HomeMy WebLinkAbout20192594.tiffRESOLUTION
RE: APPROVE REGISTRATION AND PAYMENT FORMS FOR COURT -ORDERED
MONITORED SOBRIETY TESTING SERVICES AND AUTHORIZE DIRECTOR OF
DEPARTMENT OF HUMAN SERVICES TO SIGN NECESSARY DOCUMENTS - WPCI
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 Registration and Payment Forms for
court -ordered monitored sobriety testing services between the County of Weld, State of Colorado,
by and through the Board of County Commissioners of Weld County, on behalf of the Department
of Human Services, and WPCI, commencing upon full execution of signatures, with further terms
and conditions being as stated in said registration and payment forms, and
WHEREAS, after review, the Board deems it advisable to approve said registration and
payment forms, copies of which are attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Registration and Payment Forms between the County of Weld, State
of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of
the Department of Human Services, and WPCI be, and hereby are, approved.
BE IT FURTHER RESOLVED by the Board that the Director of the Department of Human
Services be, and hereby is, authorized to complete and sign said registration and payment forms.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 8th day of July, A.D., 2019.
BOARD OF COUNTY COMMISSIONERS
W D COUNTY, C RADO
ATTEST: dsttifen) i. JCl&s
Weld County Clerk to the Board
ounty Attorney
Date of signature: 42AI
Steve Moreno
arbara Kirkmeyer, hair
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2019-2594
H R0090
PRIVILEGED AND CONFIDENTIAL
MEMORANDUM
DATE: July 3, 2019
TO: Board of County Commissioners — Pass -Around
FR: Judy A. Griego, Director, Human Services
RE: Urgent Court Ordered Drug Testing - WPCI
The Department of Human Services is requesting placement on the Board's July 8'2019 agenda for an
urgent Weld District Court -ordered monitored sobriety service to be in place for a parent near Minden,
NE, to ensure the respondent parent be tested for drug and alcohol abuse three times a week for 90
days. This matter arises out of a dependency and neglect case, where the child resides in Colorado and
the parent resides in Nebraska. Child Welfare has identified an entity, WPCI, who is requiring the
attached forms to be completed. This provider is the only local provider in the rural area of Nebraska.
Legal has had the opportunity to review the documents, which outline the services and payment terms;
however, a "Dispute and Resolution Procedure" is included, which does present a potential risk.
Robin Cochran has communicated the preference is to have WPCI strike the indemnification, choice
of law, and forum clauses, but the entity has refused. Therefore, due to the urgency and the serious
nature of the allegations involving this case, the low risk of being sued for billing and payment issues
will unlikely result in significant damages, if any at all. She has further indicated that the contract is
not exclusive and could be terminated at any time. Ms. Cochran has recommended that if the
community does not have other testing sites, then the Department should balance the need of the child
to reside in a protective environment against the small risk of liability arising from the County's
actions, which have been court ordered.
Due to the low risk associated with signing the document, Legal has directed the Department to
arrange placement on Monday's agenda. The Department is requesting approval to move forward with
services of WPCI, and requesting authority for Director to sign the registration and payment
documents.
2019-2594
Pass -Around Memorandum; <DATE> — CMS XXXX
/7/,
Page 1
{i2L09d
Esther Gesick
From:
Sent:
To:
Cc:
Subject:
Attachments:
Commissioners:
Amanda Petzold
Wednesday, July 3, 2019 4:33 PM
Barbara Kirkmeyer; Steve Moreno; Scott James; Mike Freeman; Sean Conway
Judy Griego; Jamie Ulrich; Karla Ford; Bruce Barker; Esther Gesick; Robin Cochran
URGENT REQUEST - Placement on Monday's Agenda
Informational Memo.docx; WPCI Registration Form 5.1.19.pdf; Weld Co. Human Services
Quote.pdf
Judy and Jamie have approved this item to move forward.
Attached is an informational memorandum further communicating the details of this urgent request for placement on
the Monday, July 8, 2019, agenda. Included as attachments are the referenced items noted in the memo. The
Department of Human Services is requesting approval for placement on the agenda and is recommending approval for
the Department to pursue the provider for its services and authority for the Director to sign. Please note the requested
placement on the agenda was a directive of Bruce Barker.
Thank you.
