acceptable to Banner, stating that the above coverages are in force, and
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shall continue in force, throughout the term of this Agreement.
5. Mutual Indemnification. To the extent permitted by law, each party shall indemnify
and save harmless the other party for, from and against all actions, liabilities, losses, damages,
claims and demands whatsoever, including costs, expenses and attorneys' fees, resulting from or
claimed to have resulted from any intentional or negligent acts or omissions of the indemnifying
party or its employees or agents engaged in the work under this Agreement at the time of the
event or occurrence upon which such actions, claims or demands are based. Where both Banner
and Laboratory, including their respective employees or agents, participated in the liability
causing event, each party shall contribute to the common liability, a pro rata share based upon its
relative degree of fault. Notwithstanding any provision contained herein to the contrary,
Laboratory does not waive any immunities to which it may be entitled under any applicable law.
6. Compliance with Regulations and Policies. Laboratory shall comply with all
standards applicable to the Services, including, but not limited to, the standards of(a)the Joint
Conunission on the Accreditation of Healthcare Organizations, (b) federal, state and local
government laws, rules and regulations, (c) CLIA, (d) the U.S. Occupational Safety and Health
Administration (OSHA), (e) the U.S. Department of Transportation (DOT), (f) the Health
Insurance Portability and Accountability Act of 1996 and the applicable health information
privacy and security regulations promulgated thereto, and(g) third party payors. Whenever
providing services or goods pursuant to this Agreement on the premises of the Hospital,
Laboratory and its employees and agents shall comply with and observe all rules and regulations
of the Hospital concerning conduct on the premises of the Hospital. If any of the services or
goods provided under this Agreement are services or goods for which Banner may, directly or
indirectly, obtain compensation or reimbursement from any governmental health program(e.g.,
Medicare, Medicaid, or TRICARE), Laboratory shall provide reasonable assistance to Banner in
completing necessary documents and records for reimbursement.
7. Compliance with Federal Employment Law. Laboratory agrees to comply with all
state and federal Equal Employment Opportunity, Immigration, and Affirmative Action
requirements, including, without limitation, 42 U.S.C. Sec. 2000(e) et seq., the Civil Rights Act
of 1964, the Civil Rights Act of 1991, Sections 503 and 504 of Rehabilitation Act of 1973,
Section 402 of the Vietnam Era Veterans' Readjustment Assistance Act of 1974, the Immigration
Reform Act of 1986, and the Americans with Disabilities Act, and any amendments and
applicable regulations pertaining to any of the foregoing.
8. Fees.
8.1 Banner shall pay Laboratory for the Services at the rates set forth in the
schedule attached hereto as Exhibit A. Laboratory shall provide Banner with a detailed monthly
invoice. Banner shall pay the invoice within thirty(30) days of receipt.
8.2 Cancelled Test Orders. Banner may cancel an order for a test only by
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providing written notice of cancellation of such test. If the written notice is received by
Laboratory prior to test set-up, Banner will not be charged for the test. If the written notice is
received after test set-up, Banner may be charged for the test.
8.3 Unacceptable Specimens and Unsatisfactory Results. If specimens cannot
be analyzed because of improper collection or degradation in transit, or if Laboratory is unable to
obtain satisfactory test results on an apparently acceptable specimen, Laboratory will promptly
notify Banner. In either case, Banner will not be charged for the unacceptable specimen or
unsatisfactory results.
9. Compliance with HIPAA. Under the Health Insurance Portability and
Accountability Act of 1996, Banner is required to comply with the Standards for Privacy of
Individually Identifiable Health Information contained in 45 C.F.R. Parts 160 and 164, Subparts
A and E ("Privacy Rule"), and Subpart C ("Security Rule"), as amended. If this Agreement must
be amended to secure such compliance, the parties shall meet in good faith to agree upon such
amendments. If the parties cannot agree upon such amendments, then either party may terminate
this Agreement upon thirty(30) days prior written notice to the other party.
10. Confidentiality. Laboratory recognizes and acknowledges that Laboratory and the
Laboratory's officers, employees and agents shall have access to certain confidential information
of Banner, and that such information constitutes valuable, special and unique property of Banner.
Neither Laboratory nor any of Laboratory's officers, employees or agents shall disclose, during or
after the term of this Agreement, without the prior written consent of Banner, any such
confidential information to any person, firm, corporation, association, or other entity for any
reason or purpose whatsoever, except to authorized representatives of Banner and except as may
be ordered by a court or governmental agency. Confidential information includes, but is not
limited to, the names of patients and the terms and conditions (including financial information)
of agreements with or for the benefit of patients; all medical records and information; trade
secrets; proprietary information; non-public information; clinical, marketing,personnel and
administrative policies,procedures, manuals,protocols and reports; financial information; all
written agreements and contracts, including this Agreement; and other assets of Banner.
