Pennsylvania State Police, Bureau of Criminal Investigation, Fire Marshal Unit Exams

STATEMENT OF WORK

Provide on an as needed initial and annual physical examinations for Pennsylvania State Police personnel, Fire Marshal Unit members. This bid will result in a Purchase Order to the lowest compliant bidder, and shall become effective upon final approval of purchase order or on September 1, 2015, whichever is later through June 30, 2016.

DESCRIPTION OF SERVICES REQUIRED:

The contractor shall provide the following medical services:

Medical History and Complete Physical to Include:

Visual Acuity

Pulmonary Function Test with Spirometry

Full Blood Panel including:

Bone Marrow (CBC)

Electrolytes

Cholesterol

Review of OSHA Respirator Medical Evaluation

Questionnaire (Attachment A)

Same examination as members under forty and the following:

Initial EKG and follow-up EKG every two years after reaching forty

Initial Chest X-ray and follow-up X-ray every five years after reaching forty. SPECIAL REQUIREMENTS:

1. A separate billing must be generated for each individual examined.

2. Contractor must have multiple locations throughout the Commonwealth of PA.

3. The examinations and tests must be performed at the Contractor's offices or facilities.

4. For each examination or test, the Contractor shall make a verbal report within three (3) days of the date of the examination or test. The Contractor shall submit a printed original full report and one copy within seven (7) business days. All reports, verbal and written, shall be made to:

Pennsylvania State Police

Bureau of Criminal Investigations

Fire Marshal Unit

Attn: Corporal Nolan Brewbaker

1800 Elmerton Avenue

Harrisburg, PA 17110

5. The Contractor's reports shall consist of the following:

a. The physician's report, including the medical history and

conclusions, and

b. The Medical Certification Form, Attachment B, and

c. The results of any tests performed.

6. All X-rays will be done on equipment that meets the requirements developed by the National Institute for Occupational Safety and Health for performing chest X-rays of coal miners for coal miners pneumoconiosis. The X-ray development quality standards will also be met.

7. All laboratory tests shall be performed by a facility that is accredited by Federal/State or other appropriate laboratory groups, especially occupational health laboratory accreditation and have a full time quality control program. 8. If the Contractor is required to perform any test for which a specific price has not been established, the Contractor shall submit the price to the Pennsylvania State Police contact person prior to performing the test: Pennsylvania State Police, Bureau of Criminal Investigations, Fire Marshal Unit, Attn: Cpl. Nolan Brewbaker, 1800 Elmerton Avenue, Harrisburg, PA 17110, Phone 717.346.4597.

9. The Physician must give the Pennsylvania State Police a signed, summarized statement that the individual is capable, or not capable of carrying out assigned duties as required, and supply an identical copy of the opinion for the employee's personal copy. SEE "ATTACHMENT B"

10. The Appendix C to §1910, 134: OSHA Respirator Medical Evaluation Questionnaire SEE "ATTACHMENT A" will be provided by the Pennsylvania State Police to the employee prior to their physical. The employee will bring the completed questionnaire to the physical for review by the attending physician.

11. If the Contractor also requires the completion of its own medical questionnaire/medical history form, this form will be provided by the Contractor to the Pennsylvania State Police, Fire Marshal Unit, prior to the physical. Or the Contractor will provide it to the employee on the day of the physical.

12. Contracted Physician shall be notified of the following information to be included in their examination and evaluation on the fitness of Unit Members to wear respirators:

a. The type and weight of respirators to be used.

b. The duration and frequency of respirator use.

c. The expected physical work effort.

d. Any additional protective clothing and equipment to be worn.

e. Any temperature and humidity extremes that may be encountered

13. A copy of this Respiratory Protection Program shall be provided to the Department contracted physician.

14. The physician’s determination that an employee is physically able to use a respirator shall be based on medically indicated tests. His findings shall be based on medical history, pulmonary function test and other tests deemed appropriate by the physician. This process shall consist of completion of a medical questionnaire and discussion between the Unit Member and the physician concerning the contents of the questionnaire. The examination and completion of the questionnaire will be completed when the member is on duty.

15. The physician’s determination is required upon initial selection of a Unit Member and before any training. A physician shall re-evaluate all members annually thereafter. 16. The physician’s signature is required on the approval to use respirators for all Unit Members.

17. Subsequent medical examinations shall be conducted when:

a. Unit Member reports medical signs or symptoms related to respirator use.

b. A physician or the Program Administrator shall determine that the Unit Member needs to be re-evaluated.

CONTRACTOR'S SPECIAL QUALIFICATIONS:

In addition to meeting all the requirements and specifications set forth in these bid documents, Contractors that perform physical examinations of the Pennsylvania State Police, Fire Marshal Unit applicants and/or employees must demonstrate their qualifications by suitable documentation for special requirements as listed below:

1. Physicians performing the examinations will be board certified by their respective organizations (Doctors of Medicine or Doctors of Osteopathy) and their status will meet all requirements of currency; or will be board certified in Internal Medicine with documentation of Continuing Medical Educations (CME) in Occupational Medicine.

2. Radiologic interpretation will be done by a "B" reader qualified physician as established by the National Institute of Occupational Safety and Health.

3. Physicians performing the evaluations must have knowledge, understanding and training that qualify them in properly evaluating the individual's ability to withstand the work and heat stresses they will be subjected to as a result of their work. This includes the psychological stress of emergency response situations which could endanger not only health or life, but also the general population, as well as the understanding of the effects of the increased heat load of various levels of work performed while wearing standard coveralls, protective suits that are lightweight plastic and determine whether an individual is physically capable of handling the additional stress placed on the body by wearing a respirator or using an air cylinder.

4. The physician must be knowledgeable in interpreting the results of biological tests as they relate to all parameters of the individual's work.

YEARLY RENEWALS:

Through mutual agreement of the winning vendor and the Pennsylvania State Police, yearly renewals may be renewed for a maximum of two (2) additional 1 year term(s). The maximum rate increase for each additional year shall not exceed five percent (5%). CONTRACT AWARD:

There will be approximately ninety (90) personnel assigned to Fire Marshal Investigations. They will all require physical examinations annually. The contract will be awarded based upon the total low cost of the estimated services required over the length of the contract. If the calculated costs of two or more bidders are equal, the Department may select the Contractor by random method.

BILLING PROCEDURE:

A separate invoice shall be submitted for each individual examined. The Purchase Order Number shall be identified on each invoice and shall be sent to the Pennsylvania State Police, Bureau of Criminal Investigation, Fire Marshal Unit, Attn: Ami Green, 1800 Elmerton Avenue, Harrisburg, PA 17110.

OTHER:

Bid/Contract is an estimate of services required; State Police will pay only for actual examinations/tests performed. If service usage exceeds the original bid/contract estimate during the effective time period of the bid/contract, the contractor agrees to provide the additional units of service needed at the original bid/contract unit rates.

PLEASE REVIEW THE STANDARD TERMS AND CONDITIONS ATTACHED TO THIS INVITATION FOR BID. ALL DOCUMENTS ATTACHED CAN BE REVIEWED UNDER THE ATTACHMENT SECTION OF THIS IFB.

NOTE: BID #6100035226 HAS BEEN PREPARED AS AN ELECTRONIC BID. ALL BID RESPONSES MUST BE SUBMITTED ELECTRONICALLY. THE BIDDER IS RESPONSIBLE FOR MONITORING THE DGS WEBSITE TO VIEW ANY CHANGE NOTICES TO THIS IFB. THE CHANGE NOTICES SHALL BECOME INCORPORATED AS PART OF THIS BID DOCUMENT