CM-07-08-200INTERLOCAL 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: Round Rock Police Dept
Complete Address: 615 E. Palm Valley Blve. Round Rock, TX 78664
Street Address City and 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).
N. 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, 2007 and shall terminate on
August 31, 2009
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
City of Round Rock
By:
PERFORMING AGENCY
TEXAS DEPARMENT OF PUBLIC SAFETY
Name of Agency Name of Agency
By:
uthorized Signature Authorized Signature
City Manager
Title
Date: tJ -31- 07 Date:
Title
TEXAS DEPARTMENT OF PUBLIC SAFETY
INSTRUCTION MANUAL
FOR PURCHASING
BREATH TESTING SUPPLIES AND
PRINTED MATERIAL
FOR NON -DPS AGENCIES
INTRODUCTION
The Texas Department of Public Safety is stocking certain forms, manuals and supplies
for the Intoxilyzer Breath Testing Program and the Laboratory Alcohol and Drug Testing
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 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 volume buying thus passing on the savings to you, the
customer. Certain minimum quantities 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 -
The non -DPS agencies will be charged a slightly higher price due to all administrative
and handling expense and will be required by law to have an Inter -local Cooperation
Contract on file with General Services for any supply item such as mouth pieces and
alcohol blood tests kits. An Inter -local Contract is not required for printed materials.
Instructions for DPS purchases will be contained in the DPS supply catalog.
We strongly urge that all purchase be discussed and coordinated with your local Breath
Test Program Technical Supervisor and/or DPS Headquarters Laboratory Alcohol and
Drug Testing Program personnel. These individuals are familiar with the ordering
Procedure 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 the quantities 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 08-01-07. 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)
NON DPS AGENCIES
PRICE SHI.ET
This is a SAMPLE ORDER SHEET. USING YOUR LETTERHEAD, please follow this format rather than a purchase order
form. These items must be PRE -PAID.
OUANTITY STOCK NO.
TLEBR07/0
TLEBR38/3
DESCRIPTION
TEST RECORDS
INTOXJLYZER
MANUAL
MINIMUM QUANTITY
5pkgs. 100/pkg
Each (Binder, Tabs &
Contents)
D1CO23/3 Pad of 50 sots
DICO23A/9
D1CO24/t
DICO25/8
D1C054/8
D1C055/5
D1C056/3
DIC057/1
TLE00I/1
TLE001A/7
TLE51/6
TLE51A/2
PEACE OFFICER'S
SWORN REPORT
SPECIMEN ROUTING RPT.
DWI STATUTORY WARNING
NOTICE OF SUSPENSION
SWORN REPORT CMV
PEACE OFFICER STATUTORY
WARNING FOR COMM. VEH.
BREATH TEST TECHNICAL
SUPERVISOR AFFIDAVIT Pad of 50 sets
DISQUALIFICATION
NOTICE
OFFENSE REPORT
DWI SOBRIETY TEST
BLOOD SPECIMEN
AFFIDAVIT OF PERSON
WHO WITH DREW BLOOD
Pad of 50 seas
Pad of 50 sets
Pad of 50 sets
Pad of 50 sets
Pad of 50 sets
Pod of 50 sets
Pad of l00 sheets
Pad of 100 sheets
Pad of 100 sheets
Pad of 100 sheets
PRICE TOTAL AMOUNT
$ 5.00pkg
7.00each
2_50/pad
2.50/pad
2.50/pad
2.50/pad
2.50/pad
2.50/pad
2.50/pad
2.50/pad
1.50/pad
1.50/pad
1.50/pad
1.50/pad
* 680-24-01045-3
• 680-93-8050
* 680-93-8060
* 475-34-7920
MOUTH PIECES
ALCOHOL BLOOD TEST KIT
URINE SPECIMEN TEST KIT
SYRINGE TRANSPORT TUBES
1 Ctn of 100 each 17.50/ctrl
1 EACH 4.00/each
1 EACH 4.50/each
1 EACH 3.50/each
8.25% TAX (If Applicable)
TOTAL AMOUNT ENCLOSED
PRICES SUBJECT TO CHANGE WITHOUT NOTICEI
Municipalities and Counties must have an Inter -local Contract on Ole to purchase these items.
