October 13, 2026

REQUEST FOR PROPOSAL

RP039-26

The Gwinnett County Board of Commissioners is soliciting competitive sealed proposals from qualified service providers to Provide Medical Examinations, Drug Screening and other Miscellaneous Job-Related Medical Screenings for Employees and Applicants on an Annual Contract with Four (4) Options to Renew for the Department of Human Resources.

Proposals must be returned in a sealed container marked on the outside with the Request for Proposal number and Company Name. Proposals will be received until 2:50 PM local time on November 9, 2026, at the Gwinnett County Financial Services - Purchasing Division – 2nd Floor, 75 Langley Drive, Lawrenceville, Georgia 30046. Any proposal received after this date and time will not be accepted. Proposals will be publicly opened, and only names of submitting service providers will be read at 3:00 PM. The opening is VIRTUAL ONLY. Please use the link found here to join, or by dialing 1-323-676-6170. Access Code is: 355 727 954#. Apparent bid results will be available the following business day on our website.

Questions regarding proposals should be directed to Diana Turner, Purchasing Associate II at Diana.Turner@GwinnettCounty.com or by calling 770-822-8727 no later than 3:00 PM on October 30, 2026.

Proposals are legal and binding upon the proposer when submitted. One unbound single-sided original, four (4) copies, and one (1) digital copy on a flash drive should be submitted. Cost should be submitted in a separate sealed envelope.

Successful services providers will be required to meet insurance requirements. The Insurance Company should be authorized to do business in Georgia by the Georgia Insurance Department and must have an A.M. Best rating of A-10 or higher.

Gwinnett County does not discriminate on the basis of disability in the admission or access to its programs or activities. Any requests for reasonable accommodations required by individuals to fully participate in any open meeting, program, or activity of Gwinnett County Government should be directed to the ADA Coordinator at the Gwinnett County Justice and Administration Center 770-822-8165.

The written proposal documents supersede any verbal or written prior communications between the parties.

Selection criteria are outlined in the request for proposal documents. Gwinnett County reserves the right to reject any or all proposals to waive technicalities and to make an award deemed in its best interest.

Award notification will be posted after the award on the County website, www.GwinnettCounty.com, and companies submitting a proposal will be notified via email.

We look forward to your Proposal and appreciate your interest in Gwinnett County.

Diana Turner Purchasing Associate II The following pages should be returned with your proposal:

Cost Proposal (Return in a separate envelope), Pages 15-22 Provider Information, Page 23 References, Page 24 Code of Ethics Affidavit, Page 48 Contractor Affidavit and Agreement, Page 49 https://teams.microsoft.com/meet/2410109808357514?p=vI7YookR8zJacqSK0T mailto:Diana.Turner@GwinnettCounty.com http://www.gwinnettcounty.com/

RP039-26 Page 2

SPECIFICATIONS

I. Introduction The Gwinnett County Board of Commissioners (Gwinnett) is seeking a service provider for drug screening, breath alcohol testing, and drug and alcohol random selection, as well as comprehensive medical examinations for pre-employment, fitness for duty, and return to duty. Gwinnett currently uses the Gwinnett Employee Wellness Center for pre-employment medical examinations but is looking to partner with a service provider for this service on an as-needed basis. There are no guarantees with respect to the amount or volume of business billed under any resulting contract.

II. Background

Gwinnett’s current employee population is approximately 6,000. There are approximately 350 positions that fall under the Federal Transit Authority (FTA) regulations for drug and alcohol testing requirements. Gwinnett has also identified approximately 4,100 employees that occupy other safety sensitive positions and are required to submit to breath alcohol testing and urine drug screening as required per the Gwinnett County Drug and Alcohol-Free Workplace Policy.

Employees working for Gwinnett are located at various sites throughout the County and work a wide range of assignments. The work hours for employees vary from a standard workday and week. Some assignments require crews to be out in the “field” or at facilities that operate 24 hours a day and 7 days a week, necessitating shifts of varying lengths.

III. Scope

A. Drug Screening, Breath Alcohol Testing, and Drug and Alcohol Random Selection

Gwinnett requires a provision for 24-hour, 7 day per week service for breath alcohol and urine drug tests at a customary rate. The service provider must comply with and demonstrate a thorough and complete knowledge of 49 CFR Parts 655 and 40, Procedures for Transportation Workplace Drug and Alcohol Testing Programs, U.S. Department of Transportation Lab Procedures, and any future Federal requirements for alcohol and drug testing. If the service provider plans to use a third party to perform random selections, there must be a detailed description regarding the process, the security of our employee data, how challenges are affected, etc. included in the proposal. Currently, approximately 400 employees are pulled annually for random drug and alcohol testing.

1. The successful service provider must meet the following requirements:

a) Be authorized to collect urine specimens for Department of Transportation (DOT) drug testing and meet the training requirements as outlined in the most current version of 49 CFR Part 40 Section 40.33. The service provider will adhere to all rules and regulations of the Federal Transit Authority (FTA) Drug and Alcohol Regulations and applicable County policies (i.e. Gwinnett County Drug and Alcohol Free Workplace Policy).

b) Retain personnel necessary to complete this agreement. Specifically, a Department of Health and Human Services (HHS) Certified drug-testing laboratory certified under the National Laboratory Certification Program (NLCP) for all testing.

