15 230025-SYRA HEALTH CONTRACT SIGNED.PDF
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CONTRACT TEMPORARY MEDICAL PERSONNEL 230025-RFP This contract is entered into this 16th day of November, 2022 by and between Maricopa County (County), a political subdivision of the State of Arizona, and Syra Health Corp., an Arizona corporation (Contractor) for the purchase of qualified temporary medical personnel (TMP) to provide professional health care services to incarcerated patients for Correctional Health Services (CHS). 1.0 CONTRACT TERM 1.1 This contract is for a term of three years, beginning on the 16th of November, 2022 and ending the 30th of November, 2025 . 2.0 OPTION TO RENEW The County may, at its option and with the concurrence of the Contractor, renew the term of this contract up to a maximum of three additional year(s), (or at the County’s sole discretion, extend the contract on a month-to-month basis for a maximum of six months after expiration). The Contractor shall be notified in writing by the Office of Procurement Services of the County’s intention to renew the contract term at least 60 calendar days prior to the expiration of the original contract term. 3.0 CONTRACT COMPLETION In preparation for contract completion, the Contractor shall make all reasonable efforts for an orderly transition of its duties and responsibilities to another provider and/or to the County. This may include, but is not limited to, preparation of a transition plan and cooperation with the County or other providers in the transition. The transition includes the transfer of all records and other data in the possession, custody, or control of the Contractor that are required to be provided to the County either by the terms of this agreement or as a matter of law. The provisions of this clause shall survive the expiration or termination of this agreement. 4.0 PRICE ADJUSTMENTS At the County’s sole discretion, rate caps may be adjusted at the contract renewal date(s) or via an amendment. 5.0 PAYMENTS 5.1 As consideration for performance of the duties described herein, County shall pay Contractor the sum(s) stated in Exhibit A – Vendor Information and Pricing. 5.2 Payment shall be made upon the County’s receipt of a properly completed invoice. SERIAL 230025-RFP 5.3 INVOICING REQUIREMENTS 5.3.1 CHS will only use electronic invoicing for efficiency of the reverse invoicing payment process. 5.3.1.1 Contractor must participate with electronic invoicing as a requirement of this contract. 5.3.2 CHS will generate an invoice for each contractor with a listing of the dates, and times/hours worked for each TMP, and distribute this invoice to the contractor on a weekly basis following the payroll period, as determined by CHS. 5.3.2.1 The payroll period refers to the seven-day period beginning on Monday at 12:00 a.m. MST and ending the following Sunday at 11:59 p.m. MST based upon the beginning of the shift. 5.3.3 Invoices are automatically adjusted to correspond with the Electronic Timekeeping System, detailed below in Section 3.7. 5.3.4 Contractor is responsible for completion of the following: 5.3.4.1 verifying the invoice for accuracy, 5.3.4.2 assigning a unique invoice number, 5.3.4.3 signing the invoice to indicate approval, and 5.3.4.4 returning the invoice to CHS Finance via email (CHSRegistry@maricopa.gov) for payment. 5.3.5 Invoices must be submitted no later than 30 days after reverse invoice date. 5.3.6 Invoices returned with a duplicate invoice number or unsigned will be returned to the contractor for correction, which delays payment processing. 5.3.7 CHS will not honor any invoice for payment that is returned later than 90 days after the date of service. 5.3.8 The CHS Finance designee may adjust the invoice for disallowed items (including time record and time invoice) in accordance with the terms of this contract and will process the revised invoice for payment at the adjusted rate. 5.3.8.1 Contractor must provide written notice to the CHS Finance designee of the protested disallowance and provide supporting documentation. 5.3.9 Fiscal year-end invoices: Invoices shall be returned within fifteen business days of the end of the fiscal year (June 30th). Invoices submitted after that date will not be paid. 5.3.10 Contract expiration invoices: All invoices must be submitted to the CHS Finance Manager, or designee, no later than 30 days after the expiration date of the current contract. 5.3.11 Contractors are responsible for their own invoice tracking. 5.3.12 Due to improved automation, record keeping, and overall process improvement, the method of recording hours worked, invoicing and payment, may change while this contract is in effect. SERIAL 230025-RFP 5.3.12.1 Contractor participation in the current and/or improved method(s) being used is a requirement of this contract. 5.3.13 CHS reserves the right to deny payment for any incomplete invoice. 5.4 PAYMENT FOR SERVICES 5.4.1 CHS will only compensate in accordance with the terms specified in this contract and at the specified contract rate. 5.4.2 Fixed pricing rates for services are pre-determined and all-inclusive (See Exhibit A: Vendor Information and Pricing). 5.4.2.1 Contractor is responsible for all costs associated with recruiting and retaining TMP, including but not limited to, insurance, re-filling vacancies, workers compensation, payroll, housing, food, benefits, travel, relocation, and other expenses associated with maintaining “hard to fill” staffing levels. 5.4.3 Payment shall only be made to the contractor (agency contractors -OR- direct contractors) by Accounts Payable through the Maricopa County Vendor Express Payment Program. 5.4.4 Maricopa County Vendor Express Payment Program preferred method is an Electronic Funds Transfer (EFT). 5.4.4.1 CHS is not responsible for compensating individual TMP under an agency contractor, rather the agency contractor is responsible for compensating their TMP. 5.4.5 Payment terms begin when a clean, ready to process, approved invoice is received for submission of payment. 5.5 APPLICABLE TAXES 5.5.1 It is the responsibility of the Contractor to determine any and all applicable taxes and include those taxes in their proposal. The legal liability to remit the tax is on the entity conducting business in Arizona. Tax is not a determining factor in contract award. 5.5.2 The County will look at the price or offer submitted and will not deduct, add, or alter pricing based on speculation or application of any taxes, nor will the County provide Contractor any advice or guidance regarding taxes. If you have questions regarding your tax liability, seek advice from a tax professional prior to submitting your bid. You may also find information at https://www.azdor.gov/Business.aspx. Once your bid is submitted, the offer is valid for the time specified in this solicitation, regardless of mistake or omission of tax liability. If the County finds overpayment of a project due to tax consideration that was not due, the Contractor will be liable to the County for that amount, and by contracting with the County agrees to remit any overpayments back to the County for miscalculations on taxes included in a bid price. 5.5.3 Tax Indemnification: Contractor and all subcontractors shall pay all Federal, State, and local taxes applicable to their operation and any persons employed by the Contractor. Contractor shall, and require all subcontractors to, hold Maricopa County harmless from any responsibility for taxes, damages, and interest, if applicable, contributions required under Federal and/or State and local laws and regulations, and any other costs including: transaction privilege taxes, unemployment compensation insurance, Social Security, and workers’ SERIAL 230025-RFP compensation. Contractor may be required to establish, to the satisfaction of County, that any and all fees and taxes due to the City or the State of Arizona for any license or transaction privilege taxes, use taxes, or similar excise taxes are currently paid (except for matters under legal protest). 6.0 AVAILABILITY OF FUNDS 6.1 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. 6.2 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 10 days in advance. 7.0 STRATEGIC ALLIANCE for VOLUME EXPENDITURES (SAVE) The County is a member of the SAVE cooperative purchasing group. SAVE 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 contractor does not want to grant such access to a member of SAVE, state so in contractor’s bid. In the absence of a statement to the contrary, the County will assume that contractor does wish to grant access to any contract that may result from this bid. The County assumes no responsibility for any purchases by using entities. 8.0 INTERGOVERNMENTAL COOPERATIVE PURCHASING AGREEMENTS (ICPAs) County currently holds ICPAs with numerous governmental entities. These agreements allow those entities, with the approval of the Contractor, to purchase their requirements under the terms and conditions of the County contract. It is the responsibility of the non-County government entity to perform its own due diligence on the acceptability of the contract under its applicable procurement rules, processes, and procedures. Certain governmental agencies may not require an ICPA and may utilize this contract if it meets their individual requirements. Other governmental agencies may enter into a separate Statement of Work with the Contractor to meet their own requirements. The County is not a party to any uses of this contract by other governmental entities. 9.0 POST AWARD MEETING The contractor may be required to attend a post-award meeting with the department to discuss the terms and conditions of this contract. This meeting will be coordinated by the procurement officer of the contract. 10.0 DUTIES 10.1 The Contractor shall perform all duties stated in Exhibit B – Scope of Work, or as otherwise directed in writing by the procurement officer. 10.2 During the contract term, County may 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. SERIAL 230025-RFP 11.0 TERMS AND CONDITIONS 11.1 INDEMNIFICATION 11.1.1 To the fullest extent permitted by law, and to the extent that claims, damages, losses, or expenses are not covered and paid by insurance purchased by the contractor, the contractor shall defend, indemnify, and hold harmless the County (as Owner), its agents, representatives, officers, directors, officials, and employees from and against all claims, damages, losses, and expenses (including, but not limited to attorneys' fees, court costs, expert witness fees, and the costs and attorneys' fees for appellate proceedings) arising out of, or alleged to have resulted from, the negligent acts, errors, omissions, or mistakes relating to the performance of this contract. 11.1.2 Contractor's duty to defend, indemnify, and hold harmless the County, its agents, representatives, officers, directors, officials, and employees shall arise in connection with any claim, damage, loss, or expense that is attributable to bodily injury, sickness, disease, death, or injury to, impairment of, or destruction of tangible property, including loss of use resulting therefrom, caused by negligent acts, errors, omissions, or mistakes in the performance of this contract, but only to the extent caused by the negligent acts or omissions of the contractor, a subcontractor, anyone directly or indirectly employed by them, or anyone for whose acts they may be liable, regardless of whether or not such claim, damage, loss, or expense is caused in part by a party indemnified hereunder. 11.1.3 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 section. 11.1.4 The scope of this indemnification does not extend to the sole negligence of County. 11.2 INSURANCE 11.2.1 Contractor, at Contractor’s own expense, shall purchase and maintain, at a minimum, the herein stipulated insurance from a company or companies duly licensed by the State of Arizona and possessing an AM Best, Inc. category 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. 11.2.2 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. 11.2.3 In the event that the insurance required is written on a claims-made basis, Contractor warrants that any retroactive date under the policy shall precede the effective date of this contract and either continuous coverage will be maintained, or an extended discovery period will be exercised for a period of two years beginning at the time work under this contract is completed. 11.2.4 Contractor’s insurance shall be primary insurance as respects County, and any insurance or self-insurance maintained by County shall not contribute to it. 11.2.5 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. SERIAL 230025-RFP 11.2.6 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. 11.2.7 The insurance policies required by this contract, except Workers’ Compensation and Professional Liability, shall name County, its agents, representatives, officers, directors, officials, and employees as additional insureds. 11.2.8 The policies required hereunder, except Workers’ Compensation and Professional Liability, 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. 11.2.9 If available, the insurance policies required by this contract may be combined with Commercial Umbrella Insurance policies to meet the minimum limit requirements. If a Commercial Umbrella insurance policy is utilized to meet insurance requirements, the Certificate of Insurance shall indicate which lines the Commercial Umbrella Insurance covers. 11.2.9.1 Commercial General Liability Commercial General Liability (CGL) insurance and, if necessary, Commercial Umbrella insurance with a limit of not less than $1,000,000 for each occurrence, and $2,000,000 General Aggregate Limit. The policy shall include coverage for premises liability, bodily injury, broad form property damage, personal injury, products and completed operations and blanket contractual coverage, and shall not contain any provisions which would serve to limit third party action over claims. There shall be no endorsement or modifications of the CGL limiting the scope of coverage for liability arising from explosion, collapse, or underground property damage. 11.2.9.2 Automobile Liability Commercial/Business Automobile Liability insurance with a combined single limit for bodily injury and property damage of not less than $1,000,000 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 or use or maintenance of the premises under this contract. Individual Contractors must carry a minimum of AZ State Statuary liability limits. 11.2.9.3 Workers’ Compensation 11.2.9.3.1 Workers’ compensation insurance to cover obligations imposed by Federal and State statutes having jurisdiction of Contractor’s employees engaged in the 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. 11.2.9.3.2 Contractor, its subcontractors, and sub-subcontractors waive all rights against this contract and its agents, officers, directors, and employees for recovery of damages to the SERIAL 230025-RFP extent these damages are covered by the workers’ compensation and Employer’s Liability or Commercial Umbrella Liability insurance obtained by Contractor, its subcontractors, and its sub-subcontractors pursuant to this contract. 11.2.9.4 Professional Liability Contractor shall maintain Professional Liability insurance which will provide coverage for any and all acts arising out of the work or services performed by the contractor under the terms of this contract, with a limit of not less than $1,000,000 for each claim, and $3,000,000 aggregate claims. 11.2.9.5 Medical Malpractice Medical Malpractice insurance, for psychiatrist issuing medication and, if necessary, Commercial Umbrella insurance, which will insure and provide coverage for Medical Malpractice of the Contractor, with limits of no less than $2,000,000 for each claim. 11.2.9.6 Sexual Molestation and Physical Abuse The policy shall be endorsed to include coverage for sexual molestation and physical abuse at limits not less than $1,000,000.00 per occurrence and $2,000,000.00 aggregate. These limits may be included within a General Liability policy, Professional Liability policy or provided by separate endorsement with its own limits as required. Contractor must provide the following statement on their Certificate(s) of Insurance: “Sexual molestation and physical abuse coverage is included.” Policies/certificates stating that “Sexual molestation and physical abuse coverage is not excluded” do not meet this requirement. 