Amanda J. Petzold
Contract Management and Compliance Coordinator
Administration Support Unit (ASU)
Weld County Department of Human Services
Direct: (970) 400-6603
Team: (970) 400-6556
Fax: (970) 353-5215
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Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for
the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise
protected from disclosure. If you have received this communication in error, please immediately notify sender by return
e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the
contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited.
Vision:
The people of Weld County are connected to the resources needed to thrive in the community
and feel safe and empowered.
Mission:
Engaging and partnering with the community to improve the safety, health and well-being of
individuals and families through the delivery of responsive and collaborative services.
1
WPCI
The Nation's Premier Comprehensive Drug Program Administrator
WPCI Registration Form
Enrollment Application
Company Name
Street Address
City
Date
State Zip
Mailing Address (if different) City State Zip
Designated Employer Representative (DER) (Print) Telephone Number Password
Email Address Title
Alternate DER (Print)
Telephone Number Password
Email Address Title
Additional Contact
Telephone Number Password
Email Address Title
Fax
Program Selection (for office use only):
WPCI Driver Program (00) ❑
WPCI Driver Program 2-3 drivers ❑
Corporate Account ❑
Secure Fax? ❑ YES ❑ NO
Who receives Random Selections?
❑ Primary Contact 0 Secondary Contact 0 Additional Authorized Contact
Delivery Options: 0 Sent via US Mail 0 Sent via email
Drug Test Reporting Preference:
MRO (delivered to DER or can be delivered to multiple contacts via email only):
Phone & Mail: 0 Email: 0
0 Primary Contact 0 Secondary Contact 0 Additional Authorized Contact
Who should have website access:
0 Primary Contact 0 Secondary Contact 0 Additional Authorized Contact
Username: Password:
Username: Password:
Username: Password:
Policy Requested: 0 DOT ❑ NONDOT
Delivery Options: 0 Sent via US Mail 0 Sent via email
Training Material:
0 Streaming Online 0 DVDs mailed (additional $15 processing fee incurred)
Payment terms: Client acknowledges payment is due to WPCI within NET30 terms. A finance charge of 1-1/2% will applied each month to any outstanding
balance until amounts due are paid in full. In the event of default on any payment, client agree to pay WPCI reasonable costs of collection but not limited to
attorney fees, court costs, outstanding charges., in addition to other amounts owed. It is understood and agreed that each of the parties shall be responsible for
its own applicable regulatory compliance and its own acts and omissions and that each party agrees to indemnify the other from any and all liability (Including
reasonable attorney fees) for its own acts and omissions. The above quoted fees for service and terms shall serve as the complete agreement between the
parties and shall be governed by the laws of the State of Nebraska. If any dispute should arise, it is understood that mediation and arbitration in Scottsbluff,
Nebraska, at the offices of WPCI, shall be the method by which disputes are resolved.
THIS REGISTRATION FORM WILL SERVE AS ACCEPTANCE OF THE QUOTED PRICING SUBMIT-IED BY WPCI FOR YOUR PROGRAM AND THE
OPTIONAL SERVICES YOU SELECTED.
ACCEPTED BY: DATE
Employee List for Random Selection
Company Name
DL# and state of issue
abbreviation
Last Name
First Name
MI
4.44114)i
wPcI
The Nation's Premier Comprehensive Drug Program Administrator
1124 Broadway Ste. A, Scottsbluff, NE 69361 308-632-7411 800-682-5176 FAX 801.469-1984
Date of Quote: 6/26/2019
Quote # CGD062619B
Weld Co. Human Services
Ryan Traylor
Phone: 970-400-6266
822 7th Street, Ste. 150
Greeley, CO 80631 E -Mail: traylorm@weldgov.com
I DRUG AND ALCOHOL TESTING SERVICES
A. SPECIMEN COLLECTION (Fixed collection site only)
Includes, but not limited to, the following:
