14073-CONTRACT.PDF

CONTRACT PURSUANT TO RFP
SERIAL 14073-RFP
This Contract is entered into this 25th day of March, 2015 by and between Maricopa County ("County"), a political
subdivision of the State of Arizona, and Banner Occupational Health Services, an Arizona corporation
("Contractor") for the purchase of Maricopa County Employee Industrial Health Services.
1.0 CONTRACT TERM:
This Contract is for a term of one (1) year, beginning on the 25th day of March, 2015 and ending
the 31st day of March, 2016.
1.2 The County may, at its option and with the agreement of the Contractor, renew the term of this
Contract for additional terms up to a maximum of four (4) years, (or at the County's sole
discretion, extend the contract on a month-to-month bases for a maximum of six (6) months after
expiration). The County shall notify the Contractor in writing of its intent to extend the Contract
term at least thirty (30) calendar days prior to the expiration of the original contract term, or any
additional term thereafter.
2.0 FEE ADJUSTMENTS:
Any request for a fee adjustment must be submitted sixty (60) days prior to the current Contract expiration
date. Requests for adjustment in cost of labor and/or materials must be supported by appropriate
documentation. If County agrees to the adjusted fee, County shall issue written approval of the change.
The reasonableness of the request will be determined by comparing the request with the (Consumer Price
Index) or by performing a market survey. Fee adjustment requests received outside of the sixty (60) day
window shall not be considered.
3.0 PAYMENTS:
3.1 As consideration for performance of the duties described herein, County shall pay Contractor the
sum(s) stated in Exhibit "A."
3.2 Payment shall be made upon the County's receipt of a properly completed invoice.
3.3 INVOICES:
3.3.1 The Contractor shall submit one (1) legible copy of their detailed invoice monthly before
payment(s) can be made. At a minimum, the invoice must provide the following
information and can be adjusted per department request:
O Company name, address and contact
O County bill-to name and contact information
* Contract serial number
o County purchase order number
* Invoice number and date
O Payment terms

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• Date of service
• Only one name (applicant/employee name) per invoice (NO Social Security
Numbers)
• Contract Item number(s) with associated billing code
• Description of service
• Pricing per unit of service
• Extended price
• Total Amount Due
3.3.2 Problems regarding billing or invoicing shall be directed to the County as listed on the
Purchase Order.
3.3.3 Submit ALL Sheriff's Office invoices to the following e mail or postal address:
MCSO Finance —Accounts Payable
mcsoaccountspavable(&mail.rnaricopa.uov (PREFERRED)
550 West Jackson Street
Phoenix, AZ 85003
3.3.4 Submit ALL Workers' Compensations invoice to the following postal address:
Maricopa County
Risk Management — Claims billing
234 N Central Ave
Suite 530
Phoenix, AZ 85004
3.3.5 Payment shall be made to the Contractor by Accounts Payable through the Maricopa
County Vendor Express Payment Program. This is an Electronic Funds Transfer (EFT)
process. After Contract Award the Contractor shall complete the Vendor Registration
Form located on the County Department of Finance Vendor Registration Web Site
(hap , .maricona.zov/Finance/N , endors.asux).
3.3.6 EFT payments to the routing and account numbers designated by the Contractor will
include the details on the specific invoices that the payment covers. The Contractor is
required to discuss remittance delivery capabilities with their designated financial
institution for access to those details.
3.4 STRATEGIC ALLIANCE for VOLUME EXPENDITURES ($AVE):
3.4.1 The County is a member of the SAVE cooperative purchasing group. $AVE includes the
State of Arizona, many Phoenix metropolitan area municipalities, and many K-12 unified
school districts. Under the SAVE Cooperative Purchasing Agreement, and with the
concurrence of the successful Respondent under this solicitation, a member of SAVE
may access a contract resulting from a solicitation issued by the County. If you do not
want to grant such access to a member of SAVE, please so state in your proposal. In the
absence of a statement to the contrary, the County will assume that you do wish to grant
access to any contract that may result from this Request for Proposal.
3.5 INTERGOVERNMENTAL COOPERATIVE PURCHASING AGREEMENTS (ICPA's)
3.5.1 County currently holds ICPA's with numerous governmental entities throughout the State
of Arizona. These agreements allow those entities, with the approval of the Contractor,
to purchase their requirements under the terms and conditions of the County Contract.
Please indicate on Exhibit A, your acceptance or rejection regarding such participation of
other governmental entities. Your response will not be considered as an evaluation factor
in awarding a contract

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4.0 AVAILABILITY OF FUNDS:
4.1 The provisions of this Contract relating to payment for services shall become effective when funds
assigned for the purpose of compensating the Contractor as herein provided are actually available
to County for disbursement. The County shall be the sole judge and authority in determining the
availability of funds under this Contract. County shall keep the Contractor fully informed as to the
availability of funds.
4.2 If any action is taken by any state agency, Federal department or any other agency or
instrumentality to suspend, decrease, or terminate its fiscal obligations under, or in connection
with, this Contract, County may amend, suspend, decrease, or terminate its obligations under, or in
connection with, this Contract. In the event of termination, County shall be liable for payment
only for services rendered prior to the effective date of the termination, provided that such services
are performed in accordance with the provisions of this Contract. County shall give written notice
of the effective date of any suspension, amendment, or termination under this Section, at least ten
(10) days in advance.
5.0 DUTIES:
5.1 The Contractor shall perform all duties stated in Exhibit "B", or as otherwise directed in writing
by the Procurement Officer.
5.2 During the Contract term, County shall provide Contractor's personnel with adequate workspace
for consultants and such other related facilities as may be required by Contractor to carry out its
contractual obligations.
6.0 TERMS and CONDITIONS:
6.1 INDEMNIFICATION:
6.1.1 To the fullest extent permitted by law, Contractor shall defend, indemnify, and hold
harmless County, its agents, representatives, officers, directors, officials, and employees
from and against all claims, damages, losses and expenses, including, but not limited to,
attorney fees, court costs, expert witness fees, and the cost of appellate proceedings,
relating to, arising out of or alleged to have resulted from the negligent acts, errors,
omissions, mistakes or malfeasance relating to the performance of this Contract.
Contractor's duty to defend, indemnify and hold harmless County, its agents,
representatives, officers, directors, officials, and employees shall arise in connection with
any claim, damage, loss or expense that is caused by any negligent acts, errors, omissions
or mistakes in the performance of this Contract by the Contractor, as well as any person
or entity for whose acts, errors, omissions, mistakes or malfeasance Contractor may be
legally liable.
6.1.2 The amount and type of insurance coverage requirements set forth herein will in no way
be construed as limiting the scope of the indemnity in this paragraph.
6.1.3 The scope of this indemnification does not extend to the sole negligence of County.
6.2 INSURANCE:
6.2.1 Contractor, at Contractor's own expense, shall purchase and maintain the herein
stipulated minimum insurance from a company or companies duly licensed by the State
of Arizona and possessing a current A.M. Best, Inc. rating of B++. In lieu of State of
Arizona licensing, the stipulated insurance may be purchased from a company or
companies, which are authorized to do business in the State of Arizona, provided that
said insurance companies meet the approval of County. The form of any insurance
policies and forms must be acceptable to County. If the entity is self-insured they shall
provide evidence of self-insurance including any self-insured retention. Self-insured
entities shall not be required to provide an A.M. Best rating.

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6.2.2 All insurance required herein shall be maintained in full force and effect until all work or
service required to be performed under the terms of the Contract is satisfactorily
completed and formally accepted. Failure to do so may, at the sole discretion of County,
constitute a material breach of this Contract.
6.2.3 Contractor's insurance shall be primary insurance as respects County, and any insurance
or self-insurance maintained by County shall not contribute to it.
6.2.4 Any failure to comply with the claim reporting provisions of the insurance policies or any
breach of an insurance policy warranty shall not affect the County's right to coverage
afforded under the insurance policies.
6.2.5 The insurance policies may provide coverage that contains deductibles or self-insured
retentions. Such deductible and/or self-insured retentions shall not be applicable with
respect to the coverage provided to County under such policies. Contractor shall be
solely responsible for the deductible and/or self-insured retention and County, at its
option, may require Contractor to secure payment of such deductibles or self-insured
retentions by a surety bond or an irrevocable and unconditional letter of credit.
6.2.6 County reserves the right to request additional copies and to receive, within 10 working
days, said certified copies of any or all of the herein required insurance certificates.
County shall not be obligated to review policies and/or endorsements or to advise
Contractor of any deficiencies in such policies and endorsements, and such receipt shall
not relieve Contractor from, or be deemed a waiver of County's right to insist on strict
fulfillment of Contractor's obligations under this Contract.
6.2.7 The insurance policies required by this Contract, except Workers' Compensation, and
Errors and Omissions/Medical Malpractice, shall name County, its agents,
representatives, officers, directors, officials and employees as Additional Insureds.
6.2.8 The policies required hereunder, except Workers' Compensation, and Errors and
Omissions/Medical Malpractice, shall contain a waiver of transfer of rights of recovery
(subrogation) against County, its agents, representatives, officers, directors, officials and
employees for any claims arising out of Contractor's work or service.
6.2.9 Commercial General Liability:
Commercial General Liability insurance and, if necessary, Commercial Umbrella
insurance with a limit of not less than $2,000,000 for each occurrence, $2,000,000
Products/Completed Operations Aggregate, and $4,000,000 General Aggregate Limit.
The policy shall include coverage for bodily injury, broad form property damage,
personal injury, products and completed operations and blanket contractual coverage, and
shall not contain any provision which would serve to limit third party action over claims.
There shall be no endorsement or modification of the CGL limiting the scope of coverage
for liability arising from explosion, collapse, or underground property damage.
6.2.10 Automobile Liability:
Commercial/Business Automobile Liability insurance and, if necessary, Commercial
Umbrella insurance with a combined single limit for bodily injury and property damage
of not less than $2,000,000 each occurrence with respect to any of the Contractor's
owned, hired, and non-owned vehicles assigned to or used in performance of the
Contractor's work or services under this Contract.
6.2.11 Workers' Compensation:
6.2.11.1 Workers' Compensation insurance to cover obligations imposed by federal and
state statutes having jurisdiction of Contractor's employees engaged in the

SERIAL 14073-RFP
performance of the work or services under this Contract; and Employer's
Liability insurance of not less than $1,000,000 for each accident, $1,000,000
disease for each employee, and $1,000,000 disease policy limit.
6.2.11.2 Contractor waives all rights against County and its agents, officers, directors and
employees for recovery of damages to the extent these damages are covered by
the Workers' Compensation and Employer's Liability or commercial umbrella
liability insurance obtained by Contractor pursuant to this Contract.
6.2.12 Errors and Omissions Insurance/Medical Malpractice:
Errors and Omissions insurance and, if necessary, Commercial Umbrella insurance,
which will insure and provide coverage for errors or omissions of the Contractor, with
limits of no less than $1,000,000 for each claim.
Medical Malpractice insurance and, if necessary, Commercial Umbrella insurance, which
will insure and provide coverage for Medical Malpractice of the Contractor, with limits
of no less than $5,000,000 for each claim.
6.2.13 Certificates of Insurance.
6.2.13.1 Prior to commencing work or services under this Contract, Contractor shall
furnish the County with valid and complete certificates of insurance, or formal
endorsements as required by the Contract in the form provided by the County,
issued by Contractor's insurer(s), as evidence that policies providing the
required coverage, conditions and limits required by this Contract are in full
force and effect. Such certificates shall identify this contract number and title.
6.2.13.2 In the event any insurance policy (ies) required by this contract is (are) written
on a "claims made" basis, coverage shall extend for two years past completion
and acceptance of Contractor's work or services and as evidenced by annual
Certificates of Insurance.
6.2.13.3 If a policy does expire during the life of the Contract, a renewal certificate must
be sent to County fifteen (15) days prior to the expiration date.
6.2.14 Cancellation and Expiration Notice.
Insurance required herein shall not be permitted to expire, be canceled, or materially
changed without thirty (30) days prior written notice to the County.
6.3 WARRANTY OF SERVICES:
6.3.1 The Contractor warrants that all services provided hereunder will conform to the
requirements of the Contract, including all descriptions, specifications and attachments
made a part of this Contract. County's acceptance of services or goods provided by the
Contractor shall not relieve the Contractor from its obligations under this warranty.
6.4 PROCUREMENT CARD ORDERING CAPABILITY:
The County may determine to use a MasterCard Procurement Card, to place and make payment
for orders under the Contract.
6.5 INTERNET ORDERING CAPABILITY:
The County intends, at its option, to use the Internet to communicate and to place orders under this
Contract.

SERIAL 14073-RFP
6.6 NOTICES:
All notices given pursuant to the terms of this Contract shall be addressed to:
For County:
Maricopa County
Office of Procurement Services
ATTN: Contract Administration
320 West Lincoln Street
Phoenix, Arizona 85003-2494
For Contractor:
Banner Occupational Health Clinics
Attn: Ms. Katheryn "Kat" Kovacic
525 W. Brown Road
Mesa, AZ 85201
6.7 REQUIREMENTS CONTRACT:
6.7.1 Contractor signifies its understanding and agreement by signing this document that this
Contract is a requirements contract. This Contract does not guarantee any purchases will
be made (minimum or maximum). Orders will only be placed when County identifies a
need and issues a purchase order or a written notice to proceed.
6.7.2 County reserves the right to cancel purchase orders or notice to proceed within a
reasonable period of time after issuance. Should a purchase order or notice to proceed be
canceled, the County agrees to reimburse the Contractor for actual and documented costs
incurred by the Contractor. The County will not reimburse the Contractor for any
avoidable costs incurred after receipt of cancellation, or for lost profits, or shipment of
product or performance of services prior to issuance of a purchase order or notice to
proceed.
6.7.3 Purchase orders will be cancelled in writing.
6.8 TERMINATION FOR CONVENIENCE:
The County reserves the right upon sixty (60) days' prior written notice to terminate the Contract
in whole or in part at any time, when in the best interests of the County without penalty or
recourse. Upon receipt of the written notice, the Contractor shall immediately stop all work, as
directed in the notice, notify all subcontractors of the effective date of the termination and
minimize all further costs to the County. In the event of termination under this paragraph, all
documents, data and reports prepared by the Contractor under the Contract shall become the
property of and be delivered to the County upon demand. The Contractor shall be entitled to
receive just and equitable compensation for work in progress, work completed and materials
accepted before the effective date of the termination.
6.9 TERMINATION FOR DEFAULT:
6.9.1 In addition to the rights reserved in the Contract, the County may terminate the Contract
in whole or in part due to the failure of the Contractor to comply with any term or
condition of the Contract, to acquire and maintain all required insurance policies, bonds,
licenses and permits, or to make satisfactory progress in performing the Contract. The
Procurement Officer shall provide written notice of the termination and the reasons for it
to the Contractor.

SERIAL 14073-RFP
6.9.2 Upon termination under this paragraph, all goods, materials, documents, data and reports
prepared by the Contractor under the Contract shall become the property of and be
delivered to the County on demand.
6.9.3 The County may, upon termination of this Contract, procure, on terms and in the manner
that it deems appropriate, materials or services to replace those under this Contract. The
Contractor shall be liable to the County for any excess costs incurred by the County in
procuring materials or services in substitution for those due from the Contractor.
6.9.4 The Contractor shall continue to perform, in accordance with the requirements of the
Contract, up to the date of termination, as directed in the termination notice.
6.10 TERMINATION BY THE COUNTY:
If either party should be adjudged bankrupt or should make a general assignment for the benefit of
its creditors, or if a receiver should be appointed on account of its insolvency, the other party may
terminate the Contract. If either party should persistently or repeatedly refuse or should fail,
except in cases for which extension of time is provided, to provide enough properly skilled
workers or proper materials, or persistently disregard laws and ordinances, or not proceed with
work or otherwise be guilty of a substantial violation of any provision of this Contract, then the
other party may terminate the Contract. Prior to termination of the Contract, the other party shall
give the breaching party fifteen (15) calendar day's written notice. Upon receipt of such
termination notice, the breaching party shall be allowed fifteen (15) calendar days to cure such
deficiencies.
6.11 STATUTORY RIGHT OF CANCELLATION FOR CONFLICT OF INTEREST:
Notice is given that pursuant to A.R.S. §38-511 the County may cancel this Contract without
penalty or further obligation within three years after execution of the contract, if any person
significantly involved in initiating, negotiating, securing, drafting or creating the contract on
behalf of the County is at any time while the Contract or any extension of the Contract is in effect,
an employee or agent of any other party to the Contract in any capacity or consultant to any other
party of the Contract with respect to the subject matter of the Contract. Additionally, pursuant to
A.R.S §38-511 the County may recoup any fee or commission paid or due to any person
significantly involved in initiating, negotiating, securing, drafting or creating the contract on
behalf of the County from any other party to the contract arising as the result of the Contract.
6.12 OFFSET FOR DAMAGES;
In addition to all other remedies at law or equity, the County may offset from any money due to
the Contractor any amounts Contractor owes to the County for damages resulting from breach or
deficiencies in performance under this contract.
6.13 ADDITIONS/DELETIONS OF SERVICE:
6.13.1 The County reserves the right to add and/or delete materials to a Contract. If a service
requirement is deleted, payment to the Contractor will be reduced proportionately, to the
amount of service reduced in accordance with the bid price. If additional materials are
required from a Contract, prices for such additions will be negotiated between the
Contractor and the County.
6.13.2 The County reserves the right of final approval on proposed staff for all Task Orders.
Also, upon request by the County, the Contractor will be required to remove any
employees working on County projects and substitute personnel based on the discretion
of the County within two business days, unless previously approved by the County.

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6.14 RELATIONSHIPS:
In the performance of the services described herein, the Contractor shall act solely as an
independent contractor, and nothing herein or implied herein shall at any time be construed as to
create the relationship of employer and employee, partnership, principal and agent, or joint venture
between the District and the Contractor.
6.15 SUBCONTRACTING:
6.15.1 The Contractor may not assign this Contract or subcontract to another party for
performance of the terms and conditions hereof without the written consent of the
County, which shall not be unreasonably withheld. All correspondence authorizing
subcontracting must reference the Proposal Serial Number and identify the job project.
6.15.2 The Subcontractor's rate for the job shall not exceed that of the Prime Contractor's rate,
as bid in the pricing section, unless the Prime Contractor is willing to absorb any higher
rates or the County has approved the increase. The Subcontractor's invoice shall be
invoiced directly to the Prime Contractor, who in turn shall pass-through the costs to the
County, without mark-up. A copy of the Subcontractor's invoice must accompany the
Prime Contractor's invoice.
6.16 AMENDMENTS:
All amendments to this Contract shall be in writing and approved/signed by both parties. Maricopa
County Office of Procurement Services shall be responsible for approving all amendments for
Maricopa County.
6.17 ACCESS TO AND RETENTION OF RECORDS FOR THE PURPOSE OF AUDIT AND/OR
OTHER REVIEW:
6.17.1 In accordance with section MCI 371 of the Maricopa County Procurement Code the
Contractor agrees to retain all books, records, accounts, statements, reports, files, and
other records and back-up documentation relevant to this Contract for six (6) years after
final payment or until after the resolution of any audit questions which could be more
than six (6) years, whichever is latest. The County, Federal or State auditors and any
other persons duly authorized by the Department shall have full access to, and the right to
examine, copy and make use of, any and all said materials.
6.17.2 If the Contractor's books, records , accounts, statements, reports, files, and other records
and back-up documentation relevant to this Contract are not sufficient to support and
document that requested services were provided, the Contractor shall reimburse Maricopa
County for the services not so adequately supported and documented.
6.17.3 If at any time it is determined by the County that a cost for which payment has been made
is a disallowed cost, the County shall notify the Contractor in writing of the
disallowance. The course of action to address the disallowance shall be at sole discretion
of the County, and may include either an adjustment to future claim submitted by the
Contractor by the amount of the disallowance, or to require reimbursement forthwith of
the disallowed amount by the Contractor by issuing a check payable to Maricopa County.
6.18 AUDIT DISALLOWANCES:
If at any time, County determines that a cost for which payment has been made is a disallowed
cost, such as overpayment, County shall notify the Contractor in writing of the disallowance.
County shall also state the means of correction, which may be but shall not be limited to
adjustment of any future claim submitted by the Contractor by the amount of the disallowance, or
to require repayment of the disallowed amount by the Contractor.

