RFQ2.docx

R E Q U E S T F O R Q U O T E Quotes must be back by the date and time indicated in BidBuy.

AGENCY: Illinois Department of Public Health CONTACT NAME: Jessica Nance CONTACT EMAIL: Jessica.nance2@illinois.gov

SPECIFICATIONS

CONTRACT LENGTH- Estimated contract term - 60 Months

ESTIMATED TOTAL HOURS REQUIRED- 2-3 Hours each test – 200 hours total

WORK LOCATION-Multiple locations throughout the State of Illinois

REQUIRED SERVICES -

The vendor will perform medical screening for clearance to assess and fit test staff to N95 Mask to meet OSHA respiratory requirements. Vendor/Bidder must be an Environmental & Occupational Health Provider experienced in respirator medical evaluations and fit testing. Vendor staff must consist of 1 Occupational Medicine Physician and 1 Occupational Health Nurse. The provider must be able to provide respirator medical evaluation to determine medical clearance for disposable filtering facepiece respirators, including but not limited to N95s and reusable air-purifying respirators. Must be able to meet the OSHA standards for fit testing at 1910.134 (requires that, before an employee may be required to use any respirator with a negative or positive pressure tight-fitting facepiece, the employee must be fit tested with the same make, model, style, and size of respirator that will be used.) and the vendor will provide written communication provided by IDPH to inform the staff of the health and safety information related to using N95s. The fit testing must be performed using an OSHA-approved method. All new surveyors need to have this completed.

MANDATORY QUALIFICATIONS –

· Vendor must be an Environmental & Occupational Health Provider.

· Vendor’s staff must consist of an Occupational Medicine Physician and Occupational Health Nurse.

· Vendor’s staff providing the services must be able to meet the OSHA standards for fit testing and provide effective communication to inform the staff of the health and safety information as related to use of N95s.

· Vendor’s screening services and testing must be completed at a facility in Springfield, Decatur, O’Fallon, and Effingham or have a location within 20 miles of our facilities.

Decatur:

HSHS Medical Group – Occupational Health & Wellness Attn: Curt Johnson (IDPH Clinic Stock) 1750 E. Lake Shore Drive, Suite LL Decatur, IL 62521 O’Fallon HSHS Medical Group – Occupational Health & LeadWell Attn: Windy Schwalger (IDPH Clinic Stock) 1512 N. Green Mount Rd., Suite 108 O’Fallon, IL 62269 Springfield HSHS Medical Group – Occupational Health & Wellness Attn: Jen Krueger (IDPH Clinic Stock) 1836 S. MacArthur Blvd.

Springfield, IL 62704

Effingham HSHS Medical Group – Occupational Health & LeadWell Attn: Debbie Wendt (IDPH Clinic Stock) 900 W. Temple Ave., Building B, Suite 1500 Effingham, IL 62401

· Vendor cannot subcontract these services to another entity.

· Vendor will email all reports to IDPH on a weekly basis.

· Fit testing to be completed during business hours. Monday through Friday 8:30am-5pm CST.

Vendor Use:

· Vendors acknowledge they meet all requirements. Yes No

Estimated Volumes Per Year

(100) New Hire Initial Questionnaire Review/Fit Test

(25) Potential Physical Medical Evaluation

(25) Potential EKG

(25) Potential PFT (Pulmonary Function Test)

(25) Potential Chest X-Ray

REQUIRED DOCUMENTATION – Your response must include:

Enter prices for items below in Bid Buy: (Vendor Use)

New Hire Initial Questionnaire Review/Fit Test

Physical Medical Evaluation

Potential EKG

Potential PFT (Pulmonary Function Test)

Potential Chest X-Ray

Note to Vendor: The quote must be valid for 90 days from date of submission and include all expenses. We reserve the right to reject all offers and to reject individual offers for failure to meet any requirement. The selected vendor must possess all mandatory qualifications and offer the lowest price.