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CONTRACT FOR SERVICES
THIS AGREEMENT is made on
March 9th
, 2021 , by and between the CITY
OF EL MIRAGE a municipal corporation ("City"), and 1582 LLC, a Nevada Limited Liability
Company registered in the State of Arizona, hereinafter referred to as "Contractor," who mutually
agree as follows:
1.
SCOPE OF SERVICES
Subject to the terms and conditions set forth in this agreement, Contractor shall provide to the
City the services described in the time, place and in the manner specified in the Scope of Services,
Exhibit A. Contractor shall not be compensated for services outside the scope of Exhibit A unless
prior to the commencement of the services: (a) Contractor notifies the City and the City agrees
the services are outside the scope of Exhibit A; (b) Contractor estimates the additional
compensation required for these additional services; and (c) the City after notice, approves in
writing a supplemental agreement specifying the additional services and the amount of
compensation therefore. City shall have no obligation whatsoever under this agreement or any
supplemental agreement, unless and until the agreement or supplemental agreement is approved
by the City Manager, the City Manager's authorized designee, or by the El Mirage City Council,
as required by the El Mirage Municipal Code or other local law or policy.
2.
COMPENSATION
A.
The City shall pay Contractor for the services rendered pursuant to this agreement
at the times and in the manner set forth in the Scope of Services, Exhibit A, and in accordance
with the Schedule of Fees in Exhibit B, but in no event shall the total compensation exceed the
total sum of Fifty Thousand Dollars ($50,000). The payments specified in Exhibits A and/or B
shall be the only payments to be made to Contractor for the services rendered pursuant to this
Agreement unless pursuant to Section 1, above, City approves additional compensation for
additional services.
B.
Contractor shall furnish City with monthly invoices for all expenses as well as for
all materials authorized by this agreement. Reimbursable expenses shall be limited to actual
expenditures of Contractor for expenses that are necessary for the proper completion of the
services and shall only be payable if specifically authorized in advance by City.
C.
Contractor's fees shall be as specified in the Schedule of Fees, Exhibit B. All
invoices submitted by Contractor shall contain the following information:
(1) Job/project name or description;
(2) City's current purchase order and/or work order number (if applicable);
(3) Contractor's invoice number;
(4) Date of invoice issuance;
(5) Description of services billed under invoice, including the description of tasks
performed and the corresponding rate charged for the completion of that task;
(6) Amount of invoice, itemizing all authorized reimbursable expenses; and
(7) Total billed to date under agreement.
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1582,LLC
0 .
City shall make payment to Contractor within 30 days from receipt of an acceptable
invoice. If Contractor's performance is not in conformity with the Scope of Services, Exhibit A, or
the provisions set forth above, payments may be delayed or denied, unless the Contractor's
failure to perform is a documented result of the City's failure to conform with the provisions of the
Scope of Services, Exhibit A, or if the time for performance is extended pursuant to Section 4.
City shall not be responsible for delays in payment to Contractor resulting from Contractor's failure
to comply with the invoice format described above.
E.
During performance of this agreement and for a period of three (3) years after
completing all services, Contractor shall maintain all accounting and financial records related to
this agreement, including but not limited to records of Contractor's costs for all services performed
under this agreement and records of Contractor's reimbursable expenses, in accordance with
generally accepted accounting practices, and shall keep and make the records available for
inspection and audit by representatives of the City upon reasonable written notice.
F.
Contractor shall pay when and as due, any and all taxes incurred as a result of
Contractor's compensation hereunder, including estimated taxes, and shall provide City with proof
of payment upon request. Contractor hereby agrees to indemnify City for any claims, losses,
costs, fees, liabilities, damages or injuries suffered by City arising out of Contractor's breach of
this section.
3.
FACILITIES AND EQUIPMENT
Contractor shall at its sole cost and expense, furnish all facilities and equipment that may
be required for Contractor to perform services pursuant to this agreement. City shall furnish to
Contractor, only the facilities and equipment listed in Exhibit A (if any) according to any terms and
conditions set forth in Exhibit A.
4.
TERM OF CONTRACT
A. This agreement shall become effective on the date that it is approved by both parties,
set forth on the first page of the agreement and shall continue in effect until June 30. 2024, unless
sooner terminated or extended as provided herein.