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6.19 SEVERABILITY:
The invalidity, in whole or in part, of any provision of this Contract shall not void or affect the
validity of any other provision of this Contract.
6.20 RIGHTS IN DATA:
The County shall own have the use of all data and reports resulting from this Contract without
additional cost or other restriction except as provided by law. Each party shall supply to the other
party, upon request, any available information that is relevant to this Contract and to the
performance hereunder.
6.21 INTEGRATION:
This Contract represents the entire and integrated agreement between the parties and supersedes
all prior negotiations, proposals, communications, understandings, representations, or agreements,
whether oral or written, express or implied.
6.22 VERIFICATION REGARDING COMPLIANCE WITH ARIZONA REVISED STATUTES §41-
4401 AND FEDERAL IMMIGRATION LAWS AND REGULATIONS:
6.22.1 By entering into the Contract, the Contractor warrants compliance with the Immigration
and Nationality Act ([NA using e-verify) and all other federal immigration laws and
regulations related to the immigration status of its employees and A.R.S. §23-214(A). The
contractor shall obtain statements from its subcontractors certifying compliance and shall
furnish the statements to the Procurement Officer upon request. These warranties shall
remain in effect through the term of the Contract. The Contractor and its subcontractors
shall also maintain Employment Eligibility Verification forms (1-9) as required by the
Immigration Reform and Control Act of 1986, as amended from time to time, for all
employees performing work under the Contract and verify employee compliance using the
E-verify system and shall keep a record of the verification for the duration of the
employee's employment or at least three years, whichever is longer 1-9 forms are available
for download at USCIS.GOV .
6.22.7 The County retains the legal right to inspect contractor and subcontractor employee
documents performing work under this Contract to verify compliance with paragraph
6.22.1 of this Section. Contractor and subcontractor shall be given reasonable notice of the
County's intent to inspect and shall make the documents available at the time and date
specified. Should the County suspect or find that the Contractor or any of its subcontractors
are not in compliance, the County will consider this a material breach of the contract and
may pursue any and all remedies allowed by law, including, but not limited to: suspension
of work, termination of the Contract for default, and suspension and/or debarment of the
Contractor. All costs necessary to verify compliance are the responsibility of the
Contractor.
6.23 CONTRACTOR LICENSE REQUIREMENT:
6.23.1 The Respondent shall procure all permits, insurance, licenses and pay the charges and
fees necessary and incidental to the lawful conduct of his/her business, and as necessary
complete any required certification requirements, required by any and all governmental
or non-governmental entities as mandated to maintain compliance with and in good
standing for all permits and/or licenses. The Respondent shall keep fully informed of
existing and future trade or industry requirements, Federal, State and Local laws,
ordinances, and regulations which in any manner affect the fulfillment of a Contract and
shall comply with the same. Contractor shall immediately notify both Office of
Procurement Services and the using agency of any and all changes concerning permits,
insurance or licenses.

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6.23.2 Respondents furnishing finished products, materials or articles of merchandise that will
require installation or attachment as part of the Contract, shall possess any licenses
required. A Respondent is not relieved of its obligation to posses the required licenses by
subcontracting of the labor portion of the Contract. Respondents are advised to contact
the Arizona Registrar of Contractors, Chief of Licensing, at (602) 542-1525 to ascertain
licensing requirements for a particular contract. Respondents shall identify which
license(s), if any, the Registrar of Contractors requires for performance of the Contract.
6.24 CERTIFICATION REGARDING DEBARMENT AND SUSPENSION
6.24.1 The undersigned (authorized official signing for the Contractor) certifies to the best of his
or her knowledge and belief, that the Contractor, defined as the primary participant in
accordance with 45 CFR Part 76, and its principals:
6.24.1.1 are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by any Federal
Department or agency;
6.24.1.2 have not within 3-year period preceding this Contract been convicted of or had a
civil judgment rendered against them for commission of fraud or a criminal
offense in connection with obtaining, attempting to obtain, or performing a
public (Federal, State or local) transaction or contract under a public transaction;
violation of Federal or State antitrust statues or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
6.24.1.3 are not presently indicted or otherwise criminally or civilly charged by a
government entity (Federal, State or local) with commission of any of the
offenses enumerated in paragraph (2) of this certification; and
6.24.1.4 have not within a 3-year period preceding this Contract had one or more public
transaction (Federal, State or local) terminated for cause of default.
6.24.2 Should the Contractor not be able to provide this certification, an explanation as to why
should be attached to the Contact.
6.24.3 The Contractor agrees to include, without modification, this clause in all lower tier
covered transactions (i.e. transactions with subcontractors) and in all solicitations for
lower tier covered transactions related to this Contract.
6.25 PRICES:
Contractor warrants that prices extended to County under this Contract are no higher than those
paid by any other customer for these or similar services.
6.26 GOVERNING LAW:
This Contract shall be governed by the laws of the state of Arizona. Venue for any actions or
lawsuits involving this Contract will be in Maricopa County Superior Court or in the United States
District Court for the District of Arizona, sitting in Phoenix, Arizona
6.27 ORDER OF PRECEDENCE:
In the event of a conflict in the provisions of this Contract and any other Procurement document„
if applicable, the terms of this Contract shall prevail.

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6.28 INFLUENCE
As prescribed in MCI-1202 of the Maricopa County Procurement Code, any effort to influence an
employee or agent to breach the Maricopa County Ethical Code of Conduct or any ethical conduct,
may be grounds for Disbarment or Suspension under MC1-902.
An attempt to influence includes, but is not limited to:
6.28.1 A Person offering or providing a gratuity, gift, tip, present, donation, money,
entertainment or educational passes or tickets, or any type valuable contribution or
subsidy,
6.28.2 That is offered or given with the intent to influence a decision, obtain a contract, garner
favorable treatment, or gain favorable consideration of any kind.
If a Person attempts to influence any employee or agent of Maricopa County, the Chief
Procurement Officer, or his designee, reserves the right to seek any remedy provided by the
Maricopa County Procurement Code, any remedy in equity or in the law, or any remedy provided
by this contract.
6.29 PUBLIC RECORDS:
All documents submitted are public records and must be retained by the Records Manager at the
Office of Procurement Services. All file documents are open to public inspection after Contract
award and execution.
6.30 INCORPORATION OF DOCUMENTS:
The following are to be attached to and made part of this Contract:
6.30.1 Exhibit A, Pricing;
6.30.2 Exhibit B, Scope of Work;
6.30.3 Exhibit B — 1, Respondent's Narrative/Response

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IN WITNESS WHEREOF, this Contract is executed on the date set forth above.
CA-q- Rcz 10
1300 M 6 (
ADDRESS -
DATE
1VIARICOPA COUNTY
CHAIRMAN, BOARD OF SUPERVISORS DATE
ATTESTED:
CLERK OF THE BOARD DATE
APPROVED AS TO FORM:
LEGAL COUNSEL DATE

SERIAL 14073-REP
EXEIIBIT A
PRICING
SERIAL 14073
NIGP CODE: 94874
RESPONDENT'S NAME: Banner Occupational Health Clinics
COUNTY VENDOR NUMBER:
ADDRESS: 525 W. Brown Road
Mesa, AZ 85201
P.O. ADDRESS:
TELEPHONE NUMBER: 480-684-7265
FACSIMILE NUMBER: 602-747-3120
WEB SITE: Bannerhealth.com
CONTACT (REPRESENTATIVE): Katheryn Kovacic
REPRESENTATIVE'S E-MAIL ADDRESS: Kathe Banneri.com
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS
CONTRACT [x ] [
WILL ACCEPT PROCUREMENT CARD FOR PAYMENT: [I
WILL OFFER REBATE (CASH OR CREDIT) FOR UTILIZING PROCUREMENT CARD: [
(Payment shall be made within 48 hours of utilizing the Purchasing
Card)
[x] NET 30 DAYS
1.0 PRICING:
BILL CODE 1.0 Workmen's Compensation:
1.1 Percent Discount from the Industrial
Commission of Arizona Fee Schedule 5% Percentage Off
RTW 1.2 Return to Work Physicals $75 per examination
1.3 Additional Services
CXR1 V 1.3.1 Chest X-Rays $80 per examination
HepAl/
HepA2 1.3.2 Hepatitis A Vaccine (series of 2 shots) $190 per series set
Hep B1,2,3 1.3.3 Hepatitis B Vaccine (series of 3 shots) $264 per series set
TB 1.3.4 TB Testing onsite $25 per examination
On-site fee of
TB 1.3.4.1 Skin test onsite $25 per examination $50 per hour
1.3.4.2 Test read onsite $included per examination
TBquest 1.3.4.3 Questionnaire onsite $25 per examination
1.3.4.4 Chest X-Ray onsite I View NA per examination
1.3.4.4.1 Two (2) view onsite NA per examination
TB 1.3.5 TB Testing offsite $25 per examination
TB 1.3.5.1 Skin test offsite $25 per examination
1.3.5.2 Test read offsite Included per examination
TBQuest 1.3.5.3 Questionnaire offsite $25 per examination
CXR1V 1.3.5.4 Chest X-Ray offsite $75 per examination
CXR2V 1.3.5.5.1 Two (2) view offsite $105 per examination

SERIAL 14073-RFP
Pep RN Post Exposure PEP RN Triage Line $75.00 per call
PepProv PEP Provider Triage Line $175 per call
2.0 Pre-Employment Screening:
2.1 Department of Transportation
DOTPhys Physical $75 per examination
PPE 2.2 Post offer Physical $75 per examination
2.3 Complete physical review of
Phys all systems $75 per examination
Colortst 2.4 Color Perception $10 per examination
Whishear 2.5 Hearing Test Whisper $10 per examination
Dynomete 2.6 Hand/finger strength Dyno meter $10 per examination
2.7 Pushing/pulling/lifting
L1FTEVAL strength (max 50#) $30 per examination
MMR 2.8 MMR Immunization $75 each per examination
HepB1,2,3 2.9 Hepatitis B Series $264 per examination
HepBTit 2.10 Hepatitis B Titers $55 per examination
TD 2.11 Tetanus Immunization $40 per examination
TBQuest 2.12 TB Questionnaire $25 per examination
$0 included
TBTest 2.13 TB Skin Test Administration in the fee per examination
2.14 TB Skin Test Reading per examination
CXR1V 2.15 TB Chest X-Ray $80_ per examination
CXR1V 2.16 Chest X-Ray One View $80_ per examination
CXR2V 2.17 Chest X-Ray Two View $1 per examination
EKG 2.18 EKG under 35 years of age $50 per examination
EKG 2.19 EKG 35 years of age or older $50 per examination
UADIP 2.20 Urinalysis UA DIP $7 per examination
2.21 Complete Blood Count
CBC (CBC) $20 per examination
2.22 Sequential Multiple
Cardrisk Analysis-Computer (SMAC23) $35 per examination
AUDIO 2.23 Audiometer Baseline Test $25 per examination
2.24 Respirator Medical
RespQuest Evaluation $25 per examination
Treadmil 2.25 Exercise Test $250 per examination
Treadmil 2.26 Stress Treadmill $250 per examination
2.27 Drug Screen per examination
DS5Pan 2.27.1 5-panel drug screen $38 per examination
DS10Pan 2.27.2 10-panel drug screen $40 per examination
DS11pan 2.27.3 11-panel drug screen $42 per examination
DS 16pan 2.27.4 13-panel drug screen $48 per examination
2.28 OSHA Medical Evaluation $0 included
RespQuest Questionnaire administration in the fee per examination
2.29 OSHA Medical Evaluation
RespQuest Questionnaire review $25 per examination
PFT 2.30 Pulmonary Function Testing $40 per examination
2.31 Respiratory Protection
RespExam Physical $40 per examination
Resp Clearance Exam includes
Respirator Questionnaire, PFT and
RespCI Exam $85 per examination
RespMask 2.32 N-95 Mask Fit Testing $50 per examination
2.33A1l other services per examination

SERIAL 14073-RFP
OnsiteRN On-Site RN Services $50 per hour
On-Site Mobile Van for
PWAudio Audiograms $250 per hour
Onsite Mobile Van for On-Site Physicals $200 per hour + cost of exam
BATNon Non-DOT Breath Alcohol Test $25
3.0 Annual Testing per examination
PPE 3.1 Routine Physicals $75 per examination
3.2 Department of Transportation
DOTPhy Physicals $75 per examination
AsbPhys 3.3 Asbestos Surveillance $75 per examination
NESHAP 3.3.1 NESHAP Baseline/Annual $445 per examination
3.3.1.1 NESHAP with EKG (no
NESHAPEK treadmill) $445
NESHAPTE 3.3.1.2 NESHAP with Tetnus $485
AIRMON 3.4 Air Monitoring Baseline/Annual $265
3.4.1 Air Monitoring Baseline/Annual
A1RMONCH with Chest X-Ray $385
3.4.2 Air Monitoring Baseline/Annual
AIRMONPT with PFT $305
3.4.3 Air Monitoring Baseline/Annual
AIRMONTV with Tetanus Vaccine $345
ZZP 3.5 Lead Monitoring $50 per examination
3.6 Respiratory Protection -
RespQues Questionnaire $25; exam $40 $25 per examination
Audio 3.7 Hearing Conservation $30 per examination
TBQuest 3.8 TB Questionnaire $25 per examination
cost of TB $25
plus $50 per
3.9 On-site Administration of Skin Test hour on site
TB Test (PPD) fee per examination
3.10 On-site Reading of TB Skin Test
Result $ Included per examination
CXR1V 3.11 TB Chest X-Ray $80.00 per examination
3.12 Drug Screen per examination
DS5pan 3.12.1 5-panel drug screen $38 per examination
DS10Pan 3.12.2 10-panel drug screen $40 per examination
DS11Pan 3.12.3 11-panel drug screen $42 per examination
DS13pan 3.12.4 13-panel drug screen $48
n/a 3.12.5 16-panel drug screen per examination
3.13 OSHA Medical Evaluation
Respques Questionnaire review $25 per examination
PFT 3.14 Pulmonary Function Testing $40 per examination
3.15 All other tests per examination
DOTBAT DOTBreath Alcohol Test $25
4.0 Post Incident
RTW 4.1 Return to work Physicals $75 per examination
DS5pan 4.1 Drug Screening $38 per examination
4.3 Post exposure Medical Reviews per examination
4.4 Provide list of treatments based on
exposure and medical indications: per examination
HepBTit Hep B Titer $55
HepB 1,2,3 Hep B Immunization $88 per injection
PEPHIV 1-1IV Testing $85

SERIAL 14073-RFP
Source Testing:
PEPHB5AG Hep B Surface Antigen $55
PEP HIV HIV Testing $85
PEPSRCHC Hep C Surface Antigen $85
PEP Medications Current Market Price
HIV Post Exposure Prophalaxis (PEP) Pricing (needle sticks, blood exposures)
1. Nurse Triage Call $ 75.00
2. Licensed Practitioner Intervention $175.00
3. Initial Visits $100.00
4. Results Visits $ 50.00
5. Follow-up Visit (1 week if on meds) $ 75.00
6. Follow-up Visit (2 weeks if on meds) $ 75.00
7. Follow-up Visit (3 weeks if on meds) $ 75.00
8. Follow-up Visit (4 weeks if on meds) $ 75.00
9. Follow-up Visit (6 weeks) $ 75.00
10. Follow-up Visit (3 months) $ 75.00
11. Follow-up Visit (6 months) $ 75.00
P. Follow-up Visit (12 months) $ 75.00
13. Follow-up Visit (18 months) $ 75.00
Costs billed in addition to visits:
Patient Testing:
1. ALT Liver function $ 25.00
2. Blood Chem/CBC/UA (if on meds) $ 40.00
8. Tdap $ 65.00
9. HBIG $ Market price
10. Hep C RNA $ 350 (given if source tests positive for Hep C)
Source Testing:
1. HIV Test $ 85.00
2. Hepatitis C Test $ 85.00
3. Hepatitis B Antigen $ 55.00
Medications:
One week supply of the following medications (maximum of four (4) weeks on meds)(Pricing below is
estimated pricing as medications and pricing fluctuate based on medical standard and market prices):
Isentress-HIV - $420
Truvada-HIV $420
Ondanstron-Nausea $5 per pill used as needed
**All prices are subject to change.
5/2014

SERIAL 14073-RFP
EXHIBIT B
SCOPE OF WORK
1.0 INTENT:
The intent of the Contract is for the provision of industrial employee health services. Said services shall
include, but are not limited to, Workers' Compensation, Pre-Employment Screening and Immunizations,
DOT Random Drug and Alcohol Testing, Annual Testing/Examinations and Post Incident Testing and
Fitness for Duty Testing. The required services shall not be coordinated from a single service requestor, but
from individual departments on an as needed basis. In general, Contractor shall provide all of the services
listed herein at facilities located throughout Nlaricopa County. Some services shall require 24 hour access,
7 days a week and 365 days per year and are identified as such in the Scope of Work. On occasion the
Maricopa County Attorney's Office will require pre-employment screening outside of Maricopa County
and outside of the State of Arizona. Services include collection, testing, transporting and record retention
services for Drug and Alcohol Testing, for Maricopa County, in accordance with U.S. Department of
Transportation, Federal Highway Administration, Code of Federal Regulations, Part 40 — Procedures for
Transportation Workplace Drug and Alcohol Testing Programs, OSHA and other applicable regulatory
agencies.
Contractor shall be fully capable of providing services, and in full compliance, throughout the duration of
the resultant contract, with the Omnibus Act of 1991, which requires Drug and Alcohol Testing of Safety
Sensitive Employees in aviation, motor carrier, railroad and mass transit industries.
Contractor shall provide professional services to/for approximately 300 Motor Vehicle Operators and
Supervisors, and 100 Safety Sensitive employees. Maricopa County has over 14,000 employees that may
require workers' compensation services. The Contractor may also be required to provide these services for
pre-employment screening and "for cause" testing, at the option of the County. Confidentiality of all
information is a requirement. All sensitive patient information shall remain confidential and in full
compliance with HIPAA Guidelines. In order to meet the requirements set forth by the 49 Code of Federal
Regulations, Part 40, and the County will make all efforts to test personnel appropriately.
Other governmental entities under agreement with the County may have access to services provided
hereunder (see also Section 3.4 and 3.5, above)
The County reserves the right to add additional contractors, at the County's sole discretion, in cases where
the currently listed contractors are of an insufficient number or skill-set to satisfy the County's needs or to
ensure adequate competition on any project or task order work.
2.0 SCOPE OF WORK:
2.1 OVERALL REQUIREMENTS:
2.1.1 Contractor shall provide their procedures for all services, requirements, and potential
scenarios.
2.1.2 The contractor shall cooperate in the transfer of all medical records in the event of
contract termination or non-renewal.
2.1.3 The following requirements are applicable for all of the service groups contained in this
solicitation (Workers' Compensation, Pre-Employment Screening, DOT Random Drug
and Alcohol Testing, Annual Testing/Examinations, Reasonable Cause and Post Incident
Testing). Some service groups may also contain requirements specific to the individual
requesting department. It is the responsibility of the Contractor to carefully read each
section and fully understand the requirements.
2.1.4 In addition to the requirements of §3.0 Payments of the Contract, Contractor shall prepare
monthly invoices for the services provided. The invoice shall be for work provided
during the previous month and shall include the name of the examinee, the health service

