State of Washington
Current Contract Information - Pricing and Ordering Information
Updated: January 06, 2016
Effective: January 06, 2016
Contract number: / 06910 / Commodity code: / 9764Contract title: / Medical Physicals
Purpose: / To extend contract for an additional one year term.
Original award date: / January 7, 2011
Current Contract period: / 1/24/2011 / through: / 1/07/2017
Contract term: / Not to exceed SIX years or 1/7/2017
Contract type: / This contract is designated as MANDATORY use.
Scope of contract
/ This contract is to obtain MEDICAL PHYSICAL examinations and fitness for duty evaluations for law enforcement officers and other prospective employees. These examinations shall be for a variety of purposes, included but not limited to: new hires, promotions, specialty positions, fitness for duty and limited duty assignments. Although some physical examinations will be for industrial insurance claims, the majority will be to determine an individual’s fitness to perform certain duties against agency standards.Primary user agency: / Washington State Patrol (WSP) & Washington Dept. of Fish and Wildlife (WDFW)
For use by: / All members of the Washington State Purchasing Cooperative (WSPC) including where applicable: State Agencies, Institutions of Higher Education, Political Subdivisions, and Non-Profit Corporations may utilize this contract.
Primary Contractor: / Group Health Cooperative, Occupational Health Services / See Page 3
Services available: / Medical Physicals and Fitness for Duty Evaluations
Ordering information: / See page 2 Note III
Ordering procedures: / See page 2 Note II
Contract pricing: / See pages 4 & 5
Term worth: / $200,000.00
Current participation: / $0.00 MBE / $0.00 WBE / $450,000.00 OTHER / $0.00 EXEMPT
MBE 0% / WBE 0% / OTHER 100% / Exempt 0%
This page contains key contract features. Find detailed information on succeeding pages. For more information on this contract, or if you have any questions, please contact your local agency Purchasing Office, or you may contact our office at the numbers listed below.
Contracts Specialist: / Tim L. Shay / Customer ServicePhone Number: / (360) 407-9410 / Phone Number: / (360) 407-2210
Fax Number: / (360) 586-2426 / Fax Number: / (360) 586-2426
Email: /
Visit our Internet site: http://www.des.wa.gov/purchase
Notes:
I. Best Buy: The following provision applies to mandatory use contracts only. This contract is subject to RCW 43.19.190(2) & RCW 43.19.1905(7): which authorizes state agencies to purchase materials, supplies, services, and equipment of equal quantity and quality to those on state contract from non-contract suppliers. Provided that an agency subsequently notifies Department of Enterprise Services (MCC) that the pricing is less costly for such goods or services than the price from the state contractor.
If the non-contract supplier’s pricing is less, the state contractor shall be given the opportunity by the state agency to at least meet the non-contractor’s price. If the state contractor cannot meet the price, then the state agency may purchase the item(s) from the non-contract supplier, document the transactions on the appropriate form developed by DES and forwarded to the contract specialist administering the state contract. (Reference General Authorities document)
If a lower price can be identified on a repeated basis, the state reserves the right to renegotiate the pricing structure of this agreement. In the event such negotiations fail, the state reserves the right to delete such item(s) from the contract.
II. State Agencies: Submit Order directly to Contractor for processing. Political Subdivisions: Submit orders directly to Contractor referencing State of Washington contract number. If you are unsure of your status in the State Purchasing Cooperative call (360) 902-7415.
III. Only authorized purchasers included in the State of Washington Purchasing Cooperative (WSPC) listings published and updated periodically by DES may purchase from this contract. It is the contractor’s responsibility to verify membership of these organizations prior to processing orders received under this contract. A list of Washington members is available on the Internet http://www.ga.wa.gov/servlet/PCACoopListSv, contractors shall not process state contract orders from unauthorized users.
IV. Contract Terms: This Document includes by reference all terms and conditions published in the original IFB, including Standard Terms and Conditions, and Definitions, included in the Competitive Procurement Standards published by DES (as Amended).
Primary COntractor Information
Contractor: / Group Health Cooperative, Occupational Health Services12400 East Marginal Way South, AMB-1
Tukwila, WA 98106
Contract Administration: / Jody Mahoney
Daniel Perrow
Phone: / 206-612-4367
206-901-7482
Fax: / 206-901-7485
Email: /
Appointment Scheduling: / Daniel Perrow
Phone: / 206-901-7482
Fax: / 206-901-7485
Email: /
Customer Service/Assigned Coordinator: / Jan Schumann
Daniel Perrow
Jody Mahoney
Phone: / 206-229-1182
206-901-7482
206-612-4367
Fax: / 206-901-7485
Email: /
Technical Support: / Tim Gilmore, MD
Jan Schumann
Phone: / 206-229-1182
Email: /
Federal ID No.: / 91-0511770
Order placement address: / Group Health Cooperative, Occupational Health Services
12400 East Marginal Way South, AMB-1
Tukwila, WA 98106
Payment address: / Group Health Cooperative, Occupational Health Services
ATTN: Cash Desk
P.O. Box 34581
Seattle, WA 98121-0581
Delivery time : / 10 Calendar Days
Payment terms: / Net 30 Days
Shipping destination: / FOB destination
Group Health Occupational Price Sheet 10/1/15
Trooper Cadet
Comprehensive Physical Exam $175.00
Physician’s Interpretation
Medical report
File prep and storage of records
Transcribing and Editing Included
Lab Panel (per contract) $75.00
Routine Venipuncture $7.00
Drug and Alcohol Screen $26.00
Audiogram (puretone air) $36.00
Pulmonary Function Test (Spirometry) $76.00
EKG $30.00
EKG Interpretation $31.00
Total $456.00
Ancillary Trooper Cadet
Stress Treadmill with EKG (pre-approval by WSP required) $174.00
Chest X-ray 2 views with interpretation $93
Lead Blood Test $52 (done if the Cadet has a history of military service or regular firearms usage.)