B. The services of Contractor are to commence upon execution of this agreement by the
City, and shall be undertaken and completed in accordance with the Scope of Services attached
hereto and incorporated herein by this reference as Exhibit A.
C. The City may, by written instrument signed by the Parties, extend the duration of this
agreement for a period of one year in the manner provided in Section 7.
5.
SUSPENSION/TERMINATION:
A. City shall have the right at any time to temporarily suspend Contractor's performance
hereunder, in whole or in part, by giving written notice of suspension to Contractor. If City gives
such notice, Contractor shall immediately suspend its activities under this agreement.
B. This agreement may be terminated by either party, provided that the other party is given
not less than thirty (30) calendar days' written notice (delivered by certified mail, return receipt
requested) of intent to terminate. If the agreement is terminated by the City:
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1582,LLC
i.
Contractor shall immediately cease rendering services pursuant to this agreement;
ii.
Contractor shall, not later than five days after such notice of termination, deliver to
City copies of all information prepared pursuant to this agreement;
iii.
City shall pay Contractor the reasonable value of services rendered by Contractor
prior to termination; provided however, City shall not in any manner be liable for
lost profits that might have been made by Contractor had the agreement not been
terminated or had Contractor completed the services required by this agreement.
Contractor shall furnish to City such financial information as in the judgment of the
City is necessary for City to determine the reasonable value of the services
rendered by Contractor. The foregoing is cumulative and does not affect any right
or remedy that city may have in law or equity.
C. Notwithstanding any provisions of this agreement, Contractor shall not be relieved of
liability to City for damages sustained by City by virtue of any breach of this agreement by
Contractor, and City may withhold any payments due to Contractor until such time as the exact
amount of damages, if any, due City from Contractor is determined.
6.
INDEPENDENT CONTRACTOR
Contractor enters into this agreement as an independent contractor and not as an
employee or agent of the City. Contractor shall have no power or authority by this agreement to
act on behalf of the City in any capacity whatsoever as an agent, or to bind the City in any respect
or to any obligations whatsoever. Nothing in this agreement shall be construed to be inconsistent
with this relationship or status. All employees, agents, contractors or subcontractors hired or
retained by Contractor are employees, agents, contractors or subcontractors of Contractor and
not of the City. The City shall not be obligated in any way to pay any wage claims or other claims
made against Contractor by any such employees, agents, contractors or subcontractors, or any
other person resulting from performance of this agreement.
7.
AMENDMENTS, CHANGES OR MODIFICATIONS
Amendments, changes or modifications in the terms of this agreement may be made at
any time by mutual written agreement between the parties hereto and shall be signed by the
persons authorized to bind the parties hereto.
8.
EXTENSIONS OF TIME
Contractor may, for good cause, request extensions of time to perform the services
required hereunder. Such extensions shall be authorized in advance by the City in writing and
shall be incorporated in written amendments to this agreement or the attached Work Program in
the manner provided in Section 7.
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1582,LLC
9.
COMPLIANCE WITH ALL LAWS:
A.
Contractor shall comply with all applicable laws, ordinances, and codes of federal,
State of Arizona and local governments.
10.
WARRANTIES AND RESPONSIBILITIES - CONTRACTOR
A.
Contractor agrees and represents that it is qualified to properly provide the
services set forth in Exhibit "A" in a manner which is consistent with the generally accepted
standards of Contractor's profession.
B.
Contractor is duly licensed, qualified and experienced to perform the services set
forth in the Scope of Services, Exhibit A. Contractor represents and warrants that Contractor has
all licenses, permits, qualifications and approvals of whatsoever nature that are legally required
for Contractor to practice its profession or provide any services under this agreement. Contractor
represents and warrants that Contractor shall, at its sole cost and expense, keep in effect or obtain
at all times during the term of this agreement, any licenses, permits and approvals that are legally
required for Contractor to practice its profession or provide such services. If Contractor is an out
of state corporation, Contractor further warrants and represents that it possesses a valid
certification of qualification to transact business in the State of Arizona issued by the Arizona
Secretary of State.
C.
Contractor shall devote such time and effort to the performance of services pursuant
to this agreement as is necessary for the satisfactory and timely performance of Contractor's
obligations under this agreement. Neither party shall be considered in default of this agreement
to the extent that party's performance is prevented or delayed by any cause that is beyond the
reasonable control of that party.
