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HomeMy WebLinkAboutAgreement A-15-265 with Phamatech, Inc..pdfAgreement No.15-265 AGREEMENT 1 2 3 THIS AGREEMENT is made and entered into this ~ day of 0W\..e.. , 2015, by 4 and between the COUNTY OF FRESNO, a political subdivision of the State of California, 5 hereinafter referred to as "COUNTY," and PHAMATECH, INC. dba PHAMATECH 6 LABORATORIES AND DIAGNOSTICS, a California Corporation, whose address is 15175 7 Innovation Drive, San Diego, CA, 92128, hereinafter referred to as "CONTRACTOR." 8 WI T N E S S E T H: 9 WHEREAS, COUNTY's Probation Department has need of toxicology laboratory 10 services including, but not limited to, supplies for specimen collections; specimen pick-up and 11 delivery; and laboratory testing for evidentiary analysis, consultation and testimony; and 12 WHEREAS, CONTRACTOR is qualified and willing to provide such services pursuant 13 to the terms and conditions of this Agreement. 14 NOW, THEREFORE, in consideration of their mutual promises, covenants, and 15 conditions, hereinafter set forth, the sufficiency of which is acknowledged, the parties agrees as 16 follows: 17 1. OBLIGATIONS OF THE CONTRACTOR 18 A. CONTRACTOR shall perform all services and fulfill all responsibilities in a 19 manner consistent with COUNTY'S Request for Quotation (RFQ) No. 962-5320 dated January 6, 20 2015, Addendum No. One (1) thereto, dated January 22, 2015, and Addendum No. Two (2) 21 thereto, dated January 29, 2015, (collectively COUNTY'S "Revised RFQ") attached hereto as 22 Exhibit A, and CONTRACTOR'S response to said Revised RFQ dated February 3, 2015 23 (hereinafter "Response") attached hereto as Exhibit B, both exhibits of which are incorporated 24 herein by reference and made part of this Agreement. A copy of COUNTY'S Revised RFQ and 25 CONTRACTOR'S Response shall be retained and made available during the term of this 26 Agreement by the Probation Department. 27 B. CONTRACTOR may subcontract with local laboratories in the event that 28 CONTRACTOR is not able to perform all tests and provide all services required hereunder, but -1- 1 only if such laboratories are able to provide the same or better level and quality of service as 2 CONTRACTOR. 3 C. CONTRACTOR shall bear sole and primary responsibility for all services 4 including results, to be provided in a timely manner, even when tests and services are provided by 5 CONTRACTOR'S subcontractor. COUNTY shall not deal with any subcontractor for any service 6 or test results, in accordance with Section 13, entitled "SUBCONTRACTS," of this Agreement. 7 2. TERM: This Agreement shall become effective on the 1st day of July, 2015 8 and shall terminate on the 30th day of June, 2016. 9 3. TERMINATION 10 A. Non-Allocation of Funds -The terms of this Agreement, and the services to 11 be provided thereunder, are contingent on the approval of funds by the appropriating government 12 agency. Should sufficient funds not be allocated, the services provided may be modified, or this 13 Agreement terminated, at any time by giving the CONTRACTOR thirty (30) days advance written 14 notice. 15 B. Breach of Contract-The COUNTY may immediately suspend or terminate 16 this Agreement in whole or in part, where in the determination of the COUNTY there is: 17 18 19 20 COUNTY; 21 22 1) An illegal or improper use of funds; 2) A failure to comply with any term of this Agreement; 3) A substantially incorrect or incomplete report submitted to the 4) Improperly performed service. In no event shall any payment by the COUNTY constitute a waiver by the COUNTY 23 of any breach of this Agreement or any default which may then exist on the part of the 24 CONTRACTOR. Neither shall such payment impair or prejudice any remedy available to the 25 COUNTY with respect to the breach or default. The COUNTY shall have the right to demand of 26 the CONTRACTOR the repayment to the COUNTY of any funds disbursed to the CONTRACTOR 27 under this Agreement, which in the judgment of the COUNTY were not expended in accordance 28 with the terms of this Agreement. The CONTRACTOR shall promptly refund any such funds upon -2- 1 demand. 2 C. Without Cause-Under circumstances other than those set forth above, 3 this Agreement may be terminated by COUNTY upon the giving of thirty (30) days advance written 4 notice of an intention to terminate to CONTRACTOR. 5 4. COMPENSATION/INVOICING: COUNTY agrees to pay CONTRACTOR and 6 CONTRACTOR agrees to receive compensation for services at the rates set forth in 7 CONTRACTOR's Quotation Schedule, attached hereto as Exhibit "C" and by this reference 8 incorporated herein. In no event shall the maximum amount of compensation paid to 9 CONTRACTOR by COUNTY'S Probation Department exceed Three Hundred Thousand and 10 No/1 00 Dollars ($300,000) during the twelve-month period (July 1, 2015-June 30, 2016) of this 11 Agreement. 12 All expenses incidental to CONTRACTOR'S performance of services under 13 this Agreement shall be borne by CONTRACTOR. 14 CONTRACTOR'S invoices, submitted monthly and separately for each 15 Probation account number, shall reference the COUNTY Agreement Number as noted on page 1 16 of this Agreement, and shall include the account number, laboratory control number, client name, 17 date of birth, sex, date of service, test description, number oftest performed, and the individual 18 unit cost of each test within the invoicing period. Invoices shall be addressed to the Fresno 19 County Probation Department Business Office, 3330 E. American Avenue Suite B, Fresno ,CA 20 93725. COUNTY shall pay CONTRACTOR within forty-five (45) days after receipt and 21 verification of CONTRACTOR's properly completed invoices. 22 If invoices are incorrect, COUNTY shall have the right to withhold payment as 23 to only that portion of the invoice that is incorrect. COUNTY shall provide five (5) days prior notice 24 to CONTRACTOR of any intent to withhold funds due to incorrect invoices. CONTRACTOR 25 agrees to continue to provide service for a period of ninety (90) days after notification of an 26 incorrect invoice. If after (90) days, an invoice is still not corrected to the Probation Department's 27 satisfaction, COUNTY shall have the right to deny payment on such invoices. 28 In the event this Agreement is terminated, CONTRACTOR shall submit all -3- 1 invoices to COUNTY for services provided up to the date of termination within (90) days following 2 the termination date. COUNTY shall have the right to deny payment on any invoices not 3 submitted within ninety (90) days following the termination date of this Agreement,. 4 5. INDEPENDENT CONTRACTOR: In performance of the work, duties and 5 obligations assumed by CONTRACTOR under this Agreement, it is mutually understood and 6 agreed that CONTRACTOR, including any and all of the CONTRACTOR'S officers, agents, and 7 employees will at all times be acting and performing as an independent contractor, and shall act in 8 an independent capacity and not as an officer, agent, servant, employee, joint venturer, partner, or 9 associate of the COUNTY. Furthermore, COUNTY shall have no right to control or supervise or 10 direct the manner or method by which CONTRACTOR shall perform its work and function. 11 However, COUNTY shall retain the right to administer this Agreement so as to verify that 12 CONTRACTOR is performing its obligations in accordance with the terms and conditions thereof. 13 CONTRACTOR and COUNTY shall comply with all applicable provisions of 14 law and the rules and regulations, if any, of governmental authorities having jurisdiction over 15 matters the subject thereof. 16 Because of its status as an independent contractor, CONTRACTOR shall have 17 absolutely no right to employment rights and benefits available to COUNTY employees. 18 CONTRACTOR shall be solely liable and responsible for providing to, or on behalf of, its 19 employees all legally-required employee benefits. In addition, CONTRACTOR shall be solely 20 responsible and save COUNTY harmless from all matters relating to payment of 21 CONTRACTOR'S employees, including compliance with Social Security withholding and all other 22 regulations governing such matters. It is acknowledged that during the term of this Agreement, 23 CONTRACTOR may be providing services to others unrelated to the COUNTY or to this 24 Agreement. 25 6. MODIFICATION: Any matters of this Agreement may be modified from time 26 to time by the written consent of all the parties without, in any way, affecting the remainder. 27 A Notwithstanding the above, "minor modifications", as determined by 28 CONTRACTOR or the Chief Probation Officer or his or her designee, may be made to Section 1, -4- 1 entitled "OBLIGATIONS OF CONTRACTOR," of this Agreement, or to Exhibit A Such "minor 2 modifications" will be accomplished through a written letter from the Chief Probation Officer or his 3 or her designee to the CONTRACTOR or a written letter by CONTRACTOR to the Chief Probation 4 Officer or his or her designee, followed by a letter of approval sent by the receiving party to the 5 sending party, provided however, neither party shall be obligated to approve any "minor 6 modifications" proposed by the other party. Such "Minor modifications" shall not affect the 7 maximum compensation allowable under this Agreement, and shall be defined as and limited to 8 the following: 9 1. The addition of toxicology laboratory tests (i.e., steroids), which 10 shall not exceed the highest rates quoted in Exhibit C for qualitative and quantitative testing by 11 more than $12.00; and 12 2. The addition or deletion of a urine specimen collection or pick- 13 up site; and 14 3. Changes in addresses to which notices or invoices are to be 15 sent. 16 7. NON-ASSIGNMENT: Neither party shall assign, transfer or sub-contract this 17 Agreement nor their rights or duties under this Agreement without the prior written consent of the 18 other party, except as provided in Section 1.C and Section 13 of this Agreement. 19 8. HOLD HARMLESS: CONTRACTOR agrees to indemnify, save, hold 20 harmless, and at COUNTY'S request, defend the COUNTY, its officers, agents, and employees 21 from any and all costs and expenses, damages, liabilities, claims, and losses occurring or 22 resulting to COUNTY in connection with the performance, or failure to perform, by 23 CONTRACTOR, its officers, agents, or employees under this Agreement, and from any and all 24 costs and expenses, damages, liabilities, claims, and losses occurring or resulting to any person, 25 firm, or corporation who may be injured or damaged by the performance, or failure to perform, 26 of CONTRACTOR, its officers, agents, or employees under this Agreement. 27 9. INSURANCE: 28 Without limiting the COUNTY's right to obtain indemnification from -5- 1 CONTRACTOR or any third parties, CONTRACTOR, at its sole expense, shall maintain in full 2 force and effect, the following insurance policies or a program of self-insurance throughout the 3 term of this Agreement: 4 A. Commercial General Liability 5 Commercial General Liability Insurance with limits of not less than One 6 Million Dollars ($1 ,000,000) per occurrence and an annual aggregate of Two Million Dollars 7 ($2,000,000). This policy shall be issued on a per occurrence basis. COUNTY may require 8 specific coverages including completed operations, products liability, contractual liability, 9 Explosion-Collapse-Underground, fire legal liability or any other liability insurance deemed 10 necessary because of the nature of this contract. 11 B. Automobile Liability 12 Comprehensive Automobile Liability Insurance with limits for bodily injury of 13 not less than Two Hundred Fifty Thousand Dollars ($250,000.00) per person, Five Hundred 14 Thousand Dollars ($500,000.00) per accident and for property damages of not less than Fifty 15 Thousand Dollars ($50,000.00), or such coverage with a combined single limit of Five Hundred 16 Thousand Dollars ($500,000.00). Coverage should include owned and non-owned vehicles used 17 in connection with this Agreement. 18 C. Professional Liability 19 If CONTRACTOR employs licensed professional staff, (e.g., Ph.D., R.N., 20 L.C.S.W., M.F.C.C.) in providing services, Professional Liability Insurance with limits of not less 21 than One Million Dollars ($1 ,000,000.00) per occurrence, Three Million Dollars ($3,000,000.00) 22 annual aggregate. 23 D. Worker's Compensation 24 A policy of Worker's Compensation insurance as may be required by the 25 California Labor Code. 26 CONTRACTOR shall obtain endorsements to the Commercial General Liability 27 insurance naming the County of Fresno, its officers, agents, and employees, individually and 28 collectively, as additional insured, but only insofar as the operations under this Agreement are -6- 1 concerned. Such coverage for additional insured shall apply as primary insurance and any other 2 insurance, or self-insurance, maintained by COUNTY, its officers, agents and employees shall be 3 excess only and not contributing with insurance provided under CONTRACTOR's policies herein. 4 This insurance shall not be cancelled or changed without a minimum of thirty (30) days advance 5 written notice given to COUNTY. 6 Within Thirty (30) days from the date CONTRACTOR signs and executes this 7 Agreement, CONTRACTOR shall provide certificates of insurance and endorsement as stated 8 above for all of the foregoing policies, as required herein, to the County of Fresno, (Name and 9 Address of the official who will administer this contract), stating that such insurance coverages 1 0 have been obtained and are in full force; that the County of Fresno, its officers, agents and 11 employees will not be responsible for any premiums on the policies; that such Commercial 12 General Liability insurance names the County of Fresno, its officers, agents and employees, 13 individually and collectively, as additional insured, but only insofar as the operations under this 14 Agreement are concerned; that such coverage for additional insured shall apply as primary 15 insurance and any other insurance, or self-insurance, maintained by COUNTY, its officers, agents 16 and employees, shall be excess only and not contributing with insurance provided under 17 CONTRACTOR's policies herein; and that this insurance shall not be cancelled or changed 18 without a minimum of thirty (30) days advance, written notice given to COUNTY. 19 In the event CONTRACTOR fails to keep in effect at all times insurance 20 coverage as herein provided, the COUNTY may, in addition to other remedies it may have, 21 suspend or terminate this Agreement upon the occurrence of such event. 22 All policies shall be with admitted insurers licensed to do business in the State 23 of California. Insurance purchased shall be purchased from companies possessing a current A.M. 24 Best, Inc. rating of A FSC VII or better. 25 10. CONFIDENTIALITY: All services performed by CONTRACTOR under this 26 Agreement shall be in strict conformance with all applicable Federal, State of California and/or 27 local laws and regulations relating to confidentiality. 28 11. NON-DISCRIMINATION: During the performance of this Agreement -7- 1 CONTRACTOR shall not unlawfully discriminate against any employee or applicant for 2 employment, or recipient of services, because of race, religion, color, national origin, ancestry, 3 physical disability, medical condition, marital status, age or gender, pursuant to all applicable 4 State of California and Federal statutes and regulations. 5 12. LICENSES: CONTRACTOR warrants that it possesses all licenses and/or 6 certifications required by local, State of California and/or Federal laws and regulations, and the 7 Probation Department including but not limited to valid California Clinical Laboratory License, 8 Clinical Laboratory Improvement Amendments (CLIA) Certification, and Substance Abuse and 9 Mental health Services Administration (SAMSHA) Certification for the conduct of its business 10 and shall operate its business in accordance with all applicable laws and regulations. 11 CONTRACTOR further warrants that all of its personnel performing services under this 12 Agreement shall be licensed and/or certified where so required to lawfully perform their duties 13 and shall maintain such licensure and/or certifications throughout the term of the this 14 Agreement. CONTRACTOR shall maintain copies of all licenses and/or certifications noted 15 above and shall allow COUNTY to review these documents upon request. 16 13. SUBCONTRACTS: CONTRACTOR shall assume full responsibility for all 17 services and activities covered by this Agreement, whether or not CONTRACTOR is providing 18 those services directly. Further, COUNTY will consider CONTRACTOR to be the sole point of 19 contact with regard to contractual matters, including payment of any and all charges resulting 20 from this Agreement. CONTRACTOR shall be responsible to COUNTY for the proper 21 performance of any subcontract. Any subcontractor shall be subject to the same terms, 22 limitations and conditions that CONTRACTOR is subject to under this Agreement. 23 14. DISCLOSURE OF SELF-DEALING TRANSACTIONS: This provision is only 24 applicable if the CONTRACTOR is operating as a corporation (a for-profit or non-profit 25 corporation) or if during the term of this agreement, the CONTRACTOR changes its status to 26 operate as a corporation. 27 Members of the CONTRACTOR'S Board of Directors shall disclose any self- 28 dealing transactions that they are a party to while CONTRACTOR is providing goods or -8- 1 performing services under this agreement. A self-dealing transaction shall mean a transaction to 2 which the CONTRACTOR is a party and in which one or more of its directors has a material 3 financial interest. Members of the Board of Directors shall disclose any self-dealing transactions 4 that they are a party to by completing and signing a Self-Dealing Transaction Disclosure Form 5 (Exhibit D) and submitting it to the COUNTY prior to commencing with the self-dealing transaction 6 or immediately thereafter. 7 15. AUDITS AND INSPECTIONS: The CONTRACTOR shall at any time during 8 business hours, and as often as the COUNTY may deem necessary, make available to the 9 COUNTY for examination all of its records and data with respect to the matters covered by this 10 Agreement. The CONTRACTOR shall, upon request by the COUNTY, permit the COUNTY to 11 audit and inspect all of such records and data necessary to ensure CONTRACTOR'S compliance 12 with the terms of this Agreement. 13 If this Agreement exceeds ten thousand dollars ($1 0,000.00), CONTRACTOR 14 shall be subject to the examination and audit of the Auditor General for a period of three (3) years 15 after final payment under contract (Government Code Section 8546. 7). 16 16. NOTICES: The persons and their addresses having authority to give and 17 receive notices under this Agreement include the following: 18 19 20 21 COUNTY COUNTY OF FRESNO Chief Probation Officer 3330 E. American Avenue Fresno CA 93725 CONTRACTOR National Sales Director Pharmatech. Inc. 15175 Innovation Drive San Diego CA 92128 Any and all notices between the COUNTY and the CONTRACTOR provided 22 for or permitted under this Agreement or by law shall be in writing and shall be deemed duly 23 served when personally delivered to one of the parties, or in lieu of such personal service, when 24 deposited in the United States Mail, postage prepaid, addressed to such party. 25 17. GOVERNING LAW: Venue for any action arising out of or related to this 26 Agreement shall only be in Fresno County, California. 27 The rights and obligations of the parties and all interpretation and performance 28 of this Agreement shall be governed in all respects by the laws of the State of California. -9- 1 18. ENTIRE AGREEMENT: This Agreement, including al exhibits, constitutes the 2 entire agreement between the CONTRACTOR and COUNTY with respect to the subject matter 3 hereof and supersedes all previous Agreement negotiations, proposals, commitments, writings, 4 advertisements, publications, and understandings of any nature whatsoever unless expressly 5 included in this Agreement. In the event of any inconsistency in interpreting the documents which 6 constitute this Agreement, the inconsistency shall be resolved by giving precedence in the 7 following order of priority: (1) this Agreement (excluding the Revised RFQ and CONTRACTOR's 8 Response); (2) the Revised RFQ (Exhibit A); and (3) CONTRACTOR's Response (Exhibit 8). 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 -10- 1 IN WITNESS WHEREOF, the parties hereto have executed this Agreement as 2 of the day and year first hereinabove written. 3 CONTRACTOR COUNTY OF FRESNO Phamatech, Incorporated dba 4 Phamatech Laboratories & Diagnostics 6 Tuan Pham 7 Pre idenUChief Financial Officer \V{;A-1\.l --;:,; 0f:ir.-)-r-8 !+=--------=-------~~~~~~==~ l Print Name & Title 9 ( NOVft-Tl,Ot---1 b(4'0 !+-==~~~--~----~----~--~~~ 10 J>I£Gft; c.J1 <:121.2 7 11 Mailing Address 12 DATE: oS I 16/201 ~ 13 14 15 16 17 18 19 20 I I ATTEST: BERNICE E. SEIDEL, Clerk Board of Supervisors By~~·'< e~uty 21 22 23 FOR ACCOUNTING USE ONLY: 24 25 26 27 ORG No.: Account No.: 28 Requisition No.: 34309999 7295 3431500255 -11- DATE: APPROVED AS TO ACCOUNTING FORM Vicki Crow, CPA Auditor-Controller/Treasurer-Tax Collector Deputy APPROVED AS TO LEGAL FORM Daniel Cederborg, County Counsel 1 ATTEST: 2 Bernice Seidel, Clerk 3 Board of Supervisors 4 5 By: 6 Deputy 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 -12- :xhibit A COUNTY OF FRESNO REQUEST FOR QUOTATION NUMBER: 962-5320 TOXICOLOGY SCREENING .January 6, 2015 PURCHASING USE COUNTY OF FRESNO, Purchasing 4525 EAST HAMILTON AVENUE, 2nd Floor FRESNO, CA 93702-4599 CLOSING DATE OF BID WILL BE AT 2:00P.M., ON .JANUARY 27, ~015. QUOTATIONS WILL BE CONSIDERED LATE WHEN THE OFFICIAL PURCHASING TIME CLOCK READS 2:00 P.M. All quotation information will be available for review after contract award. ClarifiCation of specifiCations is to be directed to: Debbie Schamick, e-mail countypurchasing@cQ.fresno.ca.us, phone (559) 600-7111, FAX (559) 600-7126. GENERAL CONDITIONS: See "County Of Fresno Purchasing Standard Instructions And Conditions For ReQuesi. For Proposals (RFP'S) and Requests for Quotations (RFQ'S)" attached. Check County of Fresno Purchasing's Open Solicitationslwebsite at httos:/fwww2.co.fresno.ca.us/0440/Bids/BidsHome.aspx for RFQIRFP documents and changes. BIDDER TO COMPLETE UNDERSIGNED AGREES TO FURNISH THE COMMODITY OR SERVICE STIPULATED IN THE A TIACHED QUOTATION SCHEDULE AT THE PRICES AND TERMS STATED, SUBJECT TO THE "COUNTY OF FRESNO PURCHASING STANDARD INSTRUCTIONS AND~ONDITIONS FOR REQUEST FOR PROPOSALS (RFP'S) AND REQUESTS FOR QUOTATIONS (RFQ'S)"ATIACHED. Except as noted on individual items, the following will apply to all items in the Quotation Schedule. 1. Complete delivery Mil be made within calendar days after receipt of Order. 2. A cash discount % days will apply. COMPANY ADDRESS CITY STATE ZIPCQI)E TELEPHONE NUMBER FACSIMILE NUMBER E-MAIL ADDRESS SIGNED BY PRINT NAME TITLE ~10(9114) Quotation No. 962-5320 COUNTY OF FRESNO PURCHASING STANDARD INSTRUCTIONS AND CONDITIONS FOR REQUESTS FOR PROPOSALS (RFP'S) AND REQUESTS FOR QUOTATIONS (RFQ'S) Note: the reference to "bids" in the folo'lt'ing paragraphs applies to RFP's and RFQ's GENERAL CONDITIONS By submitting a bid the bidder agrees to the follo'lt'ing conditions. These conditions will apply to all subsequent purchases based om this bid. 1. BID PREPARATION: A) All pric:es and notations must be typed or written in ink. No erasures permitted. Errors may be aossed out initialed and corrections printed in ink by person signing bid. B) Brand Names: Brand names and numbers when giYen are for reference. Equal items will be considered, provided the offer dearly desaibes the article and h<M it differs from that specified. In the absence d such infonnation it shall be understood the offering is exaclly as specified. C) State brand or make of each item. If bidding on other than specified, state make, model and brand being bid and attach supporting literaturelspedfication to the bid. D) Bid on each item separately. Prices should be stated in units specified herein. All applicable charges must be quoted; charges on invoice not quoted herein will be disallowed. E) Time of delivery is a part of the consideration and must be stated in definite Mml8 and must be adhered to. F.O.B. Point shall be destination « freight charges must be stated. F) All bids must be dated and signed with the finn's name and by an authorized officer (X employee. his or her telephone number, and he or she shouiCI be the primary point ci oontactfor discussions or information pertaining lp the RFPIRFQ. Con1aa with any other County representative, including ~ olficials, for the purpose of discussing this RFPIRFQ, its cont41flt or any other issue concerning it, is prohibited unless authorized by Purchasing. VIOlation of this clause, by the vendor having unauthorized contact (verbally or in writing) with such other County representatives, fllSY oonsti1ute grounds for rejection by Purchasing of the vendor's q~on. The above stated restriction on vendor .oontact with County representatives shall apply until the County haj:i awarded a purchase order or oontract to a vendor or Yendors, exceptjas follows. First. in the event that a vendor initiates a formal protest~~ the RFPIRFQ, such vendor may oontact the appropriate individual,1or individuals who are managing that protest as oudined in the Counjy's established protest procedures. All such contact must be in accordtlnce with the sequence set forti under the protest procedures. Second. in the event a public hearing is scheduled before the Board of Su~ to hear testimony priCK to its approval of a purchase order or ~tra:t, any vendor may address the Board. D) Bids received after the closing time will NOT be.p:~nsidered. E) Bidders are to bid what is specified or reques~ first. If unable to or unwilting to, bidder may bid alternative of. option, indicating all advantages, disadvantages and their associated oost G) Unless otherwise noted, prices shall be finn for one hundred eighty (180) days after closing date of bid. 3. FAILURE TO BID: 2. SUBMITTING BIDS: A) If not bidding, return bid sheet and state reasonifor no bid or your name may be removed from mailing list. A) Each bid must be sutmitted on forms provided in a 5ealed envelope/package with bid number and closing date and time on the outside of the envelope/package. 4. TAXES, CHARGES AND EXTRAS: B) Interpretation: Should t.lly disa'epancies «omissions be found in tte bid specific;ations or doubt as to their meaning, the bidder shaH notify the Buyer in writing at once. The County shall not be held responsible for verbal interpretations. Questions regarding the bid must be receNed by Purchasing stated within this doalment. All addenda issued shall be in writing, duly issued by Purchasing and incorporated into the contract. C) ISSUING AGENT/AUTHORIZED CONTACT: This RFP/RFQ has been issued by County of Fresno, Purchasing. Purchasing shall be the vendor's sole point of contact with regard to the RFP/RFQ, its oontsnt and all issues concerning it. All communication regarding this RFP/RFQ shall be directed to an aulhorized representative of County Purchasing. The specific buyer managing this RFPIRFQ is identified on fle cover page, along with G:IPUBUCIRFQIFY 2014-15\962-5320 TOXICOLOGY SCREENING\962·5320 TOXICOLOGY SCREENING. DOC A) County d Fresno is subject to California sales aindlor use tax (8.225%). Please indicate as a separate line item if appl~. B) DO NOT include Federal Excise Tax. CQunty is exempt under Registration No. 94-73-{)3401-K. C) County is exempt from Federal Transportation T~. Exemption certificate is not required where shipping papers show ~nee as County of Fresno. D) Chatges for transportation, oontainers. packi~. etc. will not be paid unless specified in bid. 1A PD-010 (9114) IL.f Quotation No. 962-5320 5. W-9-REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION & CALIFORNIA FORM 590 WITHHOLDING EXEMPTION CERTIFICATE: Upon cr.vard d bid, the vendor shall submit to County Purchasing, a oomplel8d IRS Form W-9 ·ReQuest forT axoayer ldenliljcs4ioo Nuni!erll!d Ce!1jfication and a California Form 590 Withholding exemption~ if not currently a County d Fresno approved vendor. 