Attachment_08_Organization_Profile.pdf
PDF 176 KB Posted
- Attached to
- Master Agreement AZ|CTR073227
- Contract number
- CTR073227
- Issued by
- Arizona
About this file
This document is a Request for Proposal (RFP) with Solicitation No. BPM006197 for Statewide Employee Medical Exam Services, issued by the Arizona Department of Administration's State Procurement Office. The proposal involves MBI Industrial Medicine Inc., a medical services company established in 1982 and located in Phoenix, Arizona, which has 42 years of experience providing medical examination services in the state.
The solicitation seeks comprehensive medical examination services, with MBI Industrial Medicine Inc. demonstrating qualifications through multiple licenses and certifications, including an AZDHS Outpatient license (OTC12287), a Medical License from the Arizona Board of Osteopathic Examiners, and a National Registry certification from FMCSA. The company has three primary contract representatives: Matt Chojnacki (VP of Sales), Dr. Karem Colindres (Arizona State Medical Director), and Sadie Forester (Compliance Officer). Their current licenses are valid through 2024-2025, indicating ongoing compliance and operational readiness to perform statewide employee medical examination services for the state of Arizona.
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Other files
| File | Type | Posted |
|---|---|---|
| CTR073227_Contract_Amendment__2.pdf | ||
| 01.01.26_COI_GL_AL.pdf | ||
| 1-10-25_COI_Cyber.pdf | ||
| 7-1-25_COI_WC.pdf | ||
| AZ_All_Locations_Map.pdf | ||
| Attachment_09.xlsx | XLSX spreadsheet | |
| MBI_Attachment_13_Pricing_Document_rev_8-22-24.xlsx | XLSX spreadsheet | |
| 07.01.26_COI_WC.pdf | ||
| 11.01.25_COI_PL.pdf | ||
| CTR073227_Contract_Amendment__1.pdf | ||
| CTR073227_MBI_Industrial_Employee_Med_Exam_Svcs.pdf | ||
| Listing_of_all_Service_Locations.xlsx | XLSX spreadsheet | |
| 1-1-25_COI_GL_AL.pdf | ||
| 11-1-24_COI_Med_Liability.pdf |
Show all 14
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Text version
Request for Proposal Solicitation No. BPM006197
Statewide Employee Medical Exam Services
Arizona Department of Administration
State Procurement Office
Solicitation Attachment – Organization Profile | Revision No. 1 | Revised 11-22
Attachment 08 – Organization Profile
Organization name: MBI Industrial Medicine Inc. Year established: 1982
Principal address (street, city, state, ZIP):
77 E Thomas Rd Suite 230, Phoenix, AZ 85012
Branch or division: n/a Parent company or owner:
n/a
Years of experience providing Materials or Services similar in type and quantity as required by this Solicitation: X 42
Years of experience performing Services similar in size and scope as required by this Solicitation: X 42
Years the organization has conducted business in Arizona: X 42
Contract Representatives
Name Title Phone number Email address
1. Matt Chojnacki VP of Sales - Arizona 602-399-0167 Mchojnacki@gowithmbi.com
2. Dr. Karem Colindres Arizona State Medical Director 832-279-7890 kcolindres@gowithmbi.com
3. Sadie Forester Compliance Officer 208-859-8869 sforester@gowithmbi.com
Licenses/Certifications
Description Issuer Number Expiration
4. AZDHS Outpatient State of AZ Health services OTC12287 02/14/25
5. Medical License Arizona Board of Osteopathic Examiners 005478 12/31/2024
6. National Registry FMCSA 005478 05/01/2025
7. X X X X
8. X X X X
Financial Information (attach financial statements with income/balance sheets as Supplements)
Rating/Issuer Score/Rank Date
9. X X X
10. X X X
Capacity
Location Work performed Number of staff Capacity
11. Please see attachment 09 X X X
12. X X X X
13. X X X X mailto:Mchojnacki@gowithmbi.com mailto:kcolindres@gowithmbi.com
File details come from the government source that posted it. Updated .