RFP_25_8428_DPS_Attachment_B_Price_Schedule_Final.xlsx
XLSX spreadsheet 22 KB Posted
- Attached to
- RFP 25 8428 DPS Occupational Medical Services
- Solicitation number
- PR8428
- Issued by
- Florida
About this file
This document is a Price Schedule (Attachment B) for RFP 25 8428 DPS Occupational Medical Services issued by the Orlando Utilities Commission (OUC) in Florida. The comprehensive pricing document outlines detailed services for occupational medical services, including seven service packages covering pre-employment post-offer examinations, medical review officer services, drug testing, medical director services, and an executive health assessment. The contract allows OUC to select one or more suppliers to provide a range of medical services supporting their Occupational Health and Safety Programs, with options for on-site and medical facility-based services. The initial contract period includes potential renewal options, with pricing remaining firm and allowing for up to a 3% increase during renewal periods.
The pricing schedule is structured with zero-dollar placeholders, indicating that actual pricing will be completed by bidders. The document specifies that all site visits must be pre-approved by OUC's designated representative, and all-inclusive costs must be comprehensively outlined without additional administrative fees. Payment terms include options for 1% discount if paid within 20 days or 3% discount if paid within 10 days, with a standard net 30-day payment period. The pricing schedule covers a comprehensive range of medical services, including physical examinations, drug screenings, vision and hearing tests, medical consultations, laboratory testing, and online scheduling services with associated setup and maintenance fees.
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Price Schedule
| ATTACHMENT B |
| RFP 25 8428 DPS Occupational Medical Services |
| Price Schedule |
| Supplier shall include all equipment, travel, materials, labor, supervision, and any other costs required to perform the services, whether on-site at OUC or at a designated medical facility, as specified. If a discounted, all-inclusive price is offered for all services listed in the first seven (7) tables, enter the total discounted amount in the “Total Package Discount” line of each corresponding table. Note: The “Total Package Discount” price represents the lump sum discounted total amount if OUC elects to purchase all of the items in that package. |
Company:
| Pre-Employment Post-Offer Examination at Medical Facility - Package 1 | |||
| Item # | Description | Individual Cost | |
| 1 | Physical Examination | $ - 0 | |
| 2 | Vitals | - 0 | |
| 3 | Dip Urinalysis | - 0 | |
| 4 | Titmus Vision Screen | - 0 | |
| 5 | Audiogram | - 0 | |
| 6 | Pulmonary Function Test | - 0 | |
| 7 | Ten (10) Panel Drug-Free Workplace (DFWP) for Department of Transportation (DOT) Drug Screen and Medical Review Officer Services | - 0 | |
| TOTAL FOR PACKAGE 1 (Items 1-7): | $ - 0 | ||
| TOTAL PACKAGE DISCOUNT (Items 1-7), All-inclusive: | $ - 0 |
| Pre-Employment Post Offer Employment Examination at Medical Facility - Package 2 - Additional Options | ||
| Item # | Description | Individual Cost |
| 8 | Back x-ray for lumbar spine (3 views) | $ - 0 |
| 9 | Electrocardiogram (EKG) | - 0 |
| 10 | Provide medical certifications for respiratory fit testing examination | - 0 |
| 11 | Asbestos examination based on OSHA Regulations | - 0 |
| TOTAL FOR PACKAGE 2 (Items 8-11): | $ - 0 | |
| TOTAL PACKAGE DISCOUNT (Items 8-11), All-inclusive: | $ - 0 |
| Medical Review Officer Service and Drug-Testing - at Medical Facility - Package 3 | |||
| Item # | Description | Individual Cost | |
| 12 | 10-Panel Drug Screen for DOT | $ - 0 | |
| 13 | 10-Panel Drug-Free Workplace (DFWP) | - 0 | |
| 14 | Breath Alcohol Test (B.A.T.) - INITIAL | - 0 | |
| 15 | Breath Alcohol Test (B.A.T.) - CONFIRMATION | - 0 | |
| TOTAL FOR PACKAGE 3 (Items 12-15): | $ - 0 | ||
| TOTAL PACKAGE DISCOUNT (Items 12-15), All-inclusive: | $ - 0 |
| Medical Review Officer Service and Drug-Testing - On OUC Site - Package 4 | ||
| Item # | Description | Individual Cost |
| 16 | 10-Panel Drug Screen for D.O.T. | $ - 0 |
| 17 | 10-Panel Drug-Free Workplace (DFWP) | - 0 |
| 18 | Breath Alcohol Test (B.A.T.) – INITIAL | - 0 |
| 19 | Breath Alcohol Test (B.A.T.) - CONFIRMATION | - 0 |
