5-Contract - Underwriters Safety Claims,, Inc. - 20-0032-7.pdf

STATE OF GEORGIA

COUNTY OF CHATHAM

I, JANICE E. BOCOOK, Clerk of the Board of Commissioners of Chatham

County, Georgia, hereby certify that the document attached hereto is a true and correct copy of the Services Contract between Chatham County, Georgia and

Underwriters Safety & Claims, Inc., 5105 Paulsen Street, Suite 247, Savannah, Georgia 31405, RFP Number: 20-0032-7 (annual contract), to furnish the annual contract for workers' compensation third-party administrator (TPA) services, which was approved in a meeting of the Board of Commissioners of

Chatham County, Georgia, on June 26,2020.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed the

Seal of Chatham County, Georgia, this 20th day of August, 2020.

rcE E. BOCOOK, CLERK

RD OF COMMISSIONERS OF

CHATHAM COUNTY, GEORGTA

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SERVICES CONTRACT

BETWEEN

CHATHAM COLNTY, GEORGIA

ANI)

UNDERWRITERS SAFETY & CLAIMS' INC

5IO5 PAULSEN STREET

SUITE 241

SAVANNAII, GEORGIA 31405

(et2) 3ss-8989 (s00) 9289096

ANNUAL CONTRACT FOR WORKER'S COMPENSATION'THIRD PARTY

ADMINISTRATOR (TPA) SERVICES

(Annual Contract) RFP No.: 20-0032-7

Board of CountY Commissioners Chatham CountY Courthouse

124 Bull Street

Post Office Box 8161

Savannah, Georgia 31 412

SERVICES CONTRACT

Between

CHATHAM COUNTY, GEORGIA

And

T]NDERWRITERS SAFETY & CLAIMS, INC

This Contract is made and entered into this 26'h day of June 2020, by and between the

Board of Commissioners of Chatham County, Georgia, hereinafter called the "BOARD and'

UNDERWRITERS SAFETY & CLAIMS, rF{C.,- a Corporation authorized to do business in

Georgia, hereinafter called the "SERVICE PROVII)ER'"

WITNESSETH

WHEREAS, the BOARD desires to engage a qualified and exPerienced IIBWIQ

T'

BEFERENC.E.

WHEREAS, the SERVICE PROVIDER has represented to the COI"INTY that it is experienced urro quiin.d to provide the services contained herein, and the BOARD has relied upon such rePresentation.

NOW, THEREFORE, in consideration of the mutual promises "ttg :9]1Tnts herein contained, it is agreeJ by and between the BOARD and the SERVICE PROVIDER that the

CoLrNTy hereby .ngui", the SERVICE PR9VIDER and the SERVICE PR9VIDER herebv agrees to perform the services hereinafter set forth:

ARTICLE I

TERMS AND CONDITIONS OT'THIS CONTRACT

SECTION I-1. TERM OF SERVICES: The service to be Provided by the Service Provider as described in Article IV is to commence upon execution of this contract, and or upon a date mutually agreed uPon bY the County Contract Administrator , and the Service Provider' !S sEcTroN I-2. REOUIREMENT rOR MANDATpBY.TTIRF0RMAN,qE- The words

,iJalL,,,,willu*int':Contract;andinanycasewill irrai"ut" a required or mandatory pcrformancc bylhe $ERVICE PROVIDER, and couNTY for hereinafter called the "COUNTY."

P

652-7903. shall the Project Manager for this contractserve as and shall be resPonsible to the

County Manager who is responsible to the BOARD for the proper effectuation o f Chatham

County, Ceorgia's obligations under the terms of this Contract'

SECTION

p'Grrur-ug",cm^b-erprimarilyresponsiblefortheday-to-day rnanagement of this contract. Tfiey shall act as the_official liaison between the SERVICE pRovIDER and the couNTy. The Project Manager shall anange for conferences and the exchange ofdata and information and foi necessary approvals, except for such portion ofthese liaison duties as may be specifically delegated to the SERVICE PROVIDER under other prorrisions of this Contraci. All correspoid.n.., data, infotmation and reports shall be directed io the project Manager. The number of copies of such data shali be designated by the County project Manager to providc for proper distiibution to the parties concerned. The Project Manager strail tre resp&sible for the rnaintenance of all records and correspondence conceming this contract for the COLINTY-

The SERVICE PROVIDER shall meet with the COLINTY for review of the work as determined by the project Manager. The services shall be performed to the satisfaction of the

County's Project Vunuger, subjJct at all times to the County Manager's approval' whose decision upon urry quJstion ,orri'r"i"d *ittt th" aforementioned service, or any failure or delay regarding same shall be final and conclusive.

fhe project Manager will expedite any necessary -dec_isions regarding provisions of this contract that affect the performance of the SERVICE PROVIDER'

SECTION I_5. pERtioNNEL AND EeurpMENT.. The SERVICE pRovIDER represents thatithu.,""u,.ffiow,expense,allpersonnelandequipmentnecessaryto perform the services of this contract; none of whom shall be employees of, not have any contractual relationship with chatham county. All of the services required hereunder will be performed by the SERVICE PROVIDER urri". its supervision, and all personnel engaged in the work shall be fully quatned and shall be authorized or pennitted under law to perform such servicss.

SECTIONI-6.SCHEDULINGoFwoRK.TAsKS'Th.SERVICEPROVIDERshall energetically ano

"*peoitiously calry out the required services.

SECTION I-7. REVIEW OF WOIIK IN PROqRESS' -Authorized representativcs of the cotrNTy *uy ut uliffiiubl. ti-er reui** und inspect the activities required under this contract.

SECTION I-S. qHANGES TO THIS CONTRACT. T:_CONTY mav, at anv time' request changesinthe..opVIDERtobeperformedhereunder'Such "hanies, including any increase or decrease in the term, rate or amount of the SERVICE

PROVIDER'' ro*p"nrurion, as more fully described elsew'hcre herein, which are mutually

,gr."A "p"n by and between the COUNTY and the SERVICE PROVIDER, shall be incorporated in written amendments to this Contract'

SECTIoN I_9. DELAys AND EXTaN$roN oF,TIME. If the sERVrcE pRovrDER is delayedatanyti@gservicesbyanactotneglectofChatham-ounty, or by chang*s orderei in the Work, or by labor disputes, strikes, insunections' ftres' act of God, unusual buiwell documentcd and excusable delays in performance,^or other causes neyonO rhe SERVICE pRoVIDER's control, or by delay authorized by the COUNTY' then the contract term of service andlor cost may be extended by contract modification for such reasonable time as the COIINTY and SERVICE PROVIDER may agree'

