FV169009_Lead_and_Asbestos_Proposal.doc
DOC document 41 KB Posted
- Attached to
- Lead and Asbestos Physicals
- Solicitation number
- FV 169009
- Issued by
- Orange County, California
About this file
This document is a Bid Proposal for Invitation for Bid (IFB) Number FV169009 issued by Fairview Developmental Center for Lead and Asbestos Physicals. The contract covers medical examination services for employees exposed to lead and asbestos, with a defined term from July 1, 2016 through June 30, 2018. The proposal anticipates medical screenings for 35 employees in the 2016/2017 fiscal year and 40 employees in the 2017/2018 fiscal year, with comprehensive physical examinations that include medical history review, respiratory and asbestos questionnaires, physical exams, vision tests, pulmonary function tests, audiometric exams, chest x-rays, rectal exams, and blood lead testing.
The bid proposal requires bidders to provide unit pricing for each medical procedure, with a total bid amount to be calculated based on the number of employees per fiscal year. The document allows flexibility in billing cycles (monthly, quarterly, semi-annually, or annually), with all services to be paid in arrears. The estimated number of clinics is intended solely for computing costs and determining the low bidder, but the quoted costs will be binding for the entire agreement term. Bidders must complete the proposal by providing their printed name, signature, and pricing for each specified medical procedure, with the ultimate goal of providing comprehensive occupational health screenings for employees potentially exposed to lead and asbestos.
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Other files
| File | Type | Posted |
|---|---|---|
| CCC307.pdf | ||
| Darfur.pdf | ||
| Bidder_Certification_Sheet_Attachment_2.pdf | ||
| Bidder_References_Attachment_4.pdf | ||
| FV169009_Lead_and_Asbestos_IFB.doc | DOC document | |
| Payee_Data_Record_STD_204.pdf |
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Text version
Fairview Developmental Center
IFB Number FV169009
ATTACHMENT 3
Bid Proposal
In compliance with your Invitation for Bid for Lead and Asbestos Physicals at Fairview Developmental Center, I hereby propose to perform the work, as specified and described during the term July 1, 2016 through June 30, 2018, at the rates specified below:
PROCEDURE
RATE
Review of Medical/Social Occupational History
Includes the following:
Asbestos Questionnaire Respiratory Questionnaire General Physical Examination Snellen Vision Test Dipstick Urinalysis Issue Respiratory Certificate
Pulmonary Function Test (PFT)
Audiometric Exam
Chest X-Ray (B Reader Report, 3 Views)
Rectal Exam with Hemocult
Venipuncture and Handling
Blood Lead and ZPP
Total Asbestos/Lead Physical Exam per Person
2016/2017 Fiscal Year
(7/1/16 through 6/30/17)
X 35 Employees
2017/2018 Fiscal Year
(7/1/17 through 6/30/18)
X 40 Employees
TOTAL BID AMOUNT
| $ ____________ |
| + |
| $ ____________ |
| = |
| $ ____________ |
The estimated number of clinics indicated above will be used solely for computing the cost as a fair and equitable formula to determine the low bidder and is not binding on the contracting agency. However, the actual costs quoted above by the bidder shall be binding for the term of the Agreement.
Bidder’s Printed Name Bidder’s Signature
Billing Cycle:
FORMCHECKBOX
Monthly
FORMCHECKBOX
Quarterly
FORMCHECKBOX
Semi-Annually
FORMCHECKBOX
Annually
Note: All services performed are paid in arrears according to the billing cycle indicated above.
PAGE
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