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HomeMy WebLinkAbout18-142 Resolution No. 18-142 RESOLUTION AUTHORIZING EXECUTION OF AN AGREEMENT WITH ADVOCATE SHERMAN HOSPITAL FOR PROFESSIONAL SERVICES IN CONNECTION WITH THE PRE- PLACEMENT PHYSICAL EXAMINATIONS & OTHER SERVICES FOR THE FIRE DEPARTMENT BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN, ILLINOIS, that Richard G. Kozal, City Manager, be and is hereby authorized and directed to execute an Agreement on behalf of the City of Elgin with Advocate Sherman Hospital, for professional services in connection with the pre-placement physical examinations and other services for the fire department, a copy of which is attached hereto and made a part hereof by reference. s/ David J. Kaptain David J. Kaptain, Mayor Presented: December 19, 2018 Adopted: December 19, 2018 Omnibus Vote: Yeas: 8 Nays: 0 Attest: s/Kimberly Dewis Kimberly Dewis, City Clerk AGREEMENT THIS AGREEMENT, made and entered into this 19 day of December , 2018 by and between the CITY OF ELGIN, an Illinois municipal corporation (hereinafter referred to as "CITY") and Advocate Sherman Hospital, a Healthcare Facility, authorized to do business in the State of Illinois (hereinafter referred to as "HEALTH CARE FACILITY"). WHEREAS, the CITY desires to engage the HEALTH CARE FACILITY to furnish certain professional services in connection with the Pre-Placement Physical Examinations & Other Services for the Fire Department. AND NOW, THEREFORE, it is hereby agreed by and between the CITY and the HEALTH CARE FACILITIY that the CITY does hereby retain the HEALTH CARE FACILITY for and in consideration of the mutual promises and covenants contained herein,the sufficiency of which is hereby acknowledged to act for and represent it in all consulting matters involved in the Pre- Placement Physical Examinations & Other Services for the Fire Department., subject to the following terms and conditions and stipulations, to-wit: I. SCOPE OF SERVICES A. All work hereunder shall be performed under the direction of the Asst. Fire Chief of the CITY, herein after referred to as the "Asst. Chief'. B. The HEALTH CARE FACILITY shall provide to the CITY the services as set forth in the Scope of Services is attached hereto as Attachment A, proposal dated 11/15/18. In the event of any conflict between the terms and provisions of this Agreement and the terms and provisions of Attachment A, the terms and provisions of this Agreement shall control. IL PROGRESS REPORTS A. A verbal pass or fail result shall be communicated to the designated City of Elgin representative within 48 hours of the conclusion of testing for all musculo-skeletal evaluations, computerized lifting analysis, and cardiovascular assessments. B. A written report of test results shall be provided to the designated City of Elgin representative within one week of the completion of testing. The written report shall contain the information from each part of the pre hire testing process. C. Respirator Certification Form for each individual. D. TB testing consent/denial form for each individual. III. WORK PRODUCTS All work products prepared by the HEALTH CARE FACILITY pursuant hereto including,but not limited to,reports,studies,and recommendations shall be the property of the CITY and shall be delivered to the CITY upon request of the Asst.Chief provided, however,that the HEALTH CARE FACILITY may retain copies of such work products for its records. IV. PAYMENTS TO THE HEALTH CARE FACILITY (Not To Exceed Method) A. The CITY shall make periodic payments to the HEALTH CARE FACILITY based upon actual progress within 30 days after receipt and approval of invoice. Said periodic payments to the HEALTH CARE FACILITY shall not exceed the amounts shown in the following schedule in Attachment B, and full payments for each task shall not be made until the task is completed and accepted by the Asst. Chief. V. INVOICES A The HEALTH CARE FACILITY shall submit invoices in a format approved by the CITY. B. The HEALTH CARE FACILITY shall maintain records showing actual time devoted and cost incurred. The HEALTH CARE FACILITY shall permit the authorized representative of the CITY to inspect and audit all data and records of the HEALTH CARE FACILITY for work done under this Agreement. The HEALTH CARE FACILITY shall make these records available at reasonable times during the Agreement period, and for a year after termination of this Agreement. VI. TERMINATION OF AGREEMENT Notwithstanding any other provision hereof, the CITY may terminate this Agreement at any time upon fifteen (15) days prior written notice to the HEALTH CARE FACILITY. In the event that this Agreement is so terminated, the HEALTH CARE FACILITY shall be paid for services actually performed and reimbursable expenses actually incurred prior to