RP039-26 Page 3

c) Be responsible for the breath alcohol and controlled substances selection process. The process will randomly select appropriate employees using a scientific, computer-based method to generate numbers that will either match an employee ID number or other comparable identifying number. This selection process will provide each employee an equal chance of being tested each time selections are made.

d) Conduct drug screening by urinalysis on safety sensitive employees, as well as employees covered by the FTA Drug and Alcohol Regulations. The service provider must be able to perform drug screening by hair follicle test in rare cases when urinalysis may not be completed. Either a five panel or eleven panel test will be conducted as specified in the specific protocol based on the position. Upon request, Gwinnett may request testing for other drugs. A laboratory certified by the U.S. Department of Health and Human Services (HHS) under the National Laboratory Certification Program (NLCP) must perform analysis of the specimen. If a screening test is positive for a controlled substance, a confirmation test must be performed using gas chromatography/mass spectrometry (GC/MS) techniques at the cutoff levels specified by the U.S. Department of Transportation, Federal Transit Administration (FTA). All tests and laboratory procedures, including the chain of custody form (CCF) procedures, must follow those established by HHS. For all drug screening, the CCF must be guaranteed by the service provider. The service provider must be willing to defend any legal challenges brought against Gwinnett regarding results of test performed. The service provider must ensure a method of re-testing should an applicant or employee challenge the results of a drug screen. Specifically, a split specimen is required for all urine drug screens. The service provider should contact Gwinnett County Human Resources before retesting.

e) The service provider is responsible for obtaining a qualified Medical Review Officer (MRO) who is a licensed physician. The MRO must be knowledgeable in the following areas:

o Knowledgeable about and have clinical experience in controlled substances abuse disorders, including detailed knowledge of alternative medical explanations for laboratory confirmed drug test results.

o Knowledgeable about issues relating to adulterated and substituted specimens as well as the possible medical causes of specimens having an invalid result.

o Knowledgeable about §40.121 of the Federal Register/Vol. 65 No. 244, the DOT MRO Guidelines, and the DOT agency regulations applicable to Gwinnett. The service provider must also keep current on any changes to these materials.

f) Provide Gwinnett with a selection of names for random testing on a quarterly basis using information provided by Gwinnett to the service provider. Gwinnett will provide the service provider with the employee’s name, department name, and employee ID number.

Once random drug tests are selected, the individual departments will schedule testing.

g) Complete all tests “express” (in-house). If the test shows a non-negative, it shall be sent to the laboratory certified by the U.S. Department of Health and Human Services (HHS) under the National Laboratory Certification Program (NLCP). Gwinnett shall not incur additional charges for tests sent to the lab. Human Resources must be notified by phone and email immediately for all non-negative results.

RP039-26 Page 4

2. Reporting Requirements

a) For all drug screening in which the initial screen identifies positive presence of the specified substance, a qualified Medical Review Officer (MRO) shall question the specimen donor. It will not be acceptable to have a member of the nursing staff act in lieu of the MRO.

b) The service provider shall prepare and maintain all required records to ensure the chain of custody in conducting drug screening. This includes the proper notification and recording of individuals to be tested, referring department, and all consent forms permitting the taking and analysis of a specimen. The service provider must ensure that they have available a secure holding area for any individual unable to provide a specimen until such individual becomes able to provide the required specimen after consumption of allowable amount of fluid as specified by FTA.

c) Reporting of results from drug screening must be securely transmitted via e-mail to the appropriate designee within the Department of Human Resources. Any positive results are to be reported by immediate telephone call to the designated Human Resources representative and followed with a securely transmitted e-mail.

d) Results of negative drug and alcohol tests will be reported as follows:

o Non-CDL test results will be provided immediately via secured e-mail to Gwinnett County Human Resources designee.

o CDL test results will be provided within two working days after confirmation by outside lab to Gwinnett County Human Resources designee.

e) Results of positive/non-negative alcohol tests will be reported as follows:

o Results will be provided immediately after second (confirmation) test via phone and secured e-mail to Gwinnett County Human Resources designee.

o Results will be provided to the accompanying supervisor in a sealed envelope.

f) Results of positive/non-negative drug tests will be reported as follows:

o Results will be provided within two working days after confirmation by outside lab.

o If an MRO is unable to contact a Gwinnett County employee/patient to discuss a positive test result within 24-hours, the service provider will contact Gwinnett County’s Human Resources designee.

3. Service Requirements

a) The service provider should be available for appointments/walk-in’s, on a daily basis (24/7 for random and reasonable suspicion).

b) The service provider will provide alcohol and drug testing, as required by Gwinnett.

c) Services may be requested on behalf of Gwinnett by those Gwinnett employees designated by the Human Resources Director or designee. The list will be provided to the awarded service provider.

RP039-26 Page 5

d) The service provider will have facilities conveniently located in Gwinnett or easily accessible to Gwinnett work sites and the Gwinnett service area. A list of facilities should be provided as part of the proposal response.

e) The service provider will have adequate facilities, equipment, personnel, and resources to provide the complete scope of drug and alcohol testing services required.

f) Gwinnett County reserves the option to review the credentials, interview the physician(s) and key medical personnel prior to assignment to Gwinnett’s Contract. Gwinnett reserves the right of approval of physician(s) or key personnel assigned to this contract. Gwinnett also reserves the right to approve drug and alcohol testing laboratories and random selection provider.

g) The service provider will provide Gwinnett, as part of the proposal response, with a chart detailing its Organizational Structure and a written policy on routes of communication between Contractor and Gwinnett.

h) The service provider must provide a back-up licensed medical doctor and certified MRO that is familiar with all aspects of this contract. The service provider must receive prior approval of Gwinnett’s Human Resources Director or designee.

