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 Atlanta 1205 Johnson Ferry Road Suite 136-314 Marietta, GA 30068 Dear Mr. Spivey: This is to advise you that the award to your company for RFP 15-13, Physicals and Drug Testing as shown on the attached pages has been renewed. The renewed award is in accordance with the terms and conditions of the Request for Proposal and with your pricing remaining firm from May 1, 2017 through April 30, 2018. This award letter is not an official order. If you have any questions about this renewal award, please contact Elaine Bynum, 770-590-4522 or elaine.bynum@cobbk12.org. We appreciate your interest and participation in the CCSD solicitation process. Sincerely, David Odom, CPPO Director of Procurement Services eb Attachment cc: Accounts Payable Rick Grisham Shirene Douglas Thomas Marshall Cindy Boyd BOARD OF EDUCATION SUPERINTENDENT David Chastain, Chair Scott Sweeney, Vice C!,air David Banks David Morgan Randy Scamihom Susan Thayer Brad Wheeler Chris Ragsdale
Page 2, USA Mobile Drug Testing of Atlanta CCSD Vendor# 698671 DRUG TESTING FOR CCSD ll COMMENT 1 DOT Drug Screens Pre-place, random, post-accident, reasonable suspicion, and return to duty 2 DOT Breath Alcohol Test Reasonable Suspicion. 3 DOT Breath Alcohol Test Random, postaccident, and return to duty 4 DOT Random Selection list fee. Random Drug and Alcohol selection list drawn once per month, from August through May. Must maintain up to date list of all employees in Random Pool. Additional Staff Fee for Collection 5 Onsite, Per hr./per Tech 6 Live Testimony of MRO {per hr.) 7 Live Testimony of lab personnel {per hr.) $39.00 Normal Hrs. $22.00 Reg Hrs. $22.00 After Hrs. plus $75.00 App Fee $22.00 Reg Hrs. $250.00 $250.00 Set up {waived if no interruption) $50.00 per mo. $25.00 Per Hr. $185.00 Via Phone $550.00 Live, plus expenses, and travel $95.00 per hr. {1/2 hr. min.) for MRO Consultation $100.00 Per Hr. 8 List any Additional Fees/Costs not Included $25.00 Shy Bladder wait $25.00 per hr. $10.00 Failed Attempt per Occurrence DRUG/ ALCOHOL TESTING CCG 1 Breath Alcohol Test 2 Drug Screen Blood 3 Hair Sample Screen 4 DOT 5 Panel Regulated {Cobb County onsite) $22.00 If done w/a reasonable suspicion or random drug test discount will be offered $150.00 Test 30325 5 panel+ expanded opiates $100.00 $39.00 $25.00 per hr. on site fee $10.00 failed attempt fee for scheduled collections that need to be recollected.
Page 3, USA Mobile Drug Testing of Atlanta CCSD Vendor# 698671 DRUG TESTING FOR CCG II COMMENT 5 DOT 5 Panel Regulated (Lab or provider facility) 6 10 Panel Instant Test (Cobb County on-site) 7 10 Panel Non-Regulated (Lab or provider facility) 8 After hrs. surcharge (if any) Confirmatory Test for Positive Results 9 Live Testimony of MRO (per hr.) 11 Live Testimony of lab personnel (per hr.) OTHER TESTING 2 Post-Test to I.D. those who haven't developed immunity 7 List any Additional Fees/Costs not Included $35.00 $32.00 $25.00 per hr. on site fee $10.00 failed attempt fee for scheduled collections that need to be recollected. $30.00 $28.00 Confirmation on Non DOT is $28.00. After hrs. Appearance fees apply for reasonable suspicion and post-accident testing, $75.00 plu s $25.00 per hr. shy bladder wait times. $185.00 Per Hr. audio $550.00 per hr. live plus travel and expenses $100.00 Per Hour (UDS) or BAT $30.00 Each DOT 5 Panel Required$ 50.00 Non-Dot Ten Panel Instant Test $40.00 Shy Bladder Wait Per Hr. - After Hrs., 3rd Shift or Scheduled Weekend $35.00 P/H Post/ Accident/ After hrs. Emergency collections $100.00 Shy Bladder Wait Period After Hrs. Non Scheduled Emergency $50.00 P/H Steroid & Diuretics Drug Test $105.00 Over 15 Miles Traveled $0.50 Hair Follicle $95.00 Pre-Employment Background Checks $18.00 Cobb Government County Failed Attempt Fee $10.00 Breath Alcohol Test $15.00
