Contract - Stericycle - 2007-12-04 We Cones Si cvfb , t `/-07
48/n
•
frail,o /2-/D Q 7 S' Account(Site#
•••• Stericycle e /A—C 1
• STERI•SAFeM SERVICE AGREEMENT
Service Address Billing Address(If Different)
NAM CVS Pharmacy Name: SAME
MIMES 1835#C Newport Blvd Address 1:
7 1
City/State/4K Cosa Mesa.CA 92627 City/State/Zip:
E-Mail: nacicsonoansdca.0ov E-Mall:
flioneu (999)49f6400 ext Ez4c L_)— ChQnm (_)_ ext. Elal
Conte lanS Ia,_kson T3LS SRntad IffiSi
The parties agree as follows: 'MILT # 9(.6403 9391
1. The Eff eke date of this agreenent Is 10/41/2442
2. Sedryd a shall remove and dispose of O)sborner's Regulated Medical Waste(Hazardous Waste as appliable)subject to the terms and conditions set forth below.
3. Sericyde will provide additional compliance servlres for the prices applicable to the service program level Customer has selected below.
Services to be Provided
ECCRi-GCE 'Additional Waste Services
Steer-Safe Program Level trot Sung Included w/5S Trans.Charge S/Conn
Payment Schedule:Billed Mont lv at the rate of Dental Waste ❑YES
$98.00 (Per Month) Phanu ❑YES —
•renaHy payment seietWe only natabk for smxtel povaas with PchP rreaaecv emmm+man
13 PISS.vxar. Qmemo/Path ❑YES
o —
Service Frequency 1(FYery 4 Weeks'
Additional Pick Up Charge $64464 Medical Waste Container Size
(For mgrhatltlmon to your requtr xv .) Each Additional Container Charge$si
Minimum Medical Waste Containers per Pickup 4
Medical Waste Container Sze Late Not available in all areas.
Fact Additional Container Charge$35.00
By I adman/ledge
be ou dby Bat Irm the conditions authorized at pooncth agent the comply with tbindQaWast Acceptance Policy,Customer agree to be bound by the terms and rnrditlorm That appear on the second page hereof and comPlY wtih Stericyde'.Waste Arceptnrre Polley,hotly
ofwhich are lmearal `pl�j���j(JFtAAggrreeeementt/�J'�, '�f, /6 Men //1,�'n /144-0177
CUSTOMER: X t 7G&r•"•�� '�"'*�s PLEASE PRINT: //r vmie 4.f NUIn Title f rl /rz47C Date:�/
STERICYa.E:X PLEASE PRINT:sloe Rucvs Title jiCR Date:10(17/07
STERICYCLE USE ONLY
Type of Agieeem a New Term of agreement 34 Months
Tax Exempt❑YES ®NO If YES,ID#_(copy must accompany paperwork) (Promo Code
Purchase Order(if applicable)#_Fran JJ_ m J_1_
Segment code 4Z Affiliation Cate_ SFI)C Record #_634012 I
Routine Intorm_ig (OOeratIons Deaanmentl•
Med Waste Contaeler Code Qty_ Special Waste Container Code Qty None(sharps only)❑
Service Area yN Route# Container Setup Date 14/111/2007 First Pickup Date(Cycle Begin Date)11/1A/Mg
Day of Service:®Mon ®Tues ®Wed El"(burs ®Fri Service Hours 9
Routing Comments
Stericycle,Inc. www.stedcyde.com .:ii 1r' - .u.<_ - .des: P(847)991-6519 F(bat)Z41- 1
The offer Will Expire on:10/18107
Updated 1-16-07 013106N5S
._.
