2-0589-111326 Proposal Sheet For Preventative Screening Testing.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- Comprehensive Firefighter Occupational Health Evaluations & Early Detection Cancer Screenings
- Solicitation number
- RFP0589-111326
- Issued by
- Hillsborough County, New Hampshire
About this file
This is a cost proposal sheet for preventative screening testing services for the City of Nashua, New Hampshire, detailing comprehensive occupational health evaluations and early cancer detection screenings across three employee populations: firefighters, police officers, and Department of Public Works employees. The proposal sheet, organized as Exhibits A, B, and C, outlines specific clinical services and testing protocols tailored to each department's occupational health requirements. Exhibit A specifies firefighter services including medical history review, imaging diagnostics (chest X-ray, pulmonary function tests, resting cardiogram), laboratory services utilizing LabCorp profiles, multi-cancer blood testing, nine-part comprehensive ultrasound screening, physical examinations with firefighter-specific clearances including respirator and PPE certification, and fitness and work-function-improvement evaluations compliant with NFPA 1582 standards. Exhibit B details similar comprehensive services for police officers with modified fitness assessments and state-specific medical clearance forms, while Exhibit C covers Department of Public Works employees with tailored occupational health clearances and fitness evaluations aligned with job-specific physical requirements.
The proposal sheet requests itemized pricing for individual test components across all three service exhibits, with blank line items for bidders to populate unit costs and aggregate pricing per employee category. Specific testing populations are identified, including 90 HAZ-MAT team firefighters for heavy metal screening and special team members within the police department for respirator clearance. Bidders are instructed to attach program administrative costs on a separate sheet. The document does not specify response dates, due dates, award dates, contract term, renewal options, or funding amounts, as this is a pricing template for responding vendors rather than a complete RFP announcement document.
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Text version
Sheet1
EXHIBIT A COST
Required Clinical Services & Testing for Firefighters
| Medical & Work History | |
| Comprehensive medical history review and occupational exposure tracking. | $___________ |
| Imaging & Cardiopulmonary Diagnostics | |
| Chest X-Ray: Comparative reading of abnormal X-rays (5-year increments) | $____________ |
| Pulmonary Function Profile: Pulmonary Function Test (PFT) for respiratory clearance. | $____________ |
| Resting Cardiogram: Standard electrocardiogram (ECG/EKG). | $____________ |
| Laboratory Services (Utilizing LabCorp Profiles or Exact Equivalents) | |
| LabCorp Profile #010322: Comprehensive Chemistry & Metabolic Panel. | $____________ |
| LabCorp Profile #002303 (PSA): Prostate-Specific Antigen for males aged 40+. | $____________ |
| LabCorp Profile #004259 (CA-125): Ovarian Cancer Screening for female personnel. | $____________ |
| LabCorp Test #120188 (TSH): Thyroid Stimulating Hormone. | $____________ |
| LabCorp Test #167015: Lipoprotein A cardiovascular risk marker. | $____________ |
| LabCorp Profile #706200: Apolipoprotein B lipid panel marker. | $____________ |
| Heavy Metal Screening: | |
| Blood panel tracking Arsenic (As), Cadmium (Cd), Mercury (Hg), and Lead (Pb) for the 90 HAZ-MAT team members. | $____________ |
| Multi Cancer Blood Testing | |
| Multi cancer blood test that detects signals from as many cancer types as possible, including those that are commonly unscreened. | $____________ |
| Comprehensive Early Detection Health Ultrasound (9 Body Parts) | |
| Echocardiogram | $____________ |
| Carotid Arteries | $____________ |
| Aortic Aneurysm | $____________ |
| Thyroid | $____________ |
| Abdominal Study (Liver, Gallbladder, Spleen, Kidney, Bladder) | $____________ |
| Pelvis (External / Women) | $____________ |
| Prostate & Testicular (Men) | $____________ |