4. Documentation/Record Keeping/Automated Transfer of Information

a) The service provider will document all examinations, tests and findings, including but not limited to using and completing appropriate Gwinnett forms, furnishing progress notes and correspondence, as necessary. Documentation and record keeping will be in accordance with Gwinnett policy and State and Federal Requirements to include Public Safety accreditation agencies.

b) The service provider will require Gwinnett employees reporting for drug and alcohol tests to present picture I.D. to confirm identity.

c) The service provider will document, on the Medical Referral form, the date and time employees arrive and depart with an electronic date/time stamper.

d) Results of drug and alcohol examinations will be reported to Gwinnett’s Human Resources Manager or designee via automated systems. All results must be reported as pass/fail.

e) The service provider will inform patients of any results/findings requiring further medical evaluation.

Records of Gwinnett drug and alcohol tests will be retained for the duration of the contract. Upon termination or expiration of this annual contract, all drug and alcohol records will be electronically transferred to Gwinnett County for archival. The service provider must have the ability to electronically transfer data files in a secure format listing employees selected for testing. Please specify the format to ensure it meets Gwinnett County security standards. Information must include, but will not be limited to, employee name, employee identification number, department, job classification, type of test, and results. All records must be transmitted prior to payment of the final invoice. All medical records, including medical histories, results of examinations, etc. are to be retained by the service provider and treated as confidential.

RP039-26 Page 6

B. Pre-Employment Physicals, Fitness for Duty, Return to Duty, and Change of Position Examinations

Gwinnett requires provider to complete pre-employment medical examinations and return to duty testing to determine if a candidate/employee can complete the essential functions of a specified job classification. A copy of all job descriptions/class specifications will be given to the successful service provider.

1. The successful service provider must meet the following requirements:

a) The service provider must be available to consult with and advise Gwinnett management by telephone or in person as needed. Direct communication with the physician(s) is required on an as needed basis.

b) The Physician(s) assigned to perform the medical services of this contract must have thorough knowledge of laws governing occupational medicine, have an understanding of the physical and mental requirements to perform Gwinnett’s relevant jobs, be available to attend meetings, and be prepared to discuss and make recommendations to the County on employees’ fitness for work and reasonable accommodations as requested.

c) The service provider will provide recommendations and participate in training programs for employees and supervisors on alcohol and urine drug testing, as requested.

d) Physician(s) will immediately notify designated Human Resources staff by email when an applicant/employee is not cleared to perform the work being considered and has been referred to his or her personal physician for evaluation and/or treatment. Additionally, immediate notification is required when the medical status has been upgraded, allowing the employee to return to work.

e) The service provider must be capable of providing pre-employment medical examinations for all job candidates who accept a conditional offer of employment for any position requiring physical activity. Each position will have a job specific protocol to identify specific diagnostic tests to be included in the medical/physical examination for all applicants for a specific job. As requested, medical examinations may be required for other purposes.

f) The protocol for each medical examination must meet established criteria, or the service provider must establish new criteria to ensure job applicant can perform the essential functions of the specified job. All protocols must meet the approval of Gwinnett County’s Government’s Human Resources Manager or designee. The service provider will be required to keep on file established protocols for each type of position and follow these protocols in conducting examinations of applicants or employees referred for such positions. Questions arising from an individual’s ability to perform the essential functions of a job should be directed to the Gwinnett County Government Human Resources Manager, or designee, for discussion prior to reaching a decision. This discussion is limited to the concerns relating to the performance of a specific job function(s). Gwinnett has the responsibility of preventing individuals from working who are not physically qualified or who are not capable of performing in a safe efficient manner. Although it will be Gwinnett’s decision, not the physician’s, to hire or retain an employee desired and expect a competent opinion from the examiner.

RP039-26 Page 7

g) The service provider will adhere to all rules and regulations of the FTA Drug and Alcohol Regulations and applicable County policies (i.e. Gwinnett County Drug and Alcohol Free Workplace Policy).

h) The service provider will conduct drug screening by urinalysis on all safety sensitive employees, as well as employees covered by the FTA Drug and Alcohol Regulations. The service provider must be able to perform drug screening by hair follicle test in rare cases when urinalysis may not be completed. Either a five panel or eleven panel test will be conducted as specified in the specific protocol based on the position. Upon request, Gwinnett may request testing for other drugs.

i) A laboratory certified by the U.S. Department of Health and Human Services (HHS) under the National Laboratory Certification Program (NLCP) must perform analysis of the specimen. If a screening test is positive for a controlled substance, a confirmation test must be performed using gas chromatography/mass spectrometry (GC/MS) techniques at the cutoff levels specified by the U.S. Department of Transportation, Federal Transit Administration (FTA). All tests and laboratory procedures, including the chain of custody form (CCF) procedures, must follow those established by HHS. For all drug screening, the CCF must be guaranteed by the service provider. The service provider must be willing to defend any legal challenges brought against Gwinnett County Government regarding results of test performed. The service provider must ensure a method of re-testing should an applicant or employee challenge the results of a drug screen. Specifically, a split specimen is required for all urine drug screens. The service provider should contact Gwinnett Human Resources before retesting.

j) The service provider is responsible for obtaining a qualified Medical Review Officer

(MRO) who is a licensed physician. The MRO must be knowledgeable in the following areas:

i. Knowledgeable about and have clinical experience in controlled substances abuse disorders, including detailed knowledge of alternative medical explanations for laboratory confirmed drug test results.

ii. Knowledgeable about issues relating to adulterated and substituted specimens as well as the possible medical causes of specimens having an invalid result.

iii. Knowledgeable about §40.121 of the Federal Register/Vol. 65 No. 244, the DOT

MRO Guidelines, and the DOT agency regulations applicable to Gwinnett County Government. They must also keep current on any changes to these materials.