Mail orders and payment to:
D P S GENERAL SERVICES BUREAU
P.O.BOX 15999
AUSTIN, TEXAS 78761-5999
512-424-5718
Revised (08-01-07) (3a)
NON DPS AGENCIES
PRICE SHEET
This is a SAMPLE ORDER SHEET of the D.W.I. Forms that we have available in SPANISH
USING YOUR LETTERHEAD, please follow this format rather than a purchase order form.
These items must be PRE -PAID.
QUANT TITY STOCK NO.
DICO24S/6
DICO25S/3
DIC055S/0
DESCRJPTION MINIMUMQUANITITY PRICE TOTAL AMOUNT
DWI STATUTORY WARNING Pad of 50 sets S 2.0/pad
NOTICE OF SUSPENSION Pad of 50 sets 2S0/pad
PEACE OFFICER STATUTORY
WARNING FOR COMM. VEH.
DIC057S/6 DISQUALIFICATION
PRICES SUBJECT TO CHANGE WITHOUT NOTICE(
Prices include shipping and handling.
Mail orders and payments to:
Pad 100 sheets 2.50/pad
Pad of 50 sets 2.50/pad
8.25%TAX (If Applicable)
TOTAL AMOUNT ENCLOSED
D P S GENERAL SERVICES BUREAU
P.O.BOX 15999
AUSTIN, TEXAS 78761-5999
(512) 424-5718
Revised (08-01-07) (3b)
SAMPLE
YOUR DEPARTMENT LETTERHEAD
DATE
DPS General Services Bureau
P.O.Box 15999
Austin, Texas 78761-5999
Gentlemen:
Please enter our purchase order for the following Intoxilyzer Breath Testing Publication
and/or supplies:
OUANTITY STOCK NUMBER DESCRIPTTION PRICE EACH TOTAL AMOUNT
5pkg TLE BRO7/0 TEST RECORDS $ 5.00/pkg. $ 25.00
1 ea TLEBR38/8 MANUALS $ 7.00/ea. $ 7.00
1 pad D1CO24/1 DWI STAT. WARNING $2.50/pad $ 2.50
1 pad D1CO25/8 NOTICE OF SUSPENSION $2.50/pad $ 2.50
1 pad TLE001/l OFFENSE REPORT $1.50/pad $ 1.50
6 ctn. MIS0013/0 MOUTH PIECES $17.50/ctn. $ 105.00
TOTAL: $ 143.50
My tax exempt number is 1074-1950317-3. My check is enclosed.
The contact person is John Doe; Telephone number is (512) 465-8168.
Sincerely,
Joe Smith
Title
(4)
TEXAS DEPARTMENT OF PUBLIC SAFETY
THOMAS A DAVIS. JR.
DIRECTOR
DAVID M&FATHRON
ASST. DIRECTOR
August 1, 2007
5805 N LAMAR BLVD BOX 4087 AUSTIN TX 78773-0001
512!424-2000
www.txdps.stake.tx.us
To Whom It May Concern:
COMMISSION
ERNEST ANGELO, JR.
CHAIRMAN
CARLOS H. CASCOS
COMMISSIONERS
The Texas Department of Public Safety Inter -local Cooperation Contract will expire
August 31, 2007. Enclosed is the revised contract effective September 1, 2007 through
August 31, 2009.
If your agency is interested in purchasing intoxilyzer mouthpieces, alcohol blood test kits,
urine specimen kits or syringe transport tubes we must have a current contract on file
before your order can be processed.
Please note an Inter -local Cooperation Contract is not required to obtain printed
materials.
