HomeMy WebLinkAboutNW Vital Records Center AgreementNorthwest Vital Records Center, Inc.
124 S Wall St
pokane WA 99201
(509)326-9128
(800)441-6963
FAX 7 44-3832
ww.nwvrc.com
"Your Records
Management Specialist"
DESTRUCTION SERVICE CONTRACT
Northwest Vital Records Center will provide the service of document destruction
and provide a collection bin(s) at no charge. Bins remain the property of
Northwest Vital Records Center.
Customer KITTITAS COUNTY PUBLIC HEALTH DEPARTMENT
Billing Address s ee-b<low
Jr
Bin Address 507 NORTH NANUM ST, SUITE 102
ELLENSBURG, WA. 98926
Contact LIZ
Phone Number 509-962-7068
Service Start Date
FAX-NUMBER
# of Containers: --t--1 ,r • ' ...
Service Fee rfis.oo FLAT RATE PER BIN 1 BOX X-RAYS $50.00 .)
Pick-Up Service M( )1\.1 I _TT~ Orz e.. ftJIJ'l & -~ .l
Authorized
~'7-/Jvfkudz~ Signature X
Printed u~i/ Wk1~k-er-Name
Date , Ii / wt °I
( I
Northwest Vital
Records Center JOEM. LENZ
Date 12/3/18
Terms & Conditions
1. Services to be Furnished . Company will provide service for the destruction of records
~ 'Services "). Company will provide a certificate of destruction to Customer, upon request by
C ~ :,~ omer. The Services may, at Customers Option, be performed as part of a regular
schedule or pursuant to specific directions which Customer shall give Company from time to
time. Customer may also request additional services not set forth in the agreement, in which
case Company will consult with Customer as to the terms and conditions of such Services.
2. 1-Lght to Rely on Instructions. Company may act in reliance upon any instruction,
i.-,:.arument or signature reasonably believed by Company to be genuine , and may assume that
any of Customer's employees or any employee of Customer 's affiliates or subsidiaries , or
any other person in possession of Customer's records , giving any written notice, request or
instruction has the authority to do so .
3. Hazardous Substances. Customer shall not deliver to Company any material considered to
be dangerous or which is regulated under any federal , state or regulations relating to
hazardous material , including regulated waste or bio-hazard. In the event the Customer does
deliver to the Company any such material , Customer shall arrange its retrieval appropriately,
safely and legally, assuming custody of such material and at its expense, and further
indemnify Company from any property damage or personal injury resulting from or related
to such delivery.
4. Bins. Any and all collection bins provided by Company will remain the property of the
Company as well as all material enclosed within the bins for shredding, including but no t
limited to, the right to recycle the material.
5. Service Fee. The service fee will be listed on the front of this agreement and will remain in
effect for the term of this agreement. Any changes in this fee will require written approval
by both the Customer and Company.
6. Failure to Pay. In the event the Customer fails to pay any amounts owing under this
Agreement, when due, including by reason of bankruptcy or insolvency, the Company may
immediately cancel this Agreement and retrieve its equipment from the Customer, wherever
located. In the event the Company takes action pursuant to this section it shall have no
liability to the Client or anyone claiming by or through the client. Nothing herein shall
preclude the Company from pursuing other remedies by statute or otherwise.
7. Term of Agreement. This Agreement shall automatically be renewed for successive term s
of (1) one year until either party shall cancel it by giving the other written notice of its
election to cancel , at least (90) days prior to the expiration of the then existing term of (1)
one year.
8. Indemnification . The Client agrees to fully indemnify and hold harmless the Company, its
officers, employees and agents for any liability, cost or expense, including reasonable
attorneys ' fees that the Company may suffer or incur as a result of claims , demands , cost or
judgments against it arising out of its relations with the Client or third parties pursuant to this
Agreement, unless caused by negligence of the Company.
9. Modification-Assignment. This agreement binds the heirs , executors, administrators ,
successors and assigns of the respective parties and cannot be changed orally. This
Agreement may not be assigned by either party (other than to an affiliate) without written
consent of both parties, which shall not be unreasonably withheld or delayed.
10 . Miscellaneous . This document contains the entire understanding of the parties concerning
the subject matter of this Agreement. If any provision is held invalid , the other provisions of
this Agreement will remain in full force and effect. The Agreement will be interpreted under
the laws of the province/state in which it is executed .
Kittitas County
Review Form
Grants & Contract Agreement
Today's Date
01/24/2018
Fund/Department
116-Public Hea lth
Contract/Grant Information
Agenda Date
Contract /Grant Agency: Northwest Vital Records and KCPHD
Period Begin Date: 02/01/2019 I j Period End Date : 02/28/2019
Total Grant/Contract Amount: $68.00
Grant/Contract Number:
Contract/Grant Summary:
53/
The Northwest Vital Records agreement will allow them to take old xrays from the department and
shred them and send us confirmation of shredding services provided :
Reco mmendation for Board of Health and Board of Health Review on
Department Head Signature: _________ _, Administrator Date: __ _
Kittitas County Prosecutor, Auditor, and Board of Health Review and Comment:
AP DAS TO FORM:
e Date
Signature of Board of Health member Date
Financial Information
Total Amount$ 68 (expense) State Funds $ 0 Federal Funds$ 0
Percentage County Funds Matching Funds$ CFDA#
In-Kind$
Ex p lain
Is Equipment being purchased? Who owns equipment?
Grant/Contract Review Page 1
New Personnel being hired? I Contact HR hiring-reporting requirements
Future impacts or liability to Kittitas County:
Budget Information
Budget Amendment Needed? Yes D attach budget form No [Kl Why not
New Division Created?
Revenue Code n/a
Expense Code: 116.611.54127 PH Admin Shredding
Pass Through Information
Agency to Pass Through
Amount to Pass Through $
Sub-Contract Approved Date:
Prosecutor Review
I Has the Prosecutor reviewed this agreement? I Yes • No D
County Departments Impacted
Auditor Facilities Maintenance
Information Services Human Resource
Prosecutor Treasurer
Submitted I Signature:
Department:
I Date :
Assignment of Tracking Information
Auditor's Office
Human Resource
Prosecutor's Office
Who Signed the grant application
/ Reviewer I Date
Grant/Contract Review Page 2