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Home My WebLink About20162809.tiffRESOLUTION RE: APPROVE STANDARD FORM OF AGREEMENT FOR SAMPLING AND ANALYSIS OF WATER WITH VARIOUS CLIENTS AND AUTHORIZE DIRECTOR OF DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT TO SIGN AGREEMENTS CONSISTENT WITH SAID FORM 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 the form of an Agreement for the Sampling and Analysis of Water between the Weld County Department of Public Health and Environment and various clients of the laboratory at the Health Department, and WHEREAS, after review, the Board deems it advisable to approve the form of said agreement, a copy of which is attached hereto and incorporated herein by reference, and to delegate standing authority to the Director of the Department of Public Health and Environment to execute individual agreements between the Department of Public Health and Environment and various laboratory clients. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the form of the Agreement for the Sampling and Analysis of Water between Weld County Department of Public Health and Environment and various clients be and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Director of the Department of Public Health and Environment be, and hereby is, authorized to sign any agreements consistent with said form. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 7th day of September, A.D., 2016. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST :� ' vk Weld County Clerk to the Board BY: Q\ a eputy Clerk to the Board AP -PRO ' D AS T -unty Attorney Date of signature: 1O (57 I 01gntp Mike Freeman, Chair Sean P. Co bara Kirkmeyer Steve Moreno cc-. Hlrc nick)/ TG) 2016-2809 HL0048 Memorandum TO: Mike Freeman, Chair Board of County Commissioners Ckro, NJ FROM: Mark E. Wallace, MD, MPH Executive Director Department of Public Health & Environment DATE: August 31, 2016 SUBJECT: Revised Standard Form Agreement for Water Sampling and Analysis For the Board's approval is a revised standard form agreement for the sampling and analysis of drinking water and wastewater. Per Section 2-1-125.C. of the Weld County Code, the Board of County Commissioners (BOCC) have delegated the authority to the Director of the Weld County Department of Public Health and Environment (WCDPHE) to enter into a standard form agreement for the sampling and analysis of drinking water and wastewater. The WCDPHE, in consultation with the County Attorney, has revised the previously approved standard form agreement and is requesting that the BOCC adopt the revised agreement. A final version of the new agreement is attached. The two primary modifications to the agreement include: 1. The term of the agreement has been adjusted from a defined term to an "evergreen" term. This will allow the agreement to renew annually unless cancelled and eliminate the need to renew on a year-to-year basis. 2. Volume discount pricing, which has been used for 20+ years for bacteriological samples, has been incorporated into the contract. This eliminates the need to have separate fee arrangements for individual clients. This standardized agreement was approved for placement on the Board's agenda via pass -around dated August 25, 2016. I recommend approval of this standardized agreement for the water sampling and analysis. ,-,Vx'0'9 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue, Greeley, CO 80631 www.weldhealth.org AGREEMENT FOR THE SAMPLING AND ANALYSIS OF WATER THIS AGREEMENT is made and entered into this day of , 20**, by and between ***, whose address is ***, hereinafter referred to as System, and the Board of County Commissioners for the County of Weld, State of Colorado, on behalf of the Weld County Department of Public Health and Environment (hereinafter referred to as "Health Department"), and whose office is located at 1555 North 17th Avenue, Greeley, Colorado 80631. BACKGROUND INFORMATION 1. Weld County Code, Section 14, Article II authorizes Health Department to perform by agreement the testing of drinking water for suppliers thereof and the testing of pollutant discharges for those persons and entities holding permits to discharge pollutants into state waters; and 2. System requires analysis for compliance purposes and/or other needs; and 3. Health Department possesses the necessary equipment and expertise required to perform the sampling and analysis of the water for System as required by federal law; and 4. The services provided by Health Department pursuant to this Agreement shall benefit the health, safety, and welfare of those persons residing within the area served by System. NOW THEREFORE, in consideration of mutual promises and covenants contained herein, the parties hereto agree as follows: AGREEMENT 1. Authorization to Act. The System hereby authorizes Health Department to perform the services listed in this Agreement and in the Weld County Code, Section 14, Article II, for the testing of Drinking Water on behalf of System. The provisions of Weld County Code, Section 14, Article II, including however such provisions may be amended during the term of this Agreement, are incorporated herein in their entirety. Health Department shall act as an independent contractor in relation to the System in the performance of services set forth in this Agreement. None of the Health Department employees and/or agents shall become employees of System, and no employees of System shall be deemed or become employees of the Health Department by virtue of this Agreement. 