All tests are to be completed “express” (in-house). If the test shows a non-negative, it shall be sent to the laboratory certified by the U.S. Department of Health and Human Services (HHS) under the National Laboratory Certification Program (NLCP). Gwinnett County shall not incur additional charges for tests sent to the lab. Human Resources must be notified by phone and email immediately for all non-negative results.

RP039-26 Page 8

2. Reporting Requirements

a) For all drug screening in which the initial screen identifies positive presence of the specified substance, a qualified Medical Review Officer (MRO) shall question the specimen donor. It will not be acceptable to have a member of the nursing staff act in lieu of the MRO.

b) The service provider shall prepare and maintain all required records to ensure the chain of custody in conducting drug screening. This includes the proper notification and recording of individuals to be tested, referring department, and all consent forms permitting the taking and analysis of a specimen. The service provider must ensure that they have available a secure holding area for any individual unable to provide a specimen until such individual becomes able to provide the required specimen after consumption of allowable amount of fluid as specified by FTA.

c) Reporting of results from drug screening must be securely transmitted via e-mail to the appropriate designee within the Department of Human Resources. Any positive results are to be reported by immediate telephone call to the designated Human Resources representative and followed with a securely transmitted e-mail.

3. Service Requirements

Examinations and tests are given to ensure Gwinnett County employees are fit and able to safely perform the essential functions of their jobs. The extent of the examination and procedures included in the examination depend on the requirements of the job.

The components for each level of examination are listed on the following pages. “Pre- Employment physical” is understood to include the following:

a) Medical history – including pulmonary function, cardiac and musculoskeletal.

b) Physical findings - including weight, height, blood pressure, pulse, and other vital signs.

c) Vision tests - to include Titmus vision test-extended to include depth perception and color blindness as needed.

d) Hearing tests - Audiogram-whisper test as needed.

e) Clinical Evaluation: including the head, neck thyroid, eyes, ears, nose, throat, chest, heart, lungs, breast, abdomen, inguinal hernia, genitalia, rectum, back, spine, bones, joints, extremities, skin, neurologic/emotional status, and other parts of the body as deemed necessary. Specifically, chemical blood profile, TB skin test, and checks for hepatitis A, B and C infection.

f) EKG - if over age 35 and occupying a Fire Fighter/EMT, Fire medic position.

g) HIV screening - if occupying a Fire Fighter/EMT or Firemedic position.

h) Spirometry

RP039-26 Page 9

i) Chest X-ray - if positive TB Tine.

j) Urinalysis - micro, or dip stick test.

k) Lifting assessment - appropriate to simulate job responsibility, etc. lift to knees, waist, chest or over-head.

l) Blood lead test

m) Rabies test

n) Drug Testing - according to pre-determined protocol and/or service request form.

o) Special Requirements: Procedures based on physical requirements of jobs, or required based on risk factors:

i. PA Chest X-ray (deemed necessary by 3 positive risk factors identified during physical examination)

ii. EKG (deemed necessary by 3 risk factors identified during physical examination)

iii. Comprehensive Back Evaluation (deemed necessary by risk factors identified during physical examination)

iv. SMAC (for diabetics, or deemed necessary by risk factors identified during physical examination or medical briefing)

v. Miscellaneous (Lifting Assessment for labor intensive positions)

Additional Requirements include:

a) Documentation/Record Keeping/Automated Transfer of Information

b) The service provider will document all examinations, tests and findings including, but not limited to, using and completing appropriate Gwinnett forms, affidavits (required for specific public safety positions, i.e. Corrections, Fire, Police and Sheriff) and medical evaluation certificates, furnishing progress notes and correspondence, as necessary.

Documentation and record keeping will be in accordance with Gwinnett policy and State and Federal Requirements to include Public Safety accreditation agencies.

c) The service provider will require Gwinnett employees reporting for pre-employment, return to duty, and change of position examinations tests to present picture I.D. to confirm identity.

d) The service provider will document on the Medical Referral form, the date and time employees arrive and depart with an electronic date/time stamper.

e) Results of pre-employment, return to duty, and change of position examinations will be reported to Gwinnett’s Human Resources Manager or designee via automated systems.

All results must be reported as pass/fail.

f) The service provider will inform patients of any results/findings requiring further medical evaluation.

RP039-26 Page 10

g) The service provider will provide Gwinnett County Department of Human Resources with results of all pre-employment, return to duty, and change of position examinations including completed examination forms, laboratory reports, signed employee consent forms, physical results classification, and affidavits (required for specific public safety positions, i.e. Corrections, Fire, Police and Sheriff).

h) Records of Gwinnett County pre-employment, return to duty, and change of position examinations will be retained for the duration of the contract. Upon termination or expiration of this annual contract, all records will be electronically transferred to Gwinnett County for archival. The service provider must have the ability to electronically transfer data files in a secure format listing employees tested. Please specify the format to ensure it meets Gwinnett County security standards. Information must include, but will not be limited to, employee name, employee identification number, department, job classification, type of test, and results. All records must be transmitted prior to payment of the final invoice. All medical records, including medical histories, results of examinations, etc. are to be retained by the service provider and treated as confidential.