SERIAL 14073-RFP
provided, the date of the service and the fee charged with the corresponding bill code.
The monthly invoice shall be delivered to the referred employee's authorized
departmental contact provided on the department issued Purchase Order or otherwise
instructed by the department contact and ALL Workers' Compensation claims delivered
to Risk Management within Maricopa County.
2.1.4.1 The contractor shall provide monthly statistical report to the authorized contact
of each department with a copy to the Risk management Safety Division,
including, but not limited to the number of employee exposures to blood and
body fluids, communicable diseases and chemicals. Contractor shall also report
on the number of TB conversions and TB mask fit testing performed.
2.1.5 The Contractor shall be knowledgeable of the duties and responsibilities as well as the
physical and mental stresses of the position for which the services are being performed. It
shall be the Contractor's responsibility to request position descriptions from the
authorized department contact if not provided by employee/applicant at time of visit.
2.1.5.1 Maricopa County Sheriff's Office (MCSO) will send paperwork with the
applicants detailing the position duties and what the contractor needs to
evaluate.
2.1.6 The Contractor shall remain current on testing and medical standards for all services to be
performed as a result of this contract.
2.1.7 The Contractor shall maintain current knowledge on laboratory services, reporting
procedures and the related laws and practices.
2.1.8 The Contractor shall be required to provide all necessary qualified personnel, equipment,
facilities, recordkeeping, supplies and services to perform all necessary medical services.
2.1.9 The Contractor shall have a facility (ies) within a fifteen (15) mile drive from any and all
job locations within Maricopa County (list provided at the end of the Scope of
Work).(Exceptions areas are Hassayampa, Gila Bend, Cave Creek, New River).
2.1.9.1 The geographical distribution within Maricopa County shall include:
2.1.9.1.1 Southwest Region: Gila Bend, Hassayampa, Buckeye and Avondale
2.1.9.1.2 Northwest Region: Glendale, Sun City, Surprise, El Mirage, and
Wickenburg
2.1.9.1.3 Northeast Region: Cave Creek, New River, Paradise Valley &
Scottsdale
2.1.9.1.4 Southeast Region: Tempe, Mesa, Chandler and Sun Lakes
2.1.9.1.5 Central Phoenix Region: Downtown Area
2.1.10 The contractor agrees to prepare, maintain, monitor, date and retain all health, medical
and OSHA exposure records the County deems necessary.
2.1.11 The contractor shall ensure a medical records system which will secure and maintain all
confidential patient records. These records shall be accessible from any of contractor's
worksites via an electronic portal, (Banner is implementing iSystoc which shall be
operational by August 31, 2015) created and maintained by the contractor, accessible by
the County. Each Maricopa County department shall be provided with at least one secure
individual sign on to access drug, alcohol and physical exam testing results and
respective reports. Sign on(s) will be customized to only access the specific department
so that one department cannot view information for employees of another department.
One (1) or more Master sign on(s) shall be provided to the Central Human Resources
contact with visibility to department results and reports for drug, alcohol and physical
exam testing, for departments with employees requiring CDL testing. Four (4) or more
sign on(s) shall be provided to Risk Management to access workers' compensation

SERIAL 14073-RFP
medical/status/reports for all County departments. Contractor shall provide measures
preventing the use of patient social security numbers on invoicing and medical records
unless required by law.
2.1.11.1 The contractor shall provide all referred employees with "access to their
exposure and medical records" as required by Title 29 Code for Federal
Regulations Part 1910.1020.
2.1.11.2 The contractor shall maintain all employee medical records and exposure reports
with copies forwarded to Maricopa County Risk Management and additional
copies for the Sheriff Employees to the MCSO Occupational Safety Section.
2.1.11.2.1 Medical records shall contain, but not be limited to:
2.1.11.2.1.1 Medical background,
2.1.11.2.1.2 List of medications taken or prescribed,
2.1.11.2.1.3 Allergies,
2.1.11.2.1.4 Immunization history,
2.1.11.2.1.5 TB skin test history,
2.1.11.2.1.6 Physical findings,
2.1.11.2.1.7 Lab tests and results,
2.1.11.2.1.8 Significant changes to employee health status,
2.1.11.2.1.9 Ergonomic complaints,
2.1.11.2.1.10 Nature of exposure,
2.1.11.2.1.11 Actions/ treatments recommended,
2.1.11.2.1.12 Additional orders.
2.1.11.3 The contractor shall maintain all medical records and manage reminder/recall
systems for updating required immunizations and annual screenings to include
by not limited to, written reminders of immunizations, Hepatitis B vaccinations,
and Purified Protein Derivative (PPD) due dates. Once the iSystoc is operational
on August 31, 2015 authorized users will have the ability to track and manage
recalls.
2.1.11.4 Contractor shall provide a Medical Director of a MCSO Onsite Nursing program
with written standing orders for immediate medical treatments for employees,
volunteers, and public. Vaccine, TB Skin testing, training oversight. Direct
contact with a medical provider for any upcoming treatment issues and needed
changes. Immediate contact with the Medical Director is required to add,
modify, or update changes with standing orders as needed. MD contact with a
RN, LPN, EMT, Paramedic, and supervisory staff of MCSO.
2.1.12 The contractor shall have a minimum of one (1) or more work site facilities that offers
continuous coverage 24 hours a day, 7 days a week and 365 days per year and multiple
work sites coverage within the geographical area of Maricopa County with a licensed
physician, licensed physicians assistant or appropriate licensed and trained staff on-site at
all times. (All Banner Emergency rooms can be utilized after hours for any of the
contracted Services. The Good Samaritan clinic located in Central Phoenix is open 6 a.m.
to 10 p.m., Monday — Friday; 8 a.m. to 4 p.m. Saturdays and Sundays. All clinics are
closed on major holidays).
If/When an injured worker(s) present to a Banner ER they are treated by the ER.
Services done by the ER are billed by the hospitals PFS department and billed as an ER
visit. (Please remember that the injured worker needs to complete a 102 form in the ED).
If a worker presents to the ER, out of Occupational Health open hours, the visit would be
charged at Industrial Commissions of Arizona (ICA) rates. The injured worker needs to
state this is a work injury so that the care can be identified & billed correctly.

SERIAL 14073-RFP
2.1.12.1 One (1) worksite that provides continuous coverage 24 hours a day, 7 days a
week and 365 days per year shall be within fifteen (15) miles of 1900 W. Lower
Buckeye, Phoenix, AZ 85009.
2.1.12.2 Staff shall be trained according to Department of Transportation (DOT), Federal
Motor Carriers Safety Administration (FMSCA), Commercial Driver's License
(CDL) Drug and Alcohol collections requirements and the facility shall be
certified by Health and Human Services (HES) under the National Laboratory
Certification Program (NLCP).
2.1.12.3 Contractor shall be contracted with a Medical Review Officer (MRO) who is a
licensed physician.
2.1.13 Contractor shall provide physical examinations, drug and alcohol testing, exposure
evaluations and preventive measures according to the Occupational Safety and Health
Administration (OSHA), Federal Motor Carrier Safety Administration (FMCSA), AZ
Post and other regulatory requirements.
2.1.14 Contractor shall insure that when any Public Safety Personnel from Maricopa County
who present for initial treatment shall not have to wait more than ten (10) minutes
following check-in to be seen for treatment. (Examples of Public Safety Personnel:
Maricopa County Sheriffs Office, Adult/Juvenile Probation, Maricopa County
Attorney's Office, Office of the Medical Examiner, and Correctional Health Services).
2.1.15 No more than thirty (30) minute wait time for scheduled visits from time of appointment
to time seen by Physician or Occupational Licensed Health Care Provider (OLHCP).
2.1.16 No more than thirty (30) minute wait time for initial visits from time of arrival to time
seen by Physician or OLHCP. This wait time does not include those departments
specified in 2.1.14 above.
2.1.17 Contractor shall complete all Maricopa County forms or documents with Doctor's
signature and date where required at NO additional cost to Maricopa County.
2.1.17.1 Contractor shall supply hard copy, carbon duplicate, federal and non-federal
Chain of Custody drug forms and hard copy, carbon duplicate, federal and non-
federal alcohol test forms at no additional cost to Maricopa County.
2.1.18 Contractor shall provide an account executive.
2.1.19 Contractor shall work with the Pharmacy Benefits Manager (contact information to be
provided after award of contract) that is contracted with Maricopa County.
2.1.20 Contractor shall work with the Physical Therapy Provider (contact information to be
provided after award of contract) that is contracted with Maricopa County.
2.2 WORKERS' COMPENSATION:
2.2.1 General Requirements:
2.2.1.1 One (1) Physician per location shall be licensed to practice medicine in the State
of Arizona. Supervising Physician shall be Board Certified in Occupational
Medicine trained in and have five (5) year experience. Designation in the
American College of Occupational and Environmental Medicine (ACOEM) is
preferred (please refer to for
additional information).

SERIAL 14073-RFP
2.2.2 The contractor shall have at a minimum one (1) Clinic/Facility with services available 24
hours a day, 7 days a week and 365 days per year within Maricopa County. (See section
2.1.12.1 for location definition.) (All Banner Emergency rooms can be utilized after
hours for any of the contracted Services at the contracted pricing. The Good Samaritan
clinic located in Central Phoenix is open 6 a.m. to 10 p.m., Monday — Friday; 8 a.m. to 4
p.m. Saturdays and Sundays. All clinics are closed on major holidays).
2.2.2.1 A licensed physician or licensed a physician's assistant shall be on-site at all
times. On-call staff will not be acceptable.
2.2.2.2 The contractor shall maintain all employee medical records and exposure reports
with copies forwarded to the Risk Management Workers' Compensation
Division to contain, but not be limited to: medical background, list of
medications taken or prescribed, allergies, immunization history, TB skin test
history, physical findings, lab tests and results, significant changes to employee
health status, ergonomic complaints, nature of exposure, actions/treatments
recommended, additional orders.
2.2.2.3 Contractor shall provide to Maricopa County Risk Management Workers'
Compensation Division initial and follow up status reports within 24 hours of
each visit via electronic portal (to be completely functional by August 31, 2015)
maintained by the contractor.
2.2.2.4 Contractor shall submit all referrals to specialist(s) through Maricopa County
Risk Management Department.
2.2.3 Service Requirements:
2.2.3.1 Physical Exam — Post accident:
2.2.3.1.1 The Contractor shall provide all physical examinations as required.
The physical examinations may include, but are not limited to, the
following areas:
2.2.3.1.1.1 Vision
2.2.3.1.1.2 Hearing
2.2.3.1.1.3 Cardio-vascular system
2.2.3.1.1.3.1 Blood Pressure
2.2.3.1.1.3.2 Pulse Rate
2.2.3.1.1.3.3 Sounds
2.2.3.1.1.3.4 Rhythm
2.2.3.1.1.4 Abdomen
2.2.3.1.1.5 Musculo-skeletal
2.2.3.1.1.5.1 Spine
2.2.3.1.1.5.2 Upper Extremities
2.2.3.1.1.5.3 Lower Extremities
2.2.3.1.1.6 Skin
2.2.3.1.1.7 Urinalysis
2.2.3.1.1.8 Serology
2.2.3.2 Contractor shall obtain pre-approval from Maricopa County Workers'
Compensation Division for all specialist/physician referrals, physical therapy or
diagnostic studies, i.e. MRI's, CAT Scans, EMG's etc.
2.2.3.3 Blood Borne Pathogens:
2.2.3.3.1 The contractor shall ensure that all procedures are performed by or
under the direct supervision of a licensed physician.

SERIAL 14073-RFP
2.2.3.3.2 The contractor shall provide post-exposure medical evaluation and
follow-up to referred employees according to Centers for Disease
Control for prevention (CDC) recommendations. The medical
evaluation shall consist of: Blood draws to determine HIV/HBV and
HCV status, source client blood draws to determine HIV/HBV and
HCV status, result notifications of source client's lab results to the
employee, provide exposed employee with counseling and medical
evaluation for any resulting HIV/HBV and HCV related illnesses,
provide post-exposure prophylaxis when medically indicated. This
shall include employee consultation of any potential side effects or
adverse reaction caused by prophylaxis treatment in accordance
with" Public Health Service Guidelines for the Management of
Health-Care Worker Exposures to HIV and Recommendations for
Post exposure Prophylaxis"
2.2.3.3.3 See Section 2.6.2.1 for additional information.
2.2.3.4 Tuberculosis Exposure:
2.2.3.4.1 Guidelines for Preventing the Transmission of Tuberculosis in
Health-Care Settings, with Special Focus on HIV-Related Issues and
Title 29 Code for Federal Regulations Part 1910.139
2.2.3.4.1.1 Employee shall complete a brief medical tuberculosis
history. Signs and symptoms shall be reviewed by
contractor. If patient is symptomatic a chest x-ray
and sputum collection will be provided.
2.2.3.4.1.2 The contractor will provide Mantoux Skin test for
tuberculosis to all referred employees, during post
offer examination and according to schedule
determined by the Department's employee risk
assessment.
2.2.3.4.1.3 The contractor shall provide follow-up and
notification to all employees and the Workers'
Compensation Division at Maricopa County.
2.2.3.4.1.4 Employees with negative skin test (less than 5mm
reading will be re-tested in 7 to 21 days. Those
employees with a negative reading of <5mm on the
second test will be considered to have a confirmed
negative baseline.
2.2.3.4.1.5 Interpretations of positive skin test will receive a PA
chest x-ray. The contracted physician will determine
if preventative therapy is appropriate. Determining
factors will include age, liver function test, etc. in
accordance with CDC recommendations.
2.2.3.4.1.6 Contractor shall refer employees with abnormal chest
x-rays to the Maricopa County Department of Public
Health's Tuberculosis program for treatment and
evaluation.
2.2.3.4.1.7 The contractor shall counsel the employee on the
results of all test and actions to be taken.

SERIAL 14073-RFP
2.2.3.4.1.8 The contractor shall conduct all TB mask and
respirator fit testing procedures for all referred
County employees according to Title Code 29 Code
for Federal Regulations Part 1910.139, Respiratory
Protection for M. Tuberculosis.
2.2.3.4.1.9 Routine immunization, including influenza shall be
updated for employees of Record.
2.2.3.5 Additional Services
2.2.3.5.1 The Contractor shall provide the following services when required by
the County:
2.2.3.5.1.1 Chest X-Rays (indicate if services are provided
directly by Contractor or referred out)
2.2.3.5.1.2 Treadmill Test/cardiac stress test
2.2.3.5.1.3 Hepatitis A Vaccine (series of 2 shots)
2.2.3.5.1.4 Hepatitis B Vaccine (series of 3 shots)
2.2.3.5.1.5 TB testing onsite, at a designated Maricopa County
Sheriff's Office building/location and offsite, at the
vendor/contractor location, to include:
2.2.3.5.1.5.1 Skin test
2.2.3.5.1.5.2 Test reads
2.2.3.5.1.5.3 Questionnaire
2.2.3.5.1.5.4 Chest X-Ray
2.2.3.5.1.5.4.1 2 view, if needed
2.2.3.6 Respirator Physical
2.2.3.6.1 The Respirator Physical Exam shall include the questionnaire, exam
and pulmonary function test.
2.2.3.6.2 The Contractor shall conduct a medical evaluation that shall
determine the employee's medical status to assess their ability to use
a respirator. The evaluation shall be conducted in accordance with
OSHA standards as outlined in 29 CFR 1910.134.
2.2.3.6.3 The Contractor shall provide any and all follow-up tests as required
for the medical screening as allowed by law.
2.2.3.6.4 The Contractor shall develop a filing system by which the medical
questionnaires and any other records associated with the medical
evaluation are kept separate from any other County employee
medical records. The Contractor shall ensure that these records are
maintained in a confidential manner from the employer.
2.2.3.6.5 The Contractor shall maintain the records for the term of the contract.
At the end of the contract term, the Contractor shall cooperate with
the County to ensure that the records are packaged for transportation
in a manner so as to maintain the confidentiality from the employer.

SERIAL 14073-RFP
2.2.3.7 The Contractor shall make a justifiable recommendation as to the ability of the
applicant and/or current employee, as applicable, to perform the duties required
of the position, and assess current medical status relative to possible future
problems. The County departments shall provide their individual job
descriptions when requested.
2.2.3.8 The Contractor shall perform and address services for industrial injuries. In
addition, the Contractor shall provide return to work examinations, provide
injury care, and handle all necessary paperwork for Workers' Compensation,
including but not limited to notification to designated Workers' Compensation
representative with Maricopa County and Industrial Commission of Arizona.
2.3 PRE-EMPLOYMENT SCREENING:
2.3.1 Multiple County departments have specific needs that may use some or all of the services
listed below. Respondent shall price each service individually per Exhibit A (Pricing).
2.3.2 General Requirements:
2.3.2.1 Contractor shall have a certified and/or Physician or Healthcare Provider at the
facility at all times.
2.3.3 Service Requirements:
2.3.3.1 Physicals:
2.3.3.1.1 The contractor shall provide a post-offer assessment based on the
job's essential functions for newly hired or transferred employees in
accordance with the time frame requested by the authorized
departments contact. The contractor shall ensure that all procedures
are performed by or under direct supervision of a licensed physician.
The physical shall include a complete medical and occupational
history and essential function assessments, including:
2.3.3.1.1.1 Basic vision testing (near, far, color) if required for
newly hired or transferred employees. Vision testing
will meet DOT requirements.
2.3.3.1.1.2 Basic hearing tests (500 Hz, 1000 Hz, 2000 Hz, 3000
Hz 4000 Hz and 6000 Hz) for newly hired or
transferred employees.
2.3.3.1.1.3 Strength testing if lifting, carrying, pulling, or
pushing is required in the job.
2.3.3.1.1.4 Test for finger/hand strength if typing, filing, or
manual dexterity is required in the job.
2.3.3.1.2 The contractor shall provide a post-offer health screening, including
physical exams, mask fit testing, Hepatitis B titer checks,
immunizations, and respirator fit testing specific to new hires and
department transfers, prior to assumption of new job duties.
2.3.3.1.2.1 Immunizations, including Influenza will be updated
in accordance with current Center for Disease
Control and Prevention (CDC) recommendations.
Immunization of Health-Care Workers MMWR
Vol.46. RR-18. See section 2.3.3.3 for additional
immunizations.