11.2.10 Certificates of Insurance 11.2.10.1 Prior to contract award, 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. 11.2.10.2 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. 11.2.10.3 If a policy does expire during the life of the Contract, a renewal certificate must be sent to County 15 calendar days prior to the expiration date. 11.2.10.4 Certificates of Insurance shall identify Maricopa County as the additional insured/certificate holder as follows: Maricopa County c/o Risk Management 301 W Jefferson St., Suite 910 Phoenix, AZ 85003 SERIAL 230025-RFP 11.2.11 Cancellation and Expiration Notice Applicable to all insurance policies required within the insurance requirements of this contract, Contractor’s insurance shall not be permitted to expire, be suspended, be canceled, or be materially changed for any reason without 30 days prior written notice to Maricopa County. Contractor must provide to Maricopa County, within two business days of receipt, if they receive notice of a policy that has been or will be suspended, canceled, materially changed for any reason, has expired, or will be expiring. Such notice shall be sent directly to Maricopa County Office of Procurement Services and shall be mailed, or hand delivered to 301 W. Jefferson St. Suite 700, Phoenix, AZ 85003, or emailed to the procurement officer noted in the solicitation. 11.3 FORCE MAJEURE 11.3.1 Neither party shall be liable for failure of performance, nor incur any liability to the other party on account of any loss or damage resulting from any delay or failure to perform all or any part of this contract, if such delay or failure is caused by events, occurrences, or causes beyond the reasonable control and without negligence of the parties. Such events, occurrences, or causes include, but are not limited to, acts of God/nature (including fire, flood, earthquake, storm, hurricane, or other natural disaster), war, invasion, act of foreign enemies, hostilities (whether war is declared or not), civil war, riots, rebellion, revolution, insurrection, military or usurped power or confiscation, terrorist activities, nationalization, government sanction, lockout, blockage, embargo, labor dispute, strike, and interruption or failure of electricity or telecommunication service, and pandemic. 11.3.2 Each party, as applicable, shall give the other party notice of its inability to perform and particulars in reasonable detail of the cause of the inability. Each party must use best efforts to remedy the situation and remove, as soon as practicable, the cause of its inability to perform or comply. 11.3.3 The party asserting Force Majeure as a cause for non-performance shall have the burden of proving that reasonable steps were taken to minimize delay or damages caused by foreseeable events, that all non-excused obligations were substantially fulfilled, and that the other party was timely notified of the likelihood or actual occurrence which would justify such an assertion, so that other prudent precautions could be contemplated. 11.4 ORDERING AUTHORITY Any request for purchase shall be accompanied by a valid purchase order issued by a County department or directed by a Certified Agency Procurement Aid (CAPA) with a purchase card for payment. 11.5 PROCUREMENT CARD ORDERING CAPABILITY County may opt to use a procurement card (Visa or Master Card) to make payment for orders under this contract. 11.6 INTERNET ORDERING CAPABILITY It is the intent of Maricopa County to use the Internet to communicate and to place orders under this contract. SERIAL 230025-RFP 11.7 NO MINIMUM OR MAXIMUM PURCHASE OBLIGATION This contract does not guarantee any minimum or maximum purchases will be made. Orders will only be placed under this contract when the County identifies a need and proper authorization and documentation have been approved. 11.8 PURCHASE ORDERS 11.8.1 County reserves the right to cancel purchase orders within a reasonable period of time after issuance. Should a purchase order be canceled, the County agrees to reimburse the Contractor for actual and documentable costs incurred by the Contractor in response to the purchase order. The County will not reimburse the Contractor for any costs incurred after receipt of County notice of cancellation, or for lost profits, or for shipment of product prior to issuance of purchase order. 11.8.2 Contractor agrees to accept verbal notification of cancellation of purchase orders from the County procurement officer with written notification to follow. Contractor specifically acknowledges to be bound by this cancellation policy. 11.9 BACKGROUND CHECK Respondents may be required to pass multiple background checks (e.g., Sheriff’s Office, County Attorney's Office, Courts, as well as Maricopa County general government) to determine if the respondent is acceptable to do business with the County. This applies to, but is not limited to, the company, subcontractors, and employees, and the failure to pass these checks shall deem the respondent non-responsible. 11.10 SUSPENSION OF WORK The procurement officer may order the Contractor, in writing, to suspend, delay, or interrupt all or any part of the work of this contract for the period of time that the procurement officer determines appropriate for the convenience of the County. No adjustment shall be made under this clause for any suspension, delay, or interruption to the extent that performance would have been so suspended, delayed, or interrupted by any other cause, including the fault or negligence of the Contractor. No request for adjustment under this clause shall be granted unless the claim, in an amount stated, is asserted in writing as soon as practicable after the termination of the suspension, delay, or interruption, but not later than the date of final payment under the contract. 11.11 STOP WORK ORDER 11.11.1 The procurement officer may, at any time, by written order to the Contractor, require the Contractor to stop all, or any part, of the work called for by this contract for a period of 90 calendar days after the order is delivered to the Contractor, and for any further period to which the parties may agree. The order shall be specifically identified as a stop work order issued under this clause. Upon receipt of the order, the Contractor shall immediately comply with its terms and take all reasonable steps to minimize the incurrence of costs allocable to the work covered by the order during the period of work stoppage. Within a period of 90 calendar days after a stop work order is delivered to the Contractor, or within any extension of that period to which the parties shall have agreed, the procurement officer shall either: 11.11.1.1 cancel the stop work order; or 11.11.1.2 terminate the work covered by the order as provided in the Termination for Default or the Termination for Convenience clause of this contract. 11.11.1.3 The procurement officer may make an equitable adjustment in the delivery schedule and/or contract price, and the contract shall be SERIAL 230025-RFP modified, in writing, accordingly, if the Contractor demonstrates that the stop work order resulted in an increase in costs to the Contractor 11.12 TERMINATION FOR CONVENIENCE Maricopa County may terminate the resultant contract for convenience by providing 60 calendar days advance notice to the Contractor. 11.13 TERMINATION FOR DEFAULT 11.13.1 The County may, by written Notice of Default to the Contractor, terminate this contract in whole or in part if the Contractor fails to: 11.13.1.1 deliver the supplies or to perform the services within the time specified in this contract or any extension; 11.13.1.2 make progress, so as to endanger performance of this contract; or 11.13.1.3 perform any of the other provisions of this contract. 11.13.2 The County’s right to terminate this contract under these subparagraphs may be exercised if the Contractor does not cure such failure within 10 business days (or more if authorized in writing by the County) after receipt of a Notice to Cure from the procurement officer specifying the failure. 11.14 PERFORMANCE It shall be the Contractor’s responsibility to meet the proposed performance requirements. Maricopa County reserves the right to obtain services on the open market in the event the Contractor fails to perform, and any price differential will be charged against the Contractor. 11.15 CONTRACTOR EMPLOYEE MANAGEMENT 11.15.1 Contractor shall endeavor to maintain the personnel proposed in their proposal throughout the performance of this contract. 11.15.2 If Contractor personnel’s employment status changes, Contractor shall provide County a list of proposed replacements with equivalent or greater experience. 11.15.3 Under no circumstances shall the implementation schedule to be impacted by a personnel change on the part of the Contractor. 11.15.4 Contractor shall not reassign any key personnel identified in their proposal without the express consent of the County. 11.15.5 County reserves the right to immediately remove from its premises any Contractor personnel it determines to be a risk to County operations. 11.15.6 County reserves the right to request the replacement of any Contractor personnel at any time, for any reason. 11.16 FACILITIES During the course of this contract, the County shall provide the contractor’s personnel with adequate workspace, or such other related facilities as may be required by contractor to carry out its obligations enumerated herein. SERIAL 230025-RFP 11.17 WARRANTY OF SERVICES 11.17.1 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. 11.17.2 In addition to its other remedies, County may, at the Contractor's expense, require prompt correction of any services failing to meet the Contractor's warranty herein. Services corrected by the Contractor shall be subject to all the provisions of this contract in the manner and to the same extent as services originally furnished hereunder. 11.18 INSPECTION OF SERVICES 11.18.1 The Contractor shall provide and maintain an inspection system acceptable to County covering the services under this contract. Complete records of all inspection work performed by the Contractor shall be maintained and made available to County during contract performance and for as long afterwards as the contract requires. 11.18.2 County has the right to inspect and test all services called for by the contract, to the extent practicable at all times and places during the term of the contract. County shall perform inspections and tests in a manner that will not unduly delay the work. 11.18.3 If any of the services do not conform to contract requirements, County may require the Contractor to perform the services again in conformity with contract requirements, at no cost to the County. When the defects in services cannot be corrected by re-performance, County may: 11.18.3.1 require the Contractor to take necessary action to ensure that future performance conforms to contract requirements; and 11.18.3.2 reduce the contract price to reflect the reduced value of the services performed. 11.18.4 If the Contractor fails to promptly perform the services again or to take the necessary action to ensure future performance in conformity with contract requirements, County may: 11.18.4.1 by contract or otherwise, perform the services and charge to the Contractor, through direct billing or through payment reduction, any cost incurred by County that is directly related to the performance of such service; or 11.18.4.2 terminate the contract for default. 11.19 USAGE REPORT The Contractor shall furnish the County a usage report, upon request, delineating the acquisition activity governed by the contract. The format of the report shall be approved by the County and shall disclose the quantity and dollar value of each contract item by individual unit of measure. SERIAL 230025-RFP 11.20 STATUTORY RIGHT OF CANCELLATION FOR CONFLICT OF INTEREST Notice is given that, pursuant to A.R.S. § 38-511, the County may cancel any 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. 11.21 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 of the contract. 11.22 SUBCONTRACTING 11.22.1 The Contractor may not assign to another Contractor or subcontract to another party for performance of the terms and conditions hereof without the written consent of the County. All correspondence authorizing subcontracting must reference the bid serial number and identify the job or project. 11.22.2 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. 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. 11.23 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. 11.24 ADDITIONS/DELETIONS OF REQUIREMENTS The County reserves the right to add and/or delete materials and services 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 or services are required from a contract, prices for such additions will be negotiated between the Contractor and the County. 11.25 RIGHTS IN DATA 11.25.1 The County shall have the use of data and reports resulting from a contract without additional cost or other restriction except as may be established by law or applicable regulation. Each party shall supply to the other party, upon request, any available information that is relevant to a contract and to the performance thereunder. 11.25.2 Data, records, reports, and all other information generated for the County by a third party as the result of a contract are the property of the County and shall be provided in a format designated by the County or shall be and remain accessible to the County into perpetuity. SERIAL 230025-RFP 11.26 ACCESS TO AND RETENTION OF RECORDS FOR THE PURPOSE OF AUDIT AND/OR OTHER REVIEW 11.26.1 In accordance with Section MC1-372 of the Maricopa County Procurement Code, the Contractor agrees to retain (physical or digital copies of) all books, records, accounts, statements, reports, files, and other records and back-up documentation relevant to this contract for six years after final payment or until after the resolution of any audit questions, which could be more than six years, whichever is longest. 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. 11.26.2 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. 11.27 AUDIT DISALLOWANCES 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 invoices, request for credit, request for a check, or a deduction from current invoices submitted by the Contractor equal to 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. 11.28 STRICT COMPLIANCE Acceptance by County of a performance that is not in strict compliance with the terms of the contract shall not be deemed to be a waiver of strict compliance with respect to all other terms of the contract. 11.29 VALIDITY 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 the contract. 11.30 SEVERABILITY The removal, 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. 11.31 RELATIONSHIPS 11.31.1 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, co- employee, partnership, principal and agent, or joint venture between the County and the Contractor. 11.31.2 The County reserves the right of final approval on proposed staff. 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. SERIAL 230025-RFP 11.32 NON-DISCRIMINATION Contractor agrees to comply with all provisions and requirements of Arizona Executive Order 2009-09, including flow down of all provisions and requirements to any subcontractors. Executive Order 2009-09 supersedes Executive Order 99-4 and amends Executive Order 75-5 and is hereby incorporated into this contract as if set forth in full herein. During the performance of this contract, Contractor shall not discriminate against any employee, client, or any other individual in any way because of that person’s age, race, creed, color, religion, sex, disability, or national origin. (Arizona Executive Order 2009-09 can be downloaded from the Arizona Memory Project at http://azmemory.azlibrary.gov/cdm/singleitem/collection/execorders/id/680/rec/1.) 