D.
Contractor shall assign only competent personnel to perform services pursuant to
this agreement. Contractor shall designate a project manager who at all times shall represent the
Contractor before the City on all matters relating to this agreement. The project manager shall
continue in such capacity unless and until he or she is removed at the request of the City, is no
longer employed by Contractor, or is replaced with the written approval of the City, which approval
shall not be unreasonably withheld. Contractor shall notify City in writing, of any other changes in
Contractor's staff assigned to perform the services required under this agreement, prior to any
such performance. In the event the City desires the removal of any person assigned by Contractor
to perform services pursuant to this agreement, because the City in its sole discretion, determines
that such person is not performing in accordance with the standards required herein, Contractor
shall remove such person immediately upon receiving notice from the City of the desire for the
removal of such person.
E.
Contractor agrees and represents that the work performed under this agreement
shall be in accordance with applicable federal, State and local law.
F.
Contractor shall provide corrective services without charge to the City for services
which fail to meet the above professional and legal standards and which are reported to
Contractor in writing within sixty (60) days of discovery. Should Contractor fail or refuse to perform
promptly its obligations, the City may render or undertake performance thereof and the Contractor
agrees it has satisfied itself by its own investigation and research regarding the conditions
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1582,LLC
affecting the work to be done and labor and materials needed, and that its decision to execute
this agreement is based on such independent investigation and research. Contractor shall be
liable for any expenses thereby incurred.
11.
SUBCONTRACTING
None of the services covered by this agreement, with the exception of laboratory services
to be provided by LabCorp and X-Ray overread services by SimonMed Imaging, shall be
subcontracted without the prior written consent of the City, which shall not be unreasonably
withheld. Contractor shall be as fully responsible to the City for the negligent acts and omissions
of its contractors and subcontractors, and of persons either directly or indirectly employed by
them, as it is for the negligent acts and omissions of persons directly employed by Contractor.
12.
ASSIGNABILITY
Contractor shall not assign or transfer any interest in this agreement whether by
assignment or novation, without the prior written consent of the City. The City has a strong interest
in the qualifications and capabil lty of the persons and entities that will fulfill the obligations imposed
on Contractor under this agreement. However, claims for money due or to become due to
Contractor from the City under this agreement may be assigned to a financial institution, or to a
trustee in bankruptcy, without such approval. Notice of any assignment or transfer whether
voluntary or involuntary shall be furnished promptly to the City.
13.
INTEREST IN CONTRACT
Contractor covenants that neither it, nor any of its employees, agents, contractors, or
subcontractors has any interest, nor shall they acquire any interest, direct or indirect, in the subject
of the Contract, nor any other interest which would conflict in any manner or degree with the
performance of its services hereunder. Contractor shall make all disclosures required by the City's
conflict of interest code in accordance with the category designated by the City, unless the City
Manager determines in writing that Contractor's duties are more limited in scope than is warranted
by the category designated by the City code and that a narrower disclosure category should apply.
Contractor also agrees to make disclosures in compliance with the City conHict of interest code if,
at any time after the execution of this agreement. the City determines and notifies Contractor in
writing that Contractor's duties under this agreement warrant greater disclosure by Contractor
than was originally contemplated. Contractor shall make disclosures in the time, place and
manner set forth in the conflict of interest code and as directed by the City.
14.
MATERIALS CONFIDENTIAL
The materials prepared or assembled by Contractor pursuant to performance of this
agreement are confidential and/or are protected by State of Arizona and federal medical privacy
laws. The City of El Mirage Medical Release Form Contractor completes for each El Mirage fire
suppression employee will be submitted to the City of El Mirage in a secure manner. The record
shall be maintained in a confidential manner, shall not include private medical information, and
shall not otherwise be disclosed to any person or entity, except pursuant to subpoena, court order,
or the written consent of the employee.
Contractor agrees that any materials, reports or records created pursuant to this
agreement containing medical information shall be maintained in a confidential manner, and shall
Contract for Services
1582,LLC
not be made available to any individual (other than the employee examined) or organization
without the prior written approval of the employee, or pursuant to subpoena or court order.
15.
