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HomeMy WebLinkAboutexhibitForm t(a) PROFESSIONAL SERVICES AGREEMENT This Agreement is entered into this day of , 200_ by and between the City of Miami, a municipal corporation of the State of Florida ("City") and Mercy Medical Development d/b/a Mercy Outpatient Center ("Provider"). RECITAL A. The City has issued a Request for Proposals ("RFP") for the provision of Sworn Police Annual Physical Examination Services ("Services") and Provider's proposal ("Proposal"), in response thereto, has been selected as the most qualified proposal for the provision of the Services. The RFP and the Proposal are sometimes referred to herein, collectively, as the Solicitation Documents, and are by this reference incorporated into and made a part of this Agreement. B. The Commission of the City of Miami, by Resolution No. , adopted on , approved the selection of Provider and authorized the City Manager to execute a contract, under the terms and conditions set forth herein. NOW, THEREFORE, in consideration of the mutual covenants and promises herein contained, Provider and the City agree as follows: TERMS 1. RECITALS: The recitals are true and correct and are hereby incorporated into and made a part of this Agreement. 2. TERM: The term of this Agreement shall be for an initial 2 year period commencing on the effective date hereof. 3. OPTION TO EXTEND: The City shall have two option(s) to extend the terra hereof for two (2) additional two year periods, subject to availability and appropriation of funds. City Commission approval shall not be required as long as the total extended term does not exceed four (4) years. 4. SCOPE OF SERVICE: A. Provider agrees to provide the Services as specifically described, and under the special terms and conditions set forth in Attachment "A" hereto, which by this reference is incorporated into and made a part of this Agreement. B. Provider represents and warrants to the City that: (i) it possesses all qualifications, licenses and expertise required under the Solicitation Documents for the performance of the Services; (ii) it is not delinquent in the payment of any sums due the City, including payment of permit fees, occupational licenses, etc., nor in the performance of any obligations to the City; (iii) all personnel assigned to perform the Services are and shall be, at all times during the tern hereof, fully qualified and trained to perform the tasks assigned to each; and (iv) the Services will be performed in the manner described in Attachment "A". 5. COMPENSATION: A. The amount of compensation payable by the City to Provider shall be based on the rates and schedules described in Attachment "B" hereto, which by this reference is incorporated into this Agreement; provided, however, that in no event shall the amount of compensation exceed $415,240 [per year]. An increase not to exceed 5% in the amount of compensation which shall be effective on the first day of the first option period and remain in effect through the first renewal term. The second two (2) year renewal is subject to an increase of 5%, which will remain in effective during the second renewal term. CoM I'SA & Corp Res° Mercy Police Annuals 211114 2 B. Unless otherwise specifically provided in Attachment "B", payment shall be made within forty five (45) days after receipt of Provider's invoice, which shall be accompanied by sufficient supporting documentation and contain sufficient detail, to allow a proper audit of expenditures, should City require one to be performed. If Provider is entitled to reimbursement of travel expenses ; i.e. Attachment "B" includes travel expenses as a specific item of compensation], then all bills for travel expenses shall be submitted in accordance with Section 112.061, Florida Statutes. 6. OWNERSHIP OF DOCUMENTS: Provider understands and agrees that any information, document, report or any other material whatsoever which is given by the City to Provider or which is otherwise obtained or prepared by Provider pursuant to or under the terms of this Agreement is and shall at all times remain the property of the City. Provider agrees not to use any such information, document, report or material for any other purpose whatsoever without the written consent of City, which may be withheld or conditioned by the City in its sole discretion. 