11. Conflict of Interest. No officer, member, director, or employee of Laboratory or
Banner, and no member of their governing bodies shall have any pecuniary interest, direct or
indirect, in the approved Agreement or the proceeds thereof.
12. No Federal Exclusion. Laboratory hereby represents and warrants that Laboratory
and all personnel involved in providing Services under this Agreement are not, and at no time
have been excluded from participation in any federally funded health care program, including
Medicare and Medicaid. Laboratory hereby agrees to immediately notify Banner of any
threatened, proposed, or actual sanction or exclusion from any federally funded health care
program, including Medicare and Medicaid. Such notice shall contain reasonably sufficient
information to allow Banner to determine the nature of any sanction. In the event that Laboratory
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or any personnel involved in providing Services under this Agreement is excluded from
participation in any federally funded health care program during the term of this Agreement, or
if, at any time after the effective date of this Agreement, it is determined that Laboratory is in
breach of this Section 12, this Agreement shall, as of the effective date of such exclusion or
breach, automatically terminate.
13. Independent Contractor Status. Laboratory shall at all times be deemed to be an
independent contractor of Banner. Laboratory's employees shall not be regarded as employees or
agents of Banner for the payment of any employer taxes such as FICA, unemployment, and
workers' compensation, and Banner shall not be responsible for those taxes or any fringe benefits
for Laboratory's employees. Further, the employees of Laboratory shall not be regarded as
employees of Banner with respect to any intentional or negligent activity in which they may be
involved or for any other purpose.
14. Change in Law. If there is a change in any federal or state law, regulation or rule
that affects this Agreement or the activities of either party under this Agreement, or any change
in the judicial or administrative interpretation of any such law, regulation, or rule, and either
party reasonably believes in good faith that such change shall have a substantial adverse affect on
such party's business operations or its rights or obligations under this Agreement, then such party
may, upon written notice, require the other party to enter into good faith negotiations to
renegotiate the terms of this Agreement. If(a) the parties are unable to reach an agreement
concerning the modification of this Agreement within the earlier of(i) forty-five (45) days after
the date of the notice seeking renegotiation or(ii) the effective date of the change, or(b) the
change is effective immediately, then either party may immediately terminate this Agreement
upon written notice of such termination to the other party.
15. Regulatory Termination. If, prior to the expiration of the term of this Agreement,
any federal, state, or local regulatory body, including, but not limited to, the Centers for Medicare
and Medicaid Services, the Department of Health and Human Services ("HHS"), or the Internal
Revenue Service determines that this Agreement is illegal or jeopardizes the tax exempt status of
Banner or the Hospital or otherwise materially affects either party's business, then the affected
party shall give the other party such notice as is reasonable in the circumstances and shall make
available a reasonable period within which to cure. If no cure is implemented by the parties, then
Banner, in its discretion may terminate this Agreement with such notice as it deems reasonable
under the circumstances.
16. Non-Exclusive Agreement. This Agreement is not exclusive. Accordingly, either
party shall have the right to enter into one or more agreements relating to the same or similar
matters as are covered by this Agreement, and execution by either party of such agreements shall
not constitute a breach of this Agreement.
17. Alternative Dispute Resolution Process. If any dispute arising out of this
Agreement cannot be resolved in a timely manner through executive-level negotiation, the parties
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shall try in good faith to settle the dispute through non-binding mediation. A neutral third party
mediator shall be agreed upon by the parties. If, within fourteen(14) days after either party
makes written request for mediation, the parties have not agreed upon the identity of the mediator
and the structure thereof, the mediation shall be held in Greeley, Colorado and administered by
the American Arbitration Association under its Commercial Mediation Rules, and the parties
shall share equally the cost thereof. Subject to the approval of all parties, such mediation may be
conducted by telephone conference call for the convenience of the parties. A good faith attempt
at negotiation and mediation shall be a condition precedent to the commencement of arbitration
or litigation,but is not a condition precedent to any court action for injunction or other interim
relief pending the outcome of mediation.
If the parties are unable to resolve the dispute in a timely manner(which, in any case, shall not
exceed thirty(30) days from the first notice of mediation), through negotiation or mediation, the
dispute shall be settled through binding arbitration before a single arbitrator in Greeley, Colorado
administered by the American Arbitration Association under its Commercial Arbitration Rules,
and judgment on the award rendered by the arbitrator may be entered in any court having
jurisdiction thereof. If the parties have previously mediated the dispute, the same person may not
serve both as the mediator and the arbitrator.
