RFQ 24-00004 - Oral Surgery Services.pdf

RFQ for Oral Surgery Services RFQ No. 24/00004 Rev. 12/10/24; Law No. 24-HS-979 Commodity Code: 948 Suffolk County Department of Health Services Advertised: March 6, 2025

Request for Qualifications (RFQ) to provide Oral Surgery Services at the Yaphank Correctional Facility’s Jail Medical Unit for the Suffolk County Department of Health Services

Timeline

Technical Questions Due: Will be accepted in writing on a rolling basis until 3:30pm on December 31, 2029. The Department of Health Services anticipates issuing addendums as necessary to respond to such questions.

Response Due Date: Responses will be accepted and reviewed and Contractors selected on a rolling basis through 3:30pm on January 31, 2030.

Contact Information

Susan Gudema Telephone. (631) 854-0084 Department of Health Services Fax: (631) 854-0116 3500 Sunrise Highway, Suite 124 Email: Susan.Gudema2@suffolkcountyny.gov PO Box 9006 Great River, NY 11739-9006

Response Package Requirements

• Submissions to be sent to Suffolk County Department of Health Services.

• Number of Copies: Original plus two (2) copies.

• The RFQ No. (located on upper right hand corner of this page) must be on:

o All outer mailing envelopes/package o Original Response and all copies on the binder/cover page

• Original must be labeled “ORIGINAL.”

• All copies must be complete copies of the Original.

• Responses should be submitted in a tabbed and labeled binder, not permanently bound.

• Transmittal letter should be placed in First Tab of Binder.

• Do NOT return RFQ document. This is for you to keep for reference.

Late Responses Will Be REJECTED

Table of Contents

Section I Administrative Information

1. Purpose of RFQ

2. Coordination

3. Background Information

4. Evaluation Committee and Award of Contract

5. Questions and Comments

6. Due Date for Responses

7. Number of Copies of Response

8. RFQ Policies and Procedures

9. RFQ Posted on County Website

10. Reservation of Rights

11. Response Format

12. Contract Terms and Conditions

13. Use of County Resources to Interfere with Collective Bargaining Activities Local Law No. 26-2003

14. Non-Responsible Bidder

15. NYS Freedom of Information Law (FOIL)

Section II Responder Profile

1. General Information

2. Responder’s History

3. References

4. Qualifications and Experience of Personnel

5. Conflicts of Interest and/or Potential Conflicts of Interest

6. Indebtedness to County, Liens, and Litigation

7. Other Contracts with the County

8. Subcontractors

Section III Technical Services Requirements

1. RFQ for Oral Surgery Services

2. Background Information and Overview

3. Minimum Requirements

4. Services Covered by this RFQ

5. Multiple Contractors

6. Contract Term

Section IV Compensation

Section V Model Contract

Section I Administrative Information

1. Purpose of RFQ

The County of Suffolk (“County”), acting through its duly constituted Suffolk County Department of Health Services (“Department”) invites responses (“Responses”) from qualified responders (“Responders”) for Oral Surgery Services (“Services”), as those Services are further defined in Section III of this RFQ, entitled “Technical Services Requirements.”

The term Contractor (“Contractor”) shall mean the successful Responder who may be awarded a contract pursuant to this RFQ.

2. Coordination

a. The Department is responsible for coordinating the issuance of this RFQ. The name of the Department’s primary contact for this RFQ is set forth on page one of this RFQ.

b. The Department is responsible for coordinating with the Suffolk County Attorney’s Office and

Contractor regarding the negotiation and execution of the contract.

c. The County will execute a contract with the Contractor based on the Model Contract included in this RFQ. Note that the Model Contract is subject to negotiation and revision based on the Department’s needs and the approval of the County Attorney’s Office.

d. The Department is responsible for administration of the contract.

3. Background Information

a. Suffolk County, with a population of 1.5 million, is Long Island’s eastern-most County. The County covers an area of approximately 1,000 square miles, 20 miles at its widest part and approximately 86 miles in length.

b. The County of Suffolk is a municipal corporation of the State of New York with an annual operating budget of approximately $3.2 billion. The County employs approximately 10,930 employees, with main offices located in Hauppauge, Yaphank, Riverhead, and several smaller locations.

4. Evaluation Committee and Award of Contract

The RFQ Evaluation Committee will include representatives of the Department. The Suffolk County Department of Law acts as counsel to the Evaluation Committee but does not vote in the selection process.