7. AUDIT AND INSPECTION RIGHTS: A. The City may, at reasonable times, and for a period of up to three (3) years following the date of final payment by the City to Provider under this Agreement, audit , or cause to be audited, those books and records of Provider which are related to Provider's performance under this Agreement. Provider agrees to maintain all such books and records at its principal place of business for a period of three (3) years after final payment is made under this Agreement. B. The City may, at reasonable times during the term hereof, inspect Provider's facilities and perform such tests, as the City deems reasonably necessary, to determine whether CoM:I'SA & Corp Roso Mercy Police Annuals 201141 3 the goods or services required to be provided by Provider under this Agreement conform to the terms hereof and/or the terms of the Solicitation Documents, if applicable. Provider shall make available to the City all reasonable facilities and assistance to facilitate the performance of tests or inspections by City representatives. All tests and inspections shall be subject to, and made in accordance with, the provisions of Section 18-55.2 of the Code of the City of Miami, Florida, as same may be amended or supplemented, from time to time. 8. AWARD OF AGREEMENT: Provider represents and warrants to the City that it has not employed or retained any person or company employed by the City to solicit or secure this Agreement and that it has not offered to pay, paid, or agreed to pay any person any fee, commission, percentage, brokerage fee, or gift of any kind contingent upon or in connection with, the award of this Agreement. 9. PUBLIC RECORDS: Provider understands that the public shall have access, at all reasonable times, to all documents and information pertaining to City contracts, subject to the provisions of Chapter 1 1 9, Florida Statutes, and agrees to allow access by the City and the public to all documents subject to disclosure under applicable law. Provider's failure or refusal to comply with the provisions of this section shall result in the immediate cancellation of this Agreement by the City. 10. COMPLIANCE WITH FEDERAL, STATE AND LOCAL LAWS: Provider understands that agreements between private entities and local governments are subject to certain laws and regulations, including laws pertaining to public records, conflict of interest, record keeping, etc. City and Provider agree to comply with and observe all applicable laws, codes and ordinances as they may be amended from time to time. CoM:l'SA & Corp Resu Mercy Police Annuals 204)4 4 11. INDEMNIFICATION: Provider shall indemnify, defend and hold harmless the City and its officials, employees and agents (collectively referred to as "Indemnitees") and each of them from and against all Toss, costs, penalties, fines, damages, claims, expenses (including attorney's fees) or liabilities (collectively referred to as "Liabilities") by reason of any injury to or death of any person or damage to or destruction or loss of any property arising out of, resulting from, or in connection with (i) the performance or non-performance of the services contemplated by this Agreement which is or is alleged to be directly or indirectly caused, in whole or in part, by any act, omission, default or negligence (whether active or passive) of Provider or its employees, agents or subcontractors (collectively referred to as "Provider"), regardless of whether it is, or is alleged to be, caused in whole or part (whether joint, concurrent or contributing) by arty act, omission, default or negligence (whether active or passive) of the Indemnitees, or any of them or (ii) the failure of the Provider to comply with any of the paragraphs herein or the failure of the Provider to conform to statutes, ordinances, or other regulations or requirements of any governmental authority, federal or state, in connection with the performance of this Agreement. Provider