2. Term. This Agreement shall become effective on this day of , 20**. The term of this Agreement shall automatically renew from year to year, unless and until otherwise sooner terminated pursuant to the provisions of paragraph 6 of this Agreement. Health Department shall notify Health Administration Vital Records Public Health & Environmental Health Communication, Clinical Services Services ql 54^4 Education & Planning Emergency Preparedness & Response Public Health System of any change in the contracted fee for the upcoming term no later than November 30th of the ending term. System shall be deemed to have accepted the change in the contracted fee for the applicable upcoming term if System has not objected to said change prior to December 31 of the ending term. 3. Services to be Provided by Health Department. Health Department agrees to provide services to System at the fee rates annually approved by the Board of County Commissioners. Observing volume discounts may apply for bacteriological samples collected by Weld County staff according to the following schedule and on a case by case basis. Frequency Discount >=1 Quarterly 10% >=1 Monthly 20% >=5 Monthly 25% >=10 Monthly 30% >=20 Monthly 40% >=30 Monthly 45% Methods used by Health Department in providing said services shall be in accordance with Section 14-2-20 et seq. of the Weld County Code. Health Department shall provide further services as mutually agreed upon by Health Department and System at times and for compensation as agreed to by the parties hereto. Health Department does not make any representations as to the adequacy of System' s compliance with federal or state law governing the sampling of drinking water, wastewater, or other environmental waters. 4. Records. Health Department will provide to System complete copies of sampling analysis reports made by Health Department pursuant to this Agreement. Health Department will maintain records pursuant to law and regulation. 5. Release and Hold Harmless. Liability. Subject to the monetary limits, notice requirements, immunities, rights, benefits, defenses, limitations, and protections available to the parties under the Colorado Governmental Immunity Act as currently written or hereafter amended, each party agrees to be responsible and assume liability for losses and liabilities caused by its own wrongful or negligent acts and omissions, and those of its officers, agents and employees. No term or condition of this Agreement shall be construed or interpreted as a waiver, either express or implied, of any provision of the Colorado Governmental Immunity Act or any other immunities and benefits available to the parties by law. 6. Termination. Either party may terminate this Agreement upon 30 days written notice to the other party at the addresses set forth in this Agreement. If this Agreement is so terminated, System shall pay that compensation to Health Department which duly reflects the actual amount of compensation due and owing to Health Department for services previously provided to System. 7. Obligations and Duties of System. System shall perform all of the obligations and duties set forth in Section 14-2-20 et seq. of the Weld County Code. In addition, System shall pay for the services rendered by Health Department pursuant to this Agreement according to the contracted amount set forth in paragraph 3 of this Agreement, and/or as may be mutually agreed to by the parties hereto. Payment shall be due within thirty (30) days of the quarter ending: March 31. June 30, September 30, and December 31 during the term of this Agreement. It is the System's responsibility to notify the Health Department of Monitoring Schedule changes to ensure compliance requirements are met. 8. Waiver of Immunities/Duty ofCare. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may now possess, nor shall any portion of this Agreement be deemed to or create a duty of care with respect to persons not a party to this Agreement. 9. Severability. If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be invalid or unconstitutional, such decision shall not affect the validity of the remaining portions hereof. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases may be declared to be unconstitutional or invalid. 