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HomeMy WebLinkAboutExhibit 3City of Miami, Florida Fire -Rescue Annual Physical Examination Services RFP --Attachment—A MEDICAL PROTOCOL (Annual and Hazardous Material, Dive Team, and Technical Rescue Team (TRT) Physicals Department of Fire Rescue) Sworn Fire employees shall he required to take a physical examination as follows: a) Employees forty (40) years of age or older— one per year b) Employees thirty (30) years of age or older - one every other year. c) Employees under thirty (30) years of age— one every three years I. PHYSICAL EXAMINATION COMPONENTS Medical History — Provider shall obtain a complete and thorough medical- history on the ernployee. Provider must also perform a Health Risk Profile on the employee. The purpose'of this appraisal tool is to identify a persou's 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. NOTES: The Health Risk Questionnaire will 'be filled out on the frst visit and will be reviewed during employee -physician consultation. Physical Examination (By Board Certified Physician) Physical Examination DONE BY INSPECTION, PALPATION, PERCUSSION AND AUSCULTATION to include the following: General appearance Height Weight Ilead, Scalp, face Neck (THYROID, LYMIPS, VESSELS) City of Miami, Florida Fire -Rescue Annual Physical Examination Services RFP Ears (INTERNAL AND EXTERNAL CANALS AND CERUMEN) EAR DRUMS (PERFORATION) Nose (SIN UJ) Throat (CONDITION OF TONSILS) Mouth (TONGUE, TEETH, AND GUMS) Spine (OTHER MUSCULOSKETAL) Skin (SCARS, RASHES) LYMPFIATICS 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. Laboratory Work -up 1. Hematology panel Complete Blood Count (CBC) with differential. 2, Comprehensive Metabolic Panel 3., Complete Lipid Profile with Ratios 4. TSH (Thyroid) �. Urinalysis (Microscopic) 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: 20/40 one eye and 20/100 other eye, uncorrected; 20/20 one eye and 20/40 in the other eye, corrected. It should also be noted if individual wears glasses or contact lenses. City of Miami, Florida Fire -Rescue Annual Physical Eaaminaiion.Services Rf P 2. Physical Examination by Board Certified Physician to include: a) Pup+ b) Extra -ocular movement c) Conjunctiva d) Sclera e) Fundoscopic examination f) Color vision Pulmonary Function Test (Screening for obstructive and restrictive diseases 1. 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 volmnes should be reported in absolute values (liters), as well as percentage of age, sex, and adjusted normals. 2. Any firefighter who falls below 80% of the standard norm as a result of test 1. (above), shall have a Flow Volume Loop, and a Post Bronchodilator study. PPD Skin Test — Performed by Mantoux method (required). Electrocardiogram Twelve lead resting EKG. Report with mounted rhythm strip included in medical chart. Audiological Screening Test normal hearing range, 500 to 2000 HERTZ, using high quality equipment in a sound treated booth or room. Alternatives for sound treated booth or room must be reviewed and agreed upon by the City. Note: Upon failure of an audiometric screening, exceeding levels of 25 dB for frequencies 500, 1000 and 2000 Hz at one frequency in either ear, a comprehensive evaluation will be conducted, II. ADDITIONAL/OPTIONAL EXAMS OPTIONAL 1. Speculum and bimanual examination, including Pap smear. 2. Mammogram (females over 35 years of age). 3. •PSA OFFERED TO ALL MALES. RECOMMENDED FOR KALE FIREFIGHTERS AGE 40 AND OLDER; AND AFRICAN-AMERICAN MALES 35 AND OLDER. City of Miami, Florida Fire -Rescue Annual Physical Examination Services 11H' 4. DIGITAL RECTAL (MALES AND FEMALES) AND PROSTATIC EXAM (MALES ONLY). 1NGblUDING-A-STOOL-tlhiVIA'I'E-S-11^OR-OCGU1 J' PbOOD. 5. Comprehensive Hearing Test Comprehensive evaluation should be conducted by licensed. audiological personnel and should include the following: History External otoscopic examination Comprehensive audiometric examination Impedance examination Note: A monthly report should he forwarded to the Department of Employee Relations, listing employees with hearing acuity loss of 25 decibels or more for the speech frequencies of 500, 100 and 2000 Hz (cycles). 6. Cardiovascular Stress Test A cardiovascular stress test shall be administered to fire fighters with a positive history of cardiovascular disease, in themselves or their family, and to all those 40 years of age or older. When recommended by the examining physician, the following additional tests may be performed: Echocardiogram, Thallium Stress Test, Exercise Muga Stress Test 7. Hepatitis A and B Screening (HBSAB) — RECOMMENDED EVERY 3 YEARS 8. Pulmonary Function Test a. Flow Volume Loop- Compare flow to lung volume, providing a more sensitive indicator of early small airway disease: i.e. asthma, bronchitis, and emphysema. b. Post Brouchodilatory Study (to include 15 min, SAN Tx (Side Arm Nebulizing Treatment). 'This test measures the response of the lungs to. bronchodilation in comparison to normal ventilatory patterns. This determines the percentage of small airway disease and its reversibility. 9. Radiological Evaluation —RECOMMENDED EVERY 3 YEARS Standard PA and Lateral Chest (posterior, anterior, and lateral chest views). 10. Flexible Sigmoidoscopy — for firefighters 50 years and over, or to be conducted upon recommendation of the examining physician. 11. Colonoscopy — For firefighters 50 years and over, or to be conducted upon recommendation of the examining physician. 4 G'ity ofMianzi, Florida Fine -Rescue Annual Physical Examination Services RFP 12. RPR 13. 24 Hour Hotter Monitor 14. Flu shot ADDITIONAL 1. Tetanus Toxoid Individuals who have not previously been immunized shall receive the standard initial three -dose regunen. Those who have not received a booster within 10 years shall be so immunized. 2, Hazardous Material Tearn Physical, DIVE TEAM, TRT Basic physical, plus: a) Biiirubin Direct and Total b) Cholinesterase c) Heavy Metal Screening Quantitative for Pb (Lead), As (Arsenic), Hg (Mercury) d) Tonometry . ............... 5 City of Miianzi, Florida Fire -Rescue Annual Physical Examination Services HEPATITIS A AND B IMMUNIZATION PROTOCOL RFP 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.m. 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 (HavrixTM 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. Recotnbivax IIB or Engerix I-IB). 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 (IIBSAB) titer will be drawn 1-2 months after the last injection. - It is now recommended that those individuals who do not develop positive FBSAB's after a primary series, repeat the entire series. Hepatitis A and B combination vaccine (Twinrix) - 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.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) 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 m oaths). Covers the following employee classifications: 1) Fire (all sworn) 2) Others as designated 6 City of Miami, Florida Police Annual Physical Examination Services REP 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 person's 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, faue 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) Skin (SCARS, RASHES) LYMPHATICS Upper extremities (STRENGTH, RANGE OF MOTION) Lower extremities (STRENGTH, RANGE OF MOTION) Lungs, chest wall, breasts (PI-IYSICIAN WILL OFFER TO PERFORM BREAST EXAMINATION), back City of Miami, Florida Police Annual P/¢ysical Examination Services REP 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 TO BE OFFERED EVERY YEAR TO POLICE OFFICERS AGE 40 AND OVER (OPTIONTAL), .FOR EXAMINATION OF PROSTATE IN MEN AND TO CI-IECK FOR THE EXISTENCE OF OCCULT BLOOD IN BOTH MEN AND WOMEN. C. Laboratory Work -up 1. Complete Blood Count (CBC) with differential 2. Comprehensive Metabolic Panel 3. Complete Lipid Profile with ratios TSH 5. Urinalysis (Microscopic) D. Ophthalmological 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; 20/3'0 each eye corrected. It should also be noted if the individual wears glasses or contact lenses. City ofMiami, Florida Police Annual Physical Examination Services 1:FP 2. Physical Examination by a Board certified Physician to include: a) Pupils b) Extra -ocular movement c) Conjunctiva d) Sclera e) Fundoscopic examination f) Colon vision E. Pulmonary Function Test (Screening for obstructive and restrictive diseases) Vital Capacity and FEV I Utilize a spirometer that measures function .by volume, not flow. Minimal reported information should be FVC, FEV 1, FEV 1/FVC%, FEF25-75%0, 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). 3 City of Miami, Florida Police Annua/ Physical Exa,nination Services RPP ADDITIONAL/OPTIONAL EXAMS OPTIONAL 1. Radiological Screening (RECOMMENDED EVERY 3 YEARS) Standard chest (posterior and anterior) 2. Cardiovascular Stress Test A cardiovascular stress test shall be administered to designated sworn personnel with a positive history of cardiovascular disease, in themselves or their family, and to all those 40 years of age or older. When recommended by the examining physician, the following additional tests may be performed: Echocardiogram, Thallium Stress, Exercise Muga Stress Test. 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 — every 2 years Age 50 — and over - every year Family history.of cancer . every year 6, CA 125 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 Hotter Monitor 10. HBSAB Titer 4 City of Miami, Florida Police Annual Physical Examination Services RFP 11. Tetanus inoculations 12. FLEXIBLE SIGMOIDOSCOPY — FOR POLICE OFFICERS 50 YEARS AND OVER, OR TO BE CONDUCTED UPON RECOMMENDATION OF THE EXAMINING PHYSICIAN. ADDITIONAL DIVE TEAM Physical Basic Physical, plus: a. Bilirubin Direct and Total . b. Cholinesterase c. Heavy Metal Screening Quantitative for Pb (Lead), As (Arsenic), Hg (Mercury) d. Tonometry 2. BOMB SQUAD Physical Basic Physical, plus: a. RPR b. Blood Type 3. SHOOTING RANGE/FIREARMS INSTRUCTORS aHeavy Metal Screening Pb (Lead), As (Arsenic), Hg (Mercury), Cu (Copper), Sn (Tin), Zn (Zinc) City of Miami, Florida Police Annual Physical Examination Services 2FP 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.m. 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 m 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 (FIBSAB) 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 (I-IBSAB) 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 I-IBSAB's after a primary series, repeat the entire series. Hepatitis A and B combination vaccine (Twiurix) — 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.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 (Twiurix) followed by the second injection one (1) month after the first, and the third injection six (6) 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) Others as designated Alice KENNETH ROBERTSON Chief Procurement Officer City Manager CARLOS A. MIGOYA ADDENDUM NO. 1 RFP No. 243229 November 4, 2010 Request for Proposals (RFP) for Annual Physical Examination Services for First Responders TO: ALL PROSPECTIVE PROPOSERS: The following changes, additions, clarifications, and deletions amend the RFP documents of the above captioned RFP, 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. CHANGES TO THE RFP SOLICITATION DOCUMENT Prospective Proposers shall take note of the chanaes below and utilize the revised Lines section of the RFP solicitation document to submit their "Fee Proposal". as required in Section 4. Submission Requirements. The revised Lines section may be obtained by downloading the revised RFP solicitation document. The "Number of Units" for the following line item has been adjusted in the RFP solicitation document as shown below: Line: 1.4 Description: Additional/Optional Exams: Comprehensive Hearing Test Category: 94874-50 Unit of Measure: Each Unit Price: $ Number of Units: 57520 Total: $ The following iine item was inadvertently omitted from the "Lines" section, under GROUP 1 - FIRE -RESCUE ANNUAL PHYSICAL EXAMINATION SERVICES, INCLUDING HEPATITIS A and B PROGRAM. By means of this addendum, the line item has been incorporated in the "Lines" section of the RFP solicitation document as shown below. Line: 1.33 Description: Additional/Ontional Exams: Cardiovascular Stress Test Cateaorv: 94874-50 Unit -of Measur--e,-Eaeh-- Unit Price: $ Number of Units: 400 Total: $ Page 1 The following line item descriptions, in the "Lines' section of the RFP solicitation document, have been amended as shown below: Line: 1.5 Description: Additional/Optional Exams: Cardiovascular Stress Tect Echocardiogram. Line: 1.6 Description: Additional/Optional Exams: trcs Test Thallium Stress Test Line: 1.7 Description: Additional/Optional Exams: Exercise Muga Stress Test L-ine: 2:7— . Description: Additional/Optional Exams: Cardiovaccuiar Stress Test Echocardiogram Line: 2.8 Description: Additional/Optional Exams: Thallium Stress Test Line: 2.9 Description: Additional/Optional Exams: Lastly, Line item# 2.13 has been amended as shown below: Test— Exercise Muga Stress Test Line: 2:13 Description: Additional/Optional Exams: CA 125 Category: 94874-50 Unit of Measure: Each Unit Price: $ Number of Units: 1 Total: $ Manufacturer' Mode! Numbor Supplier Part Number Dolivery Time from Rcccipt of Order (Calendar Days). Minimum ardor Quanti ANSWERS TO QUESTIONS SUBMITTED BY PROSPECTIVE PROPOSERS Q1: Prospective Proposer has five (5) medical centers that provide these same services for about a dozen cities. The issue is that Prospective Proposer does not always have the two (2) board certified doctors at all five offices. Is it still possible to be awarded part of the bid-- and share it with a hospital? Al: Prospective Proposer shall note that this is solicitation is not "a bid", it is a Request for Proposals (RFP). The City of Miami will not split the award of RFP No. 243229 amongst multiple proposers. 