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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