No preview available
8530 - Contract Executed Docusign Transmittal Coversheet File Name Purchasing Contact Contract Expiration DocuSign Envelope ID: 94902719-7D26-4383-8586-648D7F8D4583 April 25, 2026 8530 MediWaste Disposal Ginny Brummett C MEDICAL WASTE SERVICE AGREEMENT GEO MED WASTE OF TEXAS IS PERMITTED TO TRANSPORT REGULATED MEDICAL WASTE IN TCEQ PERMIT # MSW 50107 THE STATE OF TEXAS BY THE TEXAS COMMISSION ON ENVIORMENTAL QUALITY. 12775 BUSINESS HIGHWAY 287 NORTH FORT WORTH, TEXAS 76179 BUSINESS (817)231-8365 FAX (817)439-4616 SERVICE DESCRIPTION DATE OF AGREEMENT CUSTOMER'S NAME / I.D. NUMBER CUSTOMER'S BILLING ADDRESS CITY, STATE, ZIP CODE PHONE SERVICE ADDRESS CITY, STATE, ZIP CODE PHONE SPECIAL INSTRUCTIONS: TERMS AND CONDITIONS BY SIGNING IN THE SPACE PROVIDED BELOW, THE CUSTOMER ACKNOWLEDGES HAVING READ AND IS BOUND BY THE TERMS AND CONDITION THE ATTACHED SERVICE AGREEMENT. BI-WEEKLY SERVICE BEGINS ON SERVICE SCHEDULE: CUST. INITIAL M T W TH F Price Per General Waste Container QUARTERLY WEEKLY WILL CALL MONTHLY BI-MONTHLY Price Per Pharmaceutical Container DocuSign Envelope ID: 94902719-7D26-4383-8586-648D7F8D4583 City of Denton Police Department-Jail 4/26/2024 55.00 99.95 04/26/2024 Fred Walker 1672204 601 E. Hickory ST Denton TX 76205 Denton, TX 76209 Purchasing 940-349-7954 Container pick-up will be at the Police Department Jail Sally port, located at the rear of the Service Address. Will Call 901-B Texas St CUSTOMER REPRESENTATIVE SIGNATURE DATE PRINT CUSTOMER NAME AND TITLE Article I - DISPOSAL SERVICES Customers shall provide to Contractor and Contractor shall collect and remove from customer’s premises, treat and/or dispose of all “Regulated Medical Waste” generated by Customer in accordance with the terms of this Agreement. The term “Regulated Medical Waste” shall include only those wastes (1) defined by the United States Environmental Protection Agency (USEPA) as an infectious waste in this Guide for Infection Waste Management, EPA/530-SW. 86-014, May 1986, or defined by the USEPA as medical waste in 40 CFR 259.30 and any other wastes identified as infectious or similar wastes in any other applicable federal, state, county or municipal laws, regulations, and guidelines, and (11) “Chemotherapy Waste” (also known as antineop lastic or cytotoxic waste). The terms “Chemotherapy Waste which means discarded items which have been contaminated by chemotherapeutic drugs or antineoplastic agents, provided that such items, including vials and syringes shall be empty as defined in appl icable federal, state, county or municipal laws, regulations and guidelines. . The term “Regulated Medical Waste” specifically excludes (a) fetal remains and human torsos and (b) corrosive, reactive, toxic and other hazardous waste and substance as defined in any applicable federal, state, county or municipal laws, regulations, and guidelines. Geo Med Waste of Texas shall provide Customer an assigned quantity of DOT and TCEQ containers determined by Waste generation, corrugated and/or reusable, with approp riate liner bags, bar code labels and compliance documentation. Containers shall be replaced as used. Customer is solely responsible for properly and lawfully packaging, labeling, and storing Regulated Medical Waste, customer shall store Regulated Medical Waste in containers supplied by Geo Med Waste of Texas. Customer agrees that all containers supplied to Customer by Geo Med Waste of Texas and which carry it’s identification on the container, shall be collected and disposed of only by Geo Med Waste of Te xas or its designated representatives. The storage of “Regulated Medical Waste” shall be confined to an area on Customer’s premises to which only authorized personnel shall access. Geo Med Waste Of Texas reserves the right to decline to accept for collect ion, transportation, treatment and/or disposal any “Regulated Medical Waste” which in Contractor’s judgement, it cannot transport, treat or dispose of in a lawful manner or without a risk of harm to public health or environment, Improperly packaged, leakin g, overweight, or damaged containers are subject to rejection or to off -specification charges for repackaging and/or special handling. NO CONTAINERS WILL BE PICKED UP THAT ARE WET OR LEAKING. Geo Med Waste of Texas agrees to remove, transport, document an d dispose of all APPROVED containers holding Customer’s Regulated Medical Waste with the removal schedule mutually agreed upon by Customer and Geo Med Waste of Texas. The disposal of Customer’s Regulated Medical Waste will be conducted at an approved TCEQ permitted facility and duly recorded by Geo Med Waste of Texas waste Tracking System providing monthly documentation and verification of