SERIAL 14073-RFP
2.3.3.1.2.2 Purified Protein Derivative (PPD) will be part of the
post-offer protocol.
2.3.3.1.3 If no County form(s) are on file or sent with the employee the
contractor may use its own forms to record and preserve the results
of this medical evaluation. A report of the medical evaluations shall
be used to inform the employee's authorized department contact of
the evaluation results.
2.3.3.1.4 Examination results shall be provided to the designated department's
contact immediately. Verbal results will be provided within one (1)
working day or twenty-four (24) hours and written results will be
provided within three (3) working days or seventy-two (72) hours of
the completion of the examination.
2.3.3.1.5 The written results will include, a narrative describing the physician's
findings and recommendations, aligning item responses to the
essential functions of the County's job classification specifications,
and to related items in the required knowledge, skills, and abilities
section. The physician will also complete a physical limitation form
for employees not returning to regular work.
2.3.3.2 Exams for Commercial Driver's License (CDL) holders
2.3.3.2.1 See section 2.4.2.4 Department of Transportation Federal Motor
Carrier Safety Administration (FMCSA) Physical Examination for
the requirements.
2.3.3.3 Immunizations:
2.3.3.3.1 MMR or Titer
2.3.3.3.2 Hepatitis B (or Titers)
2.3.3.3.3 Tetanus
2.3 .3.3.4 Varicella or Titer
2.3.3.4 Tuberculosis (TB)
2.3.3.4.1 TB Questionnaire
2.3.3.4.2 TB Skin test administration
2.3.3.4.3 TB Skin test reading
2.3.3.4.3.1 Chest X-Ray if indicated
2.3.3.5 Law Enforcement Screening Requirements:
2.3.3.5.1 Deputy Sheriff, Reserve Deputy, and Maricopa County Attorney's
Office Detectives Physical Induction Exam Arizona Peace Officer
Standards and Training (hereafter "AZPOST") Exam. Inclusive of
the following:
2.3.3.5.1.1 Medical history review and brief medical
examination in accordance with instructions provided
by MCSO.
2.3.3.5.1.2 The Physical shall follow all requirements referenced
in the AZ. P.O.S.T. procedures manual and medical
screening manual.

SERIAL 14073-RFP
2.3.3.5.1.3 All physicians performing Deputy Examinations shall
be AZ. P.O.S.T. certified (Board Trained).
2.3.3.5.1.4 Deputy/Reserve Deputy physicals shall be performed
in compliance with the standards for Peace Officers
set forth by the Secretary of the State of Arizona,
Title 13, Public Safety; Chapter 4, Arizona Peace
Officer Standards and Training Board; Section R-13-
4-107, Medical Requirements
2.3.3.6 Detention Officer Screening Requirements:
2.3.3.6.1 Medical history review and brief medical examination in accordance
with instructions provided by MCSO to include the following:
2.3.3.6.1.1 Pulmonary Function Test
2.3.3.6.1.2 Respirator Physical
2.3.3.6.1.3 Vision Test
2.3.3.6.1.4 Audiogram
2.3.3.6.2 Doctor will recommend to MCSO whether the applicant is
acceptable or not for employment based on the physical.
2.3.3.6.2.1 Individual Costs
2.3.3.6.2.1.1 Chest X-Ray
2.3.3.6.2.1.1.1 One view
2.3.3.6.2.1.1.2 Two view
2.3.3.6.2.1.2 EKG
2.3.3.6.2.1.2.1 Under 35 years of
age
2.3.3.6.2.1.2.2 35 years of age
and older
2.3.3.6.2.1.3 Urinalysis
2.3.3.6.2.1.4 Complete Blood Count (CBC)
2.3.3.6.2.1.5 Sequential Multiple Analysis-
Computer (SMAC23)
2.3.3.6.2.1.6 Audiometer Baseline Test
2.3.3.6.2.1.7 Respirator Medical Evaluation
2.3.3.6.2.1.7.1 Includes
examination and
written
certification by a
qualified physician
or other qualified
health care
professional.
2.3.3.6.2.1.8 Exercise Test
2.3.3.6.2.1.9 Stress Treadmill

SERIAL 14073-RFP
2.3.3.7 Drug Screen:
2.3.3.7.1 Five (5) panel drug test (Marijuana, cocaine, amphetamines, PCP,
Opiates)
2.3.3.7.2 Ten (10) panel (Cocaine, Methamphetamines, Amphetamines,
Opiates, THC, Barbiturates, Benzodiazepines, Methadone,
Methaqualone, Propoxyphene)
2.3.3.7.3 Eleven (1 I ) panel urine drug test (Marijuana, Cocaine,
Amphetamines, Opiates, Propoxyphene, PCP, Barbiturates,
Benzodiazepines, Methaqualone, Methadone, Ecstasy)
2.3.3.7.4 Thirteen(13) panel urine drug test (Marijuana, Cocaine,
Amphetamines, Opiates, Propoxyphene, PCP, Barbiturates,
Benzodiazepines, Methaqualone, Methadone, Ecstasy, Oxycodone,
Hydrocodone)
2.3.3.8 Respiratory Testing (including , but not limited to: Self-Contained Breathing
Apparatus ("SCBA" masks and N-95 masks)
2.3.3.8.1 Completion and review of OSHA Medical Evaluation Questionnaire
2.3.3.8.2 Pulmonary Function Testing (if required based on Questionnaire)
2.3.3.8.3 Mask Fit Test to include fit verification utilizing Saccharin or Bitrex
solution.
2.3.3.8.4 Employee training on performance of user seal check.
-A A •,. 1/.1 • natio
SO). Aviation Divisic
2.3.3.9.1 Specific Requirements:
2.3.3.9.1.1 Contractor shall have a Federal Aviation
Administration (FAA) certified physician to perform
medical examinations for all pilots, Tactical Flight
Officers (TFO's), and any other personnel identified
by the Division Commander to perform operations
within MCSO aircraft.
medicine and FAA certification to conduct physical
examination in compliance with FAA R-gulations.
Third Class Certification status.
2.3.3.9.1.4 The Provider shall have the ability to schedule
appointments Monday through Friday 9am 5pm or
a time agreed upon by both parties.
in accordance with the Federal regulations of Aeronautics and Space
Part 67 Medical Standards and Certification.
2.3.3.9.2.1 Eye's
2.3.3.9.2.2 Ears
2.3 .3.9.2.3 Nose

SERIAL 14073-RFP
Throat
2.3.3.9.2.5 Equilibrium
2.3.3.9.2.6 Mental
2.3.3.9.2.7 Neurologic
2.3 .3.9.2.8 Cardiovascular.
clearance should an event occur when someone other than the pilot
needs to take control of the aircraft.
every year.
nrivo
aal---flight—e
policy, are required biennially.
A
physical limitations for pilots or other operational
employees.
2.4 ANNUAL TESTING/EXAMINATIONS:
2.4.1 General Requirements:
2.4.1.1 The contractor shall provide physical examinations, exposure evaluations and
preventive measures according to OSHA and other regulatory requirement for
referred employees to worker's ability to perform the essential job functions.
2.4.1.1.1 The results of the examination shall be provided to the designated
department's contact immediately. Verbal results will be provided
within one (1) working day or twenty-four (24) hours and written
results will be provided within three (3) working days or seventy-two
(72) hours of the completion of the examination.
2.4.1.1.1.1 The written results shall include a narrative
describing the physician's findings and
recommendations, and aligning item responses to the
essential functions of the County's job classification
specifications, and to related items in the required
knowledge, skills, and abilities section. The physician
will also complete a physical limitation form for
employees not returning to regular work.
2.4.2 Service Requirements:
2.4.2.1 Respiratory Fit Test:
2.4.2.1.1 Completed on an annual basis.
2.4.2.1.2 Completion and review of OSHA Medical Evaluation Questionnaire
2.4.2.1.3 Pulmonary Function Testing (if required based on Questionnaire)
2.4.2.2 TB Skin Testing:
2.4.2.2.1 Testing on an annual basis.
2.4.2.2.2 TB Skin Test on-site administration and evaluation
2.4.2.2.2.1 Chest x-ray if indicated.

SERIAL 14073-RFP
2.4.2.3 Routine Physicals
2.4.2.4 Department of Transportation Federal Motor Carrier Safety Administration
(FMCSA) Physical Examination:
2.4.2.4.1 Pursuant to 49 CFR 391 Subpart B and E, the contractor will provide
physical examinations per year for Maricopa County. The following
will be agreed to for these examinations:
2.4.2.4.1.1 The examination will include an examination by a
licensed physician and such tests and evaluations as
necessary to evaluate the FMCSA requirements.
2.4.2.4.1.2 The Contractor will use the DOT Federal Motor Carrier
Safety Administration Physical Examination form or
forms that meet Department of Transportation
requirements to record and preserve the results of the
medical examination. If the Department of
Transportation requirements are met, the contractor will
provide the employee with a standard Department of
Transportation (DOT) Medical Card.
2.4.2.4.1.3 The Contractor will furnish commercial driver's license
(CDL) Department of Transportation (DOT) Physicals
for County Departments.
2.4.2.5 Asbestos Surveillance:
2.4.2.5.1 Title 29 Code for Federal Regulations Part 1910.1001(1) and,
Appendix D to Title 29 Code for Federal Regulations Part
1910.1001. and, Appendix E Title 29 Code for Federal Regulations
Part 1910.1001
2.4.2.5.1.1 The contractor shall ensure that all procedures are
performed by or under the direct supervision of a
licensed physician.
2.4.2.5.1.2 The contractor shall provide a medical surveillance
program for all employees who are or will be exposed
to airborne concentrations of asbestos fibers.
2.4.2.5.1.3 The contractor shall provide pre-placement
examinations. Such examinations shall include, as a
minimum, a medical and work history; a complete
physical examination of all systems with emphasis on
the respiratory system, the cardiovascular system and
digestive tract; and completion of the respiratory
disease standardized questionnaire.
2.4.2.5.1.3.1 Additional tests may include but not
limited to:
2.4.2.5.1.3.1.1 chest roentgenogram
2.4.2.5.1.3.1.2 pulmonary function
tests
2.4.2.5.1.3.1.3 any further testing
deemed appropriate by
the examining
physician.

SERIAL 14073-RFP
2.4.2.5.1.3.2 The contractor shall provide and
coordinate annual periodic
examinations.
2.4.2.5.1.3.3 The contractor shall provide any
employment termination exams.
2.4.2.5.1.3.4 The contractor shall provide the referred
employee's authorized department
contact with all physicians' written
opinion and recommended limitations.
2.4.2.5.1.3.5 The contractor shall provide physician
consultation with employees, including
explanations and understanding of all
possible associated health risks.
2.4.2.5.1.3.6 The contractor shall provide follow-up
and means of notification to the
employee and the authorized
department contact if or when an
employee requires reevaluation or
further medical testing.
2.4.2.5.1.3.7 The contractor shall maintain all
employee medical records and exposure
reports as required by this standard.
2.4.2.5.2 NESHAP Baseline/Annual:
2.4.2.5.2.1 To include but not limited to:
2.4.2.5.2.1.1 Asbestos Questionnaire
2.4.2.5.2.1.2 Audiogram
2.4.2.5.2.1.3 Blood Lead and Zinc Protoporphyrin
(ZPP)
2.4.2.5.2.1.4 Cardiac Stress Test (treadmill)
2.4.2.5.2.1.5 Chem 24, Complete Blood Count
(CBC),Uric Acid (UA)
2.4.2.5.2.1.6 Chest X-Ray (2-View)
2.4.2.5.2.1.7 Pulmonary Function (PFT)
2.4.2.5.2.1.8 Physical Exam
2.4.2.5.2.1.9 Titmus Vision
2.4.2.5.2.1.10 Respirator Questionnaire
2.4.2.5.2.1.11 Electrocardiogram (EKG), based on
exam
2.4.2.5.2.1.12 Tetanus Vaccine (optional)
2.4.2.6 Air Monitoring Baseline/Annual:
2.4.2.6.1To include but not limited to:
2.4.2.6.1.1 Audiogram
2.4.2.6.1.2 Blood Lead and Zinc Protoporphyrin (ZPP)
2.4.2.6.1.3 Chem 25, Complete Blood Count (CBC),Uric Acid
(UA)
2.4.2.6.1.4 Physical Exam
2.4.2.6.1.5 Respirator Questionnaire

SERIAL 14073-RFP
2.4.2.6.1.6 Titmus Vision
2.4.2.6.1.7 Chest X-Ray,based on MD
2.4.2.6.1.8 Pulmonary Function (PFT),based on MD
2.4.2.6.1.9 Tetanus Vaccine, optional
2.4.2.7 Lead Monitoring:
2.4.2.7.1 Title 29 Code for Federal Regulations Part 1910.1025(j) and, Appendix
C to Title 29 Code of Federal Regulations Part 1910.1025.
2.4.2.7.1.1 The contractor shall ensure that all procedures are
performed by or under the direct supervision of a
licensed physician.
2.4.2.7.1.2 The contractor shall provide pre-placement, annual
medical examinations, to all referred County employees
who are or will be exposed to lead contamination.
2.4.2.7.1.3 The contractor shall provide all biological monitoring
required under the standard. This includes but is not
limited to:
2.4.2.7.1.3.1 All blood level and zinc
protoporphyins sampling and
analysis.
2.4.2.7.1.3.2 Any further laboratory or other
testing deemed necessary by the
physician, including pregnancy
testing, and evaluation of male
fertility.
2.4.2.7.1.4 The contractor shall provide referred employees with
notification, interpretation, and consultation about
biological-monitoring results, and provide information
about the potential health effects of lead exposure.
2.4.2.7.1.5 The contractor must provide follow-up and means of
notification to the employee and the authorized
department contact if or when an employee requires
reevaluation or further medical testing.
2.4.2.7.1.6 The contractor will maintain all employee medical
records and exposure reports as required by this
standard.
2.4.2.8 Respiratory Protection:
2.4.2.8.1Title 29 Code for Federal Regulations Part 1910.134 (e)-(m) and,
Appendix A to Title 29 Code for Federal Regulations Part 1910.134,
and, Appendix B-1 to Title 29 Code for Federal Regulations Part
1910.134, and, Appendix C to Title 29 Code for Federal Regulations
Part 1910.134.
2.4.2.8.1.1 The contractor shall complete the respiratory disease
standardized questionnaire and provide any further
diagnostic procedures that the physician deems
necessary.

SERIAL 14073-RFP
2.4.2.8.1.2 The contractor shall provide any medical tests,
consultations, and completion of the respiratory disease
standardized questionnaire, including any further
diagnostic procedures that the physicians deems
necessary.
2.4.2.8.1.3 The contractor shall provide the employee with an
opportunity to discuss the questionnaire or test results.
2.4.2.8.1.4 The contractor shall provide the employee and the
authorized department contact with a written
recommendation regarding the employee's ability to use
the respirator.
2.4.2.8.1.5 The contractor shall provide follow-up and means of
notification to the employee and the employee's
authorized department contact when an employee
requires reevaluation or further medical testing.
2.4.2.8.1.6 The contractor shall provide respirator tit testing to all
referred employees. Protocols and procedures are
contained in Appendix A of the OSHA.
2.4.2.8.1.7 The contractor shall agree to retain records of all
employee medical evaluations, and fit-testing
evaluations as required by this standard.
2.4.2.9 Hearing Conservation:
2.4.2.9.1 Title 29 Code for Federal Regulation Part 1910.95 and Appendix A to
Title 29 Code for Federal Regulation Part 1910.95 and, Appendix C to
Title 29 Code for Federal Regulation Part 1910.95 and, Appendix D to
Title 29 Code for Federal Regulation Part 1910.95 and, Appendix F to
Title 29 Code for Federal Regulation Part 1910.95.
2.4.2.9.1.1 The contractor shall establish and maintain an
audiometric testing program for County employees
according to federal regulations.
2.4.2.9.1.2 Audiometric tests shall be read by a licensed or
certified audiologist, otolaryngologist or other
physician.
2.4.2.9.1.3 The contractor shall establish a baseline audiogram and
annual audiograms.
2.4.2.9.1.4 The contractor shall provide all evaluations of
audiograms, review problem audiograms, and
determine needs for further evaluation.
2.4.2.9.1.5 The contractor shall provide follow-up and notification
to the employee and the employee's authorized
department contact if or when an employee requires
reevaluation or further medical testing.
2.4.2.9.1.6 The contractor shall provide employees with any
discussion, interpretation and consultation regarding
their audiogram testing results and possible health risks.

SERIAL 14073-RFP
2.4.2.9.1.7 The contractor shall retain all employee audiometric
test records as required by this standard.
2.4.2.9.1.8 The contractor shall provide mobile unit services for
conducting large number of employees test as requested
by County to conduct annual onsite audiograms.
2.4.2.10 Drug and Alcohol Lab Testing Services:
2.4.2.10.1 Contractor Responsibilities:
2.4.2.10.1.1 Contractor shall be a licensed facility according to
FMCSA requirements to perform the testing below.
2.4.2.10.1.2 Contractor shall execute the testing protocol and
individual agency test tracking and billing invoices as
identified in this contract and with the authorized
department contact. Protocol shall fully address breath
alcohol collection, urine collection, testing for drugs (as
noted on Exhibit A), and testing for alcohol. The protocol
established shall include language/understanding to the
effect that "official (Maricopa County) testing shall not be
provide/conducted without a Maricopa County issued
form required for all Random CDL testing..
2.4.2.10.1.3 Contractor shall establish custom delivery mechanisms to
communicate testing results via a web portal to each
authorized department contact until such time as the
Contractor's electronic portal with individual department
sign on is available and functional. This may include but
not be limited to: electronic transmission via secure FTP,
e-mail United States Postal mail, fax or other form of
transmission. Upon availability of the Contractor's
electronic portal, the contractor shall provide individual
department sign on access to test results and respective
reports, to avoid any cross viewing of results by other
departments. The contractor agrees to provide one master
sign on to the Central Human Resources representative
with access to all department results related to DOT
Random Testing.
2.4.2.10.1.4 Contractor shall provide the County with a list of
appropriate biological specimen collection centers, with a
map of locations which meet or exceed the minimum
specifications, to include physical facility address, contact
name, telephone number(s) and hours of operation. The
contractor shall provide an editable version of this
document or otherwise agree to update the location list
and map as new facilities become available for use under
the contract. The contractor agrees to make contact with
each preferred, frequently used facility as defined by the
County on a monthly basis to confirm any changes in
location, hours of operation or services and notify the
County within 48 hours of any changes. Preference may
be given, in the best interests of the County, to
respondents offering multiple collection centers,
throughout the Phoenix metropolitan area.

SERIAL 14073-RFP
2.4.2.10.1.5 The contractor shall provide proof that their laboratories
are certified by the U.S. Department of Health and
Human Services and can be utilized for testing of
biological specimens and shall meet standards as outlined
in the appropriate Code of Federal Regulations.
2.4.2.10.1.6 The contractor shall demonstrate competency of their
understanding, during site visits, that breath testing for
alcohol requires Evidential Breath Testing (EBT) utilizing
devices approved by the National Highway Traffic Safety
Administration (NHTSA). A Breath Alcohol Technician
(BAT), approved/certified by the National Highway
Traffic Safety Administration (NHTSA) shall operate the
testing devices. The testing devices utilized shall have
been proven in court to be accurate, certified calibrated in
accordance with the manufacture's recommendations, and
determined to be precise and legally sufficient to measure
a person's body alcohol concentration.
2.4.2.10.1.7 The contractor shall demonstrate their understanding that,
the drugs for which tests are required under 49 CFR, Part
40 and DOT/FTA agency regulations are marijuana,
cocaine, amphetamines, phencyclidine (PCP) and opiates.
The laboratory used to test these drugs shall be certified
by the Department of Health and Human Services (HES)
and the National Laboratory Certification Program, as
meeting the minimum standards.
2.4.2.10.1.8 Contractor shall provide storage and documentation of all
positive specimens, in accordance with appropriate laws,
statutes and regulations. Reports shall be provided as
described in section 2.4.2.10.1.17 below.
2.4.2.10.1.9 Contractor understands that allowable turn-around time
for a drug test shall be not more than seventy-two (72)
hours for a positive determination and not more than
forty-eight (48) hours for a negative determination.
2.4.2.10.1.10 Contractor understands that allowable turn-around time
for a positive determination alcohol test shall be the same
day, by telephone to the authorized department's contact
which shall be identified in the protocol.
2.4.2.10.1.11 Contractor shall provide a Medical Review Officer
(IVIRO) as defined and required in accordance with 49
Code of Federal Regulations, Part 40. The MRO may be
requested to report positive drug or alcohol testing
information to authorized federal agencies in accordance
with DOT Rule 49 CFR Part 40 Sections 293, 327, 329,
and 345
2.4.2.10.1 .12 Contractor shall provide a hard copy with carbon
duplicates of all forms necessary to perform both drug
and alcohol testing of Commercial Motor Vehicle
Drivers, Supervisors and Safety Sensitive employees at no
additional cost to the County. All costs shall be included
in the price of each test. All test reports, forms, and other
related documents shall be maintained and/or distributed
in full accordance with applicable regulations.

