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Missouri Hospital Plan
r 4700 Country Club Drive . P.O. Box 1498 . Jefferson City, Missouri 65102-1498
CEI TEFICA,TE OF INSURANCE
This is to certify that the policy below described, issued by this
Company, is in force for the period shown:
-+s
Named Insured and Mailing Address: .
4
Memorial-Still Regional Medical Center dba
", Capital Region Medical Center
''- 1125 S. Madison Avenue, P.O. Box 1128
Jefferson City, MQ 65102
1000069
HLM -11-01 d•
Policy No
Effective: 01-01-90 ,tit` : '
Expiration: 01-01-99
Type of Insurance: Hospital Professional Liability
Commercial, General Liability
n
Form of Coverage: Claims-Made
Limits:
Professional Liability Occurrence 02,000,000
Professional Liability Aggregate Unlimited
CGL General Aggregate Unlimited
Prod/Completed Operations Aggregate 06,000,000
Personal & Advertising Injury 02,000,000
CGL Per Occurrence
02,000,000
+ 0 100,000
Fire Damage
Medical Expense $ 51000 { �
.h 4
Additional Insured:
3S t
I:
NO FHYSICAL DAMAGE INSURANCE PROVIDED. (No coverage for direct damage to r +V
equipment or property).
In the event of termination of the policy before the expiration date s
shown, the Company will notify the Certificate Holder within 30 days. ',
,jr, �sa+Wie
Certificate Holder: City of Jefferson
} f St Jre.
21 US
Address: City Hall
320 E. McCarty
Jefferson City, MO 65101
This. certificate executed December 19, 1997,
Authorized Repr®sen-ka a
lWfil i'1 r
;�;.y�j��,• Ford 4-64 �.
CRT05/MHP98PLC/CRMC
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s
Missouri Hospital Plan
4700 Country Club Drive . P.O. Box 1498 . Jefferson City, Missouri 65102-1498 <<�
4
CERTIFICATE OF INSURANCE
This is to certify that the policy below described, issued by this
Company, is in force for the period shown: `
Named Insured and Mailing Address:
Memorial-Still Regional Medical Center dba
Capital Region Medical Center ,qr-
1125 S. Madison Avenue, P.O. Box 1128 f° z�'-! �<
Jefferson City, MO 65102 i,`,
Poli cy o. : HLM 1000069-10-01
Y
Effective: 01-01-97 ,•' '
Expiration: 01-01-96
Type of Insurance: Hospital Professional Liability
Commercial General Liability
Form of Coverage: Claims-Made
Limits:
Professional Liability Occurrence 82,000,000
Professional Liability Aggregate Unlimited
�. CGL General Aggregate Unlimited
>. Prod/Completed Operations Aggregate 86,000,000
Personal & Advertising Injury 82,000,000
CGL Per Occurrence 82,000,000
Fire Damage 8 100,000
Medical Expense 8 51000
Additional Insured:
r NO PHYSICAL DAMAGE INSURANCE PROVIDED. (No coverage for direct damage to
equipment or property). r
In the event of termination of the policy before the expiration date
shown, the Company will notify the Certificate Holder within 30 days.
Certificate Holder: City of Jefferson
Address: City Hall
820 E. McCarty
Jefferson City, MO 65101
NO
^..,. This certificate executed December 31, 1996. , � (;,
t1 ia.klyr;
' ..`� t•FE 1 7 c
Authorized Represenfdtive
y Form 4-64-2 RIO-93
CRT05/MHP97PLC/CRMC
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. ,...�.....5•—.,py x.�4 QF,,rYrr.�Y�'
, °�! � .ti} ski t� s 1i�°u�j+ •
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GENERAL CONTRACT
DIRECTION: EMPLOYEE ASSISTANCE PROGRAM
tr.
THIS AGREEMENT, made this 31th day of July 1996, by and
between Capital Region Medical Center, a nonprofit corporation
located at P.O. Box 1128, Jefferson City, Missouri, 65102-1128,
hereinafter designated "CRMC, " and City of Jefferson hereinafter
designated "City of Jefferson" .
WHEREAS, CRMC, through its DIRECTION: Employee Assistance
Program (EAP) provides assistance to business, governmental and
Rit
educational organizations with the design, implementation, and
maintenance of DIRECTION: EAP for the employees of such businesses
and governmental organizations; and
WHEREAS, City of Jefferson desires that such a program be
{ available to its employees;
WITNESSETH:
n, For and in consideration of the mutual promises contained.
i .a herein, it is understood and agreed as follows:
1.
