HomeMy WebLinkAboutExhibit 2GLENN tMARCOS CARLOS A. MIGOYA
ChiefProcurement Officer City M.waeer
ADDENDUM NO. 1
RFP No. 220240
July 19, 2010
Request for Proposals (RFP) for Physical Examination Services
TO: ALL PROSPECTIVE PROPOSERS:
The following changes, additions, clarifications, and deletions amend the RFQ documents of the above captioned
RFQ, and shall become an integral part of the Contract Documents. Words and/or figures stricken through shall be
deleted. Underscored words and/or figures shall be added. The remaining provisions are now in effect and remain
unchanged. Please note the contents herein and reflect same on the documents you have on hand.
Section A. 2. Laboratory Work-Uo, of the City's Medical Protocol has been amended as shown below. Prospective
Proposers shall refer to the enclosed revised City of Miami Medical Protocol.
2. .LABORATORY WORK -UP
a. Complete Blood Count (CBC), with Differential
b. B_ochcmi3try Profile 25 Comprehensive Metabolic PanelT
Complete Lipid Prc=ilc with ratioc, and T2-I
c. Complete Lipid Profile with ratios
d. TSH
e. RPR
'Urinalysis (Microscopic)
g•
h.
EKG (12 lead with rhythm strip) shall be interpreted by a
cardiologist certified by the American Board,of Internal
Medicine.
Cardiovascular Stress Test, shall be performed by a
Cardiologist (Police Officer, Police Auxiliary/Reserve,
Detention Officer, and Firefighter)
Page I
Q1: Please provide information on the current provider of this service and the current price paid by the
City of Miami.
Al: The City's current provider of Physical Examination Services is: Mercy Medical Development d/b/a Mercy
Outpatient Center. The current prices paid by the City for Physical Examination Services are shown in the
enclosed copy of Amendment No. 1 to RFP 03-04-079, Pre -Employment Physical Examination Services.
Q2: Please provide a copy of the current contract from the City of Miami for Physical Examination
Services.
A2: Enclosed please find a copy of the City's current contract for Physical Examination Services. •
Q3: Must the proposal include fees for all four (4) groups or can it be a partial proposal, say for just non
sworn classifications?
A3: Proposer's Fee Proposal must include proposed fees for all of the line items shown in the RFP solicitation
document, as required in Section 4.1-,Submission Requirements, which states:
6. FEE PROPOSAL
a) Proposer shall use the Lines section of this RFP to provide the proposed fee(s) on an annual basis
for the provision of Employment and Promotional Physical Examinations for Non Sworn
Classifications; Employment Physical Examinations for Firefighters; Employment Physical
Examinations for Police Officers; and Return to Work Physical Examinations for all
Classifications.
Q4: Can a Prospective Proposer submit photos of its' facilities along with the descriptions?
A4: Yes, a Prospective Proposer may submit photos along with the description of its' facilities.
Q5: May a Prospective Proposer see the prices that have been paid for these services in the past?
A5: Yes. The current prices paid by the City for Physical Examination Services are shown in the enclosed copy of
Amendment No. 1 to RFP 03-04-079, Pre -Employment Physical Examination Services.
Q6: Is any drug testing included in this Request for Proposals (RFP)?
A6: No, drug testing services are not part of the services required under this Request for Proposals.
Q7: Can physicians who have the experience and background, but are not Board Certified in Family
Practice or Internal Medicine, perform the physicals?
A7: No, only Physicians that are Board Certified in Internal Medicine or Family Practice are allowed to perform
physicals under this RFP as stipulated in Section 3.1.2, Scope of Work, which states as follows:
"Pre -Employment, Promotional, and Return to Work Physical Examinations.
1. Examinations must be performed by a physician licensed in the State of Florida. Physician(s)
performing pre -employment, promotional, and/or return to work physicals must be Board certified in
internal Medicine or Family Practice. A minimum of two (2) physicians must be available on staff to
perform examinations on an as -needed basis, A licensed male and female physician, in addition to a
full-time physician, must be available to perform examinations upon the City's request."
Q8: - Please clarify Section 1.11, Bid Bond/Bid Security. Prospective Proposer does not understand this
section.
A8: As stated in Section 1.11, a bid bond "guarantees that a bidder/proposer will accept the order or
contract/agreement, as bid/proposed, if it is awarded to bidder/proposer." A bid bond is not applicable to this
RFP.
Page 2
Q9: Prospective Proposer has a question regarding submission and receipt of responses. Are responses
for this RFP to be submitted both electronically and hardcopy or hardcopy only?
A9: Pursuant to Section 4.1, Submission Requirements, "All responses shall be submitted in hard copy format only
to include one (1) original and five (5) copies."
Q10: Regarding Section 2.10, Insurance Requirements, does bidder provide Bid Bond at time of bid
submittal or after award?
A10: A bid bond is not applicable to this RFP. Prospective Proposers should note that this solicitation is not a "bid";
it is a Requesf for Proposals (RFP).
Additionally, Section 2.10, Insurance Requirements, does not address bid bonds, it addresses the insurance
requirements the Successful Proposer will be required to comply with pursuant to this Request for Proposal.
Prospective Proposers are not required to submit proof of insurance coverage at time of proposal submittal.
Q11: With regards to Hepatitis Screening, please clarify which of the following two (2) hepatitis tests are to
be performed under this RFP by the Successful Proposer: Hepatitis B Surface Antigen or anti-HBS
(immune status)?
A11: The hepatitis test to be performed under this RFP by the Successful Proposer is the Hepatitis B Surface
Antigen
Q12: The "Biochemistry Profile-25" (Comprehensive Metabolic Panel) specified in Section A.2., Laboratory
Work -Up, of the City of Miami Medical Protocol, consists of 14 tests. Please provide a breakdown of
each test.
Al2: Although the basic CMP (Comprehensive Metabolic Panel) consists of 14 blood tests, the City's current
provider of Physical Examination Services provides a Comprehensive Metabolic Panel of 22 blood tests.
These tests are outlined below:
1. Iron
2. Glucose
3. BUN
4. Creatinine
5. BUN/Great Ratio
6. Sodium
7. Potassium
8. Chloride
9. Carbon Dioxide
10. Anion GAP
11. Uric Acid
12. Calcium
13. Phosphorous
14. Total Protein
15. Albumin
16. Globulin
17. Alb/Glob Ratio
18. T Bill
19. AST
20. ALK
21. ALK Phos
22. LDH
Q13: Please clarify what is meant by "complaints filed" against doctors in Section 4, Professional
Experience. Is this referring to malpractice cases? If so, how many years back does a Prospective
Proposer need to research?
A13: Complaints filed would include, but not be limited to, malpractice cases within the past five (5) years.
-Q14:---Is--the-City-requesting-a "Price-in-Full"-for-the-RFP,-or-just-the-itemized pricing -list -with -the -Unit --Price.-
- and Total per Line Item?
A14: Pursuant to Section 4.1, Submission Reouirements, subsection 6 a), Fee Proposal, "Proposer shall use the
Lines section of this RFP to provide the proposed fee(s) on an annual basis for the provision of Employment
and Promotional Physical Examinations for Non Sworn Classifications; Employment Physical
Examinations for Firefighters; Employment Physical Examinations for Police Officers; and Return to
Work Physical Examinations for all Classifications."
Page 3
Q15: Professional Services Agreement Package - Does this package need to be prepared and submitted
along with the proposal response or after award?
A15: Prospective Proposers are not required to submit the Professional Services Agreement at time of proposal
submittal. A copy of the Professional Services Agreement is being provided as a sample of the type of
agreement that will be executed between the City and Successful Proposer. Pursuant to Section 2.8, Contract
Execution, the following is stated:
The selected Proposer(s) evaluated and ranked in accordance with the requirements of this
Solicitation, shall be awarded an opportunity to negotiate a contract Professional Services Agreement
with the City. The City reserves the right to execute or not execute, as applicable a Professional
Services Agreerr ent-with-th-e-selected Proposser(s) that -is -determined fo be most advantageous -and -in
the City's hest interest. Such Professional Services Agreement will be furnished by the 'City, will
contain certain terms as are in the City's best interests, and will be subject to approval as to legal form
by the City Attorney.
For reference purposes only, Prospective Propose-T(s)nay obtain a draft copy or the Professional
Services Agreement by downloading the file named "Professional Services Agreement DRAFT",
located in the Header/ Notes and Attachments section of the RFP, in the Oracle Sourcing system.
Q16: Corporate Resolution - Does this form need to be filled out and signed at the time of proposal
submittal or after award?
A16: The Corporate Resolution is part of the Professional Services Agreement and therefore Prospective Proposers
are not required to submit said document at time of proposal submittal, a sample is being provided for
informational purposes.
ALL OTHER TERMS AND CONDITIONS OF THE IFB REMAIN THE SAME.
GP" --
GM/LR/yg
Cc: Bid File
Page 4
PO, CPPB, FCPM; FCPA
curement Officer
City of Miami
Medical Protocol
Pre-Employment/Promotional and Return
Examinations
A. PHYSICAL EXAMINATION COMPONENTS
Attachment A
to Work Physical
PHASE I
1. MEDICAL HISTORY SHEET:
Applicant/Employee will complete a family and personal
medical history to be reviewed by the physician with
him/her at the time of the physical exam. Note:
Additional medical forms may be required for Sworn
Police Officer and Firefighter applicants. The return
to work physical examination involves the physician
evaluating the employee to determine if he or she is
physically fit to return to work from a personal
illness or injury.