6. AWARDS: A) Award(s) will be made to the most responsive responsible bidder; however, the Fresno County Local Vendor Preference and/or the Disabled Veteran Business Enterprise Preference shall take pt8C8denoe when applicable. Said Preferences apply only to Request for Quotations for materials, equipment and/or supplies only (no services); the preference do not apply to Request for Proposals. RFQ evaluations wiU include such things as life.cyde cost, availability, delivery oosts and whose product and/or service is deemed_, be in the best interest cllhe County. The County shall be the sole judge in making such determination. B) Unless bidder gives notice of all-« -none award in bid, County may accept any item, group of items or on the basis of total bid. C) The County reserves the right to reject any and all bids and to waive informalities or irregularities in bids. D) Award Notices are tentative: Acoeptance of an offer made in response to this RFPIRFQ shall occur only upon execution of an agreement by bolh parties or issuance of a valid written Purchase Order by Fresno County Purchasing. E) Mer award, all bids shall be open to public inspection. The County assumes no responsibility for the confidentiality of information ollered in a bid. 7. TIEBIDS: All other faciDrs being equal, the oonlract shall be awarded to the Fresno County vendor or, if neither or both are Fresno County vendols. it may be iiWIIded by the flip d a coin in the presence of witnesses or the entire bid may be rejected and re-bid. If the General Requirements of the RFQ state that they are applicable, the provisions of the Fresno County Local Vendor Preference shall take priority over this paragraph. 8. PATENTINOEMNITY: The vendor shall hold the County, its officers, agents and employees, harmless from tiability of any nature or kind, including costs and expenses, for infringement or use of any oopyrighted or unoopyrighted composition, secret process, patented or unpatented invention, article or appliance furnished or used in connection with this bid. 9. SAMPLES: Samples, when required, must be furnished and delivered free and, if not destroyed by tests, wiU upon written request (within thirty (30) days of bid closing dale) be returned at the bidder's expense. In the absence of such notification, County shall have the right to dispose of the samples in whatever manner it deems appropriate. 10. RIGHTS AND REMEDIES OF COUNTY FOR DEFAULT: A) In case of default by vendor, the County may procure the articles or service from lllOiher source and may recover the cost difference and relaiiBd expenses occasioned thereby from any unpaid balance due the vendor or by proceeding against performance bond of the Y81ldor, if any, or by suit against the vendor. The prices l$iid by the County shall be oonsidered the prevaifing market price at lhei time such purchase is made. B) Articles or services. which upon delivery i~ do not meet specifications, will be rejected and the vendori will be considered in default Vendor shall reimburse County for~ related _,delverya non-specified goods or services. C) Regardless ofF .0 .B. point, vendor agrees to ~ aH risks of loss, injury or destruction to goods and materials ordered ~n which occur prior to delivery and such loss, injury or destruction shall "ot release vendor from any obligation hereunder. 11. DISCOUNTS: Terms of less than fifteen (15) days for cash payment•ll be considered as net in evaluating this bid. A discount for payment within fifteen (15) days or more will be considered in determining the award of bid Discount period will commence either the later of delivery or receipt of '"voice by the County. Standard terms are Net forty-five (45) days. · 12. SPECIAL CONDITIONS IN BID SCHEDULE SUPERSEDE GENERAL CONDITIONS: 1 The "General Conditions' provisions of this RFPIRFQ$hall be superseded if in oonftict with any other section a this bid, to the extent. of any such oonflict. 13. SPECIAL REQUIREMENT: With the invoice or within twenty-five (25) days of cJelivery, the seller must provide to the County a Material Safety Data Sheet for each product, which oontains any substance on 'The Ust of 800 Hazardou• Substances'. publ6hed by the State Director of Industrial Relations. (See iHazardous Substances Information and Training Act. California State L.abbr Code Sections 6360 through 6399.7.) 14. RECYCLED PRODUCTSJMATERIALS: Vendors are encouraged to provide and quote (with dOcumentation) recycled or recyclable products/materials which meet stated ~. 15. YEAR COMPLIANCE WARRANTY: Vendor warrants that any product fumished pursu~ to this Agreement/order shall support a four-digit year formal and be abletoa<p~rately process dale and time data from, into and belween the twentieth and Mtnty·first cenuies, as well as leap year calculations. "Product" shall include, witlout limitation, any piece or component of equipment hardware. firmware,' middleware, custom or commercial software, or internal components or sdbroutines therein. This warranty shall survive termination or expiration of th~ Agreement i In the event of any decrease in product functionality Cf accuracy related to time and/or date data related codes and/or internal sutJtoutines that impede the product from operating correctly using dates be~ December 31, 1999, vendor shall restore or repair the product to the S8l1)e level of functionality as warranted herein, so as to minimize interruption to Cpunty's ongoing business process, time being of the essence. In the event that+uch warranty compiance requires the ~uisition of additional programs, 111e expense for any such associated or additional ~uisitions, which may be tlj3quired, including, wilhout limitation, data conversion tools, shall be borne ex~vely by vendor. Nothing in this warranty shall be construed to limit any righ' or remedies the County may otherwise have under this Agreement with resf!ect to defects other than year performance. G:\PUBUC\RFCNY 2014-15\962-6320 TOXICOLOGY SCREENING\962·5320 TOXICOLOGY SCREENING. DOC 18 PD-040 (9114) I ,.I Quotation No. 962-5320 16. PARTICIPATION: Bidder may agree k> extend the terms of the resulting oontrad to other political subdivision, municipalities llld tax -supported agencies. Such participating Governmental bodies shall make purchases in their OM"! name, make payment directly to bidder, and be liable directly to the bidder, holding the County of Fresno harmless. 17. CONAOENTIALITY: All S8IVices perbmed by vendor shall be in strict conformance with all applicable Federai, State of California and/or loca laws and regulations relating m confidentiality. induding but not limited to. California Ci..;l Code. C81ifomia Welfare and Institutions Code, Health and Safety Code, Calma Code of Regulations, Code of Federal Regulations. Vendor shall submit k> County's monitOring d said compliance Vendor may be a business associate ot County, as that term is defined in the • Privacy Rule" enacted by the Health Insurance Portability and Acaluntability N::J. of 1996 (HIPAA). As a HIPAA Business Associate, vendor may use or disclose protected heal1h information ("PHI") to perform functions, aciMiies or services boron behalf of County as specified by the County, provided thatsudl use or disclosure shall not violate HIPAAMdits implementing regulations. The uses and disclosures if PHI may not be more expalSive than those applicable to County, as the "Covered Entity" under HIPAA's Privacy Rule, except as authorized fof management administrative or legal responsibilities of the Business Associate. Vendor shall not use or further disclose PHI other than as permitted or required by the County, or as required by law without written notice to the County. Vendor shall ensure that any agent, induding anysuboontractor, to which Wllldor JrQVides PHI recei\19d from. or creai!d or received by the VEII'IOOr on behalf of County, shall comply wilh the same restrictions and conditions with respect to such information. 18. APPEALS: Appeals must be submitted in writing within seven (7) working days after notification d proposed recommendations fof awa-d. A "Noticed Awad" is not an indication ot County's aa:eptance of an offer made in response to this RFPIRFQ. Appeals should be submitted to County of Fresno Purchasing, 4525 E. Hamilton Avenue, Fresno, California 93702-4599. Appeals shoukl address only areas regarding RFP contradictions, procurement erroiS, QUOtation rating disaepancies,legality d prooJiel'll8nt context. CClllflia d inB'est, and inappropriate or unfair competitive proa.~rement grievance regarding the RFP/RFQ process. Purchasing will provide a written response to the complainant within seven (7) working days unless the complainant is notified more time is required. If the protesting bidder is not satisfied with the decision of Purchasing, helshe shall have the right to appeal to the Purchasing Agent/CAO within &Mil (7) business days after Purchasing's notification; except if, notified k> appeal direcllytothe Board of Supervisors at the scheduled date and time. If the protlesting bidder is not satisfied with Purchasing fvJentJCAO' s decision, the final appeal is with the Board of Supervisors. 19. OBUGATJONS OF CONTRACTOR: A) CONTRACTOR shall periorm as required by the ensuing contract. CONTRACTOR also warrants on behalf of itself and all subcontracm engaged for the pelformanoe d the ensuing contract that only persons au1horized to \Wrk in the United States pursuant to the Immigration Refonn and Control/>d of 1986 ard other applicable laws shaH be employed in the performance of the q hereunder. B) CONTRACTOR shall obey all Federal, State. lOcal and special district laws, ordinances and regulations. 20. AUDITS & RETENTION: The Contractor shall maintain in good and legi~ oondition all books, documents, papers, data files and other records r~ k) its petformance undel' this contract Such records shall be complete ~ available to Fresno County. the State of California, the federal govern~ their duly authorized representatives for the purpose of audit, examinalionj or copying during the term of the contract and for a period of at least three!(3) years following the County's final payment under the contrad or until cc¢1usion d any pending matter (e.g., litigation or audit), whichever is later. Such records must be retained in the manner described above until all pend~ matters are closed. 21. DISCLOSURE-CRIMINAL HISTORY & CIVIL ACTIQNS: Applies to Request for Proposal (RFP); does not applyt> Requestfofauaation (RFQ) unless specifically stated elsewhere in the RFQ dOcument. In their proposal, the bidder is required to diSClose lit any of the following conditions apply to them, their owners, oflicets, COflorate managers and partners (hereinafter collectively referred to as "Biddetf): • Within the three-year period preceding the proposal, they have been convicted of, or had a civil judgment rendered aQainst them for: o fraud or a aiminal offense in con11ection with obtaining, attempting to obtain, or performing a public (federal, sta$, or local) transaction or contract under a public transaction; o violation of a federal or state antitrustrstatute; o embezzlement, theft, forgery, bftery, fasbtion, or destruction of reoords; or o false statements or receipt of stolen property Within a three-year period preceding their proposal, flaY have had a public transaction (federal, state, or local) terminated fo( ~or default 22. DATA SECURITY: Individuals and/or agencies that enter into a contr~ relationship with the COUNTY for the purpose of providing services must erciPfoy adequate controls and data security measures. both internally and ~Y to ensure and praect the confidential infofmation and/or data provided to oor4ractor by the COUNTY, preventing the potential loss. misapj')I'O()(iation or inad~t ~.viewing. use or disclosure of COUNTY data including sensitive or personal dient information; abuse of COUNTY resources; and/or 4isfuption to COUNTY operations. ' Individuals and/or agencies may not connect t> or use COUNTY networks/systems via personally owned mobile, wirelejls or handheld devices unless authorized by COUNTY fo( telecommuting PQrposes and provide a secure connection; up to date virus protection and mal>ile devices must have the remote. wipe feature enabled. Computers or computer peripheralsinduding mobile storage devices may not be used (COUNTY <t Contractor device) or brought in for use into the COUNTY's system(s) wi1houlprior aulhorizabl fran COUNTY's Chief Information Officer and/or designee(.). ' No storage of COUNTY's private. confidential or sensi1iile data on anyN.rd-disk drive, portable storage device or remote storage instal!ation unless enaypted aa::ording to advance enayption standards (AES of 1 ~ bit or higher). G;\PVBUC\RFQ'ofY 2014-1~\902-5320 TOXICOLOGY SCREENING\902~20 TOXICOLOGY SCREENING. DOC lC PD-040 (9/14) II Quotation No. 962-5320 The COUNTY will immediately be notified of any violations, breaches or potential bAiaches of security related to COUNTY's confidential infonnation, data and/or data processing equipment which stores or processes COUNTY data, internally 01' externally. COUNTY shall provide oversight to Contractor's response to all incidents arising from a possible breach of security related to COUNTY's conidential cf1811t infonnalion. Contractor will be responsible to issue any notificalion i:> affected individuals as required by law or as deemed necessary by COUNTY in its sole discretion. Contractor will be responsible for all costs incurred as a result of providing the required notification. 23. PURCHASING LOCATION & HOURS: Fresno County Purchasing is located at 4525 E. Hamilton Avenue(second ftoor), Fresno, CA 93702. Non-holiday hours of operation are Monday lhrough Friday, 8:00AM. to 12:00 Noon and 1:00 P.M. to 5:00P.M. PST; Purchasing is closed daily from 12:00 Noon to 1:00 P.M. The following holiday oftice closure schedule is observed: G;IPUBI..IC\RFWY 2014-15\962-5320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING. DOC January 1* New Year's Oaf Third Monday in January Martin Luther Kfng, Jr.'s Birthday Third Monday in February Washington -L.tlcoln Day March 31* Cesar Chavez' ~irthday Last Monday in May Memorial Day July4* Independence Clay First Monday in September Labor Day November 11* Veteran's Day Fourth Thursday in November Thanksgiving q&y Friday following Thanksgiving December 25" Christmas • When this date falls on a Saturday, the holiday, is obselved the preceding Friday. If the date falls on a Sunday, the hOliday is obselved the following Monday. 10 PD-040 (9114) V7 Quotation No. 962-5320 Page2 TABLE OF CONTENTS TABLE OF CONTENTS .................................................................................................. 2 BIDDING INSTRUCTIONS CONTRACT SERVICES AND SUPPLY .....................•........ 3 PARTICIPATION ........................................................................................................... 13 REFERENCE LIST ........................................................................................................ 14 OVERVIEW ............................................................................................................•...... 15 SCOPE OF WORK ................................................................................................ ;. ..... 16 QUOTATION SCHEDULE ............................................................................................ 21 CHECK LIST ................................................................................................................. 25 G:IPUBUCIRF<lFY 2014-15\962-5320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING.DOC Quotation No. 962-5320 BIDDING INSTRUCTIONS CONTRACT SERVICES AND SUPPLY Page3 The County of Fresno is soliciting bids to establish an agreement under which the successful bidder will provide, laboratory services to supply toxicological screening for the Probation, Department through urinalysis. LOCAL VENDOR PREFERENCE AND DISABLED VETERAN BUSINESS ENTERPRISE BID PREFERENCE: The Local Vendor Preference and Disabled Veteran Business Enterpri• Preference does not apply to this Request for Quotation. DEFINITIONS: The terms Bidder, Proposer, Contractor and Vendor are all used interch,ngeably and refer to that person, partnership, corporation, organization, agency, etc. which is offering the quotation and is identified on page one of this Request For Quotation (RFQ). ISSUING AGENT: This RFQ has been issued by County of Fresno, Purchasing. Purc~sing shall be the vendor's sole point of contact with regard to the RFQ, its content, and all istues concerning it. INTERPRETATION OF RFQ: Vendors must make careful examination of the requirements, specifications and conditions expressed in the RFQ and fully inform themselves as to t~e quality and character of services required. If any person planning to submit a quotation finds · discrepancies in or omissions from the RFQ or has any doubt as to the true meaning or interpretation, correction thereof may be requested in writing from Purchasing by Thuf'Stjay January 15, 2015 at 2:00P.M., cut-off. Questions shall be deliVered to County of Fresno Purchasing, 4525 E. Hamilton Avenu,, Fresno, California 93702, faxed to (559) 600-7126, or E-Mail: dscharnick@co.fresno.ca.us lffalcing, the bidder must confirm receipt by phone, within one-half (1/2) hour of transmission. NOTE: Time constraints will prevent County from responding to questions submitted after the cutoff date. Any change in the Req~est for Quotation will be made by written addendum issued by the County. The County w111 not be responsible for any other explanations or interpretations. AWARD: The County of Fresno reserves the right to make the award on the basis of the entire group or on a per lina item basis. The award will be made in a manner determined to be to the best adva~tage of the C~unty. The County will be the sole judge In making such determination. Award Notices are tentative: Acceptance of an offer made in response to this RFQ shall occur ~~ upob nFexecutColon or an aoree~ent by both partioo or i~~ue~nc;c of a valid writton Puroh:x:o er Y resno unty Purchas1ng. RIGHT TO REJECT BIDS· The County · · informalities or irregularitie~ in bids. reserves the right to reJect any and all bids and to waive ~~~2~~r=~~~:~: fAll communicati~n regarding this RFQ shall be directed to an identified on the cover o County ~urc~aslng. The specific buyer managing this RF,Q is the primary point of corft:~r!~~~~!~oh~! ~~ ~n~~~=~hone nu~ber, and he or she sllould be any ot_her County representative, including elected offic~7/~~a;~~ng to the RF~. Contact ~ith RFQ, it content, or any other issue concerning it is P h'b~ed I purpose ?f discussing thJS • ro I un ess authoriZed by P~rchasing. G:IPUBUC\RFQ\FY 2014-15\962-6320 TOXIC OLOGY SCREENING\962·5320 TOXICOLOGY SCREENING. DOC ..... Quotation No. 962-5320 Page4 Violation of this clause, by the vendor having unauthorized contact (verbally or in writing) with such other County representatives, may constitute grounds for rejection by Purchasing of the vendor's quotation. The above stated restriction on vendor contact with County representatives shall apply u,.il the County has awarded a purchase order or contract to a vendor or vendors, except as follows. First, in the event that a vendor initiates a formal protest against the RFQ, such vendor ~Y contact the appropriate individual, or individuals who are managing that protest as outlinec:l in the County's established protest procedures. All such contact must be in accordance with the sequence set forth under the protest procedures. Second, in the event a public hearing i$ scheduled before the Board of Supervisors to hear testimony prior to its approval of a purthase order or contract, any vendor may address the Board. NUMBER OF COPIES: Submit one (1) original and two (2) copies of your quotation no :later than the quotation closing date and time as stated on the front of this document to County of Fresno Purchasing. Each copy to be identical to the original, include all supporting documentation (i.e. literature, brochures, reports, schedules etc.). The cover page of eadh quotation is to be appropriately marked "Original" or "Copy". · FIRM QUOTATION: All quotations shall remain firm for at least sixty (60) days. TAXES: The quoted amount must include all applicable taxes. If taxes are not specifJCa•Y identified in the quotation it will be assumed that they are included in the total quoted. SALES TAX: Fresno County pays California State Sales Tax in the amount of 8.225% regardless of vendor's place of doing business. TAXES, PERMITS & FEES: The successful bidder shall pay for and include all federal, state and local taxes direct or indirect upon all materials; pay all fees for, and obtain all necessary permits and licenses, unless otherwise specified herein. SPECIFICATIONS AND EQUALS: Brand names. where used, are a means of establishflg quality and style. Bidders are invited to quote their equals. Alternate offers are to be suP,ported by literature, which fully describes items that you are bidding. · No exceptions to or deviations from this specification will be considered unless each ex"ption or deviation is specifically stated by the bidder, in the designated places. If no exceptions or deviations are shown, the bidder will be required to furnish items exactly as specified he~in. The burden of proof of compliance with this specification is the responsibility of the bidder. UTERATURE: Bidders shall submit literature, which fully describes items on which they1are bidding, not later than the closing date of this bid. Any and all literature submitted must ~e stamped with bidders name and address. · VENDOR ASSISTANCE: Successful bidder shall furnish, at no cost to the County, a representative to assist County departments in determining their product requirements MINOR DEVIATIONS: The County reserves the right to negotiate minor deviations from: the prescribed terms, conditions and requirements with the selected vendor. QUOTATION REJECTION: Failure to respond to all questions or not to supply the requEisted information could result in rejection of your quotation. G:IPUBUC'IRFOFY 2014-15\962-5320 TOXICOLOGY SCREENING\962·5320 TOXICOLOGY SCREENING.DOC Quotation No. 962-5320 BIDDERS' LIABILITIES: County of Fresno will not be held liable for any cost incurred by vendors in responding to the RFQ. PageS PRICE RESPONSIBILITY: The selected vendor will be required to assume full responsi~lity for all services and activities offered in the quotation, whether or not they are provided directly. Further, the County of Fresno will consider the selected vendor to be the sole point of cortact with regard to contractual matters, including payment of any and all charges resulting fro1111 the contract. The contractor may not subcontract or transfer the contract, or any right or obliSfition arising out of the contract. without first having obtained the express written consent of the County. PRICES: Bidder agrees that prices quoted are a maximum for the contract period, and in! the event of a price decline such lower prices shall be extended to the County of Fresno. Priqes shall be quoted F.O.B. destination. Successful Bidder must provide a 30 day notice of pri4e increases or any change to agreement. CONFIDENTIALITY: Bidders shall not disclose information about the County's business pr business practices and safeguard confidential data which vendor staff may have access tp in the course of system implementation. NEWS RELEASE: Vendors shall not issue any news releases or otherwise release infony~ation to any third party about this RFQ or the vendor's quotation without prior written approval ftom the County of Fresno. · BACKGROUND REVIEW: The County reserves the right to conduct a background inquiry of each proposer/bidder which may include collection of appropriate criminal history informa~ion. contractual and business associations and practices, employment histories and reputatio_. in the business community. By submitting a quotation/bid to the County, the vendor consents tq such an inquiry and agrees to make available to the County such books and records the County deems necessary to conduct the inquiry. EXCEPTIONS: Identify with explanation, any terms, conditions, specifications or stipulatipns of the RFQ with which you CAN NOT or WILL NOT comply. ADDENDA: In the event that it becomes necessary to revise any part of this RFQ, addenda will be provided to all agencies and organizations that receive the basic RFQ. SUBCONTRACTORS: If a subcontractor is proposed, complete identification of the subcontractor and his tasks shall be provided. The primary contractor is not relieved of any responsibility by virtue of using a subcontractor. CONFLICT OF INTEREST: The County shall not contract with, and shall reject any bid qr quotation submitted by the persons or entities specified below, unless the Board of Supervisors finds that special circumstances exist which justify the approval of such contract: 1. Employees of the County or public agencies for which the Board of Supervisors is the governing body. 2. Profit-making firms or businesses in which employees described in Subsection (1) serve as officers, principals, partners or major shareholders. 3. Persons who, within the immediately preceding twelve (12) months, came within the provisions of Subsection (1), and who were employees in positions of substantial. responsibility in the area of service to be performed by the contract, or participated in any way in developing the contract or its service specifications. G:\PU8liC\RFCNY 2014-15\962-6320 TOXICOlOGY SCREENING\962-5320 TOXICOlOGY SCREENING. DOC ... ' Quotation No. 962-5320 Page& 4. Profit-making firms or businesses in which the former employees described in Subsection (3) serve as officers, principals, partners or major shareholders. 