10. Notices. Any notice provided for in this Agreement shall be in writing and shall be served by personal delivery or by certified mail, return receipt requested, postage prepaid. or served by facsimile with confirmation of receipt, at the addresses or fax numbers set forth in this Agreement, until such time as written notice of a change is received from the party wishing to make a change of address. Any notice so mailed and any notice served by personal delivery or by facsimile shall be deemed delivered and effective upon receipt or upon attempted personal delivery. SYSTEM: HEALTH DEPARTMENT: **Name** Attn:***** **Address** **City**, Co ***** Phone:***-***-**** Email:**** Weld County Department of Public Health and Environment Attn: Administrative Division 1555 North 17th Avenue Greeley, Colorado 8063 I Phone: 970-400-2122 IN WITNESS WHEREOF, the parties hereto have duly executed this Agreement as of the day, month, and year first above written. SYSTEM NAME: By: Authorized Representative Signature Title: Of Authorized Representative WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT By delegation from the BOARD OF COUNTY COMMISSIONERS FOR THE COUNTY OF WELD, STATE OF COLORADO By: Mark E. Wallace, M.D., MPH Director, Weld County Department of Public Health and Environment Memorandum TO: Mike Freeman, Chair Board of County Commissioners FROM: Mark E. Wallace, MD, MPH Executive Director Department of Public Health & Environment DATE: August 31, 2016 SUBJECT: Revised Standard Form Agreement for Water Sampling and Analysis For the Board's approval is a revised standard form agreement for the sampling and analysis of drinking water and wastewater. Per Section 2-1-125.C. of the Weld County Code, the Board of County Commissioners (BOCC) have delegated the authority to the Director of the Weld County Department of Public Health and Environment (WCDPHE) to enter into a standard form agreement for the sampling and analysis of drinking water and wastewater. The WCDPHE, in consultation with the County Attorney, has revised the previously approved standard form agreement and is requesting that the BOCC adopt the revised agreement. A final version of the new agreement is attached. The two primary modifications to the agreement include: 1. The term of the agreement has been adjusted from a defined term to an "evergreen" term. This will allow the agreement to renew annually unless cancelled and eliminate the need to renew on a year-to-year basis. 2. volume discount pricing, which has been used for 20+ years for bacteriological samples, has been incorporated into the contract. This eliminates the need to have separate fee arrangements for individual clients. This standardized agreement was approved for placement on the Board's agenda via pass -around dated August 25, 2016. I recommend approval of this standardized agreement for the water sampling and analysis. 2016-2809 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue, Greeley, CO 80631 www.weldhealth.org AGREEMENT FOR THE SAMPLING AND ANALYSIS OF WATER THIS AGREEMENT is made and entered into this day of , 20'x', by and between * * *, whose address is * * *, hereinafter referred to as System, and the Board of County Commissioners for the County of Weld, State of Colorado, on behalf of the Weld County Department of Public Health and Environment (hereinafter referred to as "Health Department"), and whose office is located at 1555 North 17th Avenue, Greeley, Colorado 80631. BACKGROUND INFORMATION 1. Weld County Code, Section 14, Article II authorizes Health Department to perform by agreement the testing of drinking water for suppliers thereof and the testing of pollutant discharges for those persons and entities holding permits to discharge pollutants into state waters; and 2. System requires analysis for compliance purposes and/or other needs; and 3. Health Department possesses the necessary equipment and expertise required to perform the sampling and analysis of the water for System as required by federal law; and 4. The services provided by Health Department pursuant to this Agreement shall benefit the health, safety, and welfare of those persons residing within the area served by System. NOW THEREFORE, in consideration of mutual promises and covenants contained herein, the parties hereto agree as follows: AGREEMENT 1. Authorization to Act. The System hereby authorizes Health Department to perform the services listed in this Agreement and in the Weld County Code, Section 14, Article II, for the testing of Drinking Water on behalf of System. The provisions of Weld County Code, Section 14, Article II, including however such provisions may be amended during the term of this Agreement, are incorporated herein in their entirety. Health Department shall act as an independent contractor in relation to the System in the performance of services set forth in this Agreement. None of the Health Department employees and/or agents shall become employees of System, and no employees of System shall be deemed or become employees of the Health Department by virtue of this Agreement. 