SECTION f-10. TERMINATION OF CONTMCT FOR CAUSE' If thruugh anv cause' the

SERVICErnovrandpropermanneritsobligationsunder this contract, or if the SERVICE PROVIDER shallviolate any of the covenants, agreements or stiputations of this Contract, the SERVICE PROVIDER shall be in breach of this Contract and the COUNTV sftaff lftereupon give written notice of default to the SERVICE PROVIDER and allow the sERVICE pRovIDER ,"uen (7) calendar days from such notice to cure such default'

After notice, the CoUNTy shall have the right to terminate this Contract by giving written notice ro the SERVICE PROVIDER of such termination and specifying the effective date thereof, at least five (5) days before the effective date of such termination'

If cotJNTY fails without cause to rnake payment when due, the SERVICE PROVIDER may give written notice of the SERVICE pnovinen's intention tcl terminate this Agreemenl'. If the

SERVICE PROVIDER lails to receive payment within ten (10) days after receipt of such notice by the couNTy, the sERVICE PROVIDER may give a se,cond written notice and five (5) days aiter receipt of second written notice by the COLINTY, the SERVICE PROVIDER may terminate this Agreement and recovef irom the COLINTY payment for services rendered'

SECTION I-1I Each party to the contract shall have the right to terminate the contract made hereunder for its convenience bY glvmg the other party written notice 30 days in advance of its election to do so and by sPecifYing the effective date of such termination. The SERVICE PROVIDER shall be paid for scrvices rendered and not in question or disPute through the effective date of such termination.

SECTION I-I2. The obligation of the COLTNTY for paYment to the SERVICE PROVIDER is limited to the availability into a subsequent by law,of funds aPProPriated in a cunent fiscal Perio d. The continuation of the contract fiscal period is subjcct to the approPriation of funds, unless otherwise authorized

SECTTON I-r3. SERYICE PI{OVTDER TO COp.BEBr{IE WITI{ O,THEB coNrRAcroRS f the corrNTy undertakes or awards othercontractsforua?RoVIDERanditssubcontractorsshall irrfif

"oop"rate with such other Contractois and COTJNTY employees and carefully fit its own work to such additional work as may be directed by the colIN'rY. The SERVICE PROVIDER and its subcontractors shall not commit or permit any act which will interfere with the performance of work by any other contractor or by couNTY employecs. costs caused by ill+imed work shall be borne by the resPonsible Parly.

'ECTION

I-r4. INDEMNTFTCATION. The SERVICE pRovIDER agrees to protect, defend, indemnifi'undr'otaffiunty,Georgia,itscommissioners,officers,agents,and employees fro* unO ufui"ri*v and all liabiliiy, damages, claims, suits, liens, and judgments, of whatever nature, inct,riing claims for contribution andlor indemnitjcation, for injuries to or death of any person or. p"ttont,"o, damag. to-the property olothglfehts of any-person or persons caused by the SERVICE pnOVipnn or iis subconttutto.i. The SERVICE PROVIDER's obligation to pi"t"*, defend, indernnify, and hold harmless, as set fonh herein above shall include, but not be limited to, any matter arising out of any actuaf or alleged infringement of any patent, trademark, *p'tigt,, u, ,r*irr-*a.k, Jr any actual or alleged uttfuit competition, disparagement of product or service, or other business tort of any type whatsoever' or any actual or alleged violation of trade regulations. SERVICE PROVIDER rurttret agrees to- investigate, handle, respond to, provide defense for, and to protect, defcnd, indemnify,-and hold harmless Chatham county, Georgia' at his sole expense, and ugr".r to bear ail other costs and expenses related thereto, even if such claims' suits, etc., ur. grounai"ss, false, or fraudulent, including any and all claims or liability 1or

.o-p""rution irnder the Worker's Compensation Act arising out of injuries sustained by any employee of the SERVICE PROVIDER or his subcontractors or anyone directly or indirectly employed by any of them.

The sERVICE PROVIDER's obligation to indemnify chatham county under this section shall not be limited in any way by the agreeicl-upon contract piice as shown in Article II or to the scope and amount of coverage prouia"a 6'y u.ty ilnrurun". maintained by the SERVICE PROVIDER i;;ili"g, wlttrouitlmitation to, thoinsurance required to be maintained by the SERVICE

PROVITER pursuant to Section II-4 of this Contract'

SECTION I-15. CTOVENANT AGAINST CONTINGENT FEES. ThE SERVICE PROVIDER shallcompty*itt,,State,Countyorotherlocallaws.The SERVICE PROVIDER warrants ihut lt has not employed or retained any company or person, other than a bona fide .-pioy". working solely for the SBnvtce PRovlDER, to solicit or secure this

Contract, and that it has not paid oi ugr"td to pay any company or pcrson, other than a bona fide e-ptoy". working solely foi the SERVICE PROVIDER, any fee, commission, percentage, broterage fee, gids, o, uny consideration, contingent upon or resulting from the award or making of this Contract.

For breach or violation of this warranty,the ROARD shall have the right to annul this Contract without liability, or, in its discretion to deduct from the Contract price or consideration, or otherwise fecover, the full amount of such fee, commission, percentage, brokerage fee, gift or contingent fee.

SECTION I.16. PROHIBITED INTERESTS.

a. Conflict oJ_lnlggSj. The SERVICE PROVIDER and its subcontractors wanant that it pr"r"r,tty t *r no int r.rt and shall acquire no interest, direct or indirect' that would conflict in any manner or degree with the p"rfortnottte of its services hereunder' The SERVICE

PROVIDER further-agrees that, in the performance of the Contract no person having any such interest shall be ernPloYed.

b. lntcrcsts of p$blic Officials. No mcmber, officcr, or employee of Chatham County, c.@lhaveanyinterest,directorindirect,inthisContractorthe proceeds thereof.

sEcTIoN I-17. SUBCONTRACTING. The SERVICE PROVIDER shall not subcontract anv partofthe*o,k.@ithouttheCoUNTY'spriorwrittenapprovalofthe subcontractor. All upprou.d subcontractors and their personnel assigned to this Project shall be listed on Attachment B--Personnel l,istins of this Contract.