5. No County employee whose position in the County enables him to influence the selection of a contractor for this RFQ, or any competing RFQ, and no spouse or economic dependent of such employee, shall be employees in any capacity by a bidder, or ~ve any other direct or indirect financial interest in the selection of a contractor. INVOICING: All invoices are to be delivered to Probation Business Office 3333 E AmeriCf. n Ave Ste B Fresno, CA 93725 or email at Probationlnvoices@co.fresno.ca.us. Reference shall be made to the purchase order/contract number and equipment number if applicable on the ihvoice. PAYMENT: County will make partial payments for all purchases made under the contract/purchase order and accumulated during the month. CONTRACT TERM: It is Coyntv's Intent to contract with fhe successful bidder for a tarm of thrn f3l vearl· · RENEWAL: Agreement may be renewed for a potential of two (2) one (1) year periods, bl:Jsed on the mutual written consent of all parties. QUANTITIES: Quantities shown in the bid schedule are approximate and the County guarantees no minimum amount. The County reserves the right to increase or decrease quantities. · ORDERING: Orders will be placed as required by County of Fresno Probation Departme11t. TERMINATION: The County reserves the right to terminate any resulting contract upon written notice. INDEPENDENT CONTRACTOR: In performance of the work, duties, and obligations assUmed by Contractor under any ensuing Agreement, it is mutually understood and agreed that CONTRACTOR. including any and all of Contractor's officers, agents, and employees willlat all times be acting and performing as an independent contractor, and shall act in an indepen~ent capacity and not as an officer, agent, servant, employee, joint venturer, partner, or associ,te of the COUNTY. Furthermore, County shall have no right to control or supervise or direct th~ manner or method by which Contractor shall perform its work and function. However, Co.nty shall retain the right to administer this Agreement so as to verify that Contractor is perfoiTI!Iing its obligations in accordance with the terms and conditions thereof. Contractor and County sflall comply with all applicable provisions of law and the rules and regulations, if any, of govell!Jmental authorities having jurisdiction over matters the subject thereof. · Because of its status as an independent contractor, Contractor shall have absolutely no ~ht to employment rights and benefits available to County employees. Contractor shall be solelY, liable and responsible for providing to, or on behalf of, its employees all legally-required employ~ benefits. In addition, Contractor shall be solely responsible and save County harmless fr~ all matters relating to payment of Contractor's employees, including compliance with Social ~ecurity, withholding, and all other regulations governing such matters. It is acknowledged that duljng the term of the Agreement, Contractor may be providing services to others unrelated to the cOunty or to the Agreement. SELF-DEALING TRANSACTION DISCLOSURE: Contractor agrees that when operating ~s a corporation (a for-profit or non-profit corporation), or if during the term of the agreement tl1e Contractor changes its status to operate as a corporation, members of the Contractor's B.,ard of Directors shall disclose any self-dealing transactions that they are a party to while Contraqtor is G:lPUBI.ICIRFQ\FY 2014-15\962-6320 TOXICQOGY SCREENING\962-5320 TOXICQOGY SCREENING.DOC Quotation No. 962·5320 providing goods or performing services under the agreement with the County. A self-dealing transaction shall mean a transaction to which the Contractor is a party and in which one or more of its directors has a material financial interest. Members of the Board of Directors shall •isclose any self-dealing transactions that they are a party to by completing and signing a Fresno County Self-Dealing Transaction Disclosure Form and submitting it to the County prior to commencing with the self-dealing transaction or immediately thereafter. HOLD HARMLESS CLAUSE: Contractor agrees to indemnify, save, hold harmless and et County's request, defend the County, its officers, agents and employees, from any and all costs and expenses, damages. liabilities. claims and losses occurring or resulting to County in connection with the performance, or failure to perform, by Contractor, its officers, agents or employees under this Agreement and from any and all costs and expenses, damages, li~ilities, claims and losses occurring or resulting to any person, firm or corporation who may be injured or damaged by the performance, or failure to perform, of Contractor, its officers, agents or · employees under this Agreement. MATERIALS TO BE NEW: All materials shall be new and of merchantable grade, free f~m defect. No bid will be considered unless it is accompanied by a complete list of manufactUrer's catalog numbers of the items, which the bidder proposes to furnish, together with full de~riptive literature on all items so enumerated. If item proposed differs from these specifteations, •idder shall present specific explanation of functioning and structural characteristics for those d$iils which differ from the specifiCations listed herein. EXAMINATION OF SITE: Where work is to be performed on County site, each bidder sh~ll have examined the site of work before bidding and shall be responsible for having acquired full: knowledge of the job and of all problems affecting it. No variations or allowance from the· contract sum will be made because of lack of such examination. DAMAGE TO EXISTING WORK: Damage to existing construction, equipment, planting, ~tc., by the contractor in the performance of his work shall be replaced or repaired and restored to original condition by the contractor. CLEAN UP: The Contractor shall at all times, keep the premises clean from accumulatiof,l of waste materials or rubbish caused by his employees or work and shall remove all resulting work debris from the job site. WATER, POWER & TOILET FACILITIES: Successful bidder may use County owned water, power and toilet facilities at job site (when existing) at no expense to the successful biddEt. Successful bidder will be required, however, to provide piping, fittings and other items as necessary to bring water and power from existing service to job site. COORDINATE WORK WITH OWNER: Successful bidder shall coordinate and schedule #le work with the County so that any interruption to the normal business operations be kept to a mihimum. INSPECTION: All material and workmanship shall be subject to inspection, examination ~d test by the County at any and all times during which manufacture and/or construction are carried on. The County shall have the right to reject defective material and workmanship or require itt correction. SUPERVISION: The Contractor shall give efficient supervision to the work, using therein ~he skill and diligence for which he is remunerated in the contract price. He shall carefully inspectJthe site and study and compare all drawings, specifications and other instructions. as ignorance c-. any G:IPUBUC\RFQI.FY 2014-15\962-5320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING.DOC 1'\? Quotation No. 962-5320 Page8 phase of any of the features or conditions affecting the contract will not excuse him from qarrying out its provisions to its full intent. STANDARD OF PERFORMANCE: All work shall be performed in a good and workmanlike manner. SAFEGUARDS: The contractor shall provide safeguards, in conformity with all local cod• and ordinances as may be required. INSURANCE: Without limiting the COUNTY's right to obtain indemnification from CONTRACTOR or anYJ third parties, CONTRACTOR, at its sole expense, shall maintain in full force and effect, the follbwing insurance policies or a program of self-insurance, including but not limited to, an insuran~ pooling arrangement or Joint Powers Agreement (JPA) throughout the term of the Agreement: A Commercial General Liability Commercial General Liability Insurance with limits of not less than One Million Dollars ($1 ,000,000) per occurrence and an annual aggregate of Two Million Dollars ($2,000,000). This policy shall be issued on a per occurrence basis. COUNTY may require specific coverages including completed operations, products liability, contractual liability, Explosion- Collapse-Underground, fire legal liability or any other liability insurance deemed necesjsary because of the nature of this contract. · B. Automobile Liability Comprehensive Automobile Liability Insurance with limits for bodily injury of not less than Two Hundred Fifty Thousand Dollars ($250,000.00) per person, Five Hundred Thousand ~liars ($500,000.00) per accident and for property damages of not less than Fifty Thousand1Dollars ($50,000.00), or such coverage with a combined single limit of Five Hundred Thousa~d Dollars ($500,000.00). Coverage should include owned and non-owned vehicles used in connection with this Agreement. C. Professional Liability If CONTRACTOR employs licensed professional staff, (e.g., Ph.D., R.N., L.C.S.W., M.F.C.C.) in providing seNices, Professional Liability Insurance with limits of not less than One Million Dollars ($1 ,000,000.00) per occurrence, Three Million Dollars ($3,000,000.00) annual' aggregate. D. Worker's Compensation A policy of Worker's Compensation insurance as may be required by the California L'bor Code. CONTRACTOR shall obtain endorsements to the Commercial General Liability insurance naming the County of Fresno, its officers, agents, and employees, individually and collectively, a• additional insured, but only insofar as the operations under this Agreement are concern~. Such coverage for additional insured shall apply as primary insurance and any other insurance, or self-insurance, maintained by COUNTY, its officers, agents and employees shall be exc$s only and not contributing with insurance provided under CONTRACTOR's policies herein. Thfs insurance shall not be cancelled or changed without a minimum of thirty (30) days advanpe written notice given to COUNTY. Within thirty (30) days from the date CONTRACTOR executes this Agreement, CONT~TOR shall provide certificates of insurance and endorsement as stated above for all of the for4pgoing G:IPUBUCIRFOFY 2014-15\962-5320 TOXICOLOGY SCREENING\962·5320 TOXICOLOGY SCREENING.DOC f\ I I Quotation No. 962·5320 ~Page 9 policies, as required herein, to the County of Fresno Probation Department Attn: Greg Retnke Probation Business Manager 3333 E American Ave Ste B Fresno, CA 93725, stating that such insurance coverage have been obtained and are in full force; that the County of Fresno. its officers, agents and employees will not be responsible for any premiums on the policies; that such Commercial General liability insurance names the County of Fresno. its officers, aQ$nts and employees, individually and collectively, as additional insured, but only insofar as the' operations under this Agreement are concerned; that such coverage for additional insu~ shall apply as primary insurance and any other insurance, or self-insurance, maintained by C~NTY, its officers, agents and employees, shall be excess only and not contributing with insuranpe provided under CONTRACTOR's policies herein; and that this insurance shall not be can~lled or changed without a minimum of thirty (30) days advance, written notice given to COUNTY. I In the event CONTRACTOR fails to keep in effect at all times insurance coverage as herein provided, the COUNTY may, in addition to other remedies it may have, suspend or terrni11ate this Agreement upon the occurrence of such event. , All policies shall be with admitted insurers licensed to do business in the State of california. Insurance purchased shall be purchased from companies possessing a current A.M. Best Inc. rating of A FSC VII or better. EPAYMENT OPTION: The County of Fresno provides an Epay Program which involves payment of invoices by a secure Visa account number assigned to the supplier after award of conttact. Notification of payments and required invoice information are issued to the supplier's des~nated Accounts Receivable contact by e-mail remittance advice at time of payment. To learn m•re about the benefrts of an Epay Program, how it works, and obtain answers to frequently a•ed questions, click or copy and paste the following URL into your browser: www.bankofamerica,com/epayablesvendors or call Fresno County Accounts Payable, 559-600- 3609. G:\PUBUC\RFQFY 2014-15\962-5320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING.OOC Quotation No. 962-5320 Page 10 BIDDER TO COMPLETE: Name of Insurance Carrier: Public liability: Expires: Automotive Insurance: Expires: Worker's Compensation: Expires: Proof of maintenance of adequate insurance will be required before award is made to veJ1dor. GUARANTEE: The bidder shall state his written guarantee here: ADDITIONAL ITEMS: The County may require additional items from those in bid schedule. Price list for additional items: State Purchase Order mailing address: SUBCONTRACTORS: list all subcontractors that would perform work in excess of one/half of one percent of the total amount of your bid, and state general type of work such subcontractor would be performil!lg: G:IPU8UC\RF<lFY 2014-15\962-53.20 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING.DOC .... Quotation No. 962-5320 CONTRACTOR'S LICENSE: Bidder to possess appropriate license for the project, in accordance with current regulations/statutes. Page 11 The vendor shall possess a current State of California Professional Engineer's License, or another license class that covers the work to be performed. The proposal must indicate the license held by the bidder, which enables him/her to perform the work. If the license is other than a State of California Professional Engineer's the bidder must explain why his/her license(s) is acceptable. The County will review and determine if acceptable.' Number and Class: Date of Issue: BONDS: PERFORMANCE BOND: The successful bidders may be required to furnish a faithful performance bond. BONDS: The successful bidder will be required to furnish a Faithful Performance Bond and a Labor and Materials Bond in an amount equal to one hundred percent (100%) of the contract price. BONDING COMPANY: The company issuing bonds shall be a corporate surety admitted! by the california Insurance Commissioner to do business in the State of California with an AM 8est rating of B++ VIII or better. COORDINATION AND COMPLETION: The successful bidder shall contact and meet wit,lh the County Coordinator at the job site prior to commencement and completion of any work. ' Successful bidder shall complete the job as instructed and described in writing by the cootract, bid or amendment. Any problem or questions that arise in the scope of work, the Countylmust be contacted and the appropriate written amendment generated. GUARANTEE: The successful bidder shall fully guarantee all aspects of the project for tl!le minimum period of one (1) year. Such one (1) year period shall commence upon the dat• of final acceptance by County. The guarantee shall include but in no way be limited to workman.hip, equipment and materials. DISPUTE RESOLUTION: The ensuing contract shall be governed by the laws of the state of California .Any claim which cannot be amicably settled without court action will be litigate(:! in the U.S. District Court for the Eastern District of California in Fresno, CA or in a state court fqr Fresno County. DEFAULT: In case of default by the selected bidder, the County may procure the servi~s from another source and may recover the loss occasioned thereby from any unpaid balance d•e the selected bidder, or by any other legal means available to the County. ASSIGNMENTS: The ensuing proposed contract will provide that the vendor may not a•ign any payment or portions of payments without prior written consent of the County of Fresno. G:\PIJ8LIC\RFWY 2014-15\962-5320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING.DOC Quotation No. 962-5320 Page 12 ASSURANCES: Any contract awarded under this RFQ must be carried out in full compli~nce with The Civil Rights Act of 1964, The Americans With Disabilities Act of 1990, their subsequent amendments, and any and all other laws protecting the rights of individuals and agencies~ The County of Fresno has a zero tolerance for discrimination, implied or expressed, and want$ to ensure that policy continues under this RFQ. The contractor must also guarantee that services, or workmanship, provided will be performed in compliance with all applicable local, state, pr federal laws and regulations pertinent to the types of services, or project, of the nature reCIIuired under this RFQ. In addition, the contractor may be required to provide evidence substantjating that their employees have the necessary skills and training to perform the required servic•s or work. AUDITS AND RETENTION: The Contractor shall maintain in good and legible condition '" books, documents, papers, data files and other records related to its performance under ftis contract. Such records shall be complete and available to Fresno County, the State of C•lifomia, the federal government or their duly authorized representatives for the purpose of audit, ' examination, or copying during the term of the contract and for a period of at least three ~ars following the County's final payment under the contract or until conclusion of any pendingi matter (e.g., litigation or audit), whichever is later. Such records must be retained in the manner described above until all pending matters are closed. G:IPUSUC\RFQ\FY 2014-15\962-5320 TOXICQ.OGY SCREENING\962-5320 TOXICQ.OGY SCREENING.DOC Quotation No. 962-5320 BIDDER TO COMPLETE THE FOLLOWING: PARTICIPATION The County of Fresno is a member of the Central Valley Purchasing Group. This group ec>nsists of Fresno, Kern, Kings, and Tulare Counties and all governmental, tax supported agencieS within these counties. Whenever possible, these and other tax supported agencies co-op (piggyback) on contracts put in place by one of the other agencies. Any agency choosing to avail itself of this opportunity, will make purchases in their own "'me, make payment directly to the contractor, be liable to the contractor and vice versa, per the terms of the original contract, all the while holding the County of Fresno harmless. If awarded t~is contract, please indicate whether you would extend the same terms and conditions to all tax supported agencies within this group as you are proposing to extend to Fresno County. D Yes, we will extend contract terms and conditions to all qualified agencies within th~ Central Valley Purchasing Group and other tax supported agencies. D No, we will not extend contract terms to any agency other than the County of Fres110. (Authorized Signature) Title G:IPUBUC\RFO.FY 2014-15\962-5320 TOXICOLOGY SCREENING\962·5320 TOXICOLOGY SCREENING.OOC Quotation No. 962-5320 Page 14 VPOOB MUST C(WPLEIE AND REWRN WITH REOyES! FOR OUOJADON. Firm: ---------------------------------- REFERENCE LIST Provide a list of at least five (5) customers for whom you have recently provided similar products/services. Be sure to include all requested information. Reference Name: -----------Contact: Address: City: ----------------------State: Zip: ---- Phone No.: ( --) Date: --------Service Provided: Reference Name: -----------Contact: Address: City: State: -------------------------------Zip: ----Phone No.: ( __ ) Date: --------Service Provided: Reference Name: Address: City: State: ------------------------Zip: ---Phone No.: ( __ ) ----------Date: Service Provided: Reference Name: Contact: --------------Address: City: Phone No.: ( __ ) -----------------~----S~: -------------Date: Zip: ---- SeNice Provided: Reference Name: -------------------Contact: Address: City: Phone No.: ( __ ) S~: ----------------~-- --------Date: Zip: --- SeNice Provided: Fa/lute to p10vide a list of at least five (5) custometS may be cause for rejection of this RFQ. G:IPUBUC\RFQFY 2014-15\962-S320 TOXICOLOGY SCREENING\962-S320 TOXICOLOGY SCREENING. DOC Quotation No. 962-6320 Page 16 OVERVIEW The County of Fresno on behalf of the Probation Department is soliciting bids for laborat~ services to provide toxicological screening for the Probation Department through urinalysi~. The Probation Department requires that services be provided in Fresno/Clovis metropolitan aJl!as, rural Fresno County, and state-wide on an as needed basis. The bid for these services isi open to any laboratory able to perform the services as stipulated in the Service Requirements. Laboratory must have current California Clinical Laboratory License and Federal SAMHSA Certificate. The Department is not interested in rapid response testing kits as part of this bid. G:\PUBUC\RFQ\FY 2014-15\962-5320 TOXICOlOGY SCREENING\962-5320 TOXICOlOGY SCREENING.DOC '::J I Quotation No. 962-5320 ~ge16 SCOPE OF WORK The County of Fresno is soliciting bids for laboratory services to provide toxicological screening for the Probation Department through urinalysis. Prior to the recent passage of PropositiQn 4 7, the Probation Department estimated approximately 65,000 tests would be conducted yea(1y, with approximately 6,500 being quantitative and/or qualitative analysis. However, it is anticipa~ the passage of Prop 47 will result in a significant reduction in the number of toxicology tests requested. Unfortunately, at the time of the preparation of this RFQ, it is too soon for the: Probation Department to be able to provide revised estimates. The County does not guarantee a minimum level of service. The quantities stated herein are estimated, actual quantities m+y be less than or greater than stated. The vendor's quoted pricing must allow for all usage lev~ls and should not assume a minimum level of service. The Probation Department requires that •ervices be provided in the Fresno/Clovis metropolitan areas, rural Fresno County, and state-wide on an as needed basis. The bid for these services is open to any laboratory able to perform the services as stipulated in the Service Requirements. SERVICE REQUIREMENTS 1. The Probation Department requires that services be provided in the Fresno/CloviS, metropolitan areas, rural Fresno County, and state-wide on an as needed basis. :.Bidders must have the ability to provide services in all three areas. 2. Bidder's testing/urine collection sites in rural Fresno County shall include the folloWing areas: Coalinga, Kerman, Sanger, and Selma. A list of available testing/urine collection sites and hours of operation within Fresno County shall be submitted with the bidder's response to RFQ. Testing at rural sites is "unobserved." Volume varies from location to location, with Sanger and Kerman C4Jrrently averaging approximately 20 tests per week; and Coalinga averaging approximatelY 25-30 tests per week. It is estimated Selma will have 15 tests per week. The Contractor will provide the testing/collection sites as well as the testing/collection services perfol'llled at each rural site. Clients will purchase a requisition from the Probation Department and turn it in at the rural site when the urine sample is collected. The samples shall ttlen be transported to the lab by the Contractor. The lab does not have to be located in tllte rural area only the testing/collection site. 3. Testing/Collection sites are needed on a statewide basis (Metropolitan areas of 5~,000 or more population). Each client residing out of county should have a testing/coll~ion site within a reasonable distance to which s/he may report for sample collection. Clients will purchase their "Request for Toxicology Services" form directly from the Probation Department and bring it to the testing/collection site. One copy of the form shall accompany the sample being sent to the laboratory for analysis and the results stlall be sent directly to the Probation Department. A list of available testing/collection sit~s and hours of operation throughout the State of California shall be submitted. Testing iat statewide sites is "unobserved." Currently, approximately 50 tests are done "out pf county" per month. All inquiries by subcontractors (if applicable) and all invoices ,related to state-wide testing shall be sent to the Contractor. 4. Contractor shall provide all labor, material, equipment, taxes, transportation, etc. •o perform evidentiary toxicology laboratory testing as specified within this RFQ. G:IPUBUC\RFCU:V 2014-15\962-6320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING.DOC Quotation No. 962-5320 ~ge17 5. Contractor shall provide pick up service. Probation staff will collect the urine samttes at the locations below. The vendor shall pick up the samples for testing as follows: 1 FREQUENCY Twice Daily Once Daily (Afternoon) DAYS M-F M-F LOCATION Drug Suppression Unit 2212 N. Winery, Suite 122 Fresno, CA Violet Heintz Education Academy 4939 E. Yale Fresno, CA Note: The above two locations in Central Fresno are right around the comer from one another. Once Daily M-F Once Weekly Monday Juvenile Justice Campus 3333 E. American Avenue Building 701 (Courthouse) Fresno, CA Juvenile Justice Campus Building 704 (Commitment Facility) The Juvenile Justice Campus is approximately 11 miles from the other two locations In Central Fresno. 6. Contractor shall provide "expert" testimony in a court setting upon request. The n~mber of times laboratory personnel are called upon to offer testimony varies from year-to-year. It is estimated to be needed on approximately 12 occasions annually. 7. Contractor shall have a written "chain of custody" protocol and shall maintain a leQally defensible written "chain of custody'' record on all samples accepted for testing. 8. Contractor shall be capable of having both on-line and hard copy results available: in 24 to 48 hours. The normal time required for test results would be 48 hours, with a 72-llour maximum. Hard copy results sent to the Probation Department, as well as on-lin' portal access results shall include: Lab Control Number Date and Time Sample Collected Collector's Name Date Received by Lab Name of Client Date of Birth/Sex Case Identification Number Type of Sample (Urine/Blood) Test Code Medications Noted Results by Drug Group/Cutoff Limits G:IPU9UCIRFQ\FY 2014-15\962-5320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCRfENING.DOC Quotation No. 962-5320 Page 18 Each client's hard copy results will be provided on a separate sheet of paper for i{lclusion in the client's file. · 9. Contractor shall properly store and retain samples in a safe/secure and refrigerated environment. 10. Contractor shall provide the Probation Department with "Request for Toxicology Services/Chain of Custody" forms. in triplicate. Request forms shall include information as indicated on the sample form in Exhibit A and be printed on "no carbon requir~" (NCR) stock. The specimen tracking labels to be used are only printed on Page 1 and the label area of Pages 2 and 3 is a shaded box. The original (Page 1) will be sent to the vendor along with the specimen. Page 2 is kept by Probation and Page 3 is distributed to the probationer by Probation. 11. Billing information should include the following: Account Number (there are eight separate accounts and each requires a separa• billing statement) · Laboratory Control Number Client Name Date of Birth/Sex Date of Service Test Description Number of Tests run Billed amount for each test Each month an itemized bill for each of the eight (8) accounts will be submitted qy the Contractor and reviewed by the Probation Department for accuracy, then forwarded to the accounting department for payment if no discrepancies are found. Invoices $hall have page numbers. 12. Monthly summary billing reports will be provided to the Probation Department. 13. Both hard copy and on-line test result reports shall contain information as deemed appropriate by Probation. Hard copy test result reports will be mailed to the Prottation Department. If copies of the completed "Request for Toxicology Services/Chain of Custody" forms are not available on-line, the vendor shall provide copies upon request. 14. Re-testing due to changes in Bidder's staff or unavailability of original testing peJ1Wnnel shall be done at no charge (i.e., chain of custody or staffnab policy/procedure is$ue). If on the rare occasion Probation requests a retest not due to changes in bidder's .taffllab policy/procedure, Probation will pay the regular qualitative rate. The amount of retesting is rare. Only one retest was requested during the past year. G:IPU8UCIRF<lFY 2014-15\962-5320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING.OOC .... ·' Quotation No. 962-5320 Page 19 15. Contractor shall conduct drug screening on every test for the detection of opiates cocaine, phencyclidine (PCP), methamphetamines, ecstasy, benzodiazepines, ~ cannabinoids, and alcohol. Cutoff levels in nanograms/milliliters are as follows: ~ooa~oo~ ~ Methamphetamine/Amphetamine 300 Ecstasy 300 Benzodiazepines 300 Cocaine 300 Opiates 300 Phencyclidine (PCP) 75 Alcohol .02 16. Contractor shall conduct tests for the detection of hallucinogenic drugs, such as ~SO and Mescaline, or for Barbiturates, or for Synthetic Cathinones (such as Bath Salts), or Cannabimirnetics (Synthetic Marijuana such as Spice) upon request. Requests f~r these types of tests would be rare and constitute less than one percent (1 %) of the total samples submitted). 17. Unless otherwise indicated, qualitative and quantitative tests will be run automat~lly on the Opiate drug group, Cannabinoid, Phencyclidine (PCP), as well as Methamphetamine and Alcohol when the drug screening indicates the results are above the cutoff threshold levels shown in item #15 above. Those results that fall below the screening cutcff levels will be reported as negative results and no automatic confirmation shall be compfeted. All qualitative and/or quantitative analysis on other drug groups will only be by the specific request by the Deputy Probation Officer or by Order of the Court with on-:line and hard copy results available within 5 days of said request. The confirmatory labof$:ltory should use GC/MS testing with Limit of Detection (LOD) levels. Confirmation te•s for opiate metabolites should include Codeine, Morphine, Hydrocodone, Hydromorpltone, Oxycodone, and Oxymorphone. 18. Contractor shall have the ability to provide approximately 1 ,250 urine sample corttainers (kits) and identifying labels weekly, upon which the defendant's name, date and time of collection, type of test requested, testing officer's name and unit/division design~tion shall be logged on each label. The sample containers must have a temperature strip attached. 19. Contractor shall refrigerate, freeze, or preserve all samples prior to testing to insJ,Jre sample integrity. 20. Contractor shall freeze the remainder of a sample which tests positive to drugs end will retain the sample for a period of not less than one (1) year or longer if request~ to do so by the Probation Department. 