2 LABORATORY WORK -UP
a. Complete Blood Count (CBC), with Differential
b. Comprehensive Metabolic Panel
c. Complete Lipid Profile with ratios
d. TSH
e. RPR
f. Urinalysis (Microscopic)
9•
EKG (12 lead with rhythm strip) shall be
interpreted by a cardiologist certified by the
American Board of Internal Medicine.
h. Cardiovascular Stress Test, shall be performed by
a Cardiologist
Auxiliary/Reserve,
Firefighter)
(Police Officer, Police
Detention Officer, and
3. PPD SKIN TEST/CHEST X-RAY -performed by Mantoux Method
(required). If PPD test results are positive, a Chest
X-Ray must be performed (standard size posterior -
anterior view). Chest X-ray must be interpreted by a
radiologist.
City ofMiaini, Florida Physical Examination Services RFP 223228
4. EYE TEST
The acuity test should screen for both near and for
distance acuity on a scientifically accurate instrument
that checks for keenness of vision, depth perception,
balance of eye muscles, and the ability to
differentiate colors. Examination should be conducted
with and without corrective lenses. There are specific
vision requirements for Police Officer, Police
Auxiliary/Reserve, Detention Officer, Public Service
Aide (PSA) and Firefighter applicants. Requirements
are as follows:
Police Officer, Police Auxiliary/Reserve, Detention
Officer, and Public Service Aide (PSA) Vision
Requirements: 20/50 each eye, separately without
corrective lenses of any kind - including contact
lenses; with glasses, each eye should be corrected to
20/30 (NO CONTACT LENSES ALLOWED).
Firefighter Vision Requirements: Far Visual acuity
shall be at least 20/40 binocular, corrected with
contact lenses or spectacles. Far visual acuity
uncorrected shall be at least 20/100 binocular for
wearers of hard contacts or spectacles.
5. AUDIOLOGICAL CHECK:
Will test the normal hearing range, 500 to 4000 HERTZ,
using high quality equipment.
Provide written interpretation of results.
PHASE. II
A. PHYSICAL EXAMINATION BY: Inspection, Palpation
Percussion, Auscultation
Must be performed by Board Certified Physician
To include the following:
Vital signs - - TPR, Blood pressure (both arms)
Height
Weight
General Appearance
Head, scalp, face
Neck (thyroid, lymphs, vessels)
Endocrine system
Eyes (fundi, focus) general
Ocular motility
Pupils (equality and reaction)
Ears (internal and external canals and cerumen,)
Ciq, ojMiarni, Florida Physical Examination Services RFP 223226''
Ear drums (perforation)
Nose (sinuses)
Mouth (tongue, teeth, and gums)
Throat (condition of tonsils)
Lungs, chest (OPTIONAL - include breasts; PHYSICIAN
WILL OFFER TO PERFORM BREAST EXAMINATION)
Heart (thrust, size, rhythm, sounds)
Abdomen, Viscera (check for hernias) -EVALUATION BY
INSPECTION, PALPATION, PERCUSSION & AUSCULTATION)
External Genitalia - EVALUATION BY INSPECTION,
PALPATION, PERCUSSION & AUSCULTATION)
ANUS AND RECTUM EVALUATION BY VISUAL INSPECTION FOR
HEMORRHOIDS & FISSURES.
Upper extremities (strength, range of motion)
Lower extremities (strength, range of motion)
Vascular System (varicosities, etc.) Spine, other
musculoskeletal
Skin (scars, rashes,) lymphatics
Mental Status, memory, orientation, judgment, affect
Neurological
Equilibrium
B. Additional/Optional Items - required for Police Officer,
Public Service Aide (PSA), Police Auxiliary/Reserve, ,
Detention Officers, Firefighters, Crime Scene Investigator,
and Property Specialist
ADDITIONAL
1. Chest X-ray (SWORN POLICE AND FIRE)
Anterior/posterior and lateral views.
Provide written interpretation of results. Deliver
results to the Department of Employee Relations within
72 hours.
2. HIV Testing and Counseling required for Firefighter,
Crime Scene Investigator, and Property Specialist
applicants/employees (NOTE: These applicants/employees
have the option to decline HIV Testing) Consent forms
signed by the applicant/employee will be provided at
the time of the physical examination. All HIV test
results must be provided to the City of Miami,
Department of Employee Relations in a sealed envelope
and marked CONFIDENTIAL.
3. Hepatitis A, B, and C Screening required for
Firefighter, Police Officer, Crime Scene Investigator,
and Property Specialist applicants/employees (NOTE:
These applicants/employees have the option to decline
HIV Testing). Consent forms signed by the
applicant/employee will be provided at the time of the
physical examination. A11 HIV test results must be
City oflvliarni. Florida Physical Examination Services RFP 223228
provided to the City of Miami, Department of Employee
Relations in a sealed envelope and marked CONFIDENTIAL.
OPTIONAL
1. Back X-ray (requested by City as needed)
Provide two views of the back;. lumbo-sacral spine and
pelvis.
Provide written interpretation of results from a
Radiologist.
2. Pulmonary Function Test (requested by City as needed)
Provide three (3) valid tracings of a forced vital
capacity from which the Forced Expiratory Volume in one
second can be delivered.
3.Blood Type and Rh Typing (requested by City as needed)
4. Rubella Titer (requested by City as needed)
5. Rubella Immunization (requested by City as needed)
6. Tetanus vaccine (requested by City as needed)
7. Review and provide written interpretation and/or
medical resume of employee/applicant medical records
from another agency.
CITYOF MIAMI, FLORIDA •
IE F� -OFF C ilP.7l'Ji0FLANDUilfr,
TO
Rosalie Mark, Director
Department of Employee Relations
G1ennMarcos, Director
FROM
Purchasing Department
DATE :
SUG;IECT: •
March -5, 2007 FILE :
Pre -Employment Physical Examination
RFP No. 03-04-079(10)
REFER : AMENDMENT NO. 1
ENCLOSURES:
Effective immediately, the Department of Purchasing approved the right to use Professional
Services Agreement Section 5.A. Compensation. Thereby, reflecting a 5% increase for items
awarded to Mercy Medical Development, Inc., for the provision of Pre -Employment Physical
Examination, to be utilized by various City Departments.
Please attach this amendment to the contract previously issued to you for future reference. When in
need of any of these services, please refer to the contract to identify the vendor name, description
and respective unit price.
Should you require any additional information, please contact Maritza Suarez, Sr. Procurement
Supervisor at (305) 416-1907 for assistance.
C: Bid File
CONTRACT AWARD
AMENDMENT NO. 1
RFP NO.: 03-04-079(10)
DESCRIPTION: Pre -Employment Physical Examination Services
CONTRACT PERIOD: November 23, 2004 through November 22, 2006
RENEWAL PERIOD: November 23, 2006 through November 22, 2008
ORIGINAL TERM OF CONTRACT: Two (2) Years with the OTR for Two (2) Additional Two Year Periods
COMMODITY CODE: 918-78; 948-42; 948-44; 948-55; 948-73; 948-74; 953-48
(SECTION #1 - VENDOR AWARD
Mercy Medical Development d/ba/:Mercy,,Outpatierit:Center,
3661 South Miami Avenue =-
Miami, FL 33133
Contact: Reuben J. Camp
Phone: (305) 285-2944 -
Fax: (305) 285-2927 , _ ` •
E-mail: scamo(aimercvmiami.orp
LSECT1ON #2 — AWARD/BACKGROUND' INFORMATION
C.C. AWARD DATE: .'SEPTEMBER2'6, 2004 :AMENDED AMOUNT''N/A
RESOLUTION. NO: 05-067.1;.04-06.17. _INSURANCE REQUIREMENTS: YES
ANNUAL CONTRACT AMOUNT: See Below : PERFORMANCE BOND; N/A
Pursuant to R-06-0629,,all term contracts have been converted';li
to citywide contracts:with'funds allocated from the various
sources.of funds_ofthe end -user -departments,. subject -to ,
the availability offunds and budgetary approval:atthe"time of need.
SECTION #3 - REQUESTING DEPARTMENT
DEPARTMENT OF EMPLOYEE -RELATIONS -: ;*
Contract Administrator.:-: i•Rosalie.Mark-
Phone: (305) 416-2110
Fax: (305) 416-2115
SECTION #4 - PROCURING AGENCY
CITY OF MIAMI, PURCHASING DEPARTMENT
Sr. Buyer: Maritza Suarez
Phone: (305) 416-1907
Fax: (305) 416-1925
Prepared By: Aimee Gandarilla, 3/5/07
Cll,. r,[Mu mi. •Florida
ATTACHMENT 0
Pre-Emptoymrnt Physical Examination Serviacs NFP 03.W-079
6.7. PRICE PROPOSAL FORM
PRE -EMPLOYMENT PHYSICAL EXAMINATION SER'VICES
Employment, Promotional and Miscellaneous (Excludinz_Firefitihters and Pollee Of(leers)
The following must be fully completed and returned with Proposal.