The award of any contract will be made in the best interest of the County.

5. Questions and Comments

a. Administrative Questions

Administrative questions (e.g. procedural questions on how to respond to this RFQ) may be submitted by telephone or in writing (fax/e-mail acceptable) to the contact person listed on page one of this RFQ.

b. Technical Questions

Technical questions (questions which are specific to the service requested in this RFQ) must be submitted in writing (fax/email acceptable) on or before the date set forth on page one of this RFQ, to the attention of the contact person listed on page one of this RFQ. Responses to such technical questions will be developed by the Department and issued in the form of an Addendum to this RFQ.

c. No Direct Contact

No questions or comments should be directed to any County employee or any firm currently in contract with the County regarding this RFQ during the RFQ process, except as set forth in sub-paragraphs 5.a and 5.b above or as may be requested or permitted by the Department and/or the Suffolk County Department of Law. Failure to comply may result in disqualification.

6. Due Date for Responses

a. Responses must be submitted to the attention of the contact person listed on page one, by 3:30 pm on the date set forth on page one of this RFQ.

b. In the interest of fairness to all participants, no extensions or exceptions will be permitted, unless issued as an Addendum to this RFQ and applicable to all Responders, except that the Department, in its sole discretion, may thereafter solicit and accept responses from additional professionals as needed.

7. Number of Copies of Response

One (1) original, plus such additional numbers of copies as set forth on page one of this RFQ of responses to each of the following:

a. Responder Profile Requirement (Section II of RFQ); and

b. Technical Services Requirements (Section III of the RFQ).

Do not submit Responses that are permanently bound.

8. RFQ Policies and Procedures

a. It is the County’s intent to select those qualified Responder(s) who shall satisfy the needs of the Department.

b. The contract will be in the general format set forth in Section V entitled “Model Contract,”

c. The County reserves the right to amend this RFQ. The County reserves the right to reject any or all of the Responses, or any part thereof, submitted in response to this RFQ, and reserves the right to waive formalities if such action is deemed to be in the best interest of the County. The County reserves the right to request additional information from any Responder. The County reserves the right to award negotiated contracts to one or more Responders.

d. This RFQ is not intended and shall not be construed to commit the County to pay any costs incurred in connection with any Response or to procure or contract for any services.

e. The decision to award a contract shall be based on the ability of the Responder to provide quality and needed services and to comply with all applicable laws, rules, and regulations.

f. The award of any contract will be made as judged to be in the best interest of the County.

g. Each Response will be examined to determine whether it is responsive to the requirements of this

RFQ. All Responses will be evaluated in accordance with the above criteria.

h. While the County is under no obligation to contact Responders for clarifications, it reserves the right to do so. Depending on the number and quality of the Responses submitted, the County, at the sole discretion of the Evaluation Committee, may elect to interview all or some of the Responders during the selection process and to request presentations.

i. RFQ Section II entitled “Responder Profile” will be used in the Department’s evaluation of the Responder’s general qualifications.

9. RFQ Posted On County Websites

This RFQ is available on-line at: www.suffolkcountyny.gov: click on “Business and Commercial” and then “Bids and Proposals” and follow the instructions to register and download the documents. By registering on-line you will automatically be notified of all future addendums. If you should need assistance, please contact the Department’s primary contact set forth on page one of this RFQ.

10. Reservation of Rights

The County expressly reserves the right to:

a. Reject or cancel any or all responses or any part thereof submitted in response to this RFQ;

b. Withdraw the RFQ at any time, at the County’s sole discretion;

c. Disqualify any Responder whose conduct and/or Response fails to conform to the requirements of the RFQ;

d. Use Response information obtained through site visits, management interviews, and the County’s investigation of a Responder’s qualifications, experience, ability or financial standing, and any material or information submitted by the Responder in response to the County request for clarifying information in the course of evaluation and/or selection under this RFQ;

e. Prior to Bid opening, amend the RFQ specifications to correct errors, or oversights, or to supply additional information as shall become available;

f. Prior to Bid opening, direct Responders to submit Response modifications addressing subsequent

RFQ amendments;

g. Change any of the dates concerning the RFQ award schedule;

h. Eliminate any mandatory, not-material specification that cannot be complied with by all of the prospective Responders;

i. Waive any requirements that are not material;

j. Award negotiated contracts to one or more Responders;

k. Negotiate with the successful Responder(s) within the scope of the RFQ, in the best interest of the

County;

l. Require clarification at any time during the procurement process and/or require correction of arithmetic or other apparent errors for the purpose of assuring a full and complete understanding of a Response and/or to determine a Responder’s compliance with the requirements of the RFQ.