LIABILITY OF CONTRACTOR-NEGLIGENCE
Contractor shall be responsible for performing the work under this agreement in a manner
which is consistent with the generally accepted standards of the Contractor's profession and shall
be liable for its own negligence and the negligent acts of its employees, agents, contractors and
subcontractors. The City shall have no right of control over the manner in which the work is to be
done but only as to its outcome and shall not be charged with the responsibility of preventing risk
to Contractor or its employees, agents, contractors or subcontractors.
16.
INDEMNITY AND LITIGATION COSTS
Contractor shall indemnify, defend, and hold harmless the City, its officers, officials,
agents, and employees against all claims, damages, demands, liability, costs, losses and
expenses, including without limitation court costs and reasonable attorneys' fees, arising from
Contractor's negligent acts or negligent failure to act, errors, omissions or willful misconduct
incident to the performance of this agreement except such loss or damage caused by the active
negligence, sole negligence, or willful misconduct of the City. The provisions of this paragraph
shall survive termination or suspension of this agreement.
17.
CONTRACTOR TO PROVIDE INSURANCE
Contractor shall procure and maintain for the duration of the contract insurance against
claims for injuries to persons or damages to property which may arise from or in connection with
the performance of the work hereunder by the Contractor, its agents, representatives, or
employees.
A.
MINIMUM SCOPE AND LIMIT OF INSURANCE
t.
Commercial General Liability (CGL): Insurance Services Office
Form CG 00 01 covering CGL on an "occurrence" basis, including products and
completed operations, property damage, bodily injury and personal & advertising injury
with limits no less than $2,000,000 per occurrence. If a general aggregate limit applies,
either the general aggregate limit shall apply separately to this project/location (ISO CG
25 03 or 25 04) or the general aggregate limit shall be twice the required occurrence limit.
2.
Automobile Liability: Insurance Services Office Form Number CA 0001
covering, Code 1 (any auto), or if Contractor has no owned autos, Code 8 (hired) and 9 (non-
owned), with limit no less than $1,000,000 per accident for bodily injury and property damage.
3.
Workers' Compensation insurance as required by the State of Arizona,
with Statutory Limits, and Employer's Liability Insurance with limit of no less than $1,000,000
per accident for bodily injury or disease.
4.
Contractor will maintain professional liability insurance for Errors and
Omissions coverage in the amount of not less than one million dollars ($1,000,000).
If the Contractor maintains broader coverage and/or higher limits than the minimums
shown above, the City requires and shall be entitled to the broader coverage and/or the higher
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1582,LLC
limits maintained by the contractor. Any available insurance proceeds in excess of the specified
minimum limits of insurance and coverage shall be available to the City.
B.
other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the following
provisions:
1.
Additional Insured Status. The City, its officers, officials, employees,
and volunteers are to be covered as additional insureds on the CGL policy with respect to
liability arising out of work or operations performed by or on behalf of the Contractor including
materials, parts, or equipment furnished in connection with such work or operations. General
liability coverage can be provided in the fonn of an endorsement to the Contractor's insurance
(at least as broad as ISO Fonn CG 20 1 O 11 85 or both CG 20 10, CG 20 26, CG 20 33, or CG
20 38; and CG 20 37 forms if later revisions used).
2.
Primary Coverage. For any claims related to this agreement, the
Contractor's insurance coverage shall be primary with coverage at least as broad as ISO CG 20
01 04 13 as respects the City, its officers, officials, employees, or volunteers, and shall be
excess of the Contractor's insurance and shall not contribute to it.
3.
Notice of Cancellation. Each insurance policy required above shall not
be canceled, except with notice to the City.
4.
Waiver of Subrogation. Contractor hereby grants to City a waiver of any
right to subrogation which any insurer of said Contractor may acquire against the City by virtue
of the payment of any loss under such insurance. Contractor agrees to obtain any endorsement
that may be necessary to affect this waiver of subrogation, but this provision applies regardless
of whether or not the City has received a waiver of subrogation endorsement from the insurer.
5.
Seff-lnsured Retentions. Self-insured retentions must be declared to
and approved by the City. The City may require the Contractor to provide proof of ability to pay
losses and related investigations, claim administration, and defense expenses within the
retention. The policy language shall provide, or be endorsed to provide, that the self-Insured
retention may be satisfied by either the named insured or City.