42: Does the City ever split off the bid and use multiple entities? --A2:---Yes,- there -are--solicitations--where-multiple bidders may -be --awarded- This is usually clone under.. an _Invitation_ _-.. for Bid (IFB) and said -provision will-besteted-in the'"Method of -Award" -section,- under the 1FB's Special -Terms and Conditions. For the current RFP, however, the City of Miami will not split the award of RFP No. 243229 amongst multiple proposers. Q3: Is the City open to utilizing a mobile health unit to perform these exams? Page 2 A3: No, the City of Miami will not accept utilizing a mobile health unit to perform the annual physical exams. The City is looking for a full service facility which provides adequate privacy to conduct the physicals for both male and female employees. 04: Prospective Proposer is interested in performing about 20 - 40 physical exams per day (cost is lowered by bringing the staff and equipment to perform many exams, via a mobile health unit). Is it possible to schedule 20 -40 exams per day? A4: The Department of Fire -Rescue and Police are unable to allow the scheduling of 20 to 40 physical exams per day. Allowing 20 to 40 of its employees to have physical exams done on e per day basis will adversely impact each department's operations. Historically, the Department of Fire -Rescue has scheduled up to 6 of its --employees-per-day-and-the-Department of -Police has -scheduled approximately 10 per day: Additionally, Prospective Proposers shall take note of General Terms and Conditions, Section 1.33, Estimated Quantities, quick states: "Estimated quantities' or estimated dollars are provided for your guidance only. No guarantee is expressed or implied as to quantities that will be purchased during -the contract period. The City is not obligated to place an order for any given amount subsequent to the award of this contract. Said estimates may be used by the City for purposes of determining the low bidder or most advantageous proposer meeting specifications. The City reserves the right to acquire additional quantities at the prices bid/proposed or at lower prices in this Formal Solicitation." Q5: Could a Prospective Proposer perform the main components of these exams and have the employees go out to a local hospital or clinic to have some of the more extensive testing done (Le. Stress Test, Pap Smears, etc...)? A5: The City requires that all examinations be performed at the Successful .Proposer's facility. in an effort to minimize the time, required to complete the tests and have the employees return to work as soon as possible. As stated in Section 3.1, Specifications/Scope of Work, under both Group 1 and Group 2, subsection If A): "9. All physical examinations, tests and related medical procedures shall be conducted in a licensed facility operated by the Successful Proposer, or at such facility subsequently agreed to by the City and the provider." 06: - is -the City open to exploring an alternative.solution, such as providing a mobile unit to provide the annual. examinations? A6: Please refer to the answer for Question* 3. Q7: in Attachment A - Fire/Rescue, Section l., Laboratory Work -up, #1 Hematology Panel/Complete blood count (CBC) widifferentiat: What is required in the hematology panel; is this referring to blood work? A7: Yes, the hematology panel is referring to blood work. 08: In Attachment A - Fire/Rescue, Section I., Pulmonary Function Test 4'2: The Post Bronchodilator study will be referred to a pulmonary specialist; will this meet the requirement? A8: Yes, this will meet the requirement as long as the required follow up tests (Flow Volume Loop, and a Post Bronchodilator Study) are conducted by the specialist. _ _.Q9.:_ _ ._.D.oes the City have..an approximate m.onth/date.when_i[npiementationof the.program should begin? _ P.9: There's no approximate month/date. Prospective Proposers may refer to Special Conditions Section 2.19, Evaluation/Selection Process and Contract Award, for a detailed breakdown of the City's procedure for response evaluation, selection, and award of contract. Page 3 Q10: Regarding subject RFP, Prospective Proposer would like to know if the City would prefer to deal directly with the attending Physician from one location? Or would it be more suitable to have a management company representing a number of physicians from different locations in the Countybe acceptable? . A10: As stated in Section 3.1, Specifications/Scope of Work, under both Group 1 and Group 2, subsection II,A): "9. All physical examinations, tests and related medical procedures shall be conducted in a licensed facility operated by the Successful Proposer, or at such facility subsequently agreed to by. the City and the provider." Prospective -Proposers shall --take note -that -the above -cited -requirement states"facility" and -not' 'facilities'': As-- - such, it is the City's requirement that all examinations be performed at the Successful Proposer's facility in an effort to minimize the time required to complete the tests, have the employees return to work as soon as possible, and additionally have records of all examinations remain at one facility. 011: Do you have -a previous history -for a similar contract? • All: Yes. The City of Miami currently has two separate contracts for annual physical examination services for first responders. For reference purposes, enclosed please find copies of RFP Contracts No. 03-04-080(10) and RFP No. 03-04-081(010). Q12: Does the City have a specific budget for this contract? Al2: Yes, the end -user departments (Fire -Rescue and Police) have funds allocated to utilize the services solicited via RFP 243229 Annual Physical Examination Services for First Responders. Q13: Page 4 and 21 of the RFP solicitation document are blank: is this correct or is this a mistake? A13: Page 4 and 21 were left blank intentionally, this is not a mistake. Q14: Line 1.1 page 5 of 54 of the RFP solicitation document — "Basic Physical" Does Basic Physical include: Health Risk Profile, Laboratory work -up, Visual Acuity, Pulmonary Function Test, PPD Skin -rest, Electrocardiogram and Audiological Screening? A14: Yes. Additionally, Prospective Proposer shall note that, as stated in page 1 and 2 of Attachment A: Medical Protocol for Fire -Rescue Annual Physical Examination Services, the Physical Examination shall also include "Physical examination DONE BY INSPECTION, PALPATION, PERCUSSION AND AUSCULTATION [..]" The audiological screening shall be performed via an audio metric screening test. Q15: Line 1.4 page 5 of 54 of the RFP solicitation document — "Additional/Optional Exams: Comprehensive Hearing Test" Is the number of Units 575 correct? Is the City asking for a Comprehensive Hearing Test by an Audiologist or is the City asking for an Audio Metric Screening Test (Base Line)? A15: The "Number of Units' is incorrect. The "Number of Units" amount has been adjusted in the RFP solicitation document_to__'20."..Prosp.-ective Pr_oposers-shall_take note of this change_and utilize the revised Lines section of __. _ . - the RFP solicitation document- to - submit -their -'Fee-- Proposal", .-as .-required _ in. -Section -4, _ Submission._ Reauirements. In Line # 1.4 of the RFP, the City is requesting a unit price for the provision of a Comprehensive Hearing Test by an Audiologist. Q16: Line 1.5 pane 6 of 54 of the RFP solicitation document - "Additional/Optional Exams: Cardiovascular Stress Test— Echocardiogram." Page 4 Is the City referring to a Plain Echocardiogram or Stress echocardiogram? A16: The City is referring to a Standard Echocardiogram. Q17: Line 1.8 page 6 of 54 of the RFP solicitation document — "Additional/Optional Exams: Hepatitis A and B Screening" Is the City requesting a unit price for Hepatitis B Screening (HBSAB)? There is no routine screening for Hepatitis A. A17: Yes, the City is requesting a unit price for Hepatitis B Screening (HBSAB). Q1-8 -—Line-1:9 -oage 7-of 54 of the-RFP-solicitation-document —"Additional/Optional -Exams: Tetanus Toxoid - immunization" Does this refer to Tetanus Diphtheria (Td) or Tetanus T-dap? Which type is the City asking for? Is the City requesting a unit price for the 3 doses -or 1 single shot? A18: In Line 1.9, the City is requesting a unit price for Tetanus T-dap. Prospective Proposers shall provide a unit price for one (1) immunization, however many doses it requires. Q19: Line 1.10 page 7 of 54 of the RFP solicitation document — "Additional/Optional Exams: Tetanus Booster" Which type of Tetanus Booster is the City requesting: Tetanus Booster or Tetanus T-dap? A19: In Line 1.10, the City is requesting a unit price for a Tetanus Booster. Q20: Line 1.13 pane 7 of 54 of the RFP solicitation document — "Additional/Optional •Exams: Radiological Evaluation" Is the City requesting a unit price for a Standard PA & LAT Chest? A20: Yes. As outlined in on the fourth page of Attachment A: Medical Protocol for Fire -Rescue Annual Physical Examination Services,.the "Radiological Evaluation".shall include: "9. Standard PA and Lateral Chest (posterior, anterior, and lateral chest views)." Q21: Line 1.20 nage 9 of 54 of the RFP solicitation document. — "Additional/Optional Exams: Hazardous Material Team, Dive Team, TRT Physical" Is the City requesting a unit price for a Basic Physical or is the City requesting a unit price for a Basic Physical Price with Bilirubin Direct and Total, Cholinesterase, Heavy Metal and Tonometry? A21: In Line 2.10, the City is requesting a unit price for a Basic Physical with Bilirubin Direct and Total, Cholinesterase, Heavy Metal Screening Quantitative for Pb(Lead), As (Arsenic), Hg (Mercury) and Tonometry. Q22: Line 2.5 page 13 of 54 of the RFP solicitation document — "Additional/Optional Exams: Radiological Evaluation" e_City requesting..a_unit price_for. a Standard. PA_&_LAT Chest?__.._ A22: Yes. This test is optional and recommended every three (3) years, however it is for a Standard PA and Lateral Chest (posterior, anterior, and lateral chest views). Q23: Line 2.6 page 14 and 15 of 54 of the RFP solicitation document — "Additional/Optional Exams: Cardiovascular Stress Test" When the City refers to a Cardiovascular Stress Test is the City referring to a Plain Stress Test? Page 5 A23: Yes. The City is referring to a plain stress test. Q24: Line 2.7 page 14 of 54 of the RFP solicitation document — "Additional/Optional Exams: Cardiovascular Stress Test — Echocardiogram" .. Does Echocardiogram refer to Plain Echocardiogram or Stress echocardiogram? A24: Echocardiogram refers to a Standard Echocardiogram. Q25: Line 2.13 page 15 of 54 of the RFP solicitation document — "Additional/Optional Exams: CA 125" What is the City's intent in asking Prospective Proposers to provide "Manufacturer / Model number / Supplier part number/-Deliverytime /-Minimum Order -Quantity" -information -for this line item? A26: "Manufacturer/Model Number/Supplier Part Number/Delivery Time/Minimum Order Quantity" is not applicable to this line item and solicitation. These fields will be deleted from the RFP solicitation document. Q27: Attachment A - Medical Protocol Hepatitis A and B Immunization Protocol - On the first visit of the Hepatits B protocol, do the individuals to be immunized need to receive a (HBSAB) Titer before they receive the first vaccine? A27: The answer is Yes; with regards to. the "Hepatitis A and B Immunization Protocol' outlined in both documents for "Medical Protocol -.for Fire -Rescue Annual Physical Examination Services' and "Medical Protocol for Police Annual Physical Examination Services". Q28: Fire Fighter Basic Physical - On page 6 of 54 of the RFP solicitation document there is no option for Fire Rescue Cardiovascular Stress Test, nor number of units. Was this omitted or is this a mistake? A28: This is a mistake. An additional line item has bean added, via this addendum, to "GROUP 1 - FIRE -RESCUE ANNUAL PHYSICAL EXAMINATION SERVICES, INCLUDING HEPATITIS A and B PROGRAM.", so that Prospective Proposers may provide a unit price for "Cardiovascular Stress Test". Prospective Proposers shall take note of this change and utilize the revised Lines section of the RFP solicitation document to submit their "Fee Proposal", as required in Section 4, Submission Requirements. Q29: Fire Fighter Basic Physical - When it refers to Cardiovascular Stress Testdoes it mean a plain Stress, Test? A29: Yes, this refers to a plain stress test. ALL OTHER TERMS AND CONDITIONS OF THE RFP REMAIN THE SAME. KR/ yg Cc: RFP Fil Sincerely, Ke' neth Robertson Director/Chief Procurement Officer Page 6 CONTRACT AWARD