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Home My WebLink AboutResolution #3304RESOLUTION N0. 3304 A RESOLUTION APPROVING AN AGREEMENT BST TSE CITY OF CANTON AND PROCTOR FIRST CARE AND AUTHORIZING AND DIRECTING THE MAYOR TO E%ECUTE SAID AGREEMENT ON BEHALF OF THE CITY OF CANTON, ILLINOIS WHEREAS, the City Council of the City of Canton has determined that it is necessary and in the best interest of the City of Canton to enter into a Drug and Alcohol Testing Service Agreement with Proctor First Care, a copy of which is attached and herein incorporated as Exhibit "A". NOW, THEREFORE, BE IT RESOLVED BY THE CITY COIINCIL OF THE CITY OF CANTON, Fulton County, Illinois as follows: 1. That the Drug and Alcohol Testing Service Agreement, hereto attached as Exhibit "A" is hereby approved. 2. That the Mayor is hereby authorized and directed to execute and deliver said Agreement on behalf of the City of Canton, Illinois. 3. That this Resolution shall be in full force and effect immediately upon its passage by the City Couneil of the City of Canton, Fulton County, Illinois. PASSED by the City CounJt~r~aurllinois at a y ~ 1996 Council of the City of Canton, Fulton regular meeting this 16th day of upon a roll call vote as follows: AYES: Aldermen Molleck, Hartford, Sarff, Meade, Shores, May. NAYS: None. ABSENT: Alderman Phillips and 1 resigned. APP VED: .~ G onald E. Edwards, Mayor ATTEST: 9 ancy Whi es, C ty Clerk. ~~ PROCTOR First Care PEORIA HEIGHTS 4201 North Prospect Road Peoria Heights, Illinois 61614 (309) 685-4411 / (309) 685-0100 DRUG AND ALCOHOL TESTING SERVICE AGREEMENT This Agreement is entered this day of Januarv , 1996, and between the City of Canton Company and PROCTOR FIRST CARE, Provider. The parties agree as follows: I. PURPOSE: The purpose of this agreement is to provide designated employees, and applicants with a medical provider for the collection and laboratory testing of urinalysis for drug usage and breath alcohol testing pursuant to the U.S. Department of Transportation and the Federal Highway Administration regulations. II. DUTIES: Provider shall provide medical facilities for the collection of urine samples for drug testing and breath samples for alcohol testing. Provider shall also provide a random selection program for both drug and alcohol random testing. a. Provide facilities for the collection of urine specimens and breath samples from designated personnel. b. The laboratory utilized by Provider shall comply with the U.S.Department of Transportation Part 40. The laboratory shall be certified by the Substance Abuse and Mental Health Services Administration, which is part of the Department of Health and Human Services. c. The initial drug screen shall be the EMIT test; confirmatory test shall be the gas chromatography mass spectroscopy. d. Provider shall perform the function of the medical review officer (MRO). The primary responsibility of the MRO is to review and interpret positive results obtained from the laboratory. The MRO must assess and determine whether alternate medical explanations could account for the positive test. e. The results of testing, whether negative or positive as confirmed by both the screen and confirmatory test as above specified, shall be transmitted to the Company within 24 hours of obtaining the results. Written reports of the results shall be provided within five working days. f. Evidential breath testing (EBT) shall be administered by a certified breath alcohol technician (BAT). The evidential breath testing device shall be approved by the National Highway Traffic Safety Administration (NHTSA) and placed on NHTSA's Conforming Products List of Evidential Breath Measurement Devices. g. If EBT screening result is 0.02 or greater, a confirmation test shall be performed. III. CONFIDENTIALITY: The information received by Provider with regard to the Company shall be kept confidential. Additionally, Provider shall require that the donor sign a waiver of rights permitting the Provider to communicate the results of the testing to the Company. IV. PRICE LIST: Provider shall make the testing available to the Company at the schedule of prices provided. The Company agrees to pay charges for services relating to drug/alcohol testing, and other non-workers' compensation cases authorized by the Company. Payment for these services is due 45 days from date of statement. Accounts past due forfeit all discounts granted by Proctor First Care, including preferred provider agreement discounts. V. TERMINATION: This agreement shall terminate upon thirty days written notice by either party to the other of its intent to terminate or shall terminate upon the completion of the duties and obligations imposed herein. VI. TERM: This agreement shall commence on the date of execution by both parties and remain in effect until terminated by either party. VII. Company agrees to provide Provider with information as requested in Attachment A. VIII. AGREEMENT LIAISON: Clif O'Brien , (Company Designee) shall be the agreement liaison for the purposes of this agreement and any and all inquiries, correspondence or other communication shall be addressed to Designee; for the purposes of this agreement LINDA BECKMAN (Provider Designee) shall be the agreement liaison for the purposes of this contract on behalf of Provider and any and all inquires, correspondence or other communication shall be addressed to Provider Designee. The parties represent that they have each carefully read this agreement and understand its provisions and conditions. City o anton l ~ S' By : ``~~ ~ C ~S~e~,vz~~ 205 Chestnut Canton, IL 61520 PROCTOR FIRST CARE By : 2-l~,~t~~ 'nda Beckman Director of Marketing 4207 N. Prospect Road Peoria Heights, IL 61614 (309) 647-0020 (309) 685-0100 A. COMPANY INFORMATION: ATTACHMENT A Company: CITY OF CANTON 210 Chestnut Canton, IL 61520 Type of Industry No. of Employees No. of Locations 1 Billing Address: Same Phone (309) 647-0020 Fax (309) 647-1310 Contact: Clif O'Brien Alternate: SERVICES REQUESTED A. DRUG TESTING: X DOT Non DOT X Pre-Placement X For Cause X Post Accident X Random Follow-Up X Return to Work X Collection Only; send specimen to: Employee will bring collection kit with them X MRO X Other _Administer Random drug and alcohol program 8. EVIDENTIAL BREATH TEST (EBT) DOT X Yes No X For Cause X Post Accident X Random X Follow-Up X Rtn to Work C. BLOOD ALCOHOL TESTING: Yes X No Collection Only Collection Only; send specimen to: D. PHYSICAL E%AMINATION: Pre-Placement Annual X DOT Pre-employm't X DOT ReCtf. Client supplies physical examination form Send completed form back with employee/applicant X Mail completed form back to company Client supplies job analysis for pre-employment exam X Mail DOT medical card to company Issue DOT medical card to employee/applicant Other E. CLIENT BASIC PHYSICAL Physical exam and medical history, vision, blood pressure, urinalysis Optional: PF (upon request only) DS Audiometry X-ray ( upon request) ( routinely) Views Lab Tests upon request: F. Report Results To: Clif O'Brien Alternate: G. Clinic choice: Yes X No If yes: COMMENTS: PRICE SCHEDULE Supervisory Training on January 30, 1996 No Charge at Proctor Hospital from 5:30-7:30 p.m. Administration of Random Drug & Alcohol Program No Charge 5 Panel Drug Test (DOT) $50.00 Includes: Drug screening panels with automatic GC~MS confirmation of positive results and MRO Services. Department of Transportation Physical Exam Includes required medical examination with completion of DOT medical form and medical card. $40.00 Breath Alcohol Testing (DOT) $25.00 Includes automatic confirmation of results greater than 0.02. ON-SITE TESTING NOT AVAILABLE Current prices as of January 9, 1996