| Physical Examination & Firefighter Clearance | |
| Audiometric Exam: Hearing conservation screening. | $____________ |
| Vision Screening: Standard visual acuity and color vision testing. | $____________ |
| Skin Check: Visual Scan of the entire body. | $____________ |
| Vital Signs: Blood pressure, height, weight, and Body Mass Index (BMI). | $____________ |
| Fire Fighter Clearance #4714E: Respirator and Personal Protective Equipment (PPE) clearance. | $____________ |
| Medical Clearance Form: (Exhibit D): Employees bring Exhibit D with them. The areas in red are filled out by the employee, and the rest of the document is completed by the provider. | $____________ |
| Fitness & WFI Submaximal Evaluation (NFPA 1582) | |
| Exercise Stress Test: Sub-maximal Treadmill Test with a 12-lead EKG, including official Cardiologist Interpretation. | $____________ |
| Body Composition Assessment: Lean mass vs. body fat tracking. | $____________ |
| Aerobic Capacity: WFI Submaximal Graded Treadmill Evaluation (per NFPA 1582 C.2.1.3). | $____________ |
| Musculoskeletal Assessments: | |
| Hand grip strength evaluation (NFPA C.2.1.5). | $____________ |
| Vertical Jump Assessment (NFPA C.2.1.8) OR Leg Strength Evaluation (NFPA C.2.1.6). | $____________ |
| Arm Strength Evaluation (NFPA C.2.1.7). | $____________ |
| Push-up muscle endurance evaluation (NFPA C.2.1.9). | $____________ |
| Prone static plank core stabilization assessment (NFPA C.2.1.11). | $____________ |
| Sit and Reach Flexibility evaluation (NFPA C.2.1.12). | $____________ |
| Cardiovascular Risk Modeling | |
| AHA/ACC ASCVD Risk Calculation: 10-year risk assessment of developing a heart attack or stroke (calculated for all individuals over the age of 40). | $____________ |
| Total Individual Test Pricing for Exhibit A (Sum of C8 to C57) | $____________ |
| Aggregate Pricing- Individual Employee for Exhibit A | $____________ |
EXHIBIT B
Required Clinical Services & Testing for Police Officers
| Medical & Work History | |
| Comprehensive medical history review and occupational exposure tracking. | $____________ |
| Imaging & Cardiopulmonary Diagnostics | |
| Chest X-Ray: Comparative reading of abnormal X-rays (5-year Increments | $____________ |
| Pulmonary Function Profile: Pulmonary Function Test (PFT) for respiratory clearance. | $____________ |
| Resting Cardiogram: Standard electrocardiogram (ECG/EKG). | $____________ |
| Laboratory Services (Utilizing LabCorp Profiles or Exact Equivalents) | |
| LabCorp Profile #010322: Comprehensive Chemistry & Metabolic Panel. | $____________ |
| LabCorp Profile #002303 (PSA): Prostate-Specific Antigen for males aged 40+. | $____________ |
| LabCorp Profile #004259 (CA-125): Ovarian Cancer Screening for female personnel. | $____________ |
| LabCorp Test #120188 (TSH): Thyroid Stimulating Hormone. | $____________ |
| LabCorp Test #167015: Lipoprotein A cardiovascular risk marker. | $____________ |
| LabCorp Profile #706200: Apolipoprotein B lipid panel marker. | $____________ |
| Heavy Metal Screening: Blood panel tracking Arsenic (As), Cadmium (Cd), Mercury (Hg), and Lead (Pb) for the special team members. | $____________ |
| Multi Cancer Blood Testing multi cancer blood test that detects signals from as many cancer types as possible, including those that are commonly unscreened. | $____________ |
| Comprehensive Early Detection Health Ultrasound (9 Body Parts) | |
| Echocardiogram | $____________ |
| Carotid Arteries | $____________ |
| Aortic Aneurysm | $____________ |
| Thyroid | $____________ |
| Abdominal Study (Liver, Gallbladder, Spleen, Kidney, Bladder) | $____________ |
| Pelvis (External / Women) | $____________ |
| Prostate & Testicular (Men) | $____________ |
| Physical Examination & Police Clearance | |
| Audiometric Exam: Hearing conservation screening. | $____________ |
| Vision Screening: Standard visual acuity and color vision testing. | $____________ |
| Skin Check: Visual Scan of the entire body. | $____________ |
| Vital Signs: Blood pressure, height, weight, and Body Mass Index (BMI). | $____________ |
| Police Officer special team members: Respirator (PPE) clearance. | $____________ |