STERI•SAFE""TERMS AND CONDITIONS Account/Slte#
1.Regulated Medleal Waste Services(a)Upon the estate and condition contained herein Stemyck.the shall collect,transport,neat and dispose of all Regulate]Medical Waste m on-
conforming Waste)gemmed by Customer during the tam of Ns Agreement,Srericycle employees may refuse containers that ere determined to be Non-conform)rg Wake(b)Respomibu ty fo
transportation of Regulated Medical Wass collected from Customer shall transfer and test in Stericycle at the time it is loaded into Stericycle s vehcle.Cartoons stall have title to Regalaed Medical
Waste at all pier hat.Customer Mall bold title to any Non-Conforming Wass taB times.whether refused for collection creamed to the customer for proper disposal after collection(c)All
Regulated Medical Waste must be accompanied by a properly completed shipping document pursuant to 49 CPR 172.202(Manifest).(d)For poses of this agreement."Regulated Medical Waste`
means:0)waste or reusable ramrod derived from medical treatment of an animal or hurms,which includes diagnosis and immtmveuon.or from btomedmul research,which includes production awl
Mating of biological products.Regulated medal waste is assigned to UN 3291. ceps for regulated medical waste con sixths Category A infectious substances,which must be classified as Dmtso
6.2 material desaibd as an Infectious substance and assigned to UN 2814 o UN2900 as appropriate;No Category A materials may be discarded in the regulated medical wags containers;(49 CPR
173.134);(il)As Wined in 29 CFR 1910.1030 and all other applicable laws.rules.regulations and guidelines:and(li)trace chemotherapy discarded items which may ha a beat commn(oatod provided
that such items,imludmg vide and syringes,shall be'empty"as defined in apple able laws egulamn aid guidelines tee)for the pmposm of this agreement,`Non.Cuofnrmmg Waste moms(r)any
wade o other materiel not falling within he definition of Regulated Medical Wake,and includes complete Lumina roams (is)radioactive wines;(i t)any listed o characteristic hazardous wear
chemnWenpeutic hamrdoue waste and substances as defined m any applicable/awe,tegoamn and guidelines.(iv)pharmaceutical waste(except as allowed under Stericycle' nste accentaice policy);
(v)any device,solution or waste contemns mammy including dental wastes(amalgam and products.Msinide taps,amalgam sludge or vacuum pumps},(w)trapsoperly segregated,labeled or packaged
wade,Melodies aharls net in designated sharp r maims,(vii)c stains that are leaking.damaged or likely to acme net of exposu e to employees or the general public:and(vat)any other martial
which Sterkycle may not Meet.tstspmt,teal or dispose to accordance with applicable laws regulations or guidebnes Customer shall be liable In all injmses.loges and damages that snub from any
Non-conforming Waste,due b packaging or contents,being collected.transported,treated or disposed by Skricycle.For further clarifies n see Stcricycle's curtest Waste Acceptance Polley.whit i�
necked)trek and incorporated herein by refeasace A copy of Stencyct' Waste Ac eppance Foley may be obtained from your local Skricycle represeadative (�/
2.Term and Prkea Subject to the provision below,the term('Tam")of this Agreement slag be Thin-Six(ISM months from the Effective Des.(a)This Agrecmem shall a emetically renew ro 10,,-
succeauvetawemitto theoriginalTerm(mdi en"Estemimh Tam")unless other party has notified the other party in writh:ig ampagnegMlaanmapirdme frier to any such renewal date of as
dedre to termmate thu Agreement All Estenon Terms shall be subjal b the terms and condtmm Wander@ - -_ ._ ...__ • ..,,.
" J _1 . . " .. Stericycle may charge Y) _
•of its goods or semen not covered by this Agreement at any came widen mike to Customer 4) _F6 t Sp •r Sba at , i &•
• s1,1140
eFwastha ' Wdiag y r't k).. .-sirain1'.". we..p«.....,w• fn .v s T.(d)Saricycle shall have the sight b terminate Nis Agreement at'w
any time by giving Customer at least sixty(60)days mesa in Nee erg rim o is unable to c Mime perfarmiog era obligation nodes this Agreement due to the suspemioo.revoauo cancellation 0
termination of any permit regaled to perform the Agreement or to tee ant that change in any law or regulation makes a unpractical o uneeonormenl m Stedcycbe a sole discseu to conime
performing is Agreement
3.BWtag Steicycle shall provide Customer with monthly,quarterly or annual invoices that are due upon receipt.
E
_. _. In the eat
that Stericyck suspends services under this Agtamenl for any reason mclndmg the erpiraho termination of this Agreement et ( (") " a Stericycle may remove all
containers bekngmg to u tom Customer a premises.Any noncompliant names will be billed additional container charge t the anent c Maher rate Nomcmtpbant containers include - f
containers that am overweight under applicable laws or regale ono xcess of 60 pound mania=bolding Non-Conforming Waste.(Including haraidot or radiomen a waste r bnpopedy
packaged or labeled medical waste.)