6.
Acceptability of Insurers. Insurance is to be placed with insurers
authorized to conduct business in the state with a current A.M. Best's rating of no less than
A:VII, unless otherwise acceptable to the City.
7.
Claims Made Policies. If any of the required policies provide coverage
on a claims made basis:
i. The Retroactive Date must be shown and must be before the date of
the contract or the beginning of contract work.
ii. Insurance must be maintained and evidence of insurance must be
provided for at least five (5) years after completion of the contract of
work.
iii. If coverage is canceled or non-renewed, and not replaced with
another claims-made policy form with a Retroactive Date prior to the
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contract effective date, the Contractor must purchase "extended
reporting" coverage for a minimum of five (5) years after completion of
contract work.
8.
Verification of Coverage. Contractor shall furnish the City with original
Certificate of Insurance including all required amendatory endorsements (or copies of the
applicable policy language effecting coverage required by this clause) and a copy of the
Declarations and Endorsement Page of the CGL policy listing all policy endorsements to the
City before work begins. However, failure to obtain the required documents prior to the work
beginning shall not waive the Contractor's obligation to provide them. The City reserves the right
to require complete. certified copies of all required insurance policies, including endorsements
required by these specifications, at any time.
9.
Subcontractors. Contractor shall require and verify that all
subcontractors maintain insurance meeting all the requirements stated herein, and Contractor
shall ensure that City is an additional insured on insurance required from subcontractors.
10.
Special Risks or Circumstances. City reserves the right to modify
these requirements, including limits, based on the nature of the risk, prior experience. insurer,
coverage, or other special circumstances.
18.
GENERAUMISCELLANEOUS PROVISIONS:
A.
Contract Documents. This agreement and its exhibits shall be known as the
"Contract Documents." Terms set forth In any Contract Document shall be deemed to be
incorporated in all Contract Documents as If set forth in full therein. In the event of conflict between
terms contained in these Contract Documents, the more specific term shall control. If any portion
of the Contract Documents shall be in conflict with any other portion, provisions contained in the
Contract shall govern over conflicting provisions contained in the exhibits to the Contract. In the
event of any conflict between the terms or conditions of this written agreement and any terms or
conditions of any document prepared or provided by Contractor and made a part of this
agreement, including without limitation any document relating to the scope of services or payment
therefor, the written terms of this document shall control over those tenns or conditions.
B.
Non-Discrimination in Employment and Equal Employment Opportunity.
Contractor shall not engage in unlawful employment discrimination. Such unlawful employment
discrimination includes, but is not limited to, employment discrimination based upon a person's
race, color. ancestry, national origin, religious creed, sex (including pregnancy, childbirth
breastfeeding or related medical condition). sexual orientation, gender, gender identity, gender
expression and age (over 40), disability (mental and physical), medical condition, marital status,
citizenship, and military and veteran status.
C.
Inspection of Records. Contractor shall maintain and make available for
inspection by the City and its auditors accurate records of all of its costs, disbursements and
receipts with respect to any work under this agreement. Such inspections may be made during
regular office hours at any time until six (6) months after the final payments under this agreement
are made to the Contractor.
D.
Entire Agreement. This agreement constitutes the entire agreement between the
parties relative to the services specified herein and supersedes whatever oral or written
understanding they may have had prior to the execution of this agreement. No alteration or
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modification of this agreement shall be valid or effective unless and until such modification is
evidenced by a writing signed by both parties to this agreement, by persons authorized to act on
behalf of the parties. There are no understandings, agreements, conditions, representations,
warranties or promises, with respect to this agreement, except those contained in or referred to
in the writing.
E.
Severablllty. If any portion of this agreement or the application thereof to any
person or circumstance shall be held invalid or unenforceable, the remainder of this agreement
shall not be affected thereby and shall be enforced to the greatest extent permitted by law.
F.
Waiver. Neither City's acceptance of, or payment for, any service performed by
Contractor, nor any waiver by either party of any default, breach, or condition precedent, shall
be construed as a waiver of any provision of this agreement, nor as a waiver of any other
default, breach or condition precedent or any other right hereunder.
G.