2. Term. This Agreement shall become effective on this day of , 20**. The term of this Agreement shall automatically renew from year to year, unless and until otherwise sooner terminated pursuant to the provisions of paragraph 6 of this Agreement. Health Department shall notify Health Administration Vital Records Tele: 970.304-6410 Fax: 970-304-6412 Public Health & Clinical Service This: 970.304.6420 Fax: 970-304-6416 Environmental Health Services Tele: 970-304-6415 Fax: 970-304-6411 Communication, Education L Planning Tete: 970-304-6470 Fax: 970-304-6452 Emergency Preparedness & Response Tele: 970-304-6470 Fax: 970-304-6452 Public Health System of any change in the contracted fee for the upcoming term no later than November 30th of the ending term. System shall be deemed to have accepted the change in the contracted fee for the applicable upcoming term if System has not objected to said change prior to December 31 of the ending term. 3, Services to be Provided by Health Department. Health Department agrees to provide services to System at the fee rates annually approved by the Board of County Commissioners. Observing volume discounts may apply for bacteriological samples collected by Weld County staff according to the following schedule and on a case by case basis. Frequency Discount >=1 Quarterly 10% >=1 Monthly 20% >=5 Monthly 25% >=10 .Monthly 30% >=20 Monthly 40% >=30 Monthly I 45% Methods used by Health Department in providing said services shall be in accordance with Section 14-2-20 et seq. of the Weld County Code. Health Department shall provide further services as mutually agreed upon by Health Department and System at times and for compensation as agreed to by the parties hereto. Health Department does not make any representations as to the adequacy of System' s compliance with federal or state law governing the sampling of drinking water, wastewater, or other environmental waters. 4. Records. Health Department will provide to System complete copies of sampling analysis reports made by Health Department pursuant to this Agreement. Health Department will maintain records pursuant to law and regulation. 5. Release and Hold Harmless. Liability. Subject to the monetary limits, notice requirements, immunities, rights, benefits, defenses, limitations, and protections available to the parties under the Colorado Governmental Immunity Act as currently written or hereafter amended, each party agrees to be responsible and assume liability for losses and liabilities caused by its own wrongful or negligent acts and omissions, and those of its officers, agents and employees. No term or condition of this Agreement shall be construed or interpreted as a waiver, either express or implied, of any provision of the Colorado Governmental Immunity Act or any other immunities and benefits available to the parties by law. 6. Termination. Either party may terminate this Agreement upon 30 days written notice to the other party at the addresses set forth in this Agreement. If this Agreement is so terminated, System shall pay that compensation to Health Department which duly reflects the actual amount of compensation due and owing to Health Department for services previously provided to System. 7. Obligations and Duties of System. System shall perform all of the obligations and duties set forth in Section 14-2-20 et seq. of the Weld County Code. In addition, System shall pay for the services rendered by Health Department pursuant to this Agreement according to the contracted amount set forth in paragraph 3 of this Agreement, and/or as may be mutually agreed to by the parties hereto. Payment shall be due within thirty (30) days of the quarter ending: March 31, June 30, September 30, and December 31 during the term of this Agreement. It is the System's responsibility_ i 1czZ he, alef'th Department of Monitoring Schedule changes to ensure compliance requirements die inlet. 8. Waiver of Immunities/Duty of Care. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may now possess, nor shall any portion of this Agreement be deemed to or create a duty of care with respect to persons not a party to this Agreement. 9. Severability. If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be invalid or unconstitutional, such decision shall not affect the validity of the remaining portions hereof. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases may be declared to be unconstitutional or invalid. 