11.33 WRITTEN CERTIFICATION PURSUANT to A.R.S. § 35-393.01 If vendor engages in for-profit activity and has 10 or more employees, and if this agreement has a value of $100,000 or more, vendor certifies it is not currently engaged in, and agrees for the duration of this agreement to not engage in, a boycott of goods or services from Israel. This certification does not apply to a boycott prohibited by 50 U.S.C. § 4842 or a regulation issued pursuant to 50 U.S.C. § 4842. 11.34 CERTIFICATION REGARDING DEBARMENT AND SUSPENSION 11.34.1 The undersigned (authorized official signing on behalf of the Contractor) certifies to the best of his or her knowledge and belief that the Contractor, its current officers, and directors: 11.34.1.1 are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from being awarded any contract or grant by any United States department or agency or any state, or local jurisdiction; 11.34.1.2 have not within a three-year period preceding this contract: 11.34.1.2.1 been convicted of fraud or any criminal offense in connection with obtaining, attempting to obtain, or as the result of performing a government entity (Federal, State or local) transaction or contract; or 11.34.1.2.2 been convicted of violation of any Federal or State antitrust statutes or conviction for embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property regarding a government entity transaction or contract; 11.34.1.3 are not presently indicted or criminally charged by a government entity (Federal, State or local) with commission of any criminal offenses in connection with obtaining, attempting to obtain, or as the result of performing a government entity public (Federal, State or local) transaction or contract; 11.34.1.4 are not presently facing any civil charges from any governmental entity regarding obtaining, attempting to obtain, or from performing any governmental entity contract or other transaction; and 11.34.1.5 have not within a three-year period preceding this contract had any public transaction (Federal, State or local) terminated for cause or default. SERIAL 230025-RFP 11.34.2 If any of the above circumstances described in the paragraph are applicable to the entity submitting a bid for this requirement, include with your bid an explanation of the matter including any final resolution. 11.34.3 The Contractor shall include, without modification, this clause in all lower tier covered transactions (i.e., transactions with subcontractors or sub-subcontractors) and in all solicitations for lower tier covered transactions related to this contract. If this clause is applicable to a subcontractor or sub-subcontractor, the Contractor shall include the information required by this clause with their bid. 11.35 VERIFICATION REGARDING COMPLIANCE WITH A.R.S. § 41-4401 AND FEDERAL IMMIGRATION LAWS AND REGULATIONS 11.35.1 By entering into the contract, the Contractor warrants compliance with the Immigration and Nationality Act (INA 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 (I-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. I-9 forms are available for download at www.uscis.gov. 11.35.2 The County retains the legal right to inspect documents of Contractor and subcontractor employees performing work under this contract to verify compliance with paragraph 10.34.1 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. 11.36 CONTRACTOR LICENSE REQUIREMENT 11.36.1 The Contractor shall procure all permits, insurance, and licenses, and pay the charges and fees necessary and incidental to the lawful conduct of his/her business, and as necessary complete any requirements, by any and all governmental or non-governmental entities as mandated to maintain compliance with and remain in good standing. The Contractor shall keep fully informed of existing and future trade or industry requirements, and 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 department of any and all changes concerning permits, insurance, or licenses. 11.37 INFLUENCE 11.37.1 As prescribed in MC1-1203 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. 11.37.2 An attempt to influence includes, but is not limited to: SERIAL 230025-RFP 11.37.2.1 A person offering or providing a gratuity, gift, tip, present, donation, money, entertainment or educational passes or tickets, or any type of valuable contribution or subsidy 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. 11.37.3 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. 11.38 CONFIDENTIAL INFORMATION 11.38.1 Any information obtained in the course of performing this contract may include information that is proprietary or confidential to the County. This provision establishes the Contractor’s obligation regarding such information. 11.38.2 The Contractor shall establish and maintain procedures and controls that are adequate to assure that no information contained in its records and/or obtained from the County or from others in carrying out its functions (services) under the contract shall be used by or disclosed by it, its agents, officers, or employees, except as required to efficiently perform duties under the contract. The Contractor’s procedures and controls, at a minimum, must be the same procedures and controls it uses to protect its own proprietary or confidential information. If, at any time during the duration of the contract, the County determines that the procedures and controls in place are not adequate, the Contractor shall institute any new and/or additional measures requested by the County within 15 business days of the written request to do so. 11.38.3 Any requests to the Contractor for County proprietary or confidential information shall be referred to the County for review and approval, prior to any dissemination. 11.39 PUBLIC RECORDS Under Arizona law, all offers submitted and opened are public records and must be retained by the County at the Maricopa County Office of Procurement Services. Offers shall be open to public inspection and copying after contract award and execution, except for such offers or sections thereof determined to contain proprietary or confidential information by the Office of Procurement Services. If an offeror believes that information in its offer or any resulting contract should not be released in response to a public record request, under Arizona law, the offeror shall indicate the specific information deemed confidential or proprietary and submit a statement with its offer detailing the reasons that the information should not be disclosed. Such reasons shall include the specific harm or prejudice which may arise from disclosure. The records manager of the Office of Procurement Services shall determine whether the identified information is confidential pursuant to the Maricopa County Procurement Code. 11.40 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, expressed, or implied. 11.41 UNIFORM ADMINISTRATIVE REQUIREMENTS By entering into this contract, the Contractor agrees to comply with all applicable provisions of Title 2, Subtitle A, Chapter II, Part 200—UNIFORM ADMINISTRATIVE SERIAL 230025-RFP REQUIREMENTS, COST PRINCIPLES, AND AUDIT REQUIREMENTS FOR FEDERAL AWARDS contained in Title 2 C.F.R. § 200 et seq. 11.42 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, Phoenix, Arizona. 11.43 FORCED LABOR 11.43.1 By submitting a bid for this solicitation and/or entering into a contract as a result of this solicitation, Contractor agrees to comply with all applicable portions of Arizona Revised Statutes Section 35-394. Contracting; procurement; prohibition; written certification; remedy; termination; exception; definitions et. seq. 11.43.2 Contractor certifies that is does not currently, and agrees for the duration of the contract that it will not, use: 11.43.2.1 the forced labor of ethnic Uyghurs in the People’s Republic of China; 11.43.2.2 any goods or services produced by the forced labor of ethnic Uyghurs in the People’s Republic of China and 11.43.2.3 any contractors, subcontractors or suppliers that use the forced labor or any good or services produced by the forced labor of ethnic Uyghurs in the People’s Republic of China. 11.43.3 If Contractor becomes aware during the term of the Agreement that Contractor is not in compliance with this paragraph, the Contractor shall notify the County within five business days after becoming aware of the noncompliance. If the Contractor fails to provide a written certification to the County that the Contractor has remedied the noncompliance within one hundred eighty (180) days after notifying the County of its noncompliance, then the Agreement terminates, except that if the Agreement termination date occurs before the end of the one hundred eighty (180) day period, the Agreement terminates on the Agreement termination date. 11.44 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. 11.45 ORDER OF PRECEDENCE In the event of a conflict in the provisions of this contract and Contractor’s license agreement, if applicable, the terms of this contract shall prevail. 11.46 INCORPORATION OF DOCUMENTS 11.46.1 The following are to be attached to and made part of this Contract: 11.46.1.1 Exhibit A – Vendor Information and Pricing 11.46.1.2 Exhibit B – Scope of Work 11.47 NOTICES All notices given pursuant to the terms of this contract shall be addressed to: SERIAL 230025-RFP For County: Maricopa County Office of Procurement Services 301 W. Jefferson St., Suite 700 Phoenix, Arizona 85003-1647 For Contractor: Syra Health Corp. Deepika Vuppalanchi 1119 Keystone Way N Suite 201 Carmel, In 46032 11.48 INQUIRIES 11.48.1 Administrative telephone/email inquiries shall be addressed to: ANDREA STUPKA, PROCUREMENT OFFICER TELEPHONE: (602) 506-3504 andrea.stupka@maricopa.gov 11.48.2 Inquiries may be submitted by telephone but must be followed up in writing. No oral communication is binding on Maricopa County. SERIAL 230025-RFP IN WITNESS WHEREOF, this contract is executed on the date set forth above. CONTRACTOR AUTHORIZED SIGNATURE PRINTED NAME AND TITLE ADDRESS DATE MARICOPA COUNTY CHAIRMAN, BOARD OF SUPERVISORS DATE ATTESTED: CLERK OF THE BOARD DATE APPROVED AS TO FORM: DEPUTY COUNTY ATTORNEY DATE Deepika Vuppalanchi, CEO 1119 Keystone Way, Ste 201, Carmel, IN 46032 11/8/2022 SERIAL 230025-RFP EXHIBIT A - Vendor Information and Pricing COMPANY NAME: Syra Health Corp. DOING BUSINESS AS (dba): MAILING ADDRESS: 1119 Keystone Way N Suite 201, Carmel, IN 46032 REMIT TO ADDRESS: TELEPHONE NUMBER: 317-939-4669 FAX NUMBER: WWW ADDRESS: www.syrahealth.com REPRESENTATIVE NAME: Deepika Vuppalanchi REPRESENTATIVE TELEPHONE NUMBER: 317-939-4669 REPRESENTATIVE EMAIL ADDRESS deepikav@syrahealth.com YES NO REBATE WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT: WILL ACCEPT PROCUREMENT CARD FOR PAYMENT: PAYMENT TERMS NET 30 DAYS X X SERIAL 230025-RFP PRICING: Table 1, Fixed Hourly Rates by Position Position Fixed Hourly Rate Behavioral Health Technician (BHT) $ 26.00 Certified Pharmacy Technician (CPhT) $ 39.00 Certified Radiology Technologist (CRT) $ 49.00 Dental Assistant (DA) $ 26.00 Dental Hygienist (DH) $ 45.00 Dentist $108.00 Emergency Medical Technician (EMT) $ 32.00 Licensed Practical Nurse (LPN) $ 41.00 Medical Assistant/Correctional Health Technician (MA/CHT) $ 26.00 Mental Health Associate (MHA) $ 41.00 Mental Health Licensed Associate (MHLA) $ 43.00 Mental Health Monitor/Sitter (MHM/S) $ 22.00 Mental Health Professional (MHP) $ 47.00 Nurse Practitioner (NP) $140.00 Pharmacist $ 89.00 Physical Therapist (PT) $ 58.00 Physician $172.00 Physician’s Assistant (PA) $129.00 Psychiatric Behavioral Health Technician (Psych BHT) $ 26.00 Psychiatric Nurse Practitioner (Psych NP) $156.00 Psychiatric Physician Assistant (Psych PA) $140.00 Psychiatrist $269.00 Psychologist $ 70.00 Registered Nurse (RN) Category 1 - Per Diem, Local Long Term, & Travelers $ 58.00 Registered Nurse (RN) Category 1 - International $ 69.00 PRICING: Table 2, Hourly Premium Pay/Shift Differentials and Overtime/Holiday Multipliers by Position The Shift Differentials in Table 2 are added to the Fixed Hourly Rate from Table 1 before multiplying for Overtime or Holiday Weekday Weekday Weekend Weekend Weekend Shift 2 Shift 3 Shift 1 Shift 2 Shift 3 Overtime Holiday 2:30 PM to 10:30 PM 10:30 PM to 6:30 AM 6:30 AM to 2:30 PM 2:30 PM to 10:30 PM 10:30 PM to 6:30 AM (Multiplier) (Multiplier) BHT, , CPhT, DA, EMT, MA/CHT, MHM/S & Psych BHT $1.25 $2.00 $0.75 $2.00 $2.75 x 1.5 x 1.5 CRT, DH, LPN, & MHA $1.75 $3.00 $1.25 $3.00 $4.25 x 1.5 x 1.5 MHLA, & MHP $0.00 $4.50 $2.00 $4.50 $6.50 x 1.5 x 1.5 PT & RN: Category 1 - Per Diem & Local Long Term, Traveler & International $3.00 $4.50 $2.00 $4.50 $6.50 x 1.5 x 1.5 Pharmacist & Psychologist $0.00 $5.50 $2.50 $5.50 $7.50 x 1.5 x 1.5 Dentist, NP, Physician, PA, Psych NP, Psych PA, & Psychiatrist $0.00 $7.50 $3.50 $7.50 $9.50 x 1.5 x 1.5 SERIAL 230025-RFP EXHIBIT B – Scope of Work DEFINITIONS Alternative Contribution Rate (ACR): Pursuant to Arizona Revised Statutes (A.R.S.) § 38-766.02, if the contract is awarded to a retiree receiving benefits from any Arizona State Retirement System (ASRS), or to an agency contractor that employs and assigns any function under the awarded contract to a retiree receiving benefits from any ASRS, County is required to make alternative contribution payments any such retiree: https://www.azasrs.gov/content/alternate-contribution-rate. Agency Contractor: An agency that has been awarded a contract with the County to provide Temporary Medical Personnel (TMP) that delivers professional health care services to incarcerated patients for Correctional Health Services (CHS). Agency contractors must meet the insurance requirements, and their TMP must meet the minimum qualifications. Agency Contractor Badge: Proper identification badge issued by agency contractors to their TMP. Basic Life Support (BLS): Certification that the TMP has successfully completed the cardiopulmonary resuscitation (CPR) and automatic external defibrillator (AED) training via the American Heart Association (AHA) for healthcare providers. Booked TMP: TMP assigned to perform any TMP booking. Compact State: Mutual recognition of professional licensing authority permitting multistate privileges to practice. Contractor: The agency -OR- individual TMP awarded a contract with County to provide services for CHS Contractor Information Packet: the informational packet created by CHS for TMP to introduce working in the County jails. The Contractor Informational Packet is available online at the following link: https://www.maricopa.gov/DocumentCenter/View/76559/Contractor-Information-Packet. Correctional Health Services (CHS): Department of the County responsible for providing health care services to incarcerated patients in the County jails: https://www.maricopa.gov/1179/Correctional-Health- Services. CHS Badge: Proper identification badge only issued to TMP direct contractors by CHS following successful background clearance. County: Maricopa County. County Email: Maricopa County’s secured county email system. All contractors and TMP must exclusively use their secured county email address to conduct all county business with CHS. Days: Calendar days unless otherwise specified. Direct Contractor: Individual TMP awarded a contract with the County to provide professional health care services to incarcerated patients for CHS. TMP direct contractors must independently meet the minimum qualifications and insurance requirements. Do Not Re-Hire (DNR): Status after termination of a TMP for cause. TMP’s placed on DNR status are ineligible for future work assignments and employment with CHS. Electronic Health Record (EHR): The software system procured by CHS to maintain clinical documentation. Emergency Pay/Hazard Pay: Additional pay intended to directly benefit TMP essential workers. Excess Time: Any time worked by TMP without prior written approval from CHS. SERIAL 230025-RFP Float: Reassignment of a TMP to a different work location -OR- to a different position if the TMP satisfies the requisite essential job functions. All TMP are required to float to meet staffing needs upon request by CHS. Float