21. Contractor shall provide access to test results via the Internet, within 24-48 houi!S, to Probation staff. Completed "Request for Toxicology Services/Chain of Custody"i forms shall be scanned by Contractor and made available for viewing on-line within 48i hours. If copies of these completed forms cannot be made available on-line, then the ~ndor shall provide copies upon request. Test results and "Request of Toxicology Services/Chain of Custody" forms shall be in a printable format. G:\PUBUCIRFWY 2014-15\962-5320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING.DOC Quotation No. 962-5320 Page 20 22. Contractor shall also provide a daily flat file (.CSV) interface of drug test results. This file will be dropped off to the County of Fresno's FTP file server on a daily basis. The file should contain data such as: offender name, offender demographics, and the pro~tion unique identifier. The file will also need to contain the results of each drug test such as: type of drug found, drug class, screening cutoffs, and methods of test used. A specification document will be available showing exactly what data types are being requested. 23. Contractor shall provide training to designated personnel on the internet portal SY$tem 30 days prior to the contract going into effect. Just like the invoices have separate ; accounts. internet access portals shall have separate accounts with passwords and/or logins as appropriate. The existing Agreement expires on June 30, 2015. Therefpre, it is anticipated at this time that the new contract will go into effect on July 1, 2015. " 24. Billing Discrepancies. Probation prefers the vendor provide one centraliZed contact to address billing questions and discrepancies. Probation will also provide a centralized contact for the vendor. The vendor is to respond to inquiries in a timely manner-Within 7 days. 25. Should the successful bidder need to make system changes that impact portal aqcess, invoicing, and requisition forms, the County requires at least 60 days' notice. Thet notice should include what is happening, when it is happening, why it is happening, whal will be impacted (i.e., internet access, account numbers, etc.), and how. If the changes will impact existing account numbers, steps must be taken to avoid duplicate billing. 26. Bidders are to submit a copy of current California Clinical laboratory license and Federal SAMHSA Certificate. G:IPUBUC\RFOFY 2014-15\962-6320 TOXICOLOGY SCREENING\962·5320 TOXICOLOGY SCREENING.DOC Quotation No. 982-5320 ~ge21 QUOTATION SCHEDULE Quotations shall include rates for all services, materials, equipment, etc. to be provided. lJnit prices must be all inclusive. Quantities shown in the Quotation Schedule are an estimat~ usage for a twelve-month period. County guarantees no minimum. Bidder is required to quote p~ces and must extend pricing and total columns. Please fully complete the Quotation Schedule on the next page. G:~BUC\RF<;N=Y 2014-16\962-5320 TOXICOLOGY SCREENING\962·5320 TOXICOLOGY SCREENING.DOC Quotation No. 962-5320 ~ge22 QUOTATION SCHEDULE ESTIMATED COST ANNUAL PER TYPE OF ANALYSIS QUANTITY TEST TOTAL 1. Drug screen, as specified (Qualitative) 65,000 2. Drug screen, as specified (Quantitative) 6,500 3. Drug Screen, LSD 100 4. Drug Screen, Mescaline 100 5. Drug Screen, Barbiturates 100 6. Drug Screen, Synthetic Csthinones 50 7. Drug Screen, Cannabimimetics 50 TOTAL Expert Witness Testimony 1. Court Appearance -First Hour: 2. Court Appearance -Each additional Hour after the first hour: 3. Mileage Allowance: Internet $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 1. Charge/no charge for internet access to test results ..,_$ ____ _ 2. Charge/no charge for training staff on internet portal system ....:...$ ____ _ G:\PUBUC\RFQIFY 2014-15\962-6320 TOXICOLOGY SCREENING\96H320 TOXICOLOGY SCREENING.OOC per ho"r per ho'-lr per mile Quotation No. 962-5320 Drug T eating Services 1. Provide one centralized contact for the contractor to address billing questions and discrepancies. 2. Ability to respond to billing inquiries within 7 Days 3. Provide services in the Fresno/Clovis metropolitan area, Coalinga, Kerman, Sanger, Selma, and State-wide 4. List of available testing/urine collection sites and hours of operation within Fresno County Included in Response to RFQ. 5. List of available testing/urine collection sites and hours of operation throughout the state of California included in Response to RFQ. 6. Provide training for County personnel on internet portal system. 7. Provide written "chain of custody" protocol in Response to RFQ. 8. Maintain a legally defensible written "chain of custody" record on all samples accepted for testing. 9. Maintain a written record of all samples accepted for testing 10. Licensed as a California Clinical Laboratory. Copy of current license included in Response to RFQ. 11. Possess a Federal SAMHSHA Certificate. Copy of current certificate included in Response to RFQ. 12. Provide pick-up services as specified in Scope of Work (Item 5) 13. Ability to provide access to test results via the internet in 24 to 48 hours as specified in RFQ. 14. Provide hard copy test results in 24 to 48 hours as specified in RFQ. 15. Have the ability to provide 1,250 urine sample containers with identifying labels as specifted in RFQ weekly. 16. Contractor shall refrigerate, freeze or preserve all samples prior to testing in a safe/secure environment to insure sample integrity. 17. Contractor shall freeze and retain the remainder of a sample which tests positive to drugs for at least one year, or longer if requested by the Probation Department. in a safe/secure environment. G:IPUBUC\RFQ\FY 2014-15\962-6320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING.OOC P~tge 23 CQtJPLY NOTQOMPLY Quotation No. 962-5320 18. Will provide all labor, material, equipment, taxes, transportation, etc. to perform evidentiary toxicology laboratory testing as specified in RFQ. 19. Provide "expert" witness testimony in court setting upon request. 20. Provide "Request for Toxicology Services/Chain of Custody forms in triplicate and as specified in RFQ. 21. Completed "Request for Toxicology Services/Chain of Custody forms will be available on-line. 22. If completed "Request for Toxicology Services/Chain of Custody forms are not available on-line. vendor will provide copies upon request. 23. Provide billing information as specified in Item 11 of RFQ. 24. Provide monthly summary billing reports. 25. Conduct drug screening as specified in Item 15 of RFQ. 26. Conduct drug screening as specified in Item 16 of RFQ. 27. Conduct qualitative and quantitative tests as specified in Item 17 of RFQ. 28. Provide a daily flat file (.CSV) interface of drug test results. 29. Provide copies of a) Request for Services; b) Summary Billing; and c) Test Results forms in Response to RFQ. G:IPUBUC\Rf<NY 2014-15\962-5320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING. DOC Page 24 COIJIPLY NOTQoMPLY Quotation No. 962-5320 Page25 CHECK LIST This Checklist is provided to assist the vendors in the preparation of their bid response. Included in this list, are important requirements and is the responsibility of the bidder to submit wit~ the bid package in order to make the bid compliant. Because this checklist is just a guideline, the bidder must read and comply with the bid in its entirety. Check off each of the following: 1. Front page of the Request for Quotation (RFQ) has been signed (original signature) and completed. 2. One (1) original and two (2) copies of the RFQ have been provided. 3. Addenda, if any, have been completed, signed and included in the bid pac~<atJe. 4. The completed Reference List as provided with this RFQ. 5. The Quotation Schedule as provided with this RFQ has been completed, prided reviewed for accuracy and any corrections initialed in ink. 6. Indicate all of bidder exceptions to the County's requirements, conditions and specifiCations as stated within this RFQ. 7. The Participation page as provided within this RFQ has been signed and inc~ded 8. Bicld&r to Complete page as provided with this RFQ. 9. Specification, descriptions etc. for items offered under bidder(s) quotation. 10. A description of the design and techniques that the bidder will use to complete the project. 11. Lastly, on the LOWER LEFT HAND CORNER of the sealed envelope, box, etc. transmitting your bid include the following information: County of Fresno RFQ No. ......:9:;..;;6~2-5..;:;.;:;.;32::;.;;0;__ ________ _. Closing Date: January 27, 2015 Closing Time: 2:00P.M. Commodity or Service: Toxicology Screening This Checklist does not need to be returned with your bid. G:IPU8UCIRFcYY 2014-15\962-6320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING.DOC lll COUNTY OF FRESNO ADDENDUM NUMBER: ONE (1) RFQ NUMBER: 962-5320 TOXICOLOGY SCREENING January 22, 2015 PURCHASING USE ssj G:\PUBLIC\RFQ\FY 2014-15\962-5320 TOXICOLOGY SCREENING\962-5320 ADD 1.DOC IMPORTANT: SUBMIT QUOTATION IN SEALED PACKAGE WITH QUOTATION NUMBER, CLOSING DATE AND Bl.JYER'S NAME MARKED CLEARLY ON THE OUTSIDE TO: COUNTY OF FRESNO, Purchasing 4525 EAST HAMILTON AVENUE, 2N° FLOOR FRESNO, CA 93702-4599 ~LOSING DATI! OP BID WILL BE AT 2:00 P.M., ON FEBRUARY 3, 2,015J QUOTES WILL BE CONSIDERED LATE WHEN THE OFFICIAL PURCHASING TIME CLOCK RJ:ADS 2:00P.M. Quotes will be opened and publicly read at that time. All quotation information will be available for review after contract award. Clarification of specifications are to be directed to: Debbie L. Scharnick, phone (659) 600-7111, e-mail dschamick@co.fresno.ca.us. NOTE THE FOLLOWING AND ATTACHED ADDITIONS, DELETIONS AND/OR CHANGES TP THE REQUIREMENTS OF REQUEST FOR QUOTATION NUMBER: 962-5320 AND INCLUDE THI:M IN YOUR RESPONSE. PLEASE SIGN AND RETURN THIS ADDENDUM WITH YOUR QUOTATION. . ).. Closing date has been extended to February 3, 2015. ;,... Due to anticipated decrease in the amount of tests to be performed caused by th-passage of Prop 47, the Estimated Annual Quantities have been revised. Please replace the Quo~lon Schedule with the Quotation Schedule that Is attached. ).. The Probation Department will no longer require vendors to provide rural and state-wide testing. ACKNOWLEQGMENT OF ADDENDUM NUMBER ONE (1l TO RFQ 962=§320 COMPANY NAME: (PRINT) SIGNATURE: NAME & TITLE: (PRINT) G:\PUBLIC\RFQ\FY 2014-15\962-5320 TOXICOLOGY SCREENING\962-5320 ADD 1.DOC (4/11) ADDENDUM NO. One (1) REQUEST FOR QUOTATION NUMBER 962-5320 January 22, 2015 CHANGES TO COMPLY/NOT COMPLY Please make the following revisions to the Comply/Not Comply section: • Revise #3 to read "Provide services in the Fresno/Clovis metropolitan area." • Please delete both #4 and #5. Page2 • Revise #11 to read "Possess a federal SAMHSA and/or CLIA Certificate. Copy of current certificate(s) included in Response to RFQ." • #15 Should read "Have the ability to provide "600" urine sample containers weekly with identifying labels as specified in the RFQ." • #16 Shall read "Contractor shall refrigerate, freeze or preserve all samples prior to testing in a safe/secure environment 'to ensure sample integrity'" G:IPUBL~Q\FY 2014-15\962-5320 TOXICOLOGY SCREENING\962-5320 ADD 1.DOC l.w ADDENDUM NO. One (1) Page3 REQUEST FOR QUOTATION NUMBER 962-5320 January 22, 2015 REVISED QUOTATION SCHEDULE ESTIMATED COST ANNUAL PER TYPE OF ANALYSIS QUANTITY TEST TOTAL 1. Drug screen. as specified (Qualitative) 30,000 $ $ 2. Drug screen. as specified (Quantitative) 6,000 $ $ 3. Drug Screen, LSD 50 $ $ 4. Drug Screen, Barbiturates 50 $ $ 5. Drug Screen, Synthetic Cathinones 25 $ $ 6. Drug Screen, Cannabimimetics 25 $ $ TOTAL $ Expert Witness Testimony 1. Court Appearance -First Hour: .z.$ ____ _ per hour 2. Court Appearance -Each additional Hour after the first hour: ~$ ____ _ per hour 3. Mileage Allowance: ..:;..$ ____ _ per mile Internet 1. Charge/no charge for internet access to test results -'-$ ____ _ 2. Charge/no charge for training staff on internet portal system _;:..$ ____ _ G:V>U8LIC\RFQ\FY 2014-15\962-532.0 TOXICOLOGY SCREENING\962-5320 ADD 1.DOC ADDENDUM NO. One (1) REQUEST FOR QUOTATION NUMBER 962·5320 January 22, 2015 QUESTIONS AND ANSWERS: Q1. Who is the incumbent provider of these products/services, if any? A1. Phamatech, Inc. Q2. What is the locations of testing sites you cu"ently use? A2. See attached "Toxicology Clinical Laboratory Testing" list. Page4 Q3. What is the current Vendor pricing for the services requested within this RFQ? A3. See attached Exhibit D. Q4. What Is your current percent positive rate? A4. This is not something we track; however, our estimate is about 20% Q6. Does the bond requirement shown on page 11 apply to this bid? AS. Bonds will not be required on this bid Q6. Would the County consider using their own staff to perfonn collections? It would save the County a tremendous amount of money in collection fees. A6. Since the rural and state-wide testing requirement has been removed (the only loc~tions where vendors performed collections), all the collections will now be done by County staff. Q7. Many vendors utilize a private courier such as FedEx for pickup service. It may not be possible to provide twice daily pickups through a private courier. Would t._e County accept once dally pickup for the Drug Suppression Unit? · A 7. Depending on the lab location and courier availability, yes, the County would acce~t once daily pickup. For example, if there is only one flight out per day. Q8. Regarding the storage requirements (#9 on page 18) is this requirement for s•mples waiting to be tested, or Is this for storage after the result? AB. See Item #19, in the "Scope of Work", regarding storage requirements prior to testing. "Contractor shall refrigerate, freeze. or preserve all samples prior to testing to ensLire sample integrity." Q9. For storage after testing: Many laboratories keep positives for 3 months or longer but only keep negatives for 2 days. Would this amount of time be satisfactory? A9. Contractor shall freeze the remainder of a sample which tests positive to drugs anct, will retain the sample for a period of not less than one (1) year, or longer if requested b)' the Probation Department." In regards to tests with a "negative" result, 2 days is acceptable. Q10. Regarding the billing fields, would the County accept invoices that do not contain the donor's birth date? A 10. "Scope of Worlc", Item #11 currently requests the "Date of Birth/Sex" be included oq the invoice. Please delete that line and replace it with "Probation Number." The assigbed Probation Number is available to the vendor on the Chain of Custody form. This also G:lf\J6LIC'RfQf'( 211'\4-'\~-6320 TOXICOLOGY SCREENING\962-5320 ADO 1.DOC 1.lo ADDENDUM NO. One (1) REQUEST FOR QUOTATION NUMBER 962-5320 January 22, 2015 PageS applies to on-line and hard copy test result requirements as stated in the "Scope ofWorl<'", Item #B. Q11. Will the County accept the Department of Health & Human Services' CLIA certification as an acceptable alternative to SAMHSA? Perhaps the biggest difference between the licensures is that SAMHSA licensure is specifically m.-nt to regulate workplace drug testing for only 5 drugs- Amphetamlnes/Methamphetamines, Cocaine, Opiates, PCP and Marijuana (T..,C)- and now Ecstasy (MDMA) (a sub-group under amphetamines) and Heroin (6...,AM) (under the opiates class). As your agency focuses on the criminal justice sector as opposed to workplace or employment testing, SAMHSA licensure and practi~ may not be quite as appropriate or necessary. Moreover, It appears that your agency is interested in testing for additional non-SAMHSA regulated drugs (such as AIQohol, Barbiturates, Benzodlazepines and Synthetic Cannablnoids). As such, we wo4,Jid like your agency to consider laboratories with CLIA licensure to be on equal-or Mtter- footing with SAMHSA laboratories. A 11. Yes, the County will accept CLIA Certification in lieu of or in addition to SAMHSA. Please provide CLIA Certificate in your response to RFQ. Item #26 of the "Scope of Worlt' is revised to ... "current California Clinical Laboratory Ucense and Federal SAMHSA and/or CLIA Certificate. " Q12. For line Item #2 on the Quotation Schedule, is this price for confirmation by ctug class (such as Opiates, Methamphetamlnes, etc.), or for any number of possible confirmations performed on a sample? Industry standard Ia to charge by dru. confirmed. A 12. Multiple quantitative tests may need to be run if the qualitative screen is positive tot more than one drug. Using our current rates as an example, if the initial $4.45 screen carne back positive for marijuana and methamphetamine, a quantitative test would be ru,. for both marijuana and methamphetamine at $8.00 each ($16.00 total). Continuing with this example, $8.00 would be indicated on line #2. Q13. Will the County accept liquid chromatography/tandem mass spectrometry (LC/MS/MS) as a confirmation option? LCIMS/MS confirmation method is moM sensitive and specific than GC/MS, and increases compound identification specificity through the use of two mass spectrometers, versus a single one for GCIMS methods. In Volume 73, No. 228, page 71868 of the Federal Register, tfle Department of Health & Human Services Indicates that LC/MS/MS methodoloc-ies have proven to be reliable to test specimens, and produce forensically and scientifically supportable results. Moreover, LC/MSIMS results have proven to be defensible In courts of law across the country. A 13. No. The requirement remains GC/MS. Q14. Will the County accept results that do not list the client's medication? A14. No. ~-~~Qif'i 2014-1S\962~ TOXICOLOGY SCREENING\962-5320 ADD 1.DOC ADDENDUM NO. One (1) REQUEST FOR QUOTATION NUMBER 962-5320 January 22, 2015 Page6 Q15. Some of the cut-off levels requested by the County are not industry standard and may be difficult for many vendors to provide. Would the County accept industry standard cut-off levels for the Initial test, such as 500 ngJmL for Methamphetalmines and Ecstasy, .04 for Alcohol (Ethanol), 200 ng/ml for Benzodlazepines, and 26 ng/ml for PCP? A 15. No. Probation is aware these are not the industry standard cut-off levels, but they are Probation's cut-off levels and the County has not had a problem with sufficient vendors bidding/providing us services at these cut-off levels Q16.1s the County requesting that the confirmation cut-off level be the same as the initial test (screen) level? Or will the County consider alternate cut-off levels, such as Industry standard confirmation levels? A 16. Yes, the confirmation cut-off level will be the same as the initial test (screen) level. No, the County will not consider alternate cut-off levels. Q17. Will a vendor be disqualified for not being able to provide a test for one of the specialty drugs, such as Mescaline, If they can provide testing for all of the other line items? A 17. Yes, a vendor will be disqualified for not being able to provide a test for one of the specialty drugs; however, we have removed Mescaline from Item #16 in the Scope pf Work as well as the Revised Quotation Schedule. The other drugs remain as listed in thtt RFQ. Q18. Regarding the requisition to be purchased by clients (donors), would the County consider an electronic requisition form? This could be purchased and then be waiting in the system at whichever location they go for collection. A 18. Since rural and state-wide testing has been removed from the RFQ, this question i$ no longer applicable Q19. Can the contractor provide an electronic chain of custody rather than written? A19. No. Q20. With secure, HIPAA compliant software that provides real-time results reporting and program analytics that can be exported in various formats, is there still a need for hard copy mailing of results? A20. Yes. Q21. Would the County be open to having all collections performed at vendor owned collection sites by staff trained in collection procedure and chain of custody? A21. No. G:'PIJBI..ICIRFQ\FY 2014-151962-5320 TOXICOLOGY SCREENING\962-5320 ADO 1.DOC ,,,.., ADDENDUM NO. One (1) REQUEST FOR QUOTATION NUMBER 962-5320 January 22, 2015 EXHIBIT D Laboratorv Test Fees for all three services areas: Metropolitan, Rural, and Statewide Drug screen, as specified (Qualitative) Drug screen, as specified (Quantitative) Drug Screen, LSD* Drug Screen, Mescaline* Drug Screen, Barbiturates* UNIT PRICE $4.45 $8.00 $4.45 $8.00 $4.45 *This is the price for screening. Confirmations by GC/MS are charged $8.00. Page7 Expert Witness Testimony Court Appearance -First Hour: $80.00 per houl! 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'CA MCtaMiiO ICA l\ldr¥illt !CA ~-iCA 1-ICA !Viola ICA , ___ te~o. 1-votiiiM ICA Phar ~Inc. i COUNTY OF FRESNO ADDENDUM NUMBER: TWO (2) RFQ NUMBER: 962-5320 TOXICOLOGY SCREENING January 29, 2015 PURCHASING USE G:IPUBLICIRFQ\F 2014-15\962-5320 hrs TOXICOLOGY SCREENING\96!-5320 ADD 2.DOC IMPORTANT: SUBMIT QUOTATION IN SEALED PACKAGE WITH QUOTATION NUMBER, CLOSING DATE AND B YER'S NAME MARKED CLEARLY ON THE OUTSIDE TO: COUNTY OF FRESNO, Purchasing 4525 EAST HAMILTON AVENUE, 2ND FLOOR FRESNO, CA 93702-4599 LOSING DATE OF BID WILL BE AT 2:00 P.M., ON FEBRUARY 3, ~015. QUOTES WILL BE CONSIDERED LATE WHEN THE OFFICIAL PURCHASING TIME CLOCK R~ADS 2:00P.M. All quotation information will be available for review after contract award. Clarification of specifications is to be directed to: Debbie Scharnlck, phone (559) 600-7111, e-mail CountyPurchasing@co.fresno.ca.us, fax (559) 600-7126. NOTE THE [CLICK HERE TO TYPE "FOLLOWING", ATTACHED" OR "FOLLOWING AND ATT~CHED''] ADDITIONS, DELETIONS AND/OR CHANGES TO THE REQUIREMENTS OF REQUEST FOR QUOTATION NUMBER: 962-5320 AND INCLUDE THEM IN YOUR RESPONSE. PLEASE SIGN AND RETURN THIS ADDENDUM WITH YOUR QUOTATION. Jo.. Please see attached Exhibit "A" ACt(NOWbEDGMENT OF AQDENDUM NUMBER IWQ (2) TO BEQ 862$320 COMPANY NAME: (PRINT) SIGNATURE: NAME & TITLE: (PRINT) G:\PUBUC\RFQ\FY 2014-15\962-5320 TOXICOLOGY SCREENING\962-5320 ADD 2.00C (-4111) I I EXHIBIT A-SAMPLE REQUEST FOR TOXICOLOGY SERVICES/CHAIN OF CUSTODY FORM lllllllllllllllllll 12345678-1122333 Specimen ID NO. STEP I: COMPLE:"TEO BY COLLeCTOR Employer Name, Address, I.D. No. DPO/Case Worker: Donor SSN or Employee ID No. Donor Name: Last first --~-. ---~--·-·--··----------- Donor ID Verified: 0 Photo ID 0 Emp. Rep. Drug Tests to be performed: Collc:ction Site Name: Address: Collector Phone #: City/State/Zip: Collector Fax#: Step 2: COMPLETED BY COLLECTOR Read specimen temperature within 4 minutes. Is temperature between 90°and I ooo F? 0 Yes CJ No, enter remark Observed: 0 (enter remark) REMARKS: ______________________________________________________ _ Step 3: Collector affixes bottle seal(s) to bottle(s). Collector dates seal(s). Donor initials seal(s). Donor complete~ Step 5. Step 4: CHAIN OF CUSTODY-INITIATED BY COLLECTOR AND COMPLETED BY LABORATORY. . I certify the spceimen given to me by the donor idcntifJCd in the certification section on Copy 2 of this fonn was collected, labelecl, sealed, and released to the Delivery Service noted in accordance with applicable requirements. ----AM SPECIMEN BOITLE(S) RELEASED, TO: X_ PM S ipaturc of Collcc:tor Time of Collection 0 Vendor Courier 0 FedEx I I 0 Other (Print) Collector's Name (First. Ml, Last) Date (MoJDay/Yr) Name of Delivery Service Transferrit~ SpccinJen --··-··--·- RECEIVED AT LAB: AM Primary Specimen SPECIMEN-;ii'rLE(S) I X PM Bottle Seal Intact: RELEASED TO: Sipaturc of Acccssioncr Time of Rcc;cipl 0 Yes I I (Print) Ac:c:cssioner's Name (First, Ml, Last) Date (MoJDay/Yr) 0 No, Enter remark below -· Step S: COMPLETED BY DONOR I certify I p-ovidcd my spceimen to the collector; that I have not adulterated it in any manner; each specimen bottle used was sea~d with a tamper-evident seal in my presence; and that the information and numbers provided on this form and on the label affixed to each specimen botdc is correct. SignatUre of Donor Daytime Phone No . .....__._ _____ _ -'--'--Date (MoJDayNr) Donor's Initial's -'--'--Date (McYDay/Yr) Donor's Initial's I I (Print) Donor's Name (First, Ml, Last) Date (MoiDay!Yr) Date of Birth I I Mo DIY"""Yr Evening Phone No.1.-..--'------- Exhibit B COUNTY OF FRESNO REQUEST FOR QUOTATION NUMBER: 962·5320 TOXICOLOGY SCREENING January 6, 2015 PURCHASINGUSE G:\PUBUC\RFQ\FY 2014-15\962-5320 TOXICOLOG ORG/Requisitton: 34300300/3431500255 hrs SCREE . IMPORTANT: SUBMIT QUOTATION IN SEALED PACKAGE WITH QUOTATION NUMBER, CLOSING DATE AND BUYER'S NAME MARKED CLEARLY ON THE OUTSIDE TO: , COUNTY OF FRESNO, Purchasing 4525 EAST HAMIL TON AVENUE, 2nd Floor FRESNO, CA 93702-4599 CLOSING DATE OF BID WILL BE AT 2:00P.M., ON JANUARY 27,2015. QUOTATIONS WILL BE CONSIDERED LATE WHEN THE OFFICIAL PURCHASING TIME CLOCK READS 2:00P.M. All quotation information will be available for review after contract award. Clarification of specifications is to be directed to: Debbie Scharnick, e-mail countypurchasing@c9.fresno.ca.us, "'hone (559) 600-7111, FAX (559) 600-7126. GENERAL CONDITIONS: See "County Of Fresno Purchasing Standard Instructions And Conditions For Request For Proposals (RFP'S) and Requests for Quotations (RFQ'S)" attached. Check County of Fresno Purchasing's Open Solicitations;,website at https://www2.co.tr~sno.ca.us/04401Bjds/§idsHome.aspx for RFQ/RFP documents and changes. BIDDER TO COMPLETE UNDERSIGNED AGREES TO FURNISH THE COMMODITY OR SERVICE STIPULATED IN THE ATTACHED QUOTATION SCI;fEDULE AT THE PRICES AND TERMS STATED, SUBJECT TO THE "COUNTY OF FRESNO PURCHASING STANDARD INSTRUCTIONS AND CONDITIONS FOR REQUEST FOR PROPOSALS (RFP'S) AND REQUESTS FOR QUOTATIONS (RFQ'S)"ATTACHED. Except as noted on individual items, the following will apply to all items in the Quotation Schedule. 1. Complete delivery will be made within N/A calendar days alter receipt of Order. 2. A cash discount 2 % 10 N30 days will apply. Phamatech Inc. COMPANY J 5!75 Innovation Drive ADDRESS San Diego Ca 92128 CITY STATE ZIPCOQE (858)635-5843 kmontejano@phamatech.com FACSIMILE NUMBER E-MAIL ADDRESS J-·'·'1 Polanco VP Sales liN'""'T"'"'N~A"'"'M=E---------------TITLE ·----~·-·--·-·-··--,_....-. PD-010 (9/14) COUNTY OF FRESNO ADDENDUM NUMBER: ONE (1) RFQ NUMBER: 962-5320 TOXICOLOGY SCREENING January 22, 2015 [ ------------PURCHA:GUS£ G:\PUBUC\RFO\FY 2014-15\962-53z0 TOXICOLOGY ------------------------------------------------~SC~~~E~N~IN~G\9~~~-~~2~0~~~0~1.~~~ IMPORTANT: SUBMIT QUOTATION IN SEALED PACKAGE WITH QUOTATION NUMBER, CLOSING DATE AND SUtER'S NAME MARKED CLEARLY ON THE OUTSIDE TO: COUNTY OF FRESNO, Purchasing 4525 EAST HAMILTON AVENUE, 2Mo FLOOR FRESNO, CA 93702-4599 jCLOSING DATE OF BID WILL BE AT 2:00 P.M., ON FEBRUARY 37 2q1s.j QUOTES WILL BE CONSIDERED LATE WHEN THE OFFICIAL PURCHASING TIME CLOCK READS 2:00P.M. Quotes will be opened and publicly read at that time. All quotation Information will be available for review after contract ~rd. Clarifteation of specifications are to be directed to: Debbie L. Scharnick, phone (659) 600-7111, e-mah dscharnlck@co.fresno.ca.us. NOTE THE FOLLOWING AND ATTACHED ADDITIONS, DELETIONS ANDJOR CHANGES TQ THE REQUIREMENTS OF REQUEST FOR QUOTATION NUMBER: 962-6320 AND INCLUDE THt;M IN YOUR RESPONSE. PLEASE SIGN AND RETURN THIS ADDENDUM WITH YOUR QUOTATION. '' »-Closing date has been extended to February 3, 2016. i > Due to anticipated decrease In the amount of tests to be performed caused by the passage of Prop 47, the Estimated Annual Quantities have been revised. Please replace the Quotation Schedule with the Quotation Schedule that Is attached. ' > The Probation Department will no longer require vendors to provide rural and stat,-wide testing. COMPANY NAME: SIGNATURE: NAME & TITLE: J()hnlb/au.(k;/ vfJ ~~ . -(PRINT) G:\PUBLIC\RFQ\FY 2014·15\962-5320 TOXICOLOGY SCREENING\002-5320 ADO 1.DOC (4/11) COUNTY OF FRESNO ADDENDUM NUMBER: TWO (2) RFQ NUMBER: 962·5320 TOXICOLOGY SCREENING January 29, 2015 I PURC~~NGUSE TO~~~~~~~:~g~~:~~~~~=- lMPORTANT: SUBMIT QUOTATION IN SEALED PACKAGE WITH QUOTATION NUMBER, CLOSING DATE AND BUYER'S NAME MARKED CLEARLY ON THE OUTSIDE TO: COUNTY OF FRESNO, Purchasing 4525 EAST HAMILTON AVENUE, _2No FLOOR FRESNO, CA 93702·4599 ~LOSlNGDATE OF BID WILL BE AT i;(}fiP~M·-.-, _O_N_F_E_B-RU_A.RY 3, 201 ~ QUOTES WILL BE CONSIDERED LATE WHEN THE OFFICIAL PURCHASING TIME CLOCK R~DS 2:00P.M. [ All quotation information will be avaUable for review after contract award. 1 Clarification of specifications is to be directed to: Debbie Scharnick, phone (559) 600·7111, e-mail CountyPurchasing®co.fresno.ca.us, fax ( 559) 600-7126. NOTE THE [CLICK HERE TO TYPE "FOLLOWING", ATTACHED .. OR "FOLLOWING AND ATT~CHED"] ADDITIONS, DELETIONS AND/OR CHANGES TO THE REQUIREMENTS OF REQUEST FOR Q\)OTATION NUMBER: 962-5320 AND INCLUDE THEM IN YOUR RESPONSE. PLEASE SIGN AND REiUR~THIS ADDENDUM WITH YOUR QUOTATION. . ;;.. Please sec attached Exhibit "A" ACKNOWLJ;QGMENI OF AQDt;NDUM NUMBI;R IWQ <?l IQ,BFQ 9§2..§32Q COMPANY NAME: fJ!!AAA!-r.ct;/, :a/6. . (PRINT) SIGNATURE: NAME & TITLE: G;\PUBL.IC\RFQ\FY 2014-15\962-5320 TOXICOLOGY SCREENiNG\962-5320 ADD 2.DOC J (4111) Quotation No. 962-5320 Drug Testing Services 1. Provide one centralized contact for the contractor to address billing questions and discrepancies. 