In consideration of the mutual obligations hereunder, both parties agree as follows:

PART - 1

Altmed Medical Center, Inc General Obligations and Responsibilities:

To administer the Company’s drug and alcohol testing program, Altmed Medical Center, Inc shall:

1. Maintain qualified random testing pools for regulated Company employees. Meet or exceed minimum testing rates set forth by the DOT for each calendar year, or other percentages defined by the Company for other employees.
2. Manage a random selection and notification program minimally consistent with DOT or other regulated controlled substance and alcohol testing requirements.
3. Provide the following:
   • Access to Alere/eScreen Laboratories collection sites.
   • A laboratory certified by the Department of Health and Human Services’ SAMHSA Agency.
   • A Medical Review Officer (MRO) to provide test result notifications to the Company/employee and blind specimens to the lab as required by DOT regulations. The MRO service is also provided for all non-DOT testing.
4. Maintain records documenting Company’s participation in Altmed Medical Center, Inc random testing program and will provide Company with these records and other compliance information within two (2) business days of its designated Representatives request.
5. Upon Company’s request by written consent, Altmed Medical Center, Inc will release drug and alcohol testing history and information in accordance with DOT, other regulatory agencies or a Company’s D&A Policy. Information requested may include verification of participation in the C/TPA program and/or current enrollment status. Test results for a Company’s S.S.E. within the last two years, and positive information for the last 5 years (DOT) or consistent with other noted regulatory requirements.

PART - 2

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Company’s Obligations and Responsibilities:
To qualify for and maintain enrollment in Altmed Medical Center, Inc C/TPA program, the Company agrees to:

1. Maintain a Company Policy for controlled substance and alcohol (D&A) misuse implemented before initiating testing. Complete verification of prior drug, alcohol and driving violations for each new S.S.E.
2. For reasons of reasonable suspicion testing, Company agrees to have a person who supervises S.S.E. (s) or employees trained in the aid of recognizing the signs and symptoms of substance abuse and alcohol misuse.
3. Notify Altmed Medical Center, Inc immediately of any changes in Company information including name, address, telephone number(s), (office, mobile and/or emergency numbers), fax number(s), authorized contact(s), Designated Employer Representative (DER) or enrolled Company employee(s) information.
4. Notify Altmed Medical Center, Inc immediately of any changes in the status of a Company’s S.S.E. (s) or employee(s) including termination, out-of-service, S.S.E. license changes, etc. (The Company understands that if there is more than a 30-day lapse of enrollment in a random testing program, they are responsible to have the S.S.E. submit to a pre-employment drug testing before returning to a safety sensitive position.)
5. Have new S.S.E. complete a pre-employment drug screen. Employees can only be added to the Random Pool with a negative DOT drug test result.
6. Have S.S.E. or employee proceed immediately to the closest available authorized drug and/or alcohol collection site once they are notified of a random testing selection.
7. Fully document any reason(s) leading to the failure to comply with all requests for a random test. Failure to randomly test your S.S.E. (s) or employees may result in termination from Altmed Medical Center Inc program and Company agrees to the release of this information to any applicable and appropriate regulatory enforcement agencies.
8. Determine if post-accident drug and alcohol testing is necessary following any accident.
9. Ensure a S.S.E. does not resume employment prior to SAP approval and Return-to-Duty testing.
10. Notify Altmed Medical Center, Inc immediately and remove DOT or covered S.S.E. from service upon notification from either:
    • A Medical Review Officer (MRO) that S.S.E. tested positive on a DOT drug test; or
    • Breath Alcohol Technician (BAT) or Saliva Alcohol Technician that the S.S.E. ’s confirmation test result has an alcohol concentration of .04 or greater.
11. Responsibility to establish an alternate provision within their Company’s D&A policy pertaining to post accident testing when a Altmed Medical Center, Inc collection site or personnel is unavailable. (e.g. out of the area, on site needed, after hours, holidays, etc.)
12. Have available a same gender observer, if necessary, when a direct observed collection is required, and the collection site is unable to provide a same gender observer.
13. Should Company request the assistance of Altmed Medical Center, Inc to prepare the Management Information System Report (MIS), Company shall contact Altmed Medical Center, Inc at least three (3) business days prior to a scheduled enforcement inspection date.
14. Company accepts full responsibility for understanding the obligations under and participating in Altmed Medical Center, Inc C/TPA program in a manner that is compliant with their DOT agencies regulations.

PART -3 Fees

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For Services:

1. For performance of Altmed Medical Center, Inc obligations listed in Part-1 of this Agreement, Company shall pay a fee according to the current pricing schedule or prior written agreement at the time of enrollment or renewal.
2. Company is responsible to pay Altmed Medical Center, Inc directly for testing fees regardless of the payment arrangements made between the Company and employee.
3. Arrangement for split specimen testing fees shall be made between Company, employee and MRO at the time of the request; the cost of split specimen testing is not Altmed Medical Center, Inc responsibility.
4. Company is responsible for payment directly to collector/collection facility for any fees if not using an authorized Collection site.
5. Should Company utilize entities for testing that are not affiliated with Altmed Medical Center, Inc, e.g., using an outside collection site or Laboratory, it is the Company’s obligation to pay the cost of all fees associated with the collection, testing and reporting directly to that site.
6. All NSF check returns will be subject to an $80 handling fee.
7. Company agrees to promptly pay all invoices or will be subject to a credit hold and penalty late fee to accrue per month starting 60 days after Altmed Medical Center, Inc billing date. Company will be expelled from Altmed Medical Center Consortium after 60-days of non-payment and Company’s information will be sent to a collection’s agency for payment at which time the Company is responsible for all collection’s fees applied by the collection agency and legal fees incurred.
8. Credit Card Charges by Internet & Phone:
   Payment on-line and by phone with credit card may be accepted, but the client agrees not to dispute any non-fraudulent charges once Altmed Medical Center, Inc products or services have been received. If enrollment is disputed without cause, the client will be dropped permanently from our program and sent immediately to collections if the dispute is not resolved to the satisfaction of both parties.
9. Signed agreement and annual membership fee is due before account is active. Membership will automatically renew unless canceled by Company in writing. If timely payment is not received, the Company’s membership is revoked, and written notice will be given.
10. Listed fees are subject to change. Written notice will be given for any rate changes. Changes will take effect upon renewal of Service Agreement.
11. Fee Schedule:
    • Annual Membership Fee - $125.00
    • Additional S.S.E. s / Employees - $25 (up to a maximum of $300)
    
    When using Altmed Medical Center for collection services, fees are as follows:
    
    • DOT 5 Panel - $72 (includes supplies, MRO & Collection Fees).
    • NON-DOT 5 Panel - $72 (includes supplies, MRO & Collection Fees).
    • Breath Alcohol Screening - $49
    • Follow up testing and Return-to-Duty / Observed testing - $125.00
    • Afterhours surcharge - $150.00 plus the cost of the test.
    • Emergency surcharge - $200.00 plus the cost of the test and millage fees.
12. Company is responsible for any and all fees incurred when using any service other than those performed by Altmed Medical Center, Inc.

Part 4

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OVERVIEW:

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