IV. General Requirements

A. Compensation, Monthly and Payment Schedule

The County shall pay the service provider for services actually requested by the County and performed satisfactorily by the service provider at the applicable rates on the Proposal Fee Schedule attached hereto and by the reference made a part hereof. Each invoice shall show the itemized details, to include patients name, service provided and cost, and shall be sent to a secure e-mail of the designated Human Resources representative.

The service provider may bill such services and/or deliverables in accordance with the schedule below. The maximum compensation to the service provider for the services performed under this Contract would be set forth in the Letter of Agreement. The service provider must present all invoices for previous year no later than December 25th to ensure payment under current year Contract. The service provider shall not be entitled to compensation in excess of such maximum amount unless the County has so authorized, in writing, the work or services for which it is claimed.

No later than the fifteenth of each calendar month, the service provider shall invoice the County for the preceding month, providing the following information on the face of the invoice: the title and number of the Contract; a detailed statement of the type of services rendered; the name of the employee; employee ID number; job title; date of service; specific services performed; and list of charges for the type of services performed by any person, pharmacy, hospital laboratory or entity, if any, other than the service provider. Once the invoice has been verified with no billing discrepancies, payment will be rendered by credit card.

Invoices shall be provided in the format established by Gwinnett County containing the following categories:

1. Pre-Employment Physical Examinations

2. Pre-Employment Drug Test

3. Alcohol/Drug Test – Random, Post Accident, Reasonable Suspicion, and Consent

4. Drug Test – Return to Duty

5. Special Position – Specific Requirements

RP039-26 Page 11

B. Changes The County shall have the right to direct changes in the services to be performed under the Contract, or in the manner in which or the time or times at which they are to be performed, provided that no such change shall materially alter the general scope thereof.

C. Description of Experience The service provider shall provide a brief description of background and experience for the applicable section.

D. Term of Contract Contract to begin February 1, 2027 or upon final execution of the contract documents. Pricing must remain firm for the duration of the initial 12-month contract period. The Board of Commissioners may renew contract for four (4) additional one-year periods. Be sure to state increases (if any) for subsequent options to renew on the Proposal Fee Schedule page.

E. Executive Summary

Provide an overview of how the proposed service provider plans to meet the functional requirements of the request for proposal with regard to capacity, equipment, and personnel to provide the complete scope of services for the Contract term.

F. Experience of Service Provider/References:

State the number of years the proposed service provider has provided clinical occupational health services. List similar services for clients that demonstrate qualifications to perform the work. Include at a minimum the following information:

o Name of Contracting o Agency o Type of Service Provided o Contractual Period o Annual Fee o Contact Person and Telephone Number

G. Reporting

Provide sample annual review reporting

H. Timeline Provide a sample timeline for implementation

I. Experience of Staff to be Assigned to Project

For each of the proposed individuals, provide a detailed resume, indicating, at a minimum, individual’s name, current and proposed duties and years of relevant experience.

J. Facilities

Fully describe the facilities to be used in providing the applicable services. Please include location(s), hours of service for each location and the availability of parking.

K. Proposal Fee Schedule

Provide all fees for both initial contract period and summarize the total proposal fees. Provide a percent increase or decrease for each renewal option.

RP039-26 Page 12

L. Procedures/Training List procedures for accomplishing the following:

o Training staff.

o Billing, recording/reporting service.

o Updating clients on changes affecting occupational medicine.

M. Performance Guarantees

While Performance Guarantees are not specifically outlined in the request for proposal, the service provider will need to provide information on any performance guarantees, warranties, and service level agreements they are willing to offer. Please also include any additional performance guarantees the service provider offers that are not listed below.

The service provider should answer the following in their response:

o What are your performance guarantees for drug/alcohol result turnaround times?

o What are your performance guarantees for chain of custody compliance?

o What are your performance guarantees for physical exam, fitness for duty, and return to duty result turnaround times?

o What are your performance guarantees for critical issues and invoice disputes?

o What are your performance guarantees for clinic wait times?

o What are your performance guarantees for appointment scheduling?

N. Addenda

All changes in the request for proposal will be communicated via written addendum. Verbal information obtained otherwise will NOT be considered in award of this project. It is the responsibility of the service provider/respondent to ensure that they have all addenda prior to the proposal due date, and the service provider/respondent should include acknowledgment of all such addenda on the provided “Service Provider Information Page”.

O. Submittal One single-sided, unbound original, four (4) bound copies, and one (1) digital copy on a flash drive should be submitted. All copies of the proposal must be identical. The full cost of proposal preparation is to be borne by the proposing service provider. The proposer is responsible for assuring delivery on or before the stated date and local time as well as for any associated delivery costs. Proposals must be signed in ink by a company official who has authorization to commit company resources and negotiate pricing and terms.

Proposals should be submitted in a sealed envelope/package addressed to: Gwinnett County Department of Financial Services, Purchasing Division, Gwinnett Justice and Administration Center, Second Floor, 75 Langley Drive, Lawrenceville, Georgia 30046 and should be identified with the proposal number and company name on the outside. Allow adequate time for delivery of their proposal either via hand delivery, postal service, or other delivery means.

P. Open Records

Information submitted by a proposer in the proposal process shall be subject to disclosure after proposal award in accordance with the Georgia Open Records Act.

RP039-26 Page 13

Q. Successful service provider is required within ten (10) days of the Notice of Award to provide the following:

o Certificate of Insurance as specified in this proposal document.

o Two (2) properly executed contract documents.

o Two (2) properly executed Business Associate Agreement.