Travel Time: Time spent traveling between jails when floated. Health Services Administrator (HSA): A person who, by education, experience, or certification can assume responsibility for arranging all health care levels and ensuring quality and accessible health services for inmates. Holiday: Each day listed as follows: 1- New Year’s Day (January 1); 2- Memorial Day; 3- Independence Day (July 4th); 4- Labor Day; 5- Thanksgiving Day; and 6- Christmas Day (December 25). International TMP: TMP from a foreign country (outside of the United States) procured through an agency for an assignment lasting a minimum of at least one year. Local Long-Term TMP: TMP whose permanent address for Federal tax purposes is less than 75 miles away from the jail facility for an assignment lasting a minimum of at least one week. Maricopa County Contractor Badge: Proper identification badge only issued to TMP direct contractors by Security Services following successful background clearance. Maricopa County Sheriff’s Office (MCSO): Department of the County responsible for custody and security of incarcerated individuals within the County jails: https://www.mcso.org. Onboarding Checklist: Checklist that summarizes the required qualifications and supporting documentation for TMP to be considered for a potential assignment with CHS. Onboarding Packet: Collection of required documents that correspond to the Onboarding Checklist. The Onboarding packet is submitted by the contractor after contract award and maintained by CHS to support that the TMP has met the required qualifications to perform services for CHS. The Onboarding Packet is available online at the following link: https://www.maricopa.gov/DocumentCenter/View/76039/Onboarding- Packet. Orientation: Combination of formal classroom and clinical instruction designed to familiarize all TMP with CHS and MCSO policies, procedures, security issues, job functions, and expectations while providing onsite health care services for CHS. Overtime: Any amount of time worked by TMP over 40 hours during one weekly payroll period for CHS, regardless of jail location. Guaranteed minimum hours is not applicable. Patients: Any incarcerated individual at the County jails receiving health care services from CHS. Payroll Period: Seven-day period beginning on Monday at 12:00 a.m. MST and ending the following Sunday at 11:59 p.m. MST based upon the beginning of the shift. Per Diem TMP: TMP assigned daily shift-by-shift, as needed. Point-of-Use Automated Medication Management System: Automated medication management and software system procured by CHS to precisely dispense medication packets to incarcerated patients. Premium Pay/Shift Differentials: Hourly pay for productive work hours in addition to the fixed rate pricing to incentivize TMP to work nights and weekends. Prison Rape Elimination Act (PREA): Federal standards enacted to institute a zero-tolerance standard for incidents of sexual abuse and sexual harassment in correctional facilities and establishes national standards for the prevention, detection, and response to sexual abuse and sexual harassment. SERIAL 230025-RFP Protected Health Information (PHI): Individually Identifiable Health Information (IIHI) that is transmitted by electronic media, maintained in electronic media, or transmitted or maintained in any other form or medium. However, PHI excludes education records covered by the Family Educational Rights and Privacy Act, records described in 20 U.S.C. § 1232g(a)(4)(B)(iv), as well as employment records held by a covered entity in its role as employer. Rate: Deposit of monetary funds or payment, distributed by CHS to the contractor for services rendered, as detailed in Section 3.0 Scope of Work: Service Descriptions and Requirements, commensurate with rates established in Attachment D: Pricing Service: Furnishing of labor, time, or effort performed by a TMP for any service listed in Section 3.0 Scope of Work: Service Descriptions and Requirements performed for CHS. Services do not include employment agreements or collective bargaining agreements. Service Time: Time spent on assignment and engaged in performing productive work for CHS. TMP Booking: Specific components of any assignment for services ordered by CHS. For the avoidance of doubt, a shift is one subpart of a TMP Booking; conversely, each TMP Booking comprises one or more shifts. Temporary Medical Personnel (TMP): Any personnel under an agency contractor -OR- a direct contractor who may be assigned to perform services for CHS. All TMP are also in one of the following categories: Per Diem, Local Long-Term, International, or Traveler. Travel Time: Time spent traveling to the assignment before clocking-in and from the assignment after clocking-out (except for Float Travel Time) is not included in service time, therefore is not compensated. Traveler TMP: TMP whose permanent address for Federal tax purposes is equal to or greater than 75 miles away from the jail facility for an assignment lasting a minimum of at least one week. SERIAL 230025-RFP 1. INTENT 1.1. Maricopa County (County) identified qualified Temporary Medical Personnel (TMP) to provide professional health care services to incarcerated patients for Correctional Health Services (CHS). CHS operates nine clinic locations across six different jails, with approximately 250,000 patient encounters per year. The County jail system is the fourth largest in the United States, with a daily population of approximately 7,000 inmates and an estimated 100,000 bookings annually. CHS works closely with MCSO to ensure the health and safety of the incarcerated patient population is taken seriously. The National Commission on Correctional Healthcare (NCCHC) accredits CHS, and TMP are held to those credentialing and quality standards. Professional health care services are delivered within the scope of practice as determined by state licensing/certification boards and meet the standard of care in the community. 1.2. CHS is seeks both agency contractors with TMP and individual TMP as direct contractors, provided that all contractors meet the insurance requirements in either scenario. TMP encompasses the following categories: Per Diem, Local Long-Term, International, and Traveler. Professional health care services include medical, nursing, mental health, and dental, all of which correspond to various positions for which CHS seeks to procure TMP to provide these services. All TMP will provide services onsite at CHS clinic locations within the County jails. Therefore, all TMP are subject to Maricopa County Sherriff’s Office (MCSO) security regulations to maintain a safe correctional environment. 1.3. CHS will identify temporary medical needs resulting from vacancies by shift and clinic location. CHS schedules temporary medical assignments on a long-term, block book, or daily by shift as needed, based on continuity of care, ability to float, and individual performance. Therefore, there is no guarantee for a specific number of assigned shifts or hours for any TMP implied by this contractual agreement. CHS is under no obligation to schedule one TMP over another. This contract is a multi-award and multi-purchasing agreement to establish fixed pricing for TMP to provide CHS the greatest flexibility in the County’s best interests. The department of CHS will administer the awarded contract. 1.4. Other governmental entities under agreement with County may have access to services provided hereunder as part of this contract in different circumstances/outside of the county jails (see also Sections 8.0 and 9.0 above). Any other agency utilizing the resultant contract will be responsible for administering the contract for their needs. 1.5. 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. 1.6. The County reserves the right to award this contract to multiple vendors. The County reserves the right to award in whole or in part, by item or group of items, by section or geographic area, or make multiple awards, where such action serves the County’s best interest. 2. QUALIFICATIONS AND ONBOARDING 2.1. CHS requires using the most updated version of the Onboarding Packet, available online at the following link: https://www.maricopa.gov/DocumentCenter/View/76039/Onboarding- Packet. Contractor must submit the completed Onboarding Packet with required supporting documentation to CHS via email: CHSOnboard@maricopa.gov. For consideration of assignment with CHS after contract award, TMP must complete the Onboarding Packet and provide all required supporting documentation, as detailed below. 2.1.1. Onboarding Checklist required demographic information that must be submitted for all TMP, regardless of position. SERIAL 230025-RFP 2.1.1.1. Legal name (first middle last format) 2.1.1.2. Preferred name (if applicable) 2.1.1.3. Date of birth (DOB) 2.1.1.4. Last four digits of Social Security Number (SSN) 2.1.1.5. Phone number 2.1.1.6. Email address 2.1.1.7. Position 2.1.1.8. Timeframe of past work experience in this position 2.1.1.9. Agency (if applicable) 2.1.2. Onboarding Packet. required documentation that must be completed and signed for all TMP, regardless of position. 2.1.2.1. Prison Rape Elimination Act (PREA) Acknowledgement 2.1.2.2. MCSO Application for Courtesy Identification 2.1.2.3. Maricopa County Security Services Division Security background check application 2.1.2.4. Contractor Identification (ID) form 2.1.2.5. Parking agreement form 2.1.2.6. National Provider Database (NPDB) Collection form 2.1.2.7. Alternative Contribution Rate (ACR) form 2.1.2.8. Attestation for Drug-Free Workplace 2.1.2.9. Declination of Do Not Re-Hire (DNR) status 2.1.3. Required supporting documentation for all TMP, regardless of position. 2.1.3.1. Copies of the front and back of a current, valid, unrestricted driver’s license. 2.1.3.2. Copy of current Curriculum Vitae (CV)/Resume of professional experience. Documented professional experience supports Section 2.1.1.8 timeframe of past work experience in this position. 2.1.3.3. Copy of current, completed BLS certification to support successful completion of the national cognitive and skills evaluations in accordance with the curriculum of the American Heart Association (AHA) for the Healthcare Providers. Cognitive and skills evaluation includes cardiopulmonary resuscitation (CPR) and automatic external defibrillator (AED). CHS requires an “in-person skills test” with a “hands- on demonstration.” BLS Certification of training from an online educator will not be accepted. Certification is valid for two years. An updated copy of BLS re-certification must be provided to CHSOnboard@maricopa.gov prior to expiration in accordance with NCCHC Standard J-C-03 SERIAL 230025-RFP Professional Development; and as detailed in CHS Standard Operating Procedure (SOP) J-C-03 Professional Development. BLS Certification for TMP is available from MCSO at no cost to the contractor/TMP. The American Heart Association, CPR & First Aid Emergency Cardiovascular Care provides a search engine for upcoming AHA classes in the community, via the following link: http://ahainstructornetwork.americanheart.org/AHAECC/classConnecto r.jsp?pid=ahaecc.classconnector.home; for which the contractor is responsible for any associated cost. 2.1.3.4. Copy of current Tuberculosis (TB) Test: TB Test types include TB skin test/Purified Protein Derivative (PPD), QuantiFERON-TB gold blood test, chest x-ray, and TB symptom questionnaire. TB test results include positive and negative. TB test date is when the TMP obtained the TB test result. TB test results are valid for one year following the TB test date until TB test expiration. An updated copy of TB results must be provided annually to CHSOnboard@maricopa.gov prior to expiration in accordance with NCCHC Standard J-C-09 Orientation for Health Staff; and as detailed in CHS SOP J-C-09 Orientation for Health Staff. 2.1.3.4.1. For non-reactors, an annual TB skin test/PPD is required. 2.1.3.4.2. For reactors, a QuantiFERON-TB gold blood test -OR- chest x-ray is required every five years and a TB symptom questionnaire to document asymptomatic status is required annually. 2.1.3.5. Copy of completed Hepatitis B vaccine series/immunity status, titer testing, or a signed Hepatitis B declination statement for any TMP who is not immune and refuses the vaccine in accordance with NCCHC Standard J-C-09 Orientation for Health Staff; and as detailed in CHS SOP J-C-09 Orientation for Health Staff. 2.1.3.6. Copy of completed immunizations for Measles, Mumps, and Rubella (MMR), reactive rubella titer, rubella vaccine, or immune status to MMR rubeola in accordance with NCCHC Standard J-C-09 Orientation for Health Staff; and as detailed in CHS SOP J-C-09 Orientation for Health Staff, per the following: 2.1.3.6.1. If born before January 1, 1951, a clear diagnosis of disease is sufficient. 2.1.3.6.2. If born between January 1, 1951, and January 1, 1957, one documented MMR given after 1970 or rubeola titer is sufficient. 2.1.3.6.3. If born after January 1, 1957, two documented MMR given after 1970 or rubella titer is sufficient. 2.1.3.7. Copy of varicella immunity status: vaccination documentation or a signed attestation of past chicken pox in accordance with NCCHC Standard J-C-09 Orientation for Health Staff; and as detailed in CHS SOP J-C-09 Orientation for Health Staff. 2.1.3.8. Attestation for physical performance, with or without, reasonable accommodations. TMP signs to attest that they are physically able to perform the essential job functions/required duties within the scope of practice of the position as determined by the appropriate SERIAL 230025-RFP licensing/certification board. TMP must be able to perform the following, with or without, reasonable accommodations: 2.1.3.8.1. Work inside of the County jails and float to meet staffing needs upon request by CHS. 2.1.3.8.2. Respond to emergencies and get on the floor to perform chest compressions for CPR. 2.1.3.8.3. Push medical equipment, climb stairs, and lift up to 35 pounds. 2.1.4. Required additional supporting documentation for TMP if applicable by position, as summarized in Section 2.1.5. 2.1.4.1. Copy of diploma and/or transcripts to support graduation from an accredited program. 2.1.4.2. Copy of Residency and/or Fellowship certificates to support completion of an accredited U.S. Residency or Fellowship training program. 2.1.4.3. Copy of professional license -OR- copy of professional certification: A current, valid, unrestricted, professional license or certification to practice in the state of Arizona. An updated copy of license or certification renewal must be provided to CHS prior to expiration in accordance with NCCHC Standard J-C-01 Credentials; and as detailed in CHS SOP J-C-01 Credentials. 2.1.4.3.1. Contractor shall immediately notify both Office of Procurement Services and CHSOnboard@maricopa.gov of any and all changes concerning permits, insurance, or licenses any pending disciplinary Board action or probationary status on the Contractor’s or TMP’s professional license. 2.1.4.3.2. At a minimum, Contractor must notify CHSOnboard@maricopa.gov in writing within three days after an awareness of any of the following: 2.1.4.3.2.1. Contractor’s or TMP’s professional license lapses or is denied, suspended, revoked, terminated, relinquished, or made subject to probation or any other restriction. 2.1.4.3.2.2. Agency Contractor, TMP, or the respective underwriter, has been ordered to pay damages in any malpractice action (whether by way of settlement or judgment): 2.1.4.3.2.2.1. Related to CHS. 2.1.4.3.2.2.2. That could affect patient health or safety at any CHS clinic location, of which Agency has actual or constructive knowledge. 2.1.4.3.2.3. Agency Contractor or TMP has become the subject of a disciplinary procedure of which SERIAL 230025-RFP Agency has actual or constructive knowledge. 2.1.4.3.2.4. Agency Contractor or TMP becomes involved in any event that may materially and adversely affect Agency’s or the TMP’s ability to perform any obligation under this Agreement. 