Sincerely,
Lula B. Schuler, Manager
General Service Bureau
EQUALOPPORTUNITYEMPLOYER
COURTESY• SERVICE • PROTECTION
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: Round Rock Police Dept
Complete Address: 615 E. Palm Valley Blve. Round Rock, TX 78664
Street Address City and 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, 2007 and shall terminate on
August 31, 2009
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
City of Round Rock
PERFORMING AGENCY
TEXAS DEPARMENT OF PUBLIC SAFETY
Name of Agency Name of Agency
Bv:
By:
uthorized Signature Authorized Signature
City Manager
Title Title
Date: o - 5 ` "" t. 7 Date:
TEXAS DEPARTMENT OF PUBLIC SAFETY
INSTRUCTION MANUAL
FOR PURCHASING
BREATH TESTING SUPPLIES AND
PRINTED MATERIAL
FOR NON -DPS AGENCIES
INTRODUCTION
The Texas Department of Public Safety is stocking certain forms, manuals and supplies
for the Intoxilyzer Breath Testing Program and the Laboratory Alcohol and Drug Testing
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 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 volume buying thus passing on the savings to you, the
customer. Certain minimum quantities 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 -
The non -DPS agencies will be charged a slightly higher price due to all administrative
and handling expense and will be required by law to have an Inter -local Cooperation
Contract on file with General Services for any supply item such as mouth pieces and
alcohol blood tests kits. An Inter -local Contract is not required for printed materials.
Instructions for DPS purchases will be contained in the DPS supply catalog.
We strongly urge that all purchase be discussed and coordinated with your local Breath
Test Program Technical Supervisor and/or DPS Headquarters Laboratory Alcohol and
Drug Testing Program personnel. These individuals are familiar with the ordering
Procedure 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 the quantities 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 08-01-07. 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)
NON DPS AGENCIES
PRICE SHEET
This is a SAMPLE ORDER SHEET. USING YOUR LETTERHEAD, please follow this format rather than a purchase order
form. These items must be PRE -PAID.
OUANTITY STOCK NO. DESCRIPTION MINIMUM QUANTITY
TLEBR07/0
TLEBR38/3
DICO23/3
D1CO23A/9
D1CO24/1
D1CO25/8
D1C054/8
DtC055/5
D1C056/3
DIC057/1
TLE001 /I
TLE00IAJ7
TLE51/6
TLE5IA2
TEST RECORDS
INTOXILYZER
MANUAL
PEACE OFFICER'S
SWORN REPORT
SPECIMEN ROUTING RPT.
DWI STATUTORY WARNING
NOTICE OF SUSPENSION
SWORN REPORT CMV
PEACE OFFICER STATUTORY
WARNING FOR COMM. VEH.
BREATH TEST TECHNICAL
SUPERVISOR AFFIDAVIT
DISQUALIFICATION
NOTICE
OFFENSE REPORT
DWI SOBRIETY TEST
BLOOD SPECIMEN
AFFIDAVIT OF PERSON
WHO WITH DREW BLOOD
5pkgs. 100/pkg
Each (Binder, Tabs &
Contents)
Pad of 50 sets
Pad of 50 sets
Pad of 50 sets
Pad of 50 sets
Pad of 50 sets
Pad of 50 sets
Pad of 50 sets
Pad of 50 sets
Pad of 100 sheets
Pad of 100 sheets
Pad of 100 sheets
Pad of 100 sheets
PRICE TOTAL AMOUNT
$ 5.00pkg
7.00each
2.50/pad
2.50/pad
2.50/pad
2.50/pad
2.50/pad
2.50/pad
2.50/pad
2.50/pad
1.50/pad
1.50/pad
1.50/pad
I.50/pad
• 680-24-01045-3
* 680-93-8050
* 680-93-8060
* 475-34-7920
MOUTH PIECES
ALCOHOL BLOOD TEST KIT
URINE SPECIMEN TEST KIT
SYRINGE TRANSPORT TUBES
1 Ctn of 100 each
1 EACH
1 EACH
1 EACH
17.50/ctn
4.00/each
4.50/each
3.50/each
8.25% TAX (11 -Applicable)
TOTAL AMOUNT ENCLOSED
PRICES SUBJECT TO CHANGE WITHOUT NOTICE!
