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CM-06-03-035CITY MANAGER BLUE SHEET FORMAT PLEASE BE SURE ALL AREAS OF THIS FORM HAVE BEEN FILLED OUT. DATE: March 3, 2006 SUBJECT: City Manager Approval ITEM: Interlocal Contract Between DPS/City of Round Rock Police Department Department: Staff Person: .justification: Police Department Tim Ryle/Brenda Craytor The Interlocal Cooperation Contract between the Texas Department of Public Safety and the City of Round Rock Police Department is needed in order for the police department to receive certain forms, manuals, and supplies for the Round Rock City Police Department to use in the Breath Testing and Laboratory Alcohol and Drug Testing Program. Funding: Cost: $0.00 Source of funds: N/A Background Information: The purpose and objective of this Contract are to control and establish uniform procedures, paperwork and supplies used in the above mentioned programs. Updated 3-10-05 TEXAS DEPARTMENT OF PUBLIC SAFETY INSTRUCTION MANUAL FOR PURCHASING BREATH TESTING SUPPLIES AND PRINTED MATERIAL FOR NON DPS AGENCIES eiti,012,0 035 INTRODUCTION The Texas Department of Public Safety is stocking certain forms, manuals and supplies for PP the Intoxilyzer Breath Testing Program and the Laboratory Alcohol and DrugTesting sting Program for all Texas cities, counties and state Department of Public Safety operations. This is being done to control uniformity of procedures, consistency of paper work and supplies Pp of the Breath Testing Program and the Laboratory Alcohol and Drug Testing Program thus strengthening our position in court should the need arise. We will also be able to take advantage of g volume buying thus passing on the savings to you, the customer. Certain minimumuantit' q ies and packaging will be required in order to be as efficient as possible. Our prices will differ between DPS and non -DPS users. The non -DPS agencies will be chargeda slightly higher due price. to all administrative and handling expense and will be required by law to have an Interlocal Cooperation Contract on file with General Services for any supply item such P Y as mouth pieces and alcohol blood test kits. An Interlocal Contract is not required for printed materials. Instructions for DPS purchases will be contained in the DPS supply catalog. We strongly urge that all purchases be discussed and coordinated withour local al Breath Test Program Technical Supervisor and/or DPS Headquarters LaboratoryAlcohol and Drug Testing Program personnel. These individuals are familiar with the orderingprocedure p cedure and should be aware of any price changes. The Technical Supervisor or Laboratory alcohol and Drug Testing personnel will also be in a position to advise.the purchaser of theuantities q of supplies that will be needed for a given time span. (1) INSTRUCTIONS FOR THE PURCHASE OF INTOXILYZER BREATH TESTING AND LABORATORY ALCOHOL/DRUG TESTING SUPPLIES 1. Submit your request on your department letterhead stationary as per sample letter on page 4. This letter request must have an authorized signature and the name and phone number of a contact person. Also, furnish exemption number if tax exempt. This letter should be addressed to DPS GENERAL SERVICES BUREAU, P.O.BOX 15999, AUSTIN, TEXAS 78761-5999. 2. See price list on page 3a dated 08-01-05. These prices will be subject to change on a periodic basis and includes shipping and administrative cost. 3 Check or money order should be attached to the letter made out to the Department of Public Safety and should cover any tax, if applicable. 