State of Washington
DEPARTMENT OF GENERAL ADMINISTRATION
Office of State Procurement
Rm. 201 General Administration Building, P.O. Box 41017 l Olympia, Washington 98504-1017 l (360) 902-7400
http://www.ga.wa.gov
IFB Amendment
IFB Reference #: / 06604Title: / MEDICAL PHYSICALS FOR WASHINGTON STATE PATROL (WSP)
Amendment number: / 2
Date issued: / 7/16/04
This IFB/RFQ is amended as follows:
Purpose: / TO INDICATE THAT THE “STRESS TREADMILL ELECTROCARDIOGRAM” TESTING WILL BE INCLUDED AT THE PHYSICIAN’S DISCRETION WHEN NEEDED. FOR BID EVALUATION PURPOSES, THE STRESS TREADMILL ELECTROCARDIOGRAM MAY BE INCLUDED IN THE EVALUATION.Amendment must be submitted with bid. All other Terms, Conditions, and Specifications remain unchanged.
Attachments: / PRICE SHEET
Previously scheduled opening date and time / New opening date and time
JULY 22, 2004 – 2:00 PM / UNCHANGED
JULY 6, 2004
SHEILA MOTT, STATE PROCUREMENT OFFICER / Date signed
Bidder to complete the following:
Company:
Authorized Representative:
Federal ID #:
Address:
Phone/Fax:
Email:
Signature / Date
IFB Amendment
Title: / MEDICAL PHYSICALS FOR WASHINGTON STATE PATROL (WSP)
Amendment number: / 1
Date issued: / 7/06/04
This IFB/RFQ is amended as follows:
Purpose: / TO REVISE THE PRICE SHEETS IN THEIR ENTIRETY PER THE ATTACHED.Amendment must be submitted with bid. All other Terms, Conditions, and Specifications remain unchanged.
Attachments: / PRICE SHEET
Previously scheduled opening date and time / New opening date and time
JULY 22, 2004 – 2:00 PM / UNCHANGED
JULY 6, 2004
SHEILA MOTT, STATE PROCUREMENT OFFICER / Date signed
Bidder to complete the following:
Company:
Authorized Representative:
Federal ID #:
Address:
Phone/Fax:
Email:
Signature / Date
Amendment #1, 06604
Amendment #1
IFB 06604
Page 4
PRICE SHEET
4.3.1. PHYSICAL EXAMINATIONS AND FITNESS FOR DUTY EVALUATIONS:
Description of Services / Est. Examinations Per Year / TOTAL4.3.1.1. Basic Physical Examination (as defined in Specifications). Pricing below to be a breakdown of costs per Examination:
· Exam (height, weight, temperature, blood pressure, pulse and rate, vision testing, complete physical following minimum standards for police service as a guide. $______
· Laboratory Work: to include complete blood count with sedimentation rate and comprehensive screening profile and microscopic urinalysis. $______
· Physicians Interpretation. $______
· Medical Report. $______
· File preparation & Storage. $______
· Transcribing & Editing. $______
TOTAL BASIC EXAM: $______/ 35/Year / ANNUAL TOTAL FOR BASIC EXAMS
(35/YEAR X TOTAL BASIC EXAM)
$______
4.3.1.2. Trooper Cadet Applicant Examination (as defined in Specifications). Pricing below to be a breakdown of costs per Examination
· Basic Physical Examination $______
· Pulmonary Function Test $______
· Stress Treadmill Electrocardiogram $______
· Drug & Alcohol Screening (Lab work) $______
· Audiogram $______
TOTAL TROOPER EXAM: $______
X-ray (physician’s discretion) (will not be
included in the total/evaluation) $______/ 150/Year / ANNUAL TOTAL FOR TROOPER EXAM
(150/YEAR X TROOPER EXAM)
$______
4.3.1.3. Bomb Technician Examination (as defined in Specifications). Pricing below to be a breakdown of costs per Examination
· Basic Physical Examination $______
· Laboratory Work $______
· Electrocardiogram $______
TOTAL BOMB TECHNICIAN EXAM: $______/ 10/Year / ANNUAL TOTAL FOR BOOM TECHNICIAN EXAM
(10/YEAR X BOOM TECHNICIAN EXAM)
$______
4.3.1.4. SIRT Team Examination (as defined in Specifications). Pricing below to be a breakdown of costs per Examination
· Basic Physical Examination $______
· Electrocardiogram $______
· Blood lead and mercury testing $______
· PSA testing $______
· Pulmonary Function Screening $______
TOTAL SIRT TEAM EXAM $______/ 20/Year / ANNUAL TOTAL FOR SIRT TEAM EXAM
(20/YEAR X SIRT TEAM EXAM)
$______
4.3.2. FITNESS FOR DUTY PANELS:
Contractor assembled fitness for duty panels shall consist of one, two or three members, from the specialties listed in Specifications paragraph 3E. When a panel is required it shall be constituted at the Contractor’s facility.
4.3.2.1. Fitness for duty panels when no Psychiatrist is included:
4.3.2.1.1. The charge for a one-physician panel shall be $______/panel. (For bid evaluation purposes only, 4 1-physician panels shall be used.)
4.3.2.1.2. The charge for a two-physician panel shall be $______/panel. (For bid evaluation purposes only, 10 2-physician panels shall be used.)
4.3.2.1.3. The charge for a three-physician panel shall be $______/panel. (For bid evaluation purposes only, 1 3-physician panel shall be used.)
4.3.2.2. Fitness for duty panels when one member is a Psychiatrist:
4.3.2.2.1. The charge for a one-person panel shall be $______/panel. (For bid evaluation purposes only, 5 1-person Psychiatrist panels shall be used.)
4.3.2.2.2. The charge for a two-person panel (one Psychiatrist and one other specialist) shall be $______/panel. (For bid evaluation purposes only, 2 panels (1 Psychiatrist and 1 other specialist person panels 2-person panels shall be used.)
4.3.2.2.3. The charge for a three-person panel (one Psychiatrist and two other specialist) shall be $______/panel. (For bid evaluation purposes only, 3 panels (1 Psychiatrist and 2 other specialist person panelists) shall be used.)
4.3.3. NON-RECURRENT MEDICAL POLICY ADVICE:
4.3.3.1. Contractor may be asked to provide professional advice and judgment on a variety of issues, reference Specifications, and paragraph 3.4.1.3.6. In such instances, the billing rate shall be $______/hour. (For bid evaluation purposes only, 40 hours shall be used.)
4.3.3.2. Contractor or other physicians may be called upon to testify in person or by deposition for any of the services provided through this contract. In such instances, the billing rate shall be $______/hour, including travel time and the mileage rate identified above when applicable. (For bid evaluation purposes only, 10 hours shall be used.)
The remainder of the IFB remains unchanged.
Amendment #1, 06604