Contract Award (PUR-1221) Physical Examination Services. Karen R. Luther, CPPO Purchasing Director and Becky Maginnis, Risk Management Administrator

Size: px
Start display at page:

Download "Contract Award (PUR-1221) Physical Examination Services. Karen R. Luther, CPPO Purchasing Director and Becky Maginnis, Risk Management Administrator"

Transcription

1 Board of County Commissioners of Washington County, Maryland Agenda Report Form Open Session Item SUBJECT: Contract Award (PUR-1221) Physical Examination Services PRESENTATION DATE: July 9, 2013 PRESENTATION BY: Karen R. Luther, CPPO Purchasing Director and Becky Maginnis, Risk Management Administrator RECOMMENDED MOTION: Move to award the contract for physical examination services and various services to be performed on employees and candidates for County employment vacancies and for Washington County Volunteer Fire & Rescue Association of Maryland, Inc. (WCVFRA) personnel, to the responsive, responsible sole proposer, of Hagerstown, MD (incumbent) for its total sum proposal dated June 14, 2013 of $285, $286, per year based upon estimated quantities (no guaranteed min/max) at per its unit prices for the indicated services. REPORT-IN-BRIEF: The Request for Proposals (RFP) was advertised in the local newspaper, on the County s web site, and on the State s emaryland Marketplace web site. Sixteen (16) firms/individuals downloaded the proposal document from the County website. One (1) firm was represented at the pre-proposal conference. The Coordinating Committee was comprised of the Washington County Purchasing Director (Committee Chairman Designee), County Human Resources Director, County Risk Management Administrator, County Safety Compliance Administrator and a WCVFRA representative. The recommended firm shall provide physical examination services and various other services to be performed on employees and candidates for County employment vacancies and WCVFRA personnel. This contract is for a one (1) year period tentatively to have begun July 1, 2013, with an option to renew for up to four (4) additional one-year periods. A sole proposal was received on June 14, 2013 from the incumbent medical firm. The Coordinating Committee met to review the firm s Qualifications & Experience/Technical Proposal and it was determined to be responsive. The Proposal of the sole proposing firm was then opened. DISCUSSION: N/A FISCAL IMPACT: For these services (Medical Fees) in FY 14, the Health and Human Services Department has budgeted $45,000; Sheriff s Department-Patrol has budgeted $500; Sheriff s Department Detention has budgeted $2,000; and the County has budgeted a portion of the required costs associated with the WCVFRA personnel at $192,410. Utilization may be less than the recommended award amount; payment will be made at the unit costs for only the actual services rendered. The total amount paid for services this year from the abovementioned

2 Board of County Commissioners of Washington County, Maryland Agenda Report Form accounts through June 30, 2013 was $153,638.87, excluding on-the-job injury costs (See Tabulation Section I, Item No. 13); this cost is paid through the County s Workers Compensation program. Pricing for Section I, Item Nos. 32, 33, 34, and 36 are unit prices; however, actual costs for these services shall be paid by the County at the Consortium noted in Exceptions on the Tabulation sheet attached. CONCURRENCES: named above) ALTERNATIVES: ATTACHMENTS: Coordinating Committee (includes appropriate representatives as N/A Proposal Tabulation AUDIO/VISUAL TO BE USED: N/A

3 PHYSICAL EXAMINATION SERVICES PUR-1221 Work Hagerstown, MD SECTION I: TESTS FOR WASHINGTON COUNTY EMPLOYEES Item No. Service Estimated Annual Quantity Proposed 1 Pre-Placement Physical 75 $70.00 $5, Pre-Placement Physical (including CDL requirements) 45 $70.00 $3, Pre-Placement Physical (Sheriff uniformed officers) 15 $85.00 $1, Pre-Placement Physical Fitness Screening (Sheriff uniformed officers) 15 $90.00 $1, Pre-Placement/Annual Physical 20 $70.00 $1, A Pre-Placement/Annual Lab Testing - CBC 20 $16.80 $ B Pre-Placement/Annual Lab Testing - CMP 20 $19.25 $ C Pre-Placement/Annual Lab Testing - Lipid Panel 20 $25.50 $ D Pre-Placement/Annual Lab Testing - Urinalysis 20 $11.00 $ E Pre-Placement/Annual Lab Testing - (Advanced Life Support Personnel) PSA (males over 40) 5 $27.00 $ Drug and Alcohol Testing for CDL Holders and Safety Sensitive Positions 10 $70.00 $ DOT Pre-Employment Drug Test 45 $45.00 $2, Non-DOT (Panel 8) Pre-Employment Drug Test 75 $35.00 $2, DOT Examinations 150 $70.00 $10, Fitness for Duty/Consultation Services 10 $ $ $ $1, Return to Work Examination 5 $85.00 $ Total

4 Item No. Service Estimated Annual Quantity Proposed 13 On the Job Injury - Office Visit (minimum office visit charge) 75 $97.00 $7, A Hearing Tests (initial baseline) 20 $20.00 $ B Hearing Tests (annual checks) 50 $20.00 $1, Respiratory Clearance Exams 10 $75.00 $ Respiratory Annual Evaluation 50 $15.00 $ Spirometry Testing 25 $51.00 $1, Hepatitis B Shots 25 $60.00 $1, Hepatitis A Shots 25 $85.00 $2, TB Testing 150 $15.00 $2, Flu Shots 450 $25.00 $11, H1N1 Shots 150 $25.00 $3, Lead Blood Test 5 $55.00 $ Heavy Metals, Urine Test 5 $84.00 $ EKG (for Advanced Life Support Personnel) 15 $30.00 $ Stress test (ALS providers over 40) 5 $ $1, OSHA Questionnaires 15 $15.00 $ Hepatitis B Surface Antibody 5 $25.00 $ Hepatitis A & B Combination Shots 15 $ $1, Tetanus/Diptheria Shots 5 $25.00 $ Blood Sugar Finger Stick 5 $8.00 $ FTA Random Drug & Alcohol Consortium Fee 50 $70.00 $3, DOT Random Drug & Alcohol Consortium Fee 140 $70.00 $9, Safety-Sensitive Random Drug & Alcohol Consortium Fee 110 $60.00 $6, Safety-Sensitive (Sheriff's Dept) Random Drug & Alcohol Consortium Fee 250 $60.00 $15, FAA Random Drug & Alcohol Consortium Fee 15 $70.00 $1, TOTAL SECTION I Total $104, $105,488.50