Failure to provide these items in a timely manner when requested may be grounds for re-award to next highest scoring service provider.

R. Contract The service provider will be expected to sign a contract for this project. A "Sample" of Gwinnett County’s Standard Service Provider Contract and a “Sample” Gwinnett County’s Business Associate Agreement are included. Any changes or modifications to the Agreement requested by the contractor must be stated in writing in the proposal response.

S. Exceptions Exceptions to Gwinnett’s standard contract language must be provided with the proposal response. The ability of Gwinnett to accept those edits will be included as part of the negotiation process, not after the contract is awarded.

V. Proposal Evaluation

Evaluation Criteria – Service provider proposals will be evaluated on the basis of the following criteria, and scored accordingly:

Part 1 POINTS

A.

Available Resources

• Scheduling appointments (if needed and when);

• Length of time to receive results;

• Staffing/personnel (how many on staff during operation hours);

• Electronic Records management/electronic storage;

• Computer generated random selection system (details on type of program or organization performing selection)

B.

Facilities

• Number of locations (specifically those located in Gwinnett County)

• Proximity to Gwinnett County facilities

• Adequacy of facilities (i.e. parking, waiting area, facility size, number of examination rooms, etc.)

• Hours of operation

C.

Demonstrated Compliance with Administrative Procedures

• Billing format and billing cycles

• Electronic documentation and notification of results

• Records management (copy of policy required)

D.

Demonstrated Knowledge and Experience

• Description of education and experience of medical staff

• Provide list of client references and describe services delivered.

• Experience of service provider and medical staff with occupational medicine.

• Testing procedures and security

E. • References 10

SUB-TOTAL 90

RP039-26 Page 14

Part 2

E. Cost (TO BE SUBMITTED IN A SEALED ENVELOPE) -Cost and Performance Guarantees

SUB-TOTAL 110

F. Interviews/Presentations (if deemed necessary) 10

TOTAL 120

Basis of Short-Listing / Selection

Part I – Initially, proposals will be evaluated based on their relative responsiveness to the criteria described above and will be scored based on the point values as shown. Please note that references, and subsequent reference checks, are a required component of Part I scoring.

Part II – Service providers may be short-listed for further consideration. The Proposal Fee Schedules of the short-listed service providers from Part I will be opened, reviewed, and scored with the lowest cost receiving the most points and the other service providers receiving proportional points based on the differences in proposal costs.

Part III – At Gwinnett's discretion, or as deemed in Gwinnett's best interest, service providers may be short-listed a second time for an interview. At this time, Gwinnett may request further information, explanations, clarifications, presentations, interviews, or meetings with some or all of the remaining service providers.

If interviews are necessary, details on the scoring criteria for interviews will be provided along with notification of the scheduled interview.

All presentations/interviews will be the sole responsibility of the proposing service providers and at no cost to Gwinnett.

If an agreement with the highest-ranked service provider cannot be reached, Gwinnett may then negotiate with the second-ranked service provider and so on until a satisfactory agreement has been reached.

FAILURE TO RETURN THIS PAGE AS PART OF YOUR PROPOSAL DOCUMENT MAY RESULT IN REJECTION OF

PROPOSAL.

RP039-26 Page 15

PROPOSAL FEE SCHEDULE

SUBMIT SEPARATELY IN A SEALED ENVELOPE

Service Provider Name __________________________________________________________

Drug Screening, Breath Alcohol Testing, and Drug and Alcohol Random Selection

Item # Description Approx.

Annual

Qty.

Unit Price Total Price

1. CDL – Regulated (5 panel) 400 $ $

2. Safety Sensitive – Non-Regulated (5 panel) 700 $ $

3. Safety Sensitive – Non-Regulated (11 panel) 300 $ $

4. Breath 200 $ $

TOTAL $

Pre-Employment Physicals

RP039-26 Page 16

PROPOSAL FEE SCHEDULE

SUBMIT SEPARATELY IN A SEALED ENVELOPE

Service Provider Name __________________________________________________________

Item

Approx.

Annual

Qty.

Description Unit Price Total Price

1. 175

SWORN POLICE OFFICER (FULL-TIME/PART-TIME)

Standard medical exam to include:

• Medical History

• Physical Exam

• Vital Signs

• Vision (Snellen, Titmus, and Ishihara)

• Audiometry

• TB Screening (Blood Test)

• Comprehensive Metabolic Panel

• Hepatitis A, B, C Screening

• 5- Panel Rapid Drug Screen

• EKG (Resting)

• Spirometry

• Lift Test (50 lbs. to waist)

• X-Ray Chest (Optional)

2. 30

COMMUNICATIONS OFFICER

Standard medical exam to include:

• Medical History

• Physical Exam

• Vital Signs

• Vision Test (Snellen and Titmus)

• Audiometry

• 5- Panel Rapid Drug Screen

RP039-26 Page 17

PROPOSAL FEE SCHEDULE

SUBMIT SEPARATELY IN A SEALED ENVELOPE

Service Provider Name __________________________________________________________

Item

Approx.

Annual

Qty.