Est. Extended 1.Xj1-i"
Description Quantity Unit Price Price 1�1
.A. Basic Physical Examination 425 $ion _ nn 5 49 , Snn Op I b5't'a
(including lab work, visual exam, and
audiological exam)
B. Abbreviated Return to Work -400
Physical
C. Optional Examination Components
(Included at this time to obtain quote)
1, 'PPE) test 400 $10.00 $ 4000.00 { D ' Sv
2. BackX-Ray 5 :$ fin on $ n0 00
3. ChcstX-Ray .25 $70.00. . 1750.00 ! tS0
-4, EKG (12 lend) .425 $ 45.00 :$ 19,,1.25.00 y } J 5
$33.00 $.i4,000'.0O
5. Rubella Titer S $ 30.00 $ 150.00 1,
6. Rubella immunization .5 5 30. 00 .3 150. 00 34 ,ST)
7. Review et -Miscellaneous 5 $ 1.5.00 . 75. 00 15 r775
Medical Records
8. Hepatitis A, B, and C Screening 5 5 10 Op 5 L5n nn ('
9. Measles, Mumps, Rubella 5 5 40 . no $'nn . ntt ' 2
immunization
10. Tetanus Vaccine
11. 'Please list any other charges associated
with fulfilling this RFP and describe below:
3 5 17.00 $ fin _nrL 14D
Subtotal
45
S
5 82,460.OD
City grAdiaml, Florida
Pre -Employment Physical Examinnrion Services RF° 03.04-079 •
Enlytoylnent Physical Examinations — Firefighters
The following must be fully completed and returned with Proposal.
Descriotiot)
Est. Extended
Quantity Unit Price Price
A. Basic Physical Examination 60 $ 140.00 3 8400.00 J i ,
(including lab work, visual exam, and
audiological exam)
H =Additional/-optional.ExeMination_Components
(Ineluded at this time to obtain quote)
I, ChestX-Ray 60 .5 70.00 $ 4200,00
2. EKG 60 $ 45.00 s 2700.00
3. H1V Testing & Counseling
a. ELBSA Test 60 $ 38. 00 $ 2280.00 SC1 'L1' D
b. Western Blot 60 S L0 . S t)0 jp, a
c. Pre Counseling 60 S lit
S S
d. Post Counseling 60 .0$0UU.o0ti.0
4. PPD test 60 5 10.00 S 600. 00 ‘ b. So
5. Hepatitis A,13 and C Screening 60 $ 35 00 .s 2100. 00 3C'
ieD
C. Please List any other $:barges associated
with fulfilling this RFP.and describe below:
Subtotal:
$.
4
s 21480.00
Emotovment Physical Examinations —Police Officers
Est. Extended,
Description Ouentity Unit Price Prjce
A. Basic Physical Examination 100 $ 140.00 .$ 14, 000.00 '1 H rl' 0' b
(including lab work, visual exam, and
audiological exam)
B. Additional/Optional Examination Components
(Included at this time to obtain quote)
I. Chest X-Ray 100
--
46
s 70.00 $ 7000.OD t ,fi�t-'
100---,---$.-45, 0_0 _ __ $ 6150 .00 4q'v.5
Cloy a(Hl1amJ. Florida
pre-Emplvymrnt Physical Examination Srrvices RFP 03-04-079
3. Hack X-Ray 1 $ 125.00 $ 125.04 _ 131 '.e
4. Hepatitis A, B. and C Screening 100 . 35. 00 5 3500.00 3(2' 1
5. Pulmonary Function 1 4 120,00 S 120.00 1ptue, . tit
15.00 15.00 �J . _l dJ
6,-Blood-T-ype-&-Rlt Typing 1 $ S
.7. P.ubeliaTiter 1 S 30.00 $ 30.00 Jt ' 50 ,.
8. Rubella Immunization 1 $ 40.00 4 0.00 1-t. t (�
9. Review & provide written interpretation 50 $ 15.00 $ 750.00 t '
of medical.rscord
10. Cardiovascular Stress Test
C. Please list any other charges associated
with fulfilling this RFP and describe below:
47
S 425.00 S 425.00 4tet.
Subtotal .5-32753.00
TOTAL: S 136695,00
Titu
CONTRACT AWARD
SECOND AND FINAL RENEWAL
RFP NO.:
DESCRIPTION:
TERM-OF_CONTRACT.:_—__—_—.
CONTRACT PERIOD:
FIRST RENEWAL:
SECOND AND FINAL RENEWAL:
COMMODITY CODE:
03-04-079(10)
PRE -EMPLOYMENT PHYSICAL EXAMINATION SERVICES
TI.UO-(2)YEARSWITH.THE_OTR_F_OR. _T_WO_(2)AD.DITI.O.NAL_ _ O_Y.EAR_FERI.OD.S
SEPTEMBER.27, 2004 THROUGH SEPTEMBER 26, 2006
SEPTEMBER 27, 2006 THROUGH SEPTEMBER 26, 2008
SEPTEMBER 27, 2008 THROUGH SEPTEMBER 26, 2010
918-78; 948-42;:948=44;,948-55; 948-73; 948-74; 953-48
SECTION #1 - VENDOR AWARD
Mercy Medical Development d/baFMercy;Outpatien
3661 South Miami Avenue
Miami, FL 33133
Contact: Reuben J. Camp_
Phone: (305) 285-2944
Fax: (305) 285-2927
E-mail: scamp(6imercymiami.orq
(SECTION #2 — AWARD/BACKGROUND INFORMATION•A'PPLICABLE ORDINANCE /NOTES
C.C. AWARD DATE: SEPTEMBER 23, 2004
RESOLUTION NO: 050671; 04-0617
ANNUAL CONTRACTAMOUN?:• See"Below
Pursuant to R-06-0629, alfterm.contracts have been converted
to citywide contracts with -funds allocated from the various.
sources of funds of the end -:user. departments;=subjecti-to;:_,:-
the availability of funds and budgetary:approval:atthe'time of need..
'AMENDED'AMOUNT: N/A
INSURANCE REQUIREMENTS: YES
PERFORMANCE:BOND: N/A
APPLICABLE ORDINANCE: N/A
NOTES: THERE HAS BEEN A CORRECTION TO THE+'CONTRACT' PERIOD VIA -AMENDMENT NO. 1. CONTRACT PERIOD,
FROM: NOVEMBER 22, 2008 TO SEPTEMBER26;'2008., TYPO
THIS CONTRACT AWARD SHEET REPRESENTS THE;':SECOND::AND"'FINAL RENEWAL FOR THE PROVISION OF PRE-
EMPLOYMENT PHYSICAL EXAMINATION, SEPTEMBER 27, 2008 THROUGH SEPTEMBER 26, 2010.
SECTION #3 - REQUESTING DEPARTMENT
DEPARTMENT OF EMPLOYEE RELATIONS
Contract Administrator: Ana Cobelo
Phone: (305) 416-2101
Fax: (305) 400 5206
-SECTION #4 - PROCURING AGENCY__ ....
CITY OF MIAMI, PURCHASING DEPARTMENT
Sr. Buyer: Yusbel Gonzalez
Phone: (305) 416-1958
Fax: (305) 400-5104
Prepared By: Deborah Buchanan, 9/5/08
NOTE: This contract has been reassigned from Commodity Team 1 to Commodity
Team.2; therefore, Pam Burns is no longer the buyer. This contract has been reassigned
to Yusbel Gonzalez.
A CONTRACT AWARD SHEET INSTRUCTIONAL GUIDE TO ASSIST YOU WITH THE INFORMATION
CONTAINED HEREIN IS AVAILABLE IN THE (SUPPLIER INFORMATION SECTION OF OUR WEBPAGE AT:
WWW. MIAMIGOV.COM/PROCUREMENT
.PROFESSIONAL SERVICES AGREEMENT
•This °AWreetnent-is.entered into this. 2 :dny of .September ,.2004 .hy.and between the
Cit) of=Miami: a-municipal-corporation-of-the-State-07-Florida-(-'C-ity4)-and-ivlercv-Medical
Duval onment dlhta'1Jt erev Onion tient: Center. ("Provider"),
RECTTAL
The'City :has issued a Request :for.Proposals "(`"REP_") for the provision of:pre-
• •emnlovment-phvsical examination services ("Services") -and Provider's proposal {"Proposal"),in
responsethereto, -has beon :selected .as .the nrost..qualii ed:.proposal for .the. provision .of .the.
Services, The'RFP and the.: Proposal:are sometimes referred to nerein,:.collectively,:as'-
:Solicitation Dricuments,.and are •by.this •reference incorporated• into and made-aparr.o
_agreement.
B. • • The Comniission ofthe.^,ityof:ManiL byResolution'ho.:R=04-.0475,.adopted on
31i]v:22.:2004,-apuroved the selection of Provider: and: authorized The 'City Manager•to execute:a
;cotitraet,aurder the terms: and.conditionsset'forth .herein•.
•
.NOW,.TFILREFORE,:in. consideration .of:fhezinnia; :covenants.and .prornises herein
:contained,lProviderand:the•City agrec as follows:
1: :I2EGITALSr The.reci
i:a:partofthis Agreement,
:TERMS
ate:trueand:correct:andare°herebyincorporated-into. and:made
GERM: ':The term : of this Anrecment :shrill : be : for : en initial 2 :;v .zr :period:
cotnmencingon the effectivedateatcreof
'a OPTION TO EXTEND: Thu City -shall have Swo option(s)..to.extendthc,term .hereof
.for two. (2) additional .nvo year periods, subjeetan -uv iifnbiiity and oppropriation ti`E'funds. City
:Commission .approvalshallrnot:.bc•required.113longpsihc.toml.extended John :doesnot.exceed
icuRt4)1eius.
.-4. 'SCOP.0 Ol SElWiCE:.