5 Item No. SECTION II: TESTS FOR WASHINGTON COUNTY VOLUNTEER FIRE & RESCUE ASSOCIATION PERSONNEL Service Estimated Annual Quantity Proposed Total 1 Fire and Rescue Physical Level I 125 $70.00 $8, Fire and Rescue Physical Level I 400 $70.00 $28, Return to Work Examination 15 $85.00 $1, Spirometry Test 400 $51.00 $20, Hepatitis B Shots 100 $60.00 $6, EKG 400 $30.00 $12, Stress Test 5 $ $1, OSHA Questionnaires 400 $15.00 $6, Hepatitis B Surface Antibody 200 $25.00 $5, Hepatitis C Test 250 $31.65 $7, Annual PPD Test 400 $15.00 $6, Hepatitis A & B Combination Shots 150 $85.00 $12, Tetanus/Diptheria/Pertussis (Pdap) Shots 150 $52.50 $7, Fire/Rescue MVA Post-Vehicle Accident Blood Test and Urinalysis 10 $55.00 $ Fire/Rescue Tracking, testing, and monitoring follow-up of Blood Borne pathogen exposures that may be initially 80 $ $55, treated after hours at a medical facility 16 Fire/Rescue: Review of Outside Physical Exam 65 $15.00 $ TOTAL SECTION II GRAND TOTAL (SECTIONS I & II) $180, $285, $286,065.00

6 NOTES: SECTION I Item Nos. 7 DOT Drug test $45, Breath alcohol $25 16 Paperwork review 18 Cost per shot 19 Cost is per shot 21 Trivalent vaccine, quadrivalent pricing not available currently. 22 Most recent flu vaccine included H1N1, price based on historical information SECTION II Item Nos. 5 Cost per shot 12 Cost is per shot 15 This varies depending on level of exposure, total is for all follow up for a 'standard exposure for one year' EXCEPTIONS: Section I #32, #33, #34 and #36 The County currently participates in our consortium program. The cost will increase under the new proposal to $4.25/member/month. Random tests under this program billed at $0.00. Section I #26 and Section II #7 service is provided at Robinwood Heart. B. Health@Work feels an hourly rate quote is not applicable. Health@Work charges are based upon the services performed. Special projects or extra work would be negotiated on an as needed basis.

PURCHASING DEPARTMENT DIVISION OF BUDGET & FINANCE

PURCHASING DEPARTMENT DIVISION OF BUDGET & FINANCE PURCHASING DEPARTMENT DIVISION OF BUDGET & FINANCE 100 West Washington Street, Room 3200 Hagerstown, MD 21740-4748 P: 240.313.2330 F: 240.313.2331 www.washco-md.net PUR-1381 ADDENDUM NO. 1 INVITATION TO

More information

About Us. Mobile Services: Audio Testing Fit Testing Physicals Drug Screens Immunizations Health Screens. Our list of MOBILE services includes:

About Us. Mobile Services: Audio Testing Fit Testing Physicals Drug Screens Immunizations Health Screens. Our list of MOBILE services includes: About Us U.S. Mobile Health Exams provides quality mobile health testing services to general industry and municipalities throughout the United States. Our services are provided in one of our state-of-the-art

More information

One Team, One Goal: Student Success. If you have any questions about this renewal award, please contact Elaine Bynum, or

One Team, One Goal: Student Success. If you have any questions about this renewal award, please contact Elaine Bynum, or One Team, One Goal: Student Success 514 Glover Street Marietta, GA 30060 Telephone: (770) 426-3300 www.cobbk12.org March 13, 2017 Mr. Jon Spivey Atlanta Drug Testing LLC dba USA Mobile Drug Testing of

More information

SCHOOL DISTRICT Telephone; (770)

SCHOOL DISTRICT Telephone; (770) COBB COUNTY SCHOOL DISTRICT Telephone; (770) 426-3300 One Team, One Goah Student Success www.cobbkl2.org March 28, 2018 Ms. Terri Pharr Caduceus USA 270 Cobb Parkway, Suite 30 Marietta, GA 30060 Dear Ms.

More information

Answers to Questions for RFP American Sign Language Interpreter

Answers to Questions for RFP American Sign Language Interpreter Answers to Questions for RFP 2016-034 American Sign Language Interpreter 1. Q. Whether companies from outside USA can apply for this? A. There is no restriction on where a company is incorporated so long

More information

VACo 2014 Achievement Award Entry. Prince William County Department of Fire and Rescue. Medical Physical Program

VACo 2014 Achievement Award Entry. Prince William County Department of Fire and Rescue. Medical Physical Program 1 VACo 2014 Achievement Award Entry Prince William County Department of Fire and Rescue Abstract of the Program Prince William County's fire and rescue service is provided through a combination of career

More information

City of St. Petersburg Bid Tabulation Procurement and Supply Management

City of St. Petersburg Bid Tabulation Procurement and Supply Management Group I - Non-Fire/Non-Police Personnel Employment/Post Offer, Promotional, and Reemployment Physical Examinations 1 Personal History and Medical Examination/Inquiry Form EA 120 No Bid $0.00 No Charge

More information

Request for Proposals for a Clean Syringe Exchange Program

Request for Proposals for a Clean Syringe Exchange Program ANNA M. ROTH, RN, MS, MPH HEALTH SERVICES DIRECTOR DAN PEDDYCORD, RN, MPA/HA DIRECTOR OF PUBLIC HEALTH C O N T R A C O S T A P U B L I C H E A L T H 597 CENTER AVENUE, SUITE 200 MARTINEZ, CALIFORNIA 94553

More information

DO NOT SEPARATE THESE FORMS

DO NOT SEPARATE THESE FORMS Isothermal Community College Practical Nurse Education Mailing Address: Office Location: Isothermal Community College Rutherford Learning Center PO Box 804 134 Maple Street Spindale, NC 28160 Rutherfordton,

More information

9.0 (SAMPLE A) COUNTY 08/26/15 (DATE OF POSTING)