expressly agrees to indemnify and hold harmless the Indemnitees, or any of them, from and against all liabilities which may be asserted by an employee or former employee of Provider, or any of its subcontractors, as provided above, for which the Provider's liability to such employee or former employee would otherwise be limited to payments under state Workers' Compensation or similar laws. 12. DEFAULT: If Provider fails to comply with any term or condition of this Agreement, or fails to perform any of its obligations hereunder, then Provider shall be in default. Upon the occurrence of a default hereunder the City, in addition to all remedies available to it by law, may immediately, upon written notice to Provider, terminate this Agreement whereupon all payments, CLM;PSA & Corp Riwu Mercy Police Annuls 2004 5 advances, or other compensation paid by the City to Provider while Provider was in default shall be immediately returned to the City. Provider understands and agrees that termination of this Agreement under this section shall not release Provider from any obligation accruing prior to the effective date of termination. Should Provider be unable or unwilling to commence to perform the Services within the time provided or contemplated herein, then, in addition to the foregoing, Provider shall be liable to the City for all expenses incurred by the City in preparation and negotiation of this Agreement, as well as all costs and expenses incurred by the City in the re - procurement of the Services, including consequential and incidental damages. 13. RESOLUTION OF CONTRACT DISPUTES: Provider understands and agrees that all disputes between Provider and the City based upon an alleged violation of the terms of this Agreement by the City shall be submitted to the City Manager for his/her resolution, prior to Provider being entitled to seek judicial relief in connection therewith. In the event that the amount of compensation hereunder exceeds $25,000, the City Manager's decision shall be approved or disapproved by the City Commission. Provider shall not be entitled to seek judicial relief unless: (i) it has first received City Manager's written decision, approved by the City Commission if the amount of compensation hereunder exceeds $25,000, or (ii) a period of sixty (60) days has expired, after submitting to the City Manager a detailed statement of the dispute, accompanied by all supporting documentation (90 days if City Manager's decision is subject to City Commission approval); or (iii) City has waived compliance with the procedure set forth in this section by written instruments, signed by the City Manager. 14. C1TY'S TERMINATION RIGHTS: A. The City shall have the right to terminate this Agreement, in its sole discretion, at any time, by giving written notice to Provider at least five (5) business days prior to the effective CoM:PSA & Corp Reso Mercy Police Annuals 2004 6 date of such termination. In such event, the City shall pay to Provider compensation for services rendered and expenses incurred prior to the effective date of termination. In no event shall the City be liable to Provider for any additional compensation, other than that provided herein, or for any consequential or incidental damages. B. The City shall have the right to terminate this Agreement, without notice to Provider, upon the occurrence of an event of default hereunder. In such event, the City shall not be obligated to pay any amounts to Provider and Provider shall reimburse to the City all amounts received while Provider was in default under this Agreement. 