4. Our minimum stock quantities for non DPS agencies of Intoxilyzer Breath Testing and Alcohol/Drug testing supplies and printed materials will be as listed on page 3a and 3b. Minimum quantities must be adhered to. 5. If you have any questions concerning this procedure, please contact Department of Public Safety, General Services Bureau, (512) 424-5718 or TEX-AN- 225-5718. (2) INTERLOCAL COOPERATION CONTRACT THE STATE OF TEXAS COUNTY .OF TRAVIS THIS CONTRACT is entered into by and between the Texas Department of Public Safety and the local governmental agency shown below as the Contract Parties, pursuant to the authority granted and in compliance with the provisions of "The Interlocal Cooperation Contract Act," Government Code, Chapter 791, and in furtherance of the responsibilities of the Texas Department of Public. Safety as provided in Government Code, Chapter 411. I. CONTRACTING PARTIES The Receiving Agency: O C*-10tliel CIL TZ0e-r""PO 1 k Ce,1 Complete Address: lD IS E. a1)(1b1004 Street Address CityLuld State Zip Code The Performing Agency: Texas Department of Public Safety II. STATEMENT OF SERVICE TO BE PERFORMED: The Texas Department of Public Safety will provide, in accordance with the procedures set forth in Department rules, certain forms, manuals, and supplies for the Receiving Agency to use in the Breath Testing and Laboratory Alcohol and Drug Testing Program. The purpose and objective of this Contract are to control and establish uniform procedures, paperwork and supplies used in the above mentioned programs. III. BASIS FOR CALCULATING COSTS: Cost shall be in accordance with the attached document (revised price sheet). IV. PAYMENT FOR SUPPLIES: Receiving Agency shall submit full payment to the Department of Public Safety at the time each order materials and supplies are submitted. Payment shall be made from the Receiving Agency's current revenues. V. TERMS OF CONTRACT: This Contract shall become effective September 1, 2005 and shall terminate on August 31, 2007 THE UNDERSIGNED CONTRACTING PARTIES bind themselves to the faithful performances of this Contract. It is mutually understood that this Contract shall be effective if signed by a person authorized to do so according to the normal operating procedure of said party. If the governing body of a party is required to approve this Contract, it shall not become effective until approved by the governing body of that party. In that event, this contract shall be executed by the duly authorized official(s) of the party as expressed in the approving resolution or order of the governing body of said party, a copy of which shall be attached to this Contract RECEIVING AGENCY PERFORMING AGENCY City of Round Rock/Police Dept. Texas Department of Public Safety - Name of Agency Name of Agency Willuato Authorized Signature Chief of Police B • Authorized Signature Title Title Date: 155 apDto Date: Bv: Authoriz - • ignature 64-06s 2mkP,E• nager Title Date: I 0-040 08/28/03 10:08 FAX 512 424 5753 GEN SVRS OFFICE NON DPS AGENCrES PRICE SHEET E 1002 This is a SAMPLE ORDER SHEET. USING YOUR LETTERHEAD, please follow this format rather than a purchase order form. These items must be PRE-PADY. QUANTITY STOCK NO. .DESCRIPTION TLEBRO7/0 TEST RECORDS TLEBR3 S/3 DICO23/3 PEACE OFFICER'S SWORN REPORT DICO23A/9 :ENTOXILYZER MANUAL MINIMUM QUANTITY PRICE TOTAL AMOUNT —r- 5pkgs., 100/pkg 5 5.00 pkg Each (Binder, Tabs & 7.00 each Contents) Pad of 50 sets SPECIMEN ROUTING RPT. Pad of 50 sets D1CO24/1 DWI STATUTORY WARNIN 2.30/pad 2.30/pad Pad of 50 sets 2.50/pad DICO25/8 NOTICE OF SUSPENSION Pad of 50 sets 2.50/pad DIC054/8 SWORN REPORT CMV Pad of 50 sets 2.30/pad DIC055/5 PEACE OFFCR STATUTORY WARNING FOR COMM, VEH. Pad of 50 sets Z.30/pad DIC056/3 BREATH TEST TECHNICAL SUPERVISOR AFFIDAVIT Pad of 50 sets 2.30/pad DIC057/1 DISQUALIFICATION NOTICE Pad of 50 sets 2.30/pad TLE001/1 OFFENSE REPORT Pad of 100 shects I.20/pad TLE001 A/7 DWI SOBRIETY TEST Pad of 100 sheers 1.20/pad TLE51/6 BLOOD SPECIMEN Pad of 100 sheets 1.20/pad TLE51A/2 AFFIDAVIT OF PERSON WHO WITHDREW BLOOD Pad of 100 sheers 1.20/pad **anionpoo M*+ **** *****s:********W**4.4.1N*4.