SECTION l-rg. ASSIGNABILITY. The SERVICE PROVIDER shall not assign or tansfer wl,ether by an ".riliil6iil*utG, any of its rights, obligations, benefits, liabilities or other interest undtt this Contract without the written consent of the COLINTY' sEcTIoN I-r9. EouAL EMpLoyl\4IiNT oqpoRTUNrrY. Duringthe performance of this

Contract, the SERVICE PROVIDER agrees as follows:

a. The SERVICE PROVIDER will not disffiminate against any employee or applicant for employment because of race, creed, eolor, sex, age, national origin, place of birth, physical handicap, or marital status;

b. The SERVICE PROVIDER will, in all solicitations ot advertisements for employees, insure that qualified applicants will receive oonsideration for employment and will take affirmative action to employ applicants without regard to raca, creed, color' sex' age' national orilin, place of-birih, physical handicap, or marital status. Such action shall include, but not bc limited to the following: employment, upgrading, demotion, transf'er, recruitment or recruitment advertising,layofforjtermination, tates of pay or other forms of compensation, and selection for training, including apprenticeship;

c. The SERVICE PROVIDER will cause the foregoing provisions to be inserted in all subcontracts for any work covered by this Contraot so thal such provision will be binding upon each subcontractor, provided that the foregoing provisions shall not apply to contracts oi subeontracts for standard commercial supplies or raw materials.

SECTION I-20. ANTI-KICKBACK etau_$E. Salaries of all personnel performing work underthisContract'@iyandnotlessoftenthanonceamonthwithout deduction or rebate on any account except only such payroll deductions as are mandatory by law'

The SERVICF. pRoVIOgR hereby agrees to iomplywith all applicable "Anti-Kickback" laws and shall insert appropriate provisions in all subcontracts covering work under this Contract.

SECTION

PRoVIDERh.,"uitiontoChathamCountyforthemakingofthis Contract, that the SEnVtcg PROVIDER in the carrying out of this contract will give the citizens of Chatham County prefercnce for employment to perform all labor required by this Contract; that the rate of wages to fe paid shall no1 be less than legally required; and that in the purchase of materials to be used in itre Work of the Project, preference shall he given to sources from within

Chatham County to the maximum extent practicable'

SECT|ON I-22. AUDITS AND INSPECTIONS. At any time during normal business hours and as often as the COUNTY r"uy dee- "ecessary, the SERVICE PROVIDER and his subcontractors shall make availablc to the COLTNTY and/or representatives of the Chatham County Department of Internal Au<lit for examination all of its recoids with respect to all matters covcrcd by this

Contract. It shall also permit the COIINTY and/or representatives of the Department of Internal

Audit to audit, inspect, examine and make copies, excerpts or transcripts from such records of perrorrlel, conditions of employment and other data relating to all matters covered by this ^Contract.

All documents to beludited shall be available for inspection at all reasonable times in the main offices of the CoUNTy or at the offices of the SERVICE PROVIDER as requested by the COIINTY.

SECTION I-23. VERBAL AGREEMENT OR CONVERSATION. No verbal agreentent or conversationwith@employeeofChathamCounty,Georgia,eitherbefore, during, or after the cxecution of this Contract, shall affect or modify any of the terms or obligations hereii containe6. All changes to this Contract shall be in writing and appended hereto as prescibed in Section I-8'

SECTION I.24. INDEPENDENT CONTRACTOR. ThE SERVICE PROVIDER ShAII PETfOTM theservices.,nde,iontractorandnothingcontainedhereinshallbe construed to be inconsistent with this relationship or status. Nothing in this Contract shall be intcrpreted or construed to constitute the SERVICE PROVIDER or any of its subcontractors, ug"ni, or employees to be the agent, employee or representative of Chatham County, Georgia.

SECTION I-25. NOTICES. All notices shall be in writing and any notices, demands and other papers o, do.umentffi-b. d.livered to Chatham Courty, Georgia" under this Contract shall be beiivered in person or transmitted by certified mail, postage prepaid to the County's Proiect

Manaser. MR. GREG SCOTT. CHATHAM COUT{T}' QCCUPATIONAp SAFETY. 124

CnORCfa l14Ot. fllZt OSZ-ZqOf or at such othcr place or

@nttydesignatedbywrittennoticetotheSERVICEPRoVIDER.

All written notices, demands and other papers or documents to be delivered to the

SERVICE PROVIDER under this Contract shall be transmitted by mail, postage prepaid, and addressed as fbllows: MR. JOSEPH ZICHETTBLLA, VICE PRESITIENT TPA SERVICES'

UNDERWRITERS SAFETY & CLAIMS. 5105 PAULS-EN STBEET. SUITE 241.

savnNxAH. qnonch lr40s (gtz) lss'tgtg onrlcr.

SECTION I.26. CHOICE OF LAW. This Contract shall be deemed to have been executed in

Chatham County, Georgia, and all questions of interpretation shall be governed by the laws of the

State of Georgia.

SECTION I.27. COMPLIANCE WITH LAWS. 'I'hE SERVICE PROVIDER ShAII COMPIY With allapplicabler"@CountyandmunicipaIlaws,ordinances,rules,regulations, and lawful orders of public authorities relating to the work, including but not limited to Chatham

County building codi and permits andlor municipal business licenses, building permits, and other local requirements, as applicable'

SECTION I-28. POST.CONTRACT TERM COMPLETION OF WORK. ThC SERVICE

PROVIDER shall be entitled to complete any work assignments issued near the end of the term of this annual contract but which rcquires additional time for completion beyond the termination date of this contract.

SECTION I-29. ACCURACY Or WQRK WABBANIED' 'l'he SERVICE PROVIDER hereby warants the acou.ucy of thi Work completcd under thc terms of this contract and shall p.o*ptly correct any effors and omissions at no additional cost to Chatham Cor'rnty. Acceptance ortitJ Work by Chatham County will not relieve the SERVICE PROVIDER of the responsibility for sgbsequeni correction, at no additional cost to Chatham County, of any euors and omissions for a period of one (1) year after substantial completion of the Work.

At any time during the course of the work as specified in the documenls contained or work performed by others based on data secured by the SERVICE PROVIDtrR under this Contract, the -senvtcg pRovIDER shall confer with the COLINTY to coffect any effofs or omissions made by the SERVICE PROVIDER. The SERVICE PROVIDER shall prepare any reasonable data required by the COUNTY to correct such errors or omissions. The above consultations, clalifications or corrections shall be made without added compensation. The SERVICE pROVIDER shall give immediate attention to these changes so that there will be a rninimum delay to COLINTY.

SECTION I-30. PERFORMANCE BOND. **NOT REQUIRED FOR THIS CONTRACT**

The contractor must provide a Performance Bond to the Chatham County Board of Commissioners which will always be at minimum equal to one hundred percent (100%) of the annual contract price including all additions, deletions or extensions. Any additions, deletions or extension in time shall n.t relieve a Surety of its liability in any manner whatsoever. The Performance Bond is to insurc faithful and complete performance of the contract.