Customer’s container disposal. GEO MED WASTE REPRESENTATIVE DATE 4/24/2024 DocuSign Envelope ID: 94902719-7D26-4383-8586-648D7F8D4583 4/26/2024 Ginny Brummett Buyer Article II COMPLIANCE WITH LAW AND RECORD KEEPING In the performance of all services to be provided hereunder. Geo Med Waste of Texas and Customer agree to comply with all applicable Federal, State, County and Municipal Laws and ordinances and all lawful orders, rules, regulations and guidelines of any authority, including but not limited to security and income tax withholding laws, unemployment compensation laws, environmental safety and health laws and manifesting requirements. Geo Med Waste of Texas and Customer and its assigns, have obtained all necessary permits, license, zoning and other Federal, State or Local authorization required to perform services hereunder and upon request of Customer. Geo Med Waste of Texas shall furnish copies thereof to Customer. Geo Med Waste of Texas and Customer shall keep and retain adequate books, records, and other documents including personnel records, Correspondence, instructions, plans, receipts, vouchers, copies of all manifests and tracking records and other records or reports of memoranda consistent with and for the periods required by applicable regulatory requirements and guidelines pertaining to performance of the services required by this Agreement. Article III - TITLE Title to "Regulated Medical Waste" collected from Customer shall be transported to and vested in Geo Med Waste of Texas at the same time as the "Regulated Medical Waste" is fully loaded into its truck. Prior thereto all title to the "Regulated Medical Waste" shall be in Customer Title to any waste other than "Regulated Medical Waste" shall remain with Customer. Article IV – LENGTH, SUSPENSION, TERMINATION OF AGREEMENT AND CURE FOR CAUSE FOR EARLY TERMINATION OF AGREEMENT The initial term of this Agreement shall be for a period of twelve (12) months with the option to renew for successive terms of twelve (12) months unless or until terminated as herein provided. Geo Med Waste of Texas and Customer have the right to terminate this Agreement upon thirty (30) days prior written notice (by certified mail) to the other with cause for termination specified. Geo Med Waste of Texas and Customer have the right to cure specified cause within (30) day period by mutual agreement acceptable. Article V – PAYMENT CHARGES All monthly charges are due and payable within thirty (30) days of the receipt of invoice. Should any portion of any account remain unpaid tor more than sixty (60) days from date of service Geo Med Waste of Texas shall have the option without notice to Customer, to suspend service under this Agreement unless and until payment has been made for all services performed by Geo Med Waste of Texas under this Agreement including those payments not yet past due. Upon such suspension Geo Med Waste of Texas may remove from customer's premises all containers belonging to Geo Med Waste of Texas. Article VI – SERVICES AND RATES Geo Med Waste of Texas will provide the collection, transportation, treatment and/or disposal services enumerated above as set forth above Geo Med Waste of Texas will provide all necessary equipment to perform such services and all such equipment shall comply with all applicable Federal, State, County and Municipal laws, regulations and permits, provided that the referenced schedule set forth by Customer is maintained, where as any Customer changes may alter service schedules and prices per container by Geo Med Waste of Texas. Article VII – LIABILITY FOR EQUIPMENT Customer acknowledges that it has the care, custody and control of containers and other such equipment owned by Geo Med Waste of Texas and accepts responsibility and liability tor the equipment and its contents except when it is physically handles by employees of Geo Med Waste of Texas. Article VIII – RATE ADJUSTMENTS Because disposal and fuel costs constitute a significant portion of Geo Med Waste of Texas services provided hereunder, Customer agrees that Geo Med Waste of Texas may increase rates hereunder proportionately to adjust for any increase in such costs or any increase in transportation costs due to changes in location of the disposal facility. Customer agrees that Geo Med Waste of Texas may increase the rates from time to time to adjust for increases in the Consumer Price Index and Customer agrees that Geo Med Waste of Texas may also proportionately pass through to Customer increases in costs due to changes in local, state or Federal rules, ordinances or regulations applicable to Geo Med Waste of Texas operations or the services provided hereunder and increase in taxes, fees or other