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Home My WebLink About20153601.tiff DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenu 111];:i e �, ri; _ Greeley, CO 80631 c o,u N-r y Public Health www.weldhealth.org Health Administration Public Health& Environmental Health Communication, Emergency Preparedness Vital Records Clinical Services Services Education&Planning &Response Tele:970-304-6410 Tele:970-304-6420 Tele:970-304-6415 Tele:970-304-6470 Tele:970-304-6420 Fax: 970-304-6412 Fax: 970-304-6416 Fax: 970-304-6411 Fax: 970-304-6452 Fax: 970-304-6469 Our vision:Together with the communities we serve,we are working to make Weld County the healthiest place to live,learn,work,and play. Memorandum To: BOCC From: Dr. Mark E. Wallace MD, MPH, Executive Director, Department of Public Health and Environment RECEIVED CC: Trevor Jiricek Date: 10-30-15 NOV 0 4 2015 Re: Agreement for the Analysis of Water Testing WELL) COUNTY COMMISSIONERS On October 21st,2015 the following entities have submitted a signed agreement for the analysis of water by the Weld County Health Department Laboratory. 1. Little Thompson Water District The Laboratory is forwarding this information according to Resolution#2001-3421 Date December 17, 2001. Once the contracts have been signed by the Director,one copy needs to be made for the customer file and the Health Department Administration Manager. Please,return the customer copy to the laboratory to forward on to the customer. 22,p st-i\ ► I- 9 - IS 2015-3601 DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT r ! 1555 North 17th Avenue r j Greeley, CO 80631 o U N T Public Health t 1 www.weldhealth.org Health Administration Public Health& Environmental Health Communication, Emergency Preparedness Vital Records Clinical Services Services Education&Planning &Response Tele:970-304-6410 Tele:970-304-6420 Tele:970-304-6415 Tele:970-304-6470 Tele:970-304-6420 Fax: 970-304-6412 Fax: 970-304-6416 Fax: 970-304-6411 Fax: 970-304-6452 Fax: 970-304-6469 Our vision:Together with the communities we serve,we are working to make Weld County the healthiest place to live,learn,work,and play. AGREEMENT FOR THE SAMPLING AND ANALYSIS OF DRINKING WATER THIS AGREEMENT is made and entered into this„1') day of tic. kQ 2015 by and between Little Thompson Water District,PWSID Number CO0135477. Whose address is East State Highway 56 Berthoud,CO 80513,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 supplies �O,00© persons with drinking water; 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 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. Revised and approved 10-2014 2. Term. This Agreement shall become effective on November 1, 2015, and shall remain in force and effect until December 31, 2020. The teini of this Agreement shall automatically renew from year to year until December 31, 2020 unless and until otherwise sooner terminated pursuant to the provisions of paragraph 6 of this Agreement. 3. Services to be Provided by Health Department. Health Department agrees to provide the following services to System at the fees set forth below, during the initial term of this Agreement: Type of Test Contracted Number of Samples Contracted Fee Bacteriological Total Coliform/E.coli P/A As Submitted $20.00 Chemistry Lead, Total As Submitted $20.50 Copper, Total As Submitted $20.50 Other testing available upon request charged at the annually approved fee schedule rate. For each subsequent term of this Agreement, Health Department shall notify System of any change in the contracted fee for the upcoming term no later than November 30`" 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. Methods used by Health Department in providing said services shall be in accordance with Section 14-2-20 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 this Agreement and providing the services herein, Health Department does not insure the accuracy of the results of any tests performed by Health Department and does not make any representations as to the adequacy of System=s compliance with federal or state law governing the sampling of drinking water. 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 hard copies of each report. Bacteriological reports for five years, Lead and copper reports for 12 years, and all other chemistry testing reports for 10 years, after which such record may be destroyed. Each report will also be maintained in the Laboratory computer system indefinitely. If System requires another copy of any particular report, System must request a copy of such report prior to the expiration of five years from the date of such report. 5. Release and Hold Harmless. System agrees to release and hold harmless Health Department from any and all liability and/or damages resulting from the acts or omissions of Health Department in performing the services set forth in this Agreement. 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 Revised and approved 10-2014 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 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. 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. Revised and approved 10-2014 SYSTEM: HEALTH DEPARTMENT: Little Thompson Water District Weld County Department of Public Attn: Dave Shumpert Health and Environment East State Highway 56 Attn: Mark Thomas Berthoud, CO 80513 1555 North 17th Avenue Phone: 970-532-2096 Greeley, Colorado 80631 Email: dshumpert@ltwd.org Phone: 970 -304-6415, ext. 2273 Email: mthomas@weldgov.com IN WITNESS WHEREOF, the parties hereto have duly executed this Agreement as of the day, month, and year first above written. Little Thompson Water District By: L - ; LtIrtt.4.34\SI Authori.e. RepreOtative Signature Title: u51 r ecy,r(1 un a3 en/ Of Authorized Representative WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT by delegation from the BOARD OF COUNTY COMMliSIONERS FO THE COUNTY OF WELD, STATE OF COLORADO By: Mark E. Wallace, M.D., MPH Executive Director, Weld County Department of Public Health and Environment Revised and approved 10-2014 DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT v 1555 North 17th Avenue r 1 Greeley, CO 80631 u N =`, Public Health www.weldhealth.org Health Administration Public Health& Environmental Health Communication, Emergency Preparedness Vital Records Clinical Services Services Education&Planning &Response Tele:970-304-6410 Tele:970-304-6420 Tele:970-304-6415 Tele:970-304-6470 Tele:970-304-6420 Fax: 970-304-6412 Fax: 970-304-6416 Fax: 970-304-6411 Fax: 970-304-6452 Fax: 970-304-6469 Our vision:Together with the communities we serve,we are working to make Weld County the healthiest place to live,learn,work,and play. Organization Information (please complete all applicable blank fields) PWS ID: CO .1) 17% Lk —I-1 And/or NPDES: Business Name: L n,A) v. Phone No.: COD-- j OC1(o Business Address: <33`J S\O.1-42. U`i j t we GJ lv City: 4\ ck State: CAD Zip Code: o� t 3 May we Email completed results? _ e r No (please circle) Contact Address (if different from Business): City: State: Zip Code: Contact Person for Results: v'1 A S p e.,-t- Phone No.: `170 - �.31 - OS q I Email: d Sh u m F.ev t Cow ( t1h12. Oi Alternate Contact Person: \<e v1 L Cr rf1 h (?c h Phone No: c( ?(% bc-13 - Email: K I it tn.to (e h r j.-hAt4A . v--9 May we Email Invoices? 'e or No (please circle) Billing Address (if different from Business): City: State: Zip Code: Billing Contact Person (if different from Results): u,S C &v I Phone No.: C1-10 4-4,0303 Email: g Vk 161 I tWc -0 Alternate Billing Person: a a � Phone No: 63-20- Email: K B166 i ,r' rA) D Y3 Please return this document after completion to Mark Thomas, WCDPHE by either email- (mthomas(a�weldeov.com) or regular mail 1555 N 17th Avenue, Greeley CO 80631 Hello