VrM1 RESPONSIBILITIES ITIES OF CE"—`G THROUGH DIREC'T'ION• EAP:
' (a) Assist in the implementation and ongoing promotion
of the DIRECTION: Employee Assistance Program for
1. City of Jefferson and the development of supporting
k., information for the program. This shall include
a working with City of Jefferson management and ,
'r
appropriate staff such as Personnel.
(b) Assist City of Jefferson in the development, review
and modification of procedures relating to the
operation of DIRECTION: EAP.
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insurance policy, and not the City of Jefferson,
shall be responsible for payment of all costs and
fees of any such agency for services rendered to
5.
g Y
them.
R
(f) Consult with individual City of Jefferson.
r supervisors regarding potential or actual
supervisory referrals.
(g) Provide City of Jefferson on a semi-annual basis a
1<S
.> report on DIRECTION: EAP activities. Such report
shall include a statistical analysis of the numbers
and types of referrals.
(h) Designate the HAP Counselor of CRMC's DIRECTION:
EAP to represent CRMC to City of Jefferson in the
day-to-day contact regarding the services covered
by the Agreement.
(i) Acknowledge that all of the above responsibilities
and treatments rendered by it will be conducted by
duly qualified and/or licensed personnel, and that
any and all referrals made by it will be made to
such duly qualified and/or licensed personnel.
(j) Prepare and obtain a CRMC DIRECTION: Employee
4
Assistance Program consent form for each
7f'
participating City of Jefferson employee prior to
the receipt or release of any information
concerning the employee , except when: a medical
emergency occurs; a court order or subpoena
(3)
. 1 Y 1<?:r,Yr"!.. r' i .r, asa .0 , ��i •`� d� I.s' S +f r i }Q��'^£.`''�wl ..3?y^ ......
1
"'r���v+!} s �'��,� e, � y .'��,` ',1 t ty.•• z b�Yr N' a+��a a{W.t, t 4 1a!r'�'S
Ali
f requires disclosure; or a client represents a
' € serious threat of life or safety to himself/herself
or others. Capital Region Medical Center, its K
' agents and employees will be held harmless for any '
loss, cost or damages allegedly sustained by an
employee because of release of information under
3 y the circumstances listed above. City of Jefferson
supervisor and/or DIRECTION: EAP staff member will
{; explain such form to each participating employee.
•n.
(k) Maintain and keep files on each City of Jefferson '
'. employee that participates in DIRECTION: HAP. Such
files and records will become and shall remain the
property of CRMC. Strict confidentiality and
security shall be maintained. Only DIRECTION: EAP
F7{' t •
staff shall have access to such files with the
exception of the circumstances listed in 1.j) , z.
r�
«, (1) Provide up to two in-service programs throughout
the contractual year.
2 . $EPONSI$ILITIE8 OF CITY OF JEFFER, S
(a) Provide such meeting places and facilities as may
be required for planning and evaluation meetings, r
group orientation sessions, and individual
conferences with supervisors and employees.
(b) Assume responsibility for scheduling and notifying
participants of such meetings .
(c) Distribute internal and external publicity and
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�?,� �htrS rl: t:� � f' j?a ti ':,.��: !1 � 7: t'j r i4{� �: 3 0 +.r.�7}`.v.a t•,'�,y1 _r`�b'„fie,.�'✓, �(i^�.A
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communications provided by DIRECTION: RAP to
initiate and maintain the Program. Laity of
Jefferson acknowledges that CRMC will provide
recommendations as to the timing of such publicity
t
and communications.
(d) Designate an employee of City of Jefferson to be
r4
the coordinator of the Program and, as such, to H
{ represent City of Jefferson to CRMC in day-to-dayf
t
activities and contacts regarding services provided
by CRMC as described in this Agreement .
(e) Compensate CRMC in the amount of $ 7300 . 00 per
,f
year. Covered employees shall include permanent f
full-time and permanent part-time employees of City
,i
5 of Jefferson whether or not such employees will
actually participate in the DIRECTION: Employee F{
.3 Assistance Program. Determination of covered
employees will be made on an annual basis as of the ;
initial contract date and full payment for the
S'
period shall be made upon receipt of CRMC billing.
