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Fee Schedule - HireRight - 2013-07-02
AttachmentB Schedule of Fees Packages PackageName PackageDescription Price($)CreditOnly 8.80 PriceList ServiceName ServicePrice($)10YearsPublicRecordsSearchSurcharge 2.00 CivilUpper 0.00 CivilUpper&Lower 14.90 CorporatePartyAffiliation 17.00 CriminalFelony&Misdemeanor 11.90 DOTDrug\AlcoholVerification(FMCSA)14.00 DrugTesting 32.00 E-mailReporttoApplicant 1.75 eCOCScheduling 2.00 EducationReport 11.95 EmployeeCredit 8.50 EmploymentReport 12.50 FAAMechanicLicense 12.00 FAAPilotAccident/Incidentreport 13.00 FDADebarment 7.50 FederalBankruptcy 8.50 FederalCivil 8.50 FederalCriminal 8.50 GlobalSanctions&Enforcement 13.00 GSASearch 6.50 GSA/OIG-ExcludedParties 7.50 HairDrugTest 80.00 HealthCareSanctions-All 11.00 HealthCareSanctions-Federal 7.00 HealthCareSanctions-State 9.00 HealthcareSanctions-All 11.00 ServiceName ServicePrice($)HealthcareSanctions-Federal 7.00 HealthcareSanctions-State 9.00 HireRightAccountApplicationFee 150.00 I-9EmploymentEligibility 10.00 InterpolCriminalSearch 8.50 MilitaryBackground 12.00 MilitaryService 12.00 MVR 6.95 MVR(1year)0.00 MVR(3years)7.00 NationalCriminalSearch 9.95 NationalSexOffenderRegistry 8.95 Newspaper/Periodical 19.25 OIGExclusionSearch 6.50 ProfessionalLicensesReport 13.50 ProfessionalReferenceCheckReport 12.95 ProhibitedParties 6.75 SexOffenderRegistry 8.20 SSNTrace 5.00 SSNValidation 1.00 SSNVerification 9.50 StatewideCriminalSearch 12.50 UCCFilingSearch 17.50 UseDisclosure&ConsentForm-E-Signature 1.50 VolunteerCheck 6.50 WidescreenPlusNationalCriminalSearch 9.95 WorkersCompensationReport 11.00 Note1:Pricesshownarediscountedtoreflectcashpaymentinaccordancewiththeagreeduponpaymentterms.Note2:Alternativeformsofpaymentsuchascreditcardsaresubjecttodifferentpriceschedules.Note3:HireRight'spricingisestablishedbasedonspecificvolumelevels.Asvolumelevelschangesignificantly,HireRightreservestherightto readdresspricingaccordingly.Note4:DACEmploymentHistoryFileassociatedfees:TransportationEmploymentHistory(billedperemployer)andDrivingSchoolRecord (billedperemployer).Pleaserefertoalacartepricelistforlineitempricing.AsnotedintheDEHFAddendum,DACEmploymentHistoryFile usersagreetofurnishemploymenthistoryrecordsoneachofitsterminateddrivers.Clientwillreceiveacontributioncreditof$2.40perdriver forthecontributionofaterminationrecord.Clientwillreceiveanadditionalcreditof$0.20perdriverforthecontributionofadrug/alcoholhistory recordaccompaniedwithaterminationrecord.HireRightScheduleofFeesFootnotes:ExpensesandfeesforservicesnotlistedinthisScheduleofFeeswillbebilledatHireRight'susualandcustomaryrates,unlessotherwise agreedinwritingbetweenHireRightandSubscriber.SubscriberwillreimburseHireRightreasonableadministrative,copyingandshipping chargesforspecialrequestsforrecords,results,productshipmentorotherinformation.(CourtFees)FeesleviedbyFederal,State,Countyandothergovernmentalagenciesforsearchesundertakenwillbepassedthroughto SubscriberinadditiontothefeeschargedbyHireRight.Suchfeesincludecasecopiesassociatedwithrecordsfound.Additionalcriminal searchesincludingcountiesaddedbySubscriberoutsideofthosefoundbythesocialtrace,includingaliasesandmaidennameswillbebilledat alaCarterates.(VerificationFees)Feesleviedbyeducationalinstitutionsand/oremployersandthosewhohaveretainedthirdpartyvendorstorespondto requestsforverificationsofeducationandemploymentwillbepassedthroughtoSubscriberinadditiontothefeeschargedbyHireRight.(MotorVehicleRecordFees)FeesleviedbycertainstatesformotorvehiclerecordswillbepassedthroughtoSubscriber.