One Team, One Goal: Student Success 514 Glover Street Marietta, GA 30060 Telephone: (770) 426-3300 www.cobbk12.org March 13, 2017 Jeffrey Weinstein, M.D. Occupational Health Centers of Georgia, P.C. d/b/a Concentra Medical Centers 5080 Spectrum Drive, # 1200 West Addison, TX 75001 Dear Dr. Weinstein: This is to advise you that the award to your company for RFP 15-13, Physicals and Drug Testing as shown on the attached pages has been renewed. The renewed award is in accordance with the terms and conditions of the Request for Proposal and with your pricing remaining firm from May 1, 2017 through April 30, 2018. This award letter is not an official order. If you have any questions about this renewal award, please contact Elaine Bynum, 770-590-4522 or elaine.bynum@cobbk12.org. We appreciate your interest and participation in the CCSD solicitation process. Sincerely, David Odom, CPPO Director of Procurement Services eb Attachment cc: Accounts Payable Megan Hart, Concentra Rick Grisham Shirene Douglas Thomas Marshall Cindy Boyd BOARD OF EDUCATION SUPERINTENDENT David Chastain, Chair Scott Sweeney, Vice Chair David Banks David Morgan Randy Scamihorn Susan Thayer Brad Wheeler Chris Ragsdale
Page 2, Concentra, CCSD Vendor# 420010 PHYSICALS FOR CCSD COMMENTS 1 Pre-placement physicals (with medical history, urinalysis, vision & hearing screen and upper extremity check) 2 Pre-placement DOT Physicals (Mechanics) with above included. 3 Annual Re-Certification DOT Physicals 4 PPD Test (TB Test every 3 years) 5 Chest X-ray 1 view. (Only if employee can't take PPD) 6 Audiometric Testing 7 Lift Assessment (only performed with specific positions) 8 Physical Agility Test for Drivers and Bus Monitors 9 Return to work Fitness for Duty Physical Ability Test for Custodians DRUG TESTING FOR CCSD 1 DOT Drug Screens Pre-place, random, postaccident, reasonable suspicion, and return to duty 2 DOT Breath Alcohol Test Reasonable Suspicion. 3 DOT Breath Alcohol Test Random, post-accident, and return to duty 4 DOT Random Selection list fee. Random Drug and Alcohol selection list drawn once per month, from August through May. Must maintain up to date list of all employees in Random Pool. $45.00 $45.00 $45.00 $27.00 $54.00 $19.04 $29.70 Level2 $42.43 Level 3 $29.70 $54.00 RTW $67.01 FFD $85.00 $46.49 $20.24 $20.24 $250.00 Per Calendar Yr. Additional Staff Fee for Collection 5 Onsite, Per hr./per Tech 6 Live Testimony of MRO (per hr.) 7 Live Testimony of lab personnel (per hr.) $70.00 Per Hr./Per Tech $250.00 Per Hr. $150.00 Per Hr. $1,200.00 Per Day
Page 3, Concentra, CCSD Vendor# 420010 TESTING FOR CCG EMPLOYMENT POST-OFFER PHYSICALS COMMENTS 1 Physicals for Public Safety Law Enforcement (as described in Section Bla) 2 Physicals for Public Safety Firefighters (as described in Section Bla) 3 Physicals for Public Safety Emergency 911 Operators (as described in Section Bla) 4 Physicals for Heavy and Moderate Demand Positions (as described in Section Blb) OTHER PHYSICALS 1 Return to work (as described in Section Blc) Fitness for Duty 2 Public Safety Special Unit Team (as described in Section Bld) $250.70 $231.17 $167.01 $196.70 $54.00 RTW $67.01 FFD $292.49 Annual Firefighter $276.03 Annual Bomb Squad $212.75 Annual Dive Team DRUG/ ALCOHOL TESTING CCG 1 Breath Alcohol Test 2 Drug Screen Blood 3 Hair Sample Screen 4 DOT 5 Panel Regulated (Cobb County on-site) 5 DOT 5 Panel Regulated (Lab or provider facility) 6 10 Panel Instant Test (Cobb County on-site) 7 10 Panel Non-Regulated (Lab or provider facility) 8 After hrs. surcharge (if any) Confirmatory Test for Positive Results 9 Live Testimony of MRO (Per Hr.) 11 Live Testimony of lab personnel (Per Hr. ) $25.00 $171.69 $88.74 $46.49 $48.43 $48.43 $48.43 $0.00 $250.00 Hr. $150.00 Hr. $1,200.00 Day
Page 4, Concentra, CCSD Vendor# 420010 TESTING FOR CCG OTHER TESTING COMMENTS 1 Series of 3 Hepatitis Vaccinations 2 Post-Test to I.D. those who haven't developed immunity 3 Booster shots 4 Test for exposure to blood-borne pathogens 5 Test for exposure to infectious diseases 6 % discount to Georgia's Workers' Compensation Fee Schedule for Physicians and Surgeons as given in the latest adopt ed fee schedule 7 List any Additional Fees/Costs not Included Guaranteed % Discount or Fee Structure $76.80 Per Injection- Three shot series $54.00 $76.80 The cost of the treatment is dependent upon the type of degree of exposure. Care can range from simple blood screening to extended testing & follow up to 6 mos. All ca re will be administered in accordance with CDC & OSHA guidelines & fees will follow State established fee schedule. This pricing is contingent upon Concentra being eligible to perform Worker's Compensation Injury Management for the entities as outlined in the RFP. The cost of the treatment is dependent upon the type of degree of exposure. Care can range from simple blood screening to extended testing & follow up to 6 mos. All care will be administered in accordance with CDC & OSHA guidelines & fees will follow State established fee schedule. This pricing is contingent upon Concentra being eligible to perform Worker's Compensation Injury Management for the entities as outlined in the RFP. 5% A. Job-specific Lift Assessment $55.15-Level 4 $67.88-Level 5 B. Basic Lift Assessment $21.23-Level 1 $29.70 Level 2 B. MS Evaluation Grip Strength w/ dynamometer $21.23 5%