Notice. All notices that are required to be given by one party to the other under
this agreement shall be in writing and shall be deemed to have been given if delivered personally
or endosed in a property addressed envelope and deposited in a United States Post Office for
delivery by registered or certified mail addressed to the parties at the following addresses:
City:
Contractor:
Dawn Kurek - Human Resources Director
City of El Mirage
10000 N. El Mirage Road
El Mirage, AZ 85335
Paul Wesley Granstrom, President
1582, LLC
1855 N. McCarran Blvd.
Sparks, NV 89431
H.
Enforcement of Agreement. This agreement shall be interpreted, governed and
enforced in accordance with the laws of the State of Arizona. Venue of any action arising out of
this agreement shall be brought and maintained in Maricopa County Arizona, regardless of where
else venue may lie. The parties consent to jurisdiction over their persons and over the subject
matter of any such litigation in such court, and consent to service of process issued by such
courts.
I.
Attorney's Fees. In any action brought by either party to enforce the terms of this
agreement, each party shall bear responsibility for its attorney's fees and all costs regardless of
whether one party is determined to be the prevailing party.
J.
Power and Authority to Enter Into Agreement. All parties to this Agreement
warrant and represent that they have the power and authority to enter into this Agreement in the
names, titles, and capacities herein stated and on behalf of any entities, persons, or firms
represented or purported to be represented by such entity(ies), person(s), or firm(s) and that all
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formal requirements necessary or required by any state and/or federal law in order to enter into
this Agreement have been fully complied with. Furthermore, by entering into this Agreement,
Contractor hereby warrants that it shall not have breached the terms or conditions of any other
contract or Agreement to which Contractor is obligated, which breach would have a material effect
hereon.
K.
Exhibits. All exhibits referred to herein and attached hereto, are by this
reference incorporated as if set forth fully herein.
CONTRACTOR
By·
~
-~anstrom
President
1582, LLC
EXHIBIT A
Scope of Services
Contractor shall conduct NFPA 1582 Compliant Medical Examinations of City of El Mirage fire
suppression personnel. Contractor will deploy a Mobile Medical Unit to conduct all testing onsite
at the El Mirage Fire Department in two (2) visits within a twelve month period, on dates mutually
agreed upon between Contractor and the City. The City of El Mirage may also use the 1582 office
in Tempe, AZ..
The examination shall be as follows:
Part 1 Exam (Initial Testing)
Time allotment is 30 minutes
•
Review El Mirage employee's completed forms, provided by 1582, LLC
•
Lab testing (conducted by LabCorp), fasting blood work (CBC, CMP, Lipid Profile),
Hemoccult Blood (over 40 males), CA-125 (Females), microscopic urinalysis (not testing
for drugs or nicotine). Hemoglobin A 1 C, Thyroid Panel with TSH, PSA (Male Firefighters
only)
•
Biometric testing (height, weight, blood pressure, BMI or Calipers)
•
Spirometry/Pulmonary function testing
•
Audiometric hearing exam
•
Snellen Vision screening
•
Tuberculosis Screening (PPD)
•
Ultrasound Testing
Part 2 Exam (Resting EKG or Stress EKG and Physician Exam)
•
Resting EKG
•
Stress Treadmill EKG Testing (maximal stress) WFI Protocol 12.8 METs
•
Basic Ultrasound Screening (Aortic Aneurysm is for over 40 only)
•
Physician examination and review of results
Reporting of Results:
Results of the examination will be provided directly to the El Mirage Fire Suppression Employee.
In addition, Contractor will complete a City of El Mirage Medical Release Form for each El Mirage
Fire Suppression Employee examined. The Form provided to the City will not include confidential
or private medical information.
At the Part 2 examination with the physician, the physician will provide a copy of any results that
have concerns the physician recommends the employee discuss with his or her primary care
provider. Contractor will not provide any prescriptions or treatment plans for the employee to
correct any areas of concern.
In the event a return to duty examination is required, and if it requires an extensive review of
previous medical records, surgical history, or discussion with the employee's provider, Contractor,
with prior written approval from the City, may charge an additional assessment fee of $150.00 per
hour. In no event shall total compensation under this agreement exceed fifty-thousand dollars
($50,000), without the City's prior written approval.