2.1.4.4. Copy/copies of current, completed Primary Source Verification(s) (PSV) to investigate and verify whether the TMP has any current, pending, or prior disciplinary board actions in accordance with NCCHC Standard J- C-01 Credentials; and as detailed in CHS SOP J-C-01 Credentials. PSV links are listed by position in Section 2.1.5. 2.1.4.4.1. Contractor agrees to perform and submit subsequent PSVs to CHSOnboard@maricopa.gov to investigate and verify whether the TMP has any current, pending, or prior disciplinary board actions at the following timeframes after submission of the Onboarding Packet: 2.1.4.4.1.1. On an annual basis. 2.1.4.4.1.2. Upon renewal of any license/certification. 2.1.4.4.1.3. Upon request CHS. 2.1.4.5. Copy of current, completed fit testing for N95 particulate respirators: effective July 1, 2004, Occupational Health, and Safety Administration (OSHA) began applying the General Industry Respiratory Protection Standard (GIRPS) (29 CFR 1910.134) for respiratory protection against occupational exposure to TB. The entire OSHA standard can be reviewed online via the following link: www.osha.gov Entrance into negative airflow rooms in CHS clinic locations requires wearing an N95 particulate respirator, which will be supplied by CHS as needed. OSHA requires that clinical personnel to be fit tested with the same respirator currently in use at CHS clinic locations; of which the items numbers are as follows: #46867 (small) and #46767 (regular). The completed fit testing documentation must specify the type of mask used. Fit testing is valid for one year and an updated copy of fit testing must be provided annually to CHS prior to expiration in accordance with NCCHC Standard J-B-02 Infectious Disease Prevention and Control; and as detailed in CHS SOP J-B-02-08 Respiratory Protection Program. Fit testing for N95 particulate respirators is available at occupational health locations in the community, for which the contractor is responsible for any associated cost. 2.1.4.6. Copy of current, completed First Aid Certification. First Aid Certification is valid for two years. An updated copy of First Aid re-certification must be provided to CHSOnboard@maricopa.gov prior to expiration in accordance with NCCHC Standard J-C-03 Professional Development; and as detailed in Standard Operating Procedure (SOP) J-C-03 Professional Development. 2.1.4.7. Copy of current Drug Enforcement Agency (DEA)/Controlled Substance Registration Certificate to prescribe Schedule II, III, and IV drugs. An updated copy of DEA/Controlled Substance Registration renewal must be provided to CHSOnboard@maricopa.gov prior to expiration in SERIAL 230025-RFP accordance with NCCHC Standard J-C-01 Credentials; and as detailed in CHS SOP J-C-01 Credentials. 2.1.4.8. Copy of current, completed National Provider Identifier (NPI) verification from the National Provider Identifier Lookup obtained via the following link: https://www.npinumberlookup.org in accordance with NCCHC Standard J-C-01 Credentials; and as detailed in CHS SOP J-C-01 Credentials. 2.1.4.9. Copy of current, completed board certification in accordance with NCCHC Standard J-C-01 Credentials; and as detailed in CHS SOP J- C-01 Credentials. 2.1.4.10. Copy of current, completed delegation agreement, renewed annually on June 30th each calendar year. An updated copy of delegation agreement must be provided annually to CHSOnboard@maricopa.gov prior to expiration. 2.1.4.11. Copy of current, valid, unrestricted Arizona Dispensing License issued by the Arizona Medical Board: www.azmd.gov Arizona Dispensing Licenses are valid for one year. An updated copy of Arizona Dispensing License renewal must be provided annually to prior to licenses expiration. 2.1.4.12. Minimum required timeframe of past work experience in this position (as detailed by position in Section 2.1.5), which is verified as documented in Section 2.1.3.2 CV/Resume of professional experience and matches Section 2.1.1.8 timeframe of past work experience in this position. 2.1.5. TMP must possess these additional required qualifications, as detailed below by position: 2.1.5.1. Behavioral Health Technician (BHT) 2.1.5.1.1. High school diploma or General Education Development (GED). 2.1.5.1.2. Minimum two years of past work experience in this position. 2.1.5.2. Certified Pharmacy Technician (CPhT) 2.1.5.2.1. Copy of current, valid, unrestricted, certification as a CPhT issued by the Arizona State Board of Pharmacy. 2.1.5.2.2. Copies of current, completed PSVs, obtained via the following links: Arizona State Board of Pharmacy: https://azbop.igovsolution.net/online/Lookups/AZIndividual _Lookup.aspx and Pharmacy Technician Certification Board: https://portal.ptcb.org/Certification/Verification/Search/form .aspx. 2.1.5.2.3. Minimum one year of past work experience in this position. 2.1.5.3. Certified Radiology Technologist (CRT) 2.1.5.3.1. Copy of a current, valid, unrestricted certification as a CRT issued by the Arizona Medical Radiologic Technology Board of Examiners. SERIAL 230025-RFP 2.1.5.3.2. Copy of a current, valid, unrestricted certification issued by the American Registry of Radiology Technologists (ARRT). 2.1.5.3.3. Copies of current, completed PSVs, obtained via the following links: Arizona Department of Health Services: https://www.azdhs.gov/licensing/special/#mrt-license- verification and AART: https://www.arrt.org/verify-credentials. 2.1.5.3.4. Copy of current, completed fit testing for N95 particulate respirators. 2.1.5.3.5. Minimum one year of past work experience in this position. 2.1.5.4. Dental Assistant (DA) 2.1.5.4.1. Copy of certificate of completion of the Radiation Health & Safety (RHS) examination. 2.1.5.4.2. Copy of certificate of completion in Clinical/Dental Radiography issued by the Dental Assisting National Board. 2.1.5.4.3. Copy of current, completed PSV from the Dental Assisting National Board obtained via the following link: https://www.danb.org. 2.1.5.4.4. Minimum one year of past work experience in this position. 2.1.5.5. Dental Hygienist (DH) 2.1.5.5.1. Copy of current, valid, unrestricted license as a Dental Hygienist issued by the Arizona Board of Dental Examiners. 2.1.5.5.2. Copy of current, completed PSV from the Arizona State Board of Dental Examines via the following link: https://dentalboard.az.gov/directory. 2.1.5.6. Dentist 2.1.5.6.1. Copy of diploma/transcripts to support graduation with a Doctor of Dental Surgery (DDS) -OR- Doctor of Medicine in Dentistry (DMD) from an accredited program. 2.1.5.6.2. Copy of current, valid, unrestricted license as a Dentist issued by the Arizona State Board of Dental Examiners. 2.1.5.6.3. Copy of current, completed PSV from the Arizona State Board of Dental Examiners obtained via the following link: https://dentalboard.az.gov/directory. 2.1.5.6.4. Copy of current Drug Enforcement Agency (DEA)/Controlled Substance Registration Certificate to prescribe Schedule II, III, and IV drugs. 2.1.5.6.5. Copy of current, completed NPI verification, from the National Provider Identifier Lookup obtained via the following link: https://www.npinumberlookup.org. SERIAL 230025-RFP 2.1.5.6.6. Minimum two years of past work experience in this position. 2.1.5.7. Emergency Medical Technician (EMT) 2.1.5.7.1. Copy of diploma/transcripts to support graduation from an EMT program as required by the Arizona Department of Health Services (ADHS). 2.1.5.7.2. Copy of current, valid, unrestricted certification as an Emergency Medical Care Technician (EMCT) issued by the Arizona Bureau of Emergency Medical Services. 2.1.5.7.3. Copy of current, completed PSV from ADHS obtained via the following link: https://ems.azdhs.gov. 2.1.5.7.4. Copy of current, completed fit testing for N95 particulate respirators. 2.1.5.7.5. Copy of current, completed First Aid Certification. 2.1.5.7.6. Minimum two years of past work experience in this position. 2.1.5.8. Licensed Practical Nurse (LPN) 2.1.5.8.1. Copy of current, valid, unrestricted license as an LPN issued by the Arizona State Board of Nursing -OR- issued by a participating Compact State. 2.1.5.8.2. Copy of current, completed PSV from the National Council of State Boards of Nursing obtained via the following link: https://www.nursys.com. 2.1.5.8.3. Copy of current, completed fit testing for N95 particulate respirators. 2.1.5.8.4. Copy of current, completed First Aid Certification. 2.1.5.8.5. Minimum one year of past work experience in this position. 2.1.5.9. Medical Assistant/Correctional Health Technician (MA/CHT) 2.1.5.9.1. High school diploma or GED. 2.1.5.9.2. Copy of certificate of completion from a MA accredited Health Care Training Program, as detailed in Arizona Revised Statutes (A.R.S.) § 32-1456 (D), or exceptions as listed in R4-16-401 (B). 2.1.5.9.3. Copy of current, completed fit testing for N95 particulate respirators. 2.1.5.9.4. Copy of current, completed First Aid Certification. 2.1.5.9.5. Minimum one year of past work experience in this position. 2.1.5.10. Mental Health Associate (MHA) SERIAL 230025-RFP 2.1.5.10.1. Copy of diploma/transcripts to support graduation with a bachelor’s degree in behavioral health, social services, or a related field. 2.1.5.10.2. Minimum one year of past work experience in this position. 2.1.5.11. Mental Health Licensed Associate (MHLA) 2.1.5.11.1. Copy of diploma/transcripts to support graduation with a bachelor’s degree in behavioral health, social services, or a related field. 2.1.5.11.2. Copy of a current, valid, unrestricted license as a Licensed Master Social Worker (LMSW) -OR- Licensed Associate Counselor (LAC) -OR- Licensed Associate Marriage and Family Therapist (LAMFT) issued by the Arizona State Board of Behavioral Health Examiners. 2.1.5.11.3. Copy of current, completed PSV obtained from the Arizona State Board of Behavioral Health Examiners via the following link: https://www.azbbhe.us. 2.1.5.11.4. Signed attestation of current status as enroute to independent licensure within three years of completed orientation. 2.1.5.11.5. Minimum one year of past work experience in this position. 2.1.5.12. Mental Health Monitor/Sitter (MHM/S) 2.1.5.12.1. High school diploma or GED. 2.1.5.12.2. Experience viewing multiple monitors, observing patients, and reporting findings. 2.1.5.12.3. Minimum six months of experience performing clerical or support services in a medical setting. 2.1.5.13. Mental Health Professional (MHP) 2.1.5.13.1. Copy of diploma/transcripts to support graduation with a master’s degree behavioral health, social services, or related field. 2.1.5.13.2. Copy of a current, valid, unrestricted license as a Licensed Clinical Social Worker (LCSW) -OR- Licensed Professional Counselor (LPC) issued by the Arizona State Board of Behavioral Health Examiners. 2.1.5.13.3. Copy of current, completed PSV from the Arizona State Board of Behavioral Health Examiners obtained via the following link: https://www.azbbhe.us. 2.1.5.13.4. Minimum two years of past work experience in this position. 2.1.5.14. Nurse Practitioner (NP) 2.1.5.14.1. Copy of diploma/transcripts to support graduation from an accredited NP program. SERIAL 230025-RFP 2.1.5.14.2. Copy of a current, valid, unrestricted license as an Adult NP -OR- Family NP issued by the Arizona State Board of Nursing. 2.1.5.14.3. Copy of current, completed PSV from the National Council of State Boards of Nursing obtained via the following link: https://www.nursys.com; including verification of “Prescription Authority”. 2.1.5.14.4. Copy of current certification in Advanced Nursing Practice from the American Nurses Credentialing Center (ANCC) - OR- Copy of current certification as an Adult NP or Family NP from the American Academy of Nurse Practitioners (AANP). 2.1.5.14.5. Copy of current DEA/Controlled Substance Registration Certificate to prescribe Schedule II, III, and IV drugs. 2.1.5.14.6. Copy of current, completed NPI verification from the National Provider Identifier Lookup obtained via the following link: https://www.npinumberlookup.org. 2.1.5.14.7. Copy of current, completed fit testing for N95 particulate respirators. 2.1.5.14.8. Minimum two years of past work experience in this position. 2.1.5.15. Pharmacist 2.1.5.15.1. Copy of diploma/transcripts to support graduation with a Doctor of Pharmacy (PharmD) degree from a program accredited by the American Council of Pharmaceutical Education. 2.1.5.15.2. Copy of a current, valid, unrestricted Pharmacist license issued by the Arizona State Board of Pharmacy. 2.1.5.15.3. Copy of current, completed PSV from the Arizona State Board of Pharmacy obtained via the following link: https://azbop.igovsolution.net/online/Lookups/AZIndividual _Lookup.aspx. 2.1.5.15.4. Minimum one year of past work experience in this position. 2.1.5.16. Physical Therapist (PT) 2.1.5.16.1. Copy of diploma/transcripts to support graduation with Doctor of Physical Therapy (DPT) degree from an accredited program. 2.1.5.16.2. Copy of a current, valid, unrestricted license as a PT issued by the Arizona State Board of Physical Therapy. 2.1.5.16.3. Copy of current, completed PSV from the Arizona State Board of Physical Therapy obtained via the following link: https://ptboard.az.gov. SERIAL 230025-RFP 2.1.5.16.4. Copy of current, completed fit testing for N95 particulate respirators. 2.1.5.16.5. Minimum one year of past work experience in this position. 2.1.5.17. Physician 2.1.5.17.1. Copy of diploma/transcripts to support graduation with a Doctor of Medicine (M.D.) -OR- Doctor of Osteopathic Medicine (D.O.) from an accredited program. 2.1.5.17.2. Copy of Residency and/or Fellowship certificates to support completion of an accredited United States Residency or Fellowship training program in primary care field. 2.1.5.17.3. Copy of a current, valid, unrestricted physician’s license to practice allopathic or osteopathic medicine issued by the Arizona Medical Board. 2.1.5.17.4. Copy of current, completed PSV from the Arizona Medical Board obtained via the following link: www.azmd.gov/DoctorSearch/DoctorSearch. 2.1.5.17.5. Copy of current DEA/Controlled Substance Registration Certificate to prescribe Schedule II, III, and IV drugs. 2.1.5.17.6. Copy of current, completed NPI verification from the National Provider Identifier Lookup obtained via the following link: https://www.npinumberlookup.org. 2.1.5.17.7. Copy of current, completed fit testing for N95 Particulate Respirators. 2.1.5.17.8. Copy of current, valid, unrestricted Arizona Dispensing License issued by the Arizona Medical Board: www.azmd.gov. 2.1.5.17.9. Minimum three years of past work experience in this position. 2.1.5.18. Physician Assistant (PA) 2.1.5.18.1. Copy of diploma/transcripts to support graduation from an accredited PA program. 2.1.5.18.2. Copy of current, valid, unrestricted Physician’s Assistant (PA) license issued by the Arizona Regulatory Board of Physician Assistants. 2.1.5.18.3. Copy of current, completed PSV from the Arizona Regulatory Board of Physician Assistants obtained via the following link: https://www.azpa.gov. 2.1.5.18.4. Copy of current, completed Board Certification from the National Commission on Certification of Physician Assistants (NCCPA) obtained via the following link: https://portal.nccpa.net/verifypac. SERIAL 230025-RFP 2.1.5.18.5. Copy of current DEA/Controlled Substance Registration Certificate to prescribe Schedule II, III, and IV drugs. 2.1.5.18.6. Copy of current, completed NPI verification from the National Provider Identifier Lookup obtained via the following link: https://www.npinumberlookup.org. 2.1.5.18.7. Copy of current, completed fit testing for N95 particulate respirators. 2.1.5.18.8. Copy of current, completed Delegation Agreement. 2.1.5.18.9. Minimum two years of past work experience in this position. 2.1.5.19. Psychiatric Behavioral Health Technician (Psych BHT) 2.1.5.19.1. High school diploma or GED. 2.1.5.19.2. Minimum two years of past work experience in this position. 2.1.5.20. Psychiatric Nurse Practitioner (Psych NP) 2.1.5.20.1. Copy of diploma/transcripts to support graduation from an accredited NP program. 2.1.5.20.2. Copy of current, valid, unrestricted license to practice as a Psychiatric Mental Health NP issued by the Arizona State Board of Nursing. 2.1.5.20.3. Copy of current, completed PSV from the from the National Council of State Boards of Nursing obtained via the following link: https://www.nursys.com; including verification of “Prescription Authority”. 