One Team, One Goal: St11dent S11ccess 514 Glover Street Marietta, G A 30060 Telephone: (770) 426-3300 www.cobbk12.org March 13, 2017 Dr. Lance Walker SiteMed North America LLC 1810 White Circle, Suite 155 Marietta, GA 30066 Dear Dr. Walker: This is to advise you that the award to your company for RFP 15-13, Physicals and Drug Testing as shown on the attached pages has been renewed. The renewed award is in accordance with the terms and conditions ofthe Request for Proposal and with your pricing remaining firm from May 1, 2017 through April 30, 2018. This award letter is not an official order. If you have any questions about this renewal award, please contact Elaine Bynum, 770-590-4522 or elaine.bynum@cobbk12.org. We appreciate your interest and participation in the CCSD solicitation process. Sincerely, tpj().4-- David Odom, CPPO Director of Procurement Services eb Attachment cc: Accounts Payable Rick Grisham Shirene Douglas Thomas Marshall Cindy Boyd BOARD OF EDUCATION SUPERINTENDENT David Chastain, Chair Scott Sweeney, Vice Chair David Banks David Morgan Randy Scamihorn Susan Thayer Brad Wheeler Chris Ragsdale
Page 2, Site Med, CCSD Vendor# 690271 PHYSICALS FOR CCSD COMMENTS 1 Pre-placement physicals (with medical history, urinalysis, vision & hearing screen and upper extremity check) 2 Pre-placement DOT Physicals (Mechanics) with above included. 3 Annual Re-Certification DOT Physicals 4 PPD Test (TB Test every 3 years) 5 Chest X-ray 1 view. (Only if employee can't take PPD) 6 Audiometric Testing 7 Lift Assessment (only performed with specific positions) 8 Physical Agility Test for Drivers and Bus Monitors 9 Return to work/fitness for Duty $44.00 $44.00 $44.00 $27.00 $50.00 $13.00 $18.00 $28.00 $54.00 DRUG TESTING FOR CCSD 1 DOT Drug Screens Pre-place, random, postaccident, reasonable suspicion, and return to duty 2 DOT Breath Alcohol Test Reasonable Suspicion. 3 DOT Breath Alcohol Test Random, postaccident, and return to duty 4 DOT Random Selection list fee. Random Drug and Alcohol selection list drawn once per month, from August through May. Must maintain up to date list of all employees in Random Pool. Addltlonal Staff Fee for Collection 5 Onsite, Per hr./per Tech $41.00 $25.00 $25.00 $200.00 DOT Plus $150.00 Non-DOT Pool $50.00 6 Live Testimony of MRO (Per Hr.) 7 Live Testimony of lab personnel (Per Hr.) TESTING FOR CCG EMPLOYMENT POST-OFFER PHYSICALS 1 Physicals for Public Safety Law Enforcement (as described in Section Bla) 2 Physicals for Public Safety Firefighters (as described in Section Bla) $1,000.00 Per Day $150.00 Per Hr. Phone $114.00 $140.00
Page 3, SiteMed, CCSD Vendor# 690271 TESTING FOR CCG EMPLOYMENT POST-OFFER PHYSICALS UNIT COMMENTS 3 Physicals for Public Safety Emergency 911 Operators (as described in Section Bla) 4 Physicals for Heavy and Moderate Demand Positions (as described in Section Blb) OTHER PHYSICALS 1 Return to work/fitness for Duty (as described in Section Blc) 2 Public Safety Special Unit Team (as described in Section Bld) DRUG/ ALCOHOL TESTING CCG 1 Breath Alcohol Test 2 Drug Screen Blood 3 Hair Sample Screen 4 DOT 5 Panel Regulated (Cobb County on-site) $95.00 $127.00 Non-DOT $131.00 DOT $55.00 $295.00 $25.00 $150.00 Per Drug $95.00-$ 105.00 $41.00 Plus Tech Fee $50.00 Per Hr. 5 DOT 5 Panel Regulated (Lab or provider facility) $41.00 6 10 Panel Instant Test (Cobb County on-site) $39.00 Plus Tech Fee 7 10 Panel Non-Regulated (Lab or provider facility) 8 After hrs. surcharge (if any) Confirmatory Test for Positive Results 10 Live Testimony of MRO (Per Hr.) 11 Live Testimony of la b personnel (Per Hr.) OTHER TESTING 1 Series of 3 Hepatitis Vaccinations 2 Post-Test to I.D. those who haven't developed immunity 3 Booster Shots $50.00 Per Hr. $39.00 $200.00 1st hr. $50.00 Per Hr. after 1st. Service cost may vary $150.00 Per Hr. lhr. Min $150.00 Per Hr. lhr. Min $220.00 $54.00 $74.00