9.0 (SAMPLE A) COUNTY 08/26/15 (DATE OF POSTING) Appendix C Example County E911 Plan The following is an example format used for County E911 Plan incorporation into the State E911 Plan. It includes sample information that is not designed to match any

More information

FOR SHORETEL CHANNEL PARTNERS ShoreTel MDF Program ELIGIBLE ACTIVITIES

FOR SHORETEL CHANNEL PARTNERS ShoreTel MDF Program ELIGIBLE ACTIVITIES FOR SHORETEL CHANNEL PARTNERS ShoreTel MDF Program ELIGIBLE ACTIVITIES Table of Contents Advertising Billboards, Electronic, Magazines, Newspapers, Trade Journals 2 Demand Generation Services 2 Direct

More information

Safety Regulations and Procedures Occupational Health Bloodborne Pathogens Exposure Control Plan S80.10, updated, May Contains information for:

Safety Regulations and Procedures Occupational Health Bloodborne Pathogens Exposure Control Plan S80.10, updated, May Contains information for: APPENDIX A Safety Regulations and Procedures Occupational Health Bloodborne Pathogens Exposure Control Plan S80.10, updated, May 2018 BLOODBORNE PATHOGEN EXPOSURE INCIDENT PACKET Contains information for:

More information

Request for Proposals for Riley County Fair Food Stand Manager

Request for Proposals for Riley County Fair Food Stand Manager Request for Proposals for Riley County Fair Food Stand Manager A. Introduction The Riley County Fair Board is requesting proposals from individuals interested in managing the Riley County Fair Food Stand

More information

NVFC POSITION ON FIREFIGHTER MEDICAL ASSESSMENTS

NVFC POSITION ON FIREFIGHTER MEDICAL ASSESSMENTS NVFC POSITION ON FIREFIGHTER MEDICAL ASSESSMENTS The National Volunteer Fire Council (NVFC) supports annual medical assessments for all firefighters. Firefighter health and safety is essential to the protection

More information

Immunization Policy. "UIC/COD-sponsored graduate education program" is one for which UIC/COD maintains academic responsibility.

Immunization Policy. UIC/COD-sponsored graduate education program is one for which UIC/COD maintains academic responsibility. I. PURPOSE Immunization Policy TITLE: CLINICAL HEALTHCARE PROVIDERS - IMMUNIZATIONS AND HEALTH REQUIREMENTS To prevent or reduce the risk of transmission of vaccine-preventable and other communicable diseases

More information

Meeting Location: Fresno County Employee Retirement Association Board Chambers 1111 H Street Fresno, CA August 24, :00 AM

Meeting Location: Fresno County Employee Retirement Association Board Chambers 1111 H Street Fresno, CA August 24, :00 AM BOARD OF DIRECTORS SUSAN B. ANDERSON JUDITH CASE MIKE ENNIS ALLEN ISHIDA PHIL LARSON Meeting Location: Fresno County Employee Retirement Association Board Chambers 1111 H Street Fresno, CA 93721 August

More information

Exhibit 2 RFQ Engagement Letter

Exhibit 2 RFQ Engagement Letter Exhibit 2 RFQ 17-25 Engagement Letter The attached includes the 6 page proposed engagement letter to be used by HCC. ENGAGEMENT LETTER Dear: [Lead Counsel/Partner] We are pleased to inform you that your

More information

Surgical Technology Program Check List

Surgical Technology Program Check List Surgical Technology Program Check List o Register for Required Courses o CastleBranch Requirements (Surgical Technology Package Code ~ AY70im, AY70, and ay70r) Immunizations Measles, Mumps & Rubella (MMR)

More information

DO NOT SEPARATE THESE FORMS

DO NOT SEPARATE THESE FORMS 54 College Drive Marion, NC 28752 Print Full Name: Date turned in: ID# (or SS#) Student Medical Form for (Please check one) Health Information Technology Practical Nursing DO NOT SEPARATE THESE FORMS It

More information

E911 INFORMATION UPSHER COUNTY COMMISSION

E911 INFORMATION UPSHER COUNTY COMMISSION E911 INFORMATION UPSHER COUNTY COMMISSION UPSHUR COUNTY COMMISSION Upshur County Courthouse Annex 38 West Main Street, Room 302 Buckhannon, West Virginia 26201 TDD Numbers Telephone: (304) 472-0535 Business:

More information

TO: CITY COUNCIL DATE: January 26,2009

TO: CITY COUNCIL DATE: January 26,2009 Agenda Report TO: CITY COUNCIL DATE: January 26,2009 FROM: CITY MANAGER THROUGH: FINANCE COMMITTEE SUBJECT: ADOPT A RESOLUTION AMENDING FISCAL YEAR 2009 GENERAL FEE SCHEDULE FOR PUBLIC HEALTH DEPARTMENT

More information

IMMUNIZATION & PHYSICAL EXAM REQUIREMENTS BLS PROVIDERS

IMMUNIZATION & PHYSICAL EXAM REQUIREMENTS BLS PROVIDERS IMMUNIZATION & PHYSICAL EXAM REQUIREMENTS BLS PROVIDERS PLEASE READ IMMEDIATELY PLEASE PRINT INFORMATION LEGIBLY According to Code 405.3 Title 10 NYCRR, students affiliating with a Health Care Facility

More information

Tobacco Prevention, Education & Cessation Grant Program. Tobacco Cessation Awareness Campaign and Web Hub

Tobacco Prevention, Education & Cessation Grant Program. Tobacco Cessation Awareness Campaign and Web Hub Tobacco Prevention, Education & Cessation Grant Program Tobacco Cessation Awareness Campaign and Web Hub Request for Proposal #: SF-PSD13090412 CAMPAIGN I. Background, Overview and Goals The mission of

More information

City of Montpelier, Vermont The Smallest Capital City in the United States BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN AND PROCEDURES

City of Montpelier, Vermont The Smallest Capital City in the United States BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN AND PROCEDURES City of Montpelier, Vermont The Smallest Capital City in the United States BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN AND PROCEDURES Last Updated June 19, 2003 1 Bloodborne Pathogens Exposure Control Plan