Zinc protoporphyrin/heme ratio $62 (done if the Cadet has a history of military service or regular firearms usage.)
X ray thoracic 1 view $72
X ray lumbar 1 view $72
Supplemental report $137/15 min (pre-approval needed if more than one hour)
CVEO
Comprehensive Physical Exam $175.00
Physician’s Interpretation
Medical report
File prep and storage of records
Transcribing and Editing Included
Lab Panel (per contract) $75.00
Routine Venipuncture $7.00
Drug and Alcohol Screen $26.00
Audiogram (puretone air) $36.00
Pulmonary Function Test (Spirometry) $76.00
EKG $30.00
EKG Interpretation $31.00
Total $456.00
Ancillary CVEO
Stress Treadmill with EKG (pre-approval required by WSP) $174.00
X-ray 2 views with interpretation $93
Lead Blood Test $52 (done if the CVEO has a history of military service or regular firearms usage.)
Zinc protoporphyrin/heme ratio $62 (done if the CVEO has a history of military service or regular firearms usage.)
X ray thoracic 1 view $72
X ray lumbar 1 view $72
Supplemental report $137/15 min (pre- approval if over one hour)
Promotional Physical
Comprehensive Physical Exam $175.00
Physician’s Interpretation
Medical report
File prep and storage of records
Transcribing and Editing Included
Lab Panel (per contract) $75.00
Routine Venipuncture $7.00
Total $257.00
Ancillary Promotional Physical
Supplemental Report $137/15 min (pre-approval needed if more than one hour)
SWAT Annual
Comprehensive Physical Exam $175.00
Physician’s Interpretation
Medical report
File prep and storage of records
Transcribing and Editing Included
Lab Panel (per contract) $75.00
Routine Venipuncture $7.00
Audiogram (puretone air) $36.00
Pulmonary Function Test (Spirometry) $76.00
EKG $30.00
EKG Interpretation $31.00
X-ray - Chest 2 views $93.00
TB-Testing/read $24.00
Respiratory questionnaire $40.00
Urinalysis lab $9.00
Total $596.00
Ancillary SWAT
UA microscopic (if UA positive) $12.00
Culture, bacteria urine $34.00
Stress EKG (pre-approval required by WSP) $174.00
Supplemental report $137/15 min (pre-approval needed if more than one hour)
SWAT EXIT- FULL
Comprehensive Physical Exam $175.00
Physician’s Interpretation
Medical report
File prep and storage of records
Transcribing and Editing Included
Lab Panel (per contract) $75.00
Routine Venipuncture $7.00
Audiogram (puretone air) $36.00
Pulmonary Function Test (Spirometry) $76.00
EKG $30.00
EKG Interpretation $31.00
X-ray - Chest 2 views $93.00
TB-Testing/read $24.00
Respiratory questionnaire $40.00
Urinalysis lab $9.00
Lead, Blood $52.00
Zinc protoporphyrin/heme ratio $62
Exit Exam total $710.00
Ancillary SWAT
UA microscopic (if UA positive) $12.00
Culture, bacteria urine $34.00
Stress EKG (pre-approval required by WSP) $174.00
Supplemental report $137/15 min (pre-approval needed if more than one hour)
SWAT EXIT PARTIAL
Lead, Blood $52.00
Zinc protoporphyrin/heme ratio $62
Routine Venipuncture $7.00
Total $121
BOMB
Comprehensive Physical Exam $175.00
Physician’s Interpretation
Medical report
File prep and storage of records
Transcribing and Editing Included
Lab Panel (per contract) $75.00
Urinalysis lab $9.00
Routine Venipuncture $7.00
Audiogram (puretone air) $36.00
Pulmonary Function Test (Spirometry) $76.00
EKG $30.00
EKG Interpretation $31.00
TB – Test/Read $24.00
Respiratory questionnaire $40.00
Total $503.00
Ancillary Bomb
U/A Microscopic (if UA Abnormal) $12.00
Culture, bacteria urine (if UA micro is positive) $34.00
Chest X ray 2 view $93.00
Supplemental report $137/15 min (pre-approval needed if over one hour)
Respiratory Clearance- Non WSP
Respiratory questionnaire $40.00
Ancillary Respiratory- Non WSP
Moderate Physical Exam $120.00
Pulmonary Function Test $76.00
Chest x-ray 1 view $71.00
EKG $30.00
EKG Interpretation $31.00
Total $328.00
Fit For Duty
Fit for Duty 1 Physician Panel $595
Fit for Duty 2 Physician Panel $1.090
Fit for Duty 3 Physician Panel $1,585
Fit for Duty 1 Physician Panel W/Psych $1,050
Fit for Duty 2 Physician Panel W/Psych $1,585
Fit for Duty 3 Physician Panel W/Psych $2,040
· Exams requiring TB skin test will not meet the required timeframe to submit results due to the TB skin test read is 3 business days after the initial skin test. No exams can be scheduled on a Thursday that includes the TB skin test.
Examination Site Locations