SECOND AND FINAL RENEWAL RFP NO.: 03-04-080(10) DESCRIPTION: FIRE -RESCUE PHYSICAL EXAMINATION SERVICES TERM OF CONTRACT:, TWO (2) YEARS WITH THE OTR FOR TWO(2) ADDITIONAL TWO (2) YEAR PERIODS CONTRACT PERIOD- NOVEMBER 23, 2004 THROUGH NOVEMBER 22, 2006 FIRST RENEWAL: NOVEMBER 23, 2006 THROUGH NOVEMBER 22, 2008 SECOND AND FINAL RENEWAL: NOVEMBER 23, 2008 THROUGH NOVEMBER 22, 2010 COMMODITY CODE:. ..918,78;-948-42;.948-44: 948-55; 948-73; 948-74; 953-48 SECTION #1 VENDOR AWARD Mercy Medical Development d/b/a/ Mercy Outpatient Center 3661 South Miami Avenue Miami, FL 33133 Contact: Reuben J. Camp Phone: (305) 285-2944 Fax: (305) 285-2927 E-mail: scamprnercvmiami.org SECTION #2 — AWARD/BACKGROUND INFORMATION/ APPLICABLE ORDINANCE 1 NOTES C.0 AWARD DATE: SEPTEMBER 23, 2004 RESOLUTION NO: 05-0671, 04-0617 ANNUAL CONTRACT AMOUNT: See Below • AMENDED AMOUNT: N/A INSURANCE REQUIREMENTS: YES PERFORMANCE BOND N/A APPLICABLE ORDINANCE: N/A Notes: Pursuant to R-06-0629, all term contracts • have been converted to citywide .contracts with funds allocated from the various sources of funds of the end -user departments, subject to the..availability Oflunds and budgetary approval at the time of need. Second and Final renewal for the provision of -Fire-Rescue Physical Examination Services for the period of November 23, 2008 through November22,.2010. SECTION #3 — REQUESTING DEPARTMENT DEPARTMENT OF EMPLOYEE RELATIONS Contract Administrator: Hector Mirabile Phone: (305) 416-2110 Fax: (305) 416-2115 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, 11/14/08 Attachment to Addendum No. 1 to RFP 243229 NOTE: This contract has been reassigned from Commodity Team 3 to Commodity Team 2; therefore, Maritza Suarez 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 Attachment to Addendum No. 1 to RFP 243229 NTACT FIRST RENEWAL RFP NO: 03-04-080(10) DESCRIPTION: Fire -Rescue 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 Outpatient Center 3661 South Miami Avenue Miami, FL 33133 Contact: Reuben J. Camp Phone: (305) 285-2944 Fax: (305) 285-2927 E-mail: scamp(ahmercymiami.orq SECTION #2 — AWARD/BACKGROUND INFORMATION C.C. AWARD DATE: SEPTEMBER 23, 2004 AMENDED AMOUNT: N/A RESOLUTION NO: 04-0615 INSURANCE REQUIREMENTS: YES ANNUAL CONTRACT AMOUNT:.See Below PERFORMANCE BOND: N/A Pursuant to R-06-0629, all term contracts have been converted to citywide contracts with funds allocated from the various sources of funds of the.end-user departments, subject to the availability of funds and budgetary approvatat the time of need, SECTION #3 - REQUESTING DEPARTMENT DEPARTMENT OF EMPLOYEE: RELATIONS Contract Administrator: Rosalie Mark Phone: (305) 416-2110 Fax: (305) 416-2115 j SECTION #4 - PROCURING AGENCY CITY OF MIAMI, PURCHASING DEPARTMENT Sr. Buyer: Maritza Suarez Phone: (305) 416-1907 Fax: (305) 416-1925 Prepared By: Anna Medina, 11/1/06 Attachment to Addendum No. 1 to RFP 243229 N T A. T AWARD AMENDMENT NO. 2 RFP NO.: 03-04-080(10) DESCRIPTION: FIRE -RESCUE PHYSICAL EXAMINATION SERVICES TERM OF CONTRACT: TWO (2) YEARS WITH THE OTR FOR TWO (2) ADDITIONAL TWO (2) YEAR PERIODS CONTRACT PERIOD: NOVEMBER 23, 2004 THROUGH NOVEMBER 22, 2006 FIRST RENEWAL: NOVEMBER 23, 2006 THROUGH NOVEMBER 22, 2008 SECOND AND FINAL RENEWAL: NOVEMBER 23, 2008 THROUGH NOVEMBER 22, 2010 COMMODITY CODE: 918-78; 948-42; 948-44; 948-55; 948-73; 948-74; 953-48 SECTION #1 — VENDOR AWARD Mercy Medical Development d/b/a/Mercy .Outpatient Center 3661 South Miami Avenue Miami, FL 33133 Contact: Reuben J. Camp Phone: (305) 285-2944 Fax: (305) 285-2927 E-mail: scamp 8merevmiami.or2 POST OFFICE REMITTANCE -ADDRESS Mercy Medical Development Inc P.C. Box 281722 Atlanta, GA 30384-1722 OVERNIGHT MAIL Bank of America Lockbox Services Lockbox 281722 6000 Feldwood Road College Park, GA 30349 SECTION #2.— AWARD/BACKGROUND INFORMATION/ APPLICABLE ORDINANCE / NOTES C.C. AWARD DATE: SEPTEMBER 23, 2004 RESOLUTION NO: 05-0671;:04-0617 ANNUAL CONTRACT AMOUNT:, See. Below AMENDED:AMOUNT::N/A INSURANCE REQUIREMENTS: YES PERFORMANCE. BOND: N/A APPLICABLE. ORDINANCE: N/A Notes: Please find enclosed Amendment No. `2 to 3he.:;Fire-Rescue Physical Examination Services contract. The supplier's contact information has been updated-to;include the following: Post Office Remittance Address, Mercy Medical Development Inc, P.O. Box 281722, Atlanta, GA 30384-1722, Overnight Mail, Bank of America Lockbox Services, Lockbox 281722, 6000 Feldwood Road, College Park, GA 30349. SECTION #3 — REQUESTING DEPARTMENT DEPARTMENT OF EMPLOYEE RELATIONS Contract Administrator: Hector Mirabile Phone: (305) 416-2110 Fax' (305)416=2115.___.._.__..._ _. Attachment to Addendum No 1 to RFP 243229 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, 1/12/10 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 Attachment to Addendum No. 1 to RFP 243229 T ' C T AWA R D RFP NO,. DESCRIPTION: CONTRACT PERIOD RENEWAL PERIOD: ORIGINAL TERM OF CONTRACT: COMMODITY CODE: AMENDMENT NO. 1 03-04-080(10) Fire -Rescue Physical Examination Services November 23, 2004 through November 22, 2006 November 23, 2006 through November 22,.2008 Two (2) Years with the OTR for Two (2) Additional Two Year Periods 918-78; 948-42; 948-44; 948-55; 948-73; 948-74; 953-48 'SECTION #1 - VENDOR AWARD Mercy Medical Development d/ba/ Mercy Outpatient Center 3661 South Miami Avenue Miami, FL 33133 Contact: Reuben J. Camp Phone: (305) 285-2944 Fax: (305) 285-2927 E-mail: scampamercvmiami.ora SECTION #2 — AWARD/BACKGROUND INFORMATION C.C. AWARD DATE SEPTEMBER 23, 2004 ..:.AMENDED AMOUNT: :N/A RESOLUTION NO: 04-061.5 INSURANCE REQUIREMENTS: YES ANNUAL CONTRACT AMOUNT: See -Below • - 'PERFORMANCE BOND: N/A Pursuant to R-06-0629, all term contracts have been converted to citywide contracts with funds allocated from the various - sources of funds of the end -user departments, subject to the availability of funds and budgetary approval at the time of need. SECTION #3 - REQUESTING DEPARTMENT DEPARTMENT OF EMPLOYEE RELATIONS Contract Administrator: 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, 3/7/07 Attachment to Addendum No. 1 to RFP 243229 t� AUG-T6-2004 O3:19P41 FROM -HEALTH EVALUATION AND EXERCISE CENTER t306T8520ZT Ciro aJMiami, Florida F7rr-Rescue Phyrici t Eraminarive Servirar 6.1. PRICE PROPOSAL FORM Annual Physicals — Fire: D;.scrirrtioii Fire Department Annual ThyslcaT Esati 1) Basic Physical 2) Additional!Optional Exams: a) Speculum and Si -Manual Exam including Pap Srnoar b) Mammogram c) Comprehensive Hcaring TeSI d) Cardiovascular Stress Test 1) Echocudiagram 2) Thalliurn.Strcss 3) Exarcirc Mugo Stress Hepatitis A and S Screening Tetanus Tozoid immunization Tetanus Booster Pulmonary Function Tear 1) Flow Volume Loop 2) Post Bronchodilatory Study i} Radiologico{ Evaluation J) Flexible SISmoidoscopy l;) Colonosc❑py I) RPR rn) Hazardous Material Team Physical n) 24 Hour Holler Monitor o) Mentoux Teat p) Flu Shot c) 1) h) Est Ouartity Uni: Price 660 l;Xn`JS ?a_ 25.00 60 75 i 5 175..D0 G60p'20'SS $74 a1D• $ . t L00 2D0 55390 f^t,51�75� QO 9`95 500_00 330 S Zt2 n() 330 5 95 ffl 601t105 $ i0 61)�_e— S. 100-1, s 'z5,5224 l ..5, 24�00" 5 1 5 14 ').= 110. $ 10.00 .300 ai+� S 25. 00 45 i tiLftSvk , Li;jr Subtotal T-043 P.002/0l5 r-lit A'T'TACEV4ENT B RFT 11.1-04.080 Extended Price 00.00 dam• c:r1D b 1500.00 5 13175 00 S 16500.00 $ 2.1PR.ySn_00 5 79r100.00 r 0 5 5 Qgnn ctn. S 27cc. nrt S Z5rpt7 5 5 100, SS .. --5A9.6t IC>t� -_'apt • c iv'i O 0 -0' $ 33-75.0D r reat.on fl7y Ito ODD 5 10.00 �5 00 c 5125.00 5 10, 00 $7500.00 Gts"" 4't.ocD .1 $ 59' #30.00 WIta5;411 3CT+ �dcLen vw� (Viii 4 FP a11.3x9 AU0715-Z004 03:20PE1 FROli-NEAL7H EVALUATION AND EXERC :-E CENTe"c *3 "s2B528Z1 City of Minn- P'arida Fire -Rescue Physical Examinallon Services HEPATITIS A and B IMMUNIZATIONS Description 1. FEPATITIS A IMMUNIZATIONS In uceordance with Specifications (a) First injection (b) Second injection 2, HEPATITIS BIMMUNIZATIONS In ae crdanue with Specifications (a) First injection 75 $ 60.00 S 4500.00 /V . (b) Second injection 75 $ $0.00 S 4500.nn (03. o (c) Third injection 75 $ 60. OD 5 4500.00 (03. Do T-042 P.003/005 F-124 ATTACHMENT B RFP O3-O4-080 st• Extended Otiantity CJpit Price Pp* 75 $ 68. 00 $ 5100_DO f% 1 '-PE) 7S g 68.90 S 5100000 7 i, (/ 0 3. EEPATLTIS A AND B COMBINED (TWI7T.EC) In accordance with Specifications (a) First injection 75 5 90.00 $ 67 60. 00 (b) Second injection 75 $ 90.00 5 6750.00 L,(. �'} (c) Tltird injection 75 s 90.0D S 6750.00 `J �' r (d) Plc= listeny other charges associated with Witting this RFP and do :itr_ beim: Subtotal TOTAL COST FOR FIRE -RESCUE ANNUAL PHYSICAL CXAMIR'ATtQNS AND HEPATITIS RAND B IMMUNIZATIONS, SERVICES: (lb a. Marcy Outpatient: Center Submitted by: Mercy Nedlcal Development Name of Proposer Authorized SignantlrgS.. err'. ► (1 Nora: Quanr:ities indicated herein are estimates and are subject to change. S $ s 43950.00 6 603 5OO'0° Date: FATGURE T) COMPLRT'f •SI♦ N AND RETURN TIII FARM SNAL L DIROTIM.TPY_' OPOSA.L,. 46 t$s 141-04,1\tr\ v;n 'Ue. To PEP tF3 oq,2 �I PROFESSIONAL. It VICES AGREEMENT This A n cmcttt !s entered brio y- a. Ish 20( ..)y and between to ;:it, of 13,-E i, a municipal pen tion of the .State of Florida ('.0 itr"} ;and leres Medical Development Whin N'Icrcy Outptatittnt Center s"Pri elder- RECFfA L A. The City ktas is uud a -Request for Proposals (Kl:l' ") far tktc =;tratirision of E re- lAntas_FYP bscaF ;!i nint-ten 4c:r i___ { Sc Vt _ and rho id r'a p opos'I ('Proposal 1, -in response utcreita, has bee. 'se3cu'tcc3 as •the most qualified proposal for the 'Pr ion of the .Screices. The RFF' and the Proposal :ee svrnetitne< referred :to herein, titc,Solicitation 1)ocurnents y this reference incorporatedintoand triode a patt.of this Agreement. -B. 1`ilr Coin<ttt of the C.t1+'li um..b?^ t-s,sintion ao R tt:_�tuiF � adopted ore St >tcrnber 23. 20 0,1. approval the sclectieers r,i r tut idcr andauth©riretl -tlte Git}h°l inagcr-tt, to cute.contract,-ander the terms: aid conditions fa. t iterein- NO i, :TLIL:IZEFOIZE, in.eun ide.ration of the mutual covenants zsadprortiise:s herein :contained, Provider and the City agree as -follows: TERMS 1. RECIT.AL.S; The recitals ari true ant3.c;ortrct and are hereby sneer#nttrsued into and tonne a. pall of This A.Ertn:men . TERh1: The term .of this Agrccment shall .be -Pctr en ntitial 2 year :pcd co:n'ncrscsng on rite ciinitive date. hereof. Attachment to Addendum No. 1 to RFP 243229 3. OPTION TO EXTEND: The City shall have two option(s) to extend the term hereof for two (2) additional two year periods: subject to availability and appropriation of funds. City Commission approval shalt no; he required as long as the total extended term does not exceed four .(4) years. 4. • SCOPE OF SE:Rt'10E: A. Provider agrees to.provide the Services as specifically described, .and under the special terns and .conditions set forth in Attachment -.A" 'hereto; which by this reference is incorporated into and made a pact of this Agreement. 'R. Provider represents and warrants to the City that: CO i1 possesses all yuaiiftcat'ions 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, includins payment of permit fees nccupationai licenses, etc., nor in .the performance of any obiieations to the•City: (Pi) all personnel assigned to perform the.Seroices are and shall be, at all times burins', the term hereof; ful)v qualified •and trained to perform the tasks assigned to each: anif (iv) the Services will he.perfbrmed in the manner described in Ana; hment "A 5. COMPENSATION: A. The•amount.of compensation payable by the City to Provider shall be hased.on Inc rates and schedules described in Attachment "13" hereto; which by this reference is incorporated into this Aoreement; provided, however, that in no event shall the amount of compensation exceed 5,6{)3,500 (per.0ear)..A.n increase not to exceed 5 4 in the amount of compensation which Shall -be effective on the first dam of the first option period and retrain; in effect throuth the first renewal term. The second two (2) year renewal is subject to an increase of 5%, •whic) will ii:C:VSA Corp Res. s1, , rirn'+h?l04 Attachment to Addendum No. 1 to RFP 243229 remain in ticetitr during the second renewal tern. Any proposed shall require pnorCity Commission approval in each such instance, B. within forty five (45) d specifically provided in Artacionent " B payment shall tic made after receipt of Provider's invoice, which shall be ace( paMed hy sufficient supponinp documentation and contain .sufficient detail, to allow .t: proper audit of expenditures_ shcuid City require nne in be performed, If Provides is entitled to reirnhursement of traoci expenses ;i s11ta 1 ncn{ "$spn:^ " includes travel expenses as n ific item of compensationl..ther all Mils far travel expenses shall 115 submitted in accordance with Section 112.061.. iorid❑ Statutes. li. NERSIIII' OF' DOCUMENTS; Pr(sti'tder understands and a refs that an, irftsrmation, document reepor,.or any othe-. tsoe+=er-ivineit is given by the City to Provider or which tite-wise obtained or prepared by Provider pursuant to or_under the teens this :kereement is nrtd shall atalltimes remain the property of the Ctty.:f'ro. ides -agrees nett to use an}' such mforritatiort,,do;:unte tt,,re.pon-or n fo y otherpurpose saeversa� the written consent of itc; Yti tich war he 'withheld us conditioned its the Cara in i •discretion. 