18. Enforcement. In the event that either party to this Agreement takes legal action to
enforce any of the terms of this Agreement,the court,the arbitrator or any other presiding body
or individual shall have the power to, and the parties shall direct such court, arbitrator, or other
presiding body or individual to award reimbursement for the prevailing party's reasonable
expenses, including, but not limited to,reasonable attorneys' fees incurred in connection with
such action.
19. Arms Length Negotiations. Banner and Laboratory expressly acknowledge that the
compensation provided for in this Agreement has resulted from arm's length negotiations
between the parties,has not been determined in a manner that takes into account the volume or
value of any referrals or business otherwise generated between the parties, and is, to the best
knowledge of each party, consistent with fair market value for the services to be rendered.
20. Medicare Fraud and Abuse. Notwithstanding any unanticipated effect of any of the
provisions herein, neither party shall intentionally conduct itself under the terms of this
Agreement in a manner to constitute a violation of the Medicare and Medicaid Fraud and Abuse
Provisions (42 U.S.C. Sections 1395nn(b) and 1396h(b)), including the Medicare and Medicaid
Anti-Fraud and Abuse Amendments of 1977 and the Medicare and Medicaid Patient and
Program Protection Act of 1987 (42 U.S.C. Sections 1320a-7 et seq.) or any other applicable
federal, state or local law, rule or regulation. If,prior to expiration of the term of this Agreement,
federal, state or local laws, rules or regulations are enacted and affect either party's performance
or ability to perform or if such newly enacted laws, rules or regulations render this Agreement
illegal or unenforceable,this Agreement shall automatically terminate.
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21. Retention and Inspection of Records. Laboratory shall keep all records related to
this Agreement on file for a period of four(4) years from the date the record is made. Laboratory
shall, upon reasonable notice, give Banner or its authorized representative the privilege, at a
reasonable time, of inspecting, examining, and auditing, during normal business hours, such of
Laboratory's business records that are directly relevant to this Agreement, including,without
limitation, the financial arrangement between the parties. The cost of such inspection,
examination, an audit shall be at the sole expense of Banner, and such inspection, examination,
and audit shall be conducted where said records are normally maintained.
22. Access to Records for Government Inspection. Laboratory agrees, until the
expiration of four(4)years after the furnishing of Services to be provided under this Agreement,
to make available, upon request, to the Secretary of HHS, the Comptroller General of the United
States of America, or any of their duly authorized representatives, the contracts,books,
documents and records that are necessary to certify the nature and extent of reimbursable costs
under the Medicare laws. If Laboratory carries out any of the agreements under this Agreement
through a subcontract with a value or cost of Ten Thousand Dollars ($10,000.00) or more over a
twelve (12)month period with a related organization, such subcontract shall contain a
requirement identical to that set forth in the preceding sentence.
23. Assignment. This Agreement may not be assigned by either party without the prior
written consent of the other party. If consent to an assignment is obtained, this Agreement is
binding on the successors and assigns of the parties to this Agreement. Notwithstanding any
provision of this Agreement to the contrary, Banner shall have the right to assign or otherwise
transfer its interest under this Agreement to any"related entity." For the purposes of this Section
23, a related entity shall be deemed to include a parent or subsidiary of Banner, any entity that
acquires all or substantially all of Banner's assets or operations relating to this Agreement, and
the surviving entity of any merger or consolidation involving Banner. Any assignment to a
related entity shall not require the consent or approval of Laboratory in order to be effective.
24. Corporate Authority. The individual(s) executing this Agreement on behalf of, or
as a representative for, a corporation or other person, firm,partnership or entity, represents and
warrants that he/she is duly authorized to execute and deliver this Agreement on behalf of such
corporation, person, firm, partnership or other entity and that this Agreement is binding upon
such entity in accordance with its terms.
25. Waivers. No waiver of the enforcement or breach of any agreement or provision
herein contained shall be deemed a waiver of any preceding or succeeding breach thereof or of
the enforcement of any other agreement or provision herein contained. No extension of time for
performance of any obligations or acts shall be deemed an extension of the time for performance
of any other obligations or acts.
26. Severability. If any provision of this Agreement, or any application thereof to any
person, shall be invalid or unenforceable to any extent, the remainder of this Agreement, and the
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application thereof to other persons or circumstances, shall not be impaired, and shall be
enforced to the fullest extent permitted by law.
27. Force Majeure. Neither party shall be liable for any delay or failure in performance
hereunder caused, in whole or in part,by reason of force majeure, which shall be deemed to
include the occurrence of any event beyond the control of the parties, war(whether an actual
declaration thereof is made or not), sabotage, insurrection, riot and other acts of civil
disobedience, action of a public enemy, laws, regulations or acts of any national, state or local
government(or any agency, subdivision or instrumentality thereof),judicial action, labor dispute,
accident, fire, explosion, flood, storm or other act of God.