11. Response Format

Responses must include the following:

a. Transmittal Letter (one original plus number of copies listed on page one)

A transmittal letter is a letter on the Responder’s stationery. A corporate officer or an authorized agent of the Responder must sign the transmittal letter. The transmittal letter must state the name of the contact person who will be responsible for answering all questions of the RFQ Evaluation Committee. Include the telephone number, fax number, and email address for such contact person.

http://www.suffolkcountyny.gov/

b. Local Preference Law

Local Preference Law - Section A4-13 of the Suffolk County Administrative Code establishes a preference program for Suffolk County consulting contracts. This preference program requires all contracts for professional consulting services (engineering, architectural, planning, legal, and accounting, etc.) to be awarded to firms located and doing business within Suffolk or Nassau County, except where no local consultant has the necessary expertise or credentials to provide the needed service, or where the local consultant's response to a Request for Proposals (RFP) exceeds the otherwise lowest response by more than 10%. The local law contains specific definitions and language relative to application of this law which interested parties should review.

The laws of Suffolk County are available free of charge at http:legis.suffolkcountyny.gov/ under the “Search the Laws of Suffolk County” tab.

If applicable, include a statement with the Proposal asserting the applicability of the Local Preference Law. The statement must include the reasons for assertion of the applicability of the Local Preference Law.

c. Responder Profile/Response to Questions set forth in the RFQ Section entitled “Responder Profile”

Responders’ responses will be used in the County’s evaluation of the Responder’s general qualifications.

d. Responder’s Proposed Technical Services to items set forth in the RFQ Section III, entitled

“Technical Services Requirements”

This section will be used in the Department’s evaluation of the Responder’s proposed technical services.

e. List (if applicable) of Subcontractors

i. Identify all subcontractors the Responder plans to use and the function for which such subcontractors will be responsible. Provide qualifications, including prior relevant experience, for all subcontractors anticipated to be used.

ii. Subcontractors must respond to all questions set forth in the RFQ section entitled “Responder Profile.”

iii. Subcontractors must respond to all requirements, to the extent such requirements are applicable to the services they will be providing, set forth in the RFQ Section entitled “Technical Services Requirements.”

iv. Failure to include this information in the Qualification may be grounds for disqualification.

f. Conflict of Interest and/or Potential Conflicts of Interest

i. Relationships with Third Parties

Any Responder to the County is charged with the continuing duty to disclose to the County the existence of any interests it may have, contractual or otherwise, ongoing or previous, with any companies or individuals with whom the County does business with respect to the services required by this RFQ. This duty continues for so long as the Responder is retained on behalf of the County or its employees.

ii. Relationships with County Departments/Agencies/Employees Any Responder to the County of Suffolk is charged with the continuing duty to disclose to the County the existence of any interests it may have, contractual or otherwise, ongoing or previous, with any County department, agency or employee. This duty continues for so long as the Responder is retained on behalf of the County or its employees.

http://www.co.suffolk.ny.us/

12. Contract Terms and Conditions

a. Reference is made to the Model Contract set forth in Section V. The Model Contract is included to illustrate general terms and conditions, including indemnification and insurance, which will be included in the contract when executed.

b. If the Responder has a concern or question as regards any of the terms and conditions included in the Model Contract, the Responder should note such concerns or questions in their Response. The Response must identify any items relating to the Model Contract that the Responder requests be negotiated.

c. The Model Contract is subject to revision arising out of the terms and conditions imposed by law and/or deemed appropriate by the County Attorney’s Office.

d. Portions of the Response, as may be subsequently modified in negotiations with the County, may be included as exhibits in any contracts that the County may execute with the Responder.

e. The County will execute a contract with principal contractors only. Any arrangements, including fee arrangements, partnerships, or collaborations between the principal contractor and subcontractors that provide services as part of the Response, must be fully disclosed in the Response.

f. The Responder should not return the Model Contract with the Response.