Any unpaid balance which remains after thirty (30) '
days from the date of billing may be assessed
interest at the rate of 1-1/2k per month.
ry
r.:
3 . T19$M_. TERMINATION - The term of the Agreement shall be
for a eriod of one (1)
p year from the date hereof
{ beginning July 31, 1995 through August 1, 1997 unless
terminated as provided herein. Notwithstanding the
(5)
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Missouri Hospital Plan �• l��; T 3
4700 Country Club Drive . P.O. Box 1498 , Jefferson City, Missouri 65102-1498 `
CUTIFICATE OF I.NSURAN E
This is to certify that the policy below described, issued by this
Company, is in force for the period shown: t+
Named Insured and Mailing Address: Jq
�r 1v
Memorial-Still Regional Medical Center dba �
Capital Region Medical Center
1125 S. Madison'Avenue, P.O. Box 1128 #A),f*
Jefferson City, MO 65102 doff ��i
Policy No. : HLM 1000069-09-01
Effective: 01-01-96
+. Expiration: 01-01-97
Type of Insurance: Hospital Professional Liability
Commercial General Liability
Form of Coverage: Claims-Made looll'-1.1-11
. f ,;
Limits:
�Z c!
Professional Liability Occurrence 02,000,000 \`^
Professional Liability Aggregate Unlimited
y \ ,
CGL General Aggregate Unlimited ~`
{ Prod/Completed Operations Aggregate 96,000,000
Personal & Advertising Injury 92,000,000
` CGL Per Occurrence 02,000,000
Fire Damage 0 50,000
Medical Expense 0 5,000
Additional Insured:
,'i . 7}�r tat f'i s'• '�
NO PHYSICAL DAMAGE INSURANCE PROVIDED. (No coverage for direct damage to
,F equipment or property). .
In the event of termination of the policy before the expiration date
shown, the Company will notify the Certificate Holder within 30 days. � �' '{
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A 1�
1� Certificate Holder: City of Jefferson I x
Address: City Hall
320 E. McCarty :'
a Jefferson City, MO 65101
yyt,tryry �
EEJJ ate! f Y••
This certificate executed January , 1996. F {
DO',
Authorized Reap sentative ,> j
4�
Form 4-64-2 RID-93
I CRT03/MHP96PLC/CRMC ;,
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��w� r 1�, ¢��50.14 ��sL rr`�' � • . . ... � � •.1 r +t t.t{,f r,r.`�?;. .�.
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AMENDMENT TO
�� �1V�'Ia�YIEE ASS �'�A�f�E �gt,D �R.�A.1�➢'_�i z���1v�N�
WHEREAS, the City of Jefferson, Missouri, a municipal corporation hereinafter
designated "City", entered into an Agreement with Medical
Center, hereinafter"Provider", on July 26, 1994;
WHEREAS, the Agreement was for assistance through Provider's Employee
Assistance Program (EAP) to businesses and governmental organizations with the
design, implementation, and maintenance of Employee Assistance Programs for the
employees of such businesses and governmental organizations; and
WHEREAS, the parties wish to renew the Agreement for a one year period. 4
R"
NOW, THEREFORE, be it agreed as follows: ,a
1. Section 2.(e) of the Agreement dated July 26, 1994, is hereby amended to
read as follows: . '
2. Rpgponsibiliti .4 of the City:
a
(e) Compensate Provider in the amount of Seven Thousand Three
Hundred Fifty Dollars ($7,350.00) per year. Covered employees shall include only
regular full-time and regular part-time employees whether or not such employees will
actually participate in the Employee Assistance Program. Any psychological testing
shall be billed to the City at a rate no greater than One Hundred Thirty Dollars
($130.00) per test or program, including evaluation. Provider shall submit invoices,
in duplicate, for all City incurred costs, on a quarterly basis to the following:
City of Jefferson- Finance Department
320 East McCarty Street
Jefferson City, Missouri 65101
The City is not obligated for any payments to Provider under the Contract until funds
have been encumbered by a purchase order issued by the Purchasing Division. Any
payment due Provider shall be made after the receipt of a properly itemized invoice,
and after the completion and acceptance of Provider's performance pursuant to the
terms of the Contract by the City. Provider's invoice must indicate the purchase order
number. The City is tax exempt. At the request of Provider,the City will provide a tax
exempt letter.