| TOTAL FOR PACKAGE 4 (Items 16-19): | $ - 0 | |
| TOTAL PACKAGE DISCOUNT (Items 16-19), All-inclusive: | $ - 0 |
| General Tasks - at Medical Facility - Package 5 | ||
| Item # | Description | Individual Cost |
| 20 | Review of Medical Records | $ - 0 |
| 21 | Routine Physical Examination | - 0 |
| TOTAL FOR PACKAGE 5 (Items 20-21): | $ - 0 | |
| TOTAL PACKAGE DISCOUNT (Items 20-21), All-inclusive: | $ - 0 |
| Medical Director Services - at Medical Facility - Package 6 | ||
| Item # | Description | Individual Cost |
| 22 | FMLA Case Consultation | $ - 0 |
| 23 | OSHA Compliance | - 0 |
| 24 | Absence Management Support | - 0 |
| 25 | Fitness for Duty Concerns | - 0 |
| 26 | Occupational Health and Safety Support | - 0 |
| 27 | Contagious Disease Consultation | - 0 |
| 28 | Medical File Review | - 0 |
| 29 | Ergonomic Consultations | - 0 |
| 30 | Environmental Exposure Support | - 0 |
| TOTAL FOR PACKAGE 6 (Items 22-30): | $ - 0 | |
| TOTAL PACKAGE DISCOUNT (Items 22-30), All-inclusive: | $ - 0 | |
| Note: Packages 1 through 6 will be the basis for evaluating pricing. |
| Executive Health Assessment - at Medical Facility - Package 7 (Usage of Items in Package seven (7) will be requested only as/when needed, to be determined by OUC staff) | ||
| Item # | Description | Individual Cost |
| 31 | Physical Examination and consultation with review of results for testing by physician (includes follow-up consultation of laboratory work by phone or in person) | $ - 0 |
| 32 | Titmus Vision Test | - 0 |
| 33 | Lab testing - Complete Urinalysis | - 0 |
| 34 | Lab testing - CBC with differential and platelet count | - 0 |
| 35 | Lab testing - Lipid profile – complete with total LDL, HDL and TG | - 0 |
| 36 | Lab testing - Chemistry Profile | - 0 |
| 37 | Lab testing - Hemoccult | - 0 |
| 38 | Lab testing - Thyroid Profile | - 0 |
| 39 | Lab testing - Hepatitis Panel (A, B and C) | - 0 |
| 40 | Chest x-ray | - 0 |
| 41 | Audiometric Testing | - 0 |
| 42 | Electrocardiogram - Resting | - 0 |
| 43 | Pulmonary Function Test | - 0 |
| 44 | Health Risk Assessment | - 0 |
| 45 | Prostate Specific Antigen (PSA blood test and digital rectal exam) for males over 45 | - 0 |
| 46 | Pap smear | - 0 |
| 47 | Cardiac Stress Test | - 0 |
| 48 | Pharmacology Counseling | - 0 |
| TOTAL FOR ITEMS 31-45: | $ - 0 | |
| TOTAL FOR ITEMS 31-44 and 46: | $ - 0 | |
| TOTAL PACKAGE DISCOUNT FOR ITEMS 31-44 AND 46-47: | $ - 0 | |
| TOTAL PACKAGE DISCOUNT FOR ITEMS 31-45 AND 47-48: | $ - 0 |
| Additional Services not Delineated Above - at Medical Facility – Optional Services a | ||
| Item # | Description | Individual Cost |
| $ - 0 | ||
| $ - 0 | ||
| $ - 0 | ||
| $ - 0 | ||
| $ - 0 | ||
| $ - 0 |
Online Scheduling Services (OUC would prefer to utilize an online scheduling system for these services)
| Item # | Description | Individual Cost (each) | |
| A | Set-up fee for OUC portal (one-time fee) | $ - 0 | |
| B | Portal subscription fee (OUC log-in for HR and OUC log-in for external suppliers) | $ - 0 | |
| C | Year one (1) annual maintenance/support fee (with details on what this covers and/or includes) | $ - 0 | |
| D | Year two (2) annual maintenance/support fee (with details on what this covers and/or includes) | $ - 0 | |
| E | Year three (3) annual maintenance/support fee (with details on what this covers and/or includes) | $ - 0 | |
| TOTAL PRICE: | $ - 0 |
Payment Discounts:
All site visits for this contract and associated fees shall be scheduled and pre-approved by the OUC designated representative in advance of each site visit. The Pricing Schedule shall be completed and signed and included with your proposal. Cost/fees listed above, or in this price schedule, shall be all inclusive. No billing will be accepted that shows any costs other than those listed above or on this price schedule including, but is not limited to, administrative, printing, delivery, rent, phone calls, postage, overnight mail service, accounting, and consulting fees. Pricing shall remain firm through initial contract period and should OUC elect to exercise renewal option, the Supplier agrees to no more than a three percent (3%) increase for the renewal period.
Authorized Signature Date
&P
1% if paid within 20 days, Net 30 days 3% if paid within 10 days, Net 30 days Check Box 2 No discount offered
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