SERIAL 14073-RFP
2.4.2.10.1.13 Contractor shall randomly select a percentage of the
eligible population each month as required by the Federal
Motor Carriers Safety Administration (FMCSA) and
report names and required test type (drug, alcohol or both)
to the authorized department or Human Resources
contact.
2.4.2.10.1.14 The contractor shall coordinate with Central Human
Resources and/or individual departments to collect names
of eligible employees/applicants and provide the random
selection service as an unbiased third party. The
contractor will be required to randomly select a minimum
of 50% of all eligible employees for drug testing and 10%
of all eligible employees for alcohol testing. This
percentage is subject to increase. The contractor further
agrees to track employees who have been selected
however not tested.
2.4.2.10.1.15 Contractor shall have the ability to monitor who they have
selected for testing and who has not tested, and
communicate this information to the Central Human
Resources contact on the contractors secure website.
2.4.2.10.1.16 The contractor shall be responsible for corrections to test
type, name of employee/applicant, department name, date
of testing or any other inaccurate representation of the test
and shall update the contractor's website/test result page
timely upon discovery or notification of error.
2.4.2.10.1.17 Contractor shall produce MIS reports November of each
year for that year and again at year end. (As mandated by
FMCSA). This report includes total of employees tested,
in which department they were tested and number of
positive results, negative results, etc. The County requires
the report in November to determine if the required
number/percentage of tests will be performed by year end.
Any errors in reports shall be corrected by the contractor
within 72 hours upon notification of error.
2.4.2.10.1.18 The contractor shall submit invoices based on the
department information listed on the drug Chain of
Custody form provided by the requesting County
department or other Federally mandated equivalent form
as required by the Federal Motor Carriers Safety
Administration (FMCSA) presented at the time of
collection (also refer to the INVOICE section of the
contract). The contractor is further responsible for
acquisition of such required Chain of Custody forms and
obtaining said form from the clinic in order to process
accurate billing and post results timely. In addition,
Alcohol forms required by FMSCA and utilized to
authorize alcohol test results are also the responsibility of
the contractor to obtain from the clinic for processing,
result posting and invoicing.
2.4.2.10.2 Types of test to administer:
2.4.2.10.2.1 Five (5) panel urine drug test (See Section 2.4.2.10.1.7)

SERIAL I4073-RFP
2.4.2.10.2.2 Ten (10) panel screening (See Section 2.3.3.7.2)
2.4.2.10.2.3 Breath alcohol test (See Section 2.4.2.10.1.6)
2.4.2.10.2.4 Saliva swab alcohol test as back up to "shy lung" in the
event that an employee cannot produce enough breath to
be measured by the Breathalyzer machine or if the
machine is inoperable or unavailable so that a sample may
still be collected for testing. In the event that the
Breathalyzer is inoperable or otherwise unavailable, the
Contractor will charge the same fee for the saliva swab as
would have been the charge for a breath alcohol test.
2.5 REASONABLE SUSPICION DRUG OR ALCOHOL TESTING:
2.5.1 General Requirements:
2.5.1.1 All reporting requirements shall be within 24 — 48 hours of initial testing.
2.5.2 Service Requirements:
2.5.2.1 Contractor will provide priority placement at the time of arrival for employee
who is thought to be under the influence of drugs or alcohol.
2.5.2.2 Contractor facilities will have the ability to screen applicants through various
collection methods; including but not limited to: urine, blood, hair, saliva swab
or breath analysis.
2.5.2.3 Contractor facilities are located within a 10 mile radius of all County facilities,
2.5.2.4 Contractor shall communicate testing results via department's method of
reporting choice — i.e. direct phone call, fax or e mail within one to two business
days once results have been reported from the lab. Invoices shall be billed and
submit to the authorized department contact.
2.5.2.5 Contractor shall report all positive test results through the medical review officer
within 48 - 72 hours of collection.
2.5.2.6 Drug/Alcohol Screening: (not limited to the following):
2.5.2.6.1 Amphetamines
2.5.2.6.2 Benzodiazepines
2.5.2.6.3 Marijuana
2.5.2.6.4 Methaqualone
2.5.2.6.5 Phencyclidine
2.5.2.6.6 Barbiturates
2.5.2.6.7 Cocaine
2.5.2.6.8 Methadone
2.5.2.6.9 Opiates
2.5.2.6.10 Propoxyphene
2.5.2.6.11 Oxycodone
2.5.2.6.12 Hydrocodone
2.5.2.6.13 Blood Alcohol Testing

SERIAL 14073-RFP
2.6 POST INCIDENT TESTING:
2.6.1 General Requirements:
2.6.2 Service Requirements:
2.6.2.1 Bloodborne Pathogens
2.6.2.1.1 Post-exposure medical evaluation.
2.6.2.1.2 Title 29 Code for Federal Regulations Part 1910.1030 (f) and Appendix
A to Title 29 Code for Federal Regulations Part 1910.1030.
2.6.2.1.2.1 The contractor shall ensure that all procedures are
performed by or under the direct supervision of a licensed
physician.
2.6.2.1.2.2 The contractor shall provide Hepatitis B Surface antibody
screening to all referred County employee's when
employee's claim immunity to Hepatitis B, and when
required according to the job's essential functions.
2.6.2.1.2.3 The contractor shall provide Hepatitis B immunizations if
the referred employee does not claim immunity or the test
comes back negative. The contractor will provide
employee and the authorized department contact
notification and appointment scheduling required for
completion of the immunization series.
2.6.2.1.2.4 The contractor shall provide post-vaccination antibody
titer testing to determine employee conversion response to
HBV.
2.6.2.1.2.5 The contractor shall provide post-exposure medical
evaluation and follow-up to referred employees according
to CDC recommendations. The medical evaluation will
consist of:
2.6.2.1.2.5.1 Blood draws to determine HIV/HBV/and
HCV status.
2.6.2.1.2.5.2 Source client blood draws to determine
HIV/HBV and HCV status.
2.6.2.1.2.5.3 Result notification of source client's lab
results to the employee.
2.6.2.1.2.6 The contractor will provide exposed employee with
counseling and medical evaluation for any resulting
HIV/HBV and HCV related illnesses.
2.6.2.1.2.7 Contractor will provide post-exposure prophylaxis when
medically indicated. This will include employee
consultation of any potential side effects or adverse
reaction caused by prophylaxis treatment in accordance
with "Public Health Service Guidelines for the
Management of Health-Care Worker Exposures to HIV
and Recommendations for Post exposure Prophylaxis".
See Appendix J.

SERIAL 14073-RFP
2.6.3 The contractor will maintain all employee medical records and exposure reports as
required and provide copies to the authorized Risk Management department contact.
2.6.3.1 Drug and Alcohol Screening:
2.6.3.1.1 The contractor shall follow the guidelines set forth under the Arizona
Record Retention Laws as outlined below, as well as the retention of
records in Section 3.7, whichever is greater:
2.6.3.1.1.1 One (1) year for cancelled or negative tests;
2.6.3.1.1.2 Five (5) years for positive tests;
2.6.3.1.1.3 Two (2) years for records related to collection; and
2.6.3.1.1.4 Three (3) years for forms from previous employers.
2.6.3.2 Return to Work Examinations/Physicals:
2.6.3.2.1 The contractor shall provide service to referred County employees who
are required to submit to an examination upon returning to work from a
non-occupational illness.
2.6.3.2.1.1 The results of the examination shall be provided to the
authorized department contact immediately according to
the delivery mechanism agreed upon by each department
until such time as the Contractor's electronic portal is
available and functional. Verbal results will be provided
via telephone within one (1) working day or twenty-four
(24) hours and written results will be provided within
three (3) working days or seventy-two (72) hours of the
completion of the examination.
2.6.3.2.1.2 The written results shall include a narrative describing the
physician's findings and recommendations, aligning item
responses to the essential functions of the County's job
classification specifications and to related items in the
required knowledge, skills, and abilities section. The
physician will also complete a physical limitation form
for employees not returning to regular work.
2.7 SERVICE LEVEL AGREEMENT:
2.7.1 Accurate and timely results of testing and immunization administration.
2.7.1.1 Results shall be within a 24 — 48 hour time frame from the test time.
2.7.2 Failure to meet wait time requirements shall result in a 10% discount on services
rendered during visit.
2.7.3 Successful performance
2.7.3.1 Determined by:
2.7.3.1.1 Treatment reports received within 24 hours of treatment.
2.7.3.1.2 B ill ing received within 30 days of treatment.
2.7.3.1.3 Accurate billing.
2.7.3.1.4 Wait times as reflected in Section 2.1 above.
2.7.3.1.5 All referrals are made within 25 business hours of initial treatment.

SERIAL 14073-RFP
2.8 REPORTING:
2.8.1 Annual respiratory fit reports received within 72 hours of submission
2.8.2 Reports of pre-employment testing and immunization administration received within 72
hours
2.8.2.1 Reports received electronically in PDF format shall be protected.
2.8.2.2 Reports easy to read and understand.
2.8.2.3 Reports include name, date of birth and date of services provided along with the
results.
2.8.3 Contractor is responsible for providing all reports to the County designated Responsible
Agent (information shall be provided to successful respondent upon award) within 72
hours of visit (unless specifically requested otherwise in writing).
2.9 SERVICE ORDERING:
2.9.1 Contractor shall provide scheduling via website, e mail or phone call based on the
delivery mechanisms established between the contractor and each individual department
and shall provide no appointment necessary 24 hour, 7 days a week and 365 days per
year availability.
2.9.1.1 Detailed service authorization form for pre-employment screenings includes:
2.9.1.1.1 Name
2.9.1.1.2 Date of Birth (identifier)
2.9.1.1.3 Last four (4) digits of Social Security number (not visible on
invoices)
2.9.1.1.4 Job Title
2.9.1.1.5 Employer name and address
2.9.1.1.6 Scheduled appointment time
2.9.1.1.7 Check box for all indicated services
2.9.1.1.8 Check box to indicate to do all services based on job title
2.9.1.1.9 Authorized by signature, printed name, printed title date, contact e
mail address and contact phone number
2.9.1.2 Contractor shall have a website that encompass the ability for requests for
service, schedule appointments, receive results, receive invoices and pay
invoices. Contractor shall provide written procedures for accessing and
manipulating the website.

SERIAL 14073-RIP
MARICOPA COUNTY STREET ADDRESS LOCATIONS BY CITY (SUBJECT TO CHANGE WITHOUT
NOTICE)
Address City Zip Code
48848 N 531 Ave Aguila 85320
50023 N 5I4th Avenue Aguila 85320
51300 W. Highway 60 Aguila 85320
NORTHWEST OF AGUILA Aguila
3701 W. Anthem Way Anthem 85086
40410 N. Gavilan Peak Pkwy Anthem 85086
NORTH OF APACHE TRAIL Apache Lake
NORTH OFF APACHE TRAIL Apache Lake
Desert Hwy and 7th Ave Athem 85086
ION. Eliseo C Felix Jr. Way Avondale 85323
103rd Ave & Van Buren Avondale 85323
38205 N Tonalutre Drive West Avondale 85323
405 E. Harrison Dr. Avondale 85323
44 South Third Avenue Avondale 85323
920 E. Van Buren Avondale 85323
Harrison Drive & Fourth Street Avondale 85323
State Rte 85 & Apache Blvd Avondale 85323
BETWEEN HORSE MESA DAM & ROOSEVELT DAM ON Bronco Butte
SALT RIVER
110 E Beloat Rd Buckeye 85326
21749 W. Yuma Rd., #101 Buckeye 85326
26449 WEST HWY 85 Buckeye 85326
26453 W MC85 Buckeye 85326
26499 W. MC 85 Buckeye 85326
26700 W Buckeye Hills Dr Buckeye 85326
26900 W Buckeye Hills Dr Buckeye 85326
331st Ave & Salome Hwy Buckeye 85326
S of I-10 Of Salome Hwy Buckeye 85326
BARTLETT LAKE Carefree
NW Bartlett Lake, Tonto Nat! Forest Carefree 85027
Schoolhouse Rd & Stagecoach Pass Carefree 85331
W of Stagecoach Pass & Restin Rd Carefree 85331
20635 N Cave Creek Cave Creek 85331
2858 East Olivine Ave. Cave Creek 85331
2907 East Olivine Ave. Cave Creek 85331
37019 N Lava Lane Cave Creek 85331
37019 W. Lava Lane Cave Creek 85331
37357 N. Jasper Way West Cave Creek 85331
37622 N. Cave Creek Rd. Cave Creek 85331
37844 N. Tonalite Dr. West Cave Creek 85331
37900 N Cave Creek Pkwy Cave Creek 85331
37904 N Cave Creek Pkwy Cave Creek 85331
38014 N. Tonalite Dr. East Cave Creek 85331
38205 N. Tonalite Dr. West Cave Creek 85331
3955 E Carefree Hwy Cave Creek 85331
3955 E. Carefree Highway Cave Creek 85331

SERIAL 14073-RFP
11320 Germann Rd. Chandler 85249
130 N. Hamilton St. Chandler 85225
201 E Chicago St. Chandler 85225
287A S Ellis Street Chandler 85526
3002 N. ARIZONA AVE-SUITES 14-16 Chandler 85225
3320 N. Carriage Lane Rm # 5 Chandler 85224
415 W. Frye Road Chandler 85225
4970 W Ray Rd Chandler 85225
660 S. Palm Lane Chandler 85224
661 E. Galveston Chandler 85283
800 W Galveston St Chandler 85225
801 E. Frye Road Chandler 85225
911 South Hamilton Chandler 85225
14010 N. El Mirage Rd. El Mirage 85335
12901 N. La Montana Dr. Fountain Hills 85268
15612 E Palisades Dr Fountain Hills 85268
16300 McDowell Mtn Park Dr Fountain Hills 85255
16426 E Palisades Fountain Hills 85255
16705 E. Ave. of Fountain Fountain Hills 85018
16833 Saguaro Blvd. Fountain Hills 85268
17591 E McDowell Mtn Rd Fountain Hills 85268
17700 McDowell Mountain Park Dr. Fountain Hills 85255
NORTHWEST OF FOUNTAIN HILLS Fountain Hills
202 N. Euclid Ave. Gila Bend 85337
209 E. Pima St. Gila Bend 85337
305 E. Pima St. Gila Bend 85337
NORTHWEST OF GILA BEND Gila Bend
NW of Gila Bend Gila County 85390
15400 S Higley Rd Gilbert 85242
1777 S. Val Vista Dr Gilbert 85242
1965 East Queen Creek Road Gilbert 85297
44 North Oak Gilbert 85234
55 E Civic Drive Gilbert 85297
735 N. Gilbert Rd Gilbert 85234
735 N. Gilbert Rd., 134 Gilbert 85242
775 N. Greenfield Rd. Gilbert 85234
23280 N 43rd Ave Glendale 85310
4801 W Maryland Ave Glendale 85301
4932 W Myrtle Ave Glendale 85301
4935 W Myrtle Ave Glendale 85307
5141 W Lamar Rd Glendale 85305
5422 W. Thunderbird Glendale 85306
5535 N. 67th Ave Glendale 85301
6001 W Olive Ave Glendale 85305
6242 N. 59th Avenue Glendale 85301
6331 W Lamar Road Glendale 85301
6600 W Missouri Ave Glendale 85301
6625 N 56th Ave Glendale 85301

SERIAL I4073-RFP
6655 W. Glendale Ave. Glendale 85301
6666W. Peoria Ave., 113 Glendale 85302
6801 N Glen Harbor Blvd Glendale 85307
6805 N 81st Ave Glendale 85301
7227 E Ocotillo Glendale 85301
7910 W. Maryland Glendale 85303
New River & 75th Ave-3.62 Acres Glendale 85345
14999 W. Casey Abbott Dr. Goodyear 85338
15099W. Casey Abbott Dr. N Goodyear 85338
17795 S. Rainbow Valley Rd. Goodyear 85087
17795 SOUTH RAINBOW VALLEY RD Goodyear 85338
250 N. Litchfield Goodyear 85338
Casey Abbott Dr Goodyear 85338
5834 E Santos Bravo Guadalupe 85283
8409 S. Avenida del Yaqui Guadalupe 85283
9206 S. Avenida del Yaqui Guadalupe 85282
9401 S. Avenida del Yaqui Guadalupe 85283
101 W. Wigwam Blvd. Litchfield Park 85340
15926 W. Camelback Rd. Maricopa County 85340
32450 W. Salome Highway Maricopa County 85269
40135 N. Highway 60 Maricopa County 85268
7519 N Usery Pass Rd Maricopa County 85269
Docks / Slip Maricopa County 85269
Helicopter Pad Maricopa County 85269
McDowell Mountain Rd Maricopa County 85255
NE of Scottsdale Maricopa County 85083
PALO VERDE POINT Maricopa County
Spur Cross Rd Maricopa County 85901
Tonto Nati Forest-Horse Mesa/Roosevel Maricopa County 85269
WEST OF LITCHFIELD PARK Maricopa County
Generator Building-NW of Fountain MC 85268
NW of Fountain Hills AZ MC 85268
1020 S. Extension Mesa 85210
10399 E Usery Park Rd Mesa 85207
106 E Baseline Rd Mesa
120 S. Jefferson St. Rm. #1 Mesa 85208
1255 W Baseline Rd,#257 & 266 Mesa 85202
1350 S. Lindsay Road Mesa 85204
1445 E Hilton Ave Mesa 85210
1455 S. Stapley Drive Mesa 85204
1455 S. Stapley St. Mesa 85204
15 E. 1st Ave. Mesa 85210
155 E. Coury Ave. Mesa 85210
1601 W Main St. Mesa 85201
161 N. Mesa Dr. Mesa 85201
161 North Mesa Dr. Rooms F&G Mesa 85201
1750 S. Mesa Dr. Mesa 85210
1810 S. Lewis St. Mesa 85210
1829 N Grand Ave, Rm 38 Mesa 85201