2. Ability to respond to billing inquiries within 7 Days 3. Provide services in the Fresno/Clovis metropolitan area, Coalinga, Kerman, Sanger, Selma, and State-wide 4. List of available testing/urine collection sites and hours of operation within Fresno County included in Response to RFQ. 5. List of available testing/urine collection sites and hours of operation throughout the state of California included in Response to RFQ. 6. Provide training for County personnel on internet portal system. 7. Provide written "chain of custody" protocol in Response to RFQ. 8. Maintain a legally defensible written "chain of custody" record on all samples accepted for testing. 9. Maintain a written record of all samples accepted for testing 10. Licensed as a California Clinical Laboratory. Copy of current license included in Response to RFQ. 11. Possess a Federal SAMHSHA Certificate. Copy of current certificate included in Response to RFQ. 12. Provide pick-up services as specified in Scope of Work (Item 5) 13. Ability to provide access to test results via the internet in 24 to 48 hours as specified in RFQ. 14. Provide hard copy test results in 24 to 48 hours as specified in RFQ. 15. Have the ability to provide 1,250 urine sample containers with identifying labels as specified in RFQ weekly. 16. Contractor shall refrigerate, freeze or preserve all samples prior to testing in a safe/secure environment to insure sample integrity. 17. Contractor shall freeze and retain the remainder of a sample which tests positive to drugs for at least one year, or longer if requested by the Probation Department, in a safe/secure environment. G:\PUBLIC\RFQIFY 2014·15\962-5320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING. DOC :Page 23 CQMPLY NOI,COMPLY ComplY Comply Comp;Jy _Comply __ _ _Comply __ _ _Comply __ _ Comp,ly Comp'ly Comr.Jy _Comply __ _ f, Comply Complv Comply Quotation No. 962-5320 18. Will provide all labor, material, equipment, taxes, transportation, etc. to perform evidentiary toxicology laboratory testing as specified in RFQ. 19. Provide "expert" witness testimony in court setting upon request. 20. Provide "Request for Toxicology Services/Chain of Custody forms in triplicate and as specified in RFQ. 21. Completed "Request for Toxicology Services/Chain of Custody forms will be available on-line. 22. If completed "Request for Toxicology Services/Chain of Custody forms are not available on-line, vendor will provide copies upon request. 23. Provide billing information as specified in Item 11 of RFQ. 24. Provide monthly summary billing reports. 25. Conduct drug screening as specified in Item 15 of RFQ. 26. Conduct drug screening as specified in Item 16 of RFO. , Page 24 C¢0MPL'( Not COMPL'( _Comply __ _ Comply Comply Comply Comply Comply Comply 27. Conduct qualitative and quantitative tests as specified in Item 17 of RFQ. Com~ly __ _ 28. Provide a daily flat file (.CSV) interface of drug test results. 29. Provide copies of a) Request for Services; b) Summary Billing; and c) Test Results forms in Response to RFQ. G:IPUBLIC\RFQ\FY 2014·15\962-5320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING. DOC Comply ; " 1 Insurance 2 Participation Forr(l l 3 Reference List 4 Laboratory Licenses ' 5 Chain of Custody :Protocol 6 Collection Site IJist 7 Sarvic2 Hequirem,ents " 8 Sample Chain of 'Custody \ 9 Price List ; 10 Sanple Reports -'Billing/CSV ' 11 ~ 12 ' ~ J ..... Quotation No. 962-5320 Page10 BIDDER TO COMPLETE: Name of Insurance Carrier: Wateridge Insurance Services Public Liability: $4,000,000 Expires: Automotive Insurance: $1,000,000 Expires: '6/2/15 Worker's Compensation: $1,000,000 Expires: Proof of maintenance of adequate insurance will be required before award is made to vepdor. GUARANTEE: The bidder shall state his written guarantee here: Phamatech fully guarantees all apects of the project for the minimum period of one (1) year. Such one (1 )year period shall commence upon the date of final acceptance by County. The guarantee shall include, but in no way be limited to workmanship, equipment and materials. ADDITIONAL ITEMS: The County may require additional items from those in bid schedule. Price list for additional items: State Purchase Order mailing address: Phamatcch Inc. 15l751nnovationDrive San Diego, Ca 92128 SUBCONTRACTORS: ··· LisfallsTJbcoritractors that would perform work in excess of one/half of one percent of the total amount of your bid, and state general type of work such subcontractor would be perform!rg: Subcontractors (collection sites) do not account in excess of Y:! of 1 percent of the total amount of the RFQ. G:\PUBLICIRFQ\FY 20 14·151062-5320 TOXICOLOGY SCREENING\002-5320 TOXICOLOGY SCREENING. DOC Quotation No. 962~5320 CONTRACTOR'S LICENSE: Bidder to possess appropriate license for the project, in accordance with current regulations/statutes. Page 11 The vendor shall possess a current State of California Professional Engineer's License, or another license class that covers the work to be performed. The proposal must indicate the license held by the bidder, which enables him/her to perform the work. If the license is other than a State of California Professional Engineer's the bidder must explain why his/her license(s) is acceptable. The County will review and determine if acceptable! Number and Class: Phamatech is not a Contractor Date of Issue: BONDS: PERFORMANCE BOND: The successful bidders may be required to furnish a faithful performance bond. BONDS: The successful bidder will be required to furnish a Faithful Performance Bond and a Labor and Materials Bond in an amount equal to one hundred percent (100%) of the contract price. BONDING COMPANY: The company issuing bonds shall be a corporate surety admitted by the California Insurance Commissioner to do business in the State of California with an A.M!IBest rating of B++ VIII or better. COORDINATION AND COMPLETION: The successful bidder shall contact and meet with the County Coordinator at the job site prior to commencement and completion of any work. Successful bidder shall complete the job as instructed and described in writing by the ~ontract, bid or amendment. Any problem or questions that arise in the scope of work, the Couqty must be contacted and the appropriate written amendment generated. ' GUARANTEE: The successful bidder shall fully guarantee all aspects of the project for the minimum period of one (1) year. Such one (1) year period shall commence upon the date of final acceptance by County. The guarantee shall include but in no way be limited to workmarship, equipment and materials. · DISPUTE RESOLUTION: The ensuing contract shall be governed by the laws of the state of California .Any claim which cannot be amicably settled without court action will be litigated in the U.S. District Court for the Eastern District of California in Fresno, CA or in a state court :far Fresno County. DEFAULT: In case of default by the selected bidder, the County may procure the services from another source and may recover the loss occasioned thereby from any unpaid balance ;pue the selected bidder, or by any other legal means available to the County. ASSIGNMENTS: The ensuing proposed contract will provide that the vendor may not ssign any payment or portions of payments without prior written consent of the County of Fresno. G:\PUBLICIRFQ\FY 2014·15\962-5320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING. DOC i ... PHAMAT1 OP lD: BM CERTIFICATE OF LIABILITY INSURANCE ot lE jMMIDWYYY) 06/02114 ' TI-llS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTlFICATE HOLDER THIS :ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ~ BFLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED ; lESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ·. ).. JRTANT: II the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to tho terms and conditions of the policy, certain policies may require an endorsement A statement on thiS certificate doGs not confer rights to the certificate holder In lieu of such endorsement s . PRODUCER Waterldge Insurance Services 10717 Sonrento Valley Rd. San Diego, CA 92121 GcorgD J. Sports 858-452-220 858-452-600 Phamatech, Inc. ______________ ,,_ INSURED 10151 Barnes Canyon Road San Diego, CA 92121 COVERAGES CERTIFICATE NUMBER· ONJAcr _Mary Bedna~ ---------··d-- J ,t2ll;_ 858-200-33-tQ .. "'"~•-• ··-.. J~I l;u): 858•200-3341 .~o'1fi:~ss:_f!!bednar~ateridge.com •• INS:JRER(SJ AFFOROING COVERAGE INSURER A: H~_r:t.f?t~Jjre _!!!_SUr!!IJ.Ce Co .ll!.~l!fi§!.!! :Mer:lmarc_______ ---........ -~--.. ---f--· •r;syR.EJi.C :H_~!'!ford Acciden! & Jndemni~.----t 235? __ _ ... ttl. SU .. RER. D ... ' .. E~a_l'_l_~t()!'JI J'l~U. r!!IJ.C.~-~-O!llP':lrtY ......... ·-··-.· --=~· I!'JSv~L;RE: ·····--------.---.. ···-·--· L II'SURERF: REVISION NUMBER· THIS IS TO CERTIFY THAT THE POLICIES Of INSURANCE LISTED BELOW HAVE DEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OHlER DOCLJMENT WITH RESPEC"( TO WHICH TrllS CERTIFiCATE MAY BE ISSUED OR MAY PERTAI,II, THE INSURANCE AFFORDSD BY THE POUC!ES DESCHII3ED HEHEIN IS SUBJECT TO ;ALL HiE TE:RMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN w,y liAVE BEEN REDUCED BY PAID CLAIMS. ~,G--E-:-ERALLIA~YBPILEIT;-YFIN;;:w;c;-·--~~~;~~pr • -?OLIC;;IJM~~R-·--. ~~~~~rr-~~y~~~~~~~r··-·~· liMITSi N I EACH OCCURRENCE I :~: 1,000,00C A rx~MMEHCIALGI.M'r~lAiliLI';Y I X 72UUNTR9588 06/01/14 06101/15 :=iJ1~~~~&.._ c~=--!JE_oo;<i~~ I=-_J CtAIMS-MAOE tlJ OCCUR ! ..!_~Q._E~:_f~~-per~~~~L . :..!... 10 ~0-~~ B X PRODUCTS(1) 14CA380066 06101114 DS/01115 PERSONAL&ADVINJURY s· 1,000,00~ r-cLMsMADEI1oKSIR'--~ ,-~~~;RALAccRe.G.o'\TE $ iooo,ooc ~~N·~ AGGHEGATE u~t.tr A?ruEs PER ---- 1 j ~Rooucr~-~~~-;.;~~;~-;~-i 1 i;ooo.ooc -XI POLICY 0 )£8 [] LOC , -~-------·$·----~-.--- 'OMOBILE UABILITY -~ .... <;_CMOINED SINGL~ liMIT , 1 000 00( li~ldjijl'lt)_~~~----···~·-·-· _ ... ______________ ~-·----·! .... -«-• A I,.. 11\NYACITO I72UUNTR958S 06101114 06/01115 HOI)IlY INJURY (Per person) ~ 1 AlL oWNED ~. ~-scHED\JLED i ! !JQ",;n:;;·,~i.Juilv (Per;;;,;;,.~,j l ···· · · I ~· AUTOS ~--· ~g:.~gWN\20 i ! PROPERiYOAMA<il:-. -T'" .. h-· ~~:;~~~ ~X ;~~~0 Ded I tj~J!f!!IL--.---rs·--------.. - 1 X UMSRELLA UAB L~ OCCUR ~§.!19)i(!(;CUf<f3.~.<!5-.. ~-j___4,000,~_!) A f·--lEXC~~~!. .... LL~"'MS:"-@§ 72RHUTR9385 06/01114 06/01115 '.~~--·---L-~~O.QOO DEO I X l!iFTENTIOtU 10,000 I :+i!*'-------l I ~~;~~~g~::~~~iif:v yIN j' ! I' r·.' _xj_~iimJ~sL_J?~·L .... ·---_____ , . C ANYPI<OPRIC. :TOI11f'AfHNERIEXECUnve r0... I 72WEF04109 03/15114 03/15115 l:.L. EI\CIIACC1f1ENT $ 1,000,00C (Mandatory In NHl £:L,[)f!?E0::".S~£.~XS§ J.. _____ !:~~o,OgE I OFFIC€R/I.IEMRER O<CLUOCD? N I A ..=o--.-.... ·-·----~----·-·· ............. -.. ~~~'c~iPfi~ Q~PEMTIONS below I EL. DIS2ASE ·POliCY UMIT l 1,000,00( D ;Professional Uab ~MS99Gi1 03/17/14 03117115 Ea Claim ! 1,000,000 !Claims Made iRETRO DATE: 03/1712009 I : Aggregat& .. ': 3,ooo,oo OESCRIPTIOt; OF OPERATIONS I LOCATIONS I VEHIClES lAthe~ ACORD 101, Ad<lll;onal Remarks Scl•odul<, f more spa<o IS r~qWir•d) COUNTY OF FRESNO, ITS OFFICERS, AGENTS ANO EMPLOYEES, INDIVIDUALLY AND COLLECTIVELY BUT ONLY INSOFAR AS THE OPERATIONS UNDER THIS AGREEMENT ARE CONCERNED ARE NAMED ADDITIONAL INSURED UNDER GENERAL LIABILITY PER FORM HG00010605. PRIMARY AND NON·CONTRIBUTORYWORDING APPLY IN FAVOR OF THE ADDITIONAL INSURED. ~·----------------------------------------------~~----~ ! CERTIFICATE HOLDER County of Fresno Probation Department Attn: Greg Reinke 1100 Van Ness Avenue Fresno CA 93721 ACORD 25 (2010/05) COUNTYF CANCELLATION SHOULD ANY OF THE AEJOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTJCE WILL ~E DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ______ .......,_ ______ ..... _ AUTHOHJlEO ~~PHESENTATIVE © 1988-2.010 ACORD CORPORATION. All;: rights resorved. The ACORD name and logo are registered marks of ACORD Quotation No. 962-5320 ;,Page 10 BIDDER "10 COMPLETE: Name of Insurance Carrier: Wateridge Insurance Services Public Liability: $4,000,000 Expires: • 6/2/15 Automotive Insurance: $1,000,000 Expires: \. 6/2/15 Worker's <::ompensation: $1,000,000 Expires: 6/2/15 Proof of maintenance of adequate insurance will be required before award is made to v~ndor. GUARANIEE: The bidder shall state his written guarantee here: Phamatech fully guarantees all apects of tJ1c project for the minimum period of one ( l) year. Such one (1) year period shall commence upon the date of final acceptance by County. The guarantee shall include, but in no way'be limited to workmanship, equipment and materials. ADDITIONAL ITEMS: The County may require additional items from those in bid schedule. Price list for additional items: State Purchase Order mailing address: Phamarech Inc. 15175 Innovation Drive San Diego, Ca 92128 SUBCONTRACTORS: < List all subcontractors that would perform work in excess of one/half of one percent of t~e total amount of your bid, and state general type of work such subcontractor would be performing: Subcontractors (collection sites) do not account in excess of Y2 of 1 percent of the total a'}lount of the RFQ. G: \PUBUC\RFQ'fY 2014-15\962-5320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING. DOC 1L1 Quotation No. 962-5320 CONTRACTOR'S LICENSE: Bidder to possess appropriate license for the project, in accordance with current regulations/statutes. <Page 11 The vendor shall possess a current State of California Professional Engineer's License, or another license class that covers the work to be performed. The proposal must indicatei:the license held by the bidder, which enables him/her to perform the work. · If the license is other than a State of California Professional Engineer's the bidder must explain why his/her license(s) is acceptable. The County will review and determine if acceptabl~. Number and Class: Phamatech is not a Contractor Date of Issue: BONDS: PERFORMANCE BOND: The successful bidders may be required to furnish a faithful performance bond. BONDS: The successful bidder will be required to furnish a Faithful Performance Bond and a Labor and Materials Bond in an amount equal to one hundred percent (1 00%) of the contract price. · BONDING COMPANY: The company issuing bonds shall be a corporate surety admitted by the California Insurance Commissioner to do business in the State of California with an A.M ·sest rating of B++ VIII or better. · COORDINATION AND COMPLETION: The successful bidder shall contact and meet w~h the County Coordinator at the job site prior to commencement and completion of any work. Successful bidder shall complete the job as instructed and described in writing by the contract, bid or amendment. Any problem or questions that arise in the scope of work, the County must be contacted and the appropriate written amendment generated. , GUARANTEE: The successful bidder shall fully guarantee all aspects of the project for the minimum period of one (1) year. Such one (1) year period shall commence upon the date of final acceptance by County. The guarantee shall include but in no way be limited to workmanship, equipment and materials. DISPUTE RESOLUTION: The ensuing contract shall be governed by the laws of the sta.te of California .Any claim which cannot be amicably settled without court action will be litigated in the U.S. District Court for the Eastern District of California in Fresno, CA or in a state court for Fresno County. DEFAULT: In case of default by the selected bidder, the County may procure the servic~s from another source and may recover the loss occasioned thereby from any unpaid balance d~e the selected bidder, or by any other legal means available to the County. 1 ASSIGNMENTS: The ensuing proposed contract will provide that the vendor may not as,Pign any payment or portions of payments without prior written consent of the County of Fresno. 1 G IPUBLICIRFQIFY 2014-15\962-5320 TOXICOLOGY SCREENING\962·5320 TOXICOLOGY SCREENING.DOC It:_ PHAMAT;...1;....;;.. __ 0~P.....;I~D.:..;' S::.:.M::., ACORD~ "---' CERTIFICATE OF LIABILITY INSURANCE r PATE (MMIDOIYYYYI I os1o2114 r THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE; HOLDER. THIS :ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATJVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY,THE POLICIES BFLOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED f-i. 1ESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. . . 1.. JRTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject te the tenns and conditions of tho policy, certain policies may require an ondorsornont. A statement on this certificate does not confer rights to the certificate holder In lieu of such endonJement(s ). : COVERAGES CERTIFICATE NUMBER· REVISION NUMBER· D IProlessionaiUab ~~M699621 I 03117/14 03117/15 Ea Claim 1,ooo,ooc lCialms Made IRETRO DATE: 03/1712009 j ______ j _____ Aggrega~~--------------------~~~~,000 . OESCRIPTlON OF OPERATIONS !lOCATIONS I VEHICLES !Attach ACORD 1Q1,Adc!tlionol Remark•Sch<><M•,IfnJOfO opaool• roqulrcd) COUNTY OF FRESNO, ITS OFFICERS, AGENTS AND EMPLOYEES INDIVIDUALLY AND COLLECTIVELY BUT ONLY INSOFAR AS THE OPERATIONS UNDER THIS AGREEMENT ARE CONCERNED ARE NAMED ADDITIONAL INSURED UNDER GENERAL LIABILITY PER FORM HG00010605. PRIMARY AND NON-CONTRIBUTORY WORDING APPLY lN FAVOR OF THE ADDITIONAL INSURED. CERTIFICATE HOLDER COUNTYF County of Fresno CANCELLATION SHOUlD ANY OF THE ABOVE DESCRIBED POLICIES BE CA~CELLEO BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL B~ DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ~ Probation Department AUTHORIZED REPRESENTATIVE 1 Attn: Greg Reinke 1100 Van Ness Avenue h f)~-J L ____ ..l! !iF..!.!re~s:t£no~CA~93~7~21~-----------L-___:.. __ .:__ _____ -:-~-:--::-ik.:-:----:---l ® 198S-2010ACORD CORPORATION. All r1 hts resol"!od. ACORD 25 (2010/05) Tho ACORD name and logo are registered marks of ACORD ' J-• - Named Insured: Phamatech Inc. Policy Number: 72UUNTR9588 necessary litigation expenses Incurred by us and necessary litigation expenses irlcurred by the indemnitefl at our request will be paid as Supplementary Payments. Notwithstanding the provisions of Paragraph 2.b.(2) of Sectlon 1 - Coverage A -Bodily Injury And Property Damage Liability. such payments Will not be deemed to be damages .for "bodily Injury" and "property damage" and will not reduce the limits of Insurance. Our obligation to oorend an Insured's Indemnitee and to pay for attorneys' fees and necessary l:tigatlon expenses as Supplementary Payments ends when: a. We have used up 1he applicable limit of insuraiiCe in the payment of judgments or settlements; or b. The conditions set forth above, or the terms of the agreement described in Paragraph f. above, ara no longer met. SECTION II-WHO IS AN INSURED 1. If you are designated in the Deciarafons as: a. An individual, you and your spouse are insureds, but only with respect to the conduct of a business of which you oro tho octo owner. b. A partnership or joint venture, you are an insured. Your members, your partners, and their spouses are also insureds, .but only with respect to the conduct of your business. c. A li'llited liability company, you are an insured. Your members are alsc Insureds. but only with respect to the conduct of your business. Your managers are insureds, but only with respect to their duties as your managers. d. An organization other than a .partnership, joint venture or limited liability company, you are an insured. Your ·executive officers• and directors are insureds, but only willl respect to !1-.eir duties as y0ur offtcers or directors, Your stockholders are also insureds, but only with respect to their liabllty as stockholders. e. A trust, you are an Insured. Your trustees are also insureds, but only with respect to t"''eir duties as trustees. 2. Each of the following is also an insured: a. Employees and Volunteer workers Your "volunteer workers" only while performing duties related to the conduct of your business, or your "employeesu, other than either your "executive officersw (if you are an organization other than a partnership, joint venture or limited liability company) or your managers (if you are a lim~ed liability company), but only for acts within the scope of (IJt::ir tlOploy:nt::nl by you or wttile perfurrniri!:J duties related to the conduct of your business. HG 00 01 0605 Howt.>ver, none of these "emp,oyees• or '!volunteer workers" are insureds for: (1) ''Bodily hjury' or "personal and advertising hjury": {a) To you, to your partr.ers or members (if you nro a partnamhip or Joint ventura), to your members (if you are a Hrnlte.d llabl:i1y company), to a co-"employee" wh!le in the course of his or her employment or perfonn!ng duties related to the conduct of your business, or to your other "volunteer workers" while performing duties Jelaled to the conduct of your btJslness; (b) To the spouse, child, parent, bro!h1!Jr or slster of that co--"employee" or that tvolunteer worker" ao o ccnsequeiiCo of Paragraph {1 )(a) above; (c) For which there is any obligatio~ to share d>lmages with or repay someone; else who must pay damages because of ·the injury described ·in Paragraphs {1 )(a) or ·(b) above; or (d) Arising out of his or her providing or falling to provide professional health care services. If you are not in the business of providing ptofessional health. care seNices, Papgraph {d) .does not apply to any nurse, emergency medical technician or paramedic ell)ployed by you to provide ~uch ::;ervice::;. (2) •property damage" to property: (a) Ovvned, occupied or used by, (b) Rented to, in the care, custody or" control of, or over which physical control is being exercised for any purpose by you, any of your •employees", l "volunletH wcrkers•, any partner or member (i~; you are a partnership or joint venture). or any member (if you ere a limited liability company). b. Real Estate Manager Any person (other. than your "em~loyee" or "volunteer worKer•), or <my urgar1lt:~liun while acting as your real estate manager, · c. Temporary Custodians of Your PropertY Any person or organization having proper temporary custody of your property if ~ou die, b'-.rt only: · (1) With respect to liability arlslng 9ut of ltle maintenance or use of that property; ~nd (2) Until your legal representative • 7\as been appointed. d. Legal Representative If You Ole . Your legal representative if you die, b~t only with respect to duties as suci'l. That reprastntatlve Will I have all your rights and duties under this Coverage Part. e. Unnamed Subsldi~ry Any subsidiary, and subs:dlary thereof, of yours which is a legally incorporated entity of which you own Cl financial interaet of mora thcln 50% of 1he voting stock on the effective date of the Coverage Part. The insurance afforded herein for ~my subsidl~ry nol named in this Coverage Pari as a named insured does not apply to injury or damage with respect to which an Insured under thfs Coverage Part is also an insured under another poicy· or would be an insured under such policy but for Its termination or the exhaustion ot its limits of lncuranco. 3. Newly Acquired or Formed Organization Any organization you newly acquire or form, other than a partnership, jolnt venture or limited liability company, and over which you maintain financial Interest of more than 50% of the voting stock, will qualify as a Named Insured If there is no other similar insurance nvaiiable to that organization. However: a. Coverage under this provision is afforded only until the 180th day after you acquire or form the organization or the end of the policy period, whichever Is earlier; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising Injury" arising out or an ctrense committed before you acquired or formed the orga:1lzalion. 4. Mobile Equipment With respect to "mobile equipment" regfstered ln your name under any motor vehicle registration law, any perscin Is an insured while driving such. equipment along a public highway witt\ your permission. Any other person or organization responsible for 1ho conduct of such person Is also an insured, but on!y with respect to liability arising out of the operation of the equipment, and only If no other insurance of any kind is available to that person or organization for this liability. However, no pe~on or organiz:ation 1:; em ln:.ured witll1 t:::)pt:Gt to. a. "Bodily injury" to a co-"employee" of the person driving the equipment; or b. "Property damage· to property owned by, rented 10, in the charge of or occup iecl by you or the employer of any person who is an insured under this provision. 5. Nonowned Watercraft With respect to waterer~ you do not own that Is less than G1 feet long and is ·not being used to carry persons for a charge, any person is an ins4ted while operating such watercraft with your permission. A:1y other person or oroanizallon responsible for the conduct of such person Is also an insured[ but only with respect to ilabllily arising out of the operation of the watercraft, and only if no other insurenee of any kind :s available to thai person or organ:zation for this !:ability. However, no person or organization is an insured with respect tc: ' a. "Bodily Injury" to a co-"employee" of the person operating the watercraft; or , b. "Property damageu to property owned byJenroo to, in the charge of or occupied by you ortheiemployer r:l any person who !s an insured t.ilder this provision. 