7. AUDIT :NNE) TNSf"ECf1ON'RIGI1TS: Tltc .City may, .at ,reasc+naule limes,. and for a period of up to :three i3.),years fi#ktwine'the. date of final payment :by the Citr.to Provider undcr:this Aereement. audit , a=cause to be audited (hu r is rl records of •Prcn ider whitth are related o.Pro: ider's .perfdrrnanee tinder this Agreement Provit place of -'business .for a period of three (3) years after final pa}atent is made under this A ereerrsmt. Attachment to Addendum No. 1 to RFP 243229 n :ill such hooks and records .at its pnncipal B. The City niay, at rasanable tithes during_ the terry h rcof...inspect-.Provider's facilities and perform such tests. as the City deems reasonably i ccessary. to determine whether the goods or services required to he ,providers by Provider under-lttis Agreement conform. to the terms hereof an; air the terms of the Documents, if applicable. Prodder shall make available to .the City all reasonable facilities Ind.assistance lofacilitate the performance -of -tests or inspections City Turin; ills yes All lasts and inspections shall be stihjcct ttt, mid made in accordance with, tie- nrovisittt r Section i s-1 nu & 1 S-101 of the Code of the Cale of Miami. EFlnritla. us sante may be amended or supplemented, from time to tin ha= ntat emnl RT) OF AGREEMENT: Provider represents and v•arrants to theCit, that. it etaittctl this Ayrccr e it and Mtn cum is. C with, Axe ay. ar d Lrt as no PUBLIC RECORDS: n person,ur co i pany employed by the Gnv to solicit Cr secure ffcred_to past paid, or agreed .to payanyperson an 1e • fee. 'or Yift ref tttly kind eoniinsrent upon o Lion Provider crnderstands that Ile public stroll tt lye access, at all r asc:nablc ;lines. te7 ull doctirncnls and inforntatinn pcnaintng.10 City contracts, suajcet 10-the :provsinrts of Chapter 1 I9.:Florida:Statutes,:Ind csgrees tn:aliou -uxees by -the City and the pshle to .all documents -subject to.disciosure under ,applicable law. Provider':s failure.orrefusal-ta comply=with -the provisions ztf this st:ct'ion.shall result in :the immediate cancellation -of this .Agreement-hrthe City. 10. COMPLIANCE FEPLRAL.'STA1'f: AND LOCAL LAWS: Provider under stands.thaiagreementsbetsw'eenprig iscn:II ieaundloelulgovernments :re:sub}ecrto:certain laws and,re.pilations. teclud3: 1as, Attachment to Addendum No. 1 to RFP 243229 le to public records. c.onilict of interest. record l.eepin ,:etc. City and Provider:ai ree to ct)rupl;=-with and tpbscr c all applicable laws, codes and :ordinances.as-they may be amended front time to three 11. INDEMNIFICATION: Provider shall indemnify, defend and hold harmless the Cit and its officials. employees and.agents (collectively referred .to as "Indenutiteea) and each of them front and against all. loss, costs, penalties, fines, damaves, claims, etpen .attomey's.fees) or bah' Iities (collectively reierred to as -.Li ties-) hy-rcesan of any injur, 10 nr death of any person or darnage to or destruction or loss of any -property arising out - of. resulting Frorn, a: in connection With (i) the performance or -non perfornance rth services cont:molar ed men1. winch is or is alleged -to be dirt or indirectly caused, in whole or in part. r+. v default or-1leglne, (ssIicthcractive or pass o(-Provideror its employees, iigenis or subeontruelors-(colleetir elv rcferred.to as `Providi,r ). r igardlcss of wbetherrir is, or. is alleged to be. caused in whole or part iss}tzcther .)nitSSit3', delauIl nr negliscene t. concurrent or cone bultngi b_, a ny act, e or .passive,! *Silt nu tees, or any of them Or 'fill the failure of the Provider to complg:with:an cif the paculraphs:herein or he failure of the 'Provide] to conform to -statutes, ordinance .or other revolutions or requirements of any ro'e-ertirttenlal authnritc, federal trrstate, to conareetion,with the. pert.). lanee_of 1115 +'et1re Provider etrr ssix• agrees to indemrrify.and hold harnless . the And ernritees, or any of then and ayyainst gall liabilities Which may he asserted by an employee or.fonn_r employee„of Provider, or any of its subcontractors, as provided above, •for which the -Provider's bah (ir}' ao such emMoyer: -0::former mployee would otherwise he limited to pap:teats under 5aaie Work Compensation or similar -lows, I2. DEFAULT-: 'If 'Provider fails -to comply .with a ten n err condition -of this Aeroerncnt, or fails to perform any ot"its.ohlivations hereunder. then Provider shall he in default. 1Jpan the Allachmenl to Addendum No. 1 to RFP 243229 occurrrn:e of tt (inlaid' hereunder the City, itt zitlditior, 10 all remedies available to it by law. ratty immediately, upon written notice to Provider, termin tic this Agreement whereupon all paytnents. advances, or other .ccm compensation paid hy the Cit+. to Provider while Provider wets in default shall be intumcdiatclt° rett ed to the City. Pr0v10er undcrstanns and ttgrecs that termination of this Ay mitten: under this section shall not release Proeter from an obiigauon ,accruing prior to the effec If of termination Should Provider be ueabie or unwilling tc,cuttntencc to,perfomt the. Sc—vice s within tttc time provided or contemplated herein. then, in. addition to the forcgaing, Provider :shall be Iisbte to the City:fo at. Lxpcn`es in_urred by the City in.prenarttior and nettotititictn of this Agreement as well us all costs and expenses incurred h} 'the City in t prodinemcn1 oldie •Services. srtehiding consequential and incidental damages. 13. RESOl.1.'110N OF CONTRACT DISPUTES: Provider enderstandt::and a=rare°es 1 all dispute., tctvseen Provider anti tit • Cie .hat;cd opera a alleg 0tlatian of the terms of:this Aarrcnmen hv..the Cite- shall be submitted to the City Manager ICI rat. ltei te5ttltlt 011 herewith, 11t the event that the attail€umt of nmtrvn atinr hettrcatnilrer exceeds S25.001+. the Cite= Manager's dents pet shalt he iv:Cocsntission. Provider shall not be entitled ice cc. judicial are approved-0 titled to :stick tudicial relief in COn1100 saotmrnv r Iief unless: (is i1 has .first received .City iManager'a 'written.decisioe apprbvcaI.hy the City C-tmmn1issiC n if the arc lmi',dlsatl011 hereunder exceeds 5'5,i1D0_ nr ioc (MO dos has expired, mice suthin tuns to the City ivlanauer a detailed statement of the dispute. .a eortltanic•d tv; all upporting, documentation 191 days if Cur vianagcrns decision is subjbet.ttt City Commis approval); or tut) .City has waived cotllpiiaacc with the procedure set forth in this acclitn by v, ten instrarnent5. signed by the City tilaraacr. C1TV S"i'Fitvlt\.ATIC)N RIGHTS: (l,^s is_ iS. I.t^zry f-i�5 h htiala'rJ:+�: Attachment to Addendum No. 1 to RFP 243229 tt The Citvshall na he right to re mime this Agreement, in us sole d 1. at ;Illy time, hreivide written notice to Provider at least five (5.1 business days prior to•th:.effective d ut• of such lcnninstion. .ln such event. the Coy shah pay to Prav- der compensation for services rendered and csponses incurred prior•tn the effective date of tem1inution. In no event shall the Cat be i>abl o »rnuder •for any° actditianal compensation:. other than tinat. prov°idcd herein or for any conscc{uential or incidental damages. S. The City shah have the right to terminate this i\ercement, without -notice .to Provider, upon the occurrence of an:event of default hereunder. In such event, the City shall not he ohlieaiod to paV any.arnousus to:Provi and Provider shah reimburse to *he City allamounts received awhile Provider -was tat default under evens Agreement. 15.-1NSi'RANCF'7. Provider shall, at .all tunes during 11 tern licreof, maintain such insurance -.co ;:tge asnrav he retluired'hvlhe Cn5 All such insurance, includity, renewals, shall be subject to the appro..-al of the Cit for aoetluacy' of" protection.and evidcncc•of such age sha!I he fa Shed to 1h..'City On. Ccrriircaies:o; insurance indicating sucla.insurance Its he in force and effect and providing that .itwill not he.canceled during.the .perfonnance.of the services under .this .contract +vithout turn} f3(i) calendar days _prior written notice .to the City, Completed • Certificates of insurance shall bo filed .with the .City prior to the performance of services _itcrcunder..provided, however, that Provider shall. at any' time upon.rcyuest file duplicate pies of polic'ies,of.sueh insurance with the City. jud_ment of the City. prevailing corulitjons.warrant the provision by Provider of additional iiabilit.; ansurmc. r-oieragc or cove raecavhielt is diileum tin kind..the City reserves the right .to require the provision by Provid^r of an amount of coverage different .from the amounts or -kind prerinusly aetluired and shall .ailbrd ++dMen .notice of such change in A :-wt,�51is Attachment to Addendum No. 1 to RFP 243229 ret}uirerucnts tinny (30) s prior to the -date on which the requirentents-shall take effect. Should the Provider fail or refuse to s.nisfy the rcguircment of changed ooyerage srhitin thine (3O) days wing le Citv's written nonce, .this Contract shall be considered terrnit led on the bate Ih.n.the required change in pohc-y;ovcrase wouhl otherwise take cffec;. 16. NONDISCRIMINATION: Provider represents and warrants to the Cite that Provider does.nnt tad .rill not el ±iscrimi;tasory p;actice;;.and lhat there shall be no-tliscrintinatio in Conn with Pro s perforator) cc tinder this Itgrecmcni on account of race. coln sex, rclicion, .age, handicap, manta! status or national origin, Provider further .eovenants that no otherwise ,qualified individual sir t'si 3v bye reason or, ser religion handicap. marital status or stational origin be excluded fromparticipation in. be denied services. once sohiect to.discr :unpin aeon under any provisio of this •;igrcemcnt- 17. MINORITY AND WOMEN N-l1USINESS AFFAIRS AND PROCUREMENT PRC)c:RAM: The fit l• has established a lit+ority and •Sitomcn business Affairs ,and .Procurement Proera€^ (the •-M!\1=.ill; Pros,ram") desinned to 'increase the 's=.olumc of-:Ciry procurement -and cotnratts ssith Bltai:€, 11ispanic.nod Women -owned 'business. The 'MAYBE Progrmn ound in Ordivana' No. I(1h02, rt copy -or which has.heen- elivered,to.:and receipt of a:hich in hereby ackr owlcdgec by. Provide have tltc to.=limit utderstands and agrees -that the C ty shall terminate -and cancel tl is Agreement, without notice or pemilly to the Ci:.,. and wid r front considi r:ttior: atri panicipatian in future ntrstvts.if Prid the preparation andin: •submission of tin proposal, suhmitled false .ofrn`islcadine information as to s status.as Black, it anic andtor'•1vomen -ass city or women owned business participation. 5 Attachment to Addendum No. 1 to RFP 243229 lIS10 IS andior.the cp. r c and/or-t,;7.tc of PA. ASS1C;N11EN P: `I'his Aorecrosnt shell not be assigned by Pro'vvider, in whole or it pan, without the prior tvrittrn eonsent of the, City's, which may be v: ithit etd of otxlitionud, in the C:ity's sole discretion.' 19, NOTICES: All notices or other communieutiotts required under this :'lgrecrnent shall he in 3inh brigand shall.be. Liven by hand -deliver' or by registered or certified G S. 'tail, return .receipt requested, addressed to the other parts at rh: address indicated herein ar is such other iddress as a pantie may dust mate by noiicc given as .herein provided. Notice shall he deemed given on the day on which pep mall}° delivered; or, if by mail, on the.filfh.dav aftcr.heing posted or the date of actual receipt, •u; hichever is earlier TO PROVIDER: .Sandra t.dhan .Administralor_,Mcrev Outpatient Center Mercy Medica3 Development d/hta Mercy Outpatient Center 3661 South 'MIiatni Avenue iiatni. ? L 3313 3 E CITY: Ros tliL.. Mark Director.. of Esnnkwee Relations City of Miami 444 SW.2nd Avenue,'` Floor Miami. Florida 33139 WITH A COPY TO: .,tor nc L.Eeruandez Cite Attorney City of Miami Office of the City Attorney 444 SW _n' Avenue. Suite 945 Miami, Florida .3313E 0. MISCELLANEOUS PROVISIONS: A. This Agreement shall be construed and-enloroed.according to the laays ttl the.Statc afFlorida. Venue in any proccedines shall be in A1i:uni-li do Count}, Florida, Attachment to Addendum No. 1 to RFP 243229 6_ Titie and paragraph headings arc for convenient reeerenec and are nor a part of.thi Ar'ie etnent. C. Ntl Waiver or breach of any provision of this Ft_teemcnt shall constitute a waive,- ns :subsequent breach of Ott same or any other provision hereof, and no waiver shall he :tr e unless mark in writing. D. Should .any .provision, parai.traph, 5 nt:nce. avord or •phrase contained in It.. Agreement b: •detcrnnned by a court ofcontpeteni jurisdiction to bcanvatid. illegal or othenvtse unenforceahlc under the to s of the State of.Florid or the City of_h'ii:ntu, such provision, p t a_eraph, sentence, word or phrase shall be deemed rnodiTt to the extent necessitry- in order to :or:for . win _such talcs, ttr if not modifiable, then s one shall.he deemed sevoranlc., and .in either event, ., tire r rvainini ternts and pi' of .d is illigreerrient shall Terrain irrsnodified-arid in Full force and .efleet or iimittttiott f i s use_ F:. This Agreement constitutes the sole and entire aercctncnt between the parries ltercto. No modification or:amt°ndment.hercio shall •bc valid .unless in .al-rftitia nld c'cented by rrfnp'.'Th 11111110r:'01017,.73z e5' 11til1 Soo Jn parrot: licrelo. t, :SUCCESSORS AND ASSIGNS: Thhi :•AOTcemcni shall .b biniiin upon .tloi parties hercio, their heirs. executors, legal representatives, su Sots, or. 22. t.NDEPENDENT CON'IRAC7-OR: Provider has been procured .and is .bcintrr cnaged'tc provide s vices to the .City, as an independent contractor, and noi:as ail agent or employee of City. :Ace rOLn ng1}', d'rol°idcr stitil nor etatil, nor be entitled to anv.ngh.ls etr benefits underahe'.Civil Ser ice ar l'ension'Ortiinanecs of the City, .nor iillp rights crally utiot'ded classified or unclrtssilied eniplovecs. Provider further understands • that Florida 1t orkers' Compensation bcncliis, available to craplovees.of the Ci3}' are. not available to Provider, 1 0 1 Attachment to Addendum No. 1 to RFP 243229 and apet:s10 proval,..: worker.c' compensation t0500attee or any ernolttyce Or agent of ['newIcier TtMclerin2 SeTV1,,eS 11It' (My unchtr thht Aurreahent 23. (7()N1IN(;ENCY CLALIST: ruuding :for thi!,c LF 10000 1 chnlingen: f§! avaIkibilityof futict,-, and continued ttuthorizatiog ior program tictivilics and the .Agrenhent static:et 111 amettathent r,u termination duc to lacl innt.15, reduction Ot hitt& tahl,Or•on m 1t....1.,AlIntion upon thirty 130)000 nonce 24. REAFIIMIATION 01 RI r1tE',V\ r i Y0 1 ruoid r 112roirw of the • representatioris cortrtinel in the Solicitation Donnnenti,. 