******** c.****".****. ******sss**sa�.iM��►Mees*s*�s*w*Mh+NMn+� * 680-24-01045-3 MOUTH PIECES 1 Ctn. of 100 each 16.50/ ctn * 680-93-8050 ALCOHOL BLOOD TEST KIT 1 EACH 3.50/ each 50 * 680-93-8060 URINE SPECIMEN TEST KIT 1 EACH 4.50/ each * 475-34-7920 SYRINGE TRANSPORT TURES 1 EACH 3:50/ each 8.25% TAX (If Applicable) PRICES SUBJECT TO CHANGE 'WITHOUT NOTICE! Murucipaiines and. Counnes must ave art nter oca ontract on File to purchase thele items. Mail orders, and payment to: D P S General Ser'v'ices Bureau P. O. Box 15999. Austin, Texas 78761-5999 (512)424-5718 TOTAL AMOUNT. ENCLOSED . Revised (08-06-03) 08/28/03 10:09 FAX 512 424 5753 GEN SVRS OFFICE 1003 NON DPS AGENCIES PRICE SHEET This is a SAMPLE ORDER SHEET of the D.W.I. Forms that we have available in SPANISH. USING YOU LETTERHEAD, please follow this format rather than a purchase or er I orm. mese items .------71-5eminumm. QUANTITY STOCK NO. D1CO245/6 DICO25S/3 DESCRIPTION MINIMUM QUANTITY PRICE TOTAL. AMOUNT :DWI STATUTORY WARNING Pad of 50 sets $ 2.50/pad NOTICE OF SUSPENSION Pad of 50 scts 2.50/pad REFUSAL BRTH/ BLOOD D1C0555/0 , PEACE OFFCR STATUTORY 1 WARNING FOR COMM. VEH. DIC057S/6 DC►ISQUALIFICATION NOTICE Pad of 100 sheets 1.55/pad Pad of 50 sets 2.30/pad 8.25% TAX (If Applicable) TOTAL AMOUNT ENCLOSED PRICES SUBJECT TO CHANGE WITHOUT NOTICE! Prices include shipping and handling. Mail orders and payment to: 1) P 5 General Services Bureau P. 0. Box 15999 Austin, Texas 78761-5999 (512) 424-5718 Revised (08-06-03) Request for City Council/City Manager Action City Council City Manager .i 2 For Administration Use ONLY Received. p(43-635 Tag # Submit completed form for all City Manager and City Council approvals. Original Documents Received: 2_ Interlocal Contract Between DPS/City of Round Department Name: Round Rock Police Department Project Name: Rock Police Department Contact Person: Rick White/Brenda Craytor Project Manager/Resource: Tim Ryle Project Coordinator: Tim Ryle Assigned Attorney: Council or City Manager Approval Date: Blue Sheet Wording ContractorNendor: Funding Source: Amount: Account Number: 3 -Mar -06 State of Texas N/A $0.00 N/A The Interlocal Cooperation Contract between the Texas Department of Public Safety and the City of Round Rock Police Department is needed in order for the police department to receive certain forms, manuals, and supplies for the Round Rock City Police Department to use in the Breath Testing and Laboratory Alcohol and Drug Testing Program. The purpose and objective of this Contract are to control and establish uniform procedures, paperwork and supplies used in the above mentioned programs. Finance Information Is Funding Required? cJ ED EJPurchasing/Service Agreement QPurchase Order Yes No Initial Construction Contract Construction Contract Amendment # Change Order # Change in Quantity Unforeseen Circumstances Initial Professional Services Agreement Supplemental Professional Svcs. A # Finance Approval Finance ElFinance ElPurchasing EJBudget Item(s) to be purchased: Amount Other (Please clearly identify action on lines below) n/a L. Olsen E. Wilson N/A CYD Date 3/1/2006 Date 3/1/2006 Date Date 2/8/2006 Required for Submission of ALL City Council and City Manager Items Project Mgr. Signature: Date: Dept. Director Signature: �,� Date: D4 pal a' p City Attorney Signature*: �'�v{ J Date: S 7 6 City Manager Signature: '� �� Date: /0-0 Ler . proval is required for all items. Updated 2/16/06