(DrugTestingFees)Drugtestcollectionfees,breathalcoholtestingfeesandphysicalexaminationfeesperformedatclinicsthathavenotbeen pre-establishedspecificallyfortheSubscriberwillbeaddedtothebasefeeandpassedthroughtoSubscriber.Additionalchargeswillbe incurredforthefollowingservices:*UsingOutofNetworkCollectionFacilities(notpre-established)-$25.00pertest *UsingOne-to-OneSetups(CollectionSiteReferrals)-$25.00perReferral *Unclaimeddrugtests,alcoholtestsandphysicalexaminationsandotherunclaimedtests-$8.00pertest Serviceslistedbelowareavailableandwillbebilledattheratesspecified:-24/7/365DayaYearCoordination/EmergencyServices(includingcoordinationofinternationalcollections)-TestCoordinationservice pricingcoverscoordinationcostsonlyanddoesnotincludedrugtestcollection,breathalcoholtestingfeesand/orrelatedexpenses.NormalBusinessHours-$75.00 AfterBusinessHours,WeekendsandHolidays-$150.00 -SplitSampleRetestFee-$250.00 -ShyLung-$75.00 -ShyBladder-$75.00 -MedicalConsulting-$300.00perhour -MISConsulting-$175.00perhour -ProgramConsulting-$300.00perhour -SubscriberAuditSupport-$300.00perhour -TelephonicExpertTestimony-$300.00perhour -OnsiteExpertTestimony-$300.00perhourplustravel,meals,lodgingandexpenses -MROLitigationHearingPackage-$75.00perpackage -LaboratoryLitigationHearingPackage-$275.00perpackage InNetworkFee-The"InNetwork"drugtestingservicefeeincludesthecostofspecimentesting,MROfees,andcollectionsperformedatIn Networkcollectionfacilities(LabCorporQuestownedPatientServiceCentersorotherlaboratory-ownedandmanagedcollectionfacilities authorizedforSubscriber'suse,butexcludinglaboratorypreferredthirdpartynetworkcollectionsites).ExtendedThirdPartyClinicNetworkFee -The"ExtendedThirdPartyClinicNetwork"drugtestingservicefeeincludesthecostofspecimentesting,MROfees,andcollectionsperformed atExtendedThirdPartyClinicNetworkfacilitiespre-establishedandauthorizedforSubscriber'sprogram.OutofNetworkFee-The"OutofNetwork"feeisanadditionalchargethatwillbeaddedforusingcollectionfacilitiesthatareOutofNetwork (i.e.,notpre-establishedandauthorizedforSubscriber'sprogram).DHSCostPlusFee-TheDHSCostPlusFeefordrugtestingservicesonlyincludestheCostofspecimentesting,MROfees,andspecimen collectionsperformedatIn-Networkcollectionfacilities(LabCorporQuestownedPatientServiceCentersorlaboratory-ownedandmanaged collectionfacilitiesauthorizedforSubscriber'suse,butexcludinglaboratorypreferredthirdpartynetworkcollectionsites).Otherdrugtesting specimencollection,breathalcoholtesting,andphysicalexaminationfeesforservicesrenderedatThirdPartyExtendedClinicNetworkor laboratorypreferredthirdpartynetworkcollectionsites,whichhavebeenpre-establishedandauthorizedforSubscriber'sprogrambyHireRight,willbepassedthroughtoSubscriberattheDHSCostPlusFeeplustheadditionalcostfortheseservicesprovidedattheseExtendedThird PartyClinicNetworkfacilitiespre-establishedandauthorizedforSubscriber'sprogram.(InternationalFees)Ifanyelementofthesearchinanypackageinvolvesmorethanonecountry,theadditionalcountry/countrieswillbe chargedinaccordancewiththeServiceAgreementtermsandpricinglocatedathttp://www.hireright.com/Service-Agreement.aspxusing passwordPricing123.InternationalsearchpricingcanalsobeaccessedatanytimeafterelectronicsigningoftheServiceAgreementinthe"My Documents"sectionoftheHireRightplatform.Internationalsearchpricingisbasedoncurrentvendoravailabilityandcost,andissubjectto changewithoutnotice.Subscriber'sinternationalsearchpricingshallbeappliedaslistedonthedateofSubscriber'sorderrequest.(AdditionalProductFees)Feesleviedforanyotherproductsincludingbutnotlimitedtoworkercompensation,sexoffender,orcreditsearches willbepassedthroughtoSubscriberinadditiontothefeeschargedbyHireRight.(PossibleRecords-WidescreenPlus)-RecordsgeneratedbyWidescreenPlusare"possiblerecords"andarenotconfirmedtobelongtothe applicant.Theyareusedsolelytoidentifysourcejurisdictionswhichmaycontainrecordsrelatedtotheapplicant.WidescreenPlusdoesnot containrecordsfromeveryjurisdictionnationallyandisnotintendedtobeasubstituteforregionallytargetedsearches.Forpossiblerecords generatedbythisproduct,HireRightwillperformafollow-upsearchattheappropriatedatasource(s)forapplicablerecords(correspondingto yourproduct/packagespecifications)relatedtotheapplicant.Allsuchfollow-upsearcheswillbebilledtoSubscriberattheapplicablealacarte rate. ElectronicSignature Signed:AnnaSanchez E-mailAddress:asanchez@cmsdca.gov Title:AdministrativeServiceManager Companyname:CostaMesaSanitaryDistrict Address:628W.19thStreetCostaMesaCalifornia92627 IPAddress:Dated:07/02/201307:48 Thisisanelectronicsignature,andisgiveninaccordancetoU.S.federalregulationsgoverningthelegaland bindingeffectivenessofelectronicsignatures.