10. Notices. Any notice provided for in this Agreement shall be in writing and shall be served by personal delivery or by certified mail, return receipt requested, postage prepaid, or served by facsimile with confirmation of receipt, at the addresses or fax numbers set forth in this Agreement, until such time as written notice of a change is received from the party wishing to make a change of address. Any notice so mailed and any notice served by personal delivery or by facsimile shall be deemed delivered and effective upon receipt or upon attempted personal delivery. SYSTEM: **Name** Attn:***** **Address** **City**, CO ***** Phone:***_***-**** Email:**** HEALTH DEPARTMENT: Weld County Department of Public Health and Environment Attn: Administrative Division 1555 North 17th Avenue Greeley, Colorado 80631 Phone: 970-400-2122 IN WITNESS WHEREOF, the parties hereto have duly executed this Agreement as of the day, month, and year first above written. SYSTEM NAME: By: AuthorrsttRtspresentative Signature Title: Of Authorized Representative WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT By delegation from the BOARD OF COUNTY COMMISSIONERS FOR THE COUNTY OF WELD, STATE OF COLORADO By: Mark E. Wallace, M.D., MPH Director, Weld County Department of Public Health and Environment WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue, Greeley, CO 80631 www.weldhealth.org AGREEMENT FOR THE SAMPLING AND ANALYSIS OF DRINKINC WATER and/or WASTEWATER THIS AGREEMENT is made and entered into this day of ,20**, by and between ***, *, PWSID SI D Number whose address is ***, *, hereinafter referred to as System, and the Board of County Commissioners for the County of Weld, State of Colorado, on behalf of the Weld County Depaitnient of Public Health and Environment (hereinafter referred to as "Health Department"), and whose office is located at 1555 North 17th Avenue, Greeley, Colorado 80631. BACKGROUND INFORMATION Weld County Code, Section 14, Article II authorizes Health Department to perform by agreement the testing of drinking water for suppliers thereof and the testing of pollutant discharges for those persons and entities holding permits to discharge pollutants into state waters; and 2. System supplies persons with drinking waterrequires analysis for compliance purposes and/or other needs; and 3. Health Department possesses the necessary equipment and expertise required to perform the sampling and analysis of the drinking water for System as required by federal law; and 4. The services provided by Health Department pursuant to this Agreement shall benefit the health, safety, and welfare of those persons residing within the area served by System. NOW THEREFORE, in consideration of mutual promises and covenants contained herein, the parties hereto agree as follows: AGREEMENT 1. Authorization to Act. The System hereby authorizes Health Department to perform the services listed in this Agreement and in the Weld County Code, Section 14, Article H, for the testing of Drinking Water on behalf of System. The provisions of Weld County Code, Section 14, Article II, including however such provisions may be amended during the term of this Agreement, are incorporated herein in their entirety. Health Department shall act as an independent contractor in relation to the System in the performance of services set forth in this Agreement. None of the Health Department employees and/or agents shall become employees of System, and no employees of System shall be deemed or become employees of the Health Department by virtue of this Agreement. 2. Term. This Agreement shall become effective on January 1, this day of Health Administration Vital Records Tele: 970-304-6410 Fax: 970-304-6412 Public health & Clinical Services Tele: 970-304-6420 Fax: 970-304-6416 Environmental Health Services Tele: 970-304-6415 Fax: 970-304-6411 Communication, Education & Planning Tele: 970.304-6470 Fax: 970-304-6452 Emergency Preparedness & Response Tele: 970-304-6470 Fax: 970-304-6452 Public Health 20**, anc s la__ remain in force anc a ecuntii December 3- , 20**.**. The term of this Agreement shall automatically renew from year to year until December44; ; 20**„ unless and until otherwise sooner terminated pursuant to the provisions of paragraph 6 of this Agreement. initial term of this Agreement: Type of Test Contracted Number of Samples Contracted Fee *4* 4t*# *## 2. Health Department shall notify System of any change in the contracted fee for the upcoming term no later than November 30th of the ending term. System shall be deemed to have accepted the change in the contracted fee for the applicable upcoming term if System has not objected to said change prior to December 31 of the ending term. 3. Services to, be Provided by Heath Department. Health Department agrees to provide services to System at the fee rates annually approved by the Board of County Commissioners. Observing volume discounts may apply for bacteriological samples collected by Weld County staff according to the following schedule and on a case by case basis. Frequency Discount, >7----1 Quarterly 10% 20% >=1. Monthly >=5 Monthly 25% >=10 Monthly 30% >=20 Monthly 40% >=30 Monthly 45% Methods used by Health Department in providing said services shall be in accordance with Section 14-2-20 et seq. of the Weld County Code. Health Department shall provide further services as mutually agreed upon by Health Department and System at times and for compensation as agreed to by the parties hereto. By signing tnis Agreement amc providing to services :ierein, Health Department does not • Health Department and does not make any representations as to the adequacy of System—sSystem' s compliance with federal or state law governing the sampling of drinking water,wastewater, or other environmental waters. 