| Police Officer medical evaluation: General occupational health clearance. | $____________ |
| State of NH Police Standards and Training Form D | $____________ |
| Fitness & WFI Submaximal Evaluation | |
| Exercise Stress Test: Sub-maximal Treadmill Test with a 12-lead EKG, including official Cardiologist Interpretation. | $____________ |
| Body Composition Assessment: Lean mass vs. body fat tracking. | $____________ |
| Aerobic Capacity: WFI Submaximal Graded Treadmill Evaluation | $____________ |
| Musculoskeletal Assessments: | |
| Push-up muscle endurance evaluation. | $____________ |
| Prone static plank core stabilization assessment. | $____________ |
| Sit and Reach Flexibility evaluation. | $____________ |
| Sit-up endurance evaluation. | $____________ |
| Cardiovascular Risk Modeling | |
| AHA/ACC ASCVD Risk Calculation: 10-year risk assessment of developing a heart attack or stroke (calculated for all individuals over the age of 40). | $____________ |
| Total Individual Test Pricing for Exhibit B (Sum of C68 to C115) | $____________ |
| Aggregate Pricing- Individual Employee for Exhibit B | $____________ |
EXHIBIT C
Required Clinical Services & Testing for Department of Public Works Employees
| Medical & Work History | |
| Comprehensive medical history review and occupational exposure tracking. | $____________ |
| Imaging & Cardiopulmonary Diagnostics | |
| Chest X-Ray: Comparative reading of abnormal X-rays | $____________ |
| Pulmonary Function Profile: Pulmonary Function Test (PFT) for respiratory clearance. | $____________ |
| Resting Cardiogram: Standard electrocardiogram (ECG/EKG). | $____________ |
| Laboratory Services (Utilizing LabCorp Profiles or Exact Equivalents) | |
| LabCorp Profile #010322: Comprehensive Chemistry & Metabolic Panel. | $____________ |
| LabCorp Profile #002303 (PSA): Prostate-Specific Antigen for males aged 40+. | $____________ |
| LabCorp Profile #004259 (CA-125): Ovarian Cancer Screening for female personnel. | $____________ |
| LabCorp Test #120188 (TSH): Thyroid Stimulating Hormone. | $____________ |
| LabCorp Test #167015: Lipoprotein A cardiovascular risk marker. | $____________ |
| LabCorp Profile #706200: Apolipoprotein B lipid panel marker. | $____________ |
| Multi Cancer Blood Testing multi cancer blood test that detects signals from as many cancer types as possible, including those that are commonly unscreened. | $____________ |
| Comprehensive Early Detection Health Ultrasound (9 Body Parts) | |
| Echocardiogram | $____________ |
| Carotid Arteries | $____________ |
| Aortic Aneurysm | $____________ |
| Thyroid | $____________ |
| Abdominal Study (Liver, Gallbladder, Spleen, Kidney, Bladder) | $____________ |
| Pelvis (External / Women) | $____________ |
| Prostate & Testicular (Men) | $____________ |
| Physical Examination | |
| Audiometric Exam: Hearing conservation screening. | $____________ |
| Vision Screening: Standard visual acuity and color vision testing. | $____________ |
| Skin Check: Visual Scan of the entire body. | $____________ |
| Vital Signs: Blood pressure, height, weight, and Body Mass Index (BMI). | $____________ |
| Department of Public Works Employee: General occupational health clearance. | $____________ |
| Fitness & WFI Submaximal Evaluation | |
| Exercise Stress Test: Sub-maximal Treadmill Test with a 12-lead EKG, including official Cardiologist Interpretation. | $____________ |
| Body Composition Assessment: Lean mass vs. body fat tracking. | $____________ |
| Musculoskeletal Assessments: | |
| Meets physical requirements in their Public Works job description. | $____________ |
| Cardiovascular Risk Modeling | |
| AHA/ACC ASCVD Risk Calculation: 10-year risk assessment of developing a heart attack or stroke (calculated for all individuals over the age of 40). | $____________ |
| Total Individual Test Pricing for Exhibit C (Sum of C68 to C115) | $____________ |
| Aggregate Pricing- Individual Employee for Exhibit C | $____________ |
| Aggregate Pricing- Police, Fire and Division of Public Works | $____________ |
| *Please be sure to attach your program administrative cost on a separate sheet* |
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