6. e:dgiti2nal Insureds Wben Resuired 6'( Written Contract, Written Agreement Or Permit . The follow;ng pcroon(o) or orgonizotion(st) oro on additional insured when you have agreed, ig a written contract, written agreement or because of, a permit issued by a state or political subdivision, :1hat such person or organization be added as an iaddillonal insured on your policy, provided the Injury qr damage occurs subsequent to the execution of the qontract or agreement. A person or organization Is an additional insqred under this provision only for that period of time r~quired by tho contract or agroomont. ' However, no such person or organization is ~m ins.Jred under this provision if such person or orga.rlzation is included gs; an insured by an endan;;ement'jissued by us and made a part of this Coverage Part. , a. Vendors Any pcrson(s) or organilw1ioo(s) (refcrr~ to below as vendor), but only with respect to "b~ily Injury" or "property damage" arising out of "you~ products" which are distributed or sold in the regqlar course ot the vendor's business and only if this;coverage Part provides coverage for "bodily injury" or "property damage" included within the 1 "producls- completed operations llaz:ard". (1) The insurance afforded !he vendor i~; subject to the following addltiona\ excl~sions: ' This Insurance does not apply to: ., (a) "Bodily Injury" or "property dainage' for which the vendor \s obligates! to pay t.ll:lrnuge::; uy reown or lt1t1 ~l:ill~rnption of liability in a contract or agreement This exclusion does not apply to llabiHty for ffi:unagp.s that the vendor would Qave in the absence of the contract or agreement; HG qo 01 0605 ' ., (b) Any express warranty unauthorized by you; (c) Any physical or chemical change In 1he product made Intentionally by the vendor, (d) Repackaging, except when unpacked sole:y for the purpose of Inspection, demonstration, tecting, or tha cubstitution of porto under Instructions from the manufactllfer, and then repackaged in the original container, (e) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes. to make in the usual course of business, in connection with the distribution or saie of the products; (f) Demonstration, Installation, servicing or repair operations, except suet) operations performed at the vendor's premises in connection with the sale of the product; (g) P:oducls which, after distribution or :sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or (h) "Bodily injury" or "property damage· arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, thls exclusion does not apply to: (I) The exceptions contained in Sub- paragraphs (d) or (f); or (II) such Inspections, adjustments, tests or servicing as the vendor has agreed to make or normaily undertae<es to make in the usual course of business, in connection with the distribution or sale of the products. (2) This insurance docs not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. b. Lessors of Equipment (1) Any person or organization from whom you lease equipment; but only wl1h respect to their liability for "bodily injury•, "property damage" or "personal and advertising lnjury" caused, in whole or in port, by your meintonanco, opcro1ion or use of equipment leased to you by such person or organization. (2) With respect to the insurance afforded to these additional insureds this insurance <:Joes not apply to any "occurrence• which takes place after the equipment lease expires. HG 00 01 06 05 c. Lessors of Land or Premises Any person or organization from whom yoJ lease land or premises, but only with respect :to liability ari~ing out of the ownership, maintenance. or use of that part of the land or premises leased to you. " With respect to the nsurance afforded thooe additional Insureds the following additional exclusions apply: This ;nsurance doos not apply to: 1. Any "occurrence• which takes place after you cease to lease that land; or ·· 2. Structurol altcrationo, new conotruction or demolition operations performed by or on behalf of such person or organization. d. Archltgctlo, EnglnQQni or Survgyorli Any architect, engineer, or surveyor, but only with respect to liability for "bodily injury",! "property damage• or "personal and advertisir)O injury" caused, In whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: {1} In connection with your premises; or (2) In the performance of your ongoing operations performed by you or on your behalf. . With respect to the insurance afford~d these additional insureds, the following 1addllional exclusion applies: · This Insurance does 119t apply to ''bod!iy Injury", "property damage• or •personal and ~vertslng injury" arising out of the rendering of or the failure to rencter any professional services by or for you, ~nduding: 1. rhe preparing, approving, or failing io prepare or approve, maps, shop drawings,£ opinions, reports, surveys, tleld orders, change,;orders or drawings and speciflcat:ons; or 2. Supervisory, Inspection, nrch:leQlural or engineering act:vitles. e. Permits Issued By State Or Polltlcal Subdivisions .. Any state or political subdiVision, but ,'only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued a permit. ' With respect to the Insurance afforqed these additional Insureds, this Insurance does not apply ~ . (1) "Bodlly injury•, "property damage'' arj•personal and advertising injury" arising out of operations performed for the state or municipality; or {2) ·Bodily Injury" or "property damage~ lnduded within the "products-compleled pperatlons hazard''. . .,. f. Any Other Party Any other person or organization who is not an insured under Paragraphs o. through e. above, but only with respect to liability for ''bodily injury•, "property damage'' or "personal and advertising Injury" caused. in whole or in part. by your acts or omissions or the acts or omissions of those acting on your behalf: {1} In the performance of your ongoing operations; {2) In connection with your premises owned by or rented to you; or {3} In connection with ''your work" and induded within the "products-completed operations hazard", but only If (a) The written contract or agreement requires you to provide such coverage to . such additional insured; a."ld (b) This Cbverage Part provides coverage for "bodily Injury• or "property damage'' induded within the "products-completed operations hazard". With respect 10 the insurance afforded to these additlooal insureds, this insurance does not apply to: "Bodily injury", "prOf:erly tl<!llla!Jtl" or "p<mmnal Hlld advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, enoineerino nr surveyino services. includino: (1) Th€ preparing, approving, or falting to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, chan!le orders or drawings and specific'..ations; or {2} supervisory, . inspection, architectural or engineering activities. The limits of insurance that apply to additional Insureds u1der this provision Is described in Section Ill -Limits Of Insurance. How this insurance applies when other insurance is available to the additional insured is described in the Other Insurance Condllion in Section lV-Commercial General Llablilty conditions. No person or organization is an Insured with respect to the conduct of any current or past partnership, joint venture or limited IJQbility company tl'.et Ia not ahown ea fl Named Insured In the Dec!arations. SECTION Ill -liMITS OF INSURANCE 1. Tho Most Wo will Pay The Umits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of: a. Insureds; b. Claims made or •suits• brought; or c. Persons or organizations making claims or bringing "suits~. · 2. General Aggregate Limit The General Aggregate Umlt is the most ~.¥e will pay tor the sum of: " a. MediCal expenses under coverage c; b. Damages under Coverage A, ·except damages because of "bod!y injury" or "property damage- lncludt:d in 1he "praducts-complt:ted operations hazard"; and c. Damages under Coverage B. 3. PrOducts-completed OPQratlons Aggreg~te Limit The Products-Completed Operations Aggr~ate llmil Is the most we will pay under Coverage A for damages becauce or "bodily Injury"' and "property damage· included in the "products-completed :operations nazard". 4. Peraon~land Advertlalng Injury Limit Subject to 2. above, the Personal and Advertising !.1jury Limit Is the most we wlll pay under Coverage B for the sum of all damages because of ali, •rmrnonal and advertising injury• sustained by any on~ person or organization. 5. Each Oc-.curranct~ Limit , Subject to 2. or 3. above, wt1Ichever applies; the Each Occurrence Limit !s the most we will pay for the sum of: a. Damages under Coverage A; and b. Medical expenses under Coverage c beC<Iuse of a!l "bodily· injury" and "poperti damage" arising out of any one "occurrence". 6. Damage To Premises Rented To You Limit SUbject to 5. abOve, the Damage To PrBmlsps Kented To You Limit Is the most we wlll pay under Cpverage A for damages because of "property damage· to any one premises, while rented to you, or in th~ case. of damage by fire, lightning or explosion, whll~ rented to you or temporarily occupied by you wittl permission of the owner. In tho case of damage by fire, lightning or jexp!osion. the Damage to Premises Rented To You Lil)iit applies to all damage proximately caused by .the same event, whether such damage results from nre, lightning or explosion or any combination of these. ; 7. Medical Expense limit . Subject to 5. above, the Medical Expense 1:,1m1t is the most we will pay under Coverage C for ~II medical expenses because ot ~bodily injury" sustalf18d by any one person. 8. How Limits Apply To Additional Insureds If you have agreed in a written contract written <::~greerr1ent tnH1 another person or organ,lzat!on be HG 0~ 01 0605 1 f _ ..... added as .an additional Insured on your policy, the most we Will pay on beh;;:lf of such additional insured Is !he lesser of: a. The limits of insurance specified in the written contract or written agreement; or b. The Limits of Insurance shown ih tho Declarations. Such Clrnount shall be a part of and not in addition to Limits of Insurance shown in the Declarations and descr:bed in this Section. The Limits of Insurance of this Coverage Part apply separately to ooch consc:cutive annual period and to any remaining period of less than 12 months. starting with the beginning of the policy period shown in the Declarations unless the policy period is elctended after issuance for a~ additional period of less than 12 months. in that case, tho additional per!oo Will be deemed pan or the last preceding period for purposes of determining the Limits of Insurance. SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS 1. Bankruptcy Bankruptcy or :nsolvency of the insured or of the insured's estate will not relieve us ot our obligations under this Coverage Part. 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit a. Notice Of Occurrence Or Offense You or any additional insured must see to it that we are notified as socn as practicable or an "occurre~ce" or an offense which may result In a claim. To the elctent possible, nollce should indudc: (1) How, wltcrt <lfiU where tfte "m;currcm;e· or offense took place; (2} The names and addresses of any injured persons and witnesses; and {3} TtJe naJUre and location of any injury or damage arising out of the woccurrence" or offense. b. Notice Of Claim It a claim Is made or "suit'' is brought against any insured, you or any additional insured must: (1) Immediately record the specifics of the claim or "suit" and the date received; and (2} Notify us as soon as practicable. You or any additional 1nsured must see to it that we receive written notice of the claim or "suit" as soon as practicable, c. Assistance And Cooperation Of The lnsumd You and any other involved insured must: (1) lml'l'lOdiatoly send us copies of any demands, notices, summonses or legal papers received in con:1ection with the claim or·sult"; {2) Authorize us to obtain records and other information; HG 00 0106 05 {3) Cooperate w~th us In the investigation or settlement of the claim or defense $gainst the "suit"; and {4} Assist us, upon ot.r request, in the enfQJcement of any right a gal nst any person or orgarizetion whch may be liable to the insured because of lr1iurv or damage to which this Insurance may al$0 apply. d. Obligations At The Insureds Own Cost No lmured will, except at that insur~d's;own cost voluntarily make a payment, assume any obllgation, or incur any expense, other than for first aid, without our consent &. Additional Insureds Othor Insurance If we cover a clafm or ¥suit" under thls,Coverage Part that may also be covered by othertinsurance available to an additional insured, such'addilional insured must submit such claim or "sOil" to the other Insurer for defense and indemnity. . However, 1his provision does not apply to the extent that you have agreed in a written contract or written agreement that this insurance is primary ond nor1-contributory with tho odditlonat ineurcd's own Insurance. f. Knowledge Of An Occurrence, Offe1;1e, Claim Or Suit Paragraphs a. and b. apply to you Pr to any additional insured only when such "ocpurrence•, offense. claim or 'suit" Is known to: ' (1) You or any addi1ional Insured tl)at is an individual; (2) Any partner, if you or an ooditlon:al lnl>tJred is a partnership; (3) Any manager, if you or an additional insured is a 'imitAd linbility r.omp:1ny; (4) Any "executive officer" or insurance n;Janager, if you or an additional insured is a corpc\fatiOn; (5} Any trustee, if you or an addltlonat JJurad is a trust; or {6} Any elected or appointed official, If you or an addition~! insured Is a political subdivision or public entity. This duly applies separately 1o you and any;additional insurod. 3. togal Action Against Us No person or organization has a right ~nder this Coverage P:art: a. To jo,n us as a party or otherwise b~ing. us into a "suit" asking for damages from an Insured: or b. To Buc us on this Cavarage Part unle8~ all of its terms have been fully complied with. A person or organization may sue us to recdver on an agreed sottlement or O'l a final judgment :ilg:::~inst an insured; but we wllf not be liable for darnag~ that are not payable under the terms of this Coverage Part or ... ' that are in excess of the applicable limit of insurance. An agreed settlement means a settlement and release of lia:Jility signed by us, the Insured and t'le clAimant or the claimant's legal representative. 4. Other Insurance If othor valid and co!lootible insurance is avaLable to the insured for a loss we cover under Coverages A or B of this Coverage Part, our obligations are limited as follows: a. Primary Insurance This insurance is primary except when b. below applies. If other Insurance is also primary. we will share with all that other insurance by the method described in c. below. b. Excess Insurance This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis: (1} YourWork That Is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (2) Premises Rented To You That is fire, lightning or explosion insur<Flce for premises rented to you or temporar!iy occupied by you with permission of the owner; (3) Tenant Liability That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or temporarily occupied by you with permission of the owner; {4) Aircraft, Auto Or Watercraft If the loss arises out of the maintenance or use of aircraft, •autos" or watercraft to the extent not sub!ect to Exclusion g. of Section I -Coverage A--Bodily Injury And Property Damage Liability; (5) Property Damage to B<>rrowed Equipment Or Usa Of Elevators If the loss arises out of "property damage" to borrowed equipment or the use of elevators to the extent not subject to Exclusion J. of Section I -Coverage A • Bodily Injury And Property Damage Ulibllity; (6) When You Are Added As An Additional Insured To Other lnsuranco Any ulttt:!r io:;uri:ln<;e CIVi:dl<i~le to you wvering liabl:ity for damages arising out of the pre11lses or operations, or products and completed operalioos, for which you have been added as an addlt:onai insured by that insurance: or (7) When You Add Others As An Additional Insured To Thlslnsuranco Any other in~rance available to an, additio'lal Insured. However, the following provisions ap~ly to other lnsuronco ovailoblo to any Pbrnon or organlzatJon who Is an additional lnstJred under this coverage part. (a) Primary lnAurAnce Whnn Ro9uirod By Contract This Insurance is primary if you h~ve agreed in a wrlt!en contract or written agreement that this Insurance be primaryl If other insurance Is also primary. we wili share with ail that other ins:;rance by tne met!JOd aescrlbed In c, below. (b) Prlmarv And Non..Contributozi;To Othec Insurance When ~ulred By dntrac,t: If you have agreed ln a writte~ contract, written agreement, or permit Uhat tl~s insurance Is primary and non-contributory with the odd!lionol insured's ovm lnooroncc, this insurance is primary and ~ will not seek contribution from that other Insurance. Pumgr~:~ptl::> (a) lUli:J (b) do r~l ~pply lU oUter insurance to which the addlttona' msured has been added as an additional i"lsured. When this insurance is excess. we will have no duty under Coverages A or B to defend t~e insured against any "suil" If any other insurer had a duty to defend the insured against that ·suit". I~ no other Insurer dt:lfen<.ls, we will um.Jerlake to t.lu ~Jo, but we will be entitled to the insured's rights ~ga!nst all those other insurers. When th:s insurance Ia excess o~er other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum o!: (1) The total arnounl that all such other insurance would pay for the loss in the absence of this Insurance; and · (2) ThA totAl d ~u r!Rrl11dihiP-Rnrl !'l~lf-IMaarP.rl amounts under aU that other insuranc~ We will sh;:~re the remaining loss, if any~ with any other insurance that Is not described in this Excess Insurance provision and was not bought speclticaliy to apply in excess of the Limits of insuranpe shown in the Declarations of this Coverage Part t c. Method Of Sharing If all of the other insurance permits contt{~ution by equal shares, we will follow this meth~ al~o Urx:ier this approach each insurer contn:lutes equal amounts untJI It has paid its applicabl~ limit of insurance or none of the loss remains, Whichever comec flrot. :~ HG 00j01 06 05 If any of the other insurance does not permit contlibution by equal shares, we will contribute by limits. Under this method, each insurer's share Is based on the ratio of its applicable limit of Insurance to the total applicable limits of insurance of all Insurers. 5. Premium Audit a. We will compute all premiums for this Coverage Part in accordance with our rules and ~ates. b. Premium shown in this Coverage Part as oovance premium Is a deposl1 premium only. At the dose of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit and re~rospectlve premiums is the date shown as the due date on the bill. If the sum of tho adVance ar.d audit premiums ;laid for the policy period is greater than the earned premium, we will return the excess to the first Named Insured. c. The first Named Insured must keep records of the Information we need for premium computation, and send us copies at such times as we may request 6. Representations a. When You Accept This Polley By 2ccepting this policy, you agree: (1) The statements ln the Declarations are accurate and complete; (2) Those :statements are based upon representations you made to us; and (3} We have issued this policy ln reliance upon your mpresantations. b. Unintentional Failure To Disclose Hazards If unintentionally you should fail to disclose all· haz:ardl!i relating to the conduct of your business that exist at the inception date of this Coverage Part, we shall not deny coverage under this Coverage Part because of such failure. 7. Separation Of Insureds Except with respect to the Umils of Insurance, and any rights or duties specifically 'lS:signed In this Covorogo Part to the first Named Insured, this insurance applies: a. As if each N;1med Insured were the on 1y Named Insured: and b. Separately to each insured ag~inst whom claim is made or •suu• is brought. 8. Transfor Of Rights Of Rgcovgry Against Othors To Us a. Transfer of Rights Of Recovery · If the Insured has rights to recover all or part of any payment, induding Supplementary Payments, we ha·te made under this Coverage Part, thosl3 rights are transferred to us. The Insured must do nothing after loss to impair them. At our request, tile HG 00 01 06 05 Insured will bring "suit" or transfer those rights to us and help us enforce them. b. Waiver Of Right& Of Recovery (Waiver Of Subrogation) . t: If the insured has waived any rights of recovery ogainEJt any person or organization for all or part ot any payment, Including Supplementary l?ayments, we have made under this Coverage Part, we also waive that right, provided the Insured w~lved their rights of recovery against such ~rson or organizatio:-1 in a contract, agreement or permit that was executed prior to the Injury or damag~. 9. When We Oo Not Renew · if we decide nol to renew this Coverage P::~rt, we wi:l mall or deliver to the first Named Jnsured shown in the Declarations wrmen notice or the nonrenewal not less than 30 days before the expiration date. ·· If notice Is mailed, proof of mailing will be: sufficient proof of nolice. · SECTION V-DEFINITIONS 1. "Advertisement" means the widespread public dissemination or information or Images that has the purpose .of inducing the sale of goods, products or services through: · a. (1) Radio; (2) Television; (3) Billboard; (4) Magazine: (5) Nevvspaper; or b. Any other publication that i& given wjdespread public distribution. Howev'3r, "advertisement• does not include: n. Tho dcoign, printed material, information ~r imogcn contained in, on or upon the packaging Qr labeling of any goods or products; or " b. An Interactive conversation between dr :among persons through a computer network. , 2. "Advertising idea" means any idea ' for an '',qclvrtrtlf'>Amonf". 3. "Asbestos hazard" means an exposure or~ threat of exposure to the actual or alleged prneertles of asbestos ond includes the mere presence o~ asbestos In any form. ' 4. •Auto¥ means a land motor vehide, trailer or ~ernitraller designed for travel on public roads, Including any attached machinery or equipment. But "auto~ does not indude "mobile equipment•. 5. "Bodily injury• Jn€ans physical: a. Injury; b. Sic:<ness; or c. Dise:ase < sustained by a person and, if arising out of the above, mental anguish or death at any time. -l :J ! I l l l State of California Secretary of State CERTIFICATE OF STATUS DOMESTIC CORPORATION I, DEBRA BOWEN, Secretary of State of the State of California, hereby certify: That on the 29TH day of DECEMBER, 1998, PHAMATECH, INCORPORATED : qecame incorporated under the laws of the State of California by filing its Articles of Incorporation in this office; and That said corporation's corporate powers, rights and privileges are not suspended on the records of this office; and That according to the records of this office, the said corporation is authorized to ,, exercise all its corporate powers, rights and privileges and is in good legal standing in the State of California; and That no information is available in this office on the financial condition, business activity or practices of this corporation. · NP-2.5 (REV 1/?.007) lN WITNESS WHEREOF, I execute this certificate and affix the Great Seal of the State of California this day of May 2, 2008. DEBRA BOWEN Secretary of State let t /lSi :bsp Oil fliJIJ I ii Quotation No. 962-5320 Page 13 BIDDER TO COMPLETE THE FOLLOWING: PARTICIPATION The County of Fresno is a member of the Central Valley Purchasing Group. This group consists of Fresno, Kern, Kings, and Tulare Counties and all governmental, tax supported ag~ncies within these counties. Whenever possible, these and other tax supported agencies co-op (piggyback) on contracts put in place by one of the other agencies. Any agency choosing to avail itself of this opportunity, will make purchases in their O'f'n name, make payment directly to the contractor, be liable to the contractor and vice versa, per the terms of the original contract, all the while holding the County of Fresno harmless. If awarded this contract, please indicate whether you would extend the same terms and conditions tg all tax supported agencies within this group as you are proposing to extend to Fresno County. fJ1 Yes, we will extend contract terms and conditions to all qualified agencies withfn the LPJ Central Valley Purchasing Group and other tax supported agencies. D No, we will not exte~~" contract terms to any agency other than the County of Ft,esno. I (Autborized Signature) V;?_ .~~ -------------------------Title G:\PUBLIC\RFQ\FY 2014-15\962-5320 TOXICOLOGY SCRFFNING\9625320 TOXICOLOGY SCRECNING.OOC Quotation No. 962-5320 VENDOR MUS~II,JRtLW!ItiflE_WE.SI.J;J)R QuoiAIL9Ji, Firm: Phamatech Inc. REFERENCE LIST ·Page 14 Provide a list of at least five (5) customers for whom you have recently provided similar · products/services. Be sure to include all requested information. Reference Name: _,B"""a""'lt""'-in'"""lo:<.:.r_,_e_,C::..::o'""u"-'n"'-'ty_,O""'O=C ____________ Contact: Sharon Tyler Address: 720Bos~.~y_A_ve_n_ue _____________________________________ ~----- City: Towson State: ...,M"--"0"---Zip: 21204 Phone No.: (±1Q)_,5~12:...;·3~4"'"04-'----------Date 1/23/15 Service Provided: Phamatech performs statewide testing for multiple agencies including Probation and Department of Corrections. Testing includes supplies. shipping of specimen. screening and confirmation tests and reporting. " Reference Name: Hamilton County Address: 6215 Dayton Blvd. City: Hixson State:_,I..:..:N,__ __ Zip: 37343 Phone No.: (423)8~7-4835 ________ Date: 1123115 Service Provided: Phamatech provides supplies. shipping of specimens, screening and confirmation tests and reporting ,;W.,N~'.ii"',.V'~'·.f?"Af'.¥::,~--? A:'..,V;..Vv(,{.#'J?'~'i' ~-r ,;V,.'':;4,..~-\a"t;'.'!l\o'l1'.1; -P-:~:£'-..J'.Jf:...):(:..,f:~~~-4" ,)J'~.~ •• Y.;.;(,;~f..:'.lf" ~-~·..fl:."tl 4·,,¥,'-4' .>.1::&~:-U ;»,,P.~" d . .U,£ . .#',*=##'4"-.dW'J ..~<!' .#}' ~ifW #'".#.$;¥t'##·[~JU.§ .Jo."'"j"~ Reference Name: Broward County Sheriff Contact: Dave Scharf Address: 4200 NW 16 Street Suite 607 City: Lauderhill State:_F:....:L=----Zip:33313_......,.... ___ _ Phone No.: ( 954)..!::.5::;:.::35:...::·2:.!:<;39"-='0;..!!x.:::..35,_,1 _______ Date:1/23/15 Service Provided:,_--...--.-,-___,..---...,----.--~-..,.,--.....,----.---..---.--...-.,-----o---:--.-­Phamatech provides laboratory screening and confirmation services, specimen collection and transportation. Over 3,200 specimens montblv. Reference Name: State of Maryland, Inmate Address: 301 West Preston Street City: __ ....,..=B~a,_,lti""m""'o,_,re====.__ _____ __,,..._--State:-"'M'-'"'0::::........ ___ Zip: 21201 Phone No.: ( 417) 767-4627 Date: 1/23/15 Service Provided: Phamatech provides supplies, shipping of specimens. screening and confirmation tests and reporting. -------·---··•""·-······----------------------------:---- .,v·,.,p•J!<".,V #' ¥.¥1 e¥:#'4? '"' 4'"$"'#'".,#:' ... "·.;H~~<.#.ii!!:.?l'.,.$<.~..iH"v..J¥~ #':.Aif"~ ....... ~.-# .. _,.,"1";,11',·~·-.w •• ,.r;• ... ~AI-~' -'.:..0~" ..... ,., ,.z', .;r •• ..,.. ..., ~"c.#'.##-... .-.; #¢,,q,,.t.tvH-~"' ..J?'.AI·d Q_,.&. .G-,t-<' . .,0" ,$ .~ # •'>'!'#" A" lll' #:.lf",.JI·.,.v-,#.....,.,Q'., Reference Name: First Judicial District of Pennsylvania Contact Janet McHale Address: 1401 Arch Street ~~~~~~-------------------------------------~-------City: Philadelphia State: CA Zip:-'1.ll..91,_,0'""'2 __ ..._ ___ ~ Phone No.: ((215)6~3-1283 ·------Date _,.1=/2""3/-"15,__ __________ '+-;-___ _ Service Provided: Phamatech provides supplies, shipping of specimens, screening and confirmation tests and reporting. G:\PUBUC\RFQIFY 2014-151962-5320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING.DOC ...... ' ' . ~<<«<~~~~~-- rJ • ~ CLINICAL LABORATORY IMl)ROVF.MENT AMENDMENTS t 'J.~ CJ]RTJFJCATE OF COMPUANCE ~ LABORATORY NAME ~D ADDRESS CLIA 1D NUMUER 0501078844 PHAMATECH, INC EFFEGl1VEDATE & 10151 BARNES CANYON RD SAN DIEGO, CA 92121-2725 10/09/2014 LABORATORY DIRE<..'TOR E.XPIRA110N OAJ'E NOEMlAMITlNA 10/08/2016 2!!6 ~rts2_000914 DEPARTMENT OF HEALTH &RUMAN SERVIC'£S + Thomas G. Aucoin, Ph.D. Mr. Ken K.qdama Phamatech, Inc. · 10151-Barnes CIUlyan Road San Diego, California 92121 Dear Dr. Aucoin and Mr. Kodama:· JUN 0 4 2007 Substance Ahu$0 and Mentel Health Sorvlc. Admlnlatrat{on Centerfor Mao~ Health Services Center for Subttimce Abuse Prevention ' · Centerfor subat&nce Abuso Tl'1!atment . ' · Rockville MD ~7 I am pleased to inform you that Phamatech, Inc., San Diego, California, has successfully m« all of the requirements for laboratory certification as specified in the Depart.ment of Health · and Human Services' (HHS) Mandatory Ouidelines for Federal Workplace Drug Tooting Programs {69 FR 19644). . Phamatech, Inc., San Diego, California, will be placed on the list of laboratories certified as,~ i -··-==·-:eligibleto'bid ou-:oontnwts~to:perfonndrogt:eSting·for-Fedetai·Drug•F..:ree.:.Workplace:-:::.:.::·+-:::::--:-':-.----· -==:~:-i Programs. '!tie list of laboratories certified by the Substance Abuse and Mental Health Services Administration on behalf of the Department are sent to all Federal agencies. !: UpdateS to this list are published every month in the Fegeml Regiger, and nlade ~vailablc tQ the general public upon request. · To maintain certification from HHS. Phamatech, Inc., s~ Diego, California, must conwi~· . to meet all.the reqUirements of !he Federal. Guidelines as specified in Subpart C-'1 Certification of Laboratories Engaged in Urine Drug Testing for Federal Agencies. Maintens.nce of certification requires participation in a q..wterly performance testing · · program plus periodic, on-site inspec#ons (see sections 3.2(b), 3.17~ 3.18, 3.19, and 3.20}. If you have any questioos conceroing the HHS N~tiowil Laboratory Certification Program,~ please contact the Division ofWorkplaoo Programs at (240) 276-2600. ~ ' ' .. 0 •• The HHS laboratory standards for urine drug testing certification were designed to assure . Federal agencies and their employees that the Iaboratorl$ and the scle.ntific and · metbodologi.cal jrocedures used are of the highest quality. Your laboratory is to be congratulated for ~ting all the requirements of-the Department's program. .. • ' ' ;. ·~· Sincerely, . (~/.&.;..· Terry L. Cline, Pli.D. . Administrator The College of American Pathologists b,;,;~,,~,····"·; ~~J!JJfLLUJL!a.~.f2!JI{Q!JLllfllllli?d .lle,.la.u.