28. Counterparts. This Agreement may be executed in one or more copies or
counterparts, each of which when signed shall be an original,but all of which together shall
constitute one instrument.
29. Governing Law. This Agreement shall be governed by the internal substantive law
of the State of Colorado without consideration of its conflicts of laws provisions.
30. Integration and Amendment. This Agreement, including any attachments and
documents specifically incorporated herein by reference, contains the entire agreement between
the parties. All prior negotiations between the parties are merged in this Agreement, and there
are no understandings or agreements other than those incorporated herein. This Agreement may
not be modified except by written instrument signed by both parties.
31. Notice. Any notice required to be given under this Agreement shall be in writing,
and shall be deemed delivered when personally delivered or three (3) days after the same is sent
by certified mail,postage prepaid as follows:
If to Laboratory: Weld County Dept. Of Public Health and Environment
1555 N. 17th Avenue
Greeley, Colorado 80631
Attn:
If to Banner: Banner Health
d/b/a North Colorado Medical Center
1801 16'h Street
Greeley, Colorado 80634
Attn: Chief Executive Officer
with a copy to: Banner Health
1801 16`h Street
Greeley, Colorado 80631
Attn: Legal Department
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•
32. Compliance. Laboratory and its employees and agents shall cooperate with any
corporate compliance program now or hereafter instituted by Banner relating to the Services
and/or the Hospital.
33. Survival. Sections 5, 10, 17, 18 and 22 of this Agreement shall survive termination
or expiration of this Agreement.
IN WITNESS WHEREOF, the parties have executed this Agreement individually or be
signature of their duly authorized representative as of the signature dates set forth below, to be
effective as of the Effective Date.
BANNER HEALTH D/B/A
NORTH COLORADO MEDICAL
By:______________________
Name: Qs, L ln'Nn
Its: oc t a.,4-n. . 04c,itek.
Date: CeM/p4
COUNTY OF WELD, STATE OF COLORADO
by and through the BOARD OF COUNTY
COMMISSIONERS OF WELD COUNTY, on
behalf of the WELD COUNTY DEPARTMENT
OF PUBLIC HEALTH AND ENVIRONMENT
BY: T T:
eile Chajr ��4��r ® /047►t�1�
Date: gEP 1 ndb Wi(l
i' Q52 D uty Cl to the Board
9
o;)On6 &93?
North Colorado Medical Center
Banner Health
August 23, 2006
Weld County Department of Public Health& Environment
Attn: M.J. Geile, Chair
1555 N. 17th Avenue
Greeley, CO 80631
Re: Laboratory Services Agreement
Dear Mr. Geile:
Enclosed you will find duplicate originals of the above-referenced contract between Weld
County Department of Public Health& Environment and North Colorado Medical Center for
signature. Please secure the signatures indicated on both originals and return one to me in the
envelope enclosed for your convenience.
Should you have any questions,please call at your convenience.
Sincerely,
e�
er� ,� .���]
^ //�� ,� dt/
Debbie Hoekstra
Contracts Coordinator
North Colorado Medical Center
1801 16th St. • Greeley,CO 80631 • 970-352-4121 • Fax 970-350-6644 • www.NCMCGreeley.com
Administration
1801 16th Street
Banner Health97
�.^ Greeley,CO 80631
North Colorado IV ll Monso-350
Main Hospital 970-352-4121
Medical Center. BBC 970-350-6644 Fax
JUL 0l 100
ENVIROHSERVICESH�LtH
June 28, 2008
Certified Mail, Return Receipt
Weld County Dept. of Public Health and Environment
1555 N. 17th Avenue
Greeley, Colorado 80631
Re: #0314-02-02211 — Weld County Department of Public Health and Environment/Banner
Health, d/b/a North Colorado Medical Center— Laboratory Services Agreement
Dear Sir or Madam:
Please take notice that effective sixty (60) days from the date of this letter, Banner Health shall
terminate that certain Laboratory Services Agreement dated effective as of May 1, 2006, as the
same has been amended by that certain First Amendment to Laboratory Services Agreement
dated effective as of May 1, 2007, between Banner Health, d/b/a North Colorado Medical
Center, and Weld County Department of Public Health and Environment (as amended, the
"Agreement"). This notice is provided in accordance with Section 3.2 of the Agreement.
Banner Health reserves the right to terminate the Agreement for cause, at any time during the
notice period.
If you have questions regarding this matter, please contact Gina Valenti at (970) 674-3110.
Sincerely,
Thomas Boudre u
Regional Vice President—Finance
cc: Gina Valenti, Senior Manager, Physician Resources
Banner Health Legal Dept., 1801 16th Street, Greeley, CO 80631
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