2.1.5.20.4. Copy of current DEA/Controlled Substance Registration Certificate to prescribe Schedule II, III, and IV drugs. 2.1.5.20.5. Copy of current certification in Advanced Nursing Practice as an Adult or Family Psychiatric and Mental Health NP from the American Nurse Credentialing Center (AANC). 2.1.5.20.6. Copy of current, completed NPI verification from the National Provider Identifier Lookup obtained via the following link: https://www.npinumberlookup.org. 2.1.5.20.7. Copy of current, completed fit testing for N95 particulate respirators. 2.1.5.20.8. Minimum one year of past work experience in this position. 2.1.5.21. Psychiatric Physician Assistant (Psych PA) 2.1.5.21.1. Copy of diploma/transcripts to support graduation from an accredited PA program. 2.1.5.21.2. Copy of current, valid, unrestricted license as a PA issued by the State of Arizona. SERIAL 230025-RFP 2.1.5.21.3. Copy of current, completed PSV from the Arizona Regulatory Board of Physician Assistants obtained via the following link: https://www.azpa.gov. 2.1.5.21.4. Copy of current, completed Board Certification from the National Commission on Certification of Physician Assistants (NCCPA) obtained via the following link: https://portal.nccpa.net/verifypac; with Certificate of Added Qualifications in Psychiatry. 2.1.5.21.5. Copy of current DEA/Controlled Substance Registration Certificate to prescribe Schedule II, III, and IV drugs. 2.1.5.21.6. Copy of current, completed NPI verification from the National Provider Identifier Lookup obtained via the following link: https://www.npinumberlookup.org. 2.1.5.21.7. Copy of current, completed fit testing for N95 particulate respirators. 2.1.5.21.8. Copy of current, completed Delegation Agreement. 2.1.5.21.9. Minimum one year of past work experience in this position. 2.1.5.22. Psychiatrist 2.1.5.22.1. Copy of diploma/transcripts to support graduation with a M.D. -OR- D.O. from an accredited program. 2.1.5.22.2. Copy of residency and/or fellowship certificates to support completion of an accredited U.S. Residency or Fellowship training program in Psychiatry. 2.1.5.22.3. Copy of a current, valid, unrestricted Psychiatrist license to practice allopathic or osteopathic medicine issued by the Arizona Medical Board. 2.1.5.22.4. Copy of current, completed PSV, obtained from the Arizona Medical Board via the following link: www.azmd.gov/DoctorSearch/DoctorSearch. 2.1.5.22.5. Copy of current DEA/Controlled Substance Registration Certificate to prescribe Schedule II, III, and IV drugs. 2.1.5.22.6. Copy of current, completed NPI verification from the National Provider Identifier Lookup obtained via the following link: https://www.npinumberlookup.org. 2.1.5.22.7. Copy of current, completed fit testing for N95 particulate respirators. 2.1.5.22.8. Minimum three years of past work experience in this position. 2.1.5.23. Psychologist 2.1.5.23.1. Copy of diploma/transcripts to support graduation with a Doctor of Philosophy (PhD) -OR- Doctor of Psychology (PsyD) from an accredited program. SERIAL 230025-RFP 2.1.5.23.2. Copy of a current, valid, unrestricted Psychologist license issued Arizona Board of Psychologist Examiners. 2.1.5.23.3. Copy of current, completed PSV from the Arizona Board of Psychologist Examiners obtained via the following link: https://psychboard.az.gov. 2.1.5.23.4. Signed attestation of currently meeting the requirements to supervise of associate-level licensed and unlicensed personnel with the Arizona Board of Behavioral Health Examiners. 2.1.5.23.5. Minimum three years of past work experience in this position. 2.1.5.24. Registered Nurse (RN) Category 1 2.1.5.24.1. Copy of current, valid, unrestricted license as a RN issued by the Arizona State Board of Nursing -OR- issued by a participating Compact State. 2.1.5.24.2. Copy of current, completed PSV from the from the from the National Council of State Boards of Nursing, obtained via the following link: https://www.nursys.com. 2.1.5.24.3. Copy of current, completed fit testing for N95 particulate respirators. 2.1.5.24.4. Minimum one year of past work experience in this position. 2.1.6. Qualified to meet the job position: Contractor is responsible for affirming their TMP meet the minimum qualification requirements and minimum experience as described above in Sections 2.1.1 to 2.1.5 . If additional training is required for the TMP to meet the initial job position, skill level and/or mandatory training, and (as described in Sections 2.1.10 and 3.2) this is the contractor’s responsibility to complete prior to submission of the onboarding packet. 2.1.7. MCSO Background Clearance/Fingerprinting: All TMP must complete the background clearance and fingerprinting for jail access as performed by MCSO. 2.1.7.1. The initial MCSO background clearance involves processing the following: 2.1.2.1 PREA Acknowledgement and 2.1.2.2 MCSO Application for Courtesy Identification. CHS submits these two forms to MCSO, which determines if the TMP may proceed to the fingerprinting process. 2.1.7.2. The fingerprinting process is performed by appointment only onsite at the MCSO Training Center located at 2627 S. 35th Avenue, Phoenix, AZ 85009. Fingerprints are verified with the Federal Bureau of Investigation (FBI). 2.1.7.2.1. The fingerprinting process must be repeated by the TMP if there is a break in service or if no shifts have been worked during the past six months. 2.1.7.3. The results of the MCSO background clearance and fingerprinting will determine if the TMP are eligible to perform onsite services for CHS. SERIAL 230025-RFP There is no cost to the contractor associated with this background investigation. 2.1.7.4. TMP who fail to pass the MCSO background clearance and fingerprinting are ineligible to perform work for CHS in the County jails. CHS is not responsible, nor informed, of the reasons that individuals may be rejected, as all determinations are made by MCSO. 2.1.7.5. Successful completion corresponds to being issued a Radio Frequency Identification (RFID) token/sticker to enable TMP to use the timekeeping system. 2.1.8. Security Services Background Clearance: All TMP direct contractors must complete the Security Services background clearance. 2.1.8.1. The Security Services background clearance involves processing the following: 2.1.2.3 Maricopa County Security Services Division Security Background Check Application, 2.1.2.4 Contractor ID Form, 2.1.2.5 Parking agreement form. CHS submits these three forms and 2.1.3.1 Copies of front and back of a current, valid, unrestricted driver’s license to Security Services. 2.1.8.2. The results of the Security Services background clearance will determine if the TMP direct contractors are eligible to perform onsite services for CHS. There is no cost to the contractor associated with this background investigation. 2.1.8.3. TMP direct contractors who fail to pass the Security Services background clearance are ineligible to perform work for CHS on county property. CHS is not responsible, nor informed, of the reasons that individuals may be rejected, as all determinations are made by Security Services. 2.1.8.4. Successful completion corresponds to being issued both a CHS Badge and a Maricopa County Contractor Badge. 2.1.9. Badges 2.1.9.1. CHS Badge: The proper identification badge issued only to TMP direct contractors by CHS following the successful background clearance as performed by MCSO and Security Services. TMP direct contractors are issued the CHS badge during classroom orientation. The CHS badge contains a photograph of the TMP direct contractors and their position to signify affiliation with CHS and must be visibly displayed and worn on the upper part of the body while on duty and inside of the jail facilities. There is no cost to the contractor or TMP for the CHS Badge. 2.1.9.2. Maricopa County Contractor Badge: The proper identification badge issued only to TMP direct contractors by Security Services following successful background clearance. TMP direct contractors must obtain the Maricopa County Contractor Badge prior to classroom orientation from Security Services at 301 W. Jefferson Street, Suite. 160, Phoenix, AZ 85003. The Maricopa County Contractor Badge contains a photograph of the TMP, their full name, and position to signify affiliation with Maricopa County. TMP direct contractors must carry this badge while on duty and inside of the jail facilities and are required to present this badge upon request. There is no cost to TMP direct contractors for the initial Maricopa County Contractor Badge. If the TMP direct contractor loses the Maricopa County Contractor Badge, Security SERIAL 230025-RFP Services charges a $12.00 replacement fee, for which the TMP direct contractor is responsible. 2.1.9.3. Lost or stolen badges must be immediately reported the CHS contract administrator for security reasons. 2.1.9.4. All TMP direct contractors must surrender their badge(s) upon termination for security reasons. 2.1.10. Orientation and Training 2.1.10.1. Classroom orientation consists of formal instruction designed to familiarize all TMP with CHS and MCSO policies, procedures, security issues, job functions, and expectations while providing onsite health care services for CHS. CHS Staffing (CHSStaffing@maricopa.gov) and CHS Education (CHS.Education@maricopa.gov) are responsible for scheduling of Classroom Orientation. TMP are only eligible to schedule Classroom Orientation following the successful completion of the above Sections 2.1.1 to 2.1.8. Depending on the position, TMP may be required to complete preboarding coursework prior to attending the onsite classroom orientation. Contractors shall also confirm that TMP have reviewed the Contractor Informational Packet, prior to attending the onsite classroom orientation available online at the following link: https://www.maricopa.gov/DocumentCenter/View/76559/Contractor- Information-Packet CHS Education (CHS.Education@maricopa.gov) is responsible for administering the classroom orientation training program. All TMP must complete the classroom orientation training program prior to performing any work for CHS (unless granted an exception to attend classroom orientation by CHS). Successful completion of the classroom orientation training program results in documentation verifying attendance at fire, safety, infection control, suicide prevention, medication administration, and hazardous waste classes. 2.1.10.1.1. Exceptions to attend classroom orientation are only granted by CHS for former personnel who return within twelve months following a verified record of a previously completed classroom orientation. 2.1.10.2. Clinical orientation consists of validating that the TMP has the requisite skills to adequately perform the essential job functions/required duties for the position within their scope of practice originating from the respective licensing/certification board. CHS staffing (CHSStaffing@maricopa.gov) is responsible for scheduling of clinical orientation. TMP are only eligible to schedule clinical orientation following the successful completion of classroom orientation. Clinical orientation for validation of skills shall not exceed forty (40) hours. CHS education and Clinic Nurse Managers establish the criteria for skills validation. CHS will validate each TMP’s skill level and ability to complete essential job tasks in a satisfactory manner during the clinical orientation process. TMP are only eligible to schedule regularly scheduled shifts following the successful completion of both classroom and clinical orientations, including satisfactory complete validation of essential job functions/skills required of their respective licensure/certification. 2.1.10.3. Contractor is initially responsible for all TMP compensation during the orientation period, which includes classroom orientation and clinical SERIAL 230025-RFP orientation. Upon satisfactory completion by the TMP of three regularly scheduled shifts in a CHS clinic location: 2.1.10.3.1. CHS will reimburse the contractor for 50 percent of the hours to complete the classroom orientation, per the applicable fixed rate for the position. 2.1.10.3.2. CHS will reimburse the contractor for 100 percent of the hours to complete the clinical orientation, per the applicable fixed rate for the position. 2.1.10.4. Unsatisfactory Performance: CHS education will inform CHS staffing if the TMP cannot perform the required skills in a satisfactory manner. Unsatisfactory performance, or failing to meet the required skill level, will result in CHS staffing not scheduling the TMP to perform any work assignments for CHS. Additional training requirements are the contractor’s responsibility. Upon completion of additional training, the contractor may request that the TMP be reconsidered for placement with CHS. If approved by CHS, re-evaluation of required skills/essential job functions by CHS shall be required. 2.1.10.4.1. If unsatisfactory performance occurs, the contractor remains responsible for all TMP compensation for classroom orientation and clinical orientation. Contractor may coordinate through CHS staffing (CHSStaffing@maricopa.gov) for a re-evaluation of required skills or Certificate of Completion of a skills training program from an accredited program. Upon successful completion, the TMP will then be scheduled for the three shifts regularly scheduled shifts in a CHS clinic location. Upon satisfactory completion by the TMP of three regularly scheduled shifts in a CHS clinic location, the same reimbursement provisions as described in Sections 2.1.10.3.1 and 2.1.10.3.2 will apply. 2.1.10.5. Additional training: All TMP must be computer literate. All TMP are required to become proficient in using the EHR to input all clinical documentation while onsite and on assignment for CHS. CHS is responsible for providing required training for additional skills or new systems, e.g., EHR, Point-of-Use Automated Medication Management System, medication distribution, etc. If applicable to the position, TMP are required to become proficient with using the Point-of-Use Automated Medication Management System while on assignment for CHS. 2.1.10.5.1. CHS staffing (CHSStaffing@maricopa.gov) will identify TMP that require the additional training. Contractors will be informed as to date, time, and location of the training to notify their TMP. CHS will reimburse the contractor for additional training hours completed, per the applicable fixed rate for the position. TMP identified to receive the additional training will not receive additional work assignments for CHS if they miss the scheduled training. Contractor is responsible to coordinate with CHS staffing for make-up training opportunities. 2.1.11. Ongoing compliance: CHS will maintain updated records of required qualification and onboarding documentation for all TMP as described above in Sections 2.1.1 to 2.1.10 and continue to monitor all these areas. TMP are only eligible to perform work assignments for CHS if current in all areas monitored. CHS will provide a SERIAL 230025-RFP courtesy reminder via written correspondence in advance to contractor when the TMP is about to become delinquent in a monitored area. If updated documentation is not provided to CHS before the expiration date, the TMP will be ineligible for continued work assignments. The contractor attests to the validity of the TMP’s current status by confirming a TMP Booking. 3. SCOPE OF WORK: SERVICE DESCRIPTIONS AND REQUIREMENTS 3.1. HOW SHIFTS ARE FILLED 3.1.1. CHS schedules temporary medical assignments: 3.1.1.1. When census and acuity is high and adequate personnel is unavailable. 3.1.1.2. For various positions detailed in Section 3.2. Staffing levels and vacancies by position vary daily. 3.1.1.3. Temporary medical assignments on a long-term, block book, or daily by shift as needed, based on continuity of care, ability to float, and individual performance. Therefore, there is no guarantee for a specific number of assigned shifts or hours for any TMP implied by this contractual agreement. CHS is under no obligation to schedule one TMP over another. CHS makes no representations, nor guarantees the contractor any maximum or minimum volume, payment, reimbursement, TMP assignments, or number of units of service to be provided. 