HomeMy WebLinkAboutResolution - 2001-R0544 - RFP #225-01/RW - Employment Physical & Examinations And Drug/Alcohol Screening - 12/13/2001Resolution No. 2001-RO544
December 13, 2001
Item No. 55
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Mayor of the City of Lubbock BE and is hereby authorized and
directed to execute for and on behalf of the City of Lubbock, a contract for employment
physical and examinations and drug/alcohol screening, by and between the City of
Lubbock and Covenant Health System of Lubbock, Texas, and related documents. Said
contract is attached hereto and incorporated in this resolution as if fully set forth herein
and shall be included in the minutes of the City Council.
Passed by the City Council this
ATTEST:
Reb cca Garza, City Secretary
APPROVED AS TO CONTENT:
13th day of
yt\
Victor Kilmak Purchasing Manager
APPROVED AS TO FORM:
.,''-'P' 'yr-"
William de Haas
Contract Manager/Attorney
gs:/ccdocs/Contract-Covenantt Health System.res
Dec. 3, 2001
December ,2001.
svr'
WINDY StTTON, MAYOR
Resolution No. 2001—RO544
EMPLOYMENT PHYSICAL EXAMINATIONS
AND DRUG/ALCOHOL SCREENING
RFP#225-01/RW
This Agreement is entered into this 13th day of December, 2001, by and between the City
of Lubbock ("Payor") and subsidiaries of Covenant Health System, being Covenant Medical
Center -Lakeside Hospital and Rehabilitation Center, Covenant Medical Center Hospital,
Covenant Medical Group, Covenant Family Healthcare Centers, and Covenant Occupational
Medicine Center ("Providers").
WHEREAS, in response to a request for proposal by Payor to provide employment
physicals and drug and alcohol screening services to Payor, Providers submitted a proposal to
Payor; and
WHEREAS, Providers include an Occupational Medicine Clinic which has the
knowledge and training necessary to provide the desired services and desire to make their
facilities and services available to Payor; and
WHEREAS, Payor and Providers, as parties to this Agreement, desire to establish a
relationship, to ensure their mutual success and to define their respective rights and
responsibilities to each other;
NOW THEREFORE, in consideration of the mutual covenants, terms and conditions
herein contained, it is agreed by and between the parties hereto as follows:
I. DESCRIPTION OF SERVICES
A. Providers shall perform the duties described in Payor's Request for Proposal
#225-01/RW, dated September 13, 2001, and addenda thereto (the "RFP"),
including but not limited to, employment physicals and drug/alcohol screening.
Such duties shall be performed by Providers at the request of the Payor's Human
Resources Department.
B. The rate structure is set forth in Section H in the Provider's RFP Response to
RFP#225-01/RW, dated October 11, 2001, (hereinafter referred to as "Section
H"), attached hereto and incorporated herein by reference. The Providers'
services shall include physician fees, facility fees, and other support staff.
EMPLOYMENT PHYSICAL EXAMINATIONS
AND DRUG/ALCOHOL SCREENING
RFP#225-01/RW
H. TERMS
A. This Agreement shall be effective for one (1) year, commencing January 1, 2002,
and continuing until December 31, 2002, and shall automatically renew for two
(2) additional, one (1) year terms, upon the expiration of its initial term.
B. Either Party may terminate this Agreement upon providing ninety (90) days prior
written notice to the other Parry.
C. This Agreement shall not be assigned by either party without the prior consent of
the other party.
D. Payor agrees to pay Providers pursuant to Section H for the services provided
under this Agreement within thirty (30) days of receipt by Payor's Human
Resources Department of a clean claim from Providers. A "clean claim" is
defined as a claim for authorized services, with supporting documentation,
rendered by providers at the request of the Payor's Human Resources
Department.
E. This Agreement may be amended or modified only by a further instrument in
writing executed by the parties hereto.
F. Insofar, as allowed by the laws and the Constitution of the State of Texas, each
party agrees to indemnify, defend and hold the other party, its officers,
employees and agents harmless from any and all claims for damages or injuries
proximately caused by any act or omission of the indemnifying party, its officers,
employees and agents in the performance of this Agreement.
G. Providers will perform the services requested by Payor for fees indicated in
Section H, to include employment physicals, drug and alcohol screening services,
or other solicited services, as requested.
M. CONFIDENTIALITY
A. Insofar, as allowed by the laws and the Constitution of the State of Texas, each
party agrees to keep the contents of this Agreement and the rate structure
confidential. Any breach of this confidentiality will be cause for immediate
termination of this Agreement.
2
EMPLOYMENT PHYSICAL EXAMINATIONS
AND DRUG/ALCOHOL SCREENING
RFP#225-01/RW
IN WITNESS WHEREOF, the undersigned parties bind themselves to the faithful performance
of this agreement.
FOR PAYOR:
FOR PROVIDERS:
Covenant Medical Group
L�
Windy Sitton, ay r
s
(VAdministrativeOfficer
Attest: 6 e
Date:
Rebecca Garza
City Secretary
Approved as to Content:
Mary House
Director of Human Resources
Approved as to Form:
William de Haas
Contract Manager
Resolution No. 2001—RO544
CITY OF LUBBOCK
PRICING PROPOSAL SHEET "A"
STANDARD PRE-EMPLOYMENT/PROMOTIONAL PHYSICALS
(To be completed and returned with Proposal)
PRICING
A.1.. STANDARD PRE-EMPLOYMENT/PROMOTIONAL PHYSICALS
Does this include:
a. Background information? X Yes No
b. General Exam? X_ Yes No
c. X -Rays? Yes _ X No
If yes, how many?
d. Urinalysis? Yes X No
e. Other Test required? Yes _ X No
If yes, examples:
S 39.00 (99385, S)
$ 39.00 (99385, S)
A.2. STANDARD PRE-EMPLOYMENT/PROMOTIONAL PHYSICALS (W/SOBA)
1. Same qualifications as (A) above with additional SCBA testing only: S 58.00 (94375)
DESCRIBE COMPONENTS OF PHYSICAL:
See attached list of physical components and break down of fees located at the end of Section H.