25, EN"FTRE A( IZEENIEN'.1: This iristrurnent and its ifitachrnmts constittitv littl .S(.11t .and • fr::;# ordy agreement of Ow parues relanny... ui)jec..'. 'Matter6 01 and corrzctE 107.th thf.: lights; and obil.1.0;:ont,01 x.,:i) th1* 0 1 claw Any ,prieral;:.T.Itn.u.11.1s, prorttiser,, ,negottattorts. Or rt,prtn0111:1:10I1S-ilos•L.Apre000y set forth trt Ott..,i.qrttement are of no forrtx 011 aflect, 26, COUNTERPARTS: This Aereement Indy be execThed in 0A'1, or more cotmterertrt,t each0 0.FSh0lshall comiutun: Ow. all Laken ik),S„..citrl. thatl conttlit.ute one thui the same 0.n.T.21n.:= IN WITNESS. WHERII0F, 0 *1!.:,;„ ilaVe L:11110td :111S rin_,;t1 101t,111 to Ive. cAccutcd thir respiXtive officails•thereunto duly autholithal, this the die,•:' ortd sttar :,A)ovr: written, 10. !z; 10 Attachment to Addendum No 1 to RFP 243229 "City' CITY OF MIAMI, a municipal ATTEST: corpu(riitiion hont:tsot City Jo Arrioia Cp1����lantrt:�r lJ .AT TES t3 C;;i :-rry Riashhtrcn ate Secrciarr APPROVE[) AS TC) FORM CORRECTNESS: Attachment to Addendum No. 1 to RFP 243229 'Provider" Mercy Medical Dtwii:lonment d h a Aiercv Ouipaiicni Center Florida not -for -profit corporation I3ti�-%>n Ynt Print ;Naiile: 'Join i3atuska 'Title: President .APPROVED AS TO INSURANCE 'Ri.QUIREMENTS: I?tniaF Carrillo e Risk 0.ia teemcrr, trator 12 e±,1 Mom, fior4:10 r,ACVS11, Esumi, a lion PFP03-04.01j Attachment A MEDICAL PROTOCOL (Annual and Hazardous Material, DIVE TEAM, AND TRT Yhysicals - - Department of -Fire Rescue) PHYSICAL, EXAMINATION TOMPONENTS Medical History - Provider shall obtain a complete -and thorough medical history on she employee. Provider must. .alsc perform .a Eealch .Rish Profile on the employee. The puxpose of this appraisal tooi. is to identify a person's major healrh risks .and •how lifestyle habits thehe riskh, This confidential profile shouad prioritize an. explain the necessary !.ife-'style changes to reduce risks, Soecitacations; The nrofile should' na've che :followinc •characteristiosa I. PrOdehis the releeinnshro bee en chronological ape ,aufid risk .2. The profile will clearly and conciaely .show participants both •immegiate tng losp-term effeccs of their life-styles. 3. •The profile :used will be one :ttlat Can CieriVe management :report .identifying the relationshin between healfh risks and costs 1:C., the_organization. NOTES: the Health Risk Questionnaire will be filled .out on the first visit and will -be :reviewed during employee - physician consultation_ Physicaat. 'EP:amination i3y Board cert:tiied Physician .Physical Examination DONE BY INSPECTION, PALPATION, PERCUES-iON ANC: AC:SCULITION fo lnolude re General appearance Height Head, Scalp, face Neck (THYROID, LYmPS, VESSELS) Ears ',INTERNAL AND EXTERNAL CANALS AND CERUMEN) Attachment to Addendum No. 1 to RFP 243229 tny Irhusni, thwIda fry., -Ram, Physiral EtonlIMUMN Servi,e, 03.114-08(, O AR DRUMS IoERFORATION) Nose tSINUSES, Throat: UCONDITION OR TONSILS) Mounb (TONGUE, TEETH, Ni)A :Spine (CTF,EF MUSCULOSKETAL) Skin tSCARS, RASES) LYMPHATICS Upper extrematies (STRENGTH, RANGE OF MOTION). Lower extremities ;STRENGTH, .RANGE 143730N Lungs, chest weld, :breasts (PHYSICIAN WILL OFFER TO PERFORM BREAST EXAMINATION), bsck ✓ asnular _System (VARICOSITIES. ETC.) Hear: (-thrust, sice, rhythm, sounds) FtndoOrie system T,P,R, tre/P both arms) Nearolog.t.cal evaluation Mennal Scanus, memory, drientat3on, judgment, in:ellec:, affect Abdomen, Viscera I,:heck for hernasi-EVAI,UATION INSPECTION, PALPATION, PERCUSSION AUSCULTATION) External Genitalis - EVALUATION EY INSPECTION, • PALPATION, ..PERCUSSION 5 AUSCULTATION) ANUS AND EECTUN - DIGITAL . RECTAL EXAM tOPTIONAL FOR XAMINATION 'OF PROSTATE IN MEN AND TO CHECK FOR THE EXTTENCEOF OCCULT BLOOD IN 'EOM 'MEN AND WOMEN, Laboratory WarS-op I, H:estat:olc.oy oanel Complete .:Bricoa Count iC'EC) th f.fereot.a1 Siochemistry Profile 25 and Complete Idpid .Wt,3t,h :ratcics apd For iThyroiti) dirineayls tMcnacc,pio) OpthalmOlogicel Evaluation -i. Visual Acuity - -.Both corrected and uncorrected vision should be tested and record.ed. .Nole A mon:Sly repot-t should be :forwarded tc :the Departmezt of Employee ,T,Ielatiohs listing employees -that do hot meet the .rec,uirementai 20/40 one eye and 20/100 other eye, _uncorrected.; 20/20 one eye .and 20/40 in rhe other eye, corrected. It shodid elso be acted lf ihdrvitival -wears olasses or- contact lenses_ 2, Physical Examihatioc foy Board Certified Physdcian• to include! 4 .A Attachment to Addendum No. 1 to RFP 243229 City Qf MamLnorich: 12F1' 0441440 a) d) Pupils Extra -ocular movement Conjunc:Iva Sclera FundoscoTtd examination Ccicr v,sion Pulmonary Functron Test iScreenino for obstructive and •restrictive diseases) Vital Caoacity and FEV 3 "Utthze a spiromater chat measures .function .by volume, not flow. Minima1 reported information should be FVC, FEV 1, FEV 1/FVCI, FEE25--75%, .and .All volumes should be reported in absolute _values (liters), as well as percentage cf age., sex, and :adjusted normals. 2. Any firefighter who falls below 62)2 of the saandard norm as a result o1 est I. (above), shall. have a Flow Volume Loop, and .a Pa5t Brononoalia)lator study. 222 San Tes: - Performed by Mantoux method trequired). Elentrdbardiodram Ewelve .77<(7 Eepar, witl) mounted ..rhythm stri,p inciltae.a in•medical -chart. AudidiopOcal Screening Test normal bearing .range, 502 to .2000 HERTZ, usina high ouallry •e..m1).)-ipmena. in a sound treated booth or room_ Alternatives for :sound treated booth or .room must be reviewed and agreed upon by -the City. Note: Upon failure of an udiometoic screening, exceeding levels of 25 dB for freauencies 500, 1000.and 2000 •Ho a: dbe frequency in -either ear, a domprehensive evaluation will be conducted. 11). AZEITTONAL/OPTIONAL EXAMS CPTIONAL Sosoulurs and binanaal examination, tnciuding Pap smear. 2.Mammogram tfemales over 25 years of age). ".17?S;) 50 Attachment to Addendum No. 1 to RFP 243229 16 c rug, fiarutu OFFER FIREF MALES Ph),WOLFem„uirrf**'�•: ,Scrvt MALES. RECOMMENDED FOR r4AL M1�. 40 AND OLDER; AND A E x'i -A}1 R=`AN 4 DIGITAL RECTAL i tAL... . 'ND FEMALES, ' MALES ONLY . IN ,:DING A STOOL -.. .,S. FOR C=LT BLOOD . . Ccisp e: T: e Hea vnq Test Cosicrehensitve licensed - .Erstory - External otoscor ._... - C omp'r'?1e impedance exam_nat7•on Nate: =er.artne A monthly report:hzu lose .._i>L and .2000 •Hzmcyc. . Ca_rvi .ass l:: ss , PRO:STATIC EXAM be fcr a1 sss s test shall de admand.stered is ith - posit_._ nis err of cardiovascular msdives or their- Lamdly, and Cc- sll those 4D ye. r" , w odder i e_7 -recommended 5 _he _h.a -YA ...: al tests-^t,3.,�,+ 8. Pulmo the Scree:ling :HES ^) - RECOMMENDED -EVERY 3 Test _Cusp. »-e flow to lung volume sensitiverlzzat..F::" of•eactiv Post Leone'. 1� l (Side Arm Il �Lli7in asthma, • ., ,..;fit• 18 . SAN -This test measures the response of the lungs to brc chon^.iatian i.r. .comparison to normal ventilatory :Patterns ;his determides tUe. .,ercerta small _ . vatic an^ _ s re ___-obi» Attachment to Addendum No. 1 to RFP 243229 E.kanwJah. ServLfJRF1'.0.1-0a.imo -9. Radiological Evaluation - RECOMMENDED EVERY 3 YEARS Standard PA and Later:al .Chest: anterior, and lateral chest views). 10. Flexible Sicamodoscopy -- or _firefighters 50 years and over, or tic be monducted upon recommendation of the examining physician. 11 Colonoscony - For firefidhters 50 years and over, or to be conducted unon recommendation of :be examining physictan, 12. RF,P. • 24 :dour I-ioltsr Monitor 14. Flu shot ADDITIONAL I. 'Tetanus Toxoid Individuals who have not previously .been • :immunized :shall receiNe the :standard initial three -dose regimen. Those who h ave not received .a boosterwithin 1.0 years shall Pe no Immunised. 2. Hazardous rlaterial Team Physical, DIVE TEAM, TRT Basic. physical, plus: a) .EilirudSo Dtrect :eod Total 6) Cholinesterase c) 'Heavy Memal scrf.,ening Qu.antitative fbr As (Arsensc), Eg AMercuryI d Tonometry 52 Attachment to Addendum No. 1 to REP 243229 C., 03(411m, Phy.ikni Evr,ict, HEPATITIS A AND H IMMUNIZATION PROTOCOL Hepatitis A immunization protocol shall be conducted as follows: - The first visit shall include tralnind mocisle_ This visit she be scheduled between 700 a.m. to 300 pm. Monday through .Ficeisyt, excluding legs1 holidsys. After the tral.ning modhle, Lhose individuals to be immunized .w11.3. be .olveft 'the filist eiase of the hispepitis -A vaccine 1,1,tisvrds1 ;Adult) followed by the second injection six months after the ifrst, -emetiftis A does hot remit:ire a dlood after. •stmdinistfoh. Thee oaccihetfons w1.111 be by intramuschltair injection. The dosiho schedule lids .Hapithitis A vauchstioh is (0 and months). Hepatitis B immunimaticn protocol shall .be conducted as follows: The tirst -visit shall include a tirsfhlhg modhle and 01R0A) titar. T aysit shall. he 'scheduled between 700 .to I:00 -montley through VTidaV. After the trainfho mmdule, end the-- ii1111,0ABI titan if spplfcable, those. individuals to he m0.,,,,:tnitria will be given the synthetic sacchhe je.5. P....eommiofeax HE cr Ehdettlx .F.Ftl. These macdanstions will be hy _intramuscular ihiectiehr. - The seetisid off,siTt consist of the iniffel. injection ollowed by the second inj.ection che 11) month after the first, end the third irdectimn, -six t91 months aiter.the first. A iHESABuiter he drawn lo-2 months .after the last injecofon. Tt is how recommendod that ::hose indivinuals .who .do mot deelootoositios .0REABis a primary setries, repeat the entire series. Hepaitiitic-A sod E. oomhfhstion vetdcihe 1...Twiffrlx11 -protoftil snall bet comOuntad as imllmnt:s: - The first visist shall inmlude a training -module. This oisit. snail. be schedhlieh betwean 7:00 is.ns to 5,t;t00 Nundy thouga Friday, .excldng legal holidays. - Aft er fhe mrs ihihg mogul et, thoss rgivi dual s to be im:sonimed be -gven the first Mose of the mymit-hetic -10 tj "::;,y the saufthd isteptfon ohe 1,11 tk1.1 53 Attachment to Addendum No. 1 to RFP 243229 Cay r!Of wor, 174e-PCSCIii• b.,-11,011.1(10, ?if 03,04,..00 at ,L.e.lt the Theze ve.z.c by it. and E rzottbi.na 'Lion vaccia t.0-1 -a 6 tnonth.o Cc,velts, empicyee c la : E'iTe afl. swc.1-21) t";!. Other::. as actsigna.t.t.-eci Attachment to Addendum No. 1 to RFP 243229 AU2-20-2304 03:19P61 1 n011-FEALTF:.EVALUATION AYG L24R:111 CE4TEe :20°.2:i99Z7 T-343 P.002/S:5 i-;i, ATTACli'1Ei_ City ofMiumi. Florida Firr-Rctcuc lius. .,EsnminutUr. Scrsicc, 6.7. PRICE .PP2CiPOSAL FORM A.nnunl Physicals - Fire: Ps trtnnn Fire Department Annual Physical Exam 1) ?losia. Phpvuf 2) Addatiar.3il0pticnci 1:•.c31111' .al Specultun ton Bi•M nual Exam fatiudin0 Pap Saxeat b) Memmcgrun C) ;oroprehtnxivet Hearing Test d) Cardiovascular Suess Test 1) Etchocudiogram 2) Thallium Stress 3) •Exercise Mugu StrerS c) Hepatitis A end E3 Scroenfng f) Tetanus Toxuid Immunization g) Tetanus Booster I,) !'4munmy.Function Tcst 1) Flow Volume Loop 2) Post Eitonchodi:atmy Study i) Rxdiolpgicel Sivaluacian j) FlexibleSipmoidoscopy k) Cotonusccpy t) RPF. rat) Hazardous Material Tenm Physical u) 24 Hour Holm; Monitor p) .VMaotoux Test p) F{u Shot Attachment to Addendum No. 1 to RFP 243229 Ousttizy.'Ur''r:ieo 660 c CO'c, 60 75 S 775.CO 4,60 5 7 S r 574 200 c p., 0 SS CIO 9 S�Il.110 33U 5 1n n0 33G S 7s a9J -I 5_�4 r1p G0 S iOO 6C $ L 00 100 $ cn . D 8 24 .0 .., 53. 0 g 1Cs.00 300 y 25.00 45 Extomfed ?Tien 0 { L" 5 Z30C..00 $ t3`75 QO 5nn R0 C 5 71><rir 00 L O ;11.29(0 5 71nrar.no C 5tr,:t(r. 5 ,Enn ap .5 o9nn 0n 5 ansn n2 S 25 CC 0.00 5 3375: 00 rec-v0 s 10.00 s 2125.00 c 10.00 5 7500.00 L.1%.7D --5at IOD . _La •' F-rOpIC 02y '7 ILI ^Do 0 23ZP EAT EYALUiTM.N. P Cic-, Miami, Fbars.6.1 4.zzminurican.Servin, HEPATITIS A and 13 IMMUNIZ.A.2 IONS .Est, Deserinrien Qua:lily Unit Pr:e I. HEPATITIS A IMMUNIZATIONS In accottloncr. with Specificationi 3-.7.04 -CEO 'Extended In) Finn injection 75 •S SP, 00 S 51_00.00 (b) Second inj--1-non $ 6E.00 00,00 2. HEPATITIS 0 uvrmtRozATIoNs In accordance with Spet.