More information

ARKANSAS SCHOOL FOR THE BLIND ARKANSAS SCHOOL FOR THE BLIND EMPLOYEE DRUG AND ALCOHOL PREVENTION POLICY

ARKANSAS SCHOOL FOR THE BLIND ARKANSAS SCHOOL FOR THE BLIND EMPLOYEE DRUG AND ALCOHOL PREVENTION POLICY ARKANSAS SCHOOL FOR THE BLIND EMPLOYEE DRUG AND ALCOHOL PREVENTION POLICY Arkansas School for the Blind is a drug free workplace. All Arkansas School for the Blind (ASB) employees are prohibited from using

More information

VENTURA COUNTY, HEALTH CARE AGENCY INVITES APPLICATIONS FOR: Occupational Therapist - Inpatient Psychiatric Unit 2007HCA-17AA (MI)

VENTURA COUNTY, HEALTH CARE AGENCY INVITES APPLICATIONS FOR: Occupational Therapist - Inpatient Psychiatric Unit 2007HCA-17AA (MI) VENTURA COUNTY, HEALTH CARE AGENCY INVITES APPLICATIONS FOR: Occupational Therapist - Inpatient Psychiatric Unit 2007HCA-17AA (MI) An Equal Opportunity Employer SALARY RANGE (approximate) $29.30 - $49.96

More information

Bloodborne Pathogens Presentation. Itasca County Public Health

Bloodborne Pathogens Presentation. Itasca County Public Health Bloodborne Pathogens Presentation Itasca County Public Health 1 Could You Contract a Disease at Work? Administering first aid? Cleaning the restrooms? Using an item covered with dried blood? A co-worker

More information

City of Berkeley CSS Plan Revised Budget Narratives. Full Service Partnership Integrated Services Expansion for TAY, Adults and Older Adults

City of Berkeley CSS Plan Revised Budget Narratives. Full Service Partnership Integrated Services Expansion for TAY, Adults and Older Adults City of Berkeley CSS Plan Revised Budget Narratives The additional funds provided by the CSS expansion have been added into the previously approved 07/08 budgets. What follows are the revised budget narratives

More information

DIVISION OF PUBLIC & BEHAVIORAL HEALTH BUREAU OF HEALTH CARE QUALITY AND COMPLIANCE LCB File No. R Informational Statement per NRS 233B.

DIVISION OF PUBLIC & BEHAVIORAL HEALTH BUREAU OF HEALTH CARE QUALITY AND COMPLIANCE LCB File No. R Informational Statement per NRS 233B. DIVISION OF PUBLIC & BEHAVIORAL HEALTH BUREAU OF HEALTH CARE QUALITY AND COMPLIANCE LCB File No. R120-16 Informational Statement per NRS 233B.066 1. A clear and concise explanation of the need for the

More information

REQUEST FOR PROPOSALS FOR CY 2019 FUNDING. Issue Date: Monday, July 30, Submission Deadline: 5:00 p.m., Friday, August 24, 2018

REQUEST FOR PROPOSALS FOR CY 2019 FUNDING. Issue Date: Monday, July 30, Submission Deadline: 5:00 p.m., Friday, August 24, 2018 REQUEST FOR PROPOSALS FOR CY 2019 FUNDING Issue Date: Monday, July 30, 2018 Submission Deadline: 5:00 p.m., Friday, August 24, 2018 NOTE: RFP proposals received after the deadline will not be considered.

More information

St. Mary s Hospital Foundation Scholarship Program. Deadline: Must be postmarked by March 15, 2016

St. Mary s Hospital Foundation Scholarship Program. Deadline: Must be postmarked by March 15, 2016 St. Mary s Hospital Foundation Scholarship Program Deadline: Must be postmarked by March 15, 2016 MedStar St. Mary s Hospital Human Resources Department 25500 Point Lookout Road Leonardtown, MD 20650 For

More information

APPLICATION FOR ADMISSION (PLEASE PRINT CLEARLY)

APPLICATION FOR ADMISSION (PLEASE PRINT CLEARLY) 1317 w. Washington Blvd. Fort Wayne, In. 46802 260-424-2341 APPLICATION FOR ADMISSION (PLEASE PRINT CLEARLY) NAME: _ FIRST MI LAST DATE OF BIRTH: / / AGE: SOCIAL SECURITY NUMBER: LAST OR CURRENT ADDRESS:

More information

Guilford County Schools Specifications for Drug and Alcohol Testing RFQ # 5551 June, 2013

Guilford County Schools Specifications for Drug and Alcohol Testing RFQ # 5551 June, 2013 Guilford County Schools Specifications for Drug and Alcohol Testing RFQ # 5551 June, 2013 Guilford County Schools (GCS) is soliciting proposals for Drug and Alcohol Testing services for its employees and

More information

CLINICAL PSYCHOLOGIST I/II

CLINICAL PSYCHOLOGIST I/II THE COUNTY OF SHASTA http://agency.governmentjobs.com/shasta/default.cfm INVITES APPLICATIONS FOR CLINICAL PSYCHOLOGIST I/II CLINICAL PSYCHOLOGIST I: $5,172 - $6,601 APPROX. MONTHLY / $29.84 - $38.09 APPROX.

More information

CDL Drivers Controlled Substance and Alcohol Policy

CDL Drivers Controlled Substance and Alcohol Policy CDL Drivers Controlled Substance and Alcohol Policy Section 1. General. It is the purpose of this policy to encourage an enlightened viewpoint toward alcoholism and other drug dependencies as behavioral/medical

More information

POLICY TITLE: HEALTH CARE PERSONNEL IMMUNIZATION Former Policy Title: DOCUMENT NAME: Health Care Personnel Immunization Policy-LG Health

POLICY TITLE: HEALTH CARE PERSONNEL IMMUNIZATION Former Policy Title: DOCUMENT NAME: Health Care Personnel Immunization Policy-LG Health Former Policy Title: Policy Author: Norma J. Ferdinand Effective Date: 12/1/12 Policy Owner: Bobbi Jo Hurst Last Review Date: 12/1/12 POLICY PURPOSE: The purpose of this Policy is to protect the health

More information

EDUCATION BULLETIN / INFLUENZA A (H1N1)