4.9tclmlye Stericycle may also imp=a surcharge in the event that Stericycle attempts to pick up waste at a Customer In shoo(0 Oder a scheduled pick-up or in rapome to a Cukiow«quest)
ad,trough no fault of Stericycle either(a)there is no Regulated Medical Wade for Stericycle to pick up.(b)waste is not reedy for pick-up or(c)the Customer locate cloeed.Excess waste
volumes sigoifscantly grader than average volume forsimiler generators shell be subject to a surcharge at the current surcharge c miner ate($35.001 at Stericycle's discretion Ste'cycle well impose
this ancient to deter abuses.including hut not limited to.solid waste disposed in the medical warm stream,or Customer coasolidation of the waste of several generators under one sue.
5.Llabwly for Equipment Customer shall have the care,mutely and c noel of stainers and other equipment owned by Stencycle and placed at Customer a premises and accepts responsibility and
liability for the equipment and its contents except when t is being physically handled by employees of Stencycle.Customer agrees to defend,indemnify and hold harmless Stericycle from and agate]
any ate al/chive for km or damage to property,or pectoral injury or death,resulting from or arising in any manner out of Customers rtes,accretion r possession of any containers and oda
equipment furnished order this Agreement.
6ldemavfb d
R .(a)Stedcycle shall indemnify a to. ld Customer harmless from any Labitrla arising from the gross negligence or willful misconduct of Stencycle m the performance of its ,�7
obhgatiom order this Agtamen.Customer shell indemnify and hold harmless Stencycle from any liabilities arising from the gross negligence or willful misconduct of Customer which shall include.Ta�r'
per not be limited to,failure to properly afore,package,label.o egregde Regulated Medial Waste and any habtitxs reknng to Non.Confmmmg Waste whether or m collected,hanporad Cr heated
by Stakycle Each Party agrees to pay the reasonable attorneys'fees and costs maimed by the other in banging a successful mdemnllicatio clam under is Paragraph.Customer agrees to pep
Sten:yek a reasonable attorney's fees Incurred for any successful defense by Stericycle of a suit for idemndcadon brought against Stericycle by Customer.(b)Saericyck will indemnify and hold
harmless any Customer who subscribes to a Preferred Program from any fine or ponnn thereof resulting from an OSHA citation explicitly describing bled-bans pathogen r medical waste
management practice specifically addressed only by the Preferred Program training and materials.Provided,however that Stericycle' obligation to indemnify Customer under this ubPamgreph(b)as
contingent upon 0)Customer having followed cc following each recommendation and instruction included in the Preferred Program(whether etPresaed verbally by employees or egeos of Slercycte a
as set forth In any written or ekmmak materials)mid(2)Customer notifying Sencycte as soon as possible after a harm that t will be the subject of an OSHA import on,and shall allow employees or
agents of Steneycle to attend the inpecton and to defend the Customers blood-borne pathogen and medical waste itmgement practices during the mammon.Customer a failure to perform any of its
obligations under that sub-Paragraph(b)to Stencycle s satisfaction shall absolve Stencycle of udemaifcaton responsibilities under this sub-Paagmph(b).This sub-Paragraph(b)applies only to the
preferred Level Oregon
7.Comptlance Matesi a To the extent that Staicycle provides Customer with any electronic pruned materiels(the"Compliance Malonals")in provides these materials subject te e limited license to
Customer to use the Compliance Materials for Customer s own.mmcommercial use. Stercyck may revoke this li erne is discretion at any tine. Customer may not copy or dimbute the
Compliance Materials m any manor?.Customer agrees to warn all Compliance Matmalc to Srencyck at Customer spent at the expirmio r termination of this Agreement Stencycle May charge
Customer a fee for failure to return Compliance Materials at the expiration of the Term o a restocking fee for return of materials prior to the exphato of the Term
8.C®pltaee with Laws Steneyele hereby Wen to tarty General liability,Au omobile Liability.and Workmen s Compensati o lnurance as required by applicable state law,and to otherwise
comply with all federal and state laws,mitt and regulations applicable its perfarmame hammer.As of the dale of this Agreement,Steiicyck has all na:esing permis hcenes,mwug Mid other
federal Marc or kcal valorization required to perform the services under this Agreement and will fumlab copies of these to Customer upon request.Customer hereby agree+to comply with all federal
and date laws,rules and tegnlation applicable to its ladling of Regulated Medical Wane and is performance e under this Agreement,mcludmg.wdhout limitation,all applicable record keeping.