-iftzalion: (a) Fist injection (00 Second injection (i.:1 Third injection 75 s SO. 00 5 4500.00 75 S..oQ_0C 0 OM() 00 3. FIEPATITIS A AND B COMBINED (rwiraux) in eccutdancc with Specifications (0) Firm init.-man 75 (t) Second injertion 70 (0) Third injection 75 (d) Plc= list any other etargqt alsacsatthd with fullittinp this RFF anti dcu-rii,n bc1mr. 60 CO si500.00 q0. 00 5 90. 00 5 90. 02 s 6750.00 -5 6750.00 S s 43930.00 tsbrotol TOTAL COST FOR FIRE -RESCUE ANNUAL PHYSICA.L EXAMINATIONS AN» HEPATITIS A AND I(IMMUNIZATIONS. SERVICES: 5.-67-5?‹... 0)) 603 500100 Ube'. bercy Outpotienr. Ctntr: s.,,brrumd.by, Mt7.-cy Merit:Li Bevel ppmer. Dam: g' 1/ -Name of 119peter Authorized Signatu4,., Note: Quarricies indicated herein are esdniates and are subjeur i change ri•al_orar TY) CO vt/9-ere_,,Rich: LW/ ftf TURK THIS FORM SHAM, PNOT JAI JFY PliCOMAL. Attachment to Addendum No. 1 to RFP 243229 C CONTRACTH T A SECOND AND FINAL RENEWAL RFP NO.: • DESCRIPTION: TERM OF CONTRACT: CONTRACT PERIOD: FIRST RENEWAL: SECOND AND FINAL RENEWAL: COMMODITY CODE: 03-04-081(10) POLICE PHYSICAL EXAMINATION SERVICES TWO (2) YEARS WITH THE OTR FOR TWO (2) ADDITIONAL TWO (2) YEAR PERIODS NOVEMBER 23, 2004 THROUGH NOVEMBER 22, 2006 NOVEMBER 23, 2006 THROUGH NOVEMBER 22, 2008 NOVEMBER 23, 2008 THROUGH NOVEMBER 22, 2010 918-78; 948-42; 948-44; 948-55; 948-73; 948-74, 953-48 SECTION #1 — VENDOR AWARD Mercy Medical Development d/b/a/ Mercy Outpatient Center 3661 South Miami Avenue Miami, FL 33133 Contact: Reuben J. Camp Phone: (305) 285-2944 Fax: (305) 285-2927 E-mail: scamp:r8.mercvmiami.org _. SECTION #2 — AWARD/BACKGROUND INFORMATION/ APPLICABLE ORDINANCE / NOTES C.C. AWARD DATE: SEPTEMBER 23, 2004 RESOLUTION NO: 05-0671; 04-0617 ANNUAL CONTRACT AMOUNT: See -Below AMENDED AMOUNT: N/A INSURANCE REQUIREMENTS: YES :PERFORMANCE BOND: N/A APPLICABLE ORDINANCE: N/A Notes: Pursuant to R-06-0529, all term contracts have been .converted to citywide contracts with funds allocated from the various sources of funds .of the end -user departments, subject to the availability of funds and budgetary approval at the time of need. Second and Final renewal for the provision of Police Physical Examination Services for the period of November 23, 2008 through November 22, 2010., SECTION #3 — REQUESTING DEPARTMENT DEPARTMENT OF EMPLOYEE RELATIONS Contract Administrator: Hector Mirabile Phone: (305) 416-2110 Fax: (305) 416-2115 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, 11/14/08 Attachment to Addendum No. 1 to RFP 243229 NOTE: This contract has been reassigned from Commodity Team 3 to Commodity Team 2; therefore, Maritza Suarez 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.COMIPROCUREMENT Attachment to Addendum No. 1 to RFP 243229 RFP NO.: DESCRIPTION: CONTRACT PERIOD: RENEWAL PERIOD: ORIGINAL TERM OF CONTRACT COMMODITY CODE: (P T T FIRST RENEWAL 03-04-081(10) Police Physical Examination Services November 23, 2004 through November 22, 2006 November 23, 2006 through November 22, 2008 Two (2) Years with the OTR for Two (2) Additional Two Year Periods 918-78; 948-42; 948-44; 948-55; 948-73; 948-74; 953-48 SECTION #1 - VENDOR AWARD Mercy Medical Development d/bal Mercy Outpatient Center 3661 South Miami Avenue Miami, FL 33133 Contact: Reuben J. Camp Phone: (305) 285-2944 Fax: (305) 285-2927 E-mail: scamp mercvmiami.orq SECTION #2 — AWARD/BACKGROUND INFORMATION C.C. AWARD DATE' SEPTEMBER 23, 2004 AMENDED AMOUNT: N/A RESOLUTION NO: 05-0671; 04-0617 INSURANCE REQUIREMENTS' YES ANNUAL CONTRACT AMOUNT: .See Below PERFORMANCE BOND: N/A Pursuant to R-06-0629; all term -contracts have been converted to citywide contracts with -funds allocated from the various sources of funds of the end -user departments, subject to the availability of funds and budgetary approval at the time of need. SECTION #3 - REQUESTING DEPARTMENT DEPARTMENT OF EMPLOYEE RELATIONS Contract Administrator: 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: Anna Medina, 11/1/06 Attachment to Addendum No. 1 to RFP 243229 RFP NO.: DESCRIPTION: TERM OF CONTRACT: CONTRACT PERIOD: FIRST RENEWAL, SECOND AND FINAL RENEWAL: COMMODITY CODE: TRACT A IN AMENDMENT NO. 3 03-04-081(10) POLICE PHYSICAL EXAMINATION SERVICES TWO (2) YEARS WITH THE OTR FOR TWO (2) ADDITIONAL TWO (2) YEAR PERIODS NOVEMBER 23, 2004 THROUGH NOVEMBER 22, 2006 NOVEMBER 23, 2006 THROUGH NOVEMBER 22, 2008 NOVEMBER 23, 2008 THROUGH NOVEMBER 22, 2010 918-78; 948-42; 948-44; 948-55; 948-73; 948-74: 953-48 SECTION #1 — VENDOR AWARD Mercy Medical Development d/b/a/Mercy Outpatient Center 3661 South Miami Avenue Miami, FL 33133 Contact: Reuben J. Camp Phone: (305) 285-2944 Fax: (305) 285-2927 E-mail: scamp ru.mercvmiami.org' POST OFFICE REMITTANCE ADDRESS Mercy Medical Development Inc P.O. Box 281722 Atlanta, GA 30384-1722 OVERNIGHT:MAIL Bank of America Lockbox Services Lockbox 281722 6000 Feldwood Road College Park, GA 30349 LSECTION #2 — AWARD/BACKGROUND INFORMATION( APPLICABLE ORDINANCE / NOTES C.C. AWARD DATE: SEPTEMBER23, 2004 AMENDED AMOUNT: N/A RESOLUTION NO: 05-0671; 04-0617 INSURANCE REQUIREMENTS: YES ANNUAL CONTRACT AMOUNT See, Below PERFORMANCE BOND: N/A APPLICABLE ORDINANCE: N/A Notes: Pursuant to R-06-0629, all term contracts have been converted to citywide contracts with funds allocated from the various sources of funds of the end -user departments, subject-to..the availability of funds and budgetary approval at the time of need. Notes: Please find enclosed Amendment No. 3, to the Police Physical Examination Services contract. The supplier's contact information has been updated to include the following: Post Office Remittance Address, Mercy Medical Development Inc, P.O. Box 281722, Atlanta, GA 30384-1722, Overnight Mail, Bank of America Lockbox Services, Lockbox 281722, 6000 Feldwood Road, College Park, GA 30349. SECTION #3 — REQUESTING DEPARTMENT DEPARTMENT OF EMPLOYEE RELATIONS Contract Administrator: Hector Mirabile Phone: (305) 416-2110 Fax: (305) 416-2115 Attachment to Addendum No. 1 to RFP 243229 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, 1/12/10 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 Attachment to Addendum No. 1 to RFP 243229 . RFP NO.: DESCRIPTION: CONTRACT PERIOD: RENEWAL PERIOD: ORIGINAL TERM OF CONTRACT COMMODITY CODE: • T ' A C Z A W .A AMENDMENT NO. 2 03-04-081(10) Police Examination Services November 23, 2004 through November 22, 2006 November 23, 2006 through November 22, 2008 Two (2) Years with the OTR for Two (2) Additional Two Year Periods 918-78; 948-42; 948-44; 948-55; 948-73; 948-74; 953-48 !SECTION #1 - VENDOR AWARD Mercy Medical Development d/ba/ Mercy Outpatient Center 3661 South Miami Avenue Miami, FL 33133 Contact: Reuben J. Camp Phone: (305) 285-2944 Fax: (305) 285-2927 E-mail: scamn(a)mercymiami.orq SECTION #2 — AWARD/BACKGROUND INFORMATION C.C. AWARD DATE: SEPTEMBER.23,.2004 AMENDED AMOUNT: N/A RESOLUTION NO: 04-0617 .INSURANCE REQUIREMENTS: YES ANNUAL CONTRACT AMOUNT: See Below PERFORMANCE BOND: N/A Pursuant to R-06-0629,.all term contracts have been converted to citywide contracts with funds allocated from the various sources of funds of the end -user departments, subject to the availability of funds and budgetary approval at the time of need. SECTION #3 - REQUESTING DEPARTMENT DEPARTMENT OF EMPLOYEE RELATIONS Contract Administrator: 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, 3/8/07 Attachment to Addendum No. 1 to RFP 243229 {4y3eyti'n kVG-25-1004 03:20P1,1 FR064-HEALTH EVALUATION AND EXERCISE CENTER 430521352ki.' Ciry ofMiami, Plarfda Pnlire Pnytical Examination Survlcrx 6.7. PACE PROPOSAL FORM Annual Physicals - Sworn Polite and as designated: Police Department Annual Physical exam 1) Basic Physical 2) Additional/Optional Exams: a) Radiological:Evaluation / b) Cardiovascular Stress Tostii 1) Echocurdiagrom 2) Thallium Stress 3) Exercise Mugs Stress c) Pap Soutar d) Mammogram e) CA 125 f) PSA g) Compr hcnsive Hearing Test h) 24 Hour huh: Monitor i) Manroux Teat j) Flexible slgrnoidoscopy k) Tetanus Bonner 3, Pleas© Dist any other charges associated with t ilfillin; this RFF and describe below; WrPATITIS A AND 8 IMMYUNIZATI©NS ,200 600 1.75 150 25 1 10 35 1 250 30 12 35 1 do ?-D4i f'.004/015 F-124 AT2ACtN'.CNT 15 R FY ff3.04-041 S I/4,090.00 113�st� csLt S� 5 74.(175.00 $ J� 5 � 0 5 T4,375,00 $ 59 2 11.00 5 tt?y• 00 5 754DO ...O0 �e 10 S100.00 S ?5,1111 S 24n-110 $ 17C O0 5hi, 125-p0 S 4n rutS Si1 nn s 17` nn $ 3afn nn f a' too $ 75 (10 5 750 0o psa S 1.5 n0 S CIAO On t-}-i ' `%� s__1c_Of 5 3 4D 00 10 ' SJ 5.a7-c-40 337S.00 3c13,-75 $ 25.00 S2!_00 '� Subtotal: Est. ps2I inti n Quantity Unit Price 1. EEPATITIS 1. 1MMUN17ATIONS In nccatdancr. with Spccitcations (a) First injection (b) Second injection 2. HEPATITIS B IMMUNIZATIONS In accordance with Specification, (a) (b) (c) First injection Second Injection Third injection 75 5 68,00 75 $ 65000 75 5 60.00 7s 5 60.00 I 75 S 60.00 3. HEPATITIS A /.ND ➢ COMBINED (TWINROX) t9/4(L fl)(hI 4'0 h ddendva1 N1 •I a5 / PP c)g3,2.� 9 5 g 9G.00 370 (CpS•D Extended price 5 5100,0Q ) (-PO s 5100,00 5 5100.00 CO, 3 ' 00 5 5100.00 D $ 5.1 OD{ 00 (e 3 °.t) \_r -Nw—lv-4YVor ua:curM MUM-NtelJ EVALUWcXEP,:.JSE CEN1ir. +305295N12T i-047 P.005/015 F-124 Cry of Miami, Florida Policy Phws cc,1 Examination Snrvicer In accordance with Specifications \ (a) First injection 7S S90.00 $ 6750.00 ` (b) Second injection 75 S 90. 0.0 r` "S 6750. 00 (c) Third injection 75 390.00 5 6760.00 ATTACHMENT B RFP 1.15.04.S.1 CH) Pleato tiyl any other ehargcy ap oci►rad with fu►filfln; ihla RFP end duedbe billow: Subtotal: S 4�, 750. 00 TOTAL COST FOR POLICE ANNUAL PHYSICAL EXAMINATIONS AND HEPATITIS A AND B I]VIMUNIZATIONS SERVICES: .Submitted by: Sandra Cohan, Administrator pate: td' 0 Nnme of Proizoser Authorized Signature' 1c e: Quanrities indicated herein arc estimates and arc subject to change, r�4iL�7RE TO COMPLi 'r SIGN ADD ItETURn THIS 1 t7RR7 11itkY ,1SC1iIwr Rt PROPOSAL. 46 miff fa 'ifenL,r, rat I u gFP ==aor.,: Rosalie Mark, Director Department of Employee Relations Glenn Marcos, Director Purchasing Department CITY OF MI AMI. FLORIDA I A O.. CE MEIVIORANDLN, November 28, 2005 Police Annual Physical Examination RFP No. 03-04-081 AMENDMENT NO. 1 On November 17, 2005, the City Commission approved an increase (Reso. No. 05-0671) in its contract for the provision of Sworn Police Annual Physical Examination Services in an annual amount not to exceed $98,268, thereby increasing the total annual contract amount for the Department of Employee Relations from $415,240 to $513,508, due to a larger quantity of. additional/optional testing being conducted, on an as -needed basis. Should you have any questions regarding this matter, please contact Pamela Burns at (305) 416-1905. MAR/s j C: Bid File Ana Cobe]o, Personnel Services Coordinator Attachment to Addendum No. 1 to RFP 243229 :PROFESS RONAL•SERVICESAGREEMENT Tlic; Aerezntui L,rieritered int ii,s,20 day of_A,A2t . 6, 204 by and between the City ut liartu :i tnanieiltttl corp trretti n rif-tire Slaty of 'Florida ("C itti='"`) and Mercy ,\Iedicul L> Artioi>ruen{ tltt ril ferlcrcv Uutp,lti nrC:entcr (" Prot°ider ). "RECITAL i Cr I orthe-prov4sinti c�i.Svvn Police Annual Physical f illtainntian S� l es i"aer+:i .es") and 3'rnviilcrsprapo ,i {I'ropos lF"'., in respnnst thereto.'littS et the most ct;uhfied proposal for the provis Services. The and the Proltnsa! ;mrt srarnehmrr, referred trr collectively.- ithe Solicitarun r Ilu;:unit:tits, anti. are .by thi»r.eterence ,itteorporaied into and -made a pail of this -1ttreentent. "Flr Crot "Stun i�.cal'" <itlm ti, byltesuttttiau N 7,-adopted.0.11 September :��. 20rt.I_ saproved th srlenlion of Provider rind authorized .the:C:11 Maria, — execute contract. unzicr_tkmc tnrmr and conditions set forth herein. \C}%`, "E'E(EitEFOR.E, inccyrsideation,ut the mutual nova ei.mtained 1'tnlrclrr-,nm' ii Cit adr ::ze follows: RECiT. AI— 7 he rve ta13 are True contrnenei rrtr :.I prorn ;ea-iterei x)rrect arld are it creh .inetn rrrated in and made :term of tins Aitrucmen Attachment to Addendum No. 1 to RFP 243229 ,na11 .be 1t2r ..S :I 33tmal _2 J' ar p'r:od 3. OPTION TO EXTEND: The City shall have two option(s) to extend the term 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 OE SERVICE: • A. Provider asrrecs 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 intc and made a part of this-Aerccrnent; 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; till it is not delinquent in the payment of any sums due the -City, inc)udin2 payment of permit .fees, occupational licenses, etc., .nor in the performance of any .obligations to the -City; (iii) all personnct assigned to perform the Services are and shall he, at ail .times during Me term hereof; fully qualified and trained to perform the task assigned to each; and (iv) the Services will be performed in the manner described in Attachment A. 3, COMPENSATION: A. The amount of compensation payable by the City to.Providcr shall.bc based on the FMCS and •schedules described in Attachment "1.3" hereto. which by this reference is incorporated into this Agrcenient; provided, however, that :in no evens shall 'the amount of compensation exceed $415,240 [per -year]. An increase not to exceed 5% in the amount ofcompensation which shall be effective an the first day of the first option period and remain in effect through the first renewal tcrrn. The second two (2) year renewal is subject to an increase -of 5%, which will A wat.200 Attachment to Addendum No. 1 to RFP 243229 rernaizt in cffective.dunng the second renewal .term. Anv proposal increase exceeding 5 iG shall require prior City Commission approval in each suds instance. t .