The Performancs Bond shall be executed by a surety company acceptablq to the chatham county Board of commissioners. The surety company must be licensed to do business in the

State ol"(icorsia.

The performance Bond shall remain in effect for one (l) year following the fonnal acceptance of the work for all new public works construction projects'

Surety Company must within thirty (30) clays on the annual expiration date of this Service

Agreernent, *ozoto-5-5 (June 22,2A01),by letter, must certily its intent to renew or not renew its

Performance Bond for the Contractor for additional yearly term (s)'

If Surety Company cloes not renew the Performance Bond, it is the Contractor's rcsptinsibility to immediately provide the Chatham County Board of Commissioners a new Bqnd in the amount of one hundred percent (100%) of the annual oost of the contract. If Performance Bond requirement isllot waived in writing and contractor does not provide a new Bond, the Agreement will be terrninated intmediately.

SECTION I-31 PAYMENT BOND. ** NOT REQUIRED FOR THIS CONTRACT**

ARTICLE II

TIO AN

SECTION II.r. COM.PENSATION FOR SIIRVICE PR9VIDER SERVI(]P$. ThC couNTy st utt pay ffi for his services as follows: AS LISTED oN

ATTACHMENT C.

SECTTON II-2. COMPENSATION SCHEDULE. The detailcd project compensation schedule isshowninAttu"n*ffioandincorporatedhereinasapartofthisContract.

Any

"hunges to the cost will be directed to the SERVICE PROVIDER by the County Contract

Administrator in writing, and said document shall automatically become an addition to Attachment

C.

sEcTIoN II-3. METHOD OF COMPENSATION. Thg compensation provided for herein sha1linc1ud.uu"@ibpnforalloostsincurredbytheSERVICE PROVIDER in the conduct of the work as authorized by the approved Project Compensation

Schedule and this amount shall be paid to the SERVICE PROVIDER after receipt of the invoice and approval of the amount by the^couNry. The collNTY shall make payment(s) to the

SERVICE PROVIDER in accordance with the schedule as indicatcd and provided for on forms approved by the County Project Manager.

The making of total or final payment shall constitute a waiver of all claims by Chatham

County except those arising from unsettled liens, faulty or defective Work appearing after substantial completion, failure of the Work to comply with the requirements of the Contract

Documenls, or teilrs of any waranties required by the Contract Documents or those items previously made in writing and identified by the COI-fNTY as unsettled at the time of final application fbr payment. Lcceptance of total or final payrnent shall constitute a waiver of all

,iui*, by the sb{vrcg pRovIDER, except those previously made in writing and identified by the SERVICE PROVIDER as unsettled at the tirne of final application for payment.

SECTION II-4. TNSURANCE, PROVISION$ The SI.RVICE PROVIDER shall procure, and rnaintain for the d"*tion of th. *ntract, insurance against claims for injuries to persons or damages to propcfiy which may arise from or in oonnection with the perforrnance of the work hereuider tv trr* 5ERVICE priovmBn, his Agents, Representatives, ancl Employees. The cost of such insurance shall be borne by the SERVICE PROVIDER.

The COUNTY evaluates each claim on a case-by-case basis and invokes all immunities and defenses permitted under law, With the exception of automobile liability, the COUNTY is not to be includ"d u, u named insured on SERVICE PROVIDER's policies. Prior to the commencement of any work the SERVICE PROVIDER shall obtain and furnish certificates of insurance to the COLTNTY indicating the following minimum lines of coverage:

a. Scope ol. Cove_rjqgg as apolicable: Insurance covcrage shall be at least as broad as:

l. Current lnsurance Service Office 0SO) C]omrnercial General Liability coverage' and where applicable, supplemented by Umbrella/Excess with coverage as broad as the underlying Co*mer.iil G"n"ral Liability policy(s). Commercial General

Liability siratt Ue written on an Occurrence basis with Products and Completetl

Operations, and Contractual Liability'

Z. Current Insurance Service Office Business Auto coverage including Code 1, "Any Auto."

3, Worker's Compensation and Employer's Liability

b. Limits of Insurarlce: Effective coverage shall have the following limits:

1. Commercial General Liability: $1,000,000 Combined Single Limit General

Aggregate for bodily injury, property damage, Products-Completed Operations, Owneis and Contraitori Protective Liability, and Contractual Liability'

2. Business Auto Liability: $1,000,000 Combined Single Limit per accident for bodily injury and property damage, including code I - "Any Auto."

3. \Morker's Compensation that shall comply with all applicablc state and federal laws and shall include Employer's Liability with a minimum limit of $500,000.

c. SPecial Rcquirertlents:

1, Severability of Interest: Where applicable, any insurance cov_erage provided by any party other than chatham county, and which may indemnify chatham

County, tfre limits stated under such coverage shall apply separately to Chatham

CountY.

Z. Reporting provisions: Any failure to comply with reporting-provisions of any appticaUte pot"iry shall not affect coverage, if any, afforded on behalf of Chatham

County,itsoffrcials,officers,employees,orvolunteers'

3. CancellationAlon-Renewal Notification: Each applicable insurance policy shall be endorsed to state that coverage shall not be suspended, voided, or canceled, except after thirty (30) days prior written notice by certified mail, return receipt requested, has been given to Chatham County'

4, proof of Insurance: 'l'he Contractor is required to carry insurance under this contract and shall fumish Chatham County with sertificates of insurance with original endorsements affeoting coverage required by this clause, The certificates and endorsements for each insurance poticy are to be signed by a person authorized by that insurer to bind coverage on its behalf'

5. Insurer Acceptability: Insurance is to be placed with insurers with a Best's rating of no less than A:V'

6. Lapse of Insurance Coverage: A lapse of insurance coverage shall constitute gro.,rrdfor termination of this contract by the Chatham County Board of

Commissioners.

SECTION

PROVIDER.hdt-ffiumentS,papers,accountingrecordsandotherevidence p"rtuirrirrg to costs incurred on the Project, where appropriate, and shall make such material available at all reasonable times, during the period of the Contract and for three (3) ycars from the date of final payment under the contract, foi inspection by the cotINTY or any reviewing agencies, and copies thereof shall be furnished upon request. The SERVICE PROVIDER agrees tn-ut tt provisions of this Article shall bc included in any contracts it may make with any subcontractor, assigneeo ot transferee.

SECTION II-6. PAYMENT OF TAXES AI\D FFES. The SERVICE PROVIDER shall requestundobtuiuntyProjectManagersshouldsamebe required. The cost of*y prrrit feei required by the County, and not waived, shall be paid by the

SERVICE PROVIDER.

