Contract - Texas Department of Public Safety - 8/13/2015 INTERLOCAL COOPERATION CONTRACT • •
DPS,REPROGRAPHICS &DISTRIBUTION SERVICES
P.O.BOX 15999
AUSTIN,TEXAS 78761-5999
THE STATE OF TEXAS
COUNTY OF TRAVIS
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THIS CONTRACT is entered into by and between the Texas Department of Public Safety and the
local government agency shown below as the Contract Parties,pursuant to the•authority granted and in
compliance with the provisions of"The Interlocal Cooperation contract Act,"Govertunerit 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
City of Round Rock,. Texas on behalf of •
The Receiving Agency Round Rock Police Department
Complete Address: 221 E. Main Street • Round Rock, Texas 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 Depai iuient of Public Safety will provide,in accordance with the procedures set forth
in Department rules,certain forms,manuals,gunshot residue kit,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 is 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 sleet).
IV. PAYMENT FOR SUPPLIES: •
Receiving Agency shall submit full payment to the Department of Public Safety at the time of •
order; Payment shall be made froth the Receiving Agency's current revenues.
V. TERMS OF CONTRACT:
This Contract shall become effective September 1,2015 and shall terminate on August-31,2017.•
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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
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City of Round Rock, Texas TEXAS DEPARTMENT OF PUBLIC SAFETY
Name of Agency Name of Agency
By: By:
Authorized Signature Authorized Signature •
414 MYZWf
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Title Title
Date: . Alkip4k L I 2 o(• •✓ Date: 7
FOR C .TY,ATTEST
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By:.,
• Sara L. White
City Clerk
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INTRODUCTION
The Texas Department of Public Safety is stocking certain forms,manuals,gunshot
residue kit, 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. The prices will differ between
DPS and non-DPS users. 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
Interlocal Cooperation Contract on file with Reprographics&Distribution Services for
any supply item such as mouthpieces,alcohol blood tests kits, gunshot residue kit and
urine specimen kit. An Interlocal Contract is not required for printed materials. We
strongly urge that all purchases 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.
(1)
INSTRUCTIONS FOR THE PURCHASE OF
INTOXILYZER BREATH TESTING AND LABORATORY ALCOHOL/DRUG TESTING
SUPPLIES AND GUN SHOT RESIDUE KIT
1. Submit your request on your department letterhead using the sample on page 5.
This request must have an authorized signature and the name and phone number of
a contact person.Also,furnish exemption number if tax exempt.
Attach pages 3 and 4 to include requested items and total amount due.
This request should be addressed to:
DPS GENERAL STORES
P.O.BOX 15999
AUSTIN,TEXAS 78761-5999
2. Prices will be subject to change on a periodic basis and include shipping and handling.
3. Submit check or money order made out to the Department of Public Safety,
General Stores,along with your request.
4. Our minimum stock quantities for non DPS agencies of Intoxilyzer Breath Testing
and Alcohol/Drug testing supplies and printed materials will be listed on pages 3 and 4.
Minimum quantities must be adhered to.
5. If you have any questions concerningthis procedure,please contact:
DPS GENERAL STORES
512-424-5424
512-424-5718
(2)
NON DPS AGENCIES PRICE SHEET
AN INTERLOCAL COOPERATION CONTRACT IS NOT REQUIRED
TO PURCHASE PRINTED MATERIALS BELOW
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
THESE ITEMS MUST BE PRE-PAID
QUANTITY DESCRIPTION MINIMUM QUANTITY PRICES TOTAL AMOUNT
DIC 23 PEACE OFFICERS SWORN REPORT(Rev.9-01) PAD 50 SETS $2.50/PAD
DIC 23A SPECIMEN ROUTING REPORT PAD 50 SETS $2.50/PAD
DIC 24 STATUTORY WARNING PAD 50 SETS $2.50/PAD
DIC 25 NOTICE OF SUSPENSION PAD 50 SETS $2.50/PAD
TEMPORARY DRIVING PERMIT
DIC 54 PEACE OFFICER'S SWORN PAD 50 SETS $2.50/PAD
REPORT COMM.MOTOR VEHICLE
DIC 55 STATUTORY WARNING PAD 50 SETS $2.50/PAD
COMMERCIAL MOTOR VEHICLE OPERATORS
DIC 56 BREATH TEST TECHNICAL PAD 50 SETS $2.50/PAD
SUPERVISOR AFFIDAVIT
DIC 57 NOTICE OF DISQUALIFICATION(Rev.9-01) PAD 50 SETS $2.50/PAD
DIC.SPANISH FORMS:
D1C 24S DWI STATUTORY WARNING PAD 50 SETS $2.50/PAD
DIC 25S NOTICE OF SUSPENSION PAD 50 SETS $2.50/PAD
DIC 57S NOTICE OF DISQUALIFICATION PAD 50 SETS $2.50/PAD
THP FORMS:
THP 1 OFFENSE REPORT PAD OF 100 SHEETS $2.50/PAD
THP IA SFST SCORING SHEET PAD OF 100 SHEETS $2.50/PAD
(3)
THP 51 STATUTORY AUTHORIZATION PAD OF 100 SHEETS 52.50/PAD
MANDATORY BLOOD SPECIMEN
THP 51A AFFIDAVIT OF PERSON PAD OF 100 SHEETS 52.50/PAD
WHO WITHDREW BLOOD •
THP/BR 38 INTOXILYZER MANUAL (BINDER,TABS&CONTENTS) 58.75/EACH
*MUNICIPALITIES AND COUNTIES MUST HAVE AN INTERLOCAL CONTRACT
ON FILE TO PURCHASE ITEMS BELOW
PRICES SUBJECT TO CHANGE WITHOUT NOTICE
THESE ITEMS MUST BE PRE-PAID
QUANTITY DESCRIPTION MINIMUM QUANTITY PRICES TOTAL AMOUNT
*PBT(MOUTHPIECES) I PKG of 25 EACH 54.50/PKG.
(PORTABLE BREATH TESTING TUBE)
*INTOXILYZER MOUTHPIECES I PKG of 100 EACH 523.00/PKG.
*ALCOHOL BLOOD TEST KIT .1 EACH 56.50/EACH
*URINE SPECIMEN TEST KIT I EACH $4.50/EACH
*SYRINGE TRANSPORT TUBES 1 EACH 53.50/EACH
*GUNSHOT RESIDUE KIT I EACH 58.50/EACH
TOTAL ENCLOSED
(Items from pages 3 &4)
MAIL ORDERS AND PAYMENTS TO:
GENERAL STORES
P.O.BOX 15999
AUSTIN,TEXAS 78761-5999
512.-424-5424
512-424-5718
(4)
USING YOUR LETTERHEAD,PRINT THIS PAGE,
ATTACH ORDER SHEETS,AND MAIL TO:
GENERAL STORES
P.O.BOX 15999
AUSTIN,TEXAS 78761-5999
DATE
Gentlemen:
Please enter our purchase order for the attached supplies.My check is enclosed.
Sincerely, •
Title
Tax exempt number
Contact person Phone number
Physical Address(City, State,Zip)
Email Address
(5)