doeumenteti®and manifesting requirements.Stdcycie and Cementer shall keep and retain adequate books and records and other documentation including personnel mods,correspondence,
imtuetom,plat,receipts,vouchers,cooks of mandese and hacking records comistont with and for the periods required by applicable regulations and guidelines pertaining to sewage or handling of
Regulated Medical Waste and the sermon to be performed tinder the Agreement.
gy" - - u • t r e.. r.. ..+ 47
l0.Emma d Performance-
erfetmanc SStencyck dad m be responsible if its performance of this Agreement interrupted or delayed by contingencies beyond d comly,mcludmg.without limitation,act o 4
God,war,blockades,dots.eapbaion,stntes.Ramos or ether labor o industrial disturbances,fires,accident is equipment,wjunetinn or compliance with haws regulations,guidelines o °stem of an
governmental body or imtumemdicy thereof(whether now ousting or harsfter=toed).
11.Itdapendato Canttctnr Stericycte's telatlomhm with Customer pursuant beret as that of an tndeperdem contracto and mInng m MIS Agreenen shell be consoled to designate Sterkyck as an
employee,agent orpmmer of o ajomt venture with Customer.
17 a.aeadmaei and Welvar Changed in the types,sue and antrum of equipment or de frequency of semis may be mu ugly agreed to orally or inwn ng by to parties,without effecting the validity
of this Agreement Condit to oral changes dull be evidenced by the practices and actions of the parties All other amendments to Ibis Agreement(oiler than as provided 2(b))shall be effected only
bya written iramtmem executed by the pmts.No waiver shall be effective unless submitted to writing by the party granting such weber.No waiver of any provisson of this Apemen shall be darned
a waiver of any other provision of this Agreement and m waiver of any breach or duty under this Agreement shall be deemed a waiver of any other breach or later Instances of the same duty.
l3 Sevkaga Clause In case any one or more of the peovisions contained in do Agreement shall,for any reason,he held to he invajd,Illegal or unenforceable in any respect such invalidity,illegality or
unenfarceability Wall tot effect any other provision of the Agreement;this Agreement shall be construed at if such snvand.Illegal or unenforceable provision hd never been named herein unless
such finding shall impart the rights or increase the obligator of Stencycle hereunder.m whch e nL at Stericycle option,this Agreement ent maybe terminared.
14.EntIre Agreement This Agreement(including any attachments,exhibits and emedments made in accordance with Paragraph 12)constitutes the entire understanding and agrmman of the panes
and canals and kspe cedes all prior negotiations,repseamaton,tuderstadings o amusements,whether written oral,with respect to the collect matter of this Agreeanen This Agreement shall be
binding upon and[halt inure to the benefit of the successors,assign legal representatives ad heirs of the parties hereto previdd,however,that Customer may not assign' tights or delegate in
obligeltooe oiler this Agreement without the prior wthan consent of Stericycle which comer,of Stencyck may not umeasorehly withhold
16 Nadas All required notaes,or those which the parties coy desire to gt a under this Agreement shall be in writing and sent to the parties'addresses set .c.stove. f�4i7
17.Origlme A copy or facsimile of this Agreement shall he as effecu e as an argue' / /,- J '7 T
Updated 1-16-07
`� /( y:j&-ii 013106NSS
Initla•�.✓
• Experts in Infection Con+ . and
• • Healthcare Compliance Services
••• Stericycle•
• •
• Waste Acceptance Policy
INTRODUCTION
Stericycle policy requires compliance with all applicable regulations regarding the collection, transportation and
treatment of regulated medical waste. Federal Department of Transportation (DOT) Regulations require the generator
of regulated medical waste to certify that the packaging and documentation of transported regulated medical waste
complies with DOT regulations regarding waste classification, packaging, labeling and shipping documentation. To
ensure that neither Stericycle nor the generator of regulated medical waste violates applicable regulations, it is
imperative that all parties understand the rules regarding proper identification, classification, segregation and
packaging of regulated medical waste. The purpose of this policy is to summarize the minimum requirements for
preparing your medical waste for collection, transportation and treatment. Additional facility or state-specific waste
acceptance policies may apply based on permit specifications. Please contact your local representative for further
information. You may also call(866)783-7422.