ARTICLE III

SERVLC-ES PR.OYIDED BY TIIE COUNTY

SECTION IU-l. SCOPE OF SEFVICES. It is agreed and understood that cefiain services' if iequired,willbepmtheCoLtNTY.inatimelymannersoasnottodelay th; SERVICE PROVIDER unduly in his performance of said obligations'

SECTION III-2. INFORMATTON TO THE SERYICE r$OVIDER The CoUNTY will

,opptvtheseRvtccopiesofalldatapertainingtotherequired ,r*ir., plus fuli information as to the COLINTY's requirements for the service including any known pertinent data from any other SERVICE PROVIDERS performing work that would affest this Project.

SECTION III-3. COTJNTY STAFF RESPONDING TO SERVICE PROVIDER

EXPEpITIOUSL ata as the County deems appropriate for such examination and rendcring written decisions pertaining thereto within a reasonable time so as not to delay the servioes of the SERVICE PROVIDER'

SECTION III-4. COLN.TY GIVING NpT[cE oF PROHLEMq. The couNTY shall give frompt verbal *al CB pnOVtDER whenever the COUNTY olr"*", or otherwise becomes aware of any clefect in the service or changed circumstances'

SECTION III-5. ACSqSS Tg pRpp[RTY. The coLINTY will guarantee aecess to and make neoeSsaryp,oui,ioffinovnnRtoenteruponpublicandprivatepropertyas required-for the SERVICE PROVIDER to perform his services under this Contract.

ARTICLE IV

SECTION I jsslory ' The sERVicE

PRoVIDERshalldesasspecifiedbelowinasatisfactoryand O;;"r *unn", and in conformance with the standard practices and procedures of its professions' irnin.r ro pnovruE woRrnn's-,c=otupnN$LJlglLTntnn plnrv

Es As SPECLTIEP.IN RrP No': ?q-gga2-7' RE INCORPORATED HBImIN'IN ITS

ENTIRETY BY REFERENCE.

SECTION IV-2. DETAILED SqopE or SERVICES. The detailed scope of services to be performedbytheffini''ot.,l.'tt'oseservicesout1inedintheproposal.

IN WITNESS WHBREOF, the pades hereto acting through their duly authorized agents have causecl this Contract to be signed' sealed and delivered'

A'|TEST: SERVICE PROVIDER:

UNDERWRITERS SAFETY & CLAIMS'

INC,

se,, t0fL c/ r /"a Sir Vrcrs

I attest that the Corporate Seal attached to this Document is in tact the seai of the Corporation and that the Officer of this Corporation executing this Docurnent does in fact occupy the official position indicated and is duly authorized to execute such documcnt on behalf of this Cclrporation, (coRPoRATE SEAL)

TITLE

APPR

T'ITLE

CHATHAM COUN GEORGIA:

Chatham County, Georgia Board of Commissioners llilil:l i I ll;1t.,,.

AND LEGALITY ATTEST:

, COI"INTYR EYJ E. BOCOOK,

!/0t+ i.

CONTRACT

COMMISSION APPROY AI,. O6126DA

DRUG. FREE WORKPLACE CERTIFICATION

THE LINDERSIGNED CERTIF-IES THAT THE PROVISIONS OF CODE SECTIONS 50'24-1

THROUGHilO-24.6OFTHEOFFICTALCODETOGEORGIAANNOTATED'RELATEDTO

THE **DRUG.FREE WORKPLACEN*, HAVE BEEN COMPLIED WITH IN FULL' THE

UNDERSTGNED FURTHER CERTIFIES THAT:

I . A Drug-Free Workplace will be provided for the employees during the performance ofthe contract; and

Z. Each sub-contractor under the direction ofthe Contractor shall securs the following written certification:

vtnJ ccrtifies to Chatham Cou that a Drug-Free during tlre perfiorrnance of this contract known

I (coNTRACTOR) pursuant to ParagraPh (7) of subsection (B) of Code Section 50'24-3' Also, the undersigned further cenifies that he/she will not engage in ttre unlawfirl manufacture, sale, distribution, possession, or use ofa controlled substance or marijuana during the pertbrmance of the contract' il, ffirs wt

N'TRACTOR

(t-

5 I l^r^>

DATERY

A-1

No o4*ff nPy) bl

LIST OF SUBCONTRACTORS, Mn)t/BE SUBCONTRACTORS OR SUPPLIERS

I Do Y, Do Nor pRoPosE To-suBcoNTRACT soME oF THE woRK oN THI5 rRoJECT. I pRoPoTE To SUBCoNTRACT WoRK To THE Fo;rlownlc suBCoNrRACroRs. 9" flUor,hnenf V {,hn bd.

ATTACHMENT B

Key management and professisnal staff **'r'M/rfrfBE

Cornpgl:Iame Address fyrre of Work

Subqontracted Yaltrq

Company Nalne Address 'l'vne of Work

Subcontracted Value

+ AFRICAN-AMERICAN Owned/operated :F{, WOMEN Owned/operated

'r'r"k OTHER MINORITY Owned/operated

In the event that subcontractor changes are approved by the COIINTY, the CONTRACTOR shall amend the list and attach the amended list to this list'

B-1

ATTACHMENT C

PROJECT COMPENSATION SCITEDT]LE

PAYMENT WILL BE MADE BY INVOICE SUBMITTED'TO PROJECT MANAGERS

SERVICES SATISFACTORILY COMPLETED, CONTRACT PRICES ARE AS FOLLOWS

tTEM Annual Cost

A. Only 16,200

,430

Section A $39,630

B tncident/Report OnlY $2,950

MSA Agent included

MSA Reports $32 per claim

Subtotal Section B $2,950

Annual Administrative Fee $3,600

D Data Conversion Fee (First Year Only) $o

E 2417 Nurse Triage $18,000

(A+B+C+D+E) $64,1 80

F Annual Cost

Annual Cost Year One (JulY 1, 2020-June 30, 2a2t) $64,1 80

Annual Cost Year Two 2022)

(July 1,2021-June30' $64,1 80

Annual Cost Year Three (July 1, 2022-Jwe

30,2023)

$66,680

Annual Cost Year Four (JulY 1,2023-June 30, 2024)

$66,680

Annual Cost Year

202s)

Five (July l, 2024'Iune 30. $67,680

Term Contract Cost (Years I'-s) 8329,400

Services

U Case Management

Only $0

Medical Only s22s

Time l;600

H Bill Review (o/o of Savings) 27%

$5.50 per bill

Run-off Claims $

Only $35.00 per claim

Lost-time $350.00 per claim

Only $

I Fees for Services

T, 300 Log Included

K. Set-Asidt fi2,250 per file

L RiskManagement Center and Loss Control $2,500 annually c-1 pRoMI sE ot on t $Ht8f#t NIro, o* sr ATEMENT