15. INSURANCE: Provider shall, at all times during the term hereof, maintain such insurance coverage as may be required by the City. All such insurance, including renewals, shall be subject to the approval of the City for adequacy of protection and evidence of such coverage shall be furnished to the City on Certificates of Insurance indicating such insurance to be in force and effect and providing that it will not be canceled during the performance of the services under this contract without thirty (30) calendar days prior written notice to the City. Completed Certificates of Insurance shall be filed with the City prior to the performance of services hereunder, provided, however, that Provider shall at any time upon request file duplicate copies of the policies of such insurance with the City. If, in the judgment of the City, prevailing conditions warrant the provision by Provider of additional liability insurance coverage or coverage which is different in kind, the City reserves the right to require the provision by Provider of an amount of coverage different from the amounts or kind previously required and shall afford written notice of such change in requirements thirty (30) days prior to the date on which the requirements shall take effect, Should the Provider fail or refuse to satisfy the requirement of changed coverage within thirty CuM:PSA 8c Corp Roo Mercy Police Annuals 2004 7 (30) days following the City's written notice, this Contract shall be considered terminated on the date that the required change in policy coverage would otherwise take effect. 16. NONDISCR.IIVIINATION: Provider represents and warrants to the City that Provider does not and will not engage in discriminatory practices and that there shall be no discrimination in connection with Provider's performance under this Agreement on account of race, color, sex, religion, age, handicap, marital status or national origin. Provider further covenants that no otherwise qualified individual shall, solely by reason of his/her race, color, sex, religion, age, handicap, marital status or national origin, be excluded from participation in, be denied, services, or be subject to discrimination under any provision of this Agreement. 17. MINORITY AND WOMEN BUSINESS AFFAIRS AND PROCUREMENT PROGRAM: The City has established a Minority and Women Business Affairs and Procurement Program (the "M/WBE Program") designed to increase the volume of City procurement and contracts with Blacks, Hispanic and Women -owned business. The M/WBE Program is found in Ordinance No. 10062, a copy of which has been delivered to, and receipt of which is hereby acknowledged by, Provider. Provider understands and agrees that the City shall have the right to terminate and cancel this Agreement, without notice or penalty to the City, and to eliminate Provider from consideration and participation in future City contracts if Provider, in the preparation and/or submission of the Proposal, submitted false of misleading information as to its status as Black, Hispanic and/or Women owned business and/or the quality and/or type of minority or women owned business participation. 18. ASSIGNMENT: This Agreement shall not be assigned by Provider, in whole or in part, without the prior written consent of the City's, which may be withheld or conditioned, in the City's sole discretion. CoM:I'SA & Corp ReSo Mercy Police Annuals 2004 8 19. NOTICES: All notices or other communications required under this Agreement shall be in writing and shall be given by hand -delivery or by registered or certified U.S. Mail, return receipt requested, addressed to the other party at the address indicated herein or to such other address as a party may designate by notice given as herein provided. Notice shall be deemed given on the day on which personally delivered; or, if by mail, on the fifth day after being posted or the date of actual receipt, whichever is earlier. TO PROVIDER: TO THE CITY: Sandra Cohan Administrator, Mercy Outpatient Center Mercy Medical Development d/b/a Mercy Outpatient Center 3661 South Miami Avenue Miami, FL 33133 WITH A COPY TO: Maria J. Chiaro Interim City Attorney City of Miami Office of the City Attorney 444 SW 2nd Avenue, Suite 945 Miami, Florida 33130 Rosalie Mark Director, Department of Employee Relations City of Miami 444 SW 2nd Avenue, 7`6Floor Miami, Florida 33130 20. MISCELLANEOUS PROVISIONS: A. This Agreement shall be construed and enforced according to the laws of the State of Florida. B. TitIe and paragraph headings are for convenient reference and are not a part of this Agreement. CoNIIYSA & Corp [Zero Mercy Police Anssuals 2004 9 C. No waiver or breach of any provision of this Agreement shall constitute a waiver . of any