1582 Compliant Exam - 2021 Program
This "all-inclusive·· NFPA 1582 Compliant Exam has promotional pncmg (through FY:?.021 ) for your
consideration includes the On-Site Mobile Fee or conducted at 1582 Office. Our exams are conducted onsite
on your Departmenrs various Battalion Shifts. We can provide contract pricing and timeline commitments to
fit your Department needs.
As required in NFPA 1582, we use 011lr licensed physic ians for your evaluations. Our competitor(s) use mid-
level providers, such as nurse practitioners or physician assistants to conduct your member evaluations which
does not achjeve the NFPA standard.
1582 Extended Panel
Laboratory Blood / Urine Testing:
Complete Blood Count w1 Differential
Comprehensive Metabolic Panel
Fastinf! Lioid Panel (LDL. HDL. Tri!!. Cholesterol)
Urinalysis (with Micro if indicated)
Diabetes Screening - Fasting Blood Glucose Hemoglobin A IC
Thyroid Panel with TSH
Hemoccult Test (at age 40+)
CA-125 (female fighters onlY)
Prostate Soecific Antif!en Screening (male firefighters only)
Occupational Health Testing
Audiogram (OSHA Rated Hearing Booth)
Biometric Screening (Blvll or Calipers Skinfold)
Spirometrv (Pulmonarv Function Test)
Vital Signs
Vision Screeninf!
Blood Pressure Monitoring
Resting EKG
Cardiopulmonary / Fitness Evaluation (Chapter 8)
Stress EKG, WFI Protocol
(Chapter 8.2.2. l -An evaluation of aerobic capacity shall be performed
after avvropriate medical evaluation)
Physician Exam - (NFPA 1582 Compliant)
Physical Examination (as outlined in Chapter 7.6)
Medical History Review
Skin Cancer Assessment
Health Promotion Counseling
Sleep Disturbance Apnea Questionnaire
Cardiac Risk Stratification
OSHA Resp. Questionnaire / Clearance Letter
Firefighter Medical Clearance - 1582 Tiers
Total Cost per Fire Member
1582
Extended Panel
Included
lncluded
lncluded
Included
Included
Included
Included
Included
Included
Included
Included
fncluded
Included
Included
Included
Lncluded
Included
Included
Included
lncluded
Included
Included
Included
Included
Included
$575.00 *
•cost incurred per
member <lunng 1:MFD
annual physical exams/
\.finimum of 40 ,1ppomtme11ts at this rare, volumes less than -10 requires possible 11egot1i1tion
te5img
Expanded Tests, Services and Panels are also available
*Ultrasound Screening is non-diagnostic screening test only
Optional Additional Services
Utrasound Screening Panel*
Aortic Aneurysm Ultrasound*
Pancreas. Liver, Gallbladder, Spleen and Kidney Ultrasound*
Optional: External Pelvic
ltrasound (Females)*
Optional: Prostate
ltrasound (Males)*
Optional: Testicular Ultrasound (Males)*
$
Price
•cost incurred per member
I 00.00 * dunng EMFD annual ph)sical
exams testing
*Cost mcurrcd per member
Echocardiogram Ultrasound Screening*
$
50.00 * during EMFD annual ph}s,cal
* denotes this is a non-dia1ZT1ostic screenin2 only
exams tcsung
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- - - - - -- - - - - -- - - - - - - - - - - ----~ •cost incurred per member
~_C_h_a~p_t_er_8_-_M_ u_s_cu_l_a_r_S_t_r_en~g=t_h~,_E_n_d_u_r_a_n_c_e_&_F_l_ex_. i_b_il_ity....,_ _________ --'$=---_.:..5.:..0.:...:.0:..::0'-*.....,I dunng El\.lFD annual ph) s1cal
Lab Testin11:
Hepatitis A Titer
Hepatitis B Titer
Measles. Mumps. Rubella (MMR) Titer
Meningococcal Titer
Polio Titer
Tetanus Diphtheria Titer
Varicella Titer
Testosterone Blood Test
C Reactive Protein (Cardiac)
NMR Lipoprotein
Heavy Metal (2-t Hour Urine Occupational Exposure - Hazmat Testing)
Cholinesterase (Hazmat)
Infectious Disease Screening
Hepatitis A Virus Screening Test
Hepatitis B Virus Screening Test
Hepatitis C Virus Screening Test
Hepatitis Profile Screening (Lmmunization and Infection Hep A.B.C)
HIV Screening