governmental charges assessed against or passed through to Geo Med Waste of Texas (other than income or real property taxes) and shall not be withheld by the Customer. Geo Med Waste of Texas may only increase rates for reasons other than set forth above with the consent of the Customer. Such consent may be evidenced verbally, in writing or by the actions and practices of the parties. Article IX – INSURANCE – Geo Med Waste of Texas shall procure and maintain insurance required by law and the following insurance coverages and limits for the duration of this Agreement. Worker‘s Compensation-Statutory: Employer's Liability of $1,000,000 each occurrence; Comprehensive General Liability(including Contractual liability) - $1,000,000 each occurrence combined single limit, Comprehensive Automobile Liability (Geo Med Waste of Texas)-l each occurrence combined single limit. Article X - INDEMNITY Geo Med Waste of Texas will indemnify and hold Customer harmless from any and all loss, damages, suits, penalties, costs, liabilities and expenses (including but not limited to, reasonable investigation and legal expenses) arising out of any claim for loss or damage to property. including Customer's property and injuries to or death of person, including Customer's employees, caused by or resulting from Geo Med Waste of Texas negligence or willful misconduct of Geo Med Waste of Texas of this Agreement. The foregoing indemnity from Geo Med Waste of Texas in favor of Customer under Article IX shall be inapplicable to the extent that the loss. damages, suites, penalties, costs. liabilities and expenses result from the Customer's provision to Geo Med Waste of Texas other than "Regulated Medical Waste", in any instance in which Customer claims indemnity under this Article X, Geo Med Waste of Texas shall have the right, but not the duty to defend Customer in (and control the defense 00 any litigation arising out of the occurrence from which Customer claims that Geo Med Waste of Texas indemnity obligation exists. With respect to any claim for indemnification, the party claiming a right to indemnify shall be (c) give written notice thereof within a reasonable period following the event or occurrence as to which the right to indemnification may be asserted and (d) allow the other party (including it's employees. agents and counsel) reasonable access to any of it's employees, property and records for the purpose of obtaining statements, photographs and chemical analysis and taking such other steps as may necessary to preserve evidence of the occurrence on which claim is based. If the party claiming the right to indemnity denies the other party reasonable access as set forth above, the party claiming a right to indemnity shall assume sole responsibility for the claim for which indemnification is sought and shall not be entitled to indemnity. Article XI – FORCE MAJEURE Except for the obligation to pay for service rendered neither party hereto shall be liable for its failure to perform hereunder in whole party, due to contingencies beyond its reasonable control, including, but not limited to strikes, riots, war, fire, acts of God, injunction compliance with any law, regulation or guideline or under any government body or any instrumentality thereof. whether now existing or hereafter created. In the event of an occurrence under this Section, Geo Med Waste of Texas will be excused from any further performance or observance of the requirements so affected for as long as such circumstances prevail and Geo Med Waste of Texas continues to use commercially reasonable efforts to recommence performance or observance whenever and to whatever extent possible without delay. Geo Med Waste of Texas shall immediately notify the City of Denton Procurement Manager by telephone (to be confirmed in writing within five (5) calendar days of the inception of such occurrence) and describe at a reasonable level of detail the circumstances causing the non-performance or delay in performance. Article XII – INDEPENDENT CONTRACTOR Geo Med Waste of Texas relationship with Customer under this Agreement shall be that of independent contractor. Geo Med Waste of Texas is to exercise its own discretion on the method and manner of performing its duties. and Customer will not exercise control over Geo Med waste of Texas except insofar as may be reasonably necessary to ensure performance and compliance with this Agreement. The employees methods, equipment and facilities used by Geo Med Waste of Texas shall at all times be under its exclusive direction and control. Nothing in this Agreement shall be construed to designate Geo Med Waste of Texas or any of its employees, as employees, agents, joint ventures or