12.1.25_RFP_195237_Cost_Sheet.xlsx

XLSX spreadsheet 15 KB Posted

Attached to
Pre-Employment Medical Services
Solicitation number
RFP195237
Issued by
Santa Clara County, California

About this file

RFP 195237 Cost Sheet Summary

This is a cost sheet for a Request for Proposals issued by the City of Palo Alto, California, for pre-employment medical services over a three-year contract term. The City seeks a qualified medical services provider to conduct comprehensive occupational health examinations for its workforce of approximately 1,000 full-time employees. The RFP encompasses thirteen distinct examination types including full medical and occupational health history reviews, DOT medical examinations, firefighter and police pre-placement physicals, DMV medical examinations, OSHA respirator clearance assessments, fitness-for-duty evaluations, drug and alcohol testing, tuberculosis testing, vaccinations, laboratory services, and hazardous materials baseline and periodic screenings. The proposal deadline is January 2, 2026, at 3:00 p.m., with questions due by December 16, 2025, at 1:00 p.m. All medical services must be performed by California-licensed physicians with experience in occupational and environmental medicine and must comply with OSHA Standards, FMLA, HIPAA, DOT Regulations, EEOC Guidance, ADA, and applicable state and local health codes.

The cost sheet requires vendors to provide unit costs for each examination type across all three contract years, with separate pricing for implementation services including project planning, administrative fees, design and customization, training and documentation, customer support services, and ongoing maintenance fees. The City intends to award a single three-year contract with a Not-To-Exceed Budget Per Task arrangement. Vendors must demonstrate financial stability through audited financial statements, reviewed statements, or financial institution letters and provide comprehensive insurance coverage including Worker's Compensation, General Liability, Technology Errors and Omissions Liability, Cyber and Privacy Insurance, Automobile Liability, and Professional Liability with specified minimum coverage limits. The selected vendor must maintain office hours Monday through Friday from 8:00 a.m. to 5:00 p.m., with extended hours preferred, and respond to appointment requests within 24-48 hours.

