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TVF&R, COT Public Works - Occupational Health and Wellness Services Y I W LVA I 14i INTERGOVERNMENTAL AGREEMENT Tualatin Valle Tualatin Valley fire&Rescue Occupational Health&Wellness Services Fire Rescue Amendment 2 This is Amendment 2 to the Intergovernmental Agreement("IGA") between Tualatin Valley Fire& Rescue ("TVF&R")and Tigard, City of(Public Works)("Agency"); each acting by and through their elected officials. RECITALS: The parties desire to amend the IGA for the provision of occupational health and wellness services to extend the period of the IGA and to establish the services and fee schedule for the July 1, 2015 through June 30, 2016 terns. TVF&R hereby changes the program name to the Occupational Health& Wellness("OHW"). TVP&R operates OHW program and offers certain services from its new Clinic location at TVF&R North Operating Center, 20665 SW Blanton, Aloha, OR 97078. Post-Exposure Management. OHW will no longer provide post exposure information phone service after June 30, 2015. Upon request, OHW may provide referrals for alternative service providers as applicable for post-exposure counseling, exposure referral and follow-up- Beginning July 1, 2015 the TVF&R Representative for OHW is Nicole Tzantarmas or designee 503- 259-1689. TERMS OF AGREEMENT: A. Pursuant to paragraph I.a.i.of the original IGA the term of the TGA shall automatically extend from July 1, 2015 through June 30,2016, B. Under paragraph 2-Scope of Services,delete all subparagraphs and replace with the following: 2.a. Pre-physical testing. TVF&R can provide scheduled pre-physical testing on an as requested basis at the OHW Clinic. 2.b. Bloodborne and Airborne Pathogens Training and Services. OHW will provide bloodborne and airborne pathogen training via digital multi-media.Face to face training can be provided upon mutual agreement at the OHW Clinic. 2.c. Vaccination and Testing Services Delivery. OHW will provide the Agency vaccination and testing services only at the Clinic. OHW will provide the Agency with the records and documentation necessary for OS14A compliance. Each participant will have a vaccination record established with OHW. 2.d. Recordkee in . OHW will maintain records for services provided in accordance with applicable standards, statutes,and guidelines(HIPAA, OSHA,OAR,ORS, and CDC guidelines). 2.e. Records Transfer. In the event the Agency chooses to no longer use TVF&R OHW services,TVF&R will transfer participant medical records as per Oregon records retention laves and HIPAA,and will deliver to the Agency. I D INTERGOVERNMENTAL AGREEMENT Tualatin Valley Tualatin Valley Fire&Rescue Occupational Health&Wellness Services Fire Rescue Amendment 2 2.f.Service Level, Services are provided on a per use basis,see Exhibit A for details. C. Delete paragraph 3 —Consideration and replace it with the following: 3.Consideration.Rates for OHW services are based on a fee-for-service and are charged on a per use basis (see Exhibit A for details). BE IT FURTHER AGREED by the parties hereto,that but for those changes set forth herein, all other terms, conditions and provisions of the original ICA, and as previously amended, shall remain in full force and effect. SIGNATURES: In witness whereof,all the aforementioned is hereby agreed upon by the Parties and executed by the duly authorized signatures below: Agency: TVF&R: Tigard,City of(Public Works) Tualatin Valley Fire&Rescue 13125 SW Hall Blvd 1 1945 SW 70th Ave. Tigard,OR 97223 Tigard, OR 97223 fay Authorized Head of A enc ll: By Authorized Head of Agenc Simnature a'b .� 0reC'N Vy1 , S i ¢ -¢- Debra Grabler-Guzman, Chief Finacial fficer Name&'ritle(type or prino � Name Date �l � Date ! I 2 Tigard,City of(Public works) Amendment 2 Exhibit A The following services and fees are provided by the TVF&R Occupational Health and Wellness(OHW) rojrarn under a Fee for Service structure: Service Description FY15-16 Fee Rate/Per Bloodborne/Airborne Pathogen Training TBD/web ex Hour Bloodborne Pathogen/Communicable Disease DVD $ 75.00 DVD Nursing $ 75.00 Hour CMA $ 40.00 Hour UA-Annual Physical $ 5.00 Person/Test UA w/micro $ 20.00 Person/Test PSA-Annual Physical $ 35.00 Person/Test Resting EKG-Annual Physical $ 35.00 Person/Test CBC-Annual Physical $ 25.00 Person/Test Camp Metabolic-Annual Physical $ 30.00 Person/Test C-Reactive Protein High Sensitivity-Phys $ 30.00 Person/Test Glycohemoglobin A1C-Annual Physical $ 30.00 Person/Test Upid Panel(blood draw)-Annual Physical $ 38.00 Person/Test Audiometric Test $ 30.00 Person/Test Spirometry Test $ 30.00 Person/Test Vision Test $ 10.00 Person/Test TB Skin Test $ 20.00 Person/Test TB QunatiFERON Gold Test $ 75.00 Person/Test Hepatitis A-Adult Vaccine V05.3 $ 50.00 Person/Test Hepatitis B-Adult Vaccine V05.3 $ 50,00 Person/Test Influenza VO4.8 Market Person/Test Adacel-Diph/Tet/Pert V06.1 $ 60.00 Person/Test MMR-Measels,Mump, Rub V06.4 $ 65.00 Person/Test Varicella(Chicken Pox)Antibody $ 35.00 Person/Test Hepatitis B Antibody $ 40.00 Person/Test Hepatitis C Antibody $ 45.00 Person/Test 82935--HCV RNA PCR $ 130.00 Person/Test HIV Antibody $ 45.00 Person/Test Direct Bilirubin (Miscellaneous) $ 30.00 Person/Test Free PSA(Miscellaneous) $ 45.00 Person/Test Draw fee $ 10.00 Person/Test Records management fee $ 15.00 Hour Mileage(current IRS rate) IRS Rate Mile Pricing Reservation: The pricing above is at or near OHW casts;any increase/decrease to the costs may be passed on to the Agency,including costs that increase due to market conditions fe.g.,vaccinations). Increases/decreases will be communicated in writing to the Agency and must be accepted prior to becoming effective. 1 Tigard,City of(Public Works) Amendment 2 Exhibit A Services no longer provided or charged by TVF&R: Respiratory Questionnaire Review Exposure Line Access Audiometric Test Setup Fee Audiometric Setup Fee Lipid Panel (finger stick) Spirometry Test Setup Fee HIV Antibody Rapid Lead Quantitative Zinc Protophyrin EMPLOYEE COUNT: Please see the current count of employees who may receive these services—indicate any changes in the counts in the right column: Estimated Number of: Current Est Employee Count: Change Est Employee Count to: Police and/or Fire Employees: 0 All other Employees: 48 AGENCY CONTACTS: Please see the current list of name(s)and contact information—indicate any changes in the right column: Agency Contacts: Current Name: Change to: Representative Name: Loreen Mills,Asst to the City Manager Representative Email: loreen@tigard-or.gov Records Custodian: Jennifer Curran Records Custodian Email: jenniferc@tigard-or.gov Records Custodian Phone: (503)718-2417 2