subsequent breach of the same or any other provision hereof, and no waiver shall be effective unless made in writing. D. Should any provision, paragraph, sentence, word or phrase contained in this Agreement be determined by a court of competent jurisdiction to be invalid, illegal or otherwise unenforceable under the laws of the State of Florida or the City of Miami, such provision, paragraph, sentence, word or phrase shall be deemed modified to the extent necessary in order to conform with such laws, or if not modifiable, then same shall be deemed severable, and, in either event, the remaining terms and provisions of this Agreement shall remain unmodified and in full force and effect or limitation of its use. E. This Agreement constitutes the sole and entire agreement between the parties hereto. No modification or amendment hereto shall be valid unless in writing and executed by properly authorized representatives of the parties hereto. 21. SUCCESSORS AND ASSIGNS: This Agreement shall be binding upon the parties hereto, their heirs, executors, legal representatives, successors, or assigns, 22. INDEPENDENT CONTRACTOR: Provider has been procured and is being engaged to provide services to the City as an independent contractor, and not as an agent or employee of the City. Accordingly, Provider shall not attain, nor be entitled to, any rights or benefits under the Civil Service or Pension Ordinances of the City, nor any rights generally afforded classified or unclassified employees. Provider further understands that Florida Workers' Compensation benefits available to employees of the City are not available to Provider, and agrees to provide workers' compensation insurance for any employee or agent of Provider rendering services to the City under this Agreement. CoM:PSA & Corp Reso Mercy Police Annuals 2004 10 23. CONTINGENCY CLAUSE: Funding for this Agreement is contingent on the availability of funds and continued authorization for program activities and the Agreement is subject to amendment or termination due to lack of funds, reduction of funds and/or change in regulations, upon thirty (30) days notice. 24. REAFIRMAT.ION OF REPRESENTATIONS: Provider hereby reaffirms all of the representations contained in the Solicitation Documents. 25. ENTIRE AGREEMENT: This instrument and its attachments constitute the sole and only agreement of the parties relating to the subject matter hereof and correctly set forth the rights, duties, and obligations of each to the other as of its date. Any prior agreements, promises, negotiations, or representations not expressly set forth in this Agreement are of no force or effect. 26. COUNTERPARTS: This Agreement may be executed in two or more counterparts, each of which shall constitute an original but all of which, when taken together, shall constitute one and the same agreement. 27. SPECIAL INSURANCE AND INDEMNIFICATION RIDER: Please initial if applicable: IN WITNESS WHEREOF, the parties hereto have caused this instrument to be executed by their respective officials thereunto duly authorized, this the day and year above written. CuM:PSA & Corp Res) Mercy Police Annuals 2(104 11 "City" CITY OF MIAMI, a municipal ATTEST: corporation By: Priscilla A. Thompson, City Clerk Joe Arriola Chief Administrator/City Manager ATTEST: Print Name: Title: Corporate Secretary "Provider" a corporation By: Print Name: Title: President APPROVED AS TO FORM AND APPROVED AS TO INSURANCE CORRECTNESS: REQUIREMENTS: Maria J. Chiaro Dania F. Carrillo Interim City Attorney Risk Management Administrator CUM:PSA & Corp Roo Mercy Police Annuals 2004 12 CORPORATE RESOLUTION WHEREAS, Mercy Medical Development d/b/a Mercy Outpatient Center desires to enter into an agreement with the City of Miami for the purpose of performing the work described in the contract to which this resolution is attached; and WHEREAS, the Board of Directors at a duly held corporate meeting has considered the matter in accordance with the By -Laws of the corporation; Now, THEREFORE, BE IT RESOLVED BY THE BOARD OF DIRECTORS that the is hereby authorized and instructed to enter into a contract, in the name and on behalf of this