3. All other sections of the Agreement dated July 26, 1994 shall remain in
effect as stated.
IN TESTIMONY WH + EOF, the parties have hereunto set their hands and
seals this day of , 1995.
CACONTRAMPROFSEMEAP.AMD 1
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T
GENERAL CONTRACT '
EMPLOYEE ASSISTANCE PROGRAM AGREEMENT
THIS CONTRACT, made this day of 1994,
� by and between
Memorial-Still Regional Medical Center, a nonprofit corp ratio located at 1432 Southwest .,
Boulevard, Jefferson City, Missouri, 65101, hereinafter designated "Provider," and the City of
Jefferson, Missouri, a municipal corporation hereinafter designated "City."
t,
WHEREAS,Provider through its Employee Assistance Program (EAP)provides assistance
to businesses and governmental organizations with the design, implementation, and maintenance of
Employee Assistance Programs for the employees of such businesses and governmental
organizations; and
Ic�
WHEREAS, the City desires that such a program should be available to its employees;
WITNESSETH: 1,
For and in consideration of the mutual promises contained herein,it is understood and agreed
as follows: i
1. Responsibilities of Provider. Through its EAP staff, Provider will:
(a) Assist in the introduction of the Employee Assistance Program for the City and
the development of supporting information for the Program. This shall include working with the
City management and appropriate staff.
b Assist the City m the development, review and modification of procedures
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relating to the operation of the Employee Assistance Program.
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{ (c) Hold orientation sessions for all appropriate levels of City management,
supervisory personnel, and employees.
(d)Provide assistance to City employees and members of their households through ;!
individual interviews and/or counseling sessions. Such sessions shall include,but are not limited,
to the following problem categories: crisis, medical/psychological, legal, financial,marital, family,
emotional, alcohol or drug related, and educational. Such sessions will be in response to supervisor,
management, or self-referrals and will be held at locations as mutually agreed upon by the employee
or family member involved in such sessions. Three(3)such sessions for each of two (2)problem
categories will be available per employee or family member each year without a fee charged to the
employee.
(e) Refer City employees and members of their households to other agencies and
individuals for assistance whenever the EAP staff deems such referrals to be necessary. Such
referrals will include, but not be limited to, the problem categories as set out in 1(d) above. In
making referrals to other agencies, due regard will be given to the appropriateness of the referrals
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in view of the need, location,cost and available resources. Provider and the City agree that the City
°+f shall not be liable for the cost of any services provided to an employee or family member as a result " S
of a referral beyond the amount provided for in this Contract. 'The EAP staff will advise those
employees or family members referred to other sources of assistance that the employee individually,
and not the City,shall be responsible for payment of all costs and fees of any such agency for service a
rendered to them as a result of a referral above the amount provided in this Contract. ;.
Consult with individual City supervisors regarding potential or actual supervisory
referrals.
? 11 (g) Communicate and promote the benefits of EAP to employees, supervisory
t personnel and management through a combined effort of orientation sessions and written
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promotional materials.
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- (h) Provide annual assessments for high risk lifestyle behaviors for any full-time or
permanent part-time employees who volunteer to participate. Such assessments may include written ' ,q
q uestionnaires, including factors such as level of daily physical activity, exercise diet, whether
°s employee smokers or drinks alcohol, exposure to noise, exposure to other workplace health risks,
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stress, family health history, and readiness to make lifestyle changes. The EAP will provide written
# risk�i profiles to the City and to participating employees, which will include advice as to changes es in
lifestyle,
and recommendations of health screenings that the employees should utilize to monitor
health risks. ''
(i) Provide on-site health screenings and health education programs as a follow up
a to the lifestyle assessments detailed in 1(h) above. EAP will provide such screenings twice a year .o-..
only for employees who have participated in the lifestyle assessment program. Each session will
include, at a minimum, either blood pressure or total cholesterol screening.
d.
Provide the City,on a quarterly and annual basis,a report of EAP activities. Such
reports shall include a statistical analysis of the numbers and types of referrals, including
self-referrals and supervisory referrals; and groupings of employees or family members by age, ;
' gender, length of employment, and problem categories.
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t (k) Designate the Manager of Provider's EAP to represent Provider in the day-to-day
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contact with the City regarding the services covered by the Contract.