termination, except that reimbursement shall not exceed the task amounts set forth under Paragraph IV above. VII. TERM This Agreement shall become effective as of the date the HEALTH CARE FACILITY is given a notice to proceed by the CITY and unless terminated by the CITY pursuant to Article VI, the Agreement shall terminate on December 31, 2021. At the mutual option of the parties hereto, this Agreement may be further extended for two (2) additional one-year terms for 2022 and 2023 under the same terms and conditions as provided in this Agreement. VIII. NOTICE OF CLAIM If the HEALTH CARE FACILITY wishes to make a claim for additional compensation as a result of action taken by the CITY, the HEALTH CARE FACILITY shall give written notice of his claim within 15 days after occurrence of such action. No claim for additional compensation shall be valid unless so made. Any changes in the HEALTH CARE FACILITY's fee shall be valid only to the extent that such changes are included in writing signed by the CITY and the HEALTH CARE FACILITY. Regardless of the decision of the Asst. Chief relative to a claim submitted by the HEALTH CARE FACILITY, all work required under this Agreement as determined by the Asst. Chief shall proceed without interruption. IX. BREACH OF CONTRACT If either party violates or breaches any term of this Agreement, such violation or breach shall be deemed to constitute a default, and the other party has the right to seek such administrative, contractual or legal remedies as may be suitable to the violation or breach; and, in addition, if either party, by reason of any default, fails within fifteen(15) days after notice thereof by the other party to comply with the conditions of the Agreement, the other party may terminate this Agreement. X. INDEMNIFICATION To the fullest extent permitted by law, HEALTH CARE FACILITY agrees to and shall indemnify, defend and hold harmless the CITY, its officers, employees, agents, boards and commissions from and against any and all claims,suits,judgments,costs,attorney's fees,damages or other relief, including but not limited to workers compensation claims, in any way resulting from or arising out of negligent actions or omissions of the HEALTH CARE FACILITY in connection herewith,including negligence or omissions of employees or agents of the HEALTH CARE FACILITY arising out of the performance of this Agreement. In the event of any action against the CITY,its officers, employees,agents,boards or commissions,covered by the foregoing duty to indemnify, defend and hold harmless such action shall be defended by legal counsel of the CITY's choosing. The provisions of this paragraph shall survive any completion, expiration and/or termination of this Agreement. XI. NO PERSONAL LIABILITY No official,director, officer,agent or employee of the CITY shall be charged personally or held contractually liable under any term or provision of this Agreement or because of their execution, approval or attempted execution of this Agreement. XII. INSURANCE A. Comprehensive Liability. The HEALTH CARE FACILITY shall provide, pay for and maintain in effect, during the term of this Agreement, a policy of comprehensive general liability insurance with limits of at least $1,000,000 aggregate for bodily injury and $1,000,000 aggregate for property damage. The HEALTH CARE FACILITY shall deliver to the Purchasing Director a Certification of Insurance naming the CITY as additional insured. The policy shall not be modified or terminated without thirty (30) days prior written notice to the City. The Certificate of Insurance which shall include Contractual obligation assumed by the HEALTH CARE FACILITY under Article X entitled "Indemnification" shall be provided. This insurance shall apply as primary insurance with respect to any other insurance or self-insurance programs afforded to the CITY. There shall be no endorsement or modification of this insurance to make it excess over other available insurance,alternatively,if the insurance states that it is excess or prorate, it shall be endorsed to be primary with respect to the CITY. B. Comprehensive Automobile Liability. Comprehensive Automobile Liability Insurance covering all owned,non-owned and hired motor vehicles with limits of not less than $500,000 per occurrence for damage to property. C. Combined Single Limit Policy. The requirements for insurance coverage for the general liability and auto exposures may be met with a combined single limit of $1,000,000 per occurrence subject to a$1,000,000 aggregate. D. Professional Liability. The HEALTH CARE FACILITY shall carry Professional Liability Insurance Covering claims resulting from error, omissions or negligent acts with a combined single limit of not less than $1,000,000 per occurrence. A Certificate of Insurance shall be submitted to the