3.1.2. CHS will identify: 3.1.2.1. Temporary medical needs resulting from vacancies by shift and clinic location. 3.1.2.2. Temporary medical needs are normally for one shift per day at a time and will be addressed by using Per Diem TMP, defined as TMP assigned daily shift-by-shift, as needed. 3.1.2.3. Extended assignments to enhance continuity of care to be addressed by using Local Long-Term TMP, International TMP, and Traveler TMP. 3.1.3. When temporary medical needs are identified, CHS staffing (CHSStaffing@maricopa.gov) will communicate the temporary medical needs to the contractor(s) via phone with a follow-up email -OR- via only email. CHS will make every effort to provide the request in advance with as much lead time as possible to allow the contractor sufficient time to respond with availability. Schedules are typically established two weeks in advance, but urgent needs are identified several times per day. 3.1.4. CHS will provide the contractor(s) the following information for each TMP Booking assignment: 3.1.4.1. The required position. 3.1.4.2. The scheduled date(s) and hours of shift(s). 3.1.4.3. The specific facility and clinic location, if known. 3.1.4.3.1. The specific location of assignment may not be provided until final staffing confirmation, which will occur a minimum of two hours before the start of the scheduled shift. SERIAL 230025-RFP 3.1.4.3.2. The specific location of the assignment may be subject to change upon the TMP’s arrival, as all TMP are required to float to meet staffing needs upon request by CHS. 3.1.5. Contractor must submit responses for availability via email to CHS staffing (CHSStaffing@maricopa.gov) to provide a time and date stamp to document receipt and anticipated time of TMP’s arrival. 3.1.5.1. When multiple contractors propose to fill a single vacancy, CHS will prioritize the first contractor who responded via email for the TMP Booking, provided all required documentation has been submitted and the selection process was favorable. 3.1.6. Upon receipt of availability from the contractor, CHS will begin the scheduling process. CHS staffing (CHSStaffing@maricopa.gov) will distribute email confirmations once the TMP Booking is finalized. 3.1.7. Contractor must reply via email to confirm the TMP Booking. Contractor bears the sole responsibility of notifying the TMP of the confirmed assignment. 3.1.8. Throughout this contract, CHS will monitor assignments for CHS only: 3.1.8.1. Contractor’s ability to fill shifts. 3.1.8.2. Contractor’s reliable scheduling patterns. 3.1.8.3. CHS will continue to recruit for vacant positions. 3.1.8.4. If another CHS personnel fills a vacancy that is currently occupied by a TMP, CHS will make every reasonable effort to reassign the TMP to another CHS clinic location. If no vacancy exists, or the TMP is not qualified to fill the vacancy due to special skills required, CHS will reimburse the contractor for hours worked during that shift, per the applicable fixed rate for the position. CHS will incur no other financial obligation or penalty. 3.1.9. Internet Ordering Capability: Contractors without this capability will need to accept electronic requests via email. At such time that CHS may acquire an electronic system, contractors wishing to continue to provide services for this contract will be required to participate. 3.2. Service descriptions for all TMP are listed below by position. Service descriptions contain the essential job functions/required duties associated with the general scope of practice for each position and are not intended to be an all-inclusive list. 3.2.1. Behavioral Health Technician (BHT): Assists licensed professional staff members in assessing the mental status of patients. Leads, organizes, and participates in therapeutic interactions, guidance, support, and role modeling. Participates as a member of the care team and implements assigned treatment plan interventions. Communicates with patients in various situations, small groups, activity groups, and as directed. Assists clinical staff during group activities. Monitors and reports any unusual behavior or incidents. 3.2.2. Certified Pharmacy Technician (CPhT): Maintains familiarity with various medications, their proper dose, use and contraindications. Accurately prepares and fills medication containers with prescribed medication in the quantity ordered and affixes labels. Maintains records of all pharmacy transactions. Performs inventory control duties. Maintains, orders, labels, and stocks pharmaceuticals and supplies. Accepts and reconciles deliveries and ensures proper storage of SERIAL 230025-RFP medication. Assists with medication transfers between clinics. Communicates with nursing staff daily to verify any new medications, changes in therapy, or discontinuations. Prepares and organizes medications for pharmacist to perform quality assurance by accurately reading, verifying, and following medication orders and prescriptions. 3.2.3. Certified Radiology Technologist (CRT): Takes quality medical X-rays ordered by medical providers. Must be familiar with various X-ray techniques. Must be knowledgeable in the use of digital X-rays. Maintains appropriate documentation and records. 3.2.4. Dental Assistant (DA): Assists the dentist in providing general dental services. Accurately completes the daily sharps and instrument inventory at the beginning and end of each workday. Triages all patients scheduled to be seen by the dentist. Takes dental X-rays as directed by the dentist. 3.2.5. Dental Hygienist (DH): Participates in patient education of proper oral hygiene, performs preventive dental care, reviews patient health history, reinforces treatment plans. Takes dental X-rays as directed by the dentist and reviews them for signs of dental disease. Maintains instrumentation for dental hygiene treatment by sharpening, sterilizing, and selecting instruments. Completes dental prophylaxis by cleaning deposits and stains from teeth and from beneath gum margins. 3.2.6. Dentist: Provides routine dental treatment for patients diagnosed with having dental disease. Provides extractions, fills, and denture repairs. Performs dental examinations on patients, diagnoses dental conditions, and develops treatment plans. Records all treatment rendered to the patients in the dental record. Provides instruction to the patient about oral hygiene and post-surgical care. Triages patient’s request for dental care and prioritizes according to CHS policies and procedures. 3.2.7. Emergency Medical Technician (EMT): Assists in providing basic emergency medical care during medical emergencies. Operates under the current scope of practice for emergency medical care technicians. Administers, monitors, and assists patients with the self-administration of medications through their administrative medical directors delegated authority. Gathers patient vital signs, obtains specimens, performs ordered treatments, and applies dressings. Recognizes and documents the signs and symptoms of medical needs warranting additional professional expertise and notifies the appropriate medical staff of changes in patient’s condition, reaction to medications and/or treatments, and other significant incidents. 3.2.8. Licensed Practical Nurse (LPN): Performs standard nursing procedures as ordered. Provides health-related education as appropriate to patient needs. Administers medication and completes related pharmacological procedures. Collects data for assessment of care needs, reports findings, and delivers appropriate nursing interventions under the direction of a RN or Health Care provider. Monitors patient’s progress and reports outcomes. Completes and processes all required documentation in a comprehensive and objective manner. 3.2.9. Medical Assistant/Correctional Health Technician (MA/CHT): Performs duties within the MA scope of practice to ensure quality patient care, under the direct supervision of medical or nursing personnel. Completes required documentation in the electronic health record or other modality. Prepares patients for examination and treatment, takes patient histories, vital signs, and records chief complaints. Performs office procedures, tests, and examinations. Maintains adequate supplies for exam/procedure rooms. Transcribes provider orders, schedules return appointments. Administers injections, immunizations, and skin TB test per SERIAL 230025-RFP protocol. Performs venipunctures and lab tests. Conducts office duties including copying, filing, scanning, scheduling, and document preparation. Demonstrates proficiency in computer skills to create documents, spreadsheets, emails, and calendar tasks utilizing Microsoft Office software. 3.2.10. Mental Health Associate (MHA): Provides crisis intervention/rapid response and suicide risk assessment services as well as individual and group psychoeducation related to better management of health/behavioral health issues and to risk reduction of recidivism to criminal justice system under the supervision of an independently licensed professional. Develops and coordinates community re- entry plans that address risk factors associated with recidivism to the criminal justice system. Maintains knowledge of community resources and contacts to support patient’s effective transition back to the community. Completes suicide risk and bio-psychosocial assessments, community re-entry plans and other clinical reports/mental health forms in timely fashion and under the supervision of an independently licensed professional. Obtains treatment records and coordinate care with family, community providers, and others relevant to healthcare and community reentry plan. Completes and coordinates requests for mental health related Court Ordered Evaluation (COE) with community providers and testifies in court as needed. 3.2.11. Mental Health Licensed Associate (MHLA): Completes bio-psychosocial assessments, suicide risk assessments, and other clinical forms as required under the supervision of an independently licensed mental health professional. Provides individual and group psychoeducation and crisis intervention services under the supervision of an independently licensed mental health professional. Coordinates with the multi-disciplinary team regarding patient care. Develops and coordinates patient discharge/re-entry plans. Obtains relevant treatment records and coordinates care with family members, community providers, and others relevant to the patient’s care and community re-entry plans. Maintains and updates a list of community resources to support the patient’s transition and re-entry back to the community, including civil commitment procedures, Regional Behavioral Health Authority (RBHA) services, and criminal justice processes. 3.2.12. Mental Health Monitor/Sitter (MHM/S): Monitors patients on suicide watch, in therapeutic restraints, or otherwise at-risk of self-harm or danger to others. Performs visual or video monitoring for patients and reports findings and observations to the licensed nurse. Completes and processes all required documentation legibly, timely, and with accuracy. Must be able to report and document changes in the patient chart regarding patient activity. Follows the directions of the medical personnel in charge of the respective unit. 3.2.13. Mental Health Professional (MHP): Coordinates regarding psychosocial treatment issues related to patient care. Presents relevant findings that pertain to mental status and patient risk in an acute environment. Prepares comprehensive bio- psychosocial assessments, mental status exams, treatment plans, and other clinical reports. Provides individual treatment and crisis intervention services. Facilitates therapeutic and psychoeducational group treatment. Conducts short term, solution-focused therapy with the use of treatment plans, goals, and objectives. Develops treatment plans for patients with serious mental illness and co-occurring disorders. Maintains familiarity with mental health diagnoses that correspond to International Classification of Diseases (ICD) and Diagnostic and Statistical Manual (DSM). Coordinates treatment with Maricopa County Sherriff’s Office (MCSO), courts, and community providers for continuity of care. 3.2.14. Nurse Practitioner (NP): Obtains history and completes physical examinations of patients incarcerated in the County jails. Evaluates and treats patients as medically indicated in compliance with CHS policies and procedures. Documents patient encounters according to CHS protocols in a SERIAL 230025-RFP Subjective/Objective/Assessment/Plan/Education (SOAPE) format in the progress notes or on the appropriate CHS clinical form. Develops and updates individualized treatment plans for patients with chronic conditions or special needs. Orders onsite lab work, radiology studies, treatments, and medications as medically indicated. Refers patients to external service providers, including specialists, diagnostic studies, and other services as medically indicated. Performs minor procedures such as sutures, incisions, and drainage of abscesses, simple splints, punch biopsies, and pelvic exams. Collaborates and communicates with hospitals, medical providers, community agencies, state and federal agencies, and other counties regarding continuity of medical care. Participates in peer review, in- service training, quality improvement processes, and other meetings necessary to improve patient care. 3.2.15. Pharmacist: Assesses appropriateness of and completeness of prescriptions and medication orders. Selects, compounds, and dispenses drugs and other pharmaceutical products ordered by physicians and other licensed medical practitioners. Monitors drug therapy by evaluating patient medical history, clinically significant drug interactions, adverse reactions, therapeutic duplications, drug dosage, and compliance with prescription order. Dispense and fill medication orders written by CHS medical and dental staff. 3.2.16. Physical Therapist (PT): Examines patients with impairment, functional limitation, and disability or other health-related conditions to determine a diagnosis, prognosis, and intervention. Performs and documents initial exams, evaluates data to clarify and substantiate patient complaints, problems, and functional limitations to determine a diagnosis prior to intervention. Plans, prepares, or carries out individually designed programs of physical treatment to maintain, improve, or restore physical functioning, alleviate pain, or prevent physical dysfunction in patients. Records prognosis, treatment, response, and progress in patient's chart. Identifies and documents goals, anticipated progress, and plans for reevaluation. Evaluates effects of treatment at various stages and adjust treatments to achieve maximum benefit. Tests and measures patient’s strength, motor development and function, sensory perception, functional capacity, or respiratory or circulatory efficiency and record data. Instructs and educates patients on a plan of care to be continued on their own. Alleviates impairment and functional limitation by designing, implementing, and modifying therapeutic interventions. 3.2.17. Physician: Obtains a history and completes physical examinations of incarcerated patients. Evaluates and treats patients as medically indicated in compliance with CHS policies, procedures, and Clinical Practice Guidelines. Documents patient encounters according to CHS protocols in a SOAPE format in the progress notes or on the appropriate CHS clinical form. Develops and updates individualized treatment plans for patients with chronic conditions or special needs. Orders onsite lab work, treatments, and medications as medically indicated. Refers to outside specialists, outside diagnostic studies, and other outside services as medically indicated. Performs minor procedures such as sutures, incisions, drainage of abscesses, simple splints, punch biopsies, and pelvic exams. Participates in peer reviews, in-service training, quality improvement processes, and other meetings necessary to improve patient care. Maintains applicable licensure and skills according to the requirements by state law, department policies, and licensure agencies. Supervises Physician Assistants as assigned by the Medical Director. 