corporation, with the City of Miami upon the terms contained in the proposed contract to which this resolution is attached and to execute the corresponding performance bond. DATED this day of ,2004. Corporate Secretary Chairperson of the Board of Directors (Corporate Seal) • CoM:PSA & Curp Reso Mercy Police Annuals 2004 13 City ofMiami, Florida Police Physical Ezaminalion Services RFP 03.04481 Attachment A MEDICAL PROTOCOL (Annual Physicals - Department of Police) I. PHYSICAL EXAMINATION COMPONENTS A. Medical History - Provider shall obtain a complete and thorough medical history on the employee. Provider must also perform a Health Risk Profile on the employee. The purpose of this appraisal tool is to identify a persons major health risks and how lifestyle habits affect these risks. This confidential profile should prioritize and explain the necessary life-style changes to reduce risks. Specifications: - The profile should have the following characteristics: 1. Projects the relationship between chronological age and risk age. 2. The profile will clearly and concisely show participants both immediate and long-term effects of their life-styles. 3. The profile used will be one that can derive a management report identifying the relationship between health risks and costs to the organization. B. Physical Examination (By Board Certified Physician) Physical Examination DONE BY INSPECTION, PALPATION, PERCUSSION AND AUSCULTATION to include the following: General appearance Height Weight Head, Scalp, face Neck (THYROID, LYMPHS, VESSELS) Ears (INTERNAL AND EXTERNAL CANALS AND CERUMEN) EAR DRUMS (PERFORATION) Nose (SINUSES) Throat (CONDITION OF TONSILS) Mouth (TONGUE, TEETH, AND GUMS) Spine (OTHER MUSCULOSKETAL) 47 City of Miami, Florida Police Physical Examination Services RFP 03-04481 Skin (SCARS, RASHES) LYMPHATICS Upper extremities (STRENGTH, RANGE OF MOTION) Lower extremities (STRENGTH, RANGE OF MOTION) Lungs, chest wall, breasts (PHYSICIAN WILL OFFER TO PERFORM BREAST EXAMINATION), back Vascular System (VARICOSITIES, ETC.) Heart (thrust, size, rhythm, sounds) Endocrine system Vital signs, T,P,R, (B/P both arms) Neurological evaluation Mental Status, memory, orientation, judgment, intellect, affect Abdomen, Viscera (check for hernias) -EVALUATION BY INSPECTION, PALPATION, PERCUSSION & AUSCULTATION) External Genitalia - EVALUATION BY INSPECTION, PALPATION, PERCUSSION & AUSCULTATION) ANUS AND RECTUM - DIGITAL RECTAL EXAM (OPTIONAL) FOR EXAMINATION OF PROSTATE IN MEN AND TO CHECK FOR THE EXITENCE OF OCCULT BLOOD IN BOTH MEN AND WOMEN. C. Laboratory Work -up 1. Hematology panel Complete Blood Count (CBC) with differential 2. Biochemistry Profile 25 and Complete Lipid Profile with ratios and TSH (Thyroid) 4. Urinalysis (Microscopic) D. Opthalmological Evaluation 1. Visual Acuity - Both corrected and uncorrected vision should be tested and recorded. Note: A monthly report should be forwarded to the Department of Employee Relations, listing employees that do not meet the following vision requirements: 20/50 each eye uncorrected; 20/30 each eye corrected. It should also be noted if the individual wears glasses or contact lenses. 48 City of Miami, Florida Police Physical Examination Services RFP 03-04-081 2. Physical Examination by a Hoard certified Physician to include: a) Pupils b) Extra -Ocular movement c) Conjunctiva d) Sclera e) Fundoscopic examination f) Color vision E. Pulmonary Function Test (Screening for obstructive and restrictive diseases) Vital Capacity and FEV 1 Utilize a spirometer that measures function by volume, not flow. Minimal reported information should be FVC, FEV 1, FEV 1/FVC%, FEF25-75%, and MVV. All volumes should be reported in absolute values (liters), as well as percentage of age, sex, and adjusted normals. F. Electrocardiogram Twelve lead resting EKG. Report with mounted rhythm strip included in medical chart. G. Audiological Screening Test normal hearing range, 500 to 4000 HERTZ, with a calibrated audiometer in a sound treated both or room. Note: A monthly report should be forwarded to the Department of Employee Relations listing employees with hearing acuity loss of 40 decibels or greater for the frequencies 500,, 1000, 2000, 3000, and 4000 cycles. H. PPD Skin Test -performed by Mantoux method (required). 