:T?rovider.aerees to providethe `Scivices:as specifically:described,.and .under .the
,
specri]'.terms and conditions :.sei.forflt:in.Atincbrnent`Ut hereto, uhloh:by ..this 'refereriee::is
:incorporated'into-and:tnodc ;.part,ofifits erecolon
li. >Provtidcr represents, -Iind avernints`.tta ::the:City ':rout:
gualificaiinns, licenses ;and rsxp tise :mgttire'ii ulider..thc 'Solicitation ...Documents :for'.;thc
p`rformnnce:of:the Services ;:(ii) ii is'1xot.dClinqucnt:in:fhe payment of -.any sums;duethc City,:
iuclnding:paym nl;of:_.permit•:fccs.; opetipuuonai::licenscs tc.,'nor in'the:perforntanee.of::any .
tibtieatiott�.ttithC City.; ,(iii) all personneb:asigneii:.to;peribmiithc:Services:are.and shtitl:bc;:atli11
4tiniec :during:-.the::term•hereof,':ialiv , itelifteil : tnr1 traiaci -to:periomt;ths tsrsl s'a5sigrted;m cncl;; .
anti;.(iv)thc.Seruices.mifl:bv nerforrned-in Ihe manner:describedin.:Atiacitmerrr':A"..
5... CO ''FP1fNSATIOA: . .
.:'The-amounttifeompettsaiioa;payable:byIlteGiiyubProvider.sball:bebuseii:onihe
rates -and ;schciiules::describcdinAtiacinnent "12 hereto which byihis.reference 'issincorporated
JTito. dri5-', 'reerneat; projidcd, Irn}YeyCT>':that Ill�no fovent Sltali->inL:'amntlnt:'oi ieonlpensation
c.execetl:S JI 69S U(r;iper yc.nJ A7i:::incteuse;not to <cxcced Ste; in file amouni,.of
witichshati:he:effectirie;ortiho nrst:tia+ itiliO:first opripil:pp rrod and re
reitetval::term l'ite..se-concl tico+f2
ar:zetl sval.tsslibjccrto:anincce
•
remoin<in .ffe iive Burin, tfte scoand'tsir tl >ICritl . `
mpensation.'
ccr'through •the
10
.Uniess .othenvise•spceffictaly provided:in -ikunehment ".13". pnyment.shall be.matic
within 'luny Jive .(45) drays niter receipt cif :Provider's . in voice. :Which shall "beiiciompanied .by
sufficient _supponing .doeumemation and:contain :sufficient Attutit, ••10•111i0IV :proper-1mM. of
apenditure:,7-Shonabeity-require:one,tobe-..perfonneMAFProvider,is-entitierbto-reimbursunent
of travel :.-expenses Attachment 7B" :includes :trait? ..eriptinses -as •41 ....5necific Atm .of
conmensinionb.thenaill bilis-for travel:expenses shall. be submitted in itCCordance:with Section
112.061, Florida Statutea.
6. ::1)WINE12.5111P--OF:DOCIINTENTS: . ;Provider ..understands :and mEtrees -that tany
_information, doeument,:report "or :Av.:other' mamrial whatsoever. nth ichis..giv.etilirthe .:City.
Pv!dcror1iIi.otherwist: obittined,ocnrepared.b:Providerpursuant to:or-under the:MMIS
AgreCniettLiS.Utid,thlilLnutfil times -remain thetinopt-rty. cif the City. 1?1-43viticrAgrees-norio
:use...atty.:such purpos
. .
:Avtitten ...consent •of'Zity, 'which may tbr, 'withheld •. conditioned .11.3, :the in :its:soic
7. .A(.11)17' 4,ND INSPECTION:RIGHTS:
• A. '.111e City:111[w, reasonable rues; :and„:for .:period of itp i'threc .11) 'years
• • •...
: • -.following:the date offirtilrnitymerir.brirte-.cityito"'Provider-under:tbis 'A.grecntent,•,:andlt., or.ethise.'"
. .
to
be:audited,tihose ibook4-.and •reconis,..of:Provicler4bieliartildiated:to;Provider1s:.perfumiance
. „
. . •••.' .. • •: • •• • ••• .
utitierabisAgratiment: .1rovider.agrcesqo: maintain ,:all-sunaltoolts:an&Meords•In
• " ' .. • . . .• .: •
„ • .. lace :lif,:business -'for perod or „three ::(3) :years 'after::"Enitipaymeni .is -made under tni
Acre:mom
Cjry. ;at ...reasonabli-iiimes daring The tcrm :hereof, :inspect
4aelliiies :and .perfunt Bubb tens, its'iht..City.deria.reasonably necessarv,-..tu determine %Au:filer"
the goods or services required. to be provided-hy-Provide under this Agreement canform 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 oftests
or inspections-breity-representatives lPtestss-and inspectionsshall-bc-subject T. oTand-made-in
accordanecwith, the provisions ofSection'I -5$ 2 of:the Code of the City of. Miami,'Florida, as
sarne.mayrno, amended or supplemented, from time to time.
b. ;AWARD OF AGREEMENT: • Provider represents and warrants to.the .Citythat it
has:not employed or:retained anynerson or company -employed by the City to solicit or secure
-This :Agreement -:and :that it -has not -offered -to _pay; paid, M. named to pay any -person any fec,
commission, :percentage, :brokerage :fcc, :or gift 'of any kind contingent upon or..in .connneti on
with., the award of this -Am -cement
9, PUBL1C RECORDS: Provider understands that tite;public shall have access; ara11
reasonable s times
to.iill:documents:.and..infonnari on. .periaining to.Ciw.contracts, -snbject to tile:
provisions -of Chapter:119,Fiorida:Starutes;mid agreesYo. allow :access.. by the City.and.the,public;,..,
•to all documents :subject-to:disclosurc:under applicable law. Provider's;` failure -or -refusal to
comply with Int. provisions of thts section shall :result in the- immediate cancellation of this:.
Agreentent:bytbe City:
L{!: COMPLIrANCr:Wt1 ii:FEDERAL. STATE AND LOCAL LAWS: Provider
:understands that agreements between .private:eoutis-and'local governments era subjece:to certain
.laws :and :.regulations,.including "laws ,pcnaining to publie:records, conflict: of -interest,. record
keeping, etc Citl.and Prortder agree to complyw ith.and nbservc.al!.applicable taves;.con sand:::
ordinanecsas-they mayibaamended from time to time:
c�st:rsn z: camttc.,, Moir:zaat .•
11. i DEA'!' YlFIG.STit)1: Provider .indemnify, .de lend and hold 'harmless 'the
City and .its official:...employces.and.ngents (collectively referred to.as'Indemnitees") and'each
aPaltem'from .and :against. al r loss,.costs,' pc;rdties, fines, damages, •cl iims, .espenscs:.(includin:;
attomere ffees)or.ltaGhties.icollcctivelmitiler ',Liuothus•' bycreasonof, any injurvtoor
death.df.any person a .dannage 10 or demruetion or.loss of any property ursine out :of,.resulting
,:front,• orineonnectiouwith : (i)'titc perfomr,mcc or non-performance cif the services contemplated
bytitis Agreement,itibich isor. is alleged to bedirectly or -indirectly caused. in whole orin part: by
.any.act.,ornission,tiefattlior. megbgenee (whethertenveor,passive) of Provider or us employees,
:,agents, or subcontraciors (collectively referred to. as '.'Provider",), regardless of*hether-it:is, orris
'alleged :to be; .caused in whole-orpnrt.(whether. joint, :concurrent- orcontribnting)- by any yam,
omission,:dafntilt ornc ligcncc.(whetheructivea; passive)-ofthe..ludemmiitecs, or.anv.of.them.or
(it);.the: iaiiurc nfahe :Provider=to:crnnply with:army:ofthe, pare_ raphs''herein,or the failure of:the
Provider .to -conform -.to.:statutes, ordinances, •or either :regulations :o
govcmmentaP:authority4 dcrel•orstatc, in connection;with:the..ocrfnrmancc:df:1hisAgrecment :
1'rovider.exprossiy.agreey fo rind=rnnifv:and: hold'itarrriless:tee:'indcmtiiutes, or. anyorthem; from
•
yantlttgatnst:all.haiiilitiesti:luehmay�beasserted hy.ter emploveenrformeremployeoofProvider.
or'ratty :of ite atibcontcaetors, :as .ptovided'abovc, ::fors 1n h.tlie;Prov det`s habit nr:,to sucia.
'employee :or form r:employenavonid.:otlrcnvise:be limited -so payments:ender:stagye Workers' •
.Compensation: or:similar.:laws
M.. DEFAULT: IfProvidcr:iniisito.campls iih:anyterm.ar.conditionofxhis
orfails:a.performany<of.ttobbgaeons'iterennder,'alien':Taovider.ahail b an:&lin& :Lipoolthe
;ooeurren etifa.default:hereundertheCity,in:addition•rotatl:remedies.available:toatby1,3- inay
immediately,upon -written noiictt<to:t?iavider,;termlute this Agreement -whereupon al) payments,
adeanees, ur other.compensation paid hy.theCity to Provider while -Provider was -in .defaultshall
. :be..immediateiyreturned to ih 'City.'Providerunderstands:and.algres:ihat tennination:ofahis
flgeewent:under.this ;seetionsi I mot relcase:Providerfrom.anyoblintiCM. necru ingprior aothe
effeetivecdatcofiermitmtion Should:i'rtnitlerbe-unabkrorumviliin to -co mence-toperform
the Services within -the timc.provided orzontentplated.iterein; ert,.in addition to the foreeoirtg,
Provider shall, be'Iiable to the City for..ulL.cxpenses:incurred .by.the City.in preparation and
:negotiation oPthis Agreentent,:as;w»ll.asmll costs:and expenses-incmxedaby..the:Glyan:fhe, re -
preen ref:pent: ofitcServiecs,:ineluding.eonseduential.and: ncidental.damages.
