TVF&R - Intent to renew contract services low
TVF#R6
www.tvfr.com
Tualatin Valley
Fire & Rescue RECEIVED
August 24, 2011 AUG 2 9 2011
RISK MANAGEMENT
Loreen Mills
City of Tigard
13125 SW Hall Blvd
Tigard, Oregon 97223
RE: Renewal of Services
Thank you for choosing Tualatin Valley Fire & Rescue to provide occupational health services to your
agency. Please find enclosed your copy of the fully executed Letter of Intent to Renew Services. We
appreciate the opportunity to serve your organization.
Mileage will be invoiced at current government rate. Mileage will be calculated (round trip)from our
Training Center at 12400 SW Tonquin Road, Sherwood to your site.
We have received our first shipment of flu vaccine! If we are providing your organization with flu
vaccinations, please contact us to schedule your flu clinics. There appears to be no shortage of
vaccine this year.
If you have questions, please feel free to contact me at (503)259-1687.
Sincerely,
in a Wert
Program Assistant
Occupational Health Services
Tualatin Valley Fire& Rescue
Command&Business Operations Center Training Center Occupational Health Services
and Central Operating Center 12400 SW Tonquin Road 12400 SW Tonquin Road
11945 SW 70th Avenue Sherwood,Oregon 97140-9734 Sherwood,Oregon 97140-9734
Tigard,Oregon 97223-9196 503-259-1600 503-259-1687
503-649-8577
503-259-1688 confidential fax
Letter of Intent to Renew Contract Services
City of Tigard
The purpose of this document is to renew services with Tualatin Valley Fire&Rescue Occupational
Health Services(OHS). The current contract to provide occupational health services expires June 30,
2011. Your agency's authorized signature will provide an extension of services until June 30,2012 by
mutual consent. Should either party wish to suspend services,30 days written notice is required.
Your agency's current contract for fiscal year 2010-2011 was for the Comprehensive package based on 7
Police personnel at$25.00 per employee; 58 Public Works personnel at$20.00 per employee. The
contract amount of$2,760.00 was billed in quarterly installments of$690.00. Vaccine and laboratory
charges billed separately.
Please specify below if your agency wants to continue with the comprehensive package or opt for the
complete package. The following services are provided by OHS. Current prices are listed.
Hepatitis A Vaccine $42.00 per dose(Series of 2)
Hepatitis B Vaccine $37.50 per dose(Series of 3)
Tuberculosis Testing $15.00
Influenza Vaccination $20.00
Diphtheria/Tetanus/Pertussis(Adult) $43.00
Hepatitis B Antibody(titer) $26.00
Post-exposure Hepatitis C Test $31.50
Post-exposure HIV Antibody Test $26.00
Respiratory Questionnaire Review $10.00
Injection Fee/Phlebotomy* $10.00
Blood and Airborne Pathogen Training/Session* $150.00
Vaccination and Testing Clinic/Per Hour* $55.00
Mileage(If Applicable) Government rate
RN Service/Per Hour* $55.00
*If applicable,depending upon service package chosen.
X Comprehensive Package: $25.00 per person for police and fire; $20.00 per person for all other
departments. Your fiscal year 2011-2012 contract is based on 79 Police personnel at $25.00 per
employee;46 Public Works personnel at$20.00 per employee. The contract amount of$2,895.00
will be billed in quarterly installments of$723.75.
Complete Package: $15.00 per person. Your fiscal year 2011-2012 contract is based on 125
personnel at $15.00 per person. The contract amount of$1,875.00 will be billed in quarterly
installments of$468.75.
Basic Exposure Access: $10.00 per person. Your fiscal year 2011-2012 contract is based on 125
personnel at $10.00 per person. The contract amount of$1,225.00 will be billed in quarterly
installments of$312.50.
Authorized Signature Debra Guzman,Chief Fi an i Officer
City of Tigard Tualatin Valley Fire&Rescue
69-;;?-/ I -7 - 6 - / l
Date Date