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<br />Section (II. AGREEMENT between OH10 BUREAU OF WORKERS' COMPENSATION
<br />and Citv of North Olmsted
<br />Employer's Full Legal Name
<br />Ayreement between the Ohio Bureau of Workers' Compensation and Employer
<br />This is an agreement by and between City of North Olmsted (liereinafter, " City with its principal place
<br />Employer Full Le al Nnme Einployer Name
<br />of business located at 5200 Dover Center ?03? , Ohio 44070 , and the State oi Ohio, Bureau of Workers' Compensation (iiereinafter,
<br />AJdress ZIP Code
<br />the "DWC'), having offices at 30 W Spring St., Columbus, Ohio 43215-2256, entered into the day, month and year set out below.
<br />Whereas, the administrator of warkers" compensatiori may issue a
<br />grant to tlefray the costs incurred by an employer who elects to
<br />participate in BWCs Drug-Free Workplace Program (DFWP) or drug-
<br />free workplace program for small employers (Drug-Free EZ) or a BWC-
<br />approved comparable proyram (hereinafter referretl to as comparable
<br />program), pursuant to Ohio Atlministrative Code Rule (OAC) 4123-17-
<br />58 or 4123-17-58.1, as it currently exists or as amentled from tiine
<br />to time;
<br />Therefore, for good and valuable consitleration, the sufficiency af
<br />which is acknowledged, the parties mutuatly agree to the following
<br />Canditions precedent - Approval of a drug-free safety grant is
<br />cantingent upon the fallowing:(1) approval af the employer's application
<br />to participate in DfWP or Drug-Free EZ or a comparable program, and
<br />(2) the employer being an active, timely pi-emium payroll customer of
<br />the Ohio State Insurance Fund as af the date af execution of this
<br />agreement and for the duration hereof. Acceptance of an employer's
<br />comparable program is contingent upon submission af proof of
<br />campfiance with all program elements.
<br />Task description - An employer in consitleration of the grant given
<br />to it to participate in DFWP ar Drug-Free EZ promises to institute all
<br />of the following: a written substance policy that is developed by the
<br />employer or its legal counsel or subjected to legal review, drug and
<br />alcohol awareness etlucational sessions for all employees, a supervisor
<br />training program, drug and alcohol testing (consisting, at minimum
<br />of pre-employment, reasonable suspicion, post-accident and return-
<br />to-duty testing) antl employee assistance, all of which shall meet ar
<br />exceed tlie requirements oi OAC 4123-17-58 or 4123-17-58.1. To be
<br />consideretl eligible, a comparable program must satisfy all of the
<br />requireinents set forth above as well as in the application aixl in OAC
<br />4123-17-58 or 4123.58.1, which are hereby incorporated herein by
<br />reference. The employer shall verify with BWC by invoice/receipt and
<br />check copy that the grant money was utilizetl for the intended purpose.
<br />Eligibility and distribution of grant monies - The
<br />distribution of any drug-free grant money to an employer
<br />participating in DFWP or Drug-Free EZ, or a comparable program
<br />is subject to the Conditions Precedent provision and to available
<br />resources oi BWC. Payments under DFWP or Druy-Free EZ may
<br />cover leyal review and development of a written substance
<br />policy, drug and alcohol awareness educational sessions for
<br />all employees, a supervisor training program antl assessment
<br />services if part of a BWC-approved consortium package. If an
<br />employer has a comparable program, payments will cover only
<br />druy/alcoliol awareness educational sessions for all employees
<br />and a supervisor training program. The total sum of the grant
<br />to be issued to a private employer shail not exceed a 2-to-1 ratio
<br />of monies contributetl by the employer, i.e., a private employer
<br />shall be eligible for a grant, tlie total sum of which shall not
<br />exceed a maximum of $10,000 for the private employer wlio
<br />contributes up to a maximum of $5,000. A public employer shall
<br />be eligible for a grant, the total sum of which shall not exceed
<br />a 3=to-1 ratio of monies contributed by the employer, i.e., a
<br />public employer shafl be eligible for a grant, the total sum of
<br />which shall not exceed a maximum of $15,000 for the public
<br />employer who contributes up to a maximum of $5,000. BWC will
<br />not issue a grant which exceeds $10,000 for a private empioyer
<br />or $15,000 for a public employer. In the event that the maximum
<br />amount is not utilized by an employer during the term of this
<br />agreement, the employer may choose to reapply, provided that
<br />the previous grant conditions have been satisfied. BWC expressly
<br />reserves the right to limit the arnount of reimbursements and to set
<br />caps on such reimbursements for each and every specific reimbursable
<br />drug-free service.
<br />Titne af performance - An employer participating in DFWP
<br />or Drug-Free EZ shall have one year from the date of the
<br />check to fulfill any and all requirements as enumerated
<br />in OAC 4123-17-58 or OAC 4123-17-58.1. After the one year
<br />deadline has expired, the employer is required to submit
<br />to BWC, within 30 days of the one year expiration date, a
<br />check for all unused grant monies, original invoices
<br />pertaining to services utilized and/or purchased and copies
<br />nf cancelled checks to document all funds were expended
<br />in the manner intended; otherwise the employer shall be
<br />responsible for repaying to the bureau the outstanding
<br />balance. In the event ari employer participating in DFWP or
<br />Drug-Free E7_ has not utilized the maximum amount of money
<br />available, it may reapply for additional funds until it Iias received
<br />the maximum amount as indicatetl in Eliyibility antl Distribution
<br />of Grant Monies provision. An employer participating in a
<br />comparable program shall have one year from the date of the
<br />check to fulffll any antl all requirements as enumerated in the
<br />application. in the event an employer participating in a
<br />comparable program Iias not utilizetl the maximum amount of
<br />money available, the employer may reapply through submitting
<br />a new application until it has received the maximum amount as
<br />indicated in Eligibility and Distribution of Grant Monies provision.
<br />Disqualification - If for any reason an employer participatiny
<br />in DFWP or (Jrug-Free EZ, or a comparabfe program fails to satisfy
<br />the requirements enumerated in the Task Description and OAC
<br />4123-17-58.1, inclutling, but not limited to the requiremeni of
<br />maintaining active coverage and timely payments thereoi, it may
<br />Continued -?
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