REGULATED MEDICAL WASTE
Stericycle accepts medical waste generated in a broad range of medical, diagnostic, therapeutic and research
activities. The term `medical waste' includes biohazardous, biomedical, infectious or regulated medical waste as
defined under federal, state or local laws, rules, regulations and guidelines. Except as defined by specific state
regulations, this excludes EPA Hazardous (RCRA) pharmaceuticals, bulk chemotherapy waste containing mercury
or other heavy metals, batteries of any type, non-infectious dental waste, chemicals such as solvents, reagents,
corrosives or ignitable materials classified as hazardous waste under Federal and State EPA Regulations. In addition,
Stericycle cannot accept bulk liquids, radioactive materials, complete remains. Stericycle cannot accept these
excluded materials packaged as regulated medical waste. Separate protocol and packaging requirements apply for the
disposal of non-hazardous pharmaceuticals. Hazardous waste transportation services may be offered in certain
geographical locations, under separate contract. Please contact your local representative for details and packaging
specifications.
WASTE SEGREGATION AND PACKAGING
The generator is solely responsible for properly segregating, packaging and labeling of regulated medical waste.
Proper segregation and packaging reduces the potential for accidental release of the contents and exposure to
employees and the general public. DOT regulations require (49 CFR 173.197)that all packages of regulated medical
waste be prepared for transport in containers meeting the following requirements: I) rigid; 2) leak resistant; 3)
impervious to moisture; 4) of sufficient strength to prevent tearing or bursting under normal conditions of use and
handling; 5) sealed to prevent leakage during transport; and 6) puncture resistant for sharps. All regulated medical
waste must be accompanied by a properly completed shipping document (See 49 CFR 172.202).
MANAGEMENT OF NON-CONFORMING WASTE
As required by regulation and company policy Stericycle employees may refuse containers that are non-conforming
because of their contents or are improperly packaged,leaking,damaged or likely to create a risk of exposure to
employees or the general public. Any non-conforming waste identified in route to or at a Stericycle location may be
returned to the generator for proper packaging or disposal. Proper segregation and packaging is essential to ensure
compliant and safe handling,collection, transportation and treatment o aced medical waste.
Updated 1-16-07 /6' 18 s? 0I3I06NSS
iPS
STERICYCLE WASTE ACCEPTANCE POLICY CHECKLIST Initials Se
Accepted Waste:
4 Sharps
Needles and syringes, scalpel blades, glass pipettes,slides,etc.
Regulated Medical Waste
A waste or reusable material derived from the medical treatment of an animal or human which includes
diagnosis and immunization or from biomedical research,which includes the production and testing of
biological products.
Accepted Waste Which Must Be Identified And Segregated For Incineration
4 Trace-Chemotherapy Contaminated Waste
RCRA Empty drug vials,syringes and needles,spill kits,IV tubing and bags, contaminated gloves and gowns,
and related materials(excluding P-listed materials)as defined in applicable laws,rules,regulations or
guidelines
4 Pathological Waste
Human or animal body parts, organs, tissues and surgical specimen (decanted of formaldehyde, formalin or
other preservatives)
'4 Non-Hazardous Pharmaceuticals*
Must be characterized and certified as non-hazardous (i.e. does not qualify under EPA RCRA regulations) by
the generator.
Waste NOT Accepted By Stericycle
® EPA Hazardous Pharmaceuticals*
Materials characterized or listed as hazardous waste under the EPA RCRA 40 CFR regulations.
® Chemicals
Formaldehyde,formalin,acids,alcohol, waste oil,solvents,reagents,fixer developer
O Hazardous Waste
Drums or other containers with a hazard warning symbol,batteries and other heavy metals
O Radioactive Waste
Any container with a radioactivity level that exceeds regulatory or permitted limits; lead-containing
materials
O Complete Human Remains
® Bulk Chemotherapy Waste
® Compressed Gas Cylinders,Canisters,Inhalers and Aerosol Cans
O Any Mercury Containing Material or Devices.
Any mercury thermometers, Sphygmomanometers or lab or medical devices
® Mercury-Containing Dental Waste
Non-contact and contact amalgam and products,chairside traps,amalgam sludge or vacuum pump filters,
extracted teeth with mercury fillings and empty amalgam capsules
*Consult Stericycle Representative for specific requirements.
Additional waste acceptance policies may apply based on state or permit specific requirements.Hazardous waste transportation services may
be offered in certain geographical locations,under separate contract. Please refer to your local Stericycle Representative for additional
information. For additional information on container and labeling requirements contact our Stericycle Customer Service Department at(866)
783-7422.
Updated 1-16-07 013106NSS