SERIAL 14073-RFP
1837 S. Mesa Drive, Mesa 85210
1840 S Lewis St Mesa 85210
1840 S Mesa Dr Mesa 85210
1920 S. Lewis St. Mesa 85210
202 N. Sycamore Mesa 85201
2050 W. University Dr. Mesa 85201
2150 S. Countrty Club Drive Mesa 85210
2150-1 S Country Club Dr Bldg 1 Mesa 85210
222 E. Javelina Mesa 85210
2254 W. Main Street Mesa 85201
227 E Javelina Ave Mesa 85210
245 N. Centennial Way Mesa 85201
2545 N. IV1cKeighan Dr. Mesa 85207
2555 N. Stapley Dr., Rm F4 Mesa 85203
2630 W. 8th St. Mesa 85201
2701 N. Buckhorn Camp Dr. Mesa 85207
2715 N. McGill Dr. Mesa 85207
310 S Brooks Circle Mesa 85215
345 S. Hall Mesa 85204
358 E. Javelina Mesa 85210
3807 E. Pueblo Mesa 85206
3939 N. Usery Pass Rd. #119 Mesa 85207
430 NORTH DOBSON RD STE 111-112 Mesa 85202
44 E. 5th Street Mesa 85210
4419 E. Main, # 101 & #103 Mesa 85205
4419 E. Main, Ste 107 Mesa 85204
4530 W McKellips Mesa 85215
460 S. Bellview Street Mesa 85204
463 S. Alma School Road Mesa 85210
466 S. Belview St Mesa 85204
4811 E. Julep St. Mesa 85205
5211 E. Main St. Mesa 85202
540 W. Iron Ave. #110 Mesa 85210
545 N. Horn Ave Rm5 Mesa 85203
630 N Hunt Dr. Mesa 85203
635 E Broadway Rd Mesa 85210
638 S. 96th St. Mesa 85208
6858 E Ursula Ave #1 Mesa 85201
730 N Dobson Rd, Ste 111-112 Mesa 85201
7307 N. Bush Hwy Mesa 85215
777 W. Southern Ave. Bldg. A Mesa 85210
828 S. Valencia Rm. F2 Mesa 85202
848 N. Mesa Drive, Rm B8 Mesa 85201
920 E. Broadway Road Mesa 85204
930 S. Lazona Mesa 85204
930 S. Sirrine Mesa 85210
948 S. Home Mesa 85204
9800 E. Quarterline Mesa 85207
9813 E Usery Pass Rd Mesa 85207

SERIAL 14073-RFP
Off Usery Pass rd & Ellsworth Rd. Mesa 85207
Park Headqtrs & Maintenance Mesa 85207
Top of Humboldt Mtn Mesa 85215
1430 New River Rd New River 85087
41835 N Lake Pleasant Rd New River 85087
41835 N New River Rd New River 85087
48604 N. 17th Ave. New River 85251
48606 N. 17th Ave. New River 85087
5530 West New River New River 85087
6005 W. New River Rd New River 85320
At Emery Henderson Trailhead New River 85087
Lot 25,32; Sec 27, T7n;R2E New River 85087
11708 N 80th Ave Peoria 85345
16140 N. Arrowhead Fountain Center Dr. #105 Peoria 85345
41402 N 87th Ave Peoria 85383
41835 N Castle Hot Sprigs Rd. Peoria 85383
7400 W Olive Ave Peoria 85345
8335 W Jefferson Peoria 85345
East of 10- lane Boat Ramp Peoria 85383
East side of S. Park Rd. Peoria 85383
LAKE PLEASANT Peoria
Maintenance Compound-Hwy 74 Peoria 85383
Off North Park Rd. Near Pennsula Blvd. Peoria 85383
Off west side of S. Park Rd. Peoria 85383
Office Castle Hot Springs Rd. Peoria 85383
Overlook off Hwy # 74 Peoria 85383
1 W. Madison Ave. St. Phoenix 85003
1 WEST MADISON Phoenix 85003
100 West Washington St. Phoenix 85003
1001 N. Central Ave., 4th Fl Phoenix 85004
101 W Jackson St Phoenix 85004
101 W. Jefferson St. Phoenix 85003
102 S 9th Ave. Phoenix 85007
1022 EAST GARFIELD STREET Phoenix 85006
1029 E. Garfield Phoenix 85006
1030 W Deer Valley Rd Phoenix 85027
1075 West Jackson Street Phoenix 85007
11 West Jefferson Street Phoenix 85003
110 S 8th Ave. Phoenix 85007
111 S. Third Ave. Phoenix 85003
1125 W Jackson Phoenix 85007
1128 N 27th Ave Phoenix 85027
116 S 9th Ave. Phoenix 85007
11601 N 19th Ave Phoenix 85023
119S 9th Ave. Phoenix 85007
120 S.1st Ave/102 W. Madison Ave. Phoenix 85003
120 SOUTH FIRST AVENUE Phoenix 85003
1201 W Madison Ave. St. Phoenix 85007
1202 W. Madison Ave. St. Phoenix 85007
1214 W. Madison Ave. Phoenix 85007
1224 E. Virginia Ave. Phoenix 85006
125 South 1st Avenue Phoenix 85003

SERIAL 14073-RFP
125 W. Washington Phoenix 85003
1260 S. 7th Ave. Phoenix 85007
1512 W Bell Rd #10 Phoenix 85023
1645 E. Roosevelt St Phoenix 85006
175 W. Madison Phoenix 85003
1825 E Roosevelt Street Phoenix 85008
18380 North 40th St. Phoenix 85032
1840 N 95th Ave, Ste 160 Phoenix 85004
1840 N. 95th Ave Phoenix 85037
1845 E Roosevelt ST Phoenix 85008
19401 N. Cave Creek Rd. #8 & 9 Phoenix 85024
195 S. First Avenue Phoenix 85003
201 S. 4th Ave. Phoenix 85003
201 W. Jefferson St. Phoenix 85003
2024 N. 7th St. Bldg. A & B Phoenix 85006
205 W. Jefferson St. Phoenix 85003
210 South 12th Ave Phoenix 85007
2145 S 11th Ave., Suite 170 Phoenix 85007
21801 N. 43rd Ave. Phoenix 85050
21802 N 43rd Ave Phoenix 85050
220 S. 12 Ave. Phoenix 85003
222 NORTH CENTRAL AVENUE Phoenix 85004
2222 S. 27th Ave. Phoenix 85009
22401 N. 43rd Ave. Phoenix 85050
225 W. Madison Ave. Phoenix 85003
22602 N. 43rd Ave. Phoenix 85050
22603 N 43rd Ave Phoenix 85050
230 S. 12th Avenue Phoenix 85007
2323 SOUTH 35TH AVENUE Phoenix 85009
2324 S. 35th Ave. Phoenix 85009
234 N Central Ave, Ste 6400 Phoenix 85009
234 North Central Phoenix 85004
23636 N. 7th Ave Phoenix 85024
2401 S 28th Dr. Phoenix 85009
2410 S 27th Dr. Phoenix 85009
2432 W Peoria Ave #1343 Phoenix 85029
2445 W. Indianola Ave. Phoenix 85029
24601 N. 29th Ave. Phoenix 85015
2500 S 27th Ave Phoenix 85009
2601 E Paradise Lane Phoenix 85032
2627 S 35th Ave Phoenix 85009
2656 N. 38th Ave. Phoenix 85019
2656 NORTH 37TH AVENUE Phoenix 85009
2701 Ray Tucker Dr Phoenix 85009
2702 RC Esterbrooks Blvd Phoenix 85027
2801 W. Durango Phoenix 85009
2901 W. Durango Phoenix 85009
2909 W. Durango Phoenix 85009
2919 W. Durango Phoenix 85009
2939 W. Durango St. Phoenix 85009
2951 W Watkins Way Phoenix 85009
2nd Ave. & Madison Ave. St. Phoenix 85003

SERIAL 14073-RFP
3003 W. Thomas Rd. Phoenix 85009
301 S. 4th Ave. Phoenix 85003
301 W. Jefferson St. Phoenix 85003
301 WEST JEFFERSON STREET Phoenix 85003
3101 E. Shea Blvd, Suites 200 & 220 Phoenix 85028
3125 W. Durango Phoenix 85009
3127 W. Gibson Lane Phoenix 85009
3127 WEST DURANGO STREET Phoenix 85009
3131 W. Durango Phoenix 85009
3148 E Van Buren Phoenix 85032
3150 N 33rd Ave Phoenix 85003
3150 W. Lower Buckeye Rd., Suites A - E Phoenix 85009
3160 W. Lower Buckeye Rd. Phoenix 85009
3170 W. Lower Buckeye Rd. Phoenix 85009
3180 W. Lower Buckeye Rd. Phoenix 85009
319W Buchanan St & 320 W Lincoln St Phoenix 85003
319 WEST BUCHANAN STREET - 320 WEST LINCOLN Phoenix 85003
320 W. Lincoln St. Phoenix 85003
3202 E Greenway Rd. #1297 Phoenix 85032
3220 W. Gibson Lane Phoenix 85009
3221 N. 16th St., Stes 100, 104-106 Phoenix 85016
3225 W. Gibson Lane Phoenix 85009
3250 W. Lower Buckeye Rd. Phoenix 85009
33 W Tamarisk Ave Phoenix 85010
3324 W. Gibson Lane Phoenix 85009
3325 W. Durango Phoenix 85009
333 W Indian School Rd Phoenix 85013
333 W. Hatcher Phoenix 85021
3333 E. Van Buren St Phoenix 85040
3335 W. Durango Phoenix 85009
3340 W Durango Phoenix 85009
3341 W. Durango Phoenix 85009
3343 W. Durango Phoenix 85009
3345 W. Durango Phoenix 85009
3355 W. Durango Phoenix 85009
3375 W. Durango Phoenix 85009
3420 W. Lower Buckeye Rd. Phoenix 85009
3425 W. Durango Phoenix 85009
3435 W. Durango Phoenix 85009
3443 N Central Ave, Ste 706 Phoenix 85003
3445 W. Durango Phoenix 85009
3465 W. Durango Phoenix 85009
350 S. 9th Avenue Phoenix 85003
3505 E. Union Hills Dr. Phoenix 85050
3535 S. 7th St. Phoenix 85040
355 N. 5th Ave. Phoenix 85003
35th Ave & Gibson Ln Phoenix
3800 N Central Ave, Fls 14-16 Phoenix 85004
3825 N. 67th Avenue Phoenix 85305
3847 W Earll Dr Phoenix 85027
3940 W Broadway Rd Phoenix 85027
3949 E Union Hills Dr Phoenix 85021

SERIAL 14073-RFP
4002 N. 67th Ave. #10 Phoenix 85033
4005 N 5Ist Ave Phoenix 85033
401 E. Jefferson St. Phoenix 85004
4041 N Central Ave Phoenix 85004
405 W Jackson St Phoenix 85003
40th St. & Union Hills Dr. Phoenix 85050
4341 East BRd.way Rd. Phoenix 85040
4342 W Pinnacle Pead Phoenix 85027
438 E. Southern Ave. Phoenix 85040
4622 W. Indian School Rd, D-10 Phoenix 85031
4707 W Pinnacle Peak Phoenix 85027
4717 N. 43rd Avenue Phoenix 85009
4th St and UPRR Phoenix 85004
501 N 44th St, 1st & 2nd floors Phoenix 85018
501 W. Jackson St. Phoenix 85003
501 WEST JEFFERSON & 502 WEST MADISON Phoenix 85003
510 S. 3rd Ave. Phoenix 85337
52158 S 39th St Phoenix 85009
5363 E McDowell Phoenix 85008
550 W Jackson St Phoenix 85003
5630 EAST MCDOWELL ROAD Phoenix 85008
5636 EAST MCDOWELL ROAD Phoenix 85008
5th & 6th Ave.s & Jefferson St. Phoenix 85007
601 E Butler Drive Phoenix 85006
601 W. Jackson St. Phoenix 85003
615 North 48th Street Phoenix 85008
620 W. Jackson St. Phoenix 85003
701 W Carefree Hwy Phoenix 85331
701 W. Jefferson St. Phoenix 85007
802 W. Madison St. Phoenix 85007
805 W. Jefferson St. Phoenix 85007
806 W. Madison St. Phoenix 85007
809 W. Jefferson St. Phoenix 85007
814W. Madison St. Phoenix 85007
817 W. Jefferson St. Phoenix 85007
818 W. Madison St. Phoenix 85007
8828 N. Central Avenue Phoenix 85020
9401 S 51st Ave Phoenix 85353
9601 N. 21st Dr. Phoenix 85021
9617 North Metro Parkway West Phoenix 85051
Harrison between 9th & 1 lth Avenues Phoenix 85007
Madison St Between 1st & 3rd Ave Phoenix 85003
MADISON ST BETWEEN 1ST AND 3RD AVE Phoenix 85003
MADISON ST BETWEEN 3AVE AND 4TH AVE Phoenix 85003
Madison St Between 3rd & 4th Ave Phoenix 85003
MADISON ST BETWEEN 4AVE AND 5TH AVE Phoenix 85003
Madison St Between 4th & 5th Ave Phoenix 85003
Maintenance Office Phoenix 85255
Paradise 40th St & Union Hills Phoenix 85050
W. of Litchfield Park Phoenix 85207
WEST MADISON STREET (12TH AVE AND MADISON) Phoenix 85007
2700 N Central Ave Phoenix 85009

SERIAL 14073-RFP
11400 E Pecos Rd Queen Creek 85242
21802 S. Ellsworth Rd Queen Creek 85142
22407 S. Ellsworth Queen Creek 85142
22626 S Ellswroth Queen Creek 85142
23636 S 204th St Queen Creek 85242
26402 S. Hawes Rd. Queen Creek 85087
26533 W. Phillips Rd. Queen Creek 85142
Forest Rd & Del Ray Ave Rio Verde 85263
OFF BUSH HWY Saguaro Lake
10223 N Scottsdale Rd Scottsdale 85257
15023 N. 75th St. Scottsdale 85260
24303 N Alma School Rd Scottsdale 85257
2857 N Miller Rd Scottsdale 85257
3200 N Hayden Rd Scottsdale 85260
4389 North Miller Road Scottsdale 85251
6535 E. Osborn Rd. Scottsdale 82557
6535 E. Osborn Rd. Scottsdale 85251
7501 E. Oak Street Scottsdale 85257
8230 E. Butherus Dr. Scottsdale 85257
8521 E. Princess Dr Scottsdale 85255
NE of Fountain Hills Scottsdale 85262
NORTHEAST OF FOUNTAIN HILLS Scottsdale 85262
NORTHEAST OF SCOTTSDALE Scottsdale
Pima Rd & Del Ray Ave Scottsdale 85257
10600 W Peoria Ave Sun City 85351
10626 Thunderbird Rd Sun City 85351
10851 W Williams Rd Sun City 85351
16820 N 99th Ave Sun City 85351
9330 East Riggs Rd. Sun Lakes 85242
NORTHEAST OF SUNFLOWER Sunflower
12975 W Bell Rd Surprise 85374
13050 W. Elm St. Surprise 85374
13063 W. Bell Rd. Surprise 85374
13123 W Bell Rd Surprise 85378
14264 W Tierra Buena Surprise 85379
15637 N Hollyhock Surprise 85374
15844 N. Hollyhock St. Surprise 85374
16089 N Bullard Ave Surprise 85374
16821 N. Dysart Rd. Surprise 85374
16825 N Dysart Rd Surprise 85374
1-10 AND BROADWAY Tempe 85282
1515 S College Ave Tempe 85282
1555 N. Bridalwreath Street Tempe 85281
1891 W Fairmont Tempe 85282
2000 S. Priest Dr. Tempe 85282
2130 E. Howe Avenue Rm. 41 Tempe 85281
2130 E. Howe St. Tempe 85283
2737 W. Southern Tempe 85281

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4205 North Mill Avenue/Healthy Start Tempe 85282
500 W. Guadalupe Rd. Tempe 85283
5800 S. Forest Avenue Tempe 85283
625 W. Cornell Dr. Tempe 85283
715 West 5th Street Tempe 85281
8240 S. Kyrene Rd Tempe 85281
Broadway at 1-10 (48th St.) Tempe 85282
Broadway Rd. & Dorsey Lane Tempe 85281
I-10 and Broadway Tempe 85282
9401 W Garfield Tolleson 85383
9550 W. Van Buren Tolleson 85383
10631 N White Tank Mtn Rd Waddell 85355
13025 N White Tank Mtn Rd Waddell 85207
20304 West White Tank Mtn Rd Waddell 85390
20807 W Waterfall Canyon Rd Waddell 85355
20932 W Ramada Way Waddell 85355
9050 N White Tank Mtn Rd Waddell 85207
260 W Yavapai St Wich 85390
155 N. Tegner Wickenburg 85390
3305 Sabine Brown Rd Wickenburg 85390
Hot Springs Rd. Yavapai County 85326
NORTHWEST OF WICKENBURG Yavapai County
NW of Aguilla Yavapai County 85086
Yavapai County N of Lake Pleasant Yavapai County 86301
1ST AVE TO 5TH AVE & JEFFERSON ST TO MADISON ST

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EXHIBIT B-1
RESPONDENT NARRATIVE AND CLARIFCATION QUESTIONS AND
ANSWERS
Executive Summary
Banner Occupational Health Clinics (BOHC) is part of Banner Health, the largest healthcare provider in Arizona.
Banner Health holds its hospitals, clinics, medical staff and employees to the highest standards in the medical
industry. BOHC has been providing medical services for Arizona businesses and municipalities since 1996.
BOHC has the experience to meet the needs and requirements of Maricopa County. We have been providing similar
services for many years to municipalities such as City of Mesa, City of Chandler, City of Peoria, City of Tempe,
City of Avondale, City of Apache Junction, Town of Gilbert and Town of Paradise Valley, just to name a few. We
know the jobs, the demands and the requirement of such entities. In addition to managing the workplace health
needs of these cities, BOHC manages the health of Banner's 35,000+ employees.
In the current request for proposal (RFP) Maricopa County has outlined some unique requirements from other
municipalities. In order to assist Maricopa in providing a full range of occupational health services we want to be
part of a cooperative effort alongside other occupational health providers to enable the county to have the coverage
and services required. We recognize that we do not have facilities available in outlying locations, 24 hour service or
a computer portal available for departments to access information. We feel these obstacles will not prevent us from
providing the county with the best of all other services BOHC has to offer. All Banner Health facilities are available
24/7 with emergency room capabilities. All of the Banner Health Emergency Departments treat work-related
injuries. The Banner Emergency Rooms do not provide drug and alcohol testing according to Maricopa County
protocols and it is advised that they come to a Banner Occupational Health Clinic for testing. When a Maricopa
County employee presents at a Banner Occupational Health Clinic following an emergency room visit, the clinic
will have immediate access to emergency room medical records to facilitate follow up treatment.
By August 31 2015, we hope to implement iSystoc. The back-up process is current process. (We currently
communicate testing results verbally, fax, and/or e mail).
BOHC is dedicated solely to occupational medicine; we are not urgent care clinics. Our providers and staff provide
quality, professional medical services to thousands of businesses and municipalities in Arizona as well as all of our
35,000+ employees. We want to be the entity that Maricopa County chooses when they want the job done
professionally, thoroughly and correctly.
BOHC prides itself in the quality of the services we provide, as well as our highly trained staff. BOHC has more
board certified occupational health physicians than any other company in Arizona. Our physicians are POST
certified and all are Medical Review Officers (MRO). Both our medical chair and assistant medical chair are board
certified in occupational medicine. They are located here in Phoenix, are involved in the daily activities of the
clinics and are always available for you.
Every clinic is staffed with a full-time Registered Nurse and medical assistants. All clinics have staff certified in
drug and alcohol testing, audio testing (CAOHC certified) and pulmonary function (NIOSH certified).
Each clinic is staffed with a case coordinator whose job is to be the liaison between the clinic, work comp insurance
carrier and the company. Banner will assign one specific case coordinator to Maricopa County.
BOHC has five clinics in Metro Phoenix: Gilbert, Mesa, Central Phoenix, West Phoenix and Glendale. Banner does
not have a 24-hour clinic. However, all Banner Emergency rooms can be utilized after hours for any of the
contracted services. The Good Samaritan clinic located in Central Phoenix is open 6 a.m. to 10 p.m., Monday-
Friday; 8 a.m. to 4 p.m. Saturdays and Sundays. All clinics are closed on major holidays.
Another alternative for the county is our full service mobile team and licensed mobile clinic, which can bring all
proposed services, except x-ray, to you at your locations. Services such as audiometric testing, drug screening,
respirator clearance exams, mask fit testing, DOT physicals, immunizations wellness services and much more.