13.•1(.LSOLLtfTIOr,'::OF:COt1TRr:CTDISPIrCES:.:.Provider.undcistands.andagrees:that
all. disputes between' Prot+ider.und the City:based upon' an:illleeed violation -of. the.terms.of;this.
Agreement. by: the 'City s1m11:=bc submitted w the City''Mauager.for iiis(ber:resolution,.prior
:Prna.ider':being ,entitied :to :seek,.junicinI:refief <in.connection therewith. .in :The _event :that: the
amount of .compensation : hereunder ;exceeds ;$25,O00, :the: City ,Managers decision Shall : be
:approved dr:disappmved b} tho:CityConnuission.:Provider:Sh511.not.be.entitied to seek judiaial .•
relief unless: .(t) tt:ha�first.re eivctl Citj'Manager's wrinen..decision;::approved.bv::tiic City
Commission ir:titeramount-of:comnensationihereunder.rxeeeds:S25,000,or(ii).:petiod-of:sixt
(fi0;i.day bus .e pired,:itfter.submittin, to.tlts7:Cityviuttugsr:a.dctailetl:starementdf thedispute;
itccompanieii:bv:alisnpponine.itocumentation (90:daysifCity f*inigerts decisionissubjec to
Liiv'Camrtiissian:nppiovaC) or (iiij ::city bas:wait'od omplian..u:With .theproceduteao ortain.
this sec by written instruments, signed by:the City Manager.
3h. Ctirl'?S`rEltNI/rAr1ON.:1RIGHTS:
'l hr. City. Shell:have.i'nc right::ioiemiinsir li is Agreement =.in iis1ole discretion, at
an\ iuu h} eiVing.writtcnnotice :to*Provider. at i..ast;five:(5) bus'mess cm' r ys priotoihc effective
.;CdPi:l'4h bCo tinn.Aieter2IHOI
• .duce: ofsueh .termination. in such event, the City shalt pav iv Provider compensation•forsnrvices
rendered. and xpenses incurred prior to the.effeetivs:data,oF•termination. •in no•event-shah the
.Chvbe'liablc'to Provider.for v additionaI cantpcusation,.oilier than Char provided. hcrein,.orfor
•uny crtscquintittl orincidental'damages,
:B. The City shall hnvc Bic 'right :ro :terminate :this Agreement, :without :notice .to
:Provider,upon the occurrence .ofnn.eventofdefeult'hercunder. Insuch event, the Cityshall-nor.
be obligated to pay anycamottnts.to:Provider.undProvidershalhreimburse to tho'Ciry:allamounts
received vhilcfiroviderwas-in default under this Agreement.
15. ,INSURANCE: . Pmvider. shaft .ntadl'times,during:thetent ',hereof, :maintain : such
insurance coverage asmay e:required.byriheCiq. _Ail-suclr:insurance.inciutiingrenewalsahall
be suhicct:tothy. :approval ofihe.City:ror.udequncy.of protection and evidence:ofsuch coverage •
hah:lie.:furnishetltoahc•City:on:Certificatesofinsurance indicaring.suchinsurance..-to'bean:force .
and-effcct.nrid.providbrr drat.it.tviltnol.bcsanceled'during,thr.performance.oftheservices:tmder
t$is<contraei witbont Thirty: (30):caterrdor.dayc;.-prior .written notice to%the City. •Comptetul •
••Ceniftcntes •Of -insurance shall :be 'filed .with the tt t�y prior. to the ,performance.:orservices.
he wndcr, providcd.<however.:that.Providershn119ttanyiime:upon requesfile. duplicate bodies
•oflho;policies oi:sucnJnsurancc:with:titc Cite,
%Ii to thejudgment:of-.the:Lity,:prevailing.condiiionswarrnnvtheprovisiori`by:Provideraif
adtlitionitl'.lialtiiny`ituurattee'coverago.or coyerige:which' is.different in::kord,.ahc:City reserves.
themight ar.:rcquirethe ;provision hj:Provider:d1'*an:amount:Of-Coverage:differenr:from' the.
:.amounts :or kind ;previously :requtred.rand <�}rall .:afford ,written nonce of such :change
requirements thirty -(30) :days ;prior ID the. date :on which the requirements shall -take ...effect.
Should • the:Providcr -fail: or refuse to aatisfy:the Terttiirernent af;changed
•Co1,1:1:4n &Corp ItehoMen.:3cu 4
(3n):duy+s'1'oJlowing the City's written. nonce; this'•Contmctshtill be. considered,.terminuted.onthe
:t3ate: than the mooirctl change in-policy.coveragawould otherwise titkc:effect.
114 .'NONDISCRIiiiINATION:.Provider'represents .and wurrnnts:to the City that.Providcr
doentt ii&willmor,ettgage-in,discriminatory_ practices.anti thambere_shuiliie. Rio,diseriminatimi
in connection with-Provider's:performance .under this. grecment•.on account of.race,:color, sex,
"religion,:age,-:hantlicap, marital:stouts'or national -origin. 3'rovi der-i'urther covenants that no,
othcrnasc zltrditier] indii'idtui slkill,. Solely.hy reason•.of9usllterrace,:color, scr.,'rcllgiou,:uge,
twndicap, marital 5latut;.or national origin; be:exoluded from participation in, bedenicd services,
:. orbe•subjecrto ihscrimutatinn underanvprnvision of this:2tereement.
`rVIINORITY ,AND 'WOKEN 'BUSINESS AFFAIRS'AND -PROCt3REMrN'7'
• P.ROGRAT7::The :Cily :has established .:a tMinoritw':ant Women -:Business :Affairs rand
urement::l'ragratn -,.,Dbe 'Id/ATE :Program")..desip9 d ••:to increase .the •volume .of. Ctty
„procurement :anc comrtcts •:witit <Blaeks,:1iispanic and 1.'omen-nwned::business. 'T:hc ilvI?lY$E
#rntntl.3n'Ordinnnce:No..1.0(162 r.copy of<wl ich has- been 'tiePsrered to and rec tat.of
:4dlticl; is`hereb ,acknowici1 e t b) Provider.:iProctder:;understands:and:agrees-tuar:tbelCinyrsball.
itnvnlheiit+ht:ro erminatc:and.emcef:tlii5:A'areement, without_noticc:or:penaltyF:to.:tii Zity,:on(
-to :oiiminatel'rovtderfront .corisidorauon untl'participaiion in'Iuture.City:contracts ii'hrntnder, :in
.
-the;preparation-vnd/Qr;submission:of:the Proposal: submitted false of mis3e din , information: as
to its smtusuas:131uctr. ilispanic.andior Wonien ovvned.business utiidlor the•yuain ltnd/oritype:Of . •
-nuooriry:or ivomen:ownettbusiness,participation.
S8._ 4Sfi[C.'llt4rl:f: 'his.Agrerm.n[:snag: 'tot:bc.asstnneil:btProvide:; itt aehol or 9n
•
,patt, tvithoittthe priar.written consent ofthe Citys, whicti,may be withheld or:eontliilonetl, it> the ::.
it:"s sole.tliscretioti. •
::uht:PS. .1,9^ y$INn
.19. NOTICES: All notices or. other. .i ontmun:callon: required under this: A.greemcni shall
he in writing ane:shall"he liven by hand delivery or by:n:;_rstered certified .U.S.:Mail., return
receipt requested, addressed to -the oiher .nany a1'the .nddress.indicated herein or to such.other
aridress:as.n,pnrty:rnayacsijttme-by WIN c rven:as uermn.pruvitied. Nonce -Shull be decmcd
. .;given on tits day oirwhieh 1tersonaliy deiiveredt:. or, if by.mail,+on the :fifth duya ttcr'hejng posted
or the dale ofueutal receipt, whiehever:is curlier.
:TO:PIZOVIDER:
:Sandrrr:Cohun .
Administrator; Merorflolpaticnt..Center
'Mercy Medical.Developinent
.dtbin-,Mercy OutpntienrCeutcr.'
°3661'Soutlt Miami Avenue
Tvl.cmti, E L' 1113.3
.TO THE.CIT.Y::
:Joe Anion
.:Chien:Administrator/City'Mm ager
-City.ofMiami
. '33011.Nan American Drive
_W7innri.:? lnritht :3: 1:33 •
wrrfl 'A -COPY TO:
loroeL: cernandez
City Attorney
Citrof'it iami
-,Orlicedirhe,CityArtonicy
z14 S\ l2.".Avenne.:SUit'e.tf
Miutni.:i?Yorida ;33:E 30
20. MISCELLANEOUS PROVISION:
A. '. :This: Agreement.shaif.ac, construed .and. enforced necorditngan the inns of;the'State
c.nnd:ptrn!_ntp'licadia_s.are prcertveient:elcrcitcettnd:nn-nota:par:lnk:this
ilgreemen
• f21,1thi'S7..e. Cmp Lira. Mer.�•7+ni.f
C. waive.: i r•breach of tinyprovision-of this Agreement shall constitute'a waiver
ofatny subsequent breach orthe same or any other provision hereof, and no :waiver.Shalt .be
:.cffcctivr unless trade in:writing. •
-lE— Shoiild.:any pruvtston, .pnrneriph: saritiuce, word •or:phrase. contained :In this
.'Acreetnem be.dctermined :bra jurisdiction to -be invalid,. illegal or otherwise
unenforceable under .the Iawr • of .the .State •o; -.Florida or the -"City :of'Nfiami,:such.provisrion,
.paragraph, sentence::a ord.or phrase:shall be deemed,modified-to:tlte.extcni necessary in order to
• conformavith such laws, or: if:not modifiable, :then sanii:shall.be:deemedseverable,:and in either
event, die -remaining ;terms .und provisions of.this:Agrectneni Shull remain unmadifiedand in-itilI
:toree.and:trica or limitation ofits use,
'This' Agreement constitutes the ;sole :and *entire agrecntent:between'the parties
o. :No modification -or amendment`.hereto.,shalzbe:valid unless :in writing.arid execated:by
;properly authorized representativesor the,parties hereto.
