2007-061 Resolution - Laserfiche WebLink

Home Browse Search

?? . Section III. AGREEMENT between OHID BUREAU OF WORt<ERS' COMPENSATION and City of North Olmsted Employers Full Legai N;une Agreement 6etween the Ohio Bureau oi Woricers' Compensation and Employer This is an agreement by and between City Of NOrth Olmsted (hereinafter, " City place 5200 Dover Centerye1C03QulName // O?O EmplayerName oi business located at , Ohio `?`? , and the State oi OhioBureau oi Workers' Compensation ihere.inattei, e,i,i.,.« ZIP Code the "BWC"1, Iiaving ofiices at 30 W. 5pring St., Columbus, Ohio 43215-2256, entered into the day, inonth and year set out below. Whereas, the administrator oi workers' conipensation may issue a yrant to deiray the costs incurred by an employer who elects to participa'1e iii BWCs Drug- Free 1Norl<place Prograrn (DFWP) or drug-free workpiace program for small employers (Drug-Free EZ) or a BWGapproved comparable program (hereinafter re(erred to as comparable program), pursuant to Ohio Administrative Code Rule IOAC) 4123-17 -50 or 4123-17-58.1, as it currently exists or as amended from time to tinie; Therefore, for good and valuable consideration, the sufiiciency oi which is acknowledged, the parties mutually agree to the following: Conditions precedent - Approval of a druy-free safety grant is continyent upon the followlny (11 approval of the employer's application to participate in DFWP or Orug-Free EZ or a comparable program, and (2) the employer being an active, timely premium payroll customer of the Ohio State Insurance Fund as of the date of execution of this agreement and for the duration hereoi. Acceptance of an employer's comparable program is contingent upon submission of proof of compliance with all program elemems. Tasl< description - An employer in consideration of the grant given to it to participate in DFWP or Drug-Free EZ promises to institute all of the following: a written substance policy that is developed by the employer or its leyal counsel or subjected to legal review, drug antl alcohol awareness educational sessions tor all employees, a supervisor training program, tlrug and alcohol iesting Iconsisting, at minimum of pre-employment, reasonable suspicion, post-accident and return-to-duty testing) and employee assistance, all of which shall meet or exceed the reyuiremenis of OAC 4123-17-58 or 4123-17-58.1. To be considered eliyible, a comparable program must satisfy all of the reyuirements set forth above as well as in the application and in OAC 4123-17-58 or 4123.58.1, which are hereby incorporated herein by reference. The employer shall verify with BWC 6y invoice/receipt and checl< copy that the grant money was utilized for the iniended purpose. Eligi6ility and distribution of grant monies- The tlistribution of any druy-free grant money to an employer participating in DfWP or Drug- Free EZ, or a comparable program is su6ject to the Conditions Precetlent provision and to available resources of BWC. Payments under DFWP or Drug-Free EZ may cover legal review and development of a written substance policy, druy and alcohol awareness educational sessions for all employees, a supervisor training program and assessment services it part of a BWC-approved consortium package. If an employer has a comparable proyram, paymenis will cover only drug/alcohol awareness educational sessions for all employees antl a supervisor training proyram The lotal sum oi the _yrant to be issued to a private employer shall not exceed a 2-to-1 ratio oi monies contributetl by the employer, i.e., a private employer shall be eligible for a grant, ihe total sum oi which shall not exceed a maximum of $10,000 for the private employer who contributes By my siynature, I agree to iully comply with The tenns and conditions of the program and utilize all monies solely for the purposes intended. I further understand thai I may be subject to eivil, criminal and/or adminislrative penalties as the result ot any ialse, iietitious andlor iraudulent statements made and/or i1 tunds are misappropriated and/or utilized for purchases and/or services that are not associated with the program. MODIFICATIONS. The parCies may, in writing and by rnulual agreement, amend, motlify, supplement or rescind tlie tenns oi this ayreement. IN WITNESS WNEREOf, the parties hereunto affix thei! siynatuies this day of 20 Dule Munth Employer's Full Legal Name Federal Tax I.D. Title Siynature City of North Olmsted 34-6002048 Mayor 5tate af Ohie, Bureau of Workers' Compensation Sa(eTyGran[? D; VVP/DF-c? 200G RSF FeL I4 200-i up io a maximum of 55,000 A public employer shail be eligible (or a gram, the total sum oi which shall noi exceed a 3-to-1 ratio oi monies oomributed by the employer, i.e., a pu6lic employer shall be eliyibte ior a yrant, the tutal sum of which sliall not exceed e maxirraum of x1G,UD0iorthe public employer who contributes up to a maximuin oi $5,000 - BWC will not issue a grant which exceeds S10,D00 for a private employer or ? 15,000 for a Gublic employer. in the event that ihe mar,imum amount is not utilized by an employer during the term oi this agreement, the employer may choose to reapply, provlded that the previous yrani conditions have been satisiied. BWC e>:pressly reserves the riyht to limit the amouni of reimhursements ancl ic set caps on such reimbursements for eaeh and every specific reimbursable drug-iree service. Time of performance - An employer participating in DFWP or Druy- Free EZ shall have one year from the date of the check to fulfill any and all reyuirements as enumerated in OAC 4123-17-58 or OAC 4123- 17-58.1. After the one year deadline has expired, the employer is required to submit to BWC, within 30 days of the one year expiration date, a check for all unused grant monies, original invoices pertaining to services utilized and/or purchased and copies of cancelled checks ta document all funds were expended in the manner intended; otherwise the employer slSall be responsible for repaying to the bureau the outstanding balance. In the event an employer participaiing In DFWP or Drug-free EZ has not utilized the maximum amount of money available, it may reapply for additional funds until it has receivred the maximum amouiit as indicated in Eligibility and Distribution of Grant Monies provision. An employer participatiny in a camparable program shall hzve one year from the date of the checl< lo fulfili any and all requirement: as enumerated in the application. In the event an employer participating in a comparable program has not utilized the maximum amount of money availabie, the employer may reapply through submitting a new appiication until it has received the maximum amount as indlcated in Eliyibiliiy and Dlstribution o( Grant Monies provision. Disyualification - If for any reasor? an employer participating in DFWP or Drug-Free EZ, or a comparahle program fails tc satisfy the requirements enumerated in the Task Description and OAC 4123-17-58.1, includiny, but not limited to the requirement of maintaining active coverage and timely payments thereof, it may be tlisqualiiied. An employer may also be disqualified for failing to verify by invoice/receipt and check copy that the grant money was utilized for the intended purposes. Disqualification will resuli in the termination of BWC s obligations under this agreement. BWC reserves the rightto recover the misappropriated grant monies by the following methods: billing the employer for the grant money received, forwarding the employer s information to the Ohio Attorncy General for coilection, by set-off, recoupment or other administrative, civil and/or legal remedy.