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Our goal at BOHC is to serve the county with the highest quality medical services with an emphasis on efficiency
and cost containment. We will work to provide you with the most current occupational health services that are
tailored to the needs of your workforce 7 days a week.
2.1 Response to Overall Requirements
Banner Occupational Health Clinics (BOHC) will comply with requirements for Workers' Compensation, Pre-
Employment Screening, DOT Random Drug and Alcohol Testing, Annual Testing/Examinations and Post Incident
Testing.
BOHC is able to provide the procedures for all services with a few exceptions which are noted and in the exceptions
section.
BOHC is dedicated to providing quality services with experienced medical personnel and staff. BOHC shall remain
current of all applicable laws, standards, procedures and practices relating to occupational medicine. BOHC has both
a chair and assistant chair of occupational medicine — both board certified physicians in occupational medicine.
There is also a full-time COHN (certified occupational health nurse) dedicated to Quality Assurance. All individuals
share the responsibility to assure BOHC is a leader in providing quality care.
Banner Occupational Health Clinics has five clinics in Maricopa County. All are located in the Phoenix Metro area;
Central Phoenix, Mesa, Gilbert, Glendale and West Phoenix. BOHC does not have a clinic that is open 24 hours a
day, 7 days a week, 365 days a year. Four of our clinics are open Monday through Friday, 7 a.m. to 6 p.m. The Good
Samaritan clinic in Central Phoenix is open Monday through Friday, 6 a.m. to 10 p.m. and Saturdays and Sundays, 8
a.m. to 4 p.m. All clinics are closed on major holidays. BOHC has locations within a 15 mile drive from all noted
cities with the exception of Gila Bend, Hassayampa, Wickenburg, Cave Creek and New River.
To assure quality care, all clinics are staffed with a physician. A second provider is a physician, a nurse practitioner
or a physician assistant. Each clinic is also staffed with a registered nurse who manages the back office staff
comprised of medical assistants. Each clinic has a case coordinator who is responsible for all referrals and serves as
the client contact regarding services performed at the clinic. Maricopa County would be assigned a Practice
Administrator as the account executive as the overall contact as well as one case coordinator who will serve as
contact for clinic activity. There is a clinic manager at each site who is also available for questions and information.
All clinics have available to them our own COHN (Certified Occupational Health Nurse) to provide Q&A and
expertise training and oversight for staff and providers.
Invoicing is done on a monthly basis and meets all your stated requirements. You will initially work directly with
the billing manager to set up billing to meet the specific needs of Maricopa County. You will then meet as needed to
review invoices, reports and discuss issues that might arise.
BOHC will keep job descriptions provided by the County at all clinics to assure all providers have access to the
duties and responsibilities of the various positions and work with each department to ensure that the most current
descriptions are being utilized. These are essential to help our providers deliver the best care and recommendations.
BOHC utilizes an Electronic Medical Records and billing system, SYSTOC, which is a confidential system and
complies with HIPAA laws. All records are maintained in this system.
BOHC does not have an electronic portal at this time that is accessible to the County. However, we anticipate that
we will be able to offer that through our iSYSTOC system by August 31, 2015 but at this time it is not yet available.
When a Maricopa County employee comes to a BOHC clinic for a work-related injury, the treatment and status
report will be either emailed or faxed (based on your request) when the employee leaves the clinic. The employee is
also provided a copy of this report as well as the workers' compensation carrier. This report can be sent to one or
multiple contacts. BOHC reports drug and alcohol testing through Escreen. Results through web reporting are
available immediately upon results being finalized by the lab for drug screens and for breath alcohol testing they are
available same day. Another option is all reports can be reported to company contact by the case coordinator. We
have not yet tested drug testing results through the same portal as iSystoc, but expect this may be another avenue for
reporting.
When a Maricopa County employee comes to BOHC for a physical exam of any kind, the following day the case
coordinator processes the exam and then sends via fax or email the required paperwork. Each clinic has a case

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coordinator whose job it is to be your contact. BOHC will assign one case coordinator to Maricopa County for all
clinics. This will facilitate the flow of information and Maricopa County will have one contact for all patient-related
issues.
Appointment Information: Initial injury care and drug screenings are done on a walk-in basis at all BOHC clinics.
Appointments are needed for physical exams. Appointments can be made by calling or emailing the centralized
scheduling desk. Appointments can be made for same day exams, if available, or future dates. Follow up
appointments are scheduled at the discharge window before the patients leaves the clinic to ensure compliance.
BOHC does have instructions available for the scheduling process; Banner will provide a customized guide to your
company.
Medical records will contain the requested information. If an employee requests a copy of their medical records,
they can complete a medical release form and will then be given the information. Employee medical records
requested by Maricopa Risk Management and/or any other department will be given with approval from the County.
BOHC is able to maintain all medical records, but is not able to manage reminders/recalls for immunization and TB
testing.
BOHC will provide a Medical Director for the on-site nursing program and will be available to provide and maintain
standing orders.
BOHC staff is among the most highly trained staff due to strict Banner Health standards. All staff is certified
according to DOT standards for drug and alcohol (BAT) testing. BOHC has a certified trainer responsible for
training and maintaining high standards for testing.
Banner strives to have no patient wait any longer than necessary. Our wait times are normally under 30 minutes. Our
standard since our doors opened has been, "In and out in 1 hour or less". While we adhere to this standard, due to
the fact that we are a walk-in clinic, there may be times when the wait time will be longer. It is impossible to
anticipate what is coming in the door at any time, so a 30- minute wait time is impossible to guarantee. But we will
come close to that standard.
BOHC forms are all electronic and paper forms are discouraged. BOHC will automate, at no charge, any Maricopa
County standard forms. If additional forms need to be completed, BOHC will complete those forms as well.
BOHC will be happy to comply with your choice of pharmacy benefits and physical therapy providers. BOHC does
not have an in-house pharmacy or in-house physical therapy. This eliminates the monetary incentive to send a
patient to physical therapy or to prescribe medications. Clients see a dramatic reduction in physical therapy
utilization when they move over to BOFIC.
2.2 Workers' Compensation
All BOHC physicians are licensed in the State of Arizona. A chart of all providers with their specialties and license
numbers has been provided and will be made available upon request. In addition to our chair and vice chair of
occupational medicine, we have three additional physicians board certified in occupational medicine.
A physician is on-site at each facility during clinic hours. Additional medical staff may be composed on a second
physician, nurse practitioner or physician assistant.
The complete medical record of all injuries and exposures are maintained indefinitely in our EMR system. Maricopa
County is able to have access to these records at any time. The iSystoc portal will allow for access to records
required. In addition, if the County requires additional information that we cannot make available through iSystoc,
those can be made available through phone, fax or email.
Upon completion of the examination, a copy of the Treatment & Status report is sent via email or fax to the
Maricopa Country representative and to the workers' compensation carrier. This form can be requested at any time.
A copy of this report is also given to the employee. This report includes: patient injury description, work or activity
restrictions, medications prescribed, diagnosis, and treatment rendered. It also has the check in and out times and
follow-up appointment dates. If a referral is indicated, our case coordinator will obtain pre-approval following
Maricopa County's requirements.

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Blood Borne Pathogens
Because BOHC is part of a large hospital organization, we are experts in blood exposures. We have the only phone-
triage blood borne pathogens program in the state. This is the phone line we refer to as the PEP Line, where the
employee may call 24/7 when a blood exposure occurs. Calling the PEP Triage Line allows the exposed employee to
remain at work which can be important if the employee is providing safety services. It also expedites the start of
medications if indicated. This service has not been requested, but is available to the County.
If the employee calls the PEP Line, they are asked a series of questions to determine if a true blood exposure has
occurred, evaluate the level of risk and determine if it requires further attention. If it does meet the criteria for a
blood exposure, then a provider determines whether prophylactic medications are indicated. If they are, the
employee goes to the closest 24-hour Walgreens and starts their medications. Standard OSHA/CDC follow up
testing protocol is then followed with the employee coming to a Banner clinic for their initial counseling and
baseline testing. Subsequent testing is then provided according to the OSHA schedule. There is a fee for the triage
services. For our PEP process there is the potential for two different triage fees. There is a fee of $75.00 or the RN
triage which is when someone calls the PEP line and speaks with the RN at Poison Control and they determine if
there was an exposure. If they determine that there was an exposure or are unsure if there was actually an exposure
they then forward the call on to a provider for the provider to call the exposed individual and give their evaluation
and recommendations then there is a provider triage fee of $175.00.
If the County prefers to have the employee come to the clinic, they will receive the same evaluation, baseline testing
and medications (if indicated). The source can be tested in our facility or we can work with the County to set up
testing procedures where source blood is drawn by the County with results coming back to Banner. Source blood
may also be brought to the clinic and will be sent out for testing.
BOHC follows and complies with all HIPAA and OSHA standards for blood borne pathogen testing.
TB Exposures can be treated at any of the BOHC clinics and protocols as stated in the scope of work will be
followed. However, Banner is not able to provide the recall system and notification system for due dates and
scheduling.
BOHC can provide the following tests/services as noted:
• Chest X-Rays (they are available in the clinic at Banner Gateway clinic, but are referred out to a location in
our building or in our hospital in the other clinics)
• Treadmill Test
• Hepatitis A Vaccines
• Hepatitis B Vaccines
• TB in the clinics
• TB On-site Testing — BOHC has an entire division dedicated to on-site services. On site services are
provided by Registered Nurses. There is a fully-licensed mobile clinic that can travel to any location in
Maricopa County. The mobile van has an audio booth, exam room, pulmonary function machine, treadmill
and restroom for drug screening. In general, the mobile van is not needed for TB testing and does not have
X-ray capabilities.
BOHC can provide all components for medical clearance for respirator use as well as mask fit testing. These records
can be maintained in a separate system. BOHC offers two (2) types of fit testing for the respirators. 1. Quantitative
(the seal is checked with a machine for leaks) and 2. Qualitative (the seal is checked under a hood with an agent
such as bitrex). The second option is more subjective but both are accepted methods by OSHA and NIOSH. BOHC
offers a complete "hard copy" form with the information the company needs for the fit test. A copy is made and left
with the company at time of testing or our data specialist mails a copy of the fit test record later. The data is kept in
the system forever. Maricopa County can either access the records from us (BOHC) since the data is scanned and
entered into Systoc or they (Maricopa County) can obtain the fit test record from the company.
OSHA standards allow an employee to be cleared for respirator use with the questionnaire alone. BOHC makes it
easy to manage this process with a designated fax, email address, or mailing address to submit the forms. The
questionnaires are reviewed by a Licensed Healthcare Provider and if no further evaluation is needed, you will
receive the clearance. Should further evaluation be required (based on the responses on the questionnaire), then the

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County will be notified that the employee must come in for follow up testing which would include a pulmonary
function test and medical exam.
The medical providers at BOHC understand the importance of getting the employee back to work — even with
restrictions. They understand what makes an injury recordable and how important it is to keep the number of
recordable down.
BOHC has a conservative approach to physical therapy and in most cases, find that physical therapy is not indicated
after the first visit. Most soft tissue injuries resolve with rest, heat, massage or any combination. If the issue does not
improve, then physical therapy may be prescribed. Of course there are injuries where physical therapy is beneficial.
Working closely with the County, having open communication, understanding the functions of the job, focusing on
returning to work and, healing the patient in the most effective, cost efficient manner is our focus.
We encourage you to talk with our providers; ask questions and have an open dialogue. We are open to having
quarterly update meetings to evaluate and discuss topics and issues that affect the care of your employees.
2.3 Pre-Employment Screening
BOHC knows the importance of working with the County to have job descriptions and physical
requirements/essential functions of the job in place. It is difficult to clear a person for a specific job unless we have
access to those requirements.
A medical provider is available to perform pre-employment physicals during clinic hours.
Pre-Employment screenings are scheduled by appointments at all Banner clinics. This helps keep wait times to a
minimum and allows adequate time for the exam. We believe that pre-employment exams should be complete and
thorough. This is essential in helping the County select the best medically-qualified employees for the job.
Appointments are often available for the same day. Employees call or email the centralized scheduling desk or they
can call the clinic of their choice directly. (See attached Clinics and Contacts lists).
All components as listed are available at all BOHC clinics. This includes:
• Snellen Vision
• Audiograms
• Strength testing up to 50 pounds
• Finger/hand strength
• Immunizations
• TB Skin Test
• DOT Physical Exams
• MMR Vaccinations and Titers
• Tetanus
• Varicella Vaccinations or Titer
• TB Questionnaire
• TB Skin Test
• TB Reading
• Chest X-Ray
• AZPOST Exams
• Detention Officer Screenings
• All drug screenings
• Respiratory Medical Clearance
• Respirator Mask Fit (qualitative and quantitative available)
Verbal or Written Results for Pre-Employment exam/tests will be sent to the authorized department contact within
24 hours (lab results may be pending). Results for exams performed on Friday, Saturday or Sunday will be
processed on Monday. Written results will be sent within 72 hours.
Note on AZ POST Exams

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AZ POST standards include recommendation of a pulmonary function test, CBC, Chem Panel, Lipid Panel and EKG
as part of the exam. These tests are not mandatory, but BOHC highly recommends this testing. The role of a Peace
Officer is stressful, strenuous, physically active and demanding. It is important that the officer receive a complete
physical exam and these additional tests are necessary to have a complete analysis of the candidate's health.
BOHC is not able to perform FAA exams but may consider providing based on need.
2.4 Annual Testing
BOHC will comply with requirements for DOT Physicals, asbestos surveillance, air monitoring, lead monitoring,
respiratory protection, hearing conservation (testing is performed by RN or medical assistant under the direction of a
physician) and drug and alcohol testing.
All BOHC providers are registered in the National Registry of Certified Medical Examiners (NRCME) and can
provide DOT physical exams at all clinics. In addition, we have several providers trained to teach and inform
companies about the DOT regulations and how they affect the workplace.
Drug and Alcohol Testing
All drug screen collectors and Breath Alcohol Technicians (BAT) are trained and certified according to federal
guidelines by our own trainer. BOHC utilizes the Escreen system where drug and alcohol testing results are reported
via the web. Various departments are able to have their own sign on and code. BOHS utilizes Clinical Reference
Laboratories (CRL) which is a Substance Abuse and Mental Health Services Administration (SA1VISHA) lab
certified to perform DOT drug screens.
Banner can provide a list of locations for drug screen collections and Breath Alcohol Testing which are our five
clinics.
Drug screens are generally reported back between 48-72 hours. Positive Breath Alcohol Tests results are reported
back before the employee leaves the clinic. Positive drug screen results could possibly be delayed if the MRO is not
able to contact the employee. Delays will be reported to the County representative.
BOHC offers the services of providing random drug pulls. Our drug screen coordinator will work directly with the
County Human Resources contact to maintain and update the database. They work together to select pull dates and
monitor the names that have been tested and to correct any errors. The drug screen coordinator shall produce reports
required by the County.
Invoices will be submitted based on the information in the Chain of Custody.
BOHC can provide 5 panel DOT testing, 5 panel non-DOT testing, 10 panel testing, 13 panel testing, breath alcohol
testing and saliva swab testing.
2.5 Reasonable Suspicion Drug or Alcohol Testing
BOHC can comply with all requirements in this section. Contractor shall report all results of drug testing within 48-
72 hours pending outside our control (BOHC cannot be responsible for errors/lost specimens by transport carrier or
laboratory).
2.6 Post Incident Testing
BOHC will comply with all blood borne pathogens testing. Costs for source testing and medications will be billed
directly to the County unless approved by insurance carrier. Please see Tab 5 for information on Banner's PEP
program.
2.7 Service Level Agreement
BOHC understands the service level measurements. Discount for wait times is agreed with investigation as to the
reason for the delay.

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2.8 Reporting
BOHC will comply with the reporting requirements. All results, reports, information that includes PHI (Protected
Health Information) will be reported in a PDF format through an encrypted email to the authorized department
contact.
2.9 Service Ordering
BOHC schedules appointments via phone or email to the centralized scheduling desk. Appointments are necessary
for physical exams. Injury care and drug and alcohol testing is done on a walk-in basis.
Invoicing, receiving results and paying invoices can be done via email.
BOHC will accept the County authorization form or will work with the County to develop a form to meet their
needs.
2.10 Invoices and Payments
BOHC will comply with the requirements in this section.
2.13 and 2.14
Banner will grant access to a members of $AVE and 1CPA's.

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BANNER OCCUPATIONAL
CLARIFICATION QUESTIONS AND ANSWERS
Will Banner hospital ER's be available for 24-7 injury treatment? Please define the parameters if needed?
A: Yes, all Banner Health facilities are available 24/7 with emergency room capabilities. All of the Banner
Health Emergency Departments treat work-related injuries. The Banner Emergency Rooms do not provide
drug and alcohol testing according to Maricopa County protocols and it is advised that they come to a
Banner Occupational Health Clinic for testing.
When a IVIaricopa County employee presents at a Banner Occupational Health Clinic following an
emergency room visit, the clinic will have immediate access to emergency room medical records to
facilitate follow up treatment.
2. Banner mentions strength testing up to 50 lbs. Are the three companies able to accommodate the strength
weights provided as stated in the response to question #15?
A: Banner has the capability to perform a physical assessment with a maximum lift of 50# and push/pull
requirement up to 100#.
3. Please provide a price for Breath Alcohol testing.
A: Non-DOT Breath Alcohol Test $25
4. What type of reporting will be available? When will Banner compile the annual MIS report? Will Banner
be able to track who has tested and who has not for a given month? Please explain.
A: Banner Occupational Health has the ability to compile and report out information that will update
Maricopa County on the compliancy numbers. MIS reports will compile the MIS report according to
Maricopa County's requirements. Some examples of compliancy reports that Banner Occupational health
can run are: Compliancy rates around specific testing programs that are in place, wait times, visit times,
and number of visits.
Clarification questions, round #2
1. Will Banner Health set up separate accounts for each department so that each department has its own
Federal and non-federal Chain of Custody (Section 2.4.2.10) form linked to its own associated Purchase
Order number for billing? (Answer) Yes If yes, is this separation of accounts available to the entire County
or limited to those departments required to perform CDL drug/alcohol and CDL and Non-CDL physical
testing?
A: Yes BOHS can separate all accounts within Maricopa County
If this is not included at no additional cost with the contract, what is the cost per form or per box (please list
quantity) for federal and non-federal chain of custody forms?
A: No additional cost for chain of custody forms.
3. Will Banner Health agree to ONLY test employees that produce a County issued form containing
instructions on what test(s) are required, verification of the employee's name who is to be tested and which
day they were sent to test?
A: Yes
4. Will Banner Health request that clinics provide every effort to fax or email copies of the County issued
form and the Chain of Custody form to Central HR (or other identified contact) the same day the employee
is tested? If yes, is this available to the entire County or limited to those departments required to perform
CDL drug/alcohol testing?