'SUCCESSORS AND..ASSIC:NS:..'This <:f1greement,shall-be bindints upon,:the parties:
o,..their heirs; cseciuors,>lsgal representatives, succ:ssors, or assigns.
PNnr r&Dtr r'COr TkslCTb2: t'rnvrdcr has 'been ,:ntocuredl.and is betas
•
• euaaeeil m.:provide_services:;tn:the-Cif .as..rot',independent.contractor,mnd,not
as:.an'.agent:or
:employ .af. aiie::l ily.: �ccotdutgl,,:l rm idar : shnil::not_aitain,::nor',etc:entitlaii .to, : tgr .risltts:;or
•
benefits_:under theffivil'Scrvio.-ar'Tension ,Ordinances:ofllhe City, :nor .:any .riehis ;eenera11y
afforded Classified or :unclassified employees. .Prowidcr :further _nnderstands.Mtnt Florida
Compensationbenefits avdilable.to employees.nV.tlte Citynrenotavailableao:ProvSiiei;
atiil .agrocs;to,provide woracrs'.eompen tniat, insurance inr:any: employee tir.agent.gf Provider
rendering services ta.theiCity:under.this Agrt:ement.
{br .lirgi gtr4:2eil?
ATTEST:
Aluj.Z.1
Priscilla -A Thonipson, City/Jul:
•
. AITEST:
CITY OFAUA.uniiinkpil1
. no tion
molt
trAdministnatorititylVlanacr •
"Provider"
iterey -Medical :Development ;dba,lierci7Outpn tiont peter
. • a not or ,proElteorportnion
•
By:
• flint am::: ittli''haShburn ;?rint Ndnic: ;Jahn iatis6kr
'Title: ,.Cieiperate Secretary Tre.sident
• :APPROVED AV/n.17012.141 AND APPROVED ASID INSUPANCE
-CORRECTOESSi REQUIRENENTS:
. raindez • '
• :City::: TrAnIcy i744/
tbAtt'Sit-A cora ii=comerps taw
A 4..
L:f-:
LL., .0
.DaniaT. Carrillo
RiSiz_Manaitenitnt Administrator
•, . .....
-Chy t4rMionri.. Fitoicia
PhilLsomimMm.knwo &FP 0.1-0$479
Attachment A
'Medical 'Protocol
• (Physical -Examinations--
Emoloyment, :Promotional and Miscellaneous)
.A. pHysicat EXAMINATION COMPOKENTS
TAtABB:I
1. MEDICAL HISTORY SREET,
:Examinee will complete a *family •and personal :medical
history to be reviewed hy he physician •wir.t1 him/her at
the t;irrie. of the ,physioe.1 .exem.
2.IABOBATORY WORV--tIB
:a. Complete .Elocd Count (CDC), with I:titter:tent:is:1
.33. :Biodhemistry :oi12 Complete Lipid Proli:le
with ratios, and rSR
APR
Drinalvsis (MicroscopiC)
e. - th .rhychm :scrip
2. PPD ariu TEST -performed :by .Mantoux Matho (required)
- '
...... 4., TYE TEST . . . ..
. . . • . . . .
• . . ..
. . ..
• . . . .• • . . 'The acuity ..test ..shotild -.:screen ,.for :both .near :.and 't ar .'
.:distlance .acuity,.. -on .a .aclentifically .accurate'.instrument
:that :abed.}:5 tor.':kewmess...of orision, .cienth ;-pei-.cteptioa, •
.musdles,. ..and the _ability ..,to .-- -
diff=-entiate :colors. Tx:Retinal:ion ,filioulti :be ,conducted.
Se' th-Ascrui-sii7tuaut.,corrective ler.ses- Thei-,, ,are.ognerific
vision -.requirements for .-pelice :offi.cer and ttirei.okIner
-.applicants.:4equirements..a.re :as -tollowsz .
0”:ice - AUTO,Oh Mageiremantn: 20/50 .-each aye,
:separately .without corrective lenses .of any kind
including -Contact lenses; 120/ 3-0 .with classes :(No
:CONTACT :was
Piref,ichter vision -neouionments: Par visual acuity
•.shall -be at •leant .2-o/30 binocular, •corrected
contact. lenses or -speccaeles.
Par vlsua2 aCild:tY •
uncorrectei.t shall •he at least 20/100 bluoc-ular S.Qr.-
eare=s o'f hard contacts or spectacles_
GayojMiami. Fk.ida pcc-Eaplaymem Physical Esaminmion Services RFP 03.04.079
.5. AUDIOLOGICAL CHECK:
'Will test the .normal hearing .range,:S00 to 4700:HERTZ,
using high quality equipment.
P.rovide•written interpretation of results.
.PHASE II si
A. PHYSICAL EXAMINATION.:BY:
'Inspection, :Palpation
.Percussion, Auscultation
Must be,performed by Board Certified 'Physician
To .include •the •following:
... Vital ..:TPR,.:Blood.,pressure (both arms)
Aeight..
Weight
'General :Appearance -
Head, .-ecalp, .face •
Neck (thyroid, lymphs., vessels)
!Endocrine syssem
Eyes .(:Eundi, :focus) general
Ocular motility
Pupils (equality and.reactivness)
Ears.(internal and external canals and cerumen,)
' -Ear drums (perforation
.Noes (sinuses)
:Mouth (tongue., teeth, .:and: gums)
• 'Throat :(condition of tonsils)
:Lungs, chest (OPTIONAL.- .include .breasts.:
WILL.OFFER TO .PERFORM BREAST EXAMINATION)
Heart .(thrust, size, ibythm, sounds)
Abdomen, 'Viscera (check for hernias) -EVALUATION BY
:INSPECTION,.PAIiPATION, :PERCUSSION.a AUSCULTATION)
':External :Genitalia - '.EVALUATION -BY INSPECTION,
.PALPATION, PERCUSSION.& AUSCULTATION)
• ANUS :AND RECTUM - EVALUATION •BY VISUAL 'INSPECTION FOR
HEMORRHOIDS-4.FISSURES..
Upper.extremities qstrength,.range:of motion)
Lower -.extremities -(strength, :range of.motion)
'Vascular -.:System :(Varicosities, etc,:) Spina, ,tithe: '
musculoskeietal•
:Skin :(:scars, cashes,) lymphatics
Mental Status,:memory, orientation, judgement, affect
.Neurological - .•
Equilibrium •
City ofMiami. Florida Pre -Employment Plrvsical Examination Services
• ., ury of Mtami.:Florida
Pre•Emplo meat PinysimItreniaanart'.$ jcn . RiP03-91.07V
'E Addition-0? /OQtional Items - re_2ui.red •far `Prj ce Office -
Public Service .Aida (aSAL -Polite Auxiliary- Sr. C3:ci2en
.Guard "SCAM, , .ritefighcers and 2_p. 'Technicians
.ADDITIONAL
1. Chest .X.-ray (POLICE AND FIRE)
Anteriar/posterior and' lateral views.
:Provide • written Ineerp_ecation-al .results. ;Deliver
results 'to the Department of •:E mpioyee 'Relation s :within
-72 •hours .
REP 03-04-079
2..• FIT' Testing :and .:Counseling - Required :for ire
-(HOWEVER, ;FIRz APPLICANT HAS ::OPTION 7r0 :DECLINE 'li2v_
• TEST) and :ID S•echnicien<employment physical:.
3.,.. :Hepatitis .A, t8, :and. 'C :Screening -= :Required for .:I�ia,
:Technician,- .SWORN _FIRE AND .APPLICANTS.}
•:employment physical, •
::OPTIONAL
Batk;x-ray.(teauestedby':Cft3r.as.:needed)
flrovide .two views •d! .the 2pack;":2umbo-sacral :snipe and
• pelvis.. •
P-ac!ide ..a_,titten :interpretation :af ;results.,
2_ Pulmonary Punctipn'Teat.-(xequesced:.by::City as :needed)
.:Provide h3 ree (3) :valid :tra'ei:ngs •;.cif ,a ::fenced vital
•capacity trom-whidh :the:Forced:Erpi:atory Volume.in::one
:second :ran .be delivered. "
:Blood Type :and ::Rh Raping ::(-egvested iby .City ,as needed)
Rubella 'Titer (requested :by City .as .:needed)
S. Rubella Immunization (requested.bv :City .as .needed)
6_r:Tetanus vaccine. -(requested by City:as: needed)
7 :Review and ;prnride •written interpretation aid/or
medical ;resume :;of employeef:applicant medical .records'
from: anotheragency..,
cB. Eardiauas:aller Stress Test
50
ZI
C10, pi -Miami. Florida Pre EsnpinymentPI+•vsica1Examination Services
Gm ndM ,,n. Florida.