13. Use of County Resources to Interfere with Collective Bargaining Activities

Local Law No. 26-2003

Responders are advised that the efficient, timely, and non-disruptive provision of goods and services is a paramount financial interest of the County and, as such, the County requires the potential Contractor to protect the County’s financial interest by adopting non-confrontational procedures for the orderly resolution of labor disputes, including but not limited to, neutrality agreements, majority authorization card agreements, binding arbitration agreements, fair communication agreements, non-intimidation agreements, and reasonable access agreements.

14. Non-Responsible Bidder

It shall be the duty of the Responder to read, become familiar with, and comply with the requirements of Article II of Chapter 189 of the Suffolk County Code.

The Responder certifies that it has complied with the disclosure requirements under section 189-7 of the Suffolk Code, it is in compliance with all applicable licensing laws, and that it either has not engaged in a prohibited act covered under section 189-5 of the Suffolk County Code or is otherwise exempt from the provisions of Article II of Chapter 189 of the Suffolk County Code under section 189-9.

This certification shall be set forth on the LL52-2012 Form “Disqualification of Non-Responsible Bidder.”

15. NYS Freedom of Information Law (FOIL)

All Responses for the County’s consideration will be held in confidence pending final execution of the contract(s) unless disclosure is required by law or judicial order. However, fully executed contracts are subject to the New York State Freedom of Information Law (“FOIL”), codified at Public Officers’ Law Article

6. Therefore, if a Responder believes that any information in its Response constitutes a trade secret or is otherwise information which, if disclosed, would cause substantial injury to the competitive position of the Responder’s enterprise, and the Responder wishes such information to be withheld if requested pursuant to FOIL, the Responder shall submit with its Response a separate letter addressed to the primary contact referenced in this RFQ, specifically identifying the page number(s), line(s) or other appropriate designation(s) of the Response containing such information, explaining in detail why such information is a trade secret or is other information, which if disclosed would cause substantial injury to the competitive position of the Responder’s enterprise, and formally requesting that such information be kept confidential.

Failure by a Responder to submit such a letter with its Response will constitute a waiver by the Respondent of any interest in seeking exemption of this information under Article 6 of the Public Officers’ Law relating to protection of trade secrets. The proprietary nature of the information designated confidential by the Responder may be subject to disclosure if it is requested and the County deems it subject to disclosure or if ordered by a court of competent jurisdiction. A request that an entire Response be kept confidential may not be considered reasonable since a Response cannot reasonably consist of all data exempt from FOIL.

End of Text for Section I

Section II Responder Profile

1. General Information

a. Full name and address.

b. Year founded and history, as applicable

c. Total number of employees, as applicable.

d. Location(s) from which all services will be performed, as applicable.

e. Describe the nature of your organization (e.g. municipal corporation, business corporation, not-for-profit corporation, proprietorship, etc.), as applicable.

f. Contact person and title, as applicable.

2. Responder’s History

a. Describe other projects involving similar services. Outline your experience and duration in the provision of such similar services, including the client population served and the length of time of providing such services.

b. Responders must demonstrate that they have the necessary expertise to provide the required services.

Each Responder should describe in detail the relevant expertise it has in providing the services required.

The description should include but need not be limited to:

i. a brief description of the program or programs it provides;

ii. the number of years it has provided the service;

3. References

From the list of individuals/entities provided in response to paragraph 2.c, above, provide three agency references for which you have provided services (current governmental or quasi-governmental agencies preferred). Provide name of the individual/entity, services, contact name and telephone number.

4. Qualifications and Experience of Personnel

a. Provide resumes of the account manager and other key staff who will be assigned to this project.

b. For each professional listed above, describe his/her qualifications and provide information, as it relates to the Services, regarding:

i. Education;

ii. Professional licenses and other affiliations (copies of which shall be submitted with Responses);

iii. Number of years engaged in services related to the services requested in this RFQ;

iv. Other relevant work experience or qualifications;

v. The role each identified person would play.

c. The Contractor must either be, or must provide, an Oral Surgeon with a current, full, and unrestricted license in New York State for the provision of Services.

d. The Contractor must provide a supplemental staff member (Dental Assistant) to assist the Oral Surgeon.

e. Will temporary staff also be involved? If so, include details of their supervision and training.

In addition, Suffolk County may make such investigations as it deems necessary to determine the ability of the Responder to perform the work. The Responder shall furnish to the County, within five (5) business days of a request, all such information and data for this purpose as may be requested. The County reserves the right to reject any Response if the information submitted by, or investigation of such Responder fails to satisfy the County that such Responder is properly qualified to carry out the obligations of the contract and to complete the work contemplated therein. Conditional Responses will not be accepted.

