HomeMy WebLinkAboutAmendment to Professional Services Agreement - Quest Diagnostics - Addition to Substance Abuse Testing Services1316 COUNTY-Crry BUILDING
227 W. JI'FFERSON BowlVARD
SOUTTi BEND. INDIANA 46601-1830
February 27, 2018
Anna Haltman
Quest Diagnostics
1201 S Collegeville Road
Collegeville, PA 19426
RE: Amendment to Professional Services Agreement
Dear Ms. Haltman:
PHONu,' 574/235-9251
FAX 574/ 235-9171
The Board of Public Works, at its meeting held on February 27, 2018, approved the above
referenced amendment to add saliva alcohol test supplies to substance abuse testing Services
required for DOT drug testing in the amount of $38 per test.
Enclosed please find the original of the amendment for your signature. Please sign and
return the original agreement to our office and retain a copy for your records.
If you have any further questions regarding this matter, please call this office at (574) 235-
9251.
Sincerely,
rt(IIA-
Linda M. Martin, Clci'k(t 0
Enclosure
c: Chris Villaire, Administration and Finance
Lyra Clark, Human Resources
Jen Hockenhull, Administration and Finance
GARY A. GILOT SUZANNA M. FRITZBERG ELIZABETH A. MARADIK JAMEs A. MUELLER TIJFRESE J. DORAU
Form Action
AMENDMENT OF AGREEMENT BETWEEN
CITY OF S BEND 15111767 AND QUEST DIAGNOSTICS
THIS AMENDMENT is entered into as of the 15 day of ��, 2-01-8 by and between Quest
Diagnostics ("Quest Diagnostics"), and
ICITY OF S BEND 15111767 ("Client")
WHEREAS, the parties entered into an agreement on the = day of I September -1, F20-1-71 for the
performance of clinical laboratory testing services (the "Agreement"); and
WHEREAS, the parties, by this Amendment, desire to amend the Agreement to provide for changes to the fees as
more fully set forth below.
NOW, THEREFORE, in consideration of the foregoing and of the mutual covenants and agreements contained herein, and
intending to be bound legally hereby, Client and Quest Diagnostics agree as follows:
1) Effective 2115/2018 the tests listed below are hereby added to the Agreement.
TEST CODE
I TEST NAME
I PRICE
P000040
I P000040 QED Al 50 Saliva Alcohol Flit-[P000040]
$7.80
All other terms and provisions of the Agreement shall be continued and are hereby ratified and confirmed by each of the parties hereto.
IN WITNESS WHEREOF, the parties have executed this Amendment as of the day, month and year first written above.
QUEST DIAGNOSTICS INCORPORATED CITY OF S BEND 15111767
("Quest Diagnostics") ("Purchaser")
Signature:
Print Name:
Title:
Date:
Signature: &PPROV Im
Print Name: rd ()f
pit"
Title:
Date:
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Date
Name
BOARD OF PUBLIC WOR1*7-S
AGENDA ITEM REVIEW REQUEST FOIM
2/20/18
Christine ViHaire
Department Adm & Fin
BPVV Date 2/27/18 Phone Extension 9957
Re sired I�'rior t Bubrnittal to Board
Legal Attorney Name Clara McDaniels
Controller review is required for all Contracts $5,000,00 or more
Controller Z and greater than one year in length per the City Purchasing
Policy
W W me ON
Michael Schmidt
H Agreement
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Contract
El Proposal ❑ Addendum
M
Professional Services
Z
Amendment
El
Bid Opening
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Bid Award
El Req. to Advertise ❑ Title Sheet
❑ Quote Opening
❑ Quote Award
❑ Chg Order No.
❑ C/O & PCA No,
F-1 PCA
❑ Ease./Encroach,
El Traffic Control
0
Resolution
Other:
F]
Claim
Company or Vendor Name
New Vendor
ITHQUINTIM-1
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Amount of El
1-1
Quest Diagnostics
Yes El If Yes, Approved by Purchasing
❑ No
MBE Completed E-Verify Form Attached F1 Yes
F-1 WBE El No
Amendment to Substance Abuse Testing Services Agreement
None
Liability Insurance Fund
226-0418-671-39-80
$.78/per test
Fee schedule attached.
Amendment is needed to add saliva alcohol test supplies
required for DOT drug testing.
Increase $
Decrease $
Previous Amount $
Current Percent of Change:
New Amount
Total Percent of Change:
Time Extension:
Copy
Original
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Clark, Christine Villaire, ,den Hockenhull