A'l J'ACal1E"T E
Prc:Entpinymeni Phys,r_i Esuminntian Srmtrra •(Uri:.T- .079
4.7. ;PRICE .P.ROPOSAL :FORM
':P.RE;EMP.LO.YMENT PJWSICAL EEAMINATIQM"SERVICES
£motovment;'Promotion/snd 41ist•CIitibt is (Eatludinn'Fireliahters"and Police Officers'
Tnc following mustbe fully" completed "andaetumed-with Proposal.
;Eat. Extended
Description Opontity " linRPricc Price
•,A.:Basic Physical ',Examination .425'510F 'no r5 4:1. Snn OD
(including -lab work,nisual ceam,and____,
audiologi a1.exam)
iS. .Abbreviated:Retum.to Work
400:535.00
:C. OptionaC.Examination Conponems .
• (included: at:thistime to obtain . quote)
1. 'PPD. teat 400
2. .8aek'7: Ray • t5 .
23. 'Chest 7C'Rny Zc
EKG (I2.lead)
RubeI Titer 5
fi.-Annelle Immunization
7. :Review.o (Miscellaneous
::Medicnt-3tecaids
E.:3-lcpatitrs:A, J?;:anstaSore
9. :)vlcastes, Mumps, : Rubella
'_....:..:....:...immunization
:10. TetanueNaceine
;Please list any:other.cltargcsaasocinted • -
with ulftlliu thisRFP:znetdescribebelow
50
,.a(0.00 r.s "4000,00
en n0 •- S-Inn on
470:00 s 1750.-00
.5 45.00 $:29;125.00
5.30.00 .5'150.00'
s `30..00 :5'130.00
.S d5 00 . 75.00
Subtotal s £2;960..00
r..
r,
Cin+ofMianti. Florida
Pre -Employment Ph•vsical Examination Services
REP 03-04-079
Crry of mmi. ,Florida
Pre-EmPlcymenr Pbv sa1 Examirtariort S<ntle , RIP 03.04.879
Employment Physical Examinations— Firefmhters
The fallowing must be fully completed and returned with Proposal.
Est. Extended
Description Quantity Unit ?flee Price
A. Basic Physical Examination 60 .$ 140.00 5 .8400.00
(including lab work, visual exam, and
. audiological exam)
.B. Add itianaVOptional Examination Components
(Included at this time to obtain quote)
1...ChsuX-Ray - - 70.0D s •4200.00
Z EKG 60 3..00 s :2700.00
3. Fif V Testing & Counseling 38. D0 2280.00
a. EL1SATest • 60 :S g
b. WestemBlot 6D
c. Prc.Counseling '60 LU.UO S 600.0U
.d.PostCounseling 60 F.1U.00 a oUU.UU
10 00 600.00
4.PPDtut 60 3 3
3, Fiepaiitis A; B and CScrcriing 6D S "35.00 $ 2100 :00
C. Please list:anv o1hercharges associated
.with fulfilling this PIP andd:scrib. below:
:E oolavment Phvsicat:Ex aminations = Police Officers
Est. Extended
• 'Description Ouaniitry Unit Price Price
:'A.JBasic Physical :Examination 100 :S ..140.00 :$ 14, 000..:00
(including lab work, visual exam; and
audialggical:exam)
ubtotal:
S
;S 21480.00
it..lidditional/OptionatExamination.Components
(Included.atlhistime to obtain quote)
1. Chest X-Ray
100
50
City of Miami. Florida Pre-Employmeat Plr.vsical Frantination Services
CR). pjAhom,
—Pry•Entploymeel PRtucul Exam) nsfistmjemiers RFP 03.434X7;
I rS , OD
.4. Hepatitis A, B, and C Screen:mg 100 '4 35 . -00 4, 1500. 00
120 ;00 120. 00
.Puirnonacv amnion
15 00 L5.00
6. 'Blood "type & Rh Typing . S
30 . 00 30.00
?. itabctlaTiter S ;$
S, bella Immunization I 4 a :
:14: 00
4 40.00
4. -Review &provide written interpretation '56 s •13:00 750.00
5
of:medical record
10. Cardiovascular -Stress -Test
• . .
:C. Please' list any other charges associated
•with futiltfhis 1167.and•describe below:
50
REP 03-04-079
F4:
45,
100 :s -- ,'42:5‘:00 •
:4
• Subtotal: -.J/.Op
TOTAL: .S 136695 .110
Mount Sinai
MEDICAL CENTER
July 21, 2010
City of Miami — City Clerk
3500 Pan American Drive
Miami, Florida 33133
Re: RFP NO. 220240 — Request for Proposals for Physical Examination
Services,
Mount Sinai Medical Center, Occupational Health Center located at 4300 Alton
Road, Lowenstein Building, Miami Beach, FL 33140, Telephone Number (305)
674-2312, Fax Number (305) 674-2413, Federal Employer Identification Number
59-262442 is formally responding to .your Request for Proposal No. 220240,
Request for Proposals for Physical Examination Services for the Provision of
Various Medical Services that may be necessary or required by the City of
Miami, Local, State, and Federal Laws: The Proposer is appointing Ms. Linda
Arama as the primary contact person for this RFP; she can be reached at (305)
674-3910 (office) and 305-535-7904 (fax), e-mail address is
Laramaamsmc.com.
Should you have any questions concerning the above, please do not hesitate to
contact the undersigned.
Sincerely,
Lja Arama
Director
Occupational Health Center
Certification Statement
Plcase quote on this form, if applicable, net prices for the item(s) listed. Return signed original and
retain a copy for your files. Prices should include al] costs, including transportation to destination. The
City reserves the right to accept or reject all or any part of this submission. Prices should be firm for a
minimum of 180 days following the time set for closing of the submissions,
in the event of errors in extension of totals, the unit prices shall govern in determining the quoted
prices,
We (I) certify that we have read your solicitation, completed the necessary documents, and propose to
furnish and deliver, F.O.B. DESTINATION, the items or services specified herein.
The undersigned hereby certifies that neither the contractual party nor any of its principal owners or
personnel have been convicted of any of the violations, or debarred or suspended as set in section
18-107 or Ordinance No. 12271.
All exceptions to this submission have been documented in the section below (refer to paragraph and
section).
EXCEPTIONS:
We (1) certify that any and all information contained in this submission is true; and we (i).further certify
that this submission is made without prior understanding, agreement, or connection with any
corporation, firm, or person submitting a submission for the same materials, supplies, equipment, or
service, and is in all respects fair and without collusion or fraud. We (I) agree to abide by all terms and
conditions of this solicitation and certify that I ant authorized to sign this submission for the submittcr.
Please print the following and sign your name:
SUPPLIER NAME: Moo (Fr CL`41 1 r) RL A- c
V
ADDRFSS �O 0 A L-Tb r(� erg 1V i Lf vt�t �� P/L�(�
PHONE: .CGS (o1 c4 � FAX. '3O (07 - .2001
EMAIL: c11 Lt+i", ft) 6) e: (:nr' BEEPER: �'S b�� -
SIGNED BY
—
TITLE: 176; .G v(L C,ZLrL �L!/yc^-L DATE:
FAILURE TO COMPLETE. SIGN, AND RETURN THIS FORM SHALL DISQUALIFY THIS IHI).
Page 2 of 41
Certifications
Legal Name of Firma c
Entity Type: Partnership, Sole Proprietorship, Corporation, etc.
0.e +.E v o' FLo e); t,.A
Year Established:
Office Location: City of Miami, Miami -Dade County, or Other
M\omi e[jka {-Lo33t ! U
Occupational License Number:
Occupational License Issuing Agency:
Occupational License Expiration Date:
•3 Hio
Ta //ij-
Respondent certifies that (s) he has read and understood the provisions of City of Miami Ordinance No.
10032 (Section 18-105 of the City Code) pertaining to the implementation of a "First Source Hiring
Agreement.": r No)
Do you expect to create new positions in your company in the event your company was awarded a
Contract by the City? (Yes or Nod
In the event your answer to question above is yes, how many new positions would you create to
perfonn this work?
NIA
Please list the title, rate of pay, summary of duties, number of positions, and expected length or duration
of all new positions which might be created_as.a result of this award of a Contract.