Know All Men By These Presents, that I (We), AI ,tr

{b.fUt.",r ^'Vs*c- (herein after "Company"), as follows

(1)

(3)

(2)

No person shall be excluded frorn participation in, denied the benefit of or otherwise discriminated against on the basis of race, color, national origin or gender in connection with the bid submitted to Chatham County or the performance ofthe contract resulting therefrom;

That it is and shall be the policy of this Company to provide equal opportunity to all business persons seeking io contract or otherwise interested with the Company, including those companies owned and controlled by racial minorities' and women;

In connection herewith, I (We) acknowledge and warrant that this Company has been made aware of, undersiands and agrees to iake affirmative action to provide minority and women owned companies with the maximum practicable opportunities to do business with this ComPanY on this contract;

That the promises of non-discrimination as made and set forth herein shall be continuing throughout the duration of this contract with Chatham County;

That the promises of non-disoimination as made and set fbrth herein shall be and are fr.t"b' deened to be made a part of and incorporated by reference in the contract which this Company may be awarded;

That the failure of this Cornpany to satisfactorily discharge any of the promises of non-cliscrimination as made and set forth above may constitute a material breach of contract entitling the CountY to cleclare the contract in default and to exercise appropriate but not limited to termination of the contract.

(4)

(s)

(6)

D-1

ATTACHMENT E

LETTER OF INTENT TO PERFORM AS A MINORITY/WOMEN BUSINESS

ENTERPRISE

SUBCONTRACTOR/JOINT VENTURE PARTNER

THIS FORM MUST BE COMPLETED BY THE SUCCESSFUL SUB-CONTRACTOR AND

SAI}MITTED BY THE APPARENT.S{/CCE.S^SFT]L BIDDER OR PROPOSER BEFORE

APPROI/AL OF CONTPJ.CT AWARD TS RESUESTED BY COUNTY STAFF FROM THE

B OARD O F C O M M I SS K )Nfi?S.

TO: CI-IATHAM COLiNTY PURCHASING

PROJECT:

Bidder:

DATE:

The undersigned has agreed to perform work in connection with the above project as:

-a sole proprietorship (individual) a corporation

-apartnershiP -ajointventwe Detailed description of work items to be performed:

at the following price $-'

Type or Print Name of M/WBE Sub-Contractor

By:

Title: €

Printed Name:

E- I

The undersigned will enter into a written agreement with the above M/WBE Contractor for the work described upon avtardand execution of a contract with Chatham County.

Type or PrintName of Firm

Signature:

Title:

Printed Name:

Date:

E-2

BIDDER'S CERTIFICATION REGARDING DEBARMENT' SUSPENSION' INELIGIBILITY

AND VOLUNTARY EXCLUSION

The undersigned certifies, by submission of this proposal or acceptance of this contract' that neither Contractor nor its principals is presently debarred, suspended, proposed for debarment' declared ineligible, or voluntary excludeo from panicipation in this transaction by any Federal department or agency, state of Georgia, city of savannah, B_oTd of Education or local municipality. Bioaei agrees that by submitiing this proposal that Bidder will include this clause without modilication in alt tower tier transactions, solicitations' proposals, contracts and subcontracts. where the Bidder or any lower tier participant is unable to certify to this statement' irrat pa"ticipant shnll attact an explanation to this document. lt is the contractor's responsibility to inform the county when thcir compaoy is debarred, suspended, proposed for debarment' declared ineligible, or voluntary exctuded from participation during the term ofthe contract'

Certification - the above information is true and complete to the best of my knowledgc and bclief'

ATTACHMENT F

CHATHAM COUNTY' GEORGIA

Aa'2. L (Printed or Name of Signatory)

(Date)

NOTE: The penalty for making false statements in offers is prescribed in l8 IJ.S.C. I 001

END OF DOCUMENT Mod. ccP&c612005

F-1

REQUEST FOR PROPOSAL

CHATHAM COUNTYN GEORGIA

FEE pROposAL FORM RX'P NO' 20-AA32-7

WORKER'S COMPENSATION-THIRD PARTY ADMINISTRATOR (TPA) SERVICES

I have read and understand the requirements of this proposal' RFP #20-0032'7, and agree to provicle tl:e required r;i;"t in accordan". *itft this proposal, and all other attachments' exhibits' etc" I agree to tunristr itre Services as describeO in nfp #2A'-0t)32-7, for the fee listed below' I understand ttut dr"-bou"ty .,"ilt ttot be responsible_fbr the reimbursement of any costs ttol

,pr"in""ify set forth ; thi;;t"posal..In addition, the County reserves the right to accept any part or all of the fee schedule and to negotiate any "h*gm contained herein unless qualified otherwise.

.d

,1./' t6,ico : 6 4jr80' o0

[u4rParo tr4\ t gb'oa tot,b*Oe

'r'i,'.J!*'l' 3 2ot)q\apo

RS' COMPENSATION F'EE SCHEDULE

COUNTY IARGGEO,

al CostON

)7 430

39 0btotal Section A 2Onl

Included

32. Per claimto be- if dataR

950btotal Section B Administrative Fee

0Year OnlConversion Fee J46 180otal

Does Not Include MSA Cost

46,180Cost Year One (JulY 1, I 2020-June

46,180Cost Year Two (JulY 1, 202'l-.Tune 30

48,680Year 1ThreeCost (July

49,680Cost Year Four (JulY 1, 2023-June3

49,680Cost Year Five (JulY 1' 2024-hne

239,400ears ITerm Contract Cost ditional Services

15O0/monthNurse

Case 0t Onl

225.Per claim

600. Per claimTime

27Bill Review.(% o A Fee Schedule f Savings)

$5.s0 billPlus

-offClaims

35. Per claim

350. Per claimtime

Fees for Services Included300 file2Set-Aside See BelowControl f J*FIRM N lc e u

SICrI{A

ADDRESS:

tTrcc

CITY/STA P aAlz.-n na ft

TELEPHONE

FAX NUMBHR Q tz- 3fi1

NOTE:

Wck

Run-off fses on page 1 only apply if contract is terminated and us&c continues to handle oPen claims.

.rtffn z{t fr\ "1, LOSS CONTROL SERVICES: We wilt provide loss control services as a part of the Risk

Management Center described in Tab 7. Chntham County will have access to The Risk

Management center and its resources, including 2 loss control visits per year if requested'

The Risk Management center and Loss control: $2t500 Annually

DOCUMENT CHECK LIST

The following documents, when mark9,$ are contained in and made apart of this Package or are required to be subrni,i.J.i"irrrirr. quarification proposal. rt is the responsibirity of the proposer to read, cornplete and sign, where inOicateO,-anA'retiurn thesl-qolutnenfs with hisiher qualification proposal. FATLURE i6 bo so MAy eE causp FOR DISQUALIFICATION.