EDUCATION BULLETIN / INFLUENZA A (H1N1) EDUCATION BULLETIN / INFLUENZA A (H1N1) TO: School boards, CEGEPs, universities and private teaching institutions DATE: November 17, 2009 SUBJECT: Second wave of the Influenza A (H1N1) pandemic in Québec

More information

Volunteer Applicant Health Clearance Checklist

Volunteer Applicant Health Clearance Checklist Volunteer Applicant Health Clearance Checklist Employee Health Contact Information Office Phone: (202) 715-4275; Fax: (202) 715-4587; Email: gwuehs@medcor.com Walk-in hours: M-F 8:00 a.m. 12:00 p.m. &

More information

Reference Document for AF Form 2766 on Fuel Systems Repair

Reference Document for AF Form 2766 on Fuel Systems Repair Reference Document for AF Form 2766 on Fuel Systems Repair NOTE: Data in this reference document (1) provides rationale for information recommended in the associated AF Form 2766, (2) provides guidance

More information

Submitted by: Fred Medrano, Director, Department of Health Services

Submitted by: Fred Medrano, Director, Department of Health Services Office of the City Manager ACTION CALENDAR November 17, 2009 To: From: Honorable Mayor and Members of the City Council Phil Kamlarz, City Manager Submitted by: Fred Medrano, Director, Department of Health

More information

Completing the Hepatitis B Online Survey using ReadySet

Completing the Hepatitis B Online Survey using ReadySet Completing the Hepatitis B Online Survey using ReadySet The OSHA Bloodborne Pathogens Standard requires that all employees who are at risk for exposure to bloodborne pathogens be offered the Hepatitis

More information

Seasonal Flu Vaccine Offers 2015/16

Seasonal Flu Vaccine Offers 2015/16 Seasonal Flu Vaccine Offers 2015/16 The LMC Buying Groups Federation has concluded negotiations with flu vaccine companies for the 2015/16 season and we can now announce that our 1 st preferred supplier

More information

WALNUT CREEK FAMILY PRACTICE 4303 JODECO ROAD MCDONOUGH, GA

WALNUT CREEK FAMILY PRACTICE 4303 JODECO ROAD MCDONOUGH, GA WALNUT CREEK FAMILY PRACTICE 4303 JODECO ROAD MCDONOUGH, GA 30253 770-898-7840 Dear Walnut Creek Family Practice Patient, Your physical appointment is scheduled for you and no one else at that time. If

More information

Board of County Commissioners

Board of County Commissioners TULSA COUNTY PURCHASING DEPARTMENT MEMO DATE: August 9, 2017 FROM: Matney M. Ellis ~ Purchasing Director ~ ~ TO: SUBJECT: Board of County Commissioners Agreement - N orex, Inc. Submitted for your approval

More information

Cost of Class $206 Pre-payment for these classes is required.

Cost of Class $206 Pre-payment for these classes is required. Cost of Class $26 Pre-payment for these classes is required. The following is required and must be turned in to Alice Hooker in Admissions, located in the Whitcomb Student Center, before you can be added

More information

PUBLIC SERVICE COMMISSION OF THE DISTRICT OF COLUMBIA 1325 G STREET N.W., SUITE 800 WASHINGTON, D.C ORDER

PUBLIC SERVICE COMMISSION OF THE DISTRICT OF COLUMBIA 1325 G STREET N.W., SUITE 800 WASHINGTON, D.C ORDER PUBLIC SERVICE COMMISSION OF THE DISTRICT OF COLUMBIA 1325 G STREET N.W., SUITE 800 WASHINGTON, D.C. 20005 ORDER June 24, 2016 FORMAL CASE NO. 1017, IN THE MATTER OF THE DEVELOPMENT AND DESIGNATION OF

More information

Progress Report Hospitals HIV Testing Consent and Public Safety Workers Senate Bill 718 (Chapter 330, Section 2, 2005)

Progress Report Hospitals HIV Testing Consent and Public Safety Workers Senate Bill 718 (Chapter 330, Section 2, 2005) Maryland Department of Health and Mental Hygiene Maryland Institute for Emergency Medical Services Systems Progress Report Hospitals HIV Testing Consent and Public Safety Workers Senate Bill 718 (Chapter

More information

Student Health Services 100 East Brown Street (Phone)

Student Health Services 100 East Brown Street (Phone) Student Health Services 100 East Brown Street 272-762-4378 (Phone) East Stroudsburg, PA 18301 570-420-2447 (Fax) Dear Student: Congratulations and welcome to East Stroudsburg University. The Student Health

More information

ADDENDUM 1. This Addendum forms part of and modifies Proposal Documents dated, May 6, 2016, with amendments and additions noted below.

ADDENDUM 1. This Addendum forms part of and modifies Proposal Documents dated, May 6, 2016, with amendments and additions noted below. DATE: June 3, 2016 PROJECT: Food Services - HCPC RFP NO: 744-R1614 Food Services - HCPC OWNER: The University of Texas Health Science Center at Houston TO: Prospective Proposers This Addendum forms part

More information

2018 Business Associate Sponsorship Options

2018 Business Associate Sponsorship Options 2018 Business Associate Sponsorship Options P.O. Box 790 - Sherwood, OR 97140 Phone (678) 523-5915 - Fax (877) 872-3493 - Email: main@ohiomgma.com - www.ohiomgma.com members are healthcare leaders and

More information

PATIENT SIGNATURE: DOB: Date:

PATIENT SIGNATURE: DOB: Date: CINCINNATI PAIN PHYSICIANS, LLC (CPP) ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES By signing below, I acknowledge that I have received a copy of CPP s Notice of Privacy Practices. The Notice

More information

SUPPLEMENTAL NOTE ON HOUSE BILL NO. 2217

SUPPLEMENTAL NOTE ON HOUSE BILL NO. 2217 SESSION OF 2017 SUPPLEMENTAL NOTE ON HOUSE BILL NO. 2217 As Amended by House Committee on Health and Human Services Brief* HB 2217, as amended, would enact new law and amend the Kansas Pharmacy Act (Act)

More information

Washington County-Johnson City Health Department Christen Minnick, MPH, Director 219 Princeton Road Johnson City, Tennessee Phone:

