HomeMy WebLinkAboutAward Recommendation FormAWARD RECOMMENDATION AND APPROVAL FORM
Date: 8/28/2013 Department/Division: Human Resources
Department Contact Name/Number: Amy Klose / 305-416-2110 OR Lilly Diaz / 305-416-2008
Bid/Contract Number: IFB 368328 Sr. Buyer: Yusbel Gonzalez, CPPB
Summary/Description of Purchase:
Drug Screening and Physical Examination Services
Justification for Award/Contract:
The Department of Human Resources is in need of establishing a term contract for the provision of Drug Screening and Physical
Examination Services. Approval of this contract will enable the Department of Human Resources and other City Departments to
receive Drug Screening and Physical Examination Services as needed basis.
Type of Contract: Method of Purchase:
❑ Single Purchase /1 Formal Bid (include bid tabulation)
❑ Short -Term Contract ❑ Competitive Negotiation (include documentation)
❑ Lease ❑ Other Governmental Contracts (include documentation)
11 Term Contract
❑ Contract Increase
Contract Period Two (2) Years OTR: Three (3) Additional One (1) Year Periods
Recommended Vendor(s): Location Status: Award/Contract Value
Mount Sinai Medical Center of Florida, Non -Local Citywide Use
Inc.
Total Bid Award/Contract (including va .0 associated potential OTR): Citywide Use
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Award Recommended By: `-""`-----"`
Department Director/Designee Signature
Source(s) of Funds: allocating funds from the various sources of funds from the user departments and agencies, subject to the
' availability of funds and budgetary approval at the time of need.
Account Code(s): Various
Funding Approval: Certified By: Approved•
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DM Director/De gne • Chief Procurement Officer/Designee City M aver Date