Purchasing Director as evidence of insurance protection. The policy shall not be modified or terminated without thirty (30) days prior written notice to the Purchasing Director. XIII. NONDISCRIMINATION In all hiring or employment made possible or resulting from this Agreement,there shall be no discrimination against any employee or applicant for employment because of sex, age, race, color, creed, national origin, marital status, of the presence of any sensory, mental or physical handicap, unless based upon a bona fide occupational qualification, and this requirement shall apply to, but not be limited to, the following: employment advertising, layoff or termination, rates of pay or other forms of compensation and selection for training, including apprenticeship. No person shall be denied or subjected to discrimination in receipt of the benefit of any services or activities made possible by or resulting from this Agreement on the grounds of sex, race, color, creed, national origin, age except minimum age and retirement provisions, marital status or the presence of any sensory, mental or physical handicap. Any violation of this provision shall be considered a violation of a material provision of this Agreement and shall be grounds for cancellation, termination or suspension, in whole or in part, of the Agreement by the CITY. XIV. ASSIGNMENT AND SUCCESSORS This Agreement and each and every portion thereof shall be binding upon the successors and the assigns of the parties hereto; provided, however, that no assignment shall be made without the prior written consent of the CITY. XV. DELEGATIONS AND SUBCONTRACTORS Any assignment, delegation or subcontracting shall be subject to all the terms, conditions and other provisions of this Agreement and the HEALTH CARE FACILITY shall remain liable to the CITY with respect to each and every item, condition and other provision hereof to the same extent that the HEALTH CARE FACILITY would have been obligated if it had done the work itself and no assignment, delegation or subcontract had been made. Any proposed subcontractor shall require the CITY's advanced written approval. XVI. NO CO-PARTNERSHIP OR AGENCY This agreement shall not be construed so as to create a partnership, joint venture, employment or other agency relationship between the parties hereto. XVII. SEVERABILITY The parties intend and agreed that, if any paragraph, sub-paragraph, phrase, clause or other provision of this Agreement, or any portion thereof, shall be held to be void or otherwise unenforceable, all other portions of this Agreement shall remain in full force and effect. XVIII. HEADINGS The headings of the several paragraphs of this Agreement are inserted only as a matter of convenience and for reference and in no way are they intended to define, limit or describe the scope of intent of any provision of this Agreement, nor shall they be construed to affect in any manner the terms and provisions hereof or the interpretation or construction thereof. XIX. MODIFICATION OR AMENDMENT This Agreement and its attachments constitutes the entire Agreement of the parties on the subject matter hereof and may not be changed, modified, discharged or extended except by written amendment duly executed by the parties. Each party agrees that no representations or warranties shall be binding upon the other party unless expressed in writing herein or in a duly executed amendment hereof, or change order as herein provided. XX. APPLICABLE LAW This Agreement shall be deemed to have been made in, and shall be construed in accordance with the laws of the State of Illinois.Venue for the resolution of any disputes or the enforcement of any rights pursuant to this agreement shall be in the Circuit Court of Kane County, Illinois. XXI. NEWS RELEASES The HEALTH CARE FACILITY may not issue any news releases without prior approval from the Asst. Chief, nor will the HEALTH CARE FACILITY make public proposals developed under this Agreement without prior written approval from the Asst. Chief, prior to said documentation becoming matters of public record. XXII. COOPERATION WITH OTHER HEALTH CARE FACILITIES The HEALTH CARE FACILITY shall cooperate with any other Health Care FACILITY in the CITY's employ or any work associated with the Pre-Placement Physical Examinations& Other Services for the Fire Department. XXIII. INTERFERENCE WITH PUBLIC CONTRACTING The HEALTH CARE FACILITY certifies hereby that it is not barred from bidding on this contract as a result of a violation of 720 ILCS 5/33E et seq. Or any similar state or federal statute regarding bid rigging. XXIV. SEXUAL HARASSMENT As a condition of this contract, the HEALTH CARE FACILITY shall have written sexual harassment policies that include, at a minimum, the following information: A. the illegality of sexual harassment; B. the