View the file

Other files

Show all 11

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Sheet1

RFP 195237 Costing Sheet – Pre-Employment Medical Services (3-Year Term)
Exam Type 1 – Full Medical & Occupational Health History
DescriptionUnit Cost ($) Year 1Unit Cost ($) Year 2Unit Cost ($) Year 3Notes
Full medical and occupational health history review
OSHA Respirator Medical Evaluation Questionnaire review
Pulmonary Function Testing baseline (includes forced vital capacity testing/evaluation)
Visual acuity assessment
Audiometric baseline assessment
Mobility, use, and functionality of extremities
TOTAL
Exam Type 2 – Non-DOT
DescriptionUnit Cost ($) Year 1Unit Cost ($) Year 2Unit Cost ($) Year 3Notes
Full medical and occupational health history review
OSHA Respirator Medical Evaluation Questionnaire review
Pulmonary Function Testing baseline (includes FVC testing/evaluation)
Titer: MMR, Tdap, Hepatitis A, Hepatitis B, Varicella
Visual acuity assessment
Audiometric baseline assessment
Mobility, use, and functionality of extremities
Urine drug screen handling and collection (Non-DOT; includes active cannabis test)
TOTAL
Exam Type 3 – DOT
DescriptionUnit Cost ($) Year 1Unit Cost ($) Year 2Unit Cost ($) Year 3Notes
Full medical and occupational health history review
OSHA Respirator Medical Evaluation Questionnaire review
Pulmonary Function Testing baseline (includes FVC testing/evaluation)
Titer: MMR, Tdap, Hepatitis A, Hepatitis B, Varicella
Visual acuity assessment
Audiometric baseline assessment
Mobility, use, and functionality of extremities
Urine drug screen handling and collection per DOT
DMV exam (DL-51 Medical Examination Report)
TOTAL
Exam Type 4 – Firefighter Preplacement Exam (FFPP)
DescriptionUnit Cost ($) Year 1Unit Cost ($) Year 2Unit Cost ($) Year 3Notes
Firefighter Physical Exam
Full medical and occupational health history review
Cardiac stress test with Treadmill
Visual & Audio assessments
Spirometry
EKG
Chest X-Rays (2 views, PA & Lateral)
Sleep apnea review
Drug and alcohol screening
Physical fitness assessment
Titer: Hepatitis B Surface Antibody (HBsAb)
Titer: Hepatitis C Antibody Screen
Titer: Hepatitis A IgG Antibody (HAAb)
QuantiFERON
TOTAL
Exam Type 5 – Police (POSTPP)
DescriptionUnit Cost ($) Year 1Unit Cost ($) Year 2Unit Cost ($) Year 3Notes
POST Physical Exam
Full medical and occupational health history review
Visual & Audio assessments
Spirometry
EKG, resting
Cardiac Stress Test with Treadmill
Drug and alcohol screening
Physical fitness assessment
Titer: Hepatitis B Surface Antibody (HBsAb)
Titer: Hepatitis C Antibody Screen
Titer: Hepatitis A IgG Antibody (HAAb)
QuantiFERON
TOTAL
Exam Type 6 – DMV Physical
DescriptionUnit Cost ($) Year 1Unit Cost ($) Year 2Unit Cost ($) Year 3Notes
Full medical review
Vision test
Hearing test
Physical fitness/coordination test
TOTAL
Exam Type 7 – OSHA Respirator Medical
DescriptionUnit Cost ($) Year 1Unit Cost ($) Year 2Unit Cost ($) Year 3Notes
OSHA Respirator Questionnaire review
Pulmonary function testing
TOTAL
Exam Type 8 – Fitness for Duty
DescriptionUnit Cost ($) Year 1Unit Cost ($) Year 2Unit Cost ($) Year 3Notes
Full medical review
Vision and hearing assessment
Physical strength/flexibility assessment
Drug/alcohol screening
TOTAL
Exam Type 9 – Drug & Alcohol Testing
DescriptionUnit Cost ($) Year 1Unit Cost ($) Year 2Unit Cost ($) Year 3Notes
Drug/alcohol screening (DOT & Non-DOT)
Other confirmatory testing
TOTAL
Exam Type 10 – TB Testing
DescriptionUnit Cost ($) Year 1Unit Cost ($) Year 2Unit Cost ($) Year 3Notes
TB Skin Test (PPD)
QuantiFERON (if needed)
Chest X-Ray (if indicated)
TOTAL
Exam Type 11 – Vaccinations
DescriptionUnit Cost ($) Year 1Unit Cost ($) Year 2Unit Cost ($) Year 3Notes
MMR
Tdap
Hepatitis A/B
Varicella
Rabies Vaccine, series of 3 injections
TOTAL
Exam Type 12 – Laboratory Only
DescriptionUnit Cost ($) Year 1Unit Cost ($) Year 2Unit Cost ($) Year 3Notes
History/Review of Tests/Brief Screen - No Physical Exam
Venipuncture
Titer: Hepatitis B Surface Antibody (HBsAb)
Titer: Hepatitis A IgG Antibody (HAAb)
Titer: Mumps Antibody Screen
Titer: Rubella Antibody Screen (German Measles)
Titer: Rubeola Antibody Screen (Measles)
Titer: Varicella (Varicella or Chickenpox) Antibody Screen
Titer: Rabies Antibody Testing
TOTAL
Exam Type 13 –Hazmant Baseline/Annual/Periodic
DescriptionUnit Cost ($) Year 1Unit Cost ($) Year 2Unit Cost ($) Year 3Notes
Hazardous Worker Exam
Audiogram, screening
Spirometry
Chem Comprehensive Panel
TOTAL
Employer or Clinically Indicated One-Time or Other Exams
DescriptionUnit Cost ($) Year 1Unit Cost ($) Year 2Unit Cost ($) Year 3Notes
Preplacement Physical Exam
PPD, 1 step, placement and reading
Chest X-Ray, 1 view
Chest X-Ray, 2 views
Spirometry
EKG, resting
Cardiac Stress Test with Treadmill
Venipuncture
Titer: Hepatitis B Surface Antibody (HBsAb)
Collection for Drug Screen-Preferred Alliance
Vaccine: Hepatitis B, may need series of 3 injections
Vaccine: Hepatitis A, may need series of 2 injections
Vaccine: Twinrix (Hep B and Hep A combo), series of 3 injections
Vaccine: Measles Mumps Rubella (MMR), may need series of 2 injections
Vaccine: Varivax (Varicella or Chickenpox), may need series of 2 injections
Vaccine: Tdap
Vaccine: Influenza (when seasonally available)
Titer: Mumps Antibody Screen
Titer: Rubella Antibody Screen (German Measles)
Titer: Rubeola Antibody Screen (Measles)
Titer: Varicella (Varicella or Chickenpox) Antibody Screen
Urinalysis with microscopy
Physician Consultation, each 15 minutes
Collection for Drug Screen-Preferred Alliance
Breath Alcohol Testing (BAT) – Preferred Alliance
Breath Alcohol Testing (BAT), Confirmatory – Preferred Alliance
Optional or Other Exams
Note: If exam is already included in one of the exam types you may leave this blank (if price is the same)
Implementation (Include the one-time cost associated with your proposed services)
Project Planning & Administrative Fees
Implementation
Design and Customization (if services offered are different)
Training and Documentation
Customer Support Services
Ongoing Maintenance Fees (if any)
Note: If services is not available or offered please indicate "N/A" or "0"

File details come from the government source that posted it. Updated .