Washington County-Johnson City Health Department Christen Minnick, MPH, Director 219 Princeton Road Johnson City, Tennessee Phone: Washington County-Johnson City Health Department Christen Minnick, MPH, Director 219 Princeton Road Johnson City, Tennessee 37601 Phone: 423-975-2200 Dear Parent: The Washington County Health Department

More information

BAY-ARENAC BEHAVIORAL HEALTH AUTHORITY POLICIES AND PROCEDURES MANUAL

BAY-ARENAC BEHAVIORAL HEALTH AUTHORITY POLICIES AND PROCEDURES MANUAL Page: 1 of 8 Policy Bay-Arenac Behavioral Health Authority (BABHA) is committed to high standards of employee and consumer safety practices. This standard will include the prevention, surveillance, identification

More information

FROM: Quinn Korbulic, IT Manager, Regional Services, Technology Services

FROM: Quinn Korbulic, IT Manager, Regional Services, Technology Services Integrity Communication Service TECHNOLOGY SERVICES 800 MHz Joint Operating Committee April 19, 2019 STAFF REPORT - AGENDA ITEM # 10 TO: 800 MHz Joint Operating Committee FROM: Quinn Korbulic, IT Manager,

More information

THE ENVIRONMENTAL HEALTH AND SAFETY

THE ENVIRONMENTAL HEALTH AND SAFETY 1 THE ENVIRONMENTAL HEALTH AND SAFETY OUTSOURCING GUIDE HOW EHS OUTSOURCING CAN SAVE YOUR COMPANY TIME AND MONEY TABLE OF CONTENTS 1. WHAT IS SAFETY OUTSOURCING? 2. WHY OUTSOURCE SAFETY? 3. BENEFITS OF

More information

IHS Mandatory Influenza Vaccination Policy for Health Care Personnel. Amy V. Groom, MPH IHS Immunization Program Manager

IHS Mandatory Influenza Vaccination Policy for Health Care Personnel. Amy V. Groom, MPH IHS Immunization Program Manager IHS Mandatory Influenza Vaccination Policy for Health Care Personnel Amy V. Groom, MPH IHS Immunization Program Manager Overview Background and review of IHS influenza vaccination policy Amy Groom Lessons

More information

Personnel Manual/Part F Hearing Screening Tab 7 Page 2 Revised 1/07

Personnel Manual/Part F Hearing Screening Tab 7 Page 2 Revised 1/07 STANISLAUS COUNTY PERSONNEL MANUAL JOB CLASSIFICATIONS REQUIRING AUDIOMETRIC EVALUATIONS PRE-PLACEMENT SCREENING AND ANNUAL TESTING ANIMAL SERVICES Animal Care Specialists Animal Service Officers Animal

More information

The Changing Landscape of Opioids & Workers Compensation. Presented by: David Campbell, MA, CRC State of Michigan Workers Compensation Agency

The Changing Landscape of Opioids & Workers Compensation. Presented by: David Campbell, MA, CRC State of Michigan Workers Compensation Agency The Changing Landscape of Opioids & Workers Compensation Presented by: David Campbell, MA, CRC State of Michigan Workers Compensation Agency 1 The Changing Landscape of Opioids & Workers Compensation is

More information

Madison College School of Health Education. Health Forms & Immunization Requirements

Madison College School of Health Education. Health Forms & Immunization Requirements Madison College School of Health Education Health Forms & Immunization Requirements It is important that you know your immunization history. You will need your vaccination record to complete your health

More information

Nutrition. School Wellness Committee. Gilmer County Charter Schools. Policy EEE: Wellness (Attachment) REGULATIONS

Nutrition. School Wellness Committee. Gilmer County Charter Schools. Policy EEE: Wellness (Attachment) REGULATIONS Gilmer County Charter Schools Policy EEE: Wellness (Attachment) REGULATIONS Nutrition Our school district is committed to serving healthy meals to children, with plenty of fruits, vegetables, whole grains,

More information

Prepared by Jo«i McManus. Mental Health Admlnigtratioi) CAO Approval I if 1 A

Prepared by Jo«i McManus. Mental Health Admlnigtratioi) CAO Approval I if 1 A Of Hfy AGENDA ITEM NO o r COUNTY OF HUMBOLDT Y^of fht Forthe meeting of: December 13, 2016 Date: To: From: Subject: November 17, 2016 Board of Supervisors Connie Beck, Director Department of Health and

More information

ANALYSIS OF THE ADMINISTRATION S FISCAL YEAR 2004 BUDGET FOR THE CENTERS FOR DISEASE CONTROL AND PREVENTION

ANALYSIS OF THE ADMINISTRATION S FISCAL YEAR 2004 BUDGET FOR THE CENTERS FOR DISEASE CONTROL AND PREVENTION ANALYSIS OF THE ADMINISTRATION S FISCAL YEAR 2004 BUDGET FOR THE CENTERS FOR DISEASE CONTROL AND PREVENTION OVERVIEW: On February 20, 2003, President Bush signed the Omnibus Appropriations bill for FY

More information

KENTUCKY ADULT PEER SUPPORT SPECIALIST TRAINING:

KENTUCKY ADULT PEER SUPPORT SPECIALIST TRAINING: KENTUCKY ADULT PEER SUPPORT SPECIALIST TRAINING: DESCRIPTION, QUALIFICATIONS & RESPONSIBILITIES Description (908 KAR 2:220): Peer support is the social and emotional support provided by persons with a

More information

Page 1 of 7. Call Meeting to Order CALL MEETING TO ORDER. Invocation INVOCATION. Pledge of Allegiance PLEDGE OF ALLEGIANCE.

Page 1 of 7. Call Meeting to Order CALL MEETING TO ORDER. Invocation INVOCATION. Pledge of Allegiance PLEDGE OF ALLEGIANCE. Duval County Public Schools July 1, 2014, Regular Board Meeting Call Meeting to Order CALL MEETING TO ORDER Invocation INVOCATION Pledge of Allegiance PLEDGE OF ALLEGIANCE Presentations Board Members 1.