definition of sexual harassment under state law; C. a description of sexual harassment, utilizing examples; D. the Health Care Facility's internal complaint process including penalties; E. the legal recourse, investigative and complaint process available through the Illinois Department of Human Rights, and the Illinois Human Rights Commission; F. directions on how to contact the department and commission; G. protection against retaliation as provided by Section 6-101 of the Human Rights Act. A copy of the policies must be provided to the Department of Human Rights upon request 775 ILCS 5/2-105. XXV. WRITTEN COMMUNICATIONS All recommendations and other communications by the HEALTH CARE FACILITY to the Asst. Chief and to other participants which may affect cost or time of completion, shall be made or confirmed in writing. The Asst. Chief may also require other recommendations and communications by the HEALTH CARE FACILITY be made or confirmed in writing. XXVI. COMPLIANCE WITH LAWS Notwithstanding any other provision of this AGREEMENT it is expressly agreed and understood that in connection with the performance of this AGREEMENT that the HEALTH CARE FACILITY shall comply with all applicable Federal, State, City and other requirements of law, including, but not limited to, any applicable requirements regarding prevailing wages, minimum wage, workplace safety and legal status of employees. HEALTH CARE FACILITY shall also at its expense secure all permits and licenses,pay all charges and fees and give all notices necessary and incident to the due and lawful prosecution of the work, and/or the products and/or services to be provided for in this AGREEMENT." XXVII. NOTICES All notices,reports and documents required under this Agreement shall be in writing and shall be mailed by First Class Mail, postage prepaid, addressed as follows: A. As to CITY: Brian McMahan Asst. Fire Chief City of Elgin 150 Dexter Court Elgin, Illinois 60120-5555 B. As to HEALTH CARE FACILITY: IN WITNESS WHEREOF, the undersigned have placed their hands and seals upon and executed this Agreement in triplicate as though each copy hereof was an original and that there are no other oral agreements that have not been reduced to writing in this statement. For the CITY: THE CITY OF ELGIN By: ,&1i1 Richard G. Kozal, City a ge dined tics (5 tan-t 171164 For the HEALTH CARE FACILITY: By . Title \/`p -E r-+t os. ATTACHMENT A Advocate Sherman Hospital Tomorrow starts today. RECOMMENDED MEDICAL EVALUATIONS AND SERVICES FOR CITY OF ELGIN FIRE FIGHTERS I. SPECIFIC COMPONENTS OF PRE-PLACEMENT EVALUATION II. ON-GOING ANNUAL AND PERIODIC MEDICAL EXAMINATIONS III. REPORTING OF MEDICAL RESULTS AND RECORD KEEPING IV. ADDITIONAL SERVICES V. GENERAL INFORMATION Recommendations and Pricing effective: 1-1-19 to 12-31-21 Advocate Sherman Occupational Health Created by:Laurie Totton—11,12,18 PROPOSAL PART 2: SCOPE OF SERVICES I. SPECIFIC COMPONENTS OF PRE-PLACEMENT EVALUATION This is a two part evaluation process consisting of a Medical Examination, Cardiovascular Assessment. All pre-placement testing shall be in accordance with the requirements of NFPA Standard 1582 Medical Requirements for Firefighters, 2013 edition. PART ONE: *PRE-PLACEMENT EVALUATION PRICE Comprehensive Metabolic Panel $45.00 Baseline Chest X-Ray (with Radiology interpretation) $145.00 Complete Blood Count $28.00 Comprehensive Medical and Physical Exam (per NFPA 1582) $56.00 Occupational Exposure History $0.00 EKG with Cardiology Interpretation $65.00 Audiogram (includes training video) $27.00 Pulmonary Function Testing (Spirometry and Respirator Certification) $50.00 Tuberculosis Skin Testing $15.00 Urinalysis $0.00 Urine Drug Screen (10 panel, includes GCMS Confirmation) $40.00 Vision Testing (Titmus; Color and Depth Perception) $0.00 Part 1 Total: $471.00 Not requested, but recommended for baseline: Lipid Profile (HDL/LDL) $35.42 *All test results for Part One, Pre-placement Evaluation, are available within 48 hours. Advocate Sherman Occupational Health Page 2 of 10 PART TWO: CARDIOVASCULAR ASSESSMENT The evaluation of the candidate's Metabolic Demands Assessment (METS) level is to be determined through the use of a submaximal graded treadmill evaluation using the WFI protocol. The WFI protocol is typically performed on a treadmill as this allows the speed, incline and heart rate to be easily measured. The WFI protocol is recommended in NFPA 1582 when using a treadmill. The WFI protocol was specifically recommended to evaluate the sub-maximal aerobic capacity of Fire Department members to assess cardiovascular endurance of their members. The assessment will be performed by a member of our experienced physical therapy fitness staff with several years of experience, knowledgeable in various protocols. The testing is to include: • Initial medical assessment • Heart rate monitoring • Blood pressure monitoring Part 2: Total: CARDIOVASCULAR ASSESSMENT $75.00 Advocate Sherman Occupational Health Page 3 of 10 II. ON-GOING ANNUAL AND PERIODIC MEDICAL EXAMINATIONS This component of the Occupational Health Services program shall be for annual and periodic medical examinations based on the requirements of NFPA standard 1582 Medical Requirements for Firefighters, 2013 edition. Listed below are three age specific physicals followed by optional additional elements. *Annual Brief Examination (Ages: Up to age 39, done in between Periodic Evaluations) Price Brief Medical Exam (Height, Weight, Blood Pressure) Hearing Test(Audiogram) OSHA Questionnaire Pulmonary Function Test(Spirometry and Respiratory Certification) Vision Testing (Titmus, Color and Depth Perception) Total: (reflects total charge when exam is performed at clinic locations) $93.00 *All test results for Annual Brief Exams are available within 48 hours. Charges for staffing on-site services: Physician per hour = $115.00 Nurse per hour = $80.00 (Can be charged in 15 minute increments) Advocate Sherman Occupational Health Page 4 of 10 *Periodic Evaluation Price (Ages: <30, done every 3 years; 30-39, done every 2 years; 40 and up, done every year) Comprehensive Metabolic Panel $45.00 Blood Lipid Profile (HDL/LDL) $35.42 Complete Blood Count $28.00 Comprehensive Medical/Physical Exam (includes medical and occupational exposure history) $56.00 EKG with Cardiology Interpretation $65.00 Audiogram (includes training video) $27.00 Pulmonary Function Testing (Spirometry and Respirator Certification) $50.00 Urinalysis $0.00 Vision Testing (Titmus; Color and Depth Perception) $0.00 Total: $306.42 *Haz-Mat Testing (In addition to periodic evaluation) Recommend testing every two years Chest X-ray- 2 Views (with Radiology interpretation) $145.00 Heavy Metals Blood Screen $147.00 Total: $292.00 *All test results for Periodic Evaluations are available within 48 hours. Advocate Sherman Occupational Health Page 5 of 10 *ADDITIONAL ELEMENTS Price Upon MD Discretion Chest X-Ray with Radiology Interpretation $145.00 Boostrix (Diphtheria-Pertussis-Tetanus) (replaces Tetanus as per CDC recommendation) $31.70 Colonoscopy (will refer to physician of choice — per physician charges) Employee Requests (requested by and paid by employee) Hemoccult Kit $52.80 PSA $53.00 Mammography $104.50 Pap Smear (will refer to physician of choice - per physician charges) *All test results for Additional Elements are available within 48 hours. Advocate Sherman Occupational Health Page 6 of 10 III. REPORTING OF MEDICAL RESULTS AND RECORD KEEPING Advocate Sherman shall supply and/or maintain computerized records of the following information regarding the Fire Department examinations and other services: 1. A verbal pass or fail shall be communicated to the designated Fire Department contact within 48 hours after the conclusion of the testing. A written report of test results shall be provided to the designated Fire Department contact within one week of the completion of testing. 2. The Fire Department shall be supplied with the following information on an annual basis: a) Respirator Certification Form for each individual. b) TB Testing Consent/Denial Form for each individual. c) A list of individuals due for the Annual Medical Examination. d) A list of individuals due for the Periodic Medical Examination. e) A list of individuals due for Hepatitis Titers. f) Informational handouts and/or brochures related to infectious disease for each individual. 3. Advocate Sherman shall function as the 3rd party keeper of the record for specific or confidential medical information. Medical Records are permanently kept by Advocate Sherman. Advocate Sherman Occupational Health Page 7 of 10 IV. ADDITIONAL SERVICES 1. Employee Access to Medical Records Cost: $24.20 per person for each calendar year of records (no maximum # of pages) 2. Educational Classes Advocate Sherman has the ability to provide health and wellness classes at the request of the Fire Department. These can be provided on-site at the Fire Department on topics such as nutrition, back injury prevention, general fitness, etc. We can customize programs to meet the specific needs of the Department based on the findings of the physical assessments and the cardiovascular profile, as well as general interests. Cost: $73.21 per hour Advocate Sherman Occupational Health Page 8 of 10 V. GENERAL INFORMATION ACCESS TO SERVICES/SCHEDULING 1. See attached Occupational Health Clinics hours of operation and locations.* 2. Select Occupational Health Services are provided at the Advocate Sherman Hospital Emergency Department on a 24 hour basis. 