partners with Customer. Article XIII – AMENDMENT AND WAIVER Except as otherwise provided in Article IV & VIII this agreement may be amended from time to time only by an instrument in writing signed by the parties to this Agreement at the time of such amendment. No provision this Agreement can be waived except by a written instrument signed by the party waiving such provision. nor shall failure to object to any breach of a provision of this Agreement waive the right to object to a subsequent breach of the same or any other provision. Article XIV – NOTICES Except as otherwise provided in Articles IV & VIII. all notices required or desired to be given here under shall be given in writing to their parties. Article XV – ENTIRE AGREEMENT This Agreement (including any attachments, exhibits and amendments hereto) constitutes the entire understanding between parties hereto and cancels and supersedes all prior negotiations. representations. understanding and agreements, either written or oral. with respect to the subject matter hereto. DocuSign Envelope ID: 94902719-7D26-4383-8586-648D7F8D4583 CONFLICT OF INTEREST QUESTIONNAIRE CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ For vendor or other person doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local government entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a misdemeanor. 1 Name of vendor who has a business relationship with local governmental entity. 2 Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) 3 Name of local government officer about whom the information in this section is being disclosed. Name of Officer This section, (item 3 including subparts A, B, C & D), must be completed for each officer with whom the vendor has an employment or other business relationship as defined by Section 176.001(1-a), Local Government Code. Attach additional pages to this Form CIQ as necessary. A. Is the local government officer named in this section receiving or likely to receive taxable income, other than investment income, from the vendor? Yes No B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer named in this section AND the taxable income is not received from the local governmental entity? Yes No C. Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership of one percent or more? Yes No D. Describe each employment or business and family relationship with the local government officer named in this section. 4 I have no Conflict of Interest to disclose. 5 Signature of vendor doing business with the governmental entity Date DocuSign Envelope ID: 94902719-7D26-4383-8586-648D7F8D4583 X Geo Med Waste of Texas 4/26/2024 Denton PD Certificate Of Completion Envelope Id: 949027197D2643838586648D7F8D4583 Status: Completed Subject: ***Purchasing Approval***8530 MediWaste Disposal Source Envelope: Document Pages: 5 Signatures: 2 Envelope Originator: Certificate Pages: 5 Initials: 2 Ginny Brummett AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 901B Texas Street Denton, TX 76209 Ginny.Brummett@cityofdenton.com IP Address: 198.49.140.10 Record Tracking Status: Original 4/26/2024 8:58:59 AM Holder: Ginny Brummett Ginny.Brummett@cityofdenton.com Location: DocuSign Signer Events Signature Timestamp Ginny Brummett ginny.brummett@cityofdenton.com Buyer City of Denton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.10 Sent: 4/26/2024 9:11:25 AM Viewed: 4/26/2024 9:11:36 AM Signed: 4/26/2024 9:11:48 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Cathy A. Charbonnet geomedwaste@outlook.com Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 12.236.127.146 Sent: 4/26/2024 9:11:50 AM Viewed: 4/26/2024 9:56:09 AM Signed: 4/26/2024 9:59:11 AM Electronic Record and Signature Disclosure: Accepted: 4/26/2024 9:56:09 AM ID: 109163f4-681e-4d65-8816-be1e88ed535d Fred Walker Fredrick.Walker@cityofdenton.com Detention Manager Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.10 Sent: 4/26/2024 9:59:13 AM Viewed: 4/26/2024 10:14:09 AM Signed: 4/26/2024 10:24:25 AM Electronic Record and Signature Disclosure: Accepted: 4/26/2024 10:14:09 AM ID: 14ba77cb-f57c-4de7-aded-6a4230dccd83 Ginny Brummett ginny.brummett@cityofdenton.com Buyer City of Denton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.10 Sent: 4/26/2024 10:24:27 AM Viewed: 4/29/2024 3:04:45 PM Signed: 4/29/2024 3:05:06 PM Freeform Signing Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Cheyenne Defee cheyenne.defee@cityofdenton.com Procurement Administration Supervisor City of Denton Security Level: Email, Account Authentication (None) Sent: 4/29/2024 3:05:07 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 4/26/2024 9:11:25 AM Certified Delivered Security Checked 4/29/2024 3:04:45 PM Signing Complete Security Checked 4/29/2024 3:05:06 PM Completed Security Checked 4/29/2024 3:05:07 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, City of Denton (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through your DocuSign, Inc. (DocuSign) Express user account. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to these terms and conditions, please confirm your agreement by clicking the 'I agree' button at the bottom of this document. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. For such copies, as long as you are an authorized user of the DocuSign system you will have the ability to download and print any documents we send to you through your DocuSign user account for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. To indicate to us that you are changing your mind, you must withdraw your consent using the DocuSign 'Withdraw Consent' form on the signing page of your DocuSign account. This will indicate to us that you have withdrawn your consent to receive required notices and disclosures electronically from us and you will no longer be able to use your DocuSign Express user account to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through your DocuSign user account all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. Electronic Record and Signature Disclosure created on: 7/21/2017 3:59:03 PM Parties agreed to: Cathy A. Charbonnet, Fred Walker How to contact City of Denton: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: purchasing@cityofdenton.com To advise City of Denton of your new e-mail address To let us know of a change in your e-mail address where we should send notices and disclosures electronically to you, you must send an email message to us at melissa.kraft@cityofdenton.com and in the body of such request you must state: your previous e-mail address, your new e-mail address. We do not require any other information from you to change your email address.. In addition, you must notify DocuSign, Inc to arrange for your new email address to be reflected in your DocuSign account by following the process for changing e-mail in DocuSign. To request paper copies from City of Denton To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an e-mail to purchasing@cityofdenton.com and in the body of such request you must state your e-mail address, full name, US Postal address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with City of Denton To inform us that you no longer want to receive future notices and disclosures in electronic format you may: i. decline to sign a document from within your DocuSign account, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may; ii. send us an e-mail to purchasing@cityofdenton.com and in the body of such request you must state your e-mail, full name, IS Postal Address, telephone number, and account number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process.. Required hardware and software Operating Systems: Windows2000? or WindowsXP? Browsers (for SENDERS): Internet Explorer 6.0? or above Browsers (for SIGNERS): Internet Explorer 6.0?, Mozilla FireFox 1.0, NetScape 7.2 (or above) Email: Access to a valid email account Screen Resolution: 800 x 600 minimum Enabled Security Settings: •Allow per session cookies •Users accessing the internet behind a Proxy Server must enable HTTP 1.1 settings via proxy connection ** These minimum requirements are subject to change. If these requirements change, we will provide you with an email message at the email address we have on file for you at that time providing you with the revised hardware and software requirements, at which time you will have the right to withdraw your consent. Acknowledging your access and consent to receive materials electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please verify that you were able to read this electronic disclosure and that you also were able to print on paper or electronically save this page for your future reference and access or that you were able to e-mail this disclosure and consent to an address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format on the terms and conditions described above, please let us know by clicking the 'I agree' button below. By checking the 'I Agree' box, I confirm that: • I can access and read this Electronic CONSENT TO ELECTRONIC RECEIPT OF ELECTRONIC RECORD AND SIGNATURE DISCLOSURES document; and • I can print on paper the disclosure or save or send the disclosure to a place where I can print it, for future reference and access; and • Until or unless I notify City of Denton as described above, I consent to receive from exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to me by City of Denton during the course of my relationship with you.