49 CUy ofMianu, Florida Police Physical Examination Services RFP O3-04-081 I. ADDITIONAL/OPTIONAL EXAMS OPTIONAL 1. Radiological Screening (RECOMMENDED EVERY 3 YEARS) Standard PA and Lateral Chest (posterior, anterior, and lateral chest views). 2. Cardiovascular Stress Test A cardiovascular stress test shall designated sworn personnel with a cardiovascular disease, in themselves to all those 40 years of age or older the examining physician, the following be performed: Echocardiogram, Thallium Stress Test. be administered to positive history of or their family, and . When recommended by additional tests may Stress, Exercise Muga 3. DIGITAL RECTAL (MALES AND FEMALES) INCLUDING A STOOL HEMATEST FOR OCCULT BLOOD. 4. Pap Smear - RECOMMENDED once annually. 5. Mammogram To be offered to female police officers age 40 and older utilizing the following guidelines: Age 40 - 49 Age 50 - and over Family history of cancer 6. CA 125 - every 2 years - every year - every year To be offered only to those female police officers that have previously been diagnosed with OVARIAN cancer OR A STRONG FAMILY HISTORY. 7. PSA OFFERED TO ALL MALES. RECOMMENDED FOR male police officers age 40 and older; AND AFRICAN-AMERICAN MALES 35 AND OLDER. 8. Comprehensive Hearing Examination Should be performed on all police officers with hearing acuity loss off 40 decibels or greater for the frequencies 500, 1000, 2000, 3000, and 4000 cycles. 9. 24 Hour Molter Monitor • 50 City ofMianri. Florida Police Physical Examination Services RFP O3-O4481 10. HBSAB Titer 11. FLEXIBLE SIGMOIDOSCOPY - FOR POLICE OFFICERS 50 YEARS AND OVER, OR TO BE CONDUCTED UPON RECOMMENDATION OF THE EXAMINING PHYSICIAN. ADDITIONAL 1. Police Department DIVE TEAM Basic physical, plus: a) Bilirubin Direct and Total b) Cholinesterase c) Heavy Metal Screening Quantitative for Pb (Lead), As (Arsenic), Hg (Mercury) d) Tonometry 51 City of Miami, Florida Police Physical Examination Services RFP 03-04081 HEPATITIS A AND B IMMUNIZATION PROTOCOL Hepatitis A immunization protocol shall be conducted as follows: - The first visit shall include a training module. This visit shall be scheduled between 7:00 a.m. to 5:00 p.n. Monday through Friday, excluding legal holidays. After the training module, those individuals to be immunized will be given the first dose of the Hepatitis A vaccine (Havrix' A Adult) followed by the second injection six (6) months after the first. Hepatitis A does not require a blood titer after vaccination. These vaccinations will be by intramuscular injection. The dosing schedule for Hepatitis A vaccination is (0 and 6 months) . Hepatitis B immunization protocol shall be conducted as follows: The first visit shall include a training module and (HBSAB) titer. This visit shall be scheduled between 7:00 a.m. to 5:00 p.m. Monday through Friday. After the training module, and the (HBSAB) titer if applicable, those individuals to be immunized will be given the synthetic vaccine (e.g. Recombivax HB or Engerix HB). These vaccinations will be by intramuscular injections. The second visit will consist of the initial injection followed by the second injection one (1) month after the first, and the third injection, six (6) months after the first. A (HBSAB) titer will be drawn 1-2 months after the last injection. It is now recommended that those individuals who do not develop positive HBSAB's after a primary series, repeat the entire series. Hepatitis A and B combination vaccine (Twinrix) - protocol shall be conducted as follows: The first visist shall include a training module. This visit shall be scheduled between 7:00 a.m. to 5:00 p.m., Monday through Friday, excluding legal holidays. After the training module, those individuals to be immunized will be given the first dose of the synthetic vaccine (Twinrix) followed by the second injection one (1) month after the first, and the third injection six (6) • 52 City of Miami, Florida Police Physical Examination Services RFP 03-04481 months after the first. These vaccinations will be by