3. *All Occupational Health Services are performed at any of the three (3) locations cited above in #1. In addition, professional staff members of Physical Medicine and Rehabilitation will perform parts of the Pre-Placement Medical Evaluation at a designated Advocate Sherman location. 4. Approximately three (3) to five (5) business days are required to schedule all components of the pre-placement physical. EXPERIENCE Advocate Sherman provides services for nine (9) Municipalities/Fire Departments. The names of the municipalities served will be shared upon Advocate Sherman's receipt of the municipalities' permission to do so. Advocate Sherman Occupational Health Page 9 or 10 ORGANIZATIONS, AFFILIATIONS, CREDENTIALS, CERTIFICATIONS 1. All clinical and non-clinical staff of Advocate Sherman is required to demonstrate performance skills based on job competencies. The competencies are related to the area of expertise of the individual. 2. All clinical staff at the Occupational Health Clinics is certified in the particular screenings they provide, which includes training with technical equipment and hands on medical procedures. Advocate Sherman's staff specialist, Stacy Bennett, the Cardiovascular evaluations, is an MPT and has over 18 years of experience performing these evaluations. 3. Advocate Sherman's Occupational Health Lead Physician, Dr. Kevin Thompson, is Board Certified with over 23 years of clinical experience in Occupational Health. With over 15 years of experience in Fire department examinations and medical requirements, he also has a keen understanding of the NFPA guidelines to accurately gauge Firefighter health risks and recommend actions to mitigate these risks. 4. Advocate Sherman Hospital is inspected on a regular and on-going basis by such organizations as DNV (DetNorske Veritas), Illinois Department of Health (IDPH) and Center for Medicare/Medicaid Services (CMS). In addition to these internal inspections, the staff of Advocate Sherman attends classes and seminars for continuing hours of education. All efforts are made to educate Sherman's staff with the goal of gaining expertise in the organizations regulating the corporate community we serve, including organizations such as Occupational Safety & Health Administration (OSHA), the National Fire Protection Association (NFPA), the Illinois Department of Labor (IDOL) and the Illinois Department of Transportation (IDOT). 5. In 2012, Advocate Sherman Hospital achieved Magnet nursing status, the highest national standard for nursing excellence. Advocate Sherman Occupational Health Page 10 of 10 ATTACHMENT B-RFP 15-050 Pre Placement Physicals for Fire Department Invitation No: 15-050 Advocate Sherman Date of Opening: 11/15/18 1425 N. Randall Department: Fire Elgin, IL 60123 Description Pricing PRE-PLACEMENT Medical Examination Element Blood Chemistry Profile No Bid Baseline Chest X-Ray $ 145.00 Cardiovascular Wellness Profile/ Personal Health Profile $ 75.00 Complete Blood Count $ 28.00 Comprehensive Medical and Physical Exam $ 56.00 Occupational Exposure History $ - EKG with Cardiology Interpretation $ 65.00 Audiogram $ 27.00 Pulmonary Function Testing Consisting of Spirometry and Respirator Certification $ 50.00 Tuberculosis Skin Testing $ 15.00 Urinalysis No Bid Urine Drug Screen consisting of 10 Panel including GCMS Confirmation $ 40.00 Vision Testing including Titmus, Color and Depth Perception $ _ Total Pre-Placement Examination $ 501.00 ONGOING ANNUAL Medical Examination Brief Medical Exam $ 56.00 Audiogram $ 27.00 OSHA Questionnaire No Bid Pulmonary Function Testing Consisting of Spirometry and Respirator Certification $ 50.00 Invitation No: 15-050 Advocate Sherman Date of Opening: 11/15/18 1425 N. Randall Department: Fire Elgin, IL 60123 Description Pricing Vision Testing including Titmus, Color and Depth Perception $ _ Total Ongoing Annual Examination $ 133.00 PERIODIC Medical Examination Blood Chemistry Profile Blood Lipid Profile (HDL/LDL) $ 35.42 Cardiovascular Wellness Profile/ Personal Health Profile $ 75.00 Complete Blood Count $ 28.00 Comprehensive Medical and Physical Exam $ 56.00 EKG including Cardiology Interpretation and Treadmill Stress Test $ 65.00 Hearing Testing(Audiogram) $ 27.00 Pulmonary Function Testing Consisting of Spirometry and Respirator Certification $ 50.00 Urine Dip Stick $ - Vision Testing including Titmus, Color and Depth Perception $ _ Total Periodic Examination $ 336.42 Additional Elements Based on MD Discretion Chest X-Ray:2 Views(with Radiology Interpretation) $ 145.00 Tetanus Shot $ 31.70 Total MD Additional Elements $ 176.70 Additional Elements Based on Employee Request Hemocult Kit $ 52.80 Invitation No: 15-050 Advocate Sherman Date of Opening: 11/15/18 1425 N. Randall Department: Fire Elgin, IL 60123 Description Pricing PSA $ 53.00 Mammography $ 104.50 Pap Smear Not Available Total Employee Additional Elements $ 210.30 GRAND TOTAL $ 1,357.42