5. Conflicts of Interest and/or Potential Conflicts of Interest

a. Relationships with Third Parties

Any Responder to the County of Suffolk is charged with the continuing duty to disclose to the County the existence of any interests it may have, contractual or otherwise, ongoing or previous, with any companies or individuals with whom the County of Suffolk does business with respect to the services required by this RFQ. This duty continues for so long as the Responder is retained on behalf of the County or its employees.

b. Relationships with County Departments/Agencies/Employees Any Responder to the County of Suffolk is charged with the continuing duty to disclose to the County the existence of any interests it may have, contractual or otherwise, ongoing or previous, with any County department, agency or employee. This duty continues for so long as the Responder is retained on behalf of the County or its employees

6. Indebtedness to County, Liens, and Litigation

Submit a statement as to indebtedness, if any, to the County; and a listing of all outstanding liens, if any, against the Responder. Submit a summary of all litigation, if any, against the Responder and disposition or outcome of same.

7. Other Contracts with the County

Provide a list of all contracts with the County of Suffolk within the last five years (regardless of type of service) and the time period for those services.

8. Subcontractors

If you intend to use the services of a subcontractor, please provide all of the above in this Section for each subcontractor.

Note that the County must pre-approve the use of any subcontractors.

End of Text for Section II

Section III Technical Services Requirements

1. RFQ for Oral Surgery Services

The County of Suffolk (“County”), acting through its duly constituted Suffolk County Department of Health Services (“Department”) invites Responses from qualified Responders interested in providing Oral Surgery Services (“Services”). Services are to be provided for inmates of the Suffolk County Correctional Facilities in Yaphank and Riverhead, New York. Services are to be provided on-site at the Yaphank Dental Operatory located at the Yaphank Correctional Facility Jail Medical Unit, 200 Suffolk Avenue, Yaphank, New York 11980. Inmates of the Riverhead Correctional Facility who require services will be transported to the Yaphank Correctional Facility by Correctional Facility staff and will be seen at the Yaphank Dental Operatory when necessary. A Digital 2D Panorex X-Ray system and Dexis Platinum sensors for periapical X-rays will be available on-site at the Yaphank Dental Operatory.

Specific make/model numbers will be made available upon request.

2. Background Information and Overview

a. Department of Health Services

i. The mission of the Suffolk County Department of Health Services (“Department”) is to promote wellness and protect the public’s health and environment.

ii. The Department has a main office located at 3500 Sunrise Highway, Suite 124, Great River, New York 11739, and is comprised of seven (7) divisions and an Office of Minority Health. The divisions include Public Health, Patient Care Services, Community Mental Hygiene Services, Environmental Quality, Preventive Medicine, Emergency Medical Services, and Services for Children with Special Needs.

iii. Through the various divisions and the Office of Minority Health, the Department delivers the following services: programs to eliminate health disparities among racial and ethnic minorities;

programs to promote access to primary care services including jail medical/behavioral healthcare;

public health protection and disease prevention programs; public health emergency preparedness;

comprehensive programs to protect and preserve the natural resources of Suffolk County and to protect County residents against adverse environmental factors; treatment for individuals with mental illness, developmental disabilities, and chemical dependency; early intervention, pre-school education, and children with special needs programs; health education programs, tobacco cessation classes, falls prevention programs for the elderly, and community-based projects promoting nutrition, physical activity and wellness; and oversight for the County’s emergency medical response system.

iv. The Department has a 2024 Operating Budget of $411,885,455.

b. Department’s Division of Patient Care Services

a) The Department’s Division of Patient Care Services (“Division”) operates the Bureau of Chest Diseases, the Diabetes Education Program, the Immunization Action Program, the Childhood Lead Poisoning Prevention Program, Employee Health Services, the Maternal Infant Community Health Collaborative program, the Women, Infants and Children Program and the Correctional Facility Medical Program.

b) Health Care for inmates of correctional facilities is a mandated service under Article 20 of the NYS

Correctional Law, Part 7010 of the NYCRR and Local Law No. 29-1991 of Suffolk County; The Department is responsible for providing and overseeing healthcare of inmates through its Jail Medical Units (“JMU”) which are located within each of the two (2) Suffolk County Correctional Facilities, the Riverhead Correctional Facility located at County Center, Riverhead, New York 11901 and the Yaphank Correctional Facility, located in Yaphank, New York 11901 (collectively, the “Correctional Facilities”). Currently, the JMUs provide basic, outpatient, and primary care services to inmates who are deemed “fit for incarceration.” Inmates who require a more intense level of care than is able to be provided within a jail setting (i.e., patients who are “unfit for incarceration”) are placed outside of the correctional facility.