More information

Colorado Commission for the Deaf and Hard of Hearing Bulletin April 2014

Colorado Commission for the Deaf and Hard of Hearing Bulletin April 2014 Colorado Commission for the Deaf and Hard of Hearing Bulletin VISION Colorado Commission for the Deaf and Hard of Hearing, in concurrence with the Colorado Department of Human Service vision, seeks to

More information

Eastern Maine Medical Center Patient Price Information Effective October 1, 2017 September 30, 2018

Eastern Maine Medical Center Patient Price Information Effective October 1, 2017 September 30, 2018 Eastern Maine Medical Center Patient Price Information Effective October 1, 2017 September 30, 2018 To help our patients make informed health care decisions, Eastern Maine Medical Center has provided pricing

More information

Kaiser Permanente 2013 Sample Fee List

Kaiser Permanente 2013 Sample Fee List Kaiser Permanente 2013 Sample Fee List Members in any deductible plan 1 can use this list to help estimate their charges. COLORADO As your partner in health, we want to help you manage your health care

More information

Public Safety Worker (PSW) Exposure Incidents: Texas-Specific Laws & Rules (Current Texas References as of 04/15/04)

Public Safety Worker (PSW) Exposure Incidents: Texas-Specific Laws & Rules (Current Texas References as of 04/15/04) Public Safety Worker (PSW) Exposure Incidents: Texas-Specific Laws & Rules (Current Texas References as of 04/15/04) Tools to Promote Communications between Infection Control Professionals and Public Safety

More information

September 30, The Honorable Thomas W. Corbett Governor of Pennsylvania Room 225 Main Capitol Building Harrisburg, Pennsylvania 17120

September 30, The Honorable Thomas W. Corbett Governor of Pennsylvania Room 225 Main Capitol Building Harrisburg, Pennsylvania 17120 September 30, 2011 The Honorable Thomas W. Corbett Governor of Pennsylvania Room 225 Main Capitol Building Harrisburg, Pennsylvania 17120 Dear Governor Corbett: In accordance with 35 P.S. 6701.4(e), 1

More information

SHRM Medina County Newsletter

SHRM Medina County Newsletter SHRM Medina County Newsletter Inside this issue: President s Corner 1 SHRM Medina County Call for Candidates Member Appreciation Luncheon and Silent Auction Donate to the SHRM Foundation Silent Auction

More information

HCC s 2014 Report to the County Commissioners and Budget Request for FY 15

HCC s 2014 Report to the County Commissioners and Budget Request for FY 15 HCC s 2014 Report to the County Commissioners and Budget Request for FY 15 Addressing Opportunities and Challenges Presented at a Special Meeting of the HCC Board of Trustees and the County Commissioners

More information

Kara A. Davis, RN, BSN Assistant Administrator/Director of Nursing at Logan County Department of Public Health

Kara A. Davis, RN, BSN Assistant Administrator/Director of Nursing at Logan County Department of Public Health A Third Party Billing Success Story How a Small, Rural Public Health Department is Generating Significant Revenue Through Immunization and HIV Billing Kara A. Davis, RN, BSN Assistant Administrator/Director

More information

Marion County Board of Health Meeting Minutes. March 24, :00 P.M.

Marion County Board of Health Meeting Minutes. March 24, :00 P.M. Marion County Board of Health Meeting Minutes March 24, 2015 7:00 P.M. Board Members Present: Richard Haney, Tom Turner, Michael Morton, and Keith Kessler, and Paula Strother. Others Present: Lori Ryan,

More information

NA-019 Level 3 Qualification Recognition for EN 4179 / NAS 410 and AS3669

NA-019 Level 3 Qualification Recognition for EN 4179 / NAS 410 and AS3669 NA-019 Level 3 Qualification Recognition for EN 4179 / NAS 410 and AS3669 This procedure describes how the NANDTB recognises NDT Level 3 personnel qualifications as meeting the requirements of EN 4179,

More information

MONTANA STATE UNIVERSITY COLLEGE OF NURSING A-20 Procedure

MONTANA STATE UNIVERSITY COLLEGE OF NURSING A-20 Procedure MONTANA STATE UNIVERSITY COLLEGE OF NURSING A-20 Procedure PROCEDURE: The MSU College of Nursing follows the procedures recommended by the Centers for Disease Control and Prevention and outlined by the

More information

EMT-Intermediate Certification Class Requirements

EMT-Intermediate Certification Class Requirements EMT-Intermediate Certification Class Requirements Welcome and thank you for choosing Pamlico Community College to continue your education! The following list the requirements required to attend the EMT-Intermediate

More information

Policy Title. Control Number HR003. Exception The Scotland County Sheriff s Department is subject to a separate policy.

Policy Title. Control Number HR003. Exception The Scotland County Sheriff s Department is subject to a separate policy. Purpose To ensure compliance with federal regulations as outlined under the Drug-Free Workplace Act and by the U.S. Department of Transportation; to identify the conditions by which personnel are subject

More information

Family Tariff. General Tariff Information. Scope of the family referral. Extended Services

Family Tariff. General Tariff Information. Scope of the family referral. Extended Services F a mi l yt a r i ff Family Tariff General Tariff Information This chapter of LSS Tariffs provides information about how LSS will compensate you for family law services that you provide to clients. For

More information

Johnson C. Smith University Pandemic Response Plan

Johnson C. Smith University Pandemic Response Plan Johnson C. Smith University Pandemic Response Plan PANDEMIC LEVEL TRIGGER EVENT recommendation communities of the pandemic, and its current severity. the CDC to activate in its entirety the community mitigation

More information

ALTERNATIVES : Do not adopt the resolution or authorize the signing of the Reduction in the State Fiscal year allocation.

