HomeMy WebLinkAboutAnnual Physicals.iUG-Z5-2004 03:201Pl1 FROM -HEALTH EVALUATION AND EXERCISE CENTER
+305Z8526L"
City of Miami, Florida Police Physical Examrnarion Services
6.7. PRICE PROPOSAL FORM
Annual Physicals — Sworn Police and as designated:
Police Department Annual Physical Exam
1) Basic Physical
2) Additional/Optional Exams:
a) Radiological Evaluation ,/
b) Cardiovascular Stress Testy
1) Echocardiogram
2) Thallium Stress
3) Exercise Muga Stress
c) Pap Smear
d) Mammogram
e) CA 125
f) PSA
g) Comprehensive Hearing Test
h) 24 Hour Halter Monitor
i) Mantoux Test
j) Flexible sigmaidoscopy
k) Tetanus Booster
3, Please list any other charges associated
with fulfilling this RFP and describe below:
HEPATITIS A AND B IMMUNIZATIONS
Descrintion
1. HEPATITIS A IMMUNIZATIONS
In accordance with Specifications
(a) First injection
(h) Second injection
2. HEPATITIS 13 IMMUNIZATIONS
In accordance with Specifications
(a)
(1)
(c)
First injection
Second injection
Third injection
1,200
600
175
150
25
1
10
35
1
250
30
12
35
1
1
$
$ 0
$ 00
$ 0
$ 25_0n
$ 175-n0
$ sn an
S 17 nn
$ a5 nn
$ 395 00
$lnnn
$-375-00
$ '75-00
Subtotal:
Est.
Quantity Unit Price
75 $ 68.00
75 $ 68000
75 $ 60.00
75 s 60.00 1
75 S 60.00
3. HEPATITIS A AND 13 COMBINED (TWINR1fX)
45
T-045 P.004/005 F_!24
ATTACH'rii NT B
RFP (33-f)4-(i81
5 174,000.00
S 45.000.00
5]4.375.00
$ 51.251.00
$25.000.00
$ 500.00
$250.00
S 6,175 nn
$ 50 on
$ 300niln
$ 750_0.0
$ L760 00
$350 00
$ 375.00
$ 25.00
Extended
Trice
l3a .00
�400. 0a
-vED ___. L 3i
90.00 310 I 5' . a°
$ 5100.00
$ 5100.00
$ 5100.00
$ 5100.00
S 5100_00
-Hw-kw—cww. u;:curM rtiUM titAL FALU; i;aN AND EXERZ SE CENT"Ek 4305285/927 T-043 P.005/005 F-I24
City afMlami, Florida
ATTACHMENT B
Police Physical Ssominarlon Sarvices RP? O3•01•081
In accordance with Specifications \
(a) First injection 75 g 90.00 $ 6750.00
(b) Second injection 75 S 90.00 S 6750. 00
(c) Third injection 75 $ 90. 00 $ 6750, Qp
(d) Please fist any other charges associated
with fulfilling this RFP and describe below,
Subtotal: $ 45.750.00
TOTAL COST FOR POLICE ANNUAL PHYSICAL EXAMINATIONS
AND HEPATITIS A AND B IMMUNIZATIONS SERVICES:
Submitted by: Sandra Cohan, Administrator Date:
Name of Proposer
Authorized Signarure:C-45:C:-.)
Note: Quanriries indicated herein are estimates and are subject to change.
4I5Ris.po
S 4340.00
07'
FAILURE TO COMPLETEL SIGN AND RETURN THIS FORM MAY DISQUALIFY
PROPOSAL.
46