#15-6474R Amend #2 (Advanced Medical Center) SECOND AMENDMENT TO AGREEMENT#15-6474R
FOR
MEDICAL DIRECTOR FOR COLLIER COUNTY AND EMPLOYMENT PHYSICALS AND
DRUG TESTING
THIS AMENDMENT, made and entered into on this 11'day
of JQSluckc y 20 20, by and between Advanced Medical of Naples, LLC (the "Provider")
and Collier County, a political subdivision of the State of Florida, (the "County"):
WHEREAS, on February 9, 2016 (Agenda Item 16.E.1), the County entered into an
Agreement with Provider to provide medical oversight for the County's Occupational Health Program;
and
WHEREAS, on October 15, 2018, the County administratively approved the First
Amendment to the Agreement to add two additional testing categories to Exhibit B- Price, Part B to
include Pre-Placement Health Screening at a cost $45.00 and Hepatitis A/B Vaccination at a cost of
$110.00; and
WHEREAS, the Parties desire to amend the Agreement to extend the Agreement term an
additional five (5) years, beginning on February 9, 2020 and ending on February 8, 2025 and to include
Exhibit B-1 containing updated pricing.
NOW, THEREFORE, in consideration of the mutual promises and covenants herein
contained, it is agreed by the Parties as follows:
1. The Agreement is hereby extended an additional five (5) years from the Agreement end date of
February 8, 2020 with a new end date of February 8, 2025.
2. Exhibit B-1 Pricing is hereby incorporated to the Agreement containing revised pricing
effective on February 9, 2020.
3. Except as modified through this Amendment, all other terms and conditions of the Agreement
shall remain the same.
SIGNATURE PAGE TO FOLLOW
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Second Amendment to Agreement# 15-6474R
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IN WITNESS WHEREOF,the Parties have executed this Amendment by an authorized person or
agent on the date and year first written above.
ATTEST:
Crystal K. Kinzel, Clerk of Courts & BOARD OF COUNTY COMMISSIONERS
Comptroller COLLIER CO 1 TY, FLORIDA
, By( €): Ari*dibt4,r- 0. .40
�-' illiam L. McDaniel,Jr. , Chairman
Dated; r '1', 1_ 10.
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afto Chairman's airman's(SES)
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ProvidersWitt es:
PROVIDER:
ADVANCED ' E4 CAL OF NAPLES, LLC
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First itness By:
Signature
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econd Witness
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Ap rovedas ,, Fo , I egality:
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Dept County Attorney
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Print Name
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Second Amendment to Agreement# 15-6474R
J'0
EXHIBIT B-1 PRICING
(Effective 02/09/2020)
Annual Cost
PART A:Medical Director Services Annual Cost
$ 10,000.00
Unit of Pricing
PART B:Item Description Physical Exam/Testing Types: Measure
Pre-Placement Employment Physical ea $ 100.00
Pre-Placement Physical W/CDL Physical ea $ 120.00
Firefighter Physical ea $ 100.00
Respirator Medical Clearance Evaluation ea $ 120.00
SCUBA Diving Medical Examination and Certification ea $ 100.00
CDL Physical(DOT) ea $ 120.00
Fitness for Duty Examination ea $ 200.00
Asbestos Medical Examinations and Consultations ea $ 110.00
Laboratory Services:
Laboratory Work includes the following tests ea $ 50.00
Cbc
Chem
Lipid
UA
Creatinine ea $ 2.00
BUN ea $ 2.00
TSH Thyroid Stimulating Hormone ea $ 9.00
C Reactive Protein ea $ 9.00
Heavy Metals Test includes following: ea $ 137.00
Arsenic-Blood
Cadmium-Blood
Lead-Blood
Mercury-Blood
Heavy Metals Test-Blood-Aluminum ea $ 25.00
Heavy Metals Test-Blood-Antimony ea $ 135.00
Heavy Metals Test-Blood-Bismuth ea $ 125.00
Heavy Metals Test-Blood-Chromium ea $ 153.00
Heavy Metals Test-Blood-Copper ea $ 13.00
Heavy Metals Test-Blood-Nickel ea $ 121.00
Heavy Metals Test-Blood-Zinc ea $ 12.00
HbA1c ea $ 11.00
RBC Cholinesterase ea $ 95.00
Arsenic-Urine ea $ 87.00
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Second Amendment to Agreement# 15-6474R
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Mercury-Urine ea $ 55.00
Polychlorinated Biphenyls ea $ 165.00
Hepatitis Panel Test ea $ 80.00
MMR Titer includes the following ea $ 42.00
Measles
Mumps
Rubeolla
Rabies Titer(if previously immunized) ea $ 33.00
Varicella Titer ea $ 25.00
Hepatitis Titer(if previously immunized) ea $ 16.00
HIV 1&2 Antibody Test ea $ 39.00
PAP Test ea $ 45.00
Drug Screening Services
Blood Alcohol Test ea $ 25.00
Breath Alcohol Test-(Administered by a Breath Alcohol Technician
meeting DOT Qualifications Only) ea $ 30.00
Drug Screen w/MRO - DOT 5 Panel (Collected per DOT Urine
Specimen Collection Guidelines-49 CFR Part 40) ea $ 36.00
Drug Screen w/MRO-HRS 5 Panel ea $ 36.00
Drug Screen w/MRO-HRS 10 Panel ea $ 46.00
Vaccines
Measles,Mumps,Rubella Vaccination(MMR) ea $ 90.00
Varicella Vaccination(Price per injection) ea $ 140.00
Hepatitis A Vaccination Series(Price per injection) ea $ 94.00
Hepatitis B Vaccination Series(Price per injection) ea $ 65.00
Pre-exposure Rabies Vaccination Series(Price per injection) ea $ 325.00
Tetanus/diphtheria Vaccination ea $ 30.00
Tdap Vaccination ea $ 51.00
Diagnostic Testing
Chest x-ray(2-view) ea $ 68.00
Chest x-ray(4-view) ea $ 85.00
Sigmoidoscopy ea $ 350.00
Chest CT without contrast ea $ 300.00
PPD Testing w/Reading(Induration measurement) ea $ 15.00
Audiometric Screening Test(per OSHA) ea $ 12.00
Pulmonary Function Test(with interpretation) ea $ 37.00
EKG-12 Lead(with interpretation and physician confirmation) ea $ 45.00
Cardiac Stress Test(with interpretation and physician confirmation) ea $ 170.00
Echocardiogram(with interpretation and physician confirmation) ea $ 240.00
Prostate Exam ea $ 2.00
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Second Amendment to Agreement# 15-6474R