'r (1) Acknowledge that all of the above responsibilities and treatments rendered by it
will be conducted by duly qualified and,if required, licensed personnel, and that any and all referrals
made by it will be made to such duly qualified and licensed personnel.
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{; (m)Prepare and obtain an Employee Assistance Program General Consent Form for
each participating City employee prior to the release of any information concerning the employee.
An EAP staff member will explain such form to each participating employee.
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(n) Maintain and keep files on each City employee that participates in the EAP k
Program for counselling services. Such files and records will become and shall remain the property
of Provider. Files and records with regard to health and health risk assessments shall be the property
of the City, Strict confidentiality and security shall be maintained. Only EAP staff shall have access
to such files unless appropriate consent forms are signed [See 1(m)].
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' (o) Provide psychological testing, both screening and periodic evaluations of
employees.
3.
2. Responsibilities of The City. The City will:
(a) Provide such meeting places and facilities as may be required for planning and
evaluation meetings, group orientation sessions, and individual conferences with supervisors
and employees.
' (b)Assume responsibility for scheduling and notifying participants of such meetings.
(c) Distribute internal and external publicity and communications provided by it
EAP to initiate and maintain the Program. The City acknowledges that Provider will provide
recommendations as to the timing of such publicity and communications. '
(d) Designate an employee of the City to be the coordinator of the Program and
as such to represent the City or Provider in the day-to-day activities and contacts regarding services
,.s•i Y provided by Provider as described in this Contract.
(e)Compensate Provider in the amount of Seven Thousand Dollars ($7,000.00)per
year. Covered employees shall include only regular full-time and regular part-tune employees
5' whether or not such employees will actually participate in the Employee Assistance Program. Any
psychological testing shall be billed to the City at a rate no greater than One Hundred Thirty Dollars
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4., ($130.00)per test or program, including evaluation. Provider shall submit invoices, in duplicate,
for all City incurred costs, on a quarterly basis to the following:
`'. City of Jefferson-Finance Department
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F,- 320 East McCarty Street
Jefferson City, Missouri 65101
The City is not obligated for any payments to Provider under the Contract until funds have been
encumbered by a purchase order issued by the Purchasing Division. Any payment due Provider shall h
be made after the receipt of a properly itemized invoice, and after the completion and acceptance of r°
Provider's performance pursuant to the terms of the Contract by the City. Provider's invoice must
indicate the purchase order number. The City is tax exempt. At the request of Provider,the City will
provide a tax exempt letter.
0contracAprofseMeap 1
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3. Cancellation Termination and Duration of C tr ct.
(a)The City may cancel the Contract at any time for breach of contractual obligations
by providing Provider with a written notice of such cancellation. Should the City exercise its right
to cancel the Contact for such reasons the cancellation shall become effective on the date
as
specified in the notice of cancellation sent to Provider.
?fir (b) The City reserves the right to terminate the Contract for the convenience of tlxet
City without penalty of recourse b giving"} y givin Provider a written notice of such termination at least thirty
(30) days prior to termination,
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j s'r (c) The Contract shall not bind, nor purport to bind, the City for any contractual
commitment in excess of one(1)year,except that at the end of each one(1)year period the City may
at its option, renew this Contract for an additional one (1) year period. The total length of the
Contract shall not exceed three (3)years. If the Contract is renewed, the terms and conditions of t
' this Contract shall remain the same, including, but not limited to, the duties of Proviw�rJ
compensation to be paid by the der and the
w 4. Modification of Contract. Any change in this Contract, whether by modification and/or
b supplementation, must be accomplished by a formal contractual amendment signed and
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r; approved by and between the duly authorized representatives of Provider and the City. Any such
: 4 amendment shall specify an effective date, any increases or decreases in the amount of Provider's
.z . compensation, if applicable, and be entitled as an"Amendment," and signed by the parties identified
in the preceding sentence. Provider expressly and explicitly understands and agrees that no other
method and/or no other document including correspondence, acts, and oral communications
by or from any person, shall be used or construed as an amendment to the Contra
5. Personnel of Provider. All personnel associated with Provider in connection with its Employee Assistance Program shall be deemed employees, agents, servants or independent
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contractors of Provider and not employees of the City. Physicians or other health professionals,
personnel or agencies to whom the employees of the City may be referred for independent
>y'.Y e considered as employees,no
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consultation or treatment as a result of this program shall t b
agents,
„- servants or independent contractors of Provider. Therefore, Provider shall assume all legal and SS
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financial responsibility for taxes, FICA, employee fiin e benefits, workers compensation, employee
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insurance, minimum wage requirements, overtime, and other employment
related cost, and agrees
1° to indemnify, save and hold the City, its officers,agents and employees,harmless from and against, r
any and all loss, cost (including attorney fees),' ( g Y ), Jury, and damage of any kind related to such
matters.