• Municipalities and Counties must have an Inter -local Contract on Ole to purchase these items.
Mail orders and payment to:
D P S GENERAL SERVICES BUREAU
P.O.BOX 15999
AUSTIN, TEXAS 78761-5999
512-424-5718
Revised (08-01-07) (3a)
NON DPS AGENCIES
PRICE SHEET
This is a SAMPLE ORDER SHEET of the D.W.I. Forms that we have available in SPANISH
USING YOUR LETTERHEAD, please follow this format rather than a purchase order form.
These items must be PRE -PAID.
QUANITITY STOCK NO.
DICO24S/6
DICO25S/3
DIC055S/0
P SCRIPTION MINIMUMOUANITITY
DWI STATUTORY WARNING
NOTICE OF SUSPENSION
PEACE OFFICER STATUTORY
WARNING FOR COMM. VEH.
DIC057S/6 DISQUALIFICATION
PRICE TOTAL AMOUNT
Pad of 50 sets $ 2.50/pad
Pad of 50 sets 2.50/pad
Pad 100 sheets 2.50/pad
Pad of 50 sets 2.50/pad
8.25%TAX (If Applicable)
TOTAL AMOUNT ENCLOSED
PRICES SUBJECT TO CHANGE WITHOUT NOTICE,
Prices include shipping and handling.
Mail orders and payments to:
D P S GENERAL SERVICES BUREAU
P.O.BOX 15999
AUSTIN, TEXAS 78761-5999
(512) 424-5718
Revised (08-01-07) (3b)
SAMPLE
YOUR DEPARTMENT LETTERHEAD
DATE
DPS General Services Bureau
P.O.Box 15999
Austin, Texas 78761-5999
Gentlemen:
Please enter our purchase order for the following Intoxilyzer Breath Testing Publication
and/or supplies:
OUANTITY STOCK NUMBER DESCRIPTT1ON PRICE EACH TOTAL AMOUNT
5pkg TLE BRO7/0 TEST RECORDS $ 5.00/pkg. $ 25.00
1 ea. TLEBR38/8 MANUALS $ 7.00/ea. $ 7.00
1 pad DICO24/1 DWI STAT. WARNING $2.50/pad $ 2.50
1 pad DICO25/8 NOTICE OF SUSPENSION $2.50/pad $ 2.50
1 pad TLE001/1 OFFENSE REPORT $1.50/pad $ 1.50
6 ctn. MIS0013/0 MOUTH PIECES $17.50/ctn. $ 105.00
TOTAL: $ 143.50
My tax exempt number is 1074-1950317-3. My check is enclosed.
The contact person is John Doe; Telephone number is (512) 465-8168.
Sincerely,
Joe Smith
Title
(4)
CITY MANAGER BLUE SHEET FORMAT
PLEASE BE SURE ALL AREAS OF THIS FORM HAVE BEEN FILLED OUT.
DATE:
August 27, 2007
SUBJECT: City Manager Approval
ITEM:
Interlocal Agreement with DPS for Breath Testing Materials.
Department:
Staff Person:
Justification:
Police Department
Tim Ryle/Sherrill Voll
The existing Texas Department of Public Safety Interlocal
Cooperation Contract will expire August 31. Attached is a
revised contract effective September 1, 2007, through
August 31, 2009. This agreement will allow the Police
Department to receive certain forms, manuals, and
supplies for its use in the Breath Testing and Laboratory
Alcohol and Drug Testing Program. Participation enhances
the Department's ability to prosecute DWI offenders.
Funding:
Cost: $0.00
Source of funds: N/A
Background Information: The purpose and objective of this Agreement
are to control and establish uniform
procedures, paperwork, and supplies used in
the above-mentioned programs.
Updated 3-10-05