PPD TB Skin Test
QuantiFERON Gold TB Blood Test
Infectious Disease Management
Flu Vaccine
Hepatitis A Vaccination Shot (Series of Two)
Hepatitis B Vaccination Shot (Series of Three)
Meningococcal Vaccine
MMR
TDaP (Tetanus Diphtheria Pertussis) Vaccine
Twin Rix Vaccination Shot (Series of Three)
Varicella Vaccine
Polio Vaccine Booster
Additional Services
Two View Chest X-Ray (PA and LAT) with Overread
Quantitative Fit Test (Porta count)
CDL Paperwork (if bundled with 1582 Physical)
DOT CDL Examination and Paperwork (Standalone)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
s
$
$
$
$
$
$
$
$
$
$
30.00
30.00
80.00
30.00
50.00
45.00
45.00
35.00
45.00
75.00
125.00
76.00
35.00
35.00
35.00
80.00
40.00
20.00 *
75.0(
~5.00
75.00
60.00
150.00
80.00
80.00
105.00
120.00
125.00
65.00
35.00
30.00
80.00
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*Cost incurred per member
dunng 1:l\.U· D annual physical
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1582 P
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1582
Laboratory Blood / Urine Testing:
Extended Panel
Complete Blood Count w/ Differential
Included
Comprehensive Metabolic Panel
Included
Fasting Lipid Panel (LDL, HDL, Trig, Cholesterol)
Included
Urinalysis (with Micro if indicated)
Included
Diabetes Screening - Fasting Blood Glucose / Hemoglobin A IC
Included
Hepatitis Profile Screening (Infection to A,B,C and Immunity to A and B)
Included
Urine Drug Testing
Included
Occupational Healtb Testing
Audiogram (OSHA Rated Hearing Booth)
Included
Biometric Screening (BM! or Calipers Skinfold)
Included
Spirometry (Pulmonary Function Test)
Included
Vital Signs
Included
Vision Screening
Included
Blood Pressure Monitoring
Included
Resting EKG
Included
TB Testing (PPD)
Included
2 View Chest X-Ray (PA and LAT) with Radiologic Interpretation
Included
Cardiopulmonary / Fitness Evaluation (Chapter 8)
Stress EKG, WFI Protocol
Included
(Chapter 8.2.2. I -An evaluation of aerobic capacity shall be performed
after avvropriate medical evaluation)
Pbysician Exam - (NFPA 1582 Compliant)
Physical Examination (as outlined in Chapter 7.6)
Included
Medical History Review
Included
Skin Cancer . ..\ssessment
[ncluded
Health Promotion Counseling
Included
Sleep Disturbance Apnea Questionnaire
Included
Cardiac Risk Stratification
Included
OSHA Resp. Questionnaire / Clearance Letter
Included
Firefighter Medical Clearance - 1582 Tiers
Included
PSPRS Paperwork
Included
Total Cost per Candidate
$650.00
Testing will be conducted at 158] Office in Tempe. Tucson or any of the Nernda Locations under ARC Health
& rVellness or be conducted on-site during Annual Testing at Department.
City of
EL MIRAGE
Ariwn•
GRAND HERITAGE, BRIGHT FUTURE/
To:
Vicki Chavez, Human Resources
From:
Chris Richardson, Assistant Fire Chief "
CC:
Michael Long, Fire Chief ,, ~
RE:
Annual Medical Physical Provider
Date:
February 23, 2021
Fire Department
13601 N El Mirage Road, El Mirage 85JJ5
623-583-7968,· Fax 62.J-583-8257; TDD 62.J-933-3258
www.eityofelm1ragc.org
Please find attached the 2021 quote from 1582, LLC to perform the required annual firefighter
medical testing and physical examinations.
Our department was unable to obtain the 3 new comparable written quotes as required per City
procurement policies as there are no other vendors within the Metropolitan Phoenix area that have
the ability to provide both the required NFPA 1582 standard Stress EKGs, along with the ability to
provide mobile on site annual testing at the El Mirage Fire Department while maintaining a permanent
physical practice location for in office follow-up visits or fitness for duty examinations as needed.
Therefore, 1582 LLC is considered a sole source.