Additional tests as indicated. for additional fee.
AU professional interpretation fees are not included in this bid.
29
CITY OF LUBBOCK
PRICING PROPOSAL SHEET "B"
FIRE
(To be completed and returned with Proposal)
Resolution No. 2001—RO544
PRICING
13J STANDARD FIRE PHYSICALS OSHA 29 CFR 1910.134
1. Cost SCBA_ Testing: $97.00 99385, R
Respirator Qualification
B.2 FIRE NFPA 1582 PHYSICALS
1. Cost NFPA 1582 Medical standards: $178.00 99385, F
B.3 HAZARDOUS MATERIAL OSHA 29CFR 1910.120 $375.00 99385, H
DESCRIBE COMPONENTS OF PHYSICAL:
All of the above charges are bundled charges — see attached list of physical
Components and break down of fees located at the end of Section H.
Additional tests as indicated, for an additional fee.
Any professional interpretation fees are not included in this bid.
CITY OF LUBBOCK
PRICING BID SHEET "C"
FIRE
(To be completed and returned with Proposal)
Resolution No. 2001—RO544
PRICING
C.1 NFPA 1500
Paper/Chart Review $ 34.00 — Level I (99499, A)
$45.00 — Level II (99499, B)
C.2 NFPA 1581
A,B Hands-on Return to Work $140.06 (99244, C)
C.3 ASBESTOS EXAMS $ 240.00 (99385, A)
CA REHABILITATION SERVICES
C.5 EXPERT SERVICES
Expert Testimony $120.00 (per hour - 99075)
Consulting, Advising, Researching $120.00 (per hour- 99499,D)
DESCRIBE COMPONENTS OF PHYSICAL:
Asbestos physical is a bundled fee — see attached list of physical components and break
down of fees located at the end of Section H.
Additional tests as indicated for additional fee.
&y professional interpretation fees are not included in this bid
27
',f
CITY OF LUBBOCK
PRICING PROPOSAL SHEET "D"
WORKSITE ASSESSMENT
(To be completed and returned with Proposal)
D. WORKPLACE DISABILITY ASSESSMENT/RECOMMENDATION
1. Worksite Assessment:
2. Physical Exam -and Medical Record
evaluation:*
3. Does this include expert witness testimony: _X Yes No
(*) Numbers 1 and 2, above, require written recommendations.
Expert Testimony
Resolution No. 2001—RO544
PRICING
$120.00 per hour 99078, A
$120.00 99456
$120.00 per hour 99075
DESCRIBE COMPONENTS OF WORKSITE ASSESSMENT AND PHYSICAL:
See attached worksite assessment components located at the end of Section H.
i
i
CITY OF LUBBOCK
PRICING PROPOSAL SHEET "E"
DRUG/ALCOHOL SCREENING
(To be completed and returned with Proposal)
Resolution No. 2001—RO544
PRICING
DRUG SCREEN
.E.1
1.
Cost of Urinalysis with screening:
$30.00 NON 80100, A
$36.00 DOT 80100, B
$109.00 ED 80100,C
2.
Does this include screening for all of the
Following:
a. Marijuana?
X
Yes,
No
b. Cocaine?
X
Yes
No
c. Amphetamines?
X
Yes
No
d. Phencyclidine?
X
Yes
No
3.
Does this include expert testimony?
X
Yes
No
If yes, indicate cost.
$120.00 per hour 99075
E.2
ALCOHOL
1.
Cost of Breath Alcohol testing with
$20.00 82075
Screening:
$28.00 ED 82075, A
2.
Does this include expert Testimony? _X
Yes
No
If yes, indicate cost.
$120.00 per hour 99075
DESCRIBE COMPONENTS OF PHYSICAL:
See attached drug screen prices located
at the end of Section H.
3620 I-27
Lubbock, Texas 79404
806.725.5450 Tel
806.762.3701 fax
Covenant�V�+
Occupational Medicine Services`
ALL PHYSICALS AND COMPONENTS ARE BUNDLED SERVICES
ANY ADDITIONAL TESTS ARE PRICED SEPARATELY
THE ONLY SERVICE THAT INCLUDES A PROFESSIONAL
INTERPRETATION FEE IS THE X-RAY/B-READ — ALL OTHER
PROFESSIONAL INTERPRETATIONS ARE NOT INCLUDED IN
PRICING — SERVICES ARE TO BE BILLED DIRECTLY TO THE
CITY FROM THE PROVIDER PROVIDING THE SERVICE
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1.
,. Drug Screen Prices
Type Screen
8-5 Collection
8-5 DS Price
AfterHrs %
ED DS Price
24/7 DS Price
Non -DOT
90%
$21
10%
$109
$30
DOT
90%
$28
10%
$109
$36
ED DS
90%
$109
10%
$109
$109
Pricing for 24/7 Collections at 1-27 Facility based on assumed percentage of 10% or less afterhours.
Prices for Non -DOT, DOT, and ED screens remain the same. Increase reflects the above weighting.
Single tier pricing was requested, but multi -tier pricing may offer the City price advantages.
r
Work Place Disability Assessment
Work Place Disability Assessment is available to evaluate the work environment
specific to a person and/or job. It could include one "or more of the following: .
1) analysis of the physical capabilities of the individual related to a specific job
2) recommendations for adaptation of the job, environment or methods to
accomplish the work
3) evaluation of the specific physical requirements of the job, and/or
g 4) the determination of the essential functions of the job