Description Unit Price Total Price

3. 15

FIRE FIGHTER/ PARAMEDIC/FIREMEDIC

Standard medical exam to include:

• Medical History Review

• Physical Exam

• Vital Signs

• Urinalysis/SMAC (Urine Dip Stick for sugar, ketones, protein)

• Vision Testing (Titmus and Ishihara)

• Audiometry

• Spirometry

• Comprehensive Metabolic Panel

• HBsAB/Hepatitis A, B, C Screening

• Pulmonary Function

• Lifting Assessment 100 lbs. to chest

• EKG (if over age of 35)

• HIV Screening

• TB Screening (Blood Test)

• 11- Panel Rapid Drug Screen

4. 20

CORRECTIONAL OFFICER

Standard medical exam to include:

• Physical Exam

• Medical History

• Vital Signs

• Vision (Snellen and Titmus)

• Audiometry

• TB Screening (Blood Test)

• Comprehensive Metabolic Panel

• Hepatitis A, B, C Screening

• Lifting Assessment 100 lbs. to waist (3x)

• 5- Panel Rapid Drug Screen

5. 60

DEPUTY SHERIFF (FULL-TIME/PART-TIME)

Standard medical exam to include:

• Medical History

• Physical Exam

• Vital Signs

• Vision (Snellen and Ishihara)

• Audiometry

• TB Screening (Blood Test)

• CMP

• Urinalysis/SMAC (Urine Dip Stick for sugar, ketones, protein)

• Hepatitis A, B, C Screening

• Lifting Assessment 50 lbs. to waist

RP039-26 Page 18

PROPOSAL FEE SCHEDULE

SUBMIT SEPARATELY IN A SEALED ENVELOPE

Service Provider Name __________________________________________________________

Item

Approx.

Annual

Qty.

Description Unit Price Total Price

6. 80

JAILER

Standard medical exam to include:

• Medical History

• Physical Exam

• Vital Signs

• Vision (Snellen and Ishihara)

• Audiometry

• TB Screening (Blood Test)

• Comprehensive Metabolic Panel

• Urinalysis/SMAC (Urine Dip Stick for sugar, ketones, protein)

• Hepatitis A, B, C Screening

• Lifting Assessment 50 lbs. to waist

7. 20

ANIMAL CONTROL OFFICER

Standard medical exam to include:

• Medical History

• Physical Exam

• Vital Signs

• Vision (Snellen and Ishihara)

• Lifting Assessment 50 lbs. to waist

• 5-Panel Rapid Drug Screen

8. 3

CRIME SCENE SPECIALIST

Standard medical exam to include:

• Medical History

• Physical Exam

• Vital Signs

• Vision (Titmus and Snellen)

• Lifting Assessment 50 lbs. to waist

• 5-Panel Rapid Drug Screen

9. 6

COMMUNITY SERVICES DEPT. COOK

Standard medical exam to include:

• Medical History

• Physical Exam

• Vital Signs

• Lifting Assessment 50 lbs. to waist

• 5-Panel Rapid Drug Screen

RP039-26 Page 19

PROPOSAL FEE SCHEDULE

SUBMIT SEPARATELY IN A SEALED ENVELOPE

Service Provider Name __________________________________________________________

Item

Approx.

Annual

Qty.

Description Unit Price Total Price

10. 4

SHERIFF’S DEPT. MAINTENANCE TECHNICIAN

Standard medical exam to include:

• Medical History

• Physical Exam

• Vital Signs

• TB Screening (Blood Test)

• Lifting Assessment 100 lbs. to waist

• 5-Panel Rapid Drug Screen

11. 4

SHERIFF’S DEPT. BUILDING SRVS COORD & ASC II

Standard medical exam to include:

• Medical History

• Physical Exam

• Vital Signs

12. 3

EVIDENCE TECH & EVIDENCE TECH SUPERVISOR

Standard medical exam to include:

• Medical History

• Physical Exam

• Vital Signs

• Lifting Assessment 50 lbs. to waist

• 5-Panel Rapid Drug Screen

13. 3

CORRECTIONS DEPT. BUSINESS ASSOCIATE

Standard medical exam to include:

• Medical History

• Physical Exam

• Vital Signs

• Vision (Snellen and Titmus)

• Audiometry

• TB Screening (Blood Test)

• Comprehensive Metabolic Panel

• Hepatitis A, B, C Screening

• 5-Panel Rapid Drug Screen

14. 6

CORRECTIONS DEPT. BUILDING SRVS COOR & BUILDING

SRVS ASC II D

Standard medical exam to include:

• Medical History

• Physical Exam

• Vital Signs

• Vision (Snellen and Titmus)

• Audiometry

• TB Screening (Blood Test)

• Comprehensive Metabolic Panel

• Hepatitis A, B, C Screening

RP039-26 Page 20

PROPOSAL FEE SCHEDULE

SUBMIT SEPARATELY IN A SEALED ENVELOPE

Service Provider Name __________________________________________________________

Item

Approx.

Annual

Qty.

Description Unit Price Total Price

15. 6

CORRECTIONS DEPT. FOOD SERVICES

Standard medical exam to include:

• Medical History

• Physical Exam

• Vital Signs

• Vision (Snellen and Titmus)

• Audiometry

• TB Screening (Blood Test)

• Comprehensive Metabolic Panel

• Hepatitis A, B, C Screening

• 5-Panel Rapid Drug Screen

16. 50

MISC. POSITIONS REQUIRING PHYSICALS

Standard medical exam to include:

• Medical History

• Physical Exam

• Vital Signs

• SMAC (Urine Dip Stick for sugar, ketones, protein)

TOTAL $

MISC. SCREENINGS/TESTS

Item # Description Unit Price

17. Pre-employment physical:

a. with lifting assessment b.

Chest X-ray (if positive TB tine) c.

EKG

(If Fire Fighter/EMT or paramedic over age of 35 and if deemed necessary by 3 positive risk factors * identified during physical exam)

d. Urinalysis - Micro

e. Urinalysis - Dip Stick f.