• Unless othenvisc specifically provided in Attachment '•li• payment shall bemadc s+'ithin ibny five (45) days alter receipt of.Providcr's invoice, which shall be accompanied by Sufficient supponine documentation and contain sufficient detail, to allow ,a proper audit of expenditures. should.Chv rcyuirc--one to he performed. if Provider is entitled to reimbursement of travel capenscs finchntenl "Ft'• includes .iravel spense as ra specific atea cnmpen ationJ, then all hills for travel expenses shall be submitted irr accordance with •Session 1 1..06.1, Florida Statutes. ti. . OWNERSHIP OFDOc('AiENTS: Provider understands and •afoees :that am i nfonrutinn, document...repot or.any nth.^.r tnafee rat wh alsuevcr winch -1s t;.iven by Inc City to -Provide: or c hich is Yki i n4 Cre'.nt`_ilt is • .use any such rotor nY: and shall en al; notes rerr the,rtisu ut}ranch or prepared bti Pri+ isi r pt'rs ;rot toor under the ternrs not t0 ' on, document. report .or material •for any other purpose whatsoever without in the property of the Ciy the written consent of City, which may he withheld or conditioned by the -City in :its sole disereiInn. 7. AUDIT AND INSPECTION RIGHTS: a. i he CSi.° m'ty, nt sonabie airnes, anta .far -. period rrf •to duce following the date of fina3 puyrncnt by the City to Provider under this .Agrcemcnit , audit , or cause to.hc audited, those books and records of Provider which are related ttr's.performance under this grecrnent. Provider azree all stall honks and records a; its principal lilacs of :business fora period crf three t>'i years after Final .pa lord is made. under this •=\ereerncn .1i1t:.01 to itn+, t;crr;, t,airx. nnen4 Lli1 Attachment to Addendum No. 1 to RFP 243229 R. The City mar, at reasonable limes during the term hereof, inspect Provider's facilities and perform such tests, as the City deems reasonably necessary, to determine whether the goods or services required to be provided by Provider under this Agreement conform to the terms hereof and/ or the temts of the Solicitation Documents; if applicable. Provider shall stake 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 mad; in accordance with, the provisions of Section 18-100 & 18-101 of the Code of the City of Miami, .Florida, as samemay be amended or supplemented, from rime 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 agrecd 10 pay any person any fee, commission. percentasc, brokerage fee, or 2ih of alto kind contincenI upon or .in.connection with, the award of this AV -cement. 9. PUBLIC RECORDS: Provider understandsthat the public shall have. access. at all reasonable times, to all documcnu and informalioc pcnaining to City contracts, subject to the .provisions of Chapter 119, 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 rcfusai to complywith the provisions of this section shall result in the immediate cancellation of this Agreement by the City. 10. •COMPI.,IANCF WITH FEDERAL .•STATE AND LOCAL, L.. S: Provider understands that. agreements between private entities and local governments are subject 10 certain laws and regulalions, itteluding laws ,pertaining to public records, conflict of interest, record - RJR":I'Sa C5w la i0 relict .in'=.uai 2004 Attachment to Addendum No. 1 to REP 243229 keeping. etc, Cis}' and "Provider agree to comply with and Observe all applicable laws, codes and ordinances as thee° may -he amended from time to rime. • 11. INDEMNIFICATION: Provider shall indemnify. defend and hold hamtless the City,and its afficiats, employees and intents leollecti-vely referred to as "Ltdcmnitees") and each ol'them .from and against all loss, costs, penalties, lines, damaues, claims, expenses (including .attorrlcy's fees) or liabilities (collectively referred to as "Liabilities") by reason of any injury to Cr death oi,anti' person or damage to or destnaciio r of Property artstns.•ou resulting froth, or eiannectioit with (l) the performance or non,perfornance of the services crnttctnplated . by this Ai:rocrni t which le o he dircctl; or indirectly caused. in whole or in pan, by any.act, omission. default orneglig nee (whether rani or passive) ofProvider or its.cmployccs, agents or,suhcnntraciors (collectively referred to.as 'provider"), regardless of svltether it is, or is .allcy:ed to be., caused in :whole or par (whether joint..concurrent or contributing) by any act, onussirtn, tlefattlt ornc_shgcnce (whether active or passive} of the lndentnrtees,-or-any= of Mont or Id) the fai arc of the •Provider to comply ss ith any .of the paragraphs herein or the failure. or the Pr nor to COnfortm to statutes, •ordinances. or other rcculations or. requit-ernonis cif snv .governmental authority=,federal. or state, in c.<anncot n-with the performance of this Aureentenl. Provider expo,:s-1y agrees to indent and hold harmless the lndemnitees, or any of them, from arid-against..all liabilities which mtay be asserted dv an cmploy'ee or Comte; employee of Provider, ur any of its subcontractors, as provided above, for which the Provider's }lability 1n such employoe or former. employee would cube- ns se be limited to payments under :stale Workers' Compensation:or similar laws. 12. 1).EFAULT: 1 Provrder.falis to comph with any° lsrm or condition rr1 tbts =fit rcement, ctr faits to perform any its obligations hereunder. then Provider shall be in default. :I`spnri the r„IG'.P5A Corp ReSa Aire Attachment to Addendum No. 1 to RFP 243229 5- occurrence.of n 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, 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 Set -vices 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.ihe City in the re - procurement of the Services, including consequential and incidental damages_ 13. .REso1.0 CION OF CO''TkACT DISP11 i`L?S: Provider understands and agrees that all disputes bet, cert .Provider and the Cit_y'bascd upon an alleged violation of :the semis of this Agreement by the Cisy snail he submitted to the .City Manager for his'her resolution, prior to .Provider :beinn' entitled to sect: judicial relief .in connection therewith. In the event that -the amount of compensation hereunder .exceeds S25,000, the City -Manager's decision shall be approved or disapproved by the City Commission. Provider shall not be entitled to seek judicial relief unless 0ij it has first received .City Manager's written decision, approved by the City Commission if the amount of compensation hereunder exceeds S25,000, or (Oa period of sixty (60) days has expired, after submitting to the City Manager a detailed statement of the dispute. accompanied hv.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 [his section by written instrutncnts,.signcd by the CityManager. 14. C.'.ITY'S TERMINATION RIGHTS: 1'J( l'SA C' ;r' Ilcro tc<,�Gy t'ul 91 Attachment to Addendum No. 1 to RFP 243229 A. The City shall have the right to terminate this Agreement, in its sole discretion, .at any time, by gitine written notice to Provider at least five (5) business days prior to the effective date of such termination. In such event, the City shall pay to Provider compensation for services rendered and expenses incurred prior to the .effectivc 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 damaces. 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 bc'oblieatcd to pay any amounts to Provider and Provider shall 'reimburse to the City all amounts received while Provider was in default under this Aereernent. 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 rcnevaais, shall .be subject to the approval of the City for adequacy of protection.and.cvidcncc of, uch covcraue shall be furnished to the City on Ccrtiftcates of Insurance indicating such insurance to he 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 .poor v<<rilten notice to the City. Completed Cc r ideates .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. f, in the judgment of the City, prevailing conditions warrant the provision by Provider of additional habitity insurance coverage or coverage which is different in kind, the Cit CSC CS 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 RJC 15A CnAnnvat, 2u0a Attachment to Addendum No. 1 to RFP 243229 requirements shiny G.0) days prior to the date on which the requirements shall take effect. Should the Provider fail or refuse to satisfy they requirement of changed coverage within thirty (.3U) days following the City's n ice, this Contract shall he considered terminated on the date that the required change in policy coverage would otherwise take effect. 16. NONDISCRIMINATION: .Provider represents and warrants to the City that Provider does not and ti'.ill not engage in discriminatorypractices and that there shall be no discrimination in connection with Provider's performance under this Agreement on account of race, color, scx_ rclition, age, handicap, marital status or national origin. Provider further covenants that no otherwise qualified individual shall, solely by reason of his;lter race, color, sex. religion, age, handicap, marital status or national origin, be excluded from participation in, he denied service=_, or hesubject to discrimination under any provision of..lhis Agreement. 17, MIN'ORIT'r' ANI) WOMEN BUSINESS AFFAIRS AND PROCUREMENT PROGRAM: The .City has established a Minority and Women Business Affairs and Procurement Program (lim 'M ; 3E Program") designed to increase the volume of City procurement and contracts with Blacks, Hispanic and Wonren-owned business. The M. \VB; .Program is found in Ordinance No. 10062, a copyof which has been delivered to, and receipt of which is hereby acknowledged bv, Provider, Provider understands and airrees that the City shall have.theriL:hl to temtinate.and cancel this Agreement, without notice or penalty to.the City -,-and tc eliminate Prc der from consideration and participation in future City contracts if Provider, in Inc preparation nnd`or submission of the.P.ropos.tl, sttbmitted fake of miskcading.information as to its status as E31ach, i'[ispanic and/or Women owned business and/or the quality and/or typc of n ority or women owned business panicipation. FJt: rsc. C: w 5,'crc. t',T&ICC Ann4n Is 24�: Attachment to Addendum No. 1 to RFP 243229 8 1 1, ASSIcNME:NT: This Aercemsnl shall not be assigned by Provider, in whole or in Part. with the prior wrinen consent of the CCity's, which may he withheld ar conditioned. in the City's sole discretion. llr. NOTICES: All notices or other commun ions required under Ihis Agreement shall be in writing and shall be cities'by 'hend,dclivcry ar by registered or receipt retluesterd, addressed to the other party at the address nified U.S, ,Mail, return ndicated her or to such other address _as a party may .designate by notice given -a herein provided. Notice shall 'be deemed given on the day on which personally' delivered; -orthe dale of actual receipt, whichever is earlier. TO PROVIDER: 'Sandra Cohan Administrator, Mercy Outpatient Center :Mercy Medical Development drb'a Mercy Outpatient Center 3661 South Miami Avenue Miami, FL .33133 20. ,MrSCEIJ A?\EOUS PROVISIONS: i f hy= mail, on the fifth day after heing fisted E CITY: Rosalie Mark I)ircctor, Department or Employee Relations City ofMiami . 444 SW 2"` Avenue, 7`1' Floor Miami:Florida 33 i 30 WITH A COPY TO: Jorge L. Fernandez. -CityAttor oy Ci;y of Miami Office of.the City Attorney 444 SW 2na AvenueSuitc 945 Miami, Florida 33130 A. This Agreement shall.he consented and c of Florida. l cnue in anyttrocecdirtgs shall he. in 6C9•SA %<mp, licsea47c,c> I'eU Attachment to Addendum No. 1 to RFP 243229 foreed.according to the laws of the State unit-D:idc County. Florida_ R. Title and paragraph headings are for convenient reference and -are not -a par: of this AgreCITIVIL C. NoNvalVer OT breach of ally provision of this Agreement shall CODS1111.4te kVaIVCI" -4. of any subsequem breach of the same or any other provis n hereof, and no waiver shall he effective unless made in writine t' 11, Should :my proOsion, parigraph, sentence, word or phrase contained in this Vi Agreemem he determined by a corm .of competent jurisdiction to be invalid, illercalor otherwise unenforceable .uncier the laws or the State of florida or _the City of Miami. such prmision, paragraph, sentence, -word or phrase shall lic deemed modified Jo the extent necessary imorder lo • 14 • 1 conform with Such -111W1, or if not modifiable, then same shall be.deerned severable. and in either cvent, the remaining, terms and provisions of this Aurccmcnt shall remain unmodified and in full force and enact or limitation of its use E. This Agreement .constittites the sole -and entire aurcerrient between the parties No_rnodification or amendmenthercto shall .be valid -unless in -writin:g and excettred, proptIly author:4er] represeniatives or the panics hereto, .21, SUCCESSORS AND ASSIGNS: This Aereemeni shall he hindine upon the -parties berm, their•hcirs•exccutors,leeal representatives, :successors, or assigns, .22. INDEPENDENI'CONTRACTOR: Provider has been procured and 15 being engaged to provide :services to the City aS an independent contractor, and not as an agent or employee of -the City. Accordingly. PrOVidel' •5hall not attain, nor be entitled to, any rights or benefits .under the -.Civil Service -or _Pension Ordinances of the City, .nor any rib,lits generally afforded classified .or .urtelassified employees. Provider further understands that Florida \Yorkers' Compensatioribeneftos available to employees of he City arc not. available to _Provider, LUCYSA Corp Rr ucAnn.ls Attachment to Addendum No. 1 to RFP 243229 ants aeries to providr workers- cctn,pcnsatian inSiIrance for any employee or a em of .Pro rrunicsina services to the City under tins Ai re~tanent. 