~ ..... . Pha1natech Labs San Diego, Cltliforltia Tho1nas Aucoin, PhD LAP Number: 7210751 AU-lD: 1512089 has n1et all applicable standardY for accreditation and is hereby accredited by the College of Arnerican Pathologists' Forensic Drug Testing Accreditation Progran1. Reinspection should occur prior to Janua!J' 27, 2014 to 1naintain accreditation. Accreditation does not automatically survive a change in director. ownership, or location and assumes that all interim requirements are met. ~£~ ~~~ Chair, Commission on Laboratory Accreditation President, College of American Pathologists ('I r Exhibit B Chain of Custody Protocol Phamatech uses federal regulation chain of custody procedures (SAMHSA Guidelines). Phamatech will ensure that its poHcies and procedures follow SAMHSA Guidelines which govern the collecting, handling, storing, testing, and disposing of urine samples; disseminating results; and retaining samples in a manner that ensures confidentiality ~nd accuracy. Phamatech will strictly follow the chain of custody procedures and guarantee the results are correctly matched to the person who provides the specimen. Starting at the time of collection, a urine sample's chain of custody will be documented and protected. The following are Phamatech's Chain of Custody Procedures Collection: Properly training the urine specimen collector, and constantly reviewing. and verifying that the urine specimen collector fallows the instructions on the Chain of Custody form (CCF). Collection instructions are provided on the back of each CCF. • Step A: Collector ensures the specimen I.D. number of the top of the CCF matches the specimen I. D. number on the label/seal. • Step 8: When the donor reports, the collector must make a pos~ive 1.0. and complete CCF Step 1C donor 1.0. and check the reason for test. Donors wifl be searched to detect any device or substan,ce designed to substitute or contaminate a specimen. The donor 1 should wash their hands prior to the collection process. · • Step C: The collector shall open the collection package in view pf the donor, inspect for completeness and give the collection cup lo the donor who shall provide specimen. • Step 0: After donor gives the specimen to collector, the collectdr checks the temperature within 4 minutes and marks the appropdate box in Step 2 on the CCF. • Step E: Collector marks single/split or none under specimen . collection and observe line. The collector documents any remarks. • Step F: When sufficient specimen is provided, collector shall pour specimen into the transportation vial and affix the tamper-evident seal in the presence of the donor. · ' • Step G: The collector dates the spedmen bottle label after they ?re placed on the specimen vial. The collector checks the requested panel in Step 4. • Step H: Donor initials and dates the seal(s) and watches collector pour the specimen into the transportation vial, securing the cap. Donor prints and signs their name and dates the CCF. The collector prints, signs and dates Step 5 of the CCF. Preparing for Shipment. The collector places the vial into the front pouch of the bio-bag with absorbent material and places the top copy of the C;CF into the rear pouch of the bio-bag. The pouch is then sealed and placed into a transportation bag. Shipping: Overnight carrier will pickup the transportation bag(s) at the collection sites and provide records of shipping to maintain custody and control until received and opened at the secure Phamatech laboratory. Phamatech's forensic laboratory is certified by SAMHSA (Substance And Mental Health Administration), the US Federal Department of Health and Human Services certification program. SAMHSA certification is the 'gold standard' of forensic laboratory certification and includes stringent security and comprehensive inspection and verification procedures. Specimen Arrival/Laboratory Testing: The laboratory receives the sealed specimen in a secure chain of cust9dy bag. The Department is a limited access, secured area for receiving ahd aliquoting specimens for analysis. Specimens remain in the Specime~ Processing Area until they are disposed of or placed in long-term stor~ge. Specimens are sorted for accessioning and aliquoting personnel. Specimens are sorted by specimen type. Each sealed specimen bag is inspected, and then opened. If any oft~e seals are damaged or broken a Notation Form is completed and is attached to the chain of custody and a notation on the Chain of Custo~y form is made. If the specimen bag is broken, annotate "package seal 9 broken" on the chain of custody. Information on the chain of custody i~ matched against that on the bottle seal. vVorking with one bottle at a time the specimen seal is cut or broken and the cap is removed. An aliquot is then transferred to an Olympus tube. The specimen bottles are placep in a storage tray with the chain of custodies in the same order as the ~ specimens within the tray. The chain of custody is completed using stamp and signature. All entries on the chain of custody (signature/date) must coincide with the transfer. After the receiving process is completed, the specimens are transferred to "Temporary Storage". This transfer is documented on the chain of custody. The Internal Chain of Custody is used to document transfer of aliquots to the screening area and specimen bottles into Temporary · Storage. Upon completion of screening, presumptive positive specimens are separated into storage trays. The specimens to be aliquoted for confirmation are listed on the Laboratory Information System (LIMS) generated Internal Chain of Custody and the specimens are maintaine~ in the receiving area until completion of testing. All negative specimens are retained within Temporary Storage not less' than 24 hours. Negative and canceled specimens are prepared for discard. Non-negative specimens, confirmation (retest) specimens, adulterated specimens, and other specimens designated for frozen storage, are transferred to the Long Term Storage for at least one yeari or longer if requested or required. Specimen Storage: Security Access to the forensic laboratory is restricted to authorized forensic personnel. Departments The forensic laboratory is divided into two rooms. The first room is for specimen processing, aliquoting, temporary storage, and permanent storage. The second room is for screening, extraction, confirmation, ar;;d reporting. Keypad access for each room is based on an employee's job description and need to access the area to perform assigned duties. Service personnel must use a sign-in log to record escorted access in each secure area. Specimens Specimens are maintained in one secure location within the forensic laboratory. After the initial test is performed, batches containing presumptive positives are transferred to short-term temporary refriger9ted storage. Confirmed positives are stored in a locked freezer for long term frozen storage. Records: Records used in the certification process are maintained in Record Storage. Security of Samples and Sample A.liquots 1. Temporary Storage-Refrigerator a. Original specimen bottles while pending screening/S\JT 2. Long Term Storage-Freezer a. Confirmation (non-negative) specimens for a period of not Jess than one (1) year. b. Specimens retained at client's request and /or under legal challenge. c. Specimens with suspected adulteration, adulteration, substitutiot;l, or invalid. · TRANSFER OF SPECIMENS TO STORAGE AREA After the batch has been accessioned, the samples are placed in the temporary storage refrigerator in the secure accessioning area. Sampt'es are pulled from the temporary storage refrigerator for confirmation testipg and segregated into positive batches, which remain in accessioning. This transfer is documented using Horizon's internal chain of custody report. The negative samples are transferred to temporary refrigerated storag9. This transfer is also documented with Horizon's internal chain of custo9y report TRANSFER OF NON-NEGATIVE SAMPLES TO LONG TERM STORAGE Samples that confirm positive will be transferred to secure storage. 1. In Horizon, go to Samples > Custody> Transfer. For the destination, choose "Long Term Freezer" from the list of values. In the reason field enter "NON-NEGATIVE STORAGE." Leave the Chain field blank .. 2. Navigate to the Container ID field. Scan in the container barcode from each container to store. 3. When all containers have been scanned. hit F1 0 to save. 4. Print an internal chain of custody report to document the transfer. • \ Facility Con centra Health pointe Integra Test Dr. Richard Brophy !Aptos Clinic (Doctor on Duty) Whitelaw Well ness Center Mad River Occupational Health Department Community Recovery Resources AVERTEST (used to be global druQ testing) Concentra Dr. Mikes Walk in Clinic Random Drug Testing U.S. HealthWorks ExamOne/Health Exams U.S. HealthWorks Paramex Screening Services Chino Hills Primary Care U.S. HealthWorks U.S. HealthWorks Coalinaa Reqional Medical Center EMS I Immediate Medical Care Center American Industrial Care Dr. VonSief Du Mouchel Occupational Health Muir Diablo Occupational Medicine Healthpointe OHS Health & Safety North Coast Health Angelman's Amador Valley Medical Center Valley Testing U.S. HealthWorks U.S. 1-!ealthWorks U.S. HealthWorks Scott Valley Rural Health Clinic Occupational Environmental Health& Drug Screenina Northbav Medical Center Mayers Memorial Hospital MED7 E and J Medical Services Bizmed Occupational Health Clinic 'EastSay,Aceidenl''lniurvCenter '""'~W'' · ..... ... ., ... '"'"" .. Fremont Urgent Care AVERTEST (used to be 1.11obal druq testinq) Choices Complaince Solutions Con centra-Downtown Concentra -North Concentra -South Drug Testing Center --Address 2121 Towne Centre Place Ste. 100 1717 E. Lincoln Ave 2814 W. Lincoln Ave 3731 Sunset Lane Ste 102 6800 Soauel Drive 7887 Soauel Dr. #G 59214th St 11960 Heritage Oaks Place, Ste 15 522 Chester Ave 9500 Stockdale Highway, Ste. 100, 101 716 E. Main St 15129 1/2 Clark Ave 2850 Seventh Street, Suite 100 1860 El Camino Real Suite 400 9700 De Solo Ave 1450 Sherman Ave 3110 Chino Ave 1111 Broadway, Suite 305 17487 E. Hurley Street 1191 Phelps Ave 1280 East Cooley Suite 15 6538 Telearaph Rd 2477 Pacheco St 2481 Pacheo St 5167 Clavton Road 2231 Galaxy Court 1171 Railroad Ste #101 3303 Harbor Blvd Suite G-2 1325 Northcrest Drive 1425 Market Lane Suite G 7667 Amador Vallet Blvd 588 Broadway 9350 Flair Drive, suite 102 390 N. Seoulveda, Suite 1000 362 West Mission Ave Suite 104 155 Dloales Street 3116 Harrison Ave 1101 B. Gale Wilson Suite 204 43563 State Hiohwav 299 E 1201 East Bidwell 8840 Warner Ave Suite 102 42650 Christy St 5.115.oMowiV . ..Ave., •.... ""''' 3161 Walnut Avenue 2113 N. Merced Ave 2915 Tulane Street 2610 Tuolumne Street 7265 N. First Street. Ste. 105 2555 South East Avenue 5612 N. Blackstone Ave ~,,. Citv State Zip Code Phune # Anaheim CA 92806 714-937-1919 Anaheim CA 92805 714-635-2642 Anaheim CA 92801 714-828-1797 Antioch CA 94509 925-754-6782 Aotos CA 95003 831-662-3611 Aotos CA 95003 831-688-7294 Arcata CA 95521 707-825-4907 Auburn CA 95603 530-885-1961 Bakersfield CA 93301 Bakersfield CA 93311 661-282-4900 Barstow CA 92311 760-256-6426 Bellflower CA 90706 562-804-7488 Berke lev CA 94710 510-845-5170 Burlinaame CA 94010 650 777-0955 Chatsworth CA 91311 818-882-8100 Chico CA 95926 530 895-3203 Chino Hifls CA 91705 909 630-7868 Chula Vista CA 91911 619-425-8212 City of lndustrv CA 91744 626-965-0959 Coalinaa CA 93210 559-935-6400 Colton CA 92324 909-370-0350 Commerce CA 90040 323-726-3212 Concord CA 94520 925 674-8080 Concord CA 94520 925-680-0230 Concord CA 94521 925-798-6300 Concord CA 94520 925-685-7744 Costa Mesa CA 92626 949-764-9301 Costa Mesa CA 92626 949 764-9301 Crescent City CA 95531 707465-1036 Dixon CA 95620 707 693-1947 Dublin CA 94568 925-828-9211 El Centro CA 92243 760 352-5358 El Monte CA 91731 626-407-0300 EISeaundo CA 90245 31 0-640-9911 Escondido CA 92025 760 747-2330 Etna CA 96027 530-467-5393 Eureka CA 95503 707-744-3885 Fairfield CA 94533 707-646-5000 Fall River Mills CA 96028 530-336-5511 Folsom CA 95630 916-920-6337 Fountain Valley CA 92708 714 596-7340 Fremont CA 94538 51 0 226-8832 Fremont CA 94538 510 796-9799 i Fremont CA 94538 510-796-1000 Fresno CA 93721 559-266-8029 Fresno CA 93721 559-486-8378 Fresno CA 93721 559-268-0666 Fresno CA 93720 559-431-8181 Fresno CA 93706 559-499-2400 Fresno CA 93710 559 440-1991 EMS I -Garden Grove 11612 Knott St Suite G-13 Garden Grove CA 92841 714 898-9203 Healthpointe 7052 Orangewood Ave #6 Garden Grove CA 92841 714-903-1100 U.S. HealthWorksAttn: Anna or Maria 16630 S Broadway St. Gardena CA 90248 310-768-8155 US HealthWorks 7793 Wren Avenue Gilroy CA 95020 408-848-0444 Glendale Adventist Medical Center 600 S. Glendale Ave Glendale CA 91205 818-502-2050 The MedCenter, Inc 271 N. Fairview Ave #101 Goleta CA 93117 805-681-7411 Community Recovery Resources 440 Henderson St. Ste C Grass Valley CA 95945 530-273-9541 Yuba Docs 2090 Nevada City HiClhwav Grass Valley CA 95945 530-274-5020 Greenfield Urgent Care (Doctos on Duty) 634 Walnut Ave Greenfield CA 93927 831-674-5066 CheckPoint 24326 Mission Blvd Suite 3 Hayward CA 94544 510 733-5707 Northern CA Drug Testinq Clinic 26250 Industrial Blvd Suite 32 Hayward CA 94545 510 491-5782 Occupational Testing Center 24326 Mission Blvd H(lYWard CA 94544 510-733-5707 Sun Ray Addictions 960 N State St Suite B Hemet CA 92543 951 652-3560 Dr. Mikes Walk In Clinic 15791 Bear Valley Rd Hesperia CA 92345 760-949-1231 Cal-Test 612 South J Street. Ste 8 Imperial CA 92251 760-355-0796 U.S. HealthWorks 2362 Morse Avenue Irvine CA 92614 949-863-9103 Healthpomte 5345 Irwindale Ave Irwindale CA 91706 626-960-5361 New Visions 557 South State Highway 49 Jackson CA 95642 209-257-1246 Sutter Amador Hospital 200 Mission Blvd Jackson CA 95642 209-223-7500 Community Recovery Resources 8491 North Lake Blvd KinQs Beach CA 96143 530-546-5641 Immediate Medical Care Center 15330 Valley View #1 La Mirada CA 90638 532-802-0208 Concentra 26 Centerpointe Dr. Ste. 115 La Palma CA 90623 714-522-8020 U.S. HealthWorks 22741 Lambert Street Lake Forest CA 92630 949-581-3011 Immediate Medical Care Center 5203 Lakewood Blvd Lakewood CA 90712 562 633-2273 AVOCC 43845 N. 1Oth St W. Ste 28 Lancaster CA 93534 661 949-9126 Sixcess Drug Testing Services 43535 17th St W #302 Lancaster CA 93534 661 951-0444 Accu Testing_ Services 201 S Guild Ave Suite 101 Lodi CA 95240 209 340-8700 Placer County Drug Detection 3875 Taylor Rd Suite A1 Loomis CA 95650 916 652-0411 ARCpoint Accudiagnostics 2320 S. Robertson Blvd Suite 201 Los Angeles CA 90034 310 862-4333 Concentra 6033 W. Century Blvd. Ste. 200 LosA!'geles CA 90045 310-215-1600 Ross Health Center 2476 S. Atlantic Blvd Los Angeles CA 90040 323-780-1650 Soberlife Inc. 5419 West Sunset Blvd, Ste 7 Los Angeles CA 90027 323-465-3777 The Ness Counseling Center 8512 Whitworth Dr Los Angeles CA 90035 310 360-8512 Venice Culver Marina Medical Group 12212 W Washinqton Blvd Los Anqeles CA 90066 310 391-5241 Concenlra 509 South I Street Ste. A Madera CA 93637 559-673-9020 Mammoth Hospital 85 Sierra Park Rd Mammonth Lakes CA 93546 760-934-3311 Marina Clinic( Doctors on Duty) 3130 Del Monte Blvd Marina CA 93933 831-883-3330 I ARCpoint 3237 Alhambra Ave Suite 3 Martinez CA 94553 925 957-6870 ' Druq Free USA 1781 Central Ave #C Mckinleyville CA 95519 707 839-6300 Holistic Xchan9e 561 W 18th St Merced CA 95340 209 726-9762 U.S. HealthWorks 1717 South Main Street Milpitas CA 95035 408-957-5700 Southland Family Uroent Care 27660 Santa Margarita Pkwy Mission Viejo CA 92691 949-951-7111 DNT Health Check 400 12th #23 Modesto CA 95354 209-492-9549 Community Hospital of the Monterey Peninsula 23625 Holman Highway Monterey CA 93940 831-625-4798 Monterey Bay Urgent Care 245 vvashinqtoil st: ···· Monterey CA 9~940" 831:372-2!273 Monterey-Fremont Clinic (doctors on duty) 2260 North Fremont Street Monterey CA 93940 831-372-6700 Monter~Ug_hthouse Clinic {doctors on duty) 501 Lighthouse Ave Monterey CA 93940 831-649-0770 U.S. HealthWorks 16420 Perris Blvd, Suite C Moreno Valley CA 92551 951-571-2450 Northern California Drug Testing Clinic 1580 w. El Camino Real Suite 11 Mountain Valley CA 94040 650 669-6567 1Drug Free USA 2290 West El Camino Real Suite 4 Mountain View CA 94040 650 967-8378 iMurrieta Prompt Care 25405 Hancock Ave Suite 1 01 -Murrieta CA 92562 951 677-4100 Work Health 1100 Trancas St, Sle 300 Napa CA 94558 707-257-4084 ORIS Exarn Services 6405 Wilkinson Ave North Hollywood CA 91606 818-982-6695 Checkpoint Inc. 11 Burma Road, Suite B Oakland CA 94607 51 0-836-0448 Concentra 384 Embarcadero West Oakland CA 94607 51 0-465-9565 U.S. HealthWorks 3910 Vista Way Ste. 106 Oceanside CA 82056 760-941-2000 Concentra 1101 S Milliken Avenue, Ste. C Ontario CA 91761 909-390-2799 Healthpointe 754 N. Mountain Ave Ontario CA 91762 909-460-4155 Examone-Oranqe 726 D-West Town & Country Rd Orange CA 92868 714 263-2370 U.S. HealthWorks 1851 Lombard Street, Suite 100 Oxnard CA 93030 805-983-2234 Cal-Test 73-850 Dinah Shore Drive, Ste 103 Palm Desert CA 92211 760-770-6068 Desert Urgent Care 74-990 Country Club Dr Ste 310 Palm Desert CA 92260 760-341-8800 Alcoholism & Druq Dependency East Avenue K4 Palmdale CA 93535 661-948-5046 Drug Testinq USA at Palmdale Medical 2720 E. Palmdale Blvd Palmdale CA 93550 661-947-3333 Express Collections 8780 Van Nuys Blvd Suite C Panorama City CA 91402 818 891-2235 Immediate Medical Care Center 7300 Alondra Blvd Ste 108 Paramount CA 90723 562-531-8300 Star Drug TestinQ 3850 Ramada Drive. Ste C4 Paso Robles CA 93446 805-434-1477 Healthpointe 2226 Medical Center Dr. #101 Perris CA 92571 951-657-1400 Ronald E Hammer DC 709 Petaluma Blvd North Petaluma CA 94952 707 763-0564 Med Plus 877 Oak Park Blvd Pismo Beach CA 93449 805-4 7 4-8450 Concentra 640 S. Placentia Avenue Placentia CA 92870 714-579-7772 National Safety Compliance 1048 Serpentine Lane. Ste 304 Pleasanton CA 94566 925-484-9657 U.S. HealthWorks 801 Corporate Center Dr, Suite 130 Pomona CA 91768 909-623-1954 AVERTEST (used to be global drug testing) 38 West Morton Ave. Porterville CA 93257 559-781-8029 Portola Medical Clinic 500 1st Ave Protola CA 96122 530-832-6606 Forest View Screening 883 Valley View Dr. Quincy CA 95971 530-258-64 7 5 Just SayNo! 12161 Folsom Blvd Suite C Rancho Cordova CA 95742 916 985-2223 ArcPoint Labs 9300 Santa Anita Ave, Ste 104 Rancho Cucamonga CA 97130 909-481-0088 Concentra 9405 Fairway View Place Rancho Cucamonga CA 91730 909-481-7345 West Point Medical Center 8520 Archibald Ave #8 Rancho Cucamonna CA 91730 909-481-3909 U.S. Heal!h\1\Jorks 2107 East Del Amo Blvd Rancho Dominquez r:A 90220 310-637-9611 Desert VIP Urgent Care 72-027 Hiohwav Ill Rancho Miraqe CA 92270 760 674-1923 Lane Chiropractic-Lesa M. Lane DC 332 Pine Street Red bluff CA 96080 530-527-3844 Lane Chiropractic-Lesa M. Lane DC 1093 Hillto_p Drive Redding CA 96003 530-221-1565. Rich/Crossroads Immediate Care 1710 Churn Creek Rd Redding CA 96003 530-222-6166 River City Drug Testing 3462 Bechelli Lane Suite F Redding CA 96002 530 221-6633 Occupational Medical Associates 936G St Reedley CA 93654 559 6371900 Southern California Druq Testing Clinic 6670 Reseda Blvd Suite 102 Reseda CA 91335 818 881-7440 Con centra 2970 Hilltop Mall Rd., Ste. 203 Richmond CA 94806 510-222-8000 Inland Empire Occupational 3579 Arlington Avenue, ste 300 Riverside CA 92506 951-341-9333 U.S. HealthWorks 2305 Sunset Blvd Rocklin CA 95765 916-632-9606 Con centra 6174 State Farm Drive Rohnert Park CA 94928 707-586-4320 , Drug Free USA 805 DouQias Blvd, Ste 115 Roseville CA 95678 916-410-8338 MED7 701 Sunrise Ave Roseville CA 95661 916-772-6337 ArcPoinUabs .... 1578 Howe Ave ®Arden Sacramento CA 95825 916-565-0400 Collection Plus 2129 Hacienda Way; Ste H Sacramento '·'" 0·cA '95825 916-487-3152 1Med 7 4112 East Commerce Sacramento CA 95834 916-447-6337 !Sacramento Vallev Mobile Drug Testing n/a (mobile testing) Sacramento/Bay Area CA 916-740-6890 Drug Testinq Unlimited 546 Abbott Street Suite 5 Salinas CA 93901 831 757-8378 Qua litv Druq Testinq 1024 South Main St. Salinas CA 93901 831-424-8400 Salinas-Urgent Care (doctors on duty) 558 Abboll St. Ste A Salinas CA 93901 831-755-7880 Salinas-South Main Clmlc (doctors on dutv) 1212 South Main St. Salinas CA 93901 831-422-7777 COMP-San Bernadino 295 E. Caroline St. Ste 01 San Bernardino CA 92408 909-723-.161 Metropolitan Industrial Medical Clinic 742 W Hiqhland Ave San Bernardino CA 92405 909 881-7320 Expert Druq Testino 3435 Camino Del Rio South, Ste 208 San Diego CA 92108 619-281-9986 Phamatech line. 10151 Barnes Canyon Rd San Dieqo CA 92121 858-643-5555 Valley Occupational Medicine Center 1009 Glenoaks Blvd San Fernando CA 91340 818 361-3369 Concentra 110 Sutter Street. Ste. 300 San Francisco CA 94104 415-781-7077 Concentra 2 Connecticut Street San Francisco CA 94107 415-648-9501 DNA & Drug Screeninq Services 242 Meridian Ave Suite C San Jose CA 95125 408 993-9998 San Jose Chiropractic Center 3880 South Bascom Ave, Ste 109 San Jose CA 95124 408-371-0260 San Jose Clinic (doctors on duty) 1910 Marth Capital Ave San Jose CA 95132 408-942-0333 Con centra 2587 Merced Street San Leandro CA 94577 510-351-3553 Family lndostrial Medical Center 47 Santa Rosa St San Luis Obispo CA 93405 805·542-9596 Star DruQ Testino 1223 Hiouera St. Ste 102 San Luis Obispo CA 93401 805-782-0903 Concentra 740 Nordahl Road, Ste. 117 San Marcos CA 92069 760-432-9000 Sanoer Health Center 2502 East Jensen Ave Sanger CA 93657 559 875-6000 The MedCenter 2954 State St Santa Barbara CA 93105 805682-7411 The MedCenter Inc. 319 North mifpas Street Santa Barbara CA 93103 805-965-3011 U.S. HealthWorks 988 Walsh Avenue Santa Clara CA 95050 408-988-6868 Doctors On Dutv Medical Clinics 615 Ocean St. Santa Cruz CA 95060 831-425-7991 Gonzales Occupational Medicine Centers 301 E Cook St Suite C Santa Maria CA 93454 805 345-3030 Star Drug Testing 222 West Carmen Lane Ste 101 Santa Maria CA 93458 805-349-0558 Medical Clinical Laboratory 2216 Santa Monica Blvd, Ste 101 Santa Monica CA 90404 310-829-2608 Con centra 1221 North Dutton Avenue Santa Rosa CA 95401 707-543-8360 Drug Free USA of Sonoma County 349 Colleqe Ave Santa Rosa CA 95401 707 545-6949 Healthfirst Medical Group 11817 East Telegraph Rd Sante Fe Sprinos CA 90670 562 949-9328 U.S. HealthWorks 9745 Prospect Avenue, Suite 100 Santee CA 92071 619-448-4841 CSUMB Health Center (doctors on duty) 100 Campus Center, Bldq80 Seaside CA 93955 831-582-3965 Paragon Druq & Alcohol Testing 1123 Fremont Blvd, Ste B Seaside CA 93955 831-394·5008 Job Care 1142 Rose Ave #B Selma CA 93662 559 891-8940 H.P.C 1600 E. Burnett St Signa! Hill CA 90755 562-989-5991 Job Care/Sonora reoional Medical Center 20044 Cedar Rd, Ste A Sonora CA 95370 209-536-3780 Borges Chiropractic 2074 Lake Tahoe Blvd #5 South Lake Tahoe CA 96150 530-544-5800 Healthcare Clinical Labs 2102 N. California St Stockton CA 95204 209-467-6430 U.S. HealthWorks 1195 East Argues Avenue Sunnyvale CA 94085 408-773-9000 • Lasse'l County Alcohol & Drug 1400 Chestnut Street Suite A Susanville CA 96130 530-251-8112 Marshall Healthcare Systems 170 Russell Street Suite L Susanville CA 96130 530 313-5529 Healthpointe 28991 Old Town Front St. Ste 104 Temecula CA 92590 951-699-5282 i Occupational Healthcare Testing 9130 Las Tunas Dr Temple City CA 91780 626 286-8200 U.S. HealthWorks 19401 S.Vermont Avenue.Bidg L 100 Torrance CA 90502 31 0-324-5 777 Community Recovery Resources 10015 Palisades Drive, Ste1 TrucKee CA 96161 530-587-8194 Tahoe Forrest Hospital 10121 Pine Ave Truckee CA 96161 530-582-3401 Global Drug Testing 564 East kern Ave Tulare CA 93274 559-685-8500 Alcohol & Drug Testinq Services/SOTS 417 Talmage Rd Suite E Ukiah CA 95482 707 463-1230 ' 9ru~·free.lJSA-of·Ukiah · · · · ···•· .... ., ..... ····"""" .. . .. ,@ ····""'·"· ••• "'"' • 7,40 S.o.uth .. O.ora.Street. ..... ukiah CA 95482 707-462-9448 u.s. HealthWorks 33560 Alvarado Niles Road Union Citv . "CAU "" 94587 510~489~8700. C-D at 17 Tennessee St Valleio CA 94590 707 643-3894 Quality Exams Serivce 5900 Sepulveda Blvd Suite 360 Van Nuvs CA 91411 818 783-2227 Active DruQ Tests 4882 McGrath St. Ste 190 Ventura CA 93003 805-339-9740 Active DruQ Tests 801 S. Victoria Ave#105 Ventura CA 93003 805 339-97 40 U.S. HealthWorks 3851 Soto Street Vernon CA 90058 323-585-7162 Desert Valley MJ!cjic_<!L_Gr_o_llf}____ 12401 Hesperia Rd Ste 9-10 Victorville CA 92392 760 245-2474 ~ ~ D;. Mikes Walk In Clinic High Desert Occupational AVERTEST (used to be global drug testing) Spineworks Chiropractic Center The Vaughn Clinic U.S. HealthWorks Watsonville Clinic( doctors on duty) Trinity Community Health Clinic West Shore Medical Draw Re_gencyUrgent Care Medical Urgent Care Center-Fremont-Rideout Avalon Urgent Care Center 15326 hesperia Rd 152011stSt 1640 West Mineral Kinq #106 4126 South Demaree Suite A 613 N. Akers St 2023 West Vista Way Suite c 1505 Main St 608. Easter Avenue 1240 Westlake Blvd Suite 227 1429 Colusa Highway 1531 Plumas Court 58471 Twentynine Palms ,,.,. Victorville CA 92395 760-952-0244 Victorville CA 92395 760-962-1028 Visalia CA 93291 599-733-8029 Visalia CA 93277 559 733-7711 Visalia CA 93291 559 734-3414 Vista CA 92083 760 941-2000 Watsonville CA 95076 831-722-1444 Weaverville CA 96093 530-623-5541 Westlake Village CA 91361 805 37 4-8843 Yuba City CA 95993 530-67 4-7000 Yuba City CA 95991 530-751-4900 Yucca City CA !}2£81 760-365-0851 Quotation No. 962-5320 Page 16 SCOPE OF WORK The County of Fresno is soliciting bids for laboratory services to provide toxicological screening for the Probation Department through urinalysis. Prior to the recent passage of Proposition 47, the Probation Department estimated approximately 65,000 tests would be conducted year,ly, with approximately 6,500 being quantitative and/or qualitative analysis. However, it is anticipated the passage of Prop 47 will result in a significant reduction in the number of toxicology tests . requested. Unfortunately, at the time of the preparation of this RFQ, it is too soon for the Probation Department to be able to provide revised estimates. The County does not guarantee a minimum level of service. The quantities stated herein are estimated, actual quantities may be less than or greater than stated. The vendor's quoted pricing must allow for all usage lev!3IS and should not assume a minimum level of service. The Probation Department requires that services be provided in the Fresno/Clovis metropolitan areas, rural Fresno County, and state-wide on an as needed basis. The bid for these services is open to any laboratory able to perform the s~rvices as stipulated in the Service Requirements. · SERVICE REQUIREMENTS 1. The Probation Department requires that services be provided in the Fresno/Clovis metropolitan areas, rural Fresno County, and state-wide on an as needed basis. Bidders must have the ability to provide services in all three areas. Plramatech Cqu_rur~. See ntta~t!ed Tab 6 2. Bidder's testing/urine collection sites in rural Fresno County shall include the following areas: Coalinga, Kerman, Sanger, and Selma. A list of available testing/urine collection sites and hours of operation within Fres,po County shall be submitted with the bidder's response to RFQ. Testing at rural sites is "unobserved." Volume varies from location to location, with Sanger and Kerman ,purrently averaging approximately 20 tests per week; and Coalinga averaging approximat~ly 25-30 tests per week. It is estimated Selma will have 15 tests per week. The Contraqtor will provide the testing/collection sites as well as the testing/collection services performed at each rural site. Clients will purchase a requisition from the Probation Departme* and turn it in at the rural site when the urine sample is collected. The samples shall Jhen be transported to the lab by the Contractor. The lab does not have to be located in,the rural area only the testing/collection site. Plwrrwtcclz Cuncms.See attached Tr1b 6 \l 3. Testing/Collection sites are needed on a statewide basis (Metropolitan areas ot;50,000 or more population). Each client residing out of county should have a testing/collection site within a reasonable distance to which s/he may report for sample collection. Clients wilt purchase their "Request for Toxicology Services" form directly from the Probati9n Department and bring it to the testing/collection site. One copy of the form shall accompany the sample being sent to the laboratory for analysis and the results;;shall be sent directly to the Probation Department. A list of available testing/collection ~ites and hours of operation throughout the State of California shall be submitted. Testi~g at statewide sites is "unobserved." Currently, approximately 50 tests are done "oot of county" per month. All inquiries by subcontractors (if applicable) and all invoices related to state-wide testing shall be sent to the Contractor. Phmnatech Conwrs. See attdclzed Tab 6 4. Contractor shall provide all labor, material, equipment, taxes, transportation, et(f. to perform evidentiary toxicology laboratory testing as specified within this RFQ. 1 Pha!J.Elfeclz Concurs. See attadwd T£1b() G IPUBLIC\RFQ\FY 2014·15\9$2-5320 TOXICOLOGY SCREENJNG\962·5320 TOXICOLOGY SCREENING. DOC Quotation No. 962-5320 Page 17 5. Contract~r shall provide pick up service .. Probation staff will collect the urine safllples at the locations below. The vendor shall pick up the samples for testing as follows: •. FREQUENCY Twice Daily Once Daily (Afternoon) DAYS M-F M-F LOCATION Drug Suppression Unit 2212 N. Winery, Suite 122 Fresno, CA Violet Heintz Education Academy 4939 E. Yale Fresno, CA Note: The above two locations in Central Fresno are right around the corner from one another. Once Daily M-F Once Weekly Monday Juvenile Justice Campus 3333 E. American Avenue Building 701 (Courthouse) Fresno, CA Juvenile Justice Campus Building 704 (Commitment Facility) The Juvenile Justice Campus is approximately 11 miles from the other twd locations in Central Fresno. fJ!wmatcclr Concurs. 