Titmus vision test-extended hearing test (including depth perception)

RP039-26 Page 21

PROPOSAL FEE SCHEDULE

SUBMIT SEPARATELY IN A SEALED ENVELOPE

Service Provider Name __________________________________________________________

g. Audiogram - extended hearing test h.

Blood Profile- Chem Screen (including Hepatitis panel) i.

Blood Profile- Chem Screen (including Hepatitis panel and HIV test)

j. TB tine test (tuberculosis) – blood draw

18. PA Chest X-ray (deemed necessary by 3 positive risk factors* identified during physical examination)

19. EKG (deemed necessary by 3 risk factors* identified during physical examination)

20. Comprehensive Back Evaluation (deemed necessary by risk factors identified during physical examination)

21. SMAC (For diabetics, or deemed necessary by risk factors identified during physical examination or medical briefing)

22. Miscellaneous (Lifting Assessment for labor intensive positions)

23. Return-to-Duty

• 5-panel or 11-Panel Rapid Drug Screen

• Medical history (if applicable)

• Physical Exam (if applicable)

• Vitals Signs (if applicable)

• Labs (if applicable)

• Lifting Assessment (if applicable)

24. Regulated panel urine drug screen

25. Non-Regulated drug and alcohol screen

26. Audio Exam (whisper test)

27. Vision Exam (to include test to determine if color blind; Snellen Chart)

28. Lifting Assessment (as needed)

29. Blood lead test

RP039-26 Page 22

PROPOSAL FEE SCHEDULE

SUBMIT SEPARATELY IN A SEALED ENVELOPE

Service Provider Name __________________________________________________________

Note: Items 17-31 will be used for miscellaneous billing purposes and will not be used in scoring the cost portion of this proposal.

Gwinnett County requires pricing to remain firm for the initial term of the Contract. Failure to hold firm pricing for the initial term of the Contract may be sufficient cause for Gwinnett County to declare Proposal non-responsive.

Contract to begin February 1, 2027 or upon award by the Board of Commissioners.

Unless otherwise noted, quoted prices will remain firm for four (4) additional 12-month periods. If a percentage increase/decrease is a part of the renewal options, please note this in the space provided together with an explanation.

Renewal Option 1: % Increase % Decrease Explanation

Renewal Option 2: % Increase % Decrease Explanation

Renewal Option 3: % Increase % Decrease Explanation

Renewal Option 4: % Increase % Decrease Explanation

30. Rabies test

31. *Fit for duty respiratory test (pulmonary function test)

RP039-26 Page 23

EXHIBIT A

FAILURE TO RETURN THIS PAGE AS PART OF YOUR PROPOSAL DOCUMENT MAY RESULT IN REJECTION.

SERVICE PROVIDER INFORMATION

The undersigned acknowledges receipt of the following addenda, listed by number and date appearing on each:

Addendum No. Date Addendum No. Date

Certification Of Non-Collusion in Proposal Preparation (Signature) (Date)

In compliance with the attached specifications, the undersigned acknowledges all requirements outlined in the "Instructions to Proposers" and all documents referred to therein. offers and agrees, if this proposal is accepted by the Board of Commissioners within one hundred twenty (120) days of the date of proposal opening, to furnish any or all of the items upon which prices are quoted, at the price set opposite each item, delivered to the designated point(s) within the time specified in the fee schedule.

Legal Business Name

(If your company is an LLC, you must identify all principals to include addresses and phone numbers in your submittal)

Address

Does your company currently have a location within Gwinnett County? Yes No

Representative Signature

Print Authorized Representative's Name

Telephone Number Fax Number

E-Mail Address

RP039-26 Page 24

FAILURE TO RETURN THIS PAGE AS PART OF YOUR BID DOCUMENT MAY RESULT IN REJECTION OF BID.

REFERENCES

Gwinnett County requests a minimum of three (3) references where work of a similar size and scope has been completed.

Note: References should be customized for each project, rather than submitting the same set of references for every project bid. The references listed should be of similar size and scope of the project being bid on. Do not submit a project list in lieu of this form.

1. Company Name

Brief Description of Project

Completion Date

Contract Amount $ Start Dates

Contact Person Telephone

2. Company Name

Contract Amount $ Start Date

3. Company Name

Contract Amount $ Start Date

Service Provider

RP039-26 Page 25

Insurance:

Contractor shall provide evidence of insurance for at least the coverage and amounts set forth below. All insurance shall be maintained in the form and with a company (or companies) satisfactory to the Gwinnett County Board of Commissioners.

The Contractor and their Subcontractor’s/Vendor’s Certificate of Insurance shall require that the County be notified in writing thirty (30) days prior to cancellation, modification or non-renewal of any insurance policy listed on Certificate. Upon request, Contractor shall provide the County with certified copies of all required insurance policies.

A. Minimum Coverage

Commercial General Liability (Occurrence Form):

General Aggregate (other than Prod/Comp Ops Liability) $2,000,000 Products/Completed Operations Aggregate $2,000,000 Personal & Advertising Injury Liability $1,000,000 Each Occurrence $1,000,000

• Gwinnett County Board of Commissioners to be named as Additional Insured

• Additional Insured Endorsement CG 20 10 (edition dates of 07/04, 04/13, 12/19 or a substitute endorsement providing equivalent coverage) and CG 2037 (edition dates of 07/04, 04/13, 12/19 or a substitute endorsement providing…