X GENERAL INFORMATION

X PROPOSAL

X SCOPE OF SERVICES

x LEGAL NOTICE

XATTACHMENTS:A.DRUGFREEWORKPLACE;B.NONDISCRIMINATION

STATEMENT; C. pTSCiOSURE OF RESPONS13IL1Ty STATEMENT; D' CONTRASTOR &

SUBCONTRACTORerrpevlTANDecngB}"GNTE'BIDDER,SCERTIFICATION REGARDING DEBARI!{iNT, sUSpnNSfOr'1,- INELIGI9ILITY AND VOLUNTARY

EXCLUSION;T.WUNECOMPIUNCSNgiONT;G'SAVEAFFIDAVIT;H'LOBBYING

AFFIDAVIT.

The undersigned bidder certifies that he/she has received the above listed and marked documents and acknowledges that his/hor failure to retum eaoh, completed and signed as required, maY be cause for di bid

{)2o1

DA

'Tf* SeRwcvJ i"

BY

t Ct wl

COMPANY:

ACKNOWLEDGE RECIEPT OF ADDENDUM(S) 2

Chatham CountY has established goals to increase minoritY and woman owned businesses. In order to accuratelY document participation' businesses submitting bids or ProPosals encouraged to rePort ownershiP status. A minoritY orwoman owned are busine'ss is defined as a business with 5lo/o or greater minoritY or female ownershiP. Please check ownershiP status as applicable:

African-American Asian American Hispanic-

Native American or Alaskan rndian- Female

CFIATHAM COUNTY PURCHASING DEPARTMENT

ADDENDUMNO. L TO RFP#20..-9"0]?-7

F0R: Annual Contract forWorker,sCompensation.ThirdParfyAdministrator(TPA)Services

PLEASE SEE THE FOLLOWING ADDITIONS' CLARIFICATIONS AND/OR

CTIANGES:

olrestion: Ref. page 3 of 38, Gcneral lnbrrnatiotl, and Page I I of 38, Sectiorr 2' 18 wllE

Participation. Please ctariff if tlt.t* is a participatiqn.gotLfor atty such prime oeintrastor for DBE (Disadadvantaged) Business B*erprise, lvtgE (Minority Btrsiness Entetprise)'

WBE (Woman BusinesiEnterprise), or any tther qualified minority enterprise' If yes' is it mandatory? If it ir ;AilJ;r aesir"a, what is the required or-desired percentage of tho contract value? fir" poirit value for evaluation is noted, but not the percentage goal' what is the roquired or desired percentage of the contract vaiue? Please confitm thal the utilization of a sub-contta"tot can only de submitted for the scope of service required by the contract, antl not foi uncillary ,"rnir" providers who do not provide the services

*ltfrin the scope of woit in the contract for third party claims administration'

Bpsnonse: rr,ere areiro slted goals in this RFp, however, the county strongly ffi""t"g* the utilization of miiority and women business enterprises in Chatham

Counoy."W" would ask that you show us that you have n* fo{tr a good faith' demonstrate a history of using MWBEs o,, puut projects and a.healthy utilization of minorities on past projects ani a healthy utilization of minorities and women in your current workforce. Tie fifteen points (15) will be awardod based on your approach and utilization MWBEs both past and present. The sub-contractors must perform a commerciully usefully function tc'ur) as it relates to the scope of work outlined this

RFP.

Question: Who is the current MBE/WBE or other minorify enterprises currently used by lhe in"umb"nt for this contract?

n.*oo*", To our knowledge we do not have any MWBE participation on this ourrent contract.

oucstion: Ref. page 4 of 38 Section 1.3. HoW tO submit Proposals - Due to the cunent sit[ation with covlD-tl, it *uy be diffrcult to provide hard copy submitals--due to unanticipated ouriu"rv opiiont, o. uuuilpilttv of the County to receive deliveries' Will the a;;;t lonsider .l"oironi. submission? will the county exlend the due date.

il;;;;;; Due to iovb-ig, proposals may be submitted electronic, Hard copies are encouraged. nlthough buiiding acciss has been restrioted, staff is available during nonnal work hours to re""ivJpiil;;G, Proposals should be received by the due date/time' The proposal due date/time remains the same' ouestion: Ref. page 9 of 38 Section G' Deductible and self-Insured Retention: [t may not be practicable, p*riur", or cost-effective to reduce or waive a deductible of the proposers s"tr-insureo-i"tention policies. will a bond be required, and if so, how much of a bond will the CountY require?

Response; rhis ca#oi-u. unr*"t"d until the declaration is made of the deductibles or self-insured retention.

5 ()uestion: Ref. page 18 of 38 5.1. Background and objectives and page 22 of 38' Section

5.7 DataManagement. who is the incumbent? If it is underwriters safety and clairns' please confirm underwriters safety and claims has all claims data including

;;;;""p*ea una "los"d claims ror alt the self-insurance claims' If not, please clariff' ii"*" u"riry all the claims data is on the RiskMaster claim system.

;r;il;; u*Jr*rito;i.fdt and Claims is the incumbent' Their data is on RiskMaster-

@ To determin, po*uibl" data conversion needs' please provide:

u. o**iiJ*- rn, titt review company used by the incumbent for the

CountY.

Itcsnonsei BHN (Bluegrass Health Network)

b. Quffiq: The medic-al case management company used by the incumbent for the CountY'

Bggpg4!.g: Not APPlioable

c. Ouilfron, it, uiiiirution review company uscd by the incumbent for the CountY'

Resnonse: BHN

d. Ouffin: itt. nutt" triage company used by the incumbent for the

CountY.

Rcsnonse: BHN

e. Ouffin: The Pharmacy Benefit Management company used by the incumbent for the CountY'

ResDonse: PreferredMedicalNetwork

f. ouffin: The company used by the incurnbent for GMS/SCHIP rePorting.

Resnonse:.TheCountydoesnothaveapreferredvendor.Thevendor varies bY claim,

g. Ouestion: Who is the broker for the County?

Resoonse: USI

h. ouffi': Does the county oungntly \ave. any preferred vendors for agreements, private investigators, rehabilitation suppliers?

If Yes, who does the CountY Prefer?

Response; The County does not have any preference'

i. O"*,i"U: The olaim system used by the incurnbent'

Resnonsc: RiskMaster j.Ouestio-p:HowmanyauthorizedUserswilltheCountyrequirefor claim sYstem aocess?