ALTERNATIVES : Do not adopt the resolution or authorize the signing of the Reduction in the State Fiscal year allocation. MENTAL HEALTH (707) 464-7224 Fax: (707) 465-4272 TOLL FREE: 1-888-446-4408 COUNTY OF DEL NORTE 206 WILLIAMS DRIVE CRESCENT CITY, CALIFORNIA 95531 MICHAEL F. MILLER, L.M.F.T., DIRECTOR MENTAL HEALTH, ALCOHOL

More information

NA-019 LEVEL 3 QUALIFICATION RECOGNITION FOR AS3669 AND EN 4179 / NAS 410

NA-019 LEVEL 3 QUALIFICATION RECOGNITION FOR AS3669 AND EN 4179 / NAS 410 NA-019 LEVEL 3 QUALIFICATION RECOGNITION FOR AS3669 AND EN 4179 / NAS 410 Initial Qualification Recognition This procedure describes how the NANDTB recognises NDT Level 3 personnel qualifications as meeting

More information

Where Tradition Meets Innovation

Where Tradition Meets Innovation Where Tradition Meets Innovation Dear Food Concessionaire, Thank you for your interest in the 2018 San Mateo County Fair! Preparations for the 84 th County Fair are well underway. We are excited to bring

More information

ALOHA! Arturo Gonzalez, MD FAAP AzAAP President. Suzann Braga AzAAP Executive Director

ALOHA! Arturo Gonzalez, MD FAAP AzAAP President. Suzann Braga AzAAP Executive Director ALOHA! Arturo Gonzalez, MD FAAP AzAAP President Suzann Braga AzAAP Executive Director Disclosures Dr. Gonzalez has no disclosures Ms. Braga has no disclosures Vaccine Financing and Immunization Advocacy

More information

2019 Patient Price Information List

2019 Patient Price Information List 2019 Patient Price Information List In compliance with state law, Genesis Healthcare System is providing this price list containing our charges for room and board, emergency department, operating room,

More information

Self-Evaluation for Compliance with Section 504 Accessibility Requirements for Persons with Disabilities

Self-Evaluation for Compliance with Section 504 Accessibility Requirements for Persons with Disabilities OREGON COMMUNITY DEVELOPMENT BLOCK GRANT PROGRAM Self-Evaluation for Compliance with Section 504 Accessibility Requirements for Persons with Disabilities Note: This self-evaluation must cover all programs

More information

Seasonal Flu Vaccine Offers

Seasonal Flu Vaccine Offers Seasonal Flu Vaccine Offers 2017-18 The LMC Buying Groups Federation has concluded negotiations with flu vaccine companies for the 2017-18 season and we can now announce that our joint first preferred

More information

NA LEVEL 3 TECHNICAL QUALIFICATION RECOGNITION

NA LEVEL 3 TECHNICAL QUALIFICATION RECOGNITION NA-019 - LEVEL 3 TECHNICAL QUALIFICATION RECOGNITION Introduction This procedure reflects the adoption of the EN4179-2014 wording as Australian Standard AS3669, and describes the NANDTB processes when

More information

Connecticut Teachers' Retirement Board 2019 Medicare Supplement Plan Benefits -- Administered By Stirling Benefits. General information

Connecticut Teachers' Retirement Board 2019 Medicare Supplement Plan Benefits -- Administered By Stirling Benefits. General information Provider access Covered Benefits Deductible General information All providers who accept If covers a charge, then the TRB plan covers that charge The 2019 deductible is $185. The member pays the Part B

More information

Drug and alcohol testing (including SAP) procedures are 49 CFR Part 40.

Drug and alcohol testing (including SAP) procedures are 49 CFR Part 40. MODAL RULES (SUMMARY) From SAP Guidelines, revised by DOT in August 2008 OPERATING ADMINISTRATIONS RULES (SUMMARY) 49 CFR Part 40 (40.33[a]) states that SAPs must be knowledgeable about the DOT agency

More information

Individual Select Preferred Dental

Individual Select Preferred Dental Individual Select Preferred Dental Northern Virginia Did You Know... n People with periodontal disease are 2-4 times more likely to have a heart attack. 1 n Diabetic patients with periodontal disease have

More information

International Registration Plan, Inc.

International Registration Plan, Inc. SPONSORSHIP OPPORTUNITIES International Registration Plan, Inc. Annual Meeting April 30 May 2, 2018 DoubleTree by Hilton Hotel New Orleans New Orleans, LA Take Advantage of These Opportunities to Reach

More information

Request For Proposal: RFP #

Request For Proposal: RFP # Request For Proposal: RFP #2018-001 Lawn Care Services Metropolitan Area EMS Authority d/b/a MedStar Mobile Healthcare ( MedStar ) seeks proposals in response to this Request for Proposal ( RFP ) from

More information

Influenza vaccination coverage for staff of acute care facilities British Columbia, 2017/18

Influenza vaccination coverage for staff of acute care facilities British Columbia, 2017/18 Influenza vaccination coverage for staff of acute care facilities British Columbia, 2017/18 Background Immunization coverage assessment is an important part of a quality immunization program and serves

More information

Compliance Requirements for Physician Assistant Students

Compliance Requirements for Physician Assistant Students Compliance Requirements for Physician Assistant Students { For Compliance questions, contact Tammy Jo Edge 859 218 0472 Tammy.edge@uky.edu C.T. Wethington Building Room 111 Requirements Full Background

More information

2018 Oocyte Recovery and ICSI

2018 Oocyte Recovery and ICSI 2018 Oocyte Recovery and ICSI Equine Medical Services is one of the world s leading producers of in vitro produced embryos. While standard IVF techniques are ineffective with horses, ICSI (Intracytoplasmic

More information

Drug and Alcohol Testing DRUG AND ALCOHOL TESTING 7.7

Drug and Alcohol Testing DRUG AND ALCOHOL TESTING 7.7 Policy 7.7 Effective Date: 9/14/10 Last Amended Date: 2/28/12 Drug and Alcohol Testing Applicable Law/Statute: 49 CFR Part 40 Source Doc/Dept.: None/HR Authorizing I.C. Sec: None DRUG AND ALCOHOL TESTING

More information

Page 1 of 6. Call Meeting to Order CALL MEETING TO ORDER. Invocation INVOCATION. Pledge of Allegiance PLEDGE OF ALLEGIANCE.

Page 1 of 6. Call Meeting to Order CALL MEETING TO ORDER. Invocation INVOCATION. Pledge of Allegiance PLEDGE OF ALLEGIANCE. Duval County Public Schools July 21, 2011, Regular Board Meeting Call Meeting to Order CALL MEETING TO ORDER Invocation INVOCATION Pledge of Allegiance PLEDGE OF ALLEGIANCE Presentations Comments From

More information

Use of Local Surveys in NYC

Use of Local Surveys in NYC Population-Based Surveys to Conduct CVD and Chronic Disease Surveillance Use of Local Surveys in NYC Lorna Thorpe, PhD Associate Professor Director, Epi & Bios Dept City University of New York School of

More information