1. Arrange specimen collection services and availability;
2. Monitor collection sites for ongoing quality assurance;
3. Monitor Custody and Control Forms (CCF or drug test);
4. Receive and honor collection site invoices for specimen collection;
5. Centralize collection scheduling.
BREATH ALCOHOL COLLECTION
URINE COLLECTION
HAIR COLLECTION
ORAL FLUID COLLECTION
45.00 each
35.00 each
Not Quoted
Not Quoted
(EMERGENCY AND MOBILE COLLECTION SERVICES BILLED UNDER SEPARATE QUOTE)
(Collection price valid for WPCI selected sites only on date of quote. Other use may cause price increase)
B. LABORATORY SPECIMEN TESTING
Includes, but not limited to, the following:
1. Insure the timely shipments of supplies;
2. Monitor laboratory performance and compliance;
3. Monitor laboratory turnaround times;
4. Receive and honor laboratory invoices for testing;
5. Provide blind proficiency testing;
6. Shipping and handling fees included;
7. GCMS confirmation fees included; and
8. D&L Isomers and 6 AM fees included
URINE LABORATORY TEST
HAIR LABORATORY TEST
HAIR SPECIMEN SHIPPING FEE
ORAL FLUID LABORATORY TEST
$
30.00 each
Not Quoted
Not Quoted
Not Quoted
C. MRO SERVICES
Includes, but not limited to, the following:
1. Maintain electronic communication with drug testing laboratory(s);
2. Report negative test results the same day as received from testing laboratory;
3. Contact with employee and/or contractor subsequent to positive test results;
4. Contract with SAMHSA certified laboratory(s) for testing a "split specimen" if requested;
5. Maintain records pursuant to 49 CFR Part 40;
6. Provide twenty four (24) hour, seven (7) day accessibility;
7. Provide litigation package preparation as may be necessary(additional fee)
8. Provide telephone deposition and testimony as may be necessary (additional fee).
MRO REVIEW - URINE
MRO REVIEW - HAIR
MRO REVIEW - ORAL FLUID
Page 1 of 2, "Quote"
$ 10.00 each
$ - Not Quoted
$ - Not Quoted
D. ADMIN & DATA MANAGEMENT SERVICES
Includes, but not limited to, the following:
1. Maintain random selection pool(s);
2. Notification of random test selections;
3. Monitor drug and alcohol testing regulations;
4. Provide ongoing policy consultation and support;
5. Afford client service support;
6. Assist with quarterly and annual statistical reports as requested
7. Policy development and recommendations.
ADMIN & DATA MANAGEMENT $
TOTAL FEE FOR SERVICES - ALCOHOL
TOTAL FEE FOR SERVICES - URINE
TOTAL FEE FOR SERVICES - HAIR
TOTAL FEE FOR SERVICES - ORAL FLUID
II. ADDITIONAL SERVICES
A. First year setup fee (One time charge)
B. Observed Collection Fee per Collection
C. Random Pool Fee Per Selection
A. Video supervisor and employee training ---
B. On -Site supervisor and employee training ---
C. Litigation package ---
D. Deposition and Testimony ---
E. Substance Abuse Professional (SAP) service ---
F. Employee background checks --
Not Quoted
$ 45.00 each
$
75.00
$ -
$ 20.00
$ 10.00
each
Not Quoted
Not Quoted
Set
Packa•e
Ea.
Per Hr.
Se • arate Quote
Se • crate Quote
PAYMENT TERMS
Client acknowledges that payment is due to WPCI within NET30 terms.
A finance charge of 1-1/2% will be applied each month to any outstanding balance until amounts due are paid in full.
In the event of default on any payment, Client agrees to pay WPCI reasonable costs of collection but not limited to attorney fees,
court costs, outstanding charges, in addition to other amounts owed.
It is understood and agreed that each of the parties shall be responsible for its own applicable regulatory
compliance and its own acts and omissions and that each party agrees to indemnify the other from
any and all liability (including reasonable attorneys fees) for its own acts and omissions.
COMPLETE AGREEMENT & DISPUTE RESOLUTION PROCEDURE
The above quoted fees for services and terms shall serve as the complete agreement between the
parties and shall be governed by the laws of the State of Nebraska. If any dispute should arise,
it is understood that mediation and arbitration in Scottsbluff, Nebraska, at the offices of WPCI,
shall be the method by which disputes are resolved.
e_ xi
WPCI: CLIENT:
DATE: 6/26/19 DATE:
Page 2 of 2, "Quote"
(THIS QUOTE IS VALID FOR 60 DAYS FROM THE DATE ABOVE UNLESS REVISED BY WPCI)
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