4. Records. Health Department will provide to System complete copies of sampling analysis reports made by Health Department pursuant to this Agreement. Health Department will also maintain cop z System must request a copy of sue xpira the date of such report.maintain records pursuant to law and regulation. •mar report, r omissions of Hea Agreement. ta-or services set forth in this 5 Release and Hold Harmless. Liability. Subject to the monetary limits, notice requirements, immunities, rights, benefits, defenses, limitations, and protections available to the parties under the Colorado Governmental Immunity Act as currently written or hereafter amended, each party agrees to be responsible and assume liability for losses and liabilities caused by its own wrongful or negligent acts and omissions, and those of its officers, agents and employees. No term or condition of this Agreement shall be construed or interpreted as a waiver, either express or implied, of any provision of the Colorado Governmental Immunity Act or any other immunities and benefits available to the parties by law. 6. Termination. Either party may terminate this Agreement upon 30 days written notice to the other party at the addresses set forth in this Agreement. If this Agreement is so terminated, System shall pay that compensation to Health Department which duly reflects the actual amount of compensation due and owing to Health Department for services previously provided to System. 7. Obligations and Duties of System. System shall perform all of the obligations and duties set forth in Section 14-2-20 et seq. of the Weld County Code. In addition, System shall pay for the services rendered by Health Department pursuant to this Agreement according to the contracted amount set forth in paragraph 3 of this Agreement, and/or as may be mutually agreed to by the parties hereto. Payment shall be due within thirty (30) days of the quarter ending: March 31, June 30, September 30, and December 31 during the term of this Agreement. It is the System's responsibility to notify the Health Department of Monitoring Schedule changes to ensure compliance requirements are met. 8, Waiver of Immunities/Duty of Care. No portion of this Agreement shall be deemed to constitute a waiver of any immunities the parties or their officers or employees may now possess, nor shall any portion of this Agreement be deemed to or create a duty of care with respect to persons not a party to this Agreement. 9. Severability. If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be invalid or unconstitutional, such decision shall not affect the validity of the remaining portions hereof. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases may be declared to be unconstitutional or invalid. 10. Notices. Any notice provided for in this Agreement shall be in writing and shall be served by personal delivery or by certified mail, return receipt requested, postage prepaid, or served by facsimile with confirmation of receipt, at the addresses or fax numbers set forth in this Agreement, until such time as written notice of a change is received from the party wishing to make a change of address. Any notice so mailed and any notice served by personal delivery or by facsimile shall be deemed delivered and effective upon receipt or upon attempted personal delivery. SYSTEM: *****Name** Attn:***** **Address** **city**, Co_ ***** Ph9ne:***_***_**** Email:**** HEALTH DEPARTMENT: Weld County Department of Public Health and Environment Attn: Cheryl Darnell -Mark Thomas 1555 North i 7th Avenue Greeley, Colorado80631 Colorado 80631 Phone: 970-304 6415, ext. 2270100-2273 Email: cdarnellco.weld.co.usmthomasweldgov.corn IN WITNESS WHEREOF, the parties hereto have duly executed this Agreement as of the day, month, and year first above written. Director, Weld County Department SYSTEM NAME: of Public Health and Environment By: Authorized Representative Signature Title: of Authorized Representative WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT by delegation from the BOARD OF COUNTY COMMISSIONERSFORCOMMISSIONER S FOR TI IE COUNTY OF WELD, STATE OF COLORADO By: Mark r tt r tf e r ' armor t iviarx E. waiiace, M.D., Mrn Hello