6. Contractor shall provide "expert" testimony in a court setting upon request. The number of times laboratory personnel are called upon to offer testimony varies from yeaf-to-year. It is estimated to be needed on approximately 12 occasions annually. fhmr!!iJ.f.dJ~ong_ns. 7. Contractor shall have a written "chain of custody" protocol and shall maintain a l~gally defensible written "chain of custody" record on all samples accepted for testing.·l Pfumwtcdt Concurs. Chain (;[ Cu:'lodv Protocol sec attached Tab 5 8. Contractor shall be capable of having both on-line and hard copy results available in 24 to 48 hours. The normal time required for test results would be 48 hours, with a 74-hour maximum. Hard copy results sent to the Probation Department, as well as on-lipe portal access results shall include: Lab Control Number Date and Time Sample Collected Collector's Name Date Received by Lab Name of Client Date of Birth/Sex Case Identification Number Type of Sample (Urine/Blood) Test Code Medications Noted Results by Drug Group/Cutoff Limits G:\PUBLIC\RFQ\FY 2014-15\962·5320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING.DOC Quotation No. 962-5320 Page 18 Each client's hard copy results will be provided on a separate sheet of paper for inclusion in the client's file. Ph!JJlJatt'cii ConOf!:fi:. 9. Contractor shall properly store and retain samples in a safe/secure and refrigerated environment. Pltamatech Concur;-;c 10. Contractor shall provide the Probation Department with "Request for Toxicology SeNices/Chain of Custody" forms, in triplicate. Request forms shall include information as indicated on the sample form in Exhibit A and be printed on "no carbon required" (NCR) stock. The specimen tracking labels to be used are only printed on Page 1 and the label area of Pages 2 and 3 is a shaded box. The original (Page 1) will be s~nt to the vendor along with the specimen. Page 2 is kept by Probation and Page 3 is distributed to the probationer by Probation. Pluwwh·ch Concr1r:;;. 11. Billing information should include the following: Account Number (there are eight separate accounts and each requires a separate billing statement) Laboratory Control Number Client Name Date of Birth/Sex Date of Service Test Description Number of Tests run Billed amount for each test Each month an itemized bill for each of the eight {8) accounts will be submitted ~by the Contractor and reviewed by the Probation Department for accuracy, then forwarded to the accounting department for payment if no discrepancies are found. Invoices! shall have page numbers. f1hamatccli CJ}ICLf.!..?.:.. 12. Monthly summary billing reports will be provided to the Probation Department. t?lwmntech Concurs. 13. Both hard copy and on-line test result reports shall contain information as deern,ed appropriate by Probation. Hard copy test result reports will be mailed to the Prpbation Department. If copies of the completed "Request for Toxicology SeNices/Chaiq of Custody" forms are not available on-line, the vendor shall provide copies upon request. Phamatecll Concur~. 14. Re-testing due to changes in Bidder's staff or unavailability of original testing personnel shall be done at no charge (i.e., chain of custody or staff/lab policy/procedure issue). If on the rare occasion Probation requests a retest not due to changes in bidder'$ staff/lab policy/procedure, Probation will pay the regular qualitative rate. The amount of, retesting is rare. Only one retest was requested during the past year. Plwmatec;h Conwrs. G:'1PUBLICIRFQ\FY 2014-15\962-5320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING.DOC Quotation No. 962-5320 Page 19 15. Contractor shall conduct drug screening on every test for the detection of opiate~. cocaine, phencyclidine (PCP), methamphetamines, ecstasy, benzodiazepines, . cannabinoids, and alcohol. Cutoff levels in nanograms/milliliters are as follows: Cannabinoid 50 Methamphetamine/Amphetamine 300 Ecs~sy 300 Benzodiazepines 300 Cocaine 300 Opiates 300 Phencyclidine (PCP) 75 Alcohol .02 Phamal:ech Cnncurs. 16. Contractor shall conduct tests for the detection of hallucinogenic drugs, such as¥LSD and Mescaline, or for Barbiturates, or for Synthetic Cathinones (such as Bath Salts)/ or Cannabimimetics (Synthetic Marijuana such as Spice) upon request. Requests ,for these types of tests would be rare and constitute less than one percent (1%) of the total samples submitted). Phamatcch Cmrcurs. 17. Unless otherwise indicated, qualitative and quantitative tests will be run automatically on the Opiate drug group, Cannabinoid, Phencyclidine (PCP), as well as Methamphetamine and Alcohol when the drug screening indicates the results are above the cutoff threshold levels shown in item #15 above. Those results that fall below the screening cutoff levels will be reported as negative results and no automatic confirmation shall be completed. All qualitative and/or quantitative analysis on other drug groups will only be by the specific request by the Deputy Probation Officer or by Order of the Court with Of;J-Iine and hard copy results available within 5 days of said request. The confirmatory laboratory should use GC/MS testing with Lirnit of Detection (LOD) levels. Confirmation tests for opiate metabolites should include Codeine, Morphine, Hydrocodone, Hydromor~hone, Oxycodone, and Oxymorphone. Plwmoteciz Connm;. ' 18. Contractor shall have the ability to provide approximately 1,250 urine sample containers (kits} and identifying labels weekly, upon which the defendant's name, date and: time of collection, type of test requested, testing officer's name and uniVdivision designation shall be logged on each label. The sample containers must have a temperature, strip attached. Phmnatedt Co11wrs. 1 19. Contractor shall refrigerate, freeze, or preserve all samples prior to testing to im::ure sample integrity. Phamatech Concurs. ' 20. Contractor shall freeze the remainder of a sample which tests positive to drugs, and will retain the sample for a period of not less than one (1) year or longer if requeste,d to do so by the Probation Department. fJJumwtecl! Concurs. 21. Contractor shall provide access to test results via the Internet, within 24-48 ho~rs, to Probation staff. Completed "Request for Toxicology Services/Chain of CustodY' forms shall be scanned by Contractor and made available for viewing on-line within 48 hours. If copies of these completed forrns cannot be made available on-line, then the \vendor shall provide copies upon request. Test results and "Request of Toxicology · Services/Chain of Custody" forms shall be in a printable format. Phmnafecll Coricurs. G:\PUBLIC\RFQ\FY 2014-15\962-5320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING.OOC Quotation No. 962-5320 Page 20 22. Contractor shall also provide a daily flat file (.CSV) interface of drug test results. ;This file will be dropped off to the County of Fresno's FTP file server on a daily basis. Th~ file should contain data such as: offender name, offender demographics, and the prqbation unique identifier. The file will also need to contain the results of each drug test swch as: type of drug found, drug class, screening cutoffs, and methods of test used. A · specification document will be available showing exactly what data types are being requested. Phamntech~ 23. Contractor shall provide training to designated personnel on the internet portal system 30 days prior to the contract going into effect. Just like the invoices have separate •. accounts, internet access portals shall have separate accounts with passwords and/or logins as appropriate. The existing Agreement expires on June 30, 2015. Ther;efore, it is anticipated at this time that the new contract will go into effect on July 1, 2015. PJwmatec/1 Concms. · 24. Billing Discrepancies. Probation prefers the vendor provide one centralized con~act to address billing questions and discrepancies. Probation will also provide a centralized contact for the vendor. The vendor is to respond to inquiries in a timely manner~-within 7 days. Piwmatech Concws. ., 25. Should the successful bidder need to make system changes that impact portal access, invoicing, and requisition forms, the County requires at least 60 days' notice. The notice should include what is happening, when it is happening, why it is happening, wnat will be impacted (i.e., internet access, account numbers, etc.), and how. If the changes will impact existing account numbers, steps must be taken to avoid duplicate billing'. Phamatech Concms. 26. Bidders are to submit a copy of current California Clinical laboratory license a(1d Federal SAMHSA Certificate. Plwmatech Concurs. G:\PUBLIC\RFQ\fY 2014-15\962-5320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING.DOC I • CHAIN OF CUSTODY FORM SPECIMEN ID NO. 6001780788 LAB ACCESSION NO. "· ~~:0 1: TO BE COMPLETED BY COLLECTOR OR EMPLOYER/AGENCY REPRESENTATIVE ... ··------------·-------·-------------------~----· nployer Name, Address and 1.0. No . . ·: Adult Field Testing > Gilbert Sanchez ,', 2212 N. WneryAve., Ste. 122 ' : Fresno, CA 92.703 Ph: 559-600-3800 Fax: 559-S00-7650 B. Collection Site Address: f--------~-~~-------- c~X>X~~~lt!iX*X;(Xlo. PROBATION#:-------;.--- <lab dn/plus donor name> Collector Phone No.__,.{ ___ _.}:......;.!' ______ _ Collector Fax No. __(__ ___ j_ -------- ----'-------------------~---·---- 0. Donor 10 Verified By: 0 Photo I.D. 0 Employer Rep E_Reason for Test: 0 Pre-Employm_e_l1.l 0 F!~dorn J Reasonabi~_Suspicion/Cause rJ Post Accide~_O Period:::ic=-....:O::::...:o~th~e::..r ______ --' STEP 2: TO BE COMPLETED BY COLLECTOR Read specimen temperature within 4 minutes. Is temperature between 90• and 1 00°F? 0 Yes 0 No, enter remarks REMARKS: I Specimen Collection: XJ Single 0 Split 0 None Provided ·•! 0 Observed (EnO>r Remark:o B•low) {En\e~ Ronwl<.s.:.:Sec:.IOw.:.:..l --f STEP 3: TO BE COMPLETED BY COLLECTOR AND DONOR-Collector affixes bottle seal(s) to bottle(s). Collector dates seal(s). Donor intials seal(s). STEP 4: TO BE COMPLETED BY COLLECTOR AND DONOR TEST(S) REQUESTED BY EMPLOYER: DPO Name:------------- SEX: M F (circle one) JATEOFBIRTH: __ / __ / __ Month Day Year <lab ic,> <lab lc,> <lab Ic> Select Panel: II II !ill 4023 [ X ] 6 Panel lab !authorize the collection of this speamen for the purpose-of a drug s~roon. I acknowledge that the SPecimen"container(s) was/were sealed 'Mth tamper-proof seal{s) in my presence: and that the information provided on this form and on the label(s) affixed to the specimen container{s} is correct. I authorize the taboratory to release the resuhs of the test to the company identified on this fonn or its designated agents. · (PRlNT) DONOR'S NAME(IASf.-FIRST, MID)~-·· __ " __ _ I ~ I I SIGNATURE OF DONOR _._..,;__IN...,I'T_I_A_L __ ; MONTH···~ YEAR STEP 5: CHAIN OF CUSTODY· INITIATED BY COLLECTOR AND COMPLETED BY LABORATORY I certify that the specimen given to me by the donor identified on this form was collected labeled sealed, and releasee! to the Delivery SeNice noted in :~:~·~~~==~=~ -tr: ::N B~~~~:~~:;:~~•4C J Primary Specimen Bottle Seal Intact J X B SPLIT COPY 1 · LA BORA TORY •• • CHAIN OF CUSTODY FORM SPECIMEN 10 NO. 6001780788 LAS ACCESSION NO. ~ 1: TO BE COMPLETED BY COLLECTOR OR EMPLOYER/AGENCY REPRESENTATIVE •• mployer Name, Address and 1.0. No. Adult Field Te-S:ino Gilbert S:;ncr1:?Z • PROBi\TION 1!: 2212 N. v .. ~ner::; l':l<:: .. Ste. 122 ____ , _________ ,_.,, ...... Fresno, CA 93:03 <iab dn/pius donor narne> Ph: 559-tiG0-3800 F-ax: 55fl-SOQ .. 75eJ ., B. Collection Site Address: Collector Phone No. L_ .. H - Collector Fax No. __{_ t - .... ~···-- <;(~)l!~~~~,s~~*)l ''If'. o 'J~ • . p)!~ ,l'Jo. D. Donor ID E. Reason for Test: 0 Pre-Emeloyment 0 Random lJ Reasonable Suspicion/Cause 0 Post Accident STEP 2: TO BE COMPLETED BY COLLECTOR Read specimen temperature within 4 minutes. Is temperature between go• and 1 00°F? 0 Yes 0 No, enter remarks REMARKS: I S~.cimen Collection: j[l Single 0 Split Verified By: 0 Photo 1.0. 0 Employer Rep 0 Periodic 0 Other 0 None Provided (Enler Rl>marl<s Below) Oobserved {Enter Remarl<s Below) STEP 3: TO BE COMPLETED BY COLLECTOR AND DONOR ·Collector affixes bottle seal(s) to bottle(s). Collector dates seal(s)-Donor intials seal(s). STEP 4: TO BE COMPLETED BY COLLECTOR AND DONOR TEST(S) REQUESTED BY EMPLOYER: DPO Name:----·--"-·-------··~--·-------· SEX: ~~~~ F (circle (lfl:a) llATE OF BIRTH: -"' .. --;· ,..-~-·--/ ---~- M:onih [ X ] 8 Panel Lab I authorize the collectiOn of this specimen for the purpose ofa drug screen. I acknowledge that the specimen container(s) was/were sealed with tamper-proof seal(s) in my presence; and that the information provided on this form and on the label(s) affixed to the specimen container(s) is correct I authorize the labqfatory to release the results of the test to the company identified on this fonn or its designated agents. !__;_;_ I (PRINT) DONOR'S NAME (~ST, FIRST, MID) SIGNATURE OF DONOR INITIAL l'ylONTH DAY YEAR STEP 5: CHAIN OF CUSTODY· INITIATED BY COLLECTOR AND COMPLETED BY LABORATORY j I certify that the specimen given to me by the donor identified on this fonn was collected, labeled, sealed, and released to th~ Delivery Service noted, in accordance with applicable requirements. SPECIMEN BOTTLE(S} RELEASED TO:' . AM X . PM II> Signature or Collectof Tlmo of Collection i L uo~ '"' {PRIND Collect«'s Name (Fir>t, Ml, las!) (Moi'OayJYr.) .. Name of OelivetV Service Translerrlno S&dmen lo Lab --RECEIVED AT LAB: Primary Specimen Botti~ Seal Intact ,. ' X ~ Signatu~ of Accession..-I L 0 Yes PRSNT) Access.ioner's Name First. Ml, last -····-·····-··--·-----_\MoiDayiY•. ·--II> 0 No, Enter Remark To Right ~ COPY 2 -COLLECTOR COPY -YELLOW • -- • CHAIN OF CUSTODY FORM PHAMATECH, INC. 10151 Burnes Canyon Road, San Diego, CA 92121 TOLL-FREE: 1-877-635-5840 SPECIMS~ ID NO 6 0 0 1 7 8 0 7 8 8 ~--~~..:.2_0 B~~OMPLETEO BY COLLECTOR OR EMPLOYERJAGENCY REPRESENTATIVE LAB ACCESSiON NO ,..nployer Name. Address and 1.0. No. ·-·--·---------·---------- ' Ad1.1lt Fie!d Testing Gilbert S.;i·a::.1"Js<t. 2212 r·~. V\<'ine:-v As'~-. S1~. 1f'7·? II Fresr:o, C .. :.. 9370~ Ph: 55Q..6DJ .. ~soo Fa:c 559-·6iYl-766G <i8b dnfplus donor narne> I" ~loct"" SIOO Md~,·-: ------------------------- Collector Phone No. _,( ____ )L...-.:. Collector Fax No. __ L ) . --L~---------- D. Donor ID Verified By: 0 Photo J.D. 0 Employer Rep §:_Reason for Test: 0 Pre-~~J~Y!:lt'l~! ___ g_B_andom AJ Reasonable Suspicion/Cause 0 Post Accident STEP 2: TO BE COMPLETED BY COLLECTOR 0 Periodic 0 Other ;;:.:_::..:_ _______ _ Read specimen temperature within 4 minutes. Is temperatureL li}ecimen Collection: · I between 90° and 100"F? 0 Yes 0 No, enter remarks }lJ Single 0 Split 0 None Provided / 0 Observed ··--·----·---. ___ ......o.;(E:c..n;;:;.tor...;;.R;:;.e~:::;;•':.;;ks.::B:;;;elow=-) -:r: Ll _!EnW R•marks Below) REMARKS: STEP 3: TO BE COMPLETED BY COLLECTOR AND DONOR -Collector affixes bottle seal(s) to boltle(s). Collector dates seal(s). Donor intials seal(s). STEP 4: TO BE COMPLETED BY COLLECTOR AND DONOR TEST(S) REQUESTED BY EMPLOYER: DPO Name~···-·-·-----·--·-----·-··----·----------·-- SEX: ril F !cin:!e one) / <fab I X l 8 Panel Lab 11 authorize the collection or this specimen for the purpcse of -aclrug screen. I ackno;;;iedge that the specimencontainer(s) was/were sealed witb tamper..proof seal(s) ·;;;·;ny i presence; and that the information provided on this fonn and on the label(s) affixed to the specirne11 container(s) is correct. I authorize the labqatory to release the results of the test to the company identified on this form or its designated agents. 1 SIGNATURE OF DONOR INITIAL ~ _ _/_! __ MONTH DAY YEAR 1----~=-~~·--~~~~~-(PRINT) DONOR'S NAME (LAST, FIRST, MID) / --------- STEP 5: CHAIN OF CUSTODY· INITIATED BY COLLECTOR AND COMPLETED BY LABORATORY I certify that the specimen given to me by the donor identified on this form was collected, labeled, sealed, and released to th~ Delivel)' Service noted, in accordance with applicable requirements. AM JSPEClM-EN BOTTLE(S) RELEASED T<5:f·-·~----· ~1. 2L_____ PM~~ ' ···-·-·-signaivro-oiCollector Tijo<Colloc/n ~~ ---UPS <,' li -·-·-~·-----{Pi~] NT) CoUec!or'_, ~Me (First, M!, Last) (Mo!DaJ•Nr.) r L== N;~me of Oelrvery Sctvie;e Transr~;mif!1J S~t.-irnan to L.~a:p 'REGEI\.iED AT LAB: Primary Specimen Botti~ Seal Intact 0-x--------------~--~--~------------------~ Sognoture or Jlcceosioner I 1 0 yes (PRINT) Accession or's Nam•..;;(F.::.i";:;;'·..:.:M::.:.'·.=:L•::;:. ""-) --------_-_-_ _,~i::.:.:-:-Mo~IO;;;a:J.:.y~Y.:.:.r.::.l .. _-_-_· ___ .,..J.._O __ N_o,_E_n_te_r R_e_m_a_rk_T_o_· R_..:::..igh_t .... ······--·--·------·····,--------·------' COPY 3-BLUE - •• CHAIN OF CUSTODY FORM II Ill~ I ijUIJ~J Ill SPECIMEN tO NO. 6001780788 LAS ACCESSION NO . .-~<p 1: TO BE COMPLETED BY COLLECTOR OR EMPLOYER/AGENCY REPRESENTATIVE -----~--·~··---nployer Name, Address and LD. No. ': .., Adult Field Testing • Gilbert Sanchez PROBATION #: i;: I'. 2212 N. ~'lnerv Ave., Ste. 122 . Fresno, CA 93703 <lab dn/plus donor name> ' Ph: 559-600-3800 Fax: _559-600-7650 -B. Collection Site Address: Collector Phone No. { } \· ~,, - ( } "' Collector Fax No. --·-- r--'' ''' --··-· •¥•··--· --------- c~M>X~X*>ftM~*X~XJo. D. Donor ID Verified By: 0 Photo 1.0. 0 Employer Rep E.:_Reason for Test: 0 Pre-Emel.?~~~ 0 Random J Reasonable SuspiciorY.gauso:.._IJ_£>gst Accident 0 Periodic 0 Other STEP 2: TO BE COMPLETED BY COLLECTOR Read specimen temperature within 4 minutes. Is temperature _j Specimen Collection: O None Provt'ded ':l O Observed between 90" and 100,F? 0 Yes 0 No, enter remarks XJ Single 0 Split .... -........... ·--·-------------_..::_:_:_ _________ _.J.:(E:.::;nter:::::..:.:R::;;en::::."";::ks:..:B::::.•Io::.:wL.) . (li:nter Remark• Below) REMARKS: " STEP 3: TO BE COMPLETED BY COLLECTOR AND DONOR-Collector affixes bottle seal(s) to bottle(s). Collector dates seal(sl. Donor intials seal(s). STEP 4: TO BE COMPLETED BY COLLECTOR AND DONOR TEST(S) REQUESTED BY EMPLOYER: OPO Name:------------- SEX: M f (circle one) JATEOFBIRTH: __ / __ / __ Month Day Year <lab k,> <lab lc,> <lab lc> Select Panel: '~ 111!1111~~~ 4023 [ X 1 B panel Lab I authorize the collection of this specimen for the purj)ose of a drug screen. I acknowledge that the specimencontainer(s) was/were sealed "tamper-proo{ seal(s) in my presence; and that the information provided on this fonn and on the label(s) afli)(ed to the specimen container(s) is correct. I authorize the Ia to release the resutts of the test to the company identified on this form or its designated agents. I ------·=-::-:::-::::-::-==-:----'----:ciNITIAL ~-~-- MONTH DAY YEAR STEP 5: CHAIN OF CUSTODY -INITIATED BY COLLECTOR AND COMPLETED BY LABORATORY I certify that the specimen given to me by the donor identified on this form was collected, labeled, sealed, and released to the Delivery Service noted, in accordance with applicable requirements. [------__ ..........;.... :J • AM SPECIMEN BOTTLE(S) RELEASED TO; X-_ • PM Signature of Collector T101<1 of Collection ._ -(PRINT) Collector's Namo (First, Ml, Last) ~O/Oa)!Yi---.,. _ Namo of Dellve!t SefV!~~:srerrlng Sfecimen to Lob RECEIVED AT LAB: Primary Specimen Botti~ Seal Intact I ""x'--------------;:Sigo-" na:-::;t,-ure--cof:;-A-:-cc-.--c •• -.on<!-,------//-:----/.,...--... 0 Yes l ----;;:;(PR~-~(F't:--:M:-;;-1-L'--,:-c-l ------tMoiDay/Yr) .,. D No, Enter Remark To Right -· , ccess,oners ~-arne n, , as ...... -------""=z:.:.:.:.~....-__ J ___ _c__ _______ ;:.___ ___________ ~~--------' r-60017r88 1 6001780788 ,-',"' B SPLIT -~~~ I_ Cll:.TL COPY 1 -LABORATORY -- - CHAIN OF CUSTODY FORM J!.T ':~!!!:1~!!3.£t!:o. L~S • JAl TOLL·FREE: 1·877-635-5840 SPECIMEN ID NO. 6001780788 LAB ACCESSION NO. ?~ 1: TO BE COMPLETED BY COLLECTOR OR EMPLOYER/AGENCY REPRESENTATIVE . ~· -· ,mployer Name, Address and 1.0. No. ,~·.ctu!t Fle!d Te-~-tir.g Gilbert Sanch-,:z J PROBJ\T!ON g: 2212 N. Vf.n'f:iY, Ave., Ste. 122 ---~.,., . ..,,.,-·~--~--·-·----------.........-. Fresno. CA 93dJ3 <larJ Ph: 55Q..600-3800 Fa;;: 55b\-;3iJ0-76f;Q dn/plus donor name> B. Collection Site Address: "--·-- Collector Phone No. { } - Collector Fax No. ( ). - -·-· cxoo·~q(~~l)OOi~)J,j' ·~~ }l )f''tJ ~-•'-.. fl:l IP. . ,·; o. D. Donor 10 Verified By: 0 Photo 1.0. 0 Employer Rep E. Reason for Test: D Pre-Empl?xment 0 Random lJ Reasonable Suspicion/Cause 0 Post Accident STEP 2. TO BE COMPLETED BY COLLECTOR Read specimen temperature within 4 minutes. Is temperature between 90" and 100°F? 0 Yes 0 No, enter remarks f.-----------------------··-~ .. --.... REMARKS: j S~cimen Collection: ,;tJ Single 0 Split . D Periodic D Other 0 None Provided (Enter Rerna<k• Bolow) {[I D Observed (£nler RetMm Below) STEP 3: TO BE COMPLETED BY COLLECTOR AND DONOR -Collector affixes bottle seal(s} to bottle(s). Collector dates seal(s). Donor intials seal(s). STEP 4: TO BE COMPLETED BY COLLECTOR AND DONOR TEST(S) REQUESTED BY EMPLOYER: DPO Name:---·---------------·--·-·--··-- SEX: ivl F (circle orlel j,t; TE OF BIRTH: -·--· ·--- Monih I authorize the collection of this specimen for the purpose of a drug screen. !aCknowledge that the specimen container(s) was/were sealed with tamper-proof seal(s) in my presence; and that the information provided on this form and on the label(s) affixed to the specimen container(s) is correct. I authorize the labol;atory to release the results of the test to the company identified on this form or its designated agents. :1 I (PRINT) DONOR'S NAME (LAST, FIRST, MID) --S-IGNATURe=--=o-=F-=D:-:O,..,.NOR INITIAL STEP 5 CHAIN OF CUSTODY INITIATED BY COLLECTOR AND COMPLETED BY LABORATORY : - 1 cettify that the specimen given to me by the donor identified on this form was collected, labeled, sealed, and released to the Delivery Service noted, in accordance with applicable requirements. -·---~----. AM SPECIMEN BOTTLE(S) RELEASED TO:~ x__, ---PM,.. S1gnature of COllector lime of C~loctioo L L __ UP~~ u.-... -... ---·-'"" (PRINT) Collector'• Name (First. MI. Last) (M!ll!lay/Yr.) I> Name of Deliver¥ S<>rvi<:e Transferrloo $p!!dmen tu Lab RECEIVED AT LAB: Primary Specimen Botti~ Seal Intact X .. Signalllre or Accessioner ____ 1 [ 0 Yes -·-·· .. 0 No, Enter Remark To Right t (PRINT) Acc&&oione(o Name (First, M~.l:"-!!1)~-----(Mo/Day/Yr. -· -- COPY 2 • COLLEC I OR COPY -YELLOW • • CHAIN OF CUSTODY FORM PHAMA TECH, INC. 10151 Barnes Canyon Road, San Diego, CA 92121 TOLL-FREE: 1-877-635-5840 SPECIMEN 10 NO, 6001780788 LAB ACCESSiON NO. ~--'? 1: TO BE COMPLETED BY COLLECTOR OR EMPLOYER/AGENCY REPRESENTATIVE ••• '>, >---·----------------------·--------------------············--'''' .. .'nployer Name, Address and J.D. No. ------------------ A;;kJit Field Testing GHbert Sanc~,.,~,z 22·12 N. \r\1ne:·\LA·/?., Ste. 1:i2 Fn:sno, C/l. 9-~ ·me; Ph: 559-·-~iJ0-3BOG F a:c 558-C{yJ .. ?Q.tiG P ROBJ.\TlON #: <lo.b dnfpius donor n:;:HTlE!> B. Collection Site Address: ------------- Collector Phone No. L ___ ,L}_..--·---------........... .. Collector Fax No. ____ __{ ___ j...;'·-· -------- D. Donor ID Verified By: D Photo J.D. D Employer Rep i:. Reason f~-I.~st: D Pr.~.--~<?Y_I!l~~! __ Q Random lD Reasonable s~~f2~~i?~!9~!!~. [] Post Accident D Periodic D Other STEP 2: TO BE COMPLETED BY COLLECTOR ---------..J Read specimen temperature within 4 minutes. Is temperature ! s:~r Collection: 'I between 90° and 100"F? 0 Yes 0 No, enter remarks Single []Split D None Provided 0 ObseiVed 1---------------------------w-------------'--------------------~(E::,::'nt:::•r_::R:::•m.:.::•::.:'i<s:::.:;:S•:::,:.IO:_::W)L,_,.-J__!~Enter Remarks BelOw} REMARKS: STEP 3: TO BE COMPLETED BY COLLECTOR AND DONOR • Collector affixes bottle seal(s) to bottle(s). Collector dates seal(s). Donor intials seal(s). STEP 4: TO BE COMPLETED BY COLLECTOR AND DONOR TEST(S) REQUESTED BY EMPLOYER: DPO Name:-------------------------~---··---- SEX: / !,..,.(.., • ----... ·-...1..:1L1 IC··· Select Panel: I authorize the collection of this specimen for the purpose of a drug screen. I acknowiOdgo-thaitho-spOClmenccintainer(S}waSlWerelieaied with (tamper-proof seal{s) in my presence: and that the information provided on this form and on the label(s) affixed to the specimen container(s) is correct. I authorize the la~tory to release the results of the test to the company identified on this form or its designated agents. I I STEP 5: CHAIN OF CUSTODY· INITIATED BY COLLECTOR AND COMPLETED BY LABORATORY 1 certify that the specimen given to me by the donor identified on this form was collected, labeled, sealed, and released to the Delivery Sefllice noted, in accordance with applicable requirements. l AM ! SPECIMEN BOTTLE(S) RELEASED TO: ' x__------~~=-~~~------------,~~~~~P~M.,. Signature or Collector Time of Collection I --------~~~~~~~~~~-------------~~~~~~----~,,! (PRINT) Collector's Name (First, Ml, Last) (MoiOayfYr.) ,.-. Name of Oeliven: Service Transferring Speomen 10 Lab RECEIVED AT LAB: ·Primary Specimen Bottle Seal Intact ~x--------------~~··~~--------~----~---... Si9nature ~~ Accessioner I I 0 yes ___ ·:_:_-:=_-:::,t""P'-'R";;IN~T~) Ac";-c""e;ss;io-n.:::e;r·sJ.~c-~""a-mc::o-•-;::,(:.:Fi:--,.:i:.-':..:· :-:"'::..:':-:·c:::L-;as-;_tl-:_-:_-:_-:_-:_-:::_-:::_-:=::::::_:~_"-(M:-O::;o-::r..::::D:-a;;-viiY.};rCL.7-)::::::::-_.,._._D __ N_o_, E_n_te_r_R_em_a_rk_To_R.::.ig_ht ________ ~----------------_j il COPY 3-BLUE • -,nf) Quotation No. 962-5320 QUOTATION SCHEDULE ESTIMATED ANNUAL TYPE OF ANALYSIS QUANTITY 1. Drug screen, as specified (Qualitative) 65,000 2. Drug screen, as specified (Quantitative) 6,500 3. Drug Screen, LSD 100 4. Drug Screen, Mescaline 100 5. Drug Screen, Barbiturates 100 6. Drug Screen, Synthetic Cathinones 50 7. Drug Screen, Cannabimimetics 50 TOTAL Expert Witness Testimony 1. Court Appearance -First Hour: 2. Court Appearance ·· Each additional Hour after the first hour: 3. Mileage Allowance: Internet 1. Charge/no charge for internet access to test results 2. Charge/no charge for training staff on internet portal system COST PER TEST $ 10.25 $ 9.00 $ 15.00 $ 15.00 $ 10.25 $ 15.00 $ 15.00 $250 $100 ~ N!A $No Charge $No Charge G IPUBUC\RFQ'IFY 2014-15\962-5320 TOXICOLOGY SCREENING\962-5320 TOXICOLOGY SCREENING. DOC Page 22 TOTAL $666,250 $58,500 . $ 1,500 $ 1,500 $ 1,025 $750 $750 $ 730,275; per hour per hour per mile %- EXHIBIT C QUOTATION SCHEDULE TYPE OF ANALYSIS 1. Drug screen, as specified (Qualitative) 2. Drug screen, as specified (Quantitative) 3. Drug Screen, LSD 4. Drug Screen, Mescaline 5. Drug Screen, Barbiturates 6. Drug Screen, Synthetic Cathinones 7. Drug Screen, Cannabimimetics TOTAL Expert Witness Testimony 1. Court Appearance -First Hour: 2. Court Appearance -Each additional Hour after the first hour: 3. Mileage Allowance: Internet 1. Charge/no charge for internet access to test results 2. Charge/no charge for training staff on internet portal system COST PER TEST $ 10.25 $ 9.00 $ 15.00 $ 15.00 $ 10.25 $ 15.00 $ 15.00 $250 $ 100 $ N/A $No Charge $No Charge per hour per hour per mile SELF-DEAUNG TRANSAcrJON DISCLOSURE FORM EXHIBITD Page 1 of2 In order to conduct business with the County of Fresno (hereinafter referred to as "County"), members of a contractor's board of directors (hereinafter referred to as "County Contractor"), must disclose any self-dealing transactions that they are a party to while providing goods, performing services, or both for the County. A self-dealing transaction is defined below: "A self-dealing transaction means a transaction to which the corporation is a party and in which one or more of its directors has a material financial interest" The definition above will be utilized for purposes of completing this disclosure form. INSTRUCTIONS (1) Enter board member's name, job title (if applicable), and date this disclosure is being made. (2) Enter the board member's company/agency name and address. (3) Describe in detail the nature of the self-dealing transaction that is being disclosed to the County. At a minimum, include a description of the following: a. The name of the agency/company with which the corporation has the transaction; and b. The nature of the material financial interest in the Corporation's transaction that the board member has. (4) Describe in detail why the self-dealing transaction is appropriate based on applicable provisions of the Corporations Code. (5) Form must be signed by the board member that is involved in the self-dealing transaction described in Sections (3) and (4). (1} Company Board Member Information: Name: Date: Job Title: (2) Company/Agency Name and Address: (3) Disclosure (Please describe the nature of the self-dealing transaction you are a party to): EXHIBITD Page 2 of2 (4) Explain why this self-dealing transaction is consistent with the requirements of Corporations Code 5233 (a): (5) Authorized Signature Signature: J. Date: I