23. CONTINGENCY C:L All E: •Ettndint i )T this At!reentent is contingent on the rnanubility of funds anti cnminued ontitnriation for program octiwhies and the Am subject to amendment or terminal regulation thirty C3t:Ij this tOtice meat tr •lack of funds, rcein,tion t}1 funds and%or cltart,,e in 24. REAFIRMATION CIF REPRESENTATIONS: :Provider lie ehv rcafiimts all of the rc;,wrsentations con ncri in ine Sc,iicittttictn Document 2?;. E:NI RE AGREEMENT: N'1: This tment and its aitachtrnenl4 constitute the sole ;utd only agrrement or the parties rclatir 0 the subject matter itmctf and colTectly sot forth the rights, tiutie- anct chi E_.ttiosts-tsf:each to its, gain er-asca its ci;rte. Any part ,r .:eon: nts,pro r ascs, nt,ouati0ns, o forth in this w_reentern are 0i sttt force or cha t. 26. CO N'r1 RPARTS: Tat -1'r+rinettt maw .b executed in two u:.ratnr• eounttrparis, ca it of which [shall constitute a t ecis inal but all ap ect tt ken try tt t, r;ituil .constitute on_ and Mt: me aerecntent. IN WITNESS WHEREOF. t1;: par yes ltere n hat • causer', this: instrument to he exicuted by their respective officials [hereunto duly authonzed, dais ide dal, ant!_ '�ar :irowe. wrnnca. vat: :.rety Attachment to Addendum No. 1 to RFP 243229 "CitV" CITY OF All ANIE„ArtiiP-PTiti:ipat eorporalion ( _By; Priscilla A, Thompson, City,C1crii ATTEST I tit .N9tric;JcrM asilhurn tk.:Corporate Scerentry APPROVED AS TO FORM AND CORRECTNESS: City Aittoc ey .„ . . . .K;(7, cogs.E.c5rrAl try Folic:r. A MAIJIA 2094 Attachment to Addendum No. 1 to REP 243229 Joe, 0.rriola Chi f Admin ispatoriCity Manager "'Provider" Mercy Medical Developmeni d/PiC Merci,i,., Outpatient Center a Florida mi.-for-profit corporation BY: Pnnt •Nlattiska Title: President APPROVED AS TO INSURANCE RE.QUIREM.ENTS; Dania F. Carrillo Pisi:Management Administrator 12 lc kt City rivridt: Pkysicaii,:xwm mattor Servire4 RP!03-04.0ry Attachment A MEDICAL PROTOCOL (Annual Physicals - Department of Police) PRYSICAL EXAMINATION COMPONENTS A. Medical History - Provider shall obtain a complete and thorough medical history on the emplayee. Provider must also perform a Health Risk Profile on the employee. The purpose of his appraisal tool is to identify a -person's 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 tri,pcgitis,a112a: - The profile should have Lhe oharacterastics) 1. Projects the relatioriship betwoon chronological age and .rj.sk 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 identifyinE, the relationship between heai th rioeand cots to the organization. Phvaical -Examination -(By Pioard Certified Physican) Physical Examination DONE EY INSPECTION, PALPATION, PERCUSSION AND AUSCULTATION to include the follov:ing: General appearance Height Weight Head, Scalp, :face Neck. {T",-1YROID, LYNIPHS, V-R-2-SEL0N Ears fINTERNAL A.ND EXTERNAL CANALS AND CERUMEN EAR DRUMS (PERFORATION) Nose SINUSES Throat (CONDITION OF TONSILS) mouth .(TONGUE, TEETH, AND GUMS) Spine OTRER MUSCULDSKETAL) Skin fSCARS, RASBES) LYMPHATICS Upper extremities ;STRENGTH, RANGE OF MOTION) Attachment to Addendum No. 1 to RFP 243229 C,ri nl9haxi, /(,rick I oii e l'iii +:r.: Cxurnmcumn s'enIce, Rr:P tN-O3 OS Lowe: extremities (STRENGTH.. RANGE OF MOTION) Lunos, chestwall, breasts (P tY ICI"N WILL -OFFER TO 1 FORM BREAST EXAMINATION), back Vascular _System (VARICOSITIES, ETC.) Beart ttbrust,sine, rhythm, sounds) Endocrine system ; signs, 7,P,R, `E!P both arms .Neurological evaluation Mental :Status, memory, orientation, 2udgm __._, affect 'Abdomen,:r !__ .... sz EVA ._:?C?' _. ,rr,n_. _ ,. _ It.3C tom: �"..X�iil _.... •,-,z _ a n ,�A� Ji., a�.tn�U��1.JT. � .i:. ;.:: 'ON) External Genitalia - EVALUATI'.il PALPATION, PERCUSSION E. ti ,S 2JLT TIONe .ANDS AND RECTUM - DIGITAL RECTAL EXAM: (OPTIONAL) FCR EXAMINATION OF PROSTATE IN MEN AND TO _REC2 FOR THE OXI 2N E OF OCCULT FLOOD TN DOTE MEN AND WOMEN, Laboratory Work -up 1. 1emar2oingv panel Complete 'food Count: IC3C) with wi terent.al :Biochemistry Profile 25 and Complete ios and TSB (Thyroid) Urinalysis iM .crosco c) D. Gptr:almol0gical Evaluation Profile vc,suo oui .moth corrected and . unco_ecced vision should be tested .and recorded_ Note": A monthly .report should be forwarded to - the .Departmenr ;*f Erip:_.OVee 'Relations, listiro employees that do -not meet . 2he following vision "'equl.'_;e !':tCf,. '.G/SO eacn eye un _ected; 20/3.5 each e' corrected. IL should be noted .__ .the individual wears 55:Lasses br bdntact lenses, Attachment to Addendum No, 1 to RFP 243229 P(,:* Po.tl'a I ra !Q,tfl,aig"fl5Vflkt REP 03. 04.06 I 2. Physical Examination by z Board certified 14 Physician to include, a) b) ExtOcular movement c) Ccnjunct-i.va d) Sclera PI e) Fundoscopis examination f) Cblor vision E. Pulmonary ranIccion Test (creening for cbstructive and restrictive diseases) Vital Capacty .and FEV Utilize a spirbmeter ,ihat measures functfod by volume, not flow. -Minimal reported information should be FVC, FEV 1 FEV 1/FVC%, 1=25-75%, and MVAi. All volumes Should be reported in absolute values (liters), as well zs percentage of ane, sex, :and ndjudted normals, Electrocardiogram Twelve lead resting EKG. Report with mounted rhythm strip included in -medical .chart. Z. Audid16gi0al Screening Test normal hearing range, 500 :to 4000 HERTZ, -with a calibrated audiometer in a sound treated both or .room. Note: ,A :monthly :report 0.bcu3d be forwarded do the Department of 'Employee Relations itszlng employees with nearing acuity loss of 40 decibels or greater for the frequencies SOO, 1000, 2000, 100e, and 4000 cycles, a FED Skit( -fest-performed by Mantoux method frequired).. 4 9 Attachment to Addendum No. 1 to REP 243229 A Cd nrMiern! Fa:riA ;fce Phvsicrt!€sarn:aUrie,i Srn lrr_s (eb'7 03,04,uR! to t3Di.T,I.ONAI /OPTI3;+FL E7:Ah.S OPTIONAL Rad-iol.D9ica1 Screening iR CD'21ENDED EVERY 3 YEARSt Stan. arc PA and tera1 Chest lateral he .__;vs). 2. a_...i.o:ras_.._eve Test anterior , and A cardiovascular . Stress to shall be .administered .. o designated sworn personnel with .e positive history of cardiovascular disease, in 2hemse2ves or their Gamily, and to s11 Chose ;C nears of age older, When recommended by the examining physician, the following -additional tests may be performed: Echocardiogram, Thallium "Stress, Exercise Muce Stress Test. DIGITAL RECTAL MALES ANt FFMALES ` INCLUDING 1G A STOOL HEMATEST FOR .00CULT BLOOD:. Rap Smear - RECOMMENDED once a,n; ual.. Mammogram ToTo .be a I7 _w ' c utilizing che followio.o 3'n Age '"I - 49 Age . C en.^ cove- Family be story of cancer A 125 To .be.o99eoed only to those female "have previously been diagnosed .v th STRONG FAMIL' HISTORY. PSA every 2 years - every year - every year ce officers that RIAN cancer OR A OFFERED TO ALL MALES. R000MMENDED FOR o`.fi,aers age 40 and older; AND AFRI(CAN-AMERTCA 35 AND v'L0EF. . _ Hearing Examination Should 1?e' performed on all ,police officers w h REc loss off 40 decibels or greater for frequencies 500, :000, 209i0, 3000, and 4000 cycles, ri 29'Hour Soarer Honit,f_ Attachment to Addendum No. 1 to RFP 243229 e C =.41 rn:, Ps!otair: Pohte Powwat 10. HESAF Titer ADDTTTONAL VP0,4)44m FLEXTB1:Z SIGMOIDOSCOFY - POR POLICE OFFICERS 5C YEARS AND .OVER, OR TO BE CONDjOT2D UPON BECOM.14EMATION .OF TBE EXAR:ININC,PHYSIOIAE. Pclice ..Deparsment DVE TEAM. Basic physical, •Idlo:..;1 .a) an6 JOJ :c) Beavy MeLal Screeninf.1 .Qoanti ative f:CT Pb As i-Arsen1c1,kj (Mer.c.urY) Tchomelary Attachment to Addendum No. 1 to RFP 243229 Gay of Florafa Police 1..bysi,:o lixaminonon Sefviic NIP034o8.; HEPATITIDA .AND •B IMMUNIZATION PROTOCOL Hepatitis A immunization protocol shall be conducted as -follows: The first visit shall include a tratmine module. This visit shall. be scheduled between ";•,n 8.M- tc 5tOtt p.m. Monday through Fribay, exCluding ledal. holibays. Ater the training .module, those individuals to be immunized will be over: the first dose cf. the Hepaftls A vaccine (Ilavrix ,Adult, followed by the seccmd injection six IC •months -after the first, 'Hepatitis A. does not require a blood titer anten vaccination. Thene vaccinations wi.11 be by intramuscular injection. The honing schedule for HepaPicas A vacbinantbn is (0 and •6 mon:hs). Hepatitis B dmmurtication protocol shall be conducted as follows The thirst yisin. shsll include a trelninc modnae end (HBSAE) firer. Ti.is visit sball be scheduled 'between 7:n D11. to (-)T2 p.m. Monday through Priday. After the training module, and the (HP5AB) titer il applicable, those individuals to be immunized will be given .the synthetic vaccine Jeie. Recombivax P3 or Engerix ED). These vaccinations be by thtramusculax injections. The sAcond v(t.rit wHill consist .of the. inf.n.-',a1 ihje7tieh lollicwed 'by the secccd injection one (1) month after -the lirst, ant, tfae. nnird injebtion, o:x mcnTihfs .ales the first_ A (ERSAE)) titer will .be drawn m000hs a±ner the • last injection: - It iS 'ROW recommended that those indietbuals ob dz at. develop positive 933SAB's af.zer• a hrimary series, remmat tbe entire series_ ccmhdnatio ysccino (Twinrisl - protocol shrll. be conducted as follows: The. •tanst vfnist shall inclbde. a ,)..ralnice shall be .scheduled 7:.90 to 00 'Monday chrouch Friday, excludmd.; legal holidays. After •tne training mc.dmle, indliJibeels Pc be fmmuhlbed wfli be given the: .fist nose of nhe synthanic yabelne f011o()e.. by •the nebbnO injecIlom one (1.) month after the .fifm(., and .the .t.i"L% CO mont.h aft.-tr.7: th.:=" Thene vijA. be by Attachment to Addendum No 1 to RFP 243229 0. !!, 4;. -03 1 Ptomia Polgv PA”,cal injecin. The dnp jifor and vaccinacin.5 is ,,0-1-aiid 6 mariths . Covere...' the following employee clas-sitications: .2) Police Aide Prperty Specialist. and 11 4 Otlhe.rs i designal).nd r4 .33 Attachment to Addendum No. 1 to RFP 243229 d9 20-2001 01)1 Pd FR01114ES rn $VA:.JA: of AhG 3XE ,.IS. c.-(."%1'a <s037E)a : • T-I4 tt.-?ed ..'TAR11' 3NT E CIo of khan!, Florida Phu, Ah✓inv.! isamrnariur: Mrr,.xsr: RFP !I1•rx.:i#.r 6.7. PRICE 'PROPOSAL FORM Annual Physicals —Sworn Police and as designated. Police Department Annual Physical Exam i) Basic Physical - 1,200 2) Additional/Optional Exams: a) Radiological Evaluation b) CardiovaacuFarStress Test 1) Echocardiogram 2) Ttv.11rvrn Stress 3) Exercise M.ugz Sires CI Pap Smear d) Mammogram c) CA123 p PSA g) Comprehensive Hearing Ted .n) 24 hour Holier Monitor i) Montour."Teat j) Flexible si$rnaidnscgpy IL) Tetanus t3ooncr 3. Please list any ocher charge; associated with fulfilling this REP and describe belowr HEPA.TITIS A ANI G IMMUNIZATIONS )Des riotiar, .1. HEPATITIS A IMMUNIZATIONS In accordance with Speci0catimia 5,174,000.00 Eo0 S 75.0q 5 4.5,000.00 175 S 0 5 7,., y7i 0 6.600.. ISD S 0 5 5c_'50 D0 25 S ' 00 $z;.coo:00 ' ', 5_SL 0 S 500 00 10 -S 75 Dn 5 150 00 15 S L15 r1p S.„6 I2s fin 1 Sin 00 S'4n On 250 S 1 fin 5 10nr. JlC 0 5 75 CM 5 75r Dr 12 -5 '+aa 00 5 [7Ln fin 33 S to fin S nn 5 3'5 n0 c S's 0.0 Subtotal. Est, ntity I3nit Price (a) First inset ioa 75 5 6)3. 00 (tr) Second+ntection 75 c 59.50D $ 5100,00 2. HEPATITIS ➢ IMMUNIZATIONS In accordance with Specifications (a) First injection 75 S 60.00 (n1 Second injotuon 75 .F -60. 00 1 (c) Third injection 75 S 50.00 5 Extended Pore 3. FrEPATTTIS A AND B COINED 45 Attachment to Addendum No. 1 to RFP 243229 S 5100.D0 S 5L0C.D0 5 5100,00 5_;100.00 • t2&r1ii-ZGO4 03124 FR49 Ala EIER: ..3.ZE2152227 1-D43 P. 0.25/EIS Clly.q/Naum, Flana, POilCt Phytiall E.Eaminarlor In az.....-ardance with 9pc:ifclui611E (a) Frn ninwn (b) Sccond Injuction Third mjeztion Pie.. !is; any odic, chaq•cs-amr.ijac.d with fOlfi [FIN: this rtfil'-rold orscoO= btiow: 75 s 90.00 75 590.00 75 $ 90.00 Subtotal: TOTAL COST FOR POLICE ANNEAL PHYSICAL EXAMLNATIONS AND ITEPATITIS A AND B IMMUNIZATIONS SERVICES: n 6750.00\ S 6750.00 $ 67'00.00 I/ 1415.C/1C •-0 3 40.00 Subauttedby: Saudra Cohaz, Acir.lolszraor 'Datc: ,1 8 0?"- Name tor Propose: Authorized Signacure:\ -A- - Note: Qoznriiier iodizated heroin sr: usrimares znO are:subjert to chant% FAILURE TO COMPLETE, 'SIGN .ANp pROPOSAL Attachment to Addendum No. 1 to RFP 243229 T -MIS FORM MAY DISOUAL B7Y ArrACHMENT RFP G.1.01-M1 4. t.