Respo$sc: 7-10

Ouestion: Ref. pagffof 38, Section 5.2 Chatham Counfy Internal Procedures - Please provide the list of physi"ians the County cunently otti fot its traditional panel of physicians?

i{;;;;i, worker,s comp. panel is posted along with the bid document at purchasin g.chathamcounty.org' ilffi Ref. page iq lrg-s. section 5.2 Chatham counry lntemal Procedures ' Does fi" C*"ty have any direct contracts with its panel physicians?

R;;;;;;1 Not at ihit ti.", but are exploring the possibilities'.

guestion: n"f. puge iO oi lg Claim Expefi"n"* - Provide the current total number of open indemnity (Losi fint"j claims ,"gurdl"r, of the date of injury (or as of 3/3 Il20) and

6.

I tbr open in the current as of 3i3

10. Ouestion:

1l

Medical Only claims of injury (or claims.Time) claims

5.9 Financial

a.Please provide the County's current annual savings for the last year or the previous 12 months. Please include a summary ofi

ResPonse: ResPonses are for FY2019 b.Total number of bills ResPonse: 2264 c.Total fee schedule reductions

ResPonse: $1,176,030 d.Total PPO reductions ResPonse: $96'393 e.Total Specialty Bill Review reductions

' ResPonse: $490,096 f.total fee for fee schedule reductions

Response: $0

g. Total fees for PPO reductions

R"sPons": 30% below Fee Schedules tr.total fees for Specialty Review reductions

ResPonse: 30% below F'ee Schedules

i. Any other fees associatecl with rnedioal bill review or any kind of reductions.

ResPonse: None ouestion: Ref. page 17 of 38 4.5.5 Fee Proposal und nug" 26 af 38 Fee Schedule oonfirm ihat includes all pending inventory - "run-off'claims (all open and reopened ctaims to be transferred to a new TPA)'

Response: ihe request is for a fee for all pending inventory and newly

,"port"d claims" There is no need to propose a run-off per olaim cost if it is iniluded in your per contract year fee'

b. Section +.S.S utro indicates to provide a separate quote for a cost per file for run-off claims.

Response: This is to give you the flexibility in your bid. There is no need to bid a run-offper claim cost if it is included in your per contract yeaf, quote'

c. Fee Schedule: Items A, B, and E appet to be asking for a cost per file or fee for service; however, the column indicates an Annual cost' Item F seerns to be the annual fee for all run-off and newly reported claims. If line items

A, B, E are indeed a quote per file, what is the annual number of claims files the County would like to use for the proposers to indicate an "annual" cost?

Responsei Ifa cost per olaim is requestedo then a quote for annual cost is not necessary.

d. Item G. Can a proposef quote an hourly rate for Telephonic case

Management? Reponse:-No. Per claim only, Approximately how many incidents onlyTr"-..p-orted for telephonic casg rnanagement per year?

Rcsponse: ritg : ti:. ryzo 7 lzi TO 313l/2020. Approximatelv how il""v lr4-*ical Only are reported per year f91 m^edical case management?

Besponse: fYtg =iS3. fiZg = tZ+ fO 313112020. Approximately how

;ffi-rt Time are reported for medical case rnanagement per yeat?

Medical Onl

12.

i3.

t4.

15.

16.

17.

18.

19.

ResDqnsc: FY 2019 : 19. FY 2a:9 To 3131/2020. Approximately.how many Z+iV *urse Triage calls are reported p9r lea{. Re$pgnsc: I per claim.

All claims are reportei b the 2417 Nu.t" Triage. other call are received and routed to the telephonic nurse case managers' e.Iteml.AppearstorequestthecostperfilefortheRun-offClaims'How does this differ from Item A and B?

R*rnonr*,-ii *tt per clairn is requested, then a quote for annual cost is not necessafy.

ouestiou: will you [l"ur. provide a copyof your most current loss runs in Excel format ficr at least the last fit;;#t ityou ur" ubl. io break legal out separately, please provide tho nurnber of current open Legai, Lost Time and Medical only claims.

[.*ounr*t 5 year Loss History is posted along with the bid document at ffi-1'ffi.onatharncounty.org. l,"eul is handlid in house by the County Attomey' 'Ihe

L;"ay;n"rney is noiifr"i on"*y Gtter of representation' Claim are classified by

Incident Only, Medical Only, and Lost Time'

0;;6"t $&at is you.uo"toge annual breakdown of claims broken out by claim type

6ffili- "1 only, Lost time, tiegal, BI, PD, etc.) for at leasl the past three years?

;ii;;;r_i 5 y; Loss History is posted along with thetid-docurnent at ffiffi.chathamcounfy.org. The averages ian be derived from the spreadsheet' buestionl How many "tui,oJoo"r-thecounty cu.qenlly have open by claim type? Il you il "bl" t" break legai out ,"purut"ly, please provide the number of open legal' lost time and medical onlY claims.

Re€nonse: See response to Question 9' ffiHowmuchhasthiCountyspentonTelephonicCaseManagementineachof the last three Years?

["*ooot*, pyf g: $24,300 FYIS: $41,850 FY17: $33'150' ffi How much have you spent on Field Case Management in each of the last three years?

R;;;;;*t Unable to respond. A clalm by claim for all open and closed claims for this ffir;r""uld be needed. Chatham County has very few claims that require Field Case

Management.

Question: can you either share the contract with Bluegrass Health Network for the ililffig" s"rvioes, or provide the current pricing?- - . ^ r,, rr---.,^ T-:^^^ .rL.

n*roonr*l fn.

"uo.Jfricing is $1500 a mbnth. Ttris is for the 2417 Nurse Triage' This is a separat" fee from the telephonic nurse case managers' iil;-i'it"t Will electronic oisoanned signatures be aoceptable for now since we are

"niUte to get original signatures?

il;;;;-; nlecironic Jgnatures will be acceptable, but the hardcopy original signatures must be mailed to our office.

O"-rti"", Ref. Section 2.10 - Will any GA County business license meet the

[-nt for lioensure in order to contraot with Chatham County? "A firm need not have a Chatham County Business License prior to submitting a proposal' However' a license must be obtain;d by the successful vendor prior to award of contract'" n*uJo*", Cfratham County honor* licenses obtain from other rnunicipalities within

Georgia.

O;;?i;;t Ref. Section 5.2 -Maywe have a copy ofthe Panel of Phvsicians?

Resttofiea See response to Question 7' O"-ttio* How miny RMIS users will the County need?

Response: 7-10 21.

ZZ. Oucstion: Settlements are initiated and negotiated by County Attomey.