Page 3 of 41
Lineal
Description: Employment and Promotional Physical Examinations for Nun Sworn Classifications
Line: 1.1
Description: Basic Physical Examination (including lab work, visual exam, and audiological exam)
Category: 94874-50
Unit of Measure: Each
Unit Price: , c,;(:) • 0 C''
Line: 1.2
Number of Units: 425 Total: $ 3'i5 000 C10
Description: Additional/Optional Examination Components: PPD Test
Category: 94874-50
Unit of Measure: Each
Unit Price: $ 5: Ct U
Line: 1.3
Number of Units: 600 Total: 5 3 000 . Cad
Description: Additional/Optional Examination Components: Back X-Ray
Category: 94874-50
Unit of Measure: Each
Unit Price: $ 6+0. 0 0
Line: 1.4
Number of Units: 5 Total: $ 3C)0 , DO
Description: Additional/Optional Examination Components: Chest X-Ray
Category: 94874-50
Unit of Measure: Each
Unit Price: $ 1i-0. DO
Number of Units: 50 Total: 5 ),000, 0 0
Page4 of41
Line: 1.5
Description: AdditionaUOptional Examination Components: EICC (I2 lead)
Category: 94874-50
Unit of Measure: Each
Unit Price: $ 3S.oL)
Line: 1.6
Number of Units: 425 Total: $ I L\-701I .00
Description: Additional/Optional Examination Components: Rubella Titer
Cateeory:94874-50
Unil of Measure: Each
Unil Price: $ a5.O0
Line: 1.7
Number of Units: 5 Total: $ I -6 . 0,10
Description: AdditionallOptional Examination Components: Rubella Immunization
Category: 94874-50
Unit of Measure: Each
Unit Price: $ Number of Units: 5
Line: 1.8
Total: — (7)%a1uu. -eft
A(.t,..p.. j J�i1
Description: Additional/Optional Examination Components: Review of Miscellaneous Medical
Records
.Category:.94874-50
Unit of Measure: Each
Unit Price: $ 15.00
Number of Units: 5 Total: $ 76 ' D D
Page 5 of 41
Line: 1.9
Uescripuon: Additional/Optional Examination Components: Hepatitis A, B, and C Screening
Cateeorv: 94874-50
Unit of Measure: Each
Unit Price:5 t}D'DO
Line: 1.10
Number of Units: 25 Total: $ l, 000.00
Description: Additional/Optional Examination Components: IJJV Testing & Counseling - ELISA
Test
Category: 94874-50
Unit of .Measure: Each
Unit Price: $ .;25;'0 0
Line: 1.11
Number of Units: 25 Total: 5 lilay .0E)
Description: Additional/Optional Examination Components: HIV Testing & Counseling - Western
Blot
Category: 94874-50
Unit of Measure: Each
Unit Price: 5 •0 v
Line: 1.12
Number of Units: 25 Total: $ , 0 O
Description: Additional/Optional Examination Components: HIV Testing & Counseling - Pre
Counseling
Category:.94874-50
Unit of Measure: Each
Unit Price: 5 _��L__ Number of Units: 25 Total: $
Page 6 of 41
Line: 1.13
Description: Additional/Optional Examination Components: I1tV Testing & Counseling - Post
Counseling
Category: 94874-50
Unit of Measure: Each
Price: .5 /e
Line: 1.14
Number of Units: 25 Total:
e1—
Desci iption: Additional/Optional Examination Components: HIV Testing & Counseling - Measles,
Mumps, Rubella Immunization
Category: 94874-50
Unit of Measure: Each
Unit Price:. bp, 00
Line: 1.15
Number of Units: 5 Total: .3 300 too
Description: Additional/Optional Examination Components: HIV Testing & Counseling - Tetanus
Vaccine
Category: 94874-50
Unit of Measure: Each
Unit Price: 13O.GC=:
Line: 2
Number of Units: 5
Total:5 i5i)-°O
Description: Employment Physical Examinations for Firefighters (Examination shall be
conducted pursuant to current NFPA 1582 Guidelines and City of Miami Medical Protocols)
Line: 2.1
Description: Basic Physical Examination (including lab work, visual exam, and audiological exam)
Category: 94874-50
Unit of Measure: Each
Page 7 of 41
Unit Price: $ V • DC'
Line: 2.2
Number of Units: 60 Total: $ 4, YD8.00
Description: Additional/Optional Examination Components: Chest X-Ray
Category: 94874-50
Unii of Measure: Each
Unit .Price: $ y0,0 0
Line: 2.3
Number of Units: 60 Total: $ '4 D•00
Description: Additional/Optional Examination Components: EKG
Category: 94874-50
Unit of Measure: Each
Unit Price: $ � 5 . cj 0
Line:2.4
Number of Units: 60
Total:$ .21t00t1C>
Description: Additional/Optional Examination Components: Back X-Ray
Category: 94874-50
Unit of Measure: Each
Unit Price: $ (,Or 00
Line: 2.5
Number of Units: 1 Total: $ (r 0 00
Description: Additional/Optional Examination Components: Cardiovascular Stress Test
Category: 94874-50
Unit of Measure: Each
Unit Price: $ .5 0 U
Number of Units: 60
Total: $ Ub0,)c'
Page 8of41
Line: 2.6
Description: Additional/Optional Examination Components: HIV Testing & Counseling - ELISA
Test
Category: 94874-50
Unit of Measure: Each
Unit Price: $ t9C 0 C'
Line : 2.7
Number of Units: 60 Total: $ i;500.QC
Description: Additional/Optional Examination Components: HIV Testing & Counseling - Western
Blot
Category: 94874-50
Unii of Measure: Each
Unit Price: $ a 5 • �L
Line: 2.8
Number of Units: 60 Total: $ 1
00.00
Description: Additional/Optional Examination Components: HIV Testing & Counseling - Pre
Counseling
Category: 94874-50
Unit of Measure: Each
Unit Price: $ Er
r
Line: 2.9
Number of Units: 60 Total. $
Description:Additional/Optional Examination Components: HIV Testing & Counseling - Post
Counseling
Category: 94874-50
Unit of Measure: Each
Unit Price:
Number of Units: 60 Total: $ Y
Page 9 of 41
Line. 2 10
. Description: Additional/Optional Examination Components: PPD Test
Category:94874-50
Unit of Measure: Each
Unit Price: $ `j . 00
Line: 2.11
Number of Units: 60 Total: $ 30L, OC3
Description: Additional/Optional Examination Components: Hepatitis A, B and C Screening
Category: 94874-50
Unit of Measure: Each
Unit Price: $ 1+0 • °C)
Line: 3
Number of Units: 60 Total: $ 2, oc),t'C
Description: Employment Physical Examinations for Police Officers (Examination shall be
conducted pursuant to current California Peace Officer Standards and City of Miami Protocol)
Line: 3.1
Description: Basic Physical Examination (including lab work, visual exam, and audiological exam)
Category: 94874-50
Unit of Measure: Each
Unit Price: $ $C ,0'> 0
Line: 3.2
Number of Units: 60 Total: $ 4-).g7)0. 00
Description: Additional/Optional Examination Components: Chest X-Ray
Category: 94874-50
Page 10 of 4 I
Unit of Measure: Each
Unit Price: ,uC)
Line: 3.3
Number of Units: 60 Total: $,Z Lift l . 00
Description: Additional/Optional Examination Components: EKG
Category: 94874-50
Unit of Measure: Each
Unit Price: . 3> . Do
• Line: 3.4
Number of Units: 60 Total: $ t IOO.O C�
Description: Additional/Optional Examination Components: Cardiovascular Stress Test
Category' 94874-50
Unit of Measure: Each
Unit Price: $ 5'D, C 0
Line: 3.5
Number of Units: 60
Total: $ IS,f)DO-t2
Description: Additional/Optional Examination Components: Back X-Ray
Category: 94874-50
Unit of Measure: Each
Unit Price: $ 100 t LD
Line: 3,6
Number of Units: 1 Total: $ , C) C?
- Description: Additional/Optional Examination -Components: Hepatitis A, B, and-C-Screening-
Calegoty: 94874-50
Unit of Measure: Each
Unit Price: $ C)L�
Number of Units: 60 Total: $ ,)t i-f-00•1912
Page 1 1 of 41
Line: 3.7
Description: Additional/Optional Examination Components: PPD Test
Category: 94874-50
lJnit of Measure: Each
Unit Price: $ 5, 00
Line: 3.8
Number of Units: 60 Total: $ 3 0 0 - 0' U
Description: Additional/Optional Examination Components: Pulmonary Function
Category: 94874-50
Unit of Measure: Each
Unit Price: $ 2 S . 0 0
Line: 3.9
Number of Units: i Total: S 02-S 0 D
Description: Additional/Optional Examination Components: Blood Type & Rh Typing
Category: 94874-50
Unit of Measure: Each
Unit Price: $ 2 tJ,O 0
Line: 3.10
Number of Units: 1 Total: $ 2. y. 0 0
Description: Additional/Optional Examination Components: Rubella Titer
Category: 94874-50
Unit of Measure: Each
Unit Price: $ ,2 r},0 0
Number of Units: 1 Total: $ 'f,00
Page 12 of 41
Line: 3.11
Description: Additional/Optional Examination Components: Rubella Immunization
Category: 94874-50
Unit of Measure: Each
Unit Price: $
Line: 3.12
Number of Units: 1 Total: $ tt(tt4l• a.r ea'"`r-
1
Description: Additional/Optional Examination Components: Review & Provide Written
Interpretation of Medical Records
Categoty:94874-50
Unit of Measure: Each
Unit Price: $ 2-5 •C C}
Line: 4
Number of Units: 1 Total: $ ,21-•t9 C?
Description: Return to Work Physical Examinations for all Classifications
Line: 4.1
Description: Return to Work Physical Examinations
Category: 94874-50
Unit of Measure: Each
Unit Price: $ SD , (DO
Number of Units: 400 Total: $ (,)De). h0
Page 13 of 41
Mount Sinai
MEDICAL CENTER
Table of Contents
A. Executive Summary ..................... .............................................page 1
B. Professional Experience............................................................page 2
C. Occupational Health Staffing... page 3
Occupational Health Staffing (cont'd)............................................page 4
Occupational Health Staffing (cont'd)............................................page 5
Resume, Curriculum Vitae, Certificates, Licenses Attachment A
D. HIPPA - Privacy Notice of Privacy Practices - Policy & Procedures... Attachment B
E. Proposer's Clients List............ ..... ........... ..... ............................. page 6
Proposer's Clients List(cont'd)....................................................page 7
Proposer's Clients List(cont'd)....................................................page 8
F. Proposer's Facility and Location ............................................. page 9
Fee Proposal.................................... ............. ...................... Attachment C
Campus Map of Mount Sinai Medical Center...............................Attachment D
Departmental Brochure....... ..Attachment E