Paul Granstrom
Chief Operating Officer
93-4495997
775-846-3413
[email protected]
1855 N. McCarran Blvd.,
Sparks, NV 89431
Exhibit A – SCOPE OF SERVICES
A. Minimum Requirement - MD to conduct examinations
B. Facilities – Office Space at Merced
1. Labs will be conducted at Quest Diagnostics
2. Testing will be done at Fire Station
C. Projected Workload
D. Medical Evaluation standards and procedures
1. NFPA 1582
2. Medical Clearance and Referrals
a) MFD Full Duty
b) Employee Referral to specialist
c) Temporary or permanent restrictions
3. Follow up assessments
4. Declination*
*Please note that a fee of $100.00 per review will be required.
E. Essential Tasks of a Firefighter
F. Annual Occupational Examinations
a. Medical History
b. Physical Examination
- Breast and Digital Rectal Exam – patient may opt out. c. Vision Screening
- We use a TITMUS vision screening device
d. Pulmonary Function Test to ATS guidelines
e. Fit Tests*
*Additional charge associated with Fit Testing, we normally don’t conduct for clients as your supplier should provide for fitting as part of their arrangement.
f. Quantitative Fit Testing*
*Additional charge associated with Fit Testing, we normally don’t conduct for clients as your supplier should provide for fitting as part of their arrangement.
g. Urine Testing
h. Blood Testing for Firefighters
i. Audiogram
j. Spirometry
k. Electrocardiogram
l. Risk Stratification
m. Intermediate Risk
n. High Risk
o. Mammography OUTSOURCE SERVICE
p. Heavy Metal Evaluations
q. Cholinesterase (HazMat)
r. Cancer Screenings
- Colon Cancer Screening
- Prostate Cancer (we run PSA for male members)
- Lung Cancer LDCT OUTSOURCE SERVICE
We can get your pricing for this service with local radiology, you’ll pay our cost
- Cervical Cancer OUTSOURCE SERVICE
We can get your pricing for this service with local radiology, you’ll pay our cost - Testicular Cancer
- Bladder Cancer
- Oral Cancer
- Thyroid Cancer
- Sleep Disturbance Screening
- Cancer and Cardiovascular Disease Reduction
- Occupational Stress Awareness Consultation
- Outcomes of Annual Examinations
Exhibit B – Performance Schedule
Year – 2026, 2027, 2028, 2029
Dates to be mutually agreed upon
Exhibit C – Fee Schedule
Complete Blood Count with Differential Included
Comprehensive Metabolic Panel Included
Fasting Lipid Panel Included
Urinalysis Included
Diabetes Screening – Fasting Glucose / Hemoglobin A1C Included Thyroid – T-4 and TSH Included
Hemoccult Test Included
CA-125 (Female firefighters only) Included
Prostate-Specific Antigen Screening (PSA) (Male firefighters only) Included Vitamin D Included
High-Sensitivity C-Reactive Protein (hs-CRP) Included
25-hydroxy vitamin D Included
Audiogram (Occupational Hearing Exam) Included
Biometric Screening Included
Spirometry (Pulmonary Function Test) Included
Vital Signs Included
Vision Screening Included
Blood Pressure Monitoring Included
Resting EKG Included
Stress EKG, WFI Protocol Included
Physical Exam – (NFPA 1582) Included
Medical History Review Included
Skin Cancer Assessment Included
Health Promotion Counseling Included
Sleep Disturbance Apnea Questionnaire Included
Cardiac Risk Stratification Included
OSHA Resp. Questionnaire Included
Firefighter Medical Clearance – 1582 Tiers Included
Chapter 8 – Muscular Strength, Endurance & Flexibility Included MOVED THE HAZMAT 24 HOUR SCREENING TO OPTIONAL
MOVED THE CHOLINESTERASE SCREENING TO OPTIONAL
TOTAL PROPOSED COST (Per Person Per Year) $675.00
Cost is per member, requirement of a minimum of 40 members per event.
ONSITE MOBILE FEE of $2,500.00 per week applies, as well.
OPTIONAL SERVICES AND ASSOCIATED ADDITIONAL FEES:
Ultrasound Screening Panel (non-diagnostic screening only) $200.00 Thyroid, Carotid and Aortic Aneurysm Ultrasounds Included Pancreas, Liver, Bladder*, Gallbladder, Spleen and Kidney Ultrasounds Included External Pelvic Ultrasound (Females), Prostate Ultrasound (Males), Testicular Ultrasound (Males)
Included
Respiratory Fit Testing $100.00
Quantitative Respirator Fit Testing $100.00
Heavy Metal (24 Hours Urine Occupational Exposure – Haz Mat Testing $75.00 Cholinesterase (Hazmat) $150.00
Total Proposed Cost Per Person Per Year (Optional Services) $625.00
*Added Bladder Ultrasound screening as this is a common form of Cancer for Firefighters. This is included as Standard in our panel.
GRAND TOTAL ANNUAL COST (MAXIMUM)
• BASE ANNUAL COST (MAXIMUM) $675 X 88 EMPLOYEES)………..……....$ 59,400 • ONSITE MOBILE FEE ($2,500) ……………………………………………….………$ 2,500 • OPTIONAL SERVICES ANNUAL COST (MAXIMUM) $625 X 88 EMPLOYE..$ 55,000 o GRAND TOTAL ANNUAL COST (MAXIMUM) …………………………..$116,900
GRANT TOTAL FOUR YEAR CONTRACT COST (MAXIMUM)
• BASE COST (MAXIMUM) $59,400 X 4 YEARS............…………………..…….$237,600 • ONSITE MOBILE FEE ($2,500 X 4 YEARS) ………….………………………..……$ 10,000 • OPTIONAL SERVICES COST (MAXIMUM) $55,000 X 4 YEARS ……………..$220,000 GRAND TOTAL FOUR YEAR CONTRACT COST (MAXIMUM) ………………………...$467,600