HomeMy WebLinkAboutexhibit 3- price proposal formATTACHMENT B
City of Miami. Florida
Pre -Employment Physical Examination Services RFP 03-04-079
6.7. PRICE PROPOSAL FORM
PRE -EMPLOYMENT PHYSICAL EXAMINATION SERVICES
Jnialovment. Promotional and Miscellaneous (Excluding Firefighters and Police Officers)
The following must be fully completed and returned with Proposal.
Est. Extended
Description Quantity Unit Price price
A. Basic Physical Examination .. 425 $t on. on $ 42, 5nn 00
• (including lab work, visual exam, and
audiological exam)
B. Abbreviated Return to Work 400 $35.00 $ 14, 000.00
Physical
C. Optional Examination Components
(Included at this time to obtain quote)
1 PPD test 400 $10.00 $ 4000.00
2. Back X-Ray 5 $ n . on $ "f 0 00
3. Chest X-Ray, 25 $70.00 $ 1750.00
4. EKG (12 lead) 425 $ 45.00 $ 19,125.00
5. Rubella Titer 5 $ 30.00 $ 150.00
6. Rubella lnununization 5 $ 30.00 $ 150.00
7. Review of Miscellaneous 5 $ 15.00 $ 75.00
Medical Records
8. Hepatitis A, B, and C Screening 5 $ 30 00 $ 150.00
9. Measles, Mumps, Rubella 5 $ 40. 00 $ 20n _ On
Immunization
10. Tetanus Vaccine 5 $ 12. no $_i0.00-
11. Please list any other charges associated
with fulfilling this RFP and describe below:
Subtotal
45
$ 82,460.00
City of Miami, Florida Pre -Employment Physical Examination Services
Employment Physical Examinations — Firefishters
The following must be fully completed and returned with Proposal.
Description
A. Basic Physical Examination
(including lab work, visual exam, and
audiological exam)
B. Additional/Optional Examination Components
(Included at this time to obtain quote)
1. Chest X-Ray
2. EKG
3. HIV Testing & Counseling
a. ELISA Test
b. Western Blot
c. Pre Counseling
d. Post Counseling
4. PPD test
5. Hepatitis A, B and C Screening
C. Please list any other charges associated
with fulfilling this RFP and describe below:
Est.
Ouantity Unit Price
RFP 03-04-079
Extended
Price
60 $ 140.00 $ 8400.00
60 $ 70.00 $ 4200.00
60 $ 45.00 $ 2700.00
60
60
60
60
60
60
Emnlovmgnt Phvsical Examinations — Police Officers
Est.
Pescription Ouantity
A. Basic Physical Examination
(including lab work, visual exam, and
audiological exam)
100
B. Additional/Optional Examination Components
(included at this time to obtain quote)
1. Chest X-Ray 100
2. EKG 100
46
$ 38.00
$ 10.00
$ 10.0U
$ 10.00
$ 35.00
Subtotal:
Unit Price
140.00
$ 70.00
$ 45.00
$ 2280.00
s�—
$ 600.00
$ 600.00
$ 600.00
$ 2100.00
$
$
S 21480.00
Extended
Price
$ 14,000.00
$ 7000.00
$ 6750.00
City of Miami, Florida
Pre -Employment Physical Examination Services RFP 03-04-079
3. Back X-Ray 1 $ 125.00 $ 125.00
4. Hepatitis A, B, and C Screening 100 $ 35.00 $ 350040
5. Pulmonary Function 1 $ 120.00 $ 120.00
6. Blood Type & Rh Typing 1 $ 15.00 $ 15.00
7. Rubella Titer 1 $ 30.00 $ 30.00
8. Rubella lmnzunization 1 $ 40.00 $ 40.00
9. Review & provide written interpretation 50 $ 15.00 $ 750.00
of medical record
10. Cardiovascular Stress Test
C. Please list any other charges associated
with fulfilling this RFP and describe below:
47
1 $ 425.00 ' 425.00
Subtotal: $ 32(S�.00
TOTAL: $ 136695.00