6. Confidentiality. All material developed or acquired by Provider as a result of work under a
this Contract shall become the property of the City except as provided in paragraph 1(n).• No
material or reports prepared by Provider shall be released to the public.
7. Assi ments. Provider shall not assign any interest in the Contract and shall not transfer
` any interest,whatsoever,In the Contract without the prior written consent of the City.
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8. CQnfl cis lnt Provider covenants that it presently has no interest and shall not
acquire any interest, directly or indirectly, which would conflict in an manner or�,� y degree with the ,
.; performance of the services hereunder. Provider further covenants that no person having any such L`
known interest shall be employed or conveyed an interest, directly or indirectly, in the Contract.
9. Awlicphle L. The Contract shall be construed according to the laws of the State of
Missouri. Provider shall comply with all local, state and federal laws and regulations related to the
performance of the Contact to the extent that the same may be applicable, including the Fair Labor
Standards Act, Fair Employment Practices, and the Equal Opportunity Employment Act.
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10. Entire Contract. The Contract between the City and Provider shall consist of:
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(a) The Request for Proposal (RFP) and any amendments hereto: and
The proposal submitted by Provider in response to the RFP; and
(c) This Contract.The documents mentioned in(a)and(b) are incorporated into this
Contract by reference and are as fully a part of this Contract as if set out in full herein. In the event
of a conflict in language between the three documents referenced above, the provisions and
requirements set forth in this Contract shall govern.
11, Waivers. No provision in this Contract, the RFP, or Provider's proposal shall be
construed as an express or implied waiver by the City of Jefferson of any existing or future right
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and/or remedy available by law in the event of any claim of default or breach of Contract. %?
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12. Liability for Inigur . Provider shall be responsible for any and all injury or damages
caused by an act or omission of Provider as a result of any service rendered under the terms and
conditions of the Contract. In addition to any liability imposed upon Provider on the account of
personal injury,bodily injury, including death,or property damage suffered as a result of Provider's
performance under the Contract, Provider assumes the obligation to save the City, including its
agents,employees and officers, harmless and to indemnify the City including its agents, employees
and officers,from every expense,liability or under payment arising out of such act of omission under
the terms of this Contract causing such liability. Provider also agrees to hold the City, including is
agents, employees and officers, harmless for any act or omission committed by any subcontractor
or other person employed by or under the supervision of Provider under the terms of the Contact. .,
13. Notice. Any written notice to the City shall be deemed sufficient when deposited in the
United States mail,postage prepaid, and addressed to:
City of Jefferson c/o City Clerk
320 East McCarty
Jefferson City, Missouri 65101;
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Any written notice to Provider shall be deemed sufficient when deposited in the United States mail,
postage prepaid, and addressed to:
Memorial-Still Regional Medical Center
1432 Southwcst Boulevard
P. O. Box 104420
Jefferson City, Missouri 65110-4420
14. hgknnily. Provider shall defend, protect and hold harmless the City, its officers,
agencies and employees against all suits of law or in equity and from all damages,claims or demands
for equipment, supplies and services provided Provider.
15. Paragraph Headings, The headings of each paragraph contained herein are for
convenience in reference only and are not intended to define or limit the scope of any provision of
this Contract.
16. Effective ctive Da e, This Contract shall be in effect from August 1, 1994,through July 31,
1995. This Contract will be in effect for one year, with two (2) additional one(1)year renewals.
Negotiations for renewal must be initiated by Provider ninety(90)days prior to the expiration of the
Contract.
5,
IN WITNESS WHEREOF, the parties have executed this Contract the day and year first
above written.
CITY OF JEFFERSON, MISSOURI
BY
f A May r —'
TIMT:
.L.G�.e
City Cler
APPRO 1D . FORM-
Coun a or
MEMORIAL-STILL REGIONAL
`f MEDICAL CENTER
By
AT-TEST-
Title:
"PROVIDER"
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