3. Minimum Requirements

Technical Responses must contain, at a minimum, the following information:

a. A fully detailed Technical Response, which addresses all requirements set forth in paragraph 4 of this

Section III.

b. Statement of any interpretations, qualifications, assumptions or concerts regarding the technical services required.

c. Statement and discussion of anticipated major difficulties and problem areas, together with potential or recommended approaches for their resolution. The Responder is reminded that alternative Responses will be considered.

4. Services Covered by this RFQ

i. Services shall include, at a minimum, but are not limited to, the following:

a. Examination and Consult Services

b. Radiograph/Diagnostic Services

c. Anesthesia Services

d. Pathology Services

e. Tooth Removal Services

f. Cyst/Tumor Removal Services

g. Infection Treatment Services

h. TMJ Treatment Services

i. Fracture Related Treatment Services

j. Suture Services

k. Preprosthetic Services

l. Miscellaneous Related Services, as necessary

ii. As part of the provision of Services, Responders must confirm and detail their ability to, at a minimum, perform the following specific dental procedures:

a. Surgical and simple extractions of teeth and/or roots

b. Excision & Biopsy of pathology

c. Oral Exams & Evaluations

d. Intraoral Periapical X-ray

e. Panoramic X-Ray

f. Interpreting reports and scans

g. I&D of Abscess intra/extra oral

h. Local anesthesia

i. Consults

j. Diagnose/manage fracture cases

k. Arch bar removal

l. Suturing

m. Prescribing medications

n. Miscellaneous Related Services, as necessary.

iii. Responders must detail any additional services they can provide in addition to those listed above.

iv. The Contractor will be required to provide the Services in weekly four-hour sessions, as needed, with one (1) four-hour session per week, and one (1) additional four-hour session per month. Individual sessions will occur only if needed by the County. This schedule may be expanded in the future, if mutually agreed upon by the Contractor and the County.

v. The Contractor will be expected to see approximately five (5) to seven (7) inmates during each four-hour session.

vi. Responders must submit any back-up plans they will be able to put into place if the Contractor’s employees are unavailable, to ensure Services are available when needed by JMU staff.

vii. Entrance by the Contractor to the Correctional Facilities requires a background check and approval by the

Suffolk County Sheriff’s Office. In addition, the Contractor’s employees must have a valid form of identification (i.e., New York State Driver’s License, Identification Card). Responders must confirm that they agree to these requirements.

viii. The Contractor will be required to attend an orientation of the JMU’s capabilities, policies, and procedures.

Responders must confirm that they agree to this requirement.

5. Multiple Contractors

The County reserves the right to award contracts to more than one (1) Responder deemed qualified in response to this RFQ.

6. Contract Term

The Department anticipates entering into contracts with awarded Responders for the period of July 1, 2025 through June 30, 2030.

End of Text for Section III

Section IV Compensation

1. The County’s intent is to pay the Contractor on a "Fee per Session" basis, with each such Fee per Session listed for each applicable Contract Year in the following rate schedule. The Fee per Session includes the Services performed by both the Contractor and a supplemental staff member (Dental Assistant).

Contract Year Fee per Session Contract Year One $1,403.91 Contract Year Two $1,474.11 Contract Year Three $1,547.82 Option Year Four $1,625.21 Option Year Five $1,706.47

a. The Contractor shall provide one (I) four-hour session ("Session") on a weekly basis, with one (I) additional

Session per month, as needed. Individual sessions will occur only if needed by the County.

b. An anticipated number of five (5) to seven (7) Patients shall be seen during each Session.

c. Services shall include the time the Contractor is on-site at a County facility to the time the Contractor leaves said site. Travel time to and from a County site shall not be compensated.

2. The County reserves the right to change this payment structure, as may be appropriate. Prior to any contract processing, Responders shall be notified of any changes and will have the option to not accept proposed changes.

If Responders do not accept proposed changes to payment terms any further contract processing shall be terminated.

End of Text for Section IV

End of Text for Section IV