intramuscular injection. The dosing schedule for Hepatitis A and B combination vaccinations is (0-1-and 6 months). Covers the following employee classifications: 1) Police (all sworn) 2) I.D. Aide 3) Property Specialist I and II 4) Others as designated 53 AUG-25-2004 03:19PI FROM-XEALTH EVALUATION AND EXERCISE CENTER a +3052062927 T-043 P.001/015 F-124 ATTACHMENT B as Cobelo fMiaai _ tment of Human Resources 444 SW 2id Avenue 7th Floor Miami FL 33130 August 25*, 2004 Dear Ana: It was a pleasure meeting with you last Friday concerning the City of Miami contract pricing. Based on our meeting 1 am able to confirm the following fee changes to the contracts listed below. RFP # 03-04-080 Fire Rescue Annual Physical Examination Services Basic Physical Cardio. Stress Test Thallium Stress Test Pulmonary Function Testing Post Branch Study Colonoscopy HazMat Physical 660 Unit Price 574 Unit Price 55 Unit Price 60 60 8 24 Unit Price Unit Price Unit Price Unit Price $145.00 Renegotiated Unit Price S425.00 Renegotiated Unit Price S1000.00 Renegotiated Unit Price S 120.00 Renegotiated Unit Price $165.00 Renegotiated Unit Price $ 3000.00 Renegotiated Unit Price $215.00 Renegotiated Unit Price RFP # 03-04-081 Sworn Police Physical Examination Services Basic Physical Cardio. Stress Test Thallium Stress Test 1200 Unit Price $145.00 Renegotiated Unit Price 175 Unit Price $425.00 Renegotiated Unit Price 25 Unit Price $1000.00 Renegotiated Unit Price $130.00 $400.00 $950.00 $100.00 $135.00 $2000.00 $195.00 $130.00 S400.00 $950.00 Mercy Outpatient Center continues to look forward providing professional services for the City of Miami. If 1 can be of further assistance, please feel free to call on me. Reuben J. Camp , MSN, RN Director, Center for Health Promotion AUG-25-2004 D3:20PM FROM -HEALTH EVALUATION AND EXERCISE CENTER +3052B61BZT T-043 P.004/005 F-124 ATTACHMENT B City gf Miami, Florida Police Physical Eaaminatiun Services 6.7. PRICE PROPOSAL FORM Annual Physicals — Sworn Police and as designated: Police Department Annual Physical Exam 1) Basic Physical 1,200 2) Additional/Oplional Exams: a) Radiological Evaluation 600 b) Cardiovascular Stress Test 175 1) Echocardiogram 150 2) Thallium Stress 25 3) Exercise Muga Stress 1 c) Pap Smear 10 d) Mammogram 35 e) CA 125 1 t) PSA 250 g) Comprehensive Hearing Test 30 h) 24 Hour Halter Monitor 12 i) Mantoux Test 35 j) Flexible sigmoidoscopy 1 k) Tetanus Booster 1 3. Please List any other charges associated with fidfilling this RFP and describe below: HEPATITIS A AND B IMMUNIZATIONS Desscriotion 1. HEPATITIS A IMMUNIZATIONS In accordance with Specifications (a) First injection (b) Second injection 2. HEPATITIS B IMMUNIZATIONS In accordance with Specifications (a) rol (c) First injection Second injection Third injection S ++ $ *_+0 a+0 $ s. , s 00 $ ++ +0 $ 25_0n $ 17s_00 S sn on 5 12 nn $ ,inn S 395 00 5 10_00 $375,. 00 52-5,40 RFP 01-O4-1381 0 $ 174.000. 00 laido • oca (1610 Subtotal: Est. Quantity Unit Price 75 75 S 68.00 $ 68000 S 4 f101).1)0 $ 74.375.00 $ 59, 25Q. 00 $ 2 •flax 0 $_500.00 z�n.an_ S 6,125 nn $ 5n0n $ 3nQ0 n0 S 750_00 $ '740.00 5 'ISO 00 $ 375.00 $ 25.00 $ 5 Extended Price L.1,s�sDr CUC_70 ci CT-5 90.00 310 i(95.01 $ 5100.00 s 51Qg.Q0 75 S 60.00 S 5100.00 75 $ 60.00 1 $ 5100.00 75 S f0.00 $ 5100.00 3. HEPATITIS A AND B COMBINED (TWINRIX) 45 AUG-25-2004 03:20PM FROM -HEALTH EVALUATION ANO EXERCISE CENTER +3052052027 T-043 P.005/016 F-I24 ATTACHMENT B ClryofMlwni. Florida In accordance with Specifications (a) First injection 75 $ 90.00 $ 6750.00 (b) Second injection 75 $ 904,00 $ 675 0.0 0 (c) Third Injection 75 $90.00 s 6758.00 Police Physical Examination Sarvicer RFP O3•04.O J (d) Please list any other charges associated with fulfilling this RFP and describe below: Subtotal: S 45.750.00 TOTAL COST FOR POLICE ANNUAL PHYSICAL EXAMINATIONS AND HEPATITIS A AND B IMMUNIZATIONS SERVICES: Submitted by:.. Sandra Cohan, Administrator Date: Name ofProploser jj. Authorized Signature:l'_' ( �l Xing: Quantities indicated herein are estimates and are subject to change. 1-1:5q s . pc S 4, 40,00 r FAILURE TO CQMPLETE. SIGN AND RETURN_ THIS FORM MAY p1SOUALIPY PROPOSAL. 46