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A: Yes for entire County
5. Please confirm if employees may use all facilities under the Banner Health system at all times for work
related injuries. The response received states that employees can its confusing Banner meant only after
hours when their clinics may not be open or if it is acceptable to use Banner Hospital ER if it is closest to
where the injured employee is even during regular clinic hours. How many total facilities are available to
our employees?
A: Banner Occupational Health Services has 4 Locations that are open Monday-Friday 0700-1800, and a
5th facility that is open 7 days a week (Mon-Fri 0600-2200, and Sat-Sun 0800-1600). An additional option
is that BOHS will be opening an occupational health facility 1/1/2015 in Casa Grande.
The Maricopa County employees also have the additional option of utilizing all 11 hospital emergency
rooms outside of the advertised BOHS clinic set hours which are named as follows: Del E. Webb Hospital,
Boswell Hospital, Estrella Medical Center, Thunderbird Medical Center, Good Samaritan Hospital, Desert
Medical Center, Gateway Medical Center, Baywood Hospital, Ironwood Hospital, Goldfield Hospital, and
our newest addition Casa Grande Banner Hospital.
6. Will Banner provide us with an editable map of all of their facilities with their hours of operations and
noted limitations if some service(s) cannot be provided at that location?
A: Yes
7. Is Banner willing to work on some form of electronic reminders/ recalls for immunizations and TB testing?
A: Yes, this will be available August 31, 2015.
8. Is Banner Health a true network of facilities? If we call our central contact can they look up information
from other locations and provide service versus us calling the other locations?
A: Yes
9. Will a specific person be appointed by the Clinical Director that will be in charge of written standing orders
and/or changes?
A: Yes, the individual will be our Chief Medical Officer.
10. Verify each location will have access to all job descriptions provided by the County?
A: Yes BOHS clinics will keep all job descriptions within our secure electronic data base. These are not
accessible to the Emergency Departments at the hospitals.
11. Are all facilities linked with the same computer system (network) to enable an employee that was seen at
one location could follow-up at a different location?
A: Yes, our Occupational Health clinics share the same electronic medical record system.
12. Are all their locations versed in Industrial Injuries? If not, what is the plan to educate in Occupational Med
and who will oversee this program to insure that they are Occupational Med facilities?
A: Yes
13. Is there an Occupational Health Clinic at all hospital locations?
A: No, occupational Health locations are strategically located on the campuses of hospitals at Thunderbird,
Estrella, Good Samaritan, Desert, Gateway, and January in Casa Grande.
14. What is the procedure in identifying a workers compensation patient who was treated in the hospital setting
and needs to return to the occupational clinic for follow-up clinic?

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A: Traditionally, when an employee needs to go to one of the BH Emergency Rooms for Worker
Compensation treatment he/she will fill out the 102 form identifying that individual as a county employee
and a work related injury. After treatment we have asked the Emergency Rooms to refer the patient back to
one of our Occupational Health Clinics for any follow up treatments or referrals. Our clinics have the
ability to pull all emergency rooms records electronically giving our clinics the capability to have
immediate access to all ER treatment records.
Clarification questions, round #3
1. How long of a transition period before Banner will be able to perform the duties required on contract when
awarded?
A: Upon completion of RFP.
2. When will Banner's electronic portal be available and functioning? Does Banner have a back-up
process/method in place for this?
A: During the second half of 2015, we hope to implement iSystoc. The back-up process is current process.
See point #5.
3. What happens if an employee goes to an ER when a clinic is open? How will this be billed? Will the rates
be the same for an ER and non ER visit?
A: When injured workers present to a Banner ER they are treated by the ER. Services done by the ER are
billed by the hospitals PFS department and billed as an ER visit. (Please remember that the injured worker
needs to complete a 102 form in the ED). The prices are set by the Industrial Commission Association (ICA)
when the employee presents to the ER for a work related injury s/he will inform the registration that the visit is
a workers' compensation visit and then the individual will be given a WC102 (work comp injury form) to
complete.
4. Under the Drug and Alcohol Lab Testing Services — is the price for the saliva swab normally the same as
the breath test? If the saliva swab test is more expensive, will Banner honor the same rate in the event their
machine cannot be used for the breath test? What is the rate for the saliva swab?
A: We will honor the same rate as the breath test.
5. How does Banner plan on communicating any test results? Provide any and all methods.
A: We are able to communicate testing results verbally, fax, mail and/or email.
6. How does Banner intend to report all results of positive tests within 24 — 48 hours? (Under Section 2.5)
Provide any and all methods.
A: Banner Occupational Health Clinics standard practice is to have all results reported to our clients within
24-48 hours. We have case coordinators in all of our locations that process all paperwork and results to our
outside clients. Each company profile is set up in our electronic database with company specific instruction
on how the company would prefer to have results communicated.
7. How does Banner intend to report all drug and alcohol testing?
A: We have web reporting capability through Escreen. Results through web reporting at available
immediately upon results being finalized by the lab for drug screens and for breath alcohol testing they are
available same day. Another option is all reports can be reported to company contact by the case

SERIAL 14073-RFP
coordinator. We have not yet tested drug testing results through the same portal as #2 (iSystoc), but expect
this may be another avenue for reporting.
8. When will online/website scheduling be available?
A: This is not in our current timeline for future upgrades to our system.
9. Are there instructions available for the scheduling process? Will a guide me made available for the County?
A: We do have instructions available for the scheduling process; Banner will provide a customized guide to
your company.
10. Under 2.2 Workers' Compensation in Banner's proposal response — how will the County have access to the
injuries and exposures maintained in Banner's EMR system?
A: See #2. The iSystoc portal will allow for access to records required. In addition, if the County requires
additional information that we cannot make available through iSystoc, those can be made available through
phone, fax or email.
11. Under Blood Borne Pathogens in Banner's proposal response — What is the fee for the triage services and
exactly what is covered with the fee?
A: For our PEP process there is the potential for two different triage fees. There is a fee of $75.00or the
RN triage which is when someone calls the PEP line and speaks with the RN at Poison Control and they
determine if there was an exposure. If they determine that there was an exposure or are unsure if there was
actually an exposure they then forward the call on to a provider for the provider to call the exposed
individual and give their evaluation and recommendations then there is a provider triage fee of $175.00.
(These are the rates that we charge Banner for PEP triage.)
12. Please provide more information on the respirator and mask fit testing and the separate system that
maintains those records?
A: We offer 2 types of fit testing for the respirators. 1. Quantitative (the seal is checked with a machine for
leaks) and 2. Qualitative (the seal is checked under a hood with an agent such as bitrex. The second option
is more subjective but both are accepted methods by OSHA and N1OSH.
12a. What type of records?
A: We complete a "hard copy" form with the information the company needs for the fit test. A copy is
made and left with the company at time of testing or our data specialist mails a copy of the fit test record
later.
12b. How long is it maintained?
A: The data is kept in system forever.
12c. How will the County gain access?
A: The County can either access the records from us since the data is scanned and entered into Systoc or
they can obtain the fit test record from the company.

SERIAL 14073-RFP
13. Under Pre-Employment Screening in Banner's proposal response — Banner references calling or e mailing
the centralized scheduling desk or the clinic of their choice directly, where are these numbers/e mails? Is
this referring to the CLINICS AND CONTACTS and CASE COORDINATORS — CLINIC CONTACTS
provided in Banner's response?
A: Yes, the numbers/emails are the on the clinic and contact list. We are able to customize contact listings
to your business need.
14. Under Annual Testing in Banner's proposal response — Can you please spell out what NRCME is?
A: NRCME = National Registry of Certified Medical Examiners. This refers to the certification required to
perform DOT exams.
15. Under Drug and Alcohol Testing in Banner's proposal response — can you provide the instructions on how
departments will gain access to your system and what that system is?
A: Through the same portal that is listed in #2. Alternatively, we can use e-Screen, as well (see #7). It will
require a login and password, arranged through our clinic manager.
16. Please spell out what SAMSHA is?
A: SAMHSA = Substance Abuse and Mental Health Services Administration. It was incorrectly listed as
"SAMSHA."
17. If an individual goes to the Emergency Room, will their records be accessible? If so, please explain.
A: When they use a Banner ER we have access to the hospital EMR system and can obtain the appropriate
records immediately. In the case an employee uses any other ER we have will have them complete a
release of records and work with the facility to obtain records.

SERIAL 14073-RFP
BANNER LOCATION DESCRIPTIONS
Banner Occupational Health Clinics in Maricopa County
Banner Good Samaritan Occupational Health Clinic is located off the 1-10 at 12 th Street & McDowell in Central
Phoenix. It is located in the Edwards Medical Plaza on the fourth floor. This clinic is open seven days a week; 6 a.m.
to 10 p.m., Monday through Friday, and 8 a.m. to 4 p.m. Saturdays and Sundays.
Banner Desert Occupational Health Clinic is located off the US 60 at Southern Ave. and Dobson Road in Mesa. It
is in a free-standing building on the campus of Banner Desert Medical Center. It is open 7 a.m. to 6 p.m., Monday
through Friday.
Banner Gateway Occupational Health Clinic is located off the US 60 at Higley Road in Gilbert, just south of the
freeway. It is on the first floor of the Gateway Medical Pavilion. It is open 7 a.m. to 6 p.m., Monday through Friday.
Banner Estrella Occupational Health Clinic is located in West Phoenix near the junction of 1-10 & the Loop 101,
on Thomas Road and 93 th Ave. It is located in the Estrella Medical Plaza on the second floor. It is open 7 a.m. to 6
p.m., Monday through Friday.
Banner Thunderbird Occupational Health Clinic is located at Thunderbird Road and 55 th Ave. in Glendale in the
Paseo Medical Plaza on the second floor. This building is directly behind Banner Thunderbird Medical Center. It is
open 7 a.m. to 6 p.m., Monday through Friday.

SERIAL 14073-RFP
BANNER INDIVIDUAL LOCATION MAPS
Banner Estrella
Banner Good Samaritan Occupational Health Clinic
Occupational Health Clinic
Open 7 days a week
East McDowell Rd.
Banner Good Samaritan W. Thomas Rd.
Medical Center rn Banner Good Samaritan
' Occupational Health Clinic
Located sn Ednards Med,cat Plaza
Peaking...amp Soultme,t comor &Vat, Sr SW Otto
East WIBette Entram-a Slim Floor
Open 7 days a weak
13-F Horn -10 per
Sat - Sun 8 arn 4 pm
1300 0.12111 St Sorb o 520 * Bannor Estrella
Phoenix, AZ 65006 Occupational Health Clinic
602-630-1.155 ecennle the I..: .mM,.t.ulPitijaO SC
5305W. Thomas Rd; Ste 235 ti
Phoenix, AZ 85037
623-327-4100
Open 7are to 6pro. ME
Mop cotta sca',
14, net In
Banner Thunderbird
Occupational Health Clinic
Engle Ave.
* Banner Thunderbird
Occupational Health Clinic
Located in 1 hUndOtbrtd
Paseo Medical Plaza
Open 70111 - p.m, M-F
5601 VV. Engle Aye., Suite 213
Glennele, AZ 65384
602.865-5618
Banner Desert Superstition Freeway (U.S. 80)
Occupational Health Clinic --111111111•111111111-.
Southern Ave. Banner Gateway
Occupational
Danner Desert
Occupational Health Clinic Health Clinic Banner
222," w Su.an,/n Gateway
000,1. 01 00202 1020 NI. Higley Road
Medical
Suite 108
Gilbert, AZ 85234 Center
Inverness
Open 7 a.m. - 6 p.m.
Monday - Friday
5anner Oasert breceal 480-543-3300
Medical Center
Banner Gateway Drive
B000line Road
Superstition Freeway (1/.S. 60)
• Mao ',RIO

SERIAL 14073-RFP
BANNER OCCUPATIONAL WORKER INJURY LOCATIONS
Banner Occupational
Health Services
Worker Injury Care
111110iME
Seven days a week
Five Valley Locations
0 Banner Good Samaritan Clinic 0 Banner Estrella Clinic 0 Banner Gateway Clinic
Located in the Edwards Medical Plaza Loaned in the Estrella Medical Plan I Located in the Gateway Medical Pavilion
1300 North 12th St. Suite 520 9305W. Thomas Rd. Suite 235 1920 N. Higley Rd. Suite 108
Phoenix, AZ 85006 Phoenix, AZ 85037 Gilbert, AZ 85234
Phone: 602-839-4456 Phone: 623-327-4100 Phone: 480-543-3300
Hours: M - F - 6 a.m. - 10 p.m. Hours: Monday - Friday Hours: Monday - Friday
Sat - Sun -8 a.m. - 4 p.m. 7 a.m. - 6 p.m. 7 a.m. - 6 p.m.
o Banner Thunderbird Clinic CO Banner Desert Clinic
Located in the Paseo Medical Plaza 2225 West Southern Ave.
5601 West Eugie Ave. Suite 213 Mesa, AZ 85202
Glendale, AZ 85304 Phone: 480-412-3275
Phone: 602-865-5618 Hours: Monday - Friday
Hours: Monday - Friday 7 a.m. - 6 p.m.
7 a.m. - 6 p.m.
Worker Injury Care
Seven days a week
GLENDALE
SCOTTSDALE
MESA
TEMPE
12-1 I-• L
Banner
Occupational Health GILBERT
Services

SERIAL 14073-RFP
BANNER FACT SHEET
Ad ,
'.'Banner Occupational
Health Clinics
In today's unpredictable business environment, survival means achieving and
maintaining an edge over the competition. We believe that edge is a strong, healthy
and productive work force.
We can help your company gain that edge through a variety of programs aimed at
reducing medical costs while improving and maintaining the health and well-being
of your employees.
Our goal is to serve you with the highest quality medical services with an emphasis
on efficiency and cost containment. At Barmer Occupational Health Clinics, we are
well aware of the need for timely, accurate information on the medical status of your
employees. We will work to provide you with the most current occupational health
services that are tailored to the needs of your workforce 7 days a week.
Clinic Services The quality resource for
• Worker Injury Care
• DOT Physicals by FMCSA-Certified your workplace health
Examiners needs.
• DOT/Non-DOT Drug Testing
• Breath Alcohol Testing (BAT)
• Post Offer/Pre-Placement Testing
• Customized Physical Exams
• Respiratory Clearance Evaluation
• Respirator Fit Testing
• Executive Physicals
• Fitness for Duty Exams
• Functional Capacity Assessment
• Vaccinations/Immunizations
• International Travel Immunizations
• Bloodborne Pathogens Expo sure
Program
• Hearing Conservation Program
• On-Site Health Fairs
• On-Site Flu Shots
• CPR & First Aid Classes
• Health Risk Assessments
• Comprehensive On-site Services
602-839-4456 • Wellness Programs
• POST Physicals
• On-Site Corporate Nurses
• Fire Fighter Exams
We exist to make a difference in people's lives through excellent patient care.

SERIAL 14073-RFP
BANNER OCCUPATIONAL CLINICS AND CONTACTS
CLINICS AND CONTACTS
Appointments call Clinic and Press Option #1
All Emails are formatted firstnamelastname(Ozoannerhealth.com
Banner Desert Occupational Health Clinic Banner Thunderbird Occupational Health Clinic
2225 W. Southern Paseo Medical Plaza
Mesa, AZ 85202 5601 W. Eugie Ave., Suite 213
Phone 480-412-3275 Glendale, AZ 85304
Fax 480-412-8760 Phone 602-865-5618
Hours: Monday-Friday lam — 6pm Fax 602-865-5651
Rian Childers, Clinic Manager Hours: Monday-Friday 7am — 6pm
Phone: 480-412-3829 Jacob Coleman, Clinic Manager
Theresa Ybarra, Case Coordinator Phone: 602-865-5081
Phone: 480-412-3527 Theresa Ortiz, Case Coordinator
Fax 480-412-8701 Phone: 602-865-5720
Kim Thomas, Case Coordinator Tech Fax: 602-865-5828
Phone: 480-412-4091
Banner Good Samaritan Occupational Health Banner Gateway Occupational Health Clinic
Clinic 1920 N. Higley Road, Suite 108
Edwards Medical Building Gilbert, AZ 85234
1300 N. 12th Street, Suite 520 Phone: 480-543-3300
Phoenix, AZ 85006 Fax: 480-543-2689
Phone: 602-839-4456 Hours: Monday — Friday 7am— 6pm
Fax: 602-839-3182
Hours: Monday-Friday 6am to 10pm Amanda Carranza, Clinic Manager
Saturday & Sunday 8am to 4pm Phone: 480-543-2696
Amanda Carranza, Clinic Manager Amy Lake, Case Coordinator
Phone: 602-839-3723 Phone: 480-543-2693
Veronica Verdugo, Case Coordinator Fax 480-543-2694
Phone: 602-839-3721 Stacey Warners, Case Coordinator Tech
Rebecca Twyman, Case Coordinator Phone: 480-543-2966
Phone: 602-839-3724
Banner Estrella Occupational Health Clinic Occupational Health Sales and Customer Service:
Estrella Medical Plaza Kathryn Crippen (480)-684-7214
9305 West Thomas Road, Suite 235 Vickie Bogardus: (480)-684-7217
Phoenix, AZ 85037 Fax: (480-684-7218)
Phone: 623-327-4100
Fax: 623-327-4170 Billing:
Hours: Monday — Friday 7am — 6pm Valerie Miller or Sabrina Harbin
Jacob Coleman, Clinic Manager Phone: 480-684-7228
Phone: 623-327-7127 Billing Address: P.O. Box 29614
Rebecca Santoro, Case Coordinator Phoenix, AZ 85038
Phone: 623-327-7129 Medical Review Officer Services & Random(s)
Fax 623-327-4171 Program:
Isabel Baca On Site Screening Specialist
Mobile Services: Phone: 602-747-4890 Fax: 602-747-3458
Kirk Phillips Phone: 480-412-4022
Website www.Barmerhealth.com/oechealth

SERIAL 14073-RFP
BANNER OCCUPATIONS CASE COORDINATORS — CLINIC CONTACTS
Case Coordinators — Clinic Contacts
Banner Thunderbird Clinic
James Climer
Phone: 602-865-5616
Fax: 602-865-5828
E-mail: J arnes.0 I imera Bannerhealth.com
Case Coordinator Tech: Theresa Ortiz 602-865-5720
Email: Theresa.E.Ortiz@Bannerhealth.com
Banner Good Samaritan Clinic
Veronica Verdugo
Phone: 602-839-3721
Fax: 602-839-3182
Email: V eronica.VercluQuiMannerhealth.com
And/Or
Rebecca Twyman
Phone: 602-839-3724
Fax: 602-839-3182
Rebecca.T'wvmankt)Bannerhealth.com
Banner Desert Clinic
Theresa Ybarra
Phone: 480-412-3527
Fax: 480-412-8701
E-mail: iveresu. YbarraBannerheaIth.com
Kim Thomas, Case Coordinator Tech
480-412-4091
Email: Kimberly.Thomas@Bannerhealth.com
Banner Gateway Clinic
Amy Lake
Phone: 480-543-2693
Fax: 480-543-2694
Email: A m L ake(ii)Ban nerhealth.com
Case Coordinator Tech: Stacey Warners (480-543-2966)
Email: Stacey.Warners@Bannerhealth.com
Banner Estrella Clinic
Rebecca Santoro
Phone: 623-327-7129
Fax: 623-327-4171
Email: Rebecca.Santoro(iMannerhealth.com