3.2.18. Physician Assistant (PA): Provides direct medical care and treatment to patients under the supervision of a licensed physician. Collects and records a complete medical history and develop an individualized treatment plan. Provides education in a manner that enhances one to learn about their disease or chronic condition. Skilled in planning and organizing work. Manages time appropriately to complete multiple job tasks efficiently and at times simultaneously, which includes delivering SERIAL 230025-RFP direct patient care, managing questions from nursing staff, and completing queue work in the electronic health record. Maintains knowledge of quality control, management, and assurance processes. 3.2.19. Psychiatric Behavioral Health Technician (Psych BHT): Works with the psychiatric provider staff and mental health staff to determine patients in need of involuntary treatment. Observes patients identified as needing involuntary treatment for symptoms of mental illness, including danger to self, danger to others, or symptoms indicating that the patient is persistently or acutely disabled, or gravely disabled. Completes petition applications for involuntary, court-ordered treatment and coordinates with outpatient teams to initiate the petitioning process. Testifies in court about observed patient behaviors. Identifies patients who are on a court order for involuntary treatment and makes that information available to provider staff. Assists provider staff in coordinating care with patient’s outpatient clinic. Participates in other clinical duties as identified by the Chief of Psychiatry. 3.2.20. Psychiatric Nurse Practitioner (Psych NP): Evaluates new admissions to reach a diagnosis and treat identified mental illness. Re-evaluates patients under care to refine diagnosis and treatment as indicated. Prescribes medications following the CHS Pharmacy Formulary. Participates in the management of patients who require involuntary treatment including, but not limited to initiating Court-ordered evaluation and ordering the administration of involuntary medications. Participates as a member of the Medical and Mental Health Interdisciplinary Treatment team, assists in developing Special Needs Treatment Plans (SNTP), coordinates with the Forensic Team for any patients in a forensic program, works with the medical staff to manage medical problems, which may include providing basic medical care and participation in interdisciplinary team meetings. Participates in the development of psychiatric protocols and clinical practice guidelines to ensure medical services are provided in a cost-effective manner that is consistent with psychiatric standards and appropriate for the correctional setting. 3.2.21. Psychiatric Physician Assistant (Psych PA): Provides direct specialized psychiatric care and treatment to mental health patients in a correctional/jail setting under the supervision of a licensed physician. Collects and records a complete medical and mental health history and develop an individualized treatment plan. Provides education in a manner that enhances one to learn about their disease or chronic condition. Delivers direct patient care, managing questions from nursing staff, and completing queue work in the electronic health record. Provides competent psychiatric diagnosis, care, and treatment for mentally ill individuals. 3.2.22. Psychiatrist: Provides psychiatric consultations, patient assessments, and treatment plans for patients receiving mental health services. Evaluates new admissions to reach a diagnosis and treat identified mental illness. Re-evaluates patients under care to refine diagnosis and treatment as indicated. Prescribes medications following the CHS Pharmacy Formulary. Participates in the management of patients who require involuntary treatment including, but not limited to initiating Court-ordered evaluation, and ordering the administration of involuntary medications as indicated. Participates as a member of the Mental Health Interdisciplinary Treatment team, assists the team in developing SNTP, and coordinates with the Forensic Team for any patients in a forensic program, participates in the development of psychiatric protocols and clinical practice guidelines to ensure medical services are provided in a cost-effective manner that is consistent with psychiatric standards and appropriate for the correctional setting. Assists with preparation for licensure and accreditation surveys. 3.2.23. Psychologist: Provides psychological evaluation, consultation, and treatment of patients. Conducts individual and/or group therapy. Reviews the acute clinical cases requiring a higher skill set and supports documentation for performance and care. Establishes effective, sustainable, integrated, and collaborative suicide SERIAL 230025-RFP prevention and intervention approaches and practices applicable to all mental health staff roles. Provides clinical supervision for licensed and unlicensed mental health staff assigned to the outpatient setting. Participates or conducts Grand Rounds with staff, medical providers, community providers, residents, and medical students assigned by the Mental Health Director. Meets with peers, staff (CHS and MCSO), and community providers as requested and scheduled by the Mental Health Director, CHS Medical Director, or CHS Director. 3.2.24. Registered Nurse (RN) (Category 1): Provides assessments and implements appropriate nursing interventions. Monitors patient’s progress as appropriate and evaluates outcomes. Performs standard nursing procedures appropriate to patient needs. Completes and processes all required documentation, including plans and discharge planning, in a comprehensive, objective, and legible manner. Provides health-related education to patients as appropriate to patient needs. Administers medication and addresses other pharmacological needs as protocol dictates and performs basic intravenous and phlebotomy skills as required. Participates in orientation and training of new employees, contract staff, students, and others needed. 3.3. GENERAL REQUIREMENTS FOR CONTRACTORS AND TMP 3.3.1. All contractors and all TMP shall: 3.3.1.1. Maintain patient confidentiality in the management of information and in accordance with Health Insurance Portability and Accountability Act (HIPAA) rules. 3.3.1.2. Comply with applicable County policies, such as those related to the safekeeping of Protected Health Information (PHI). 3.3.1.2.1. CHS will provide contractors and TMP with copies of applicable County policies. 3.3.1.3. Ensure TMP remain in compliance with all qualifications and onboarding requirements (detailed in Sections 2.1.1 to 2.1.11) and continue to be eligible to perform work assignments for CHS. 3.3.1.4. Exclusively use their secured county email address to conduct all county business with CHS. 3.3.1.4.1. Agency contractors and TMP direct contractors are provided a secured county email address following contract award. 3.3.1.4.2. All TMP under agency contractors are provided a secured county email address during orientation. 3.3.1.5. Remain in compliance with OSHA standards and regulations regarding bloodborne pathogens and N95 fit testing. 3.3.1.6. Not commit or permit any act that will interfere with the performance of work by any other contractor, except if necessary to protect personnel or patients from danger. 3.4. REQUIREMENTS FOR AGENCY CONTRACTORS 3.4.1. All agency contractors shall: SERIAL 230025-RFP 3.4.1.1. Have a staffing representative available 24 hours per day and 7 days per week to receive scheduling requests via phone and county email. 3.4.1.2. Make every reasonable effort to replace their TMP who call-off, cancel, or no-show for a previously scheduled shift. 3.4.1.3. Issue their TMP an agency contractor badge, which identifies the agency contractor and includes a photograph of the TMP and their position. The secondary purpose of the agency contractor badge is a location for placement of the Radio Frequency Identification (RFID) token/sticker. 3.5. REQUIREMENTS FOR TMP DIRECT CONTRACTORS 3.5.1. All TMP direct contractors shall: 3.5.1.1. Provide their availability on a recurring basis to CHS staffing (CHSStaffing@maricopa.gov) at a frequency (weekly, monthly, etc.) to be determined by the TMP direct contractor. 3.5.1.2. Visibly display and wear their CHS badge on the upper part of the body while on-duty inside of the jail facilities. 3.5.1.3. Carry their Maricopa County Contractor Badge while on duty inside of the jail facilities and present this badge upon request. 3.5.1.4. Immediately report lost or stolen badges to the CHS contract administrator for security reasons. 3.6. REQUIREMENTS FOR TMP 3.6.1. All TMP shall: 3.6.1.1. Be available for all confirmed shifts. 3.6.1.2. Comply with the CHS dress code while working onsite at a CHS clinic location. 3.6.1.3. Visibly display and wear their appropriate badge on the upper part of the body while on-duty inside of the jail facilities. 3.6.1.4. Have their CPR macro shield mouthpiece on their person while on duty. 3.6.1.4.1. CHS will initially provide a macro shield mouthpiece to all TMP upon completion of classroom orientation. If the TMP uses the macro shield mouthpiece to perform CPR while on duty, CHS will provide a replacement at no cost to the contractor/TMP. If the TMP loses the macro shield mouthpiece, CHS charges a $5.00 replacement fee for which the contractor is responsible. 3.6.1.5. Report on-time to their scheduled clinic location and be ready to work. 3.6.1.6. Be willing to float all CHS clinic locations (unless special skills are required by CHS). 3.6.1.7. Comply with all MCSO policies, procedures, and security regulations. SERIAL 230025-RFP 3.6.1.7.1. Non-restricted MCSO Detention policies and procedures are available online at the following link: https://www.mcso.org/general-info/mcso- policies/detention-policies-and-procedures. 3.6.1.8. Provide health care services within their scope of practice, while maintaining applicable guidelines for care, statutes, standards, and regulations set forth by federal and state laws, licensing and certifying organizations. 3.6.1.9. Adhere to and model the code of ethics associated with their clinical specialty, license, or certification. 3.6.1.10. Comply with CHS policies, procedures, and Clinical Practice Guidelines. 3.6.1.10.1. CHS will provide contractors and TMP access to these resources. 3.6.1.11. Act as patient advocate to preserve their autonomy, confidentiality, and dignity. 3.6.1.12. Apply a systematic, organized approach to completion of assignments and assist others to do the same. 3.6.1.13. Complete clinical documentation for all patient encounters in the EHR per CHS protocols while onsite and before the end of the shift. 3.6.1.14. Fully cooperate and work collaboratively with multi-disciplinary team members. 3.6.1.15. Contribute to teamwork in the performance of work. 3.7. ELECTRONIC TIMEKEEPING SYSTEM 3.7.1. Electronic Timekeeping System Access: The RFID token/sticker to enable TMP to clock-in and clock-out via the onsite kiosks or computers at CHS clinic locations. 3.7.2. All TMP must appropriately use the Electronic Timekeeping System to accurately account for Service Time (time spent on assignment and engaged in performing productive work), which includes: 3.7.2.1. Clocking-in at the scheduled start time for the shift and upon arrival to the assigned CHS clinic location. 3.7.2.2. Clocking-out at the scheduled end time for the shift and upon departure from the assigned CHS clinic location. 3.7.2.3. Float/Transfer to another CHS clinic location: Before transferring to another CHS clinic location, it is essential that TMP clock-out at the current CHS clinic location, and clock-in/clock-out at the new CHS clinic location. Failure to do so will result in discrepancies in the reverse invoice payment process. 3.7.2.3.1. Float Travel Time refers to the time spent traveling between jails when floated, which will be compensated and is not to exceed 15 minutes/0.25 hours unless otherwise permitted by CHS as appropriate for time and distance. SERIAL 230025-RFP 3.7.3. Late Arrival/Early Departure: TMP who arrive late or depart early due to scheduling changes must still clock-in at time of arrival and clock-out at time of departure using the Electronic Timekeeping System. 3.7.4. Lunch Breaks 3.7.4.1. TMP under agency contractors are required to take a thirty-minute lunch break for shift of five and a half hours or more in accordance with the policies for CHS core employees. The thirty-minute lunch break is automatically deducted from the shift and does not require clocking-in before and clocking-out after. 3.7.4.2. TMP under agency contractors may only work through the lunch break if approved by the CHS Health Services Administrator (HSA) -OR- Nurse Manager (in the absence of the HSA), which requires completing the exemption form as detailed in Section 3.7.8. 3.7.4.3. TMP direct contractors may take a lunch, at their discretion, but this is not required, nor paid. 3.7.5. Rounding: The Electronic Timekeeping System rounds each clock-in and clock- out to the nearest 15 minutes/0.25 hours. The following are instructive examples: 3.7.5.1. If the TMP clocks-in either seven minutes before or after the start of their shift, the Timekeeping system will reflect an accurate scheduled start time or end time for the shift. 3.7.5.2. If the TMP clocks-in eight minutes after the start of their shift, the Timekeeping system will reflect a start time of 15 minutes/0.25 hour after the scheduled start time for the shift. 3.7.5.3. If the TMP clocks-out eight before the scheduled end time for the shift, the Timekeeping system will reflect an end time of 15 minutes/0.25 hour before the scheduled start time for the shift. 3.7.6. Scheduled overtime must have prior written approval by the CHS HSA -OR- Assistant Director of Nursing/Nurse Manager (in the absence of the CHS HSA) and be submitted to CHS Staffing via email: CHSStaffing@maricopa.gov. 3.7.7. Additional time worked beyond the scheduled shift. 3.7.7.1. Excess time refers to any time worked by TMP without prior written approval from the CHS. CHS will not compensate the contractor for excess time. 3.7.7.2. Working additional time beyond the scheduled shift must have prior written approval by the CHS HSA -OR- Assistant Director of Nursing/Nurse Manager (in the absence of the CHS HSA) and be submitted to CHS staffing via email: CHSStaffing@maricopa.gov. 3.7.8. Timecard adjustments 3.7.8.1. If Electronic Timekeeping System is down -OR- any other timecard adjustment is needed, TMP must complete and submit the exemption form by the end of the shift. 3.7.8.2. The exemption form is available online via DocuSign at the following link: https://powerforms.docusign.net/545b7fef-cafa-4f63-ab2f- 4520a12c4a45?env=na3&acct=466c2941-b64c-4e69-8437- SERIAL 230025-RFP a97682429bcc&accountId=466c2941-b64c-4e69-8437- a97682429bcc&recipientLang=en. 3.7.9. Abandonment of shift: If the TMP abandons their shift without prior written approval of CHS HSA -OR- the Assistant Director of Nursing/Nurse Manager (in the absence of the Health Care Administrator), CHS will not compensate the contractor for any of the TMP’s hours worked on that shift. 3.7.10. Additional requirements for recording of time spent within a CHS clinic location may be required. 3.8. CALL OFFS 3.8.1. If the TMP is unable to report for the shift as scheduled following confirmation, the contractor must notify CHSStaffing@maricopa.gov a minimum of four hours before the start of the shift to avoid penalties as detailed in Section 4.6.1.8. 3.9. INJURED WHILE ON DUTY 3.9.1. If a TMP is injured at work while on duty at a CHS clinic location, or has a significant bodily fluid exposure, the TMP is responsible for notifying the CHS HSA, or Nurse Manager (in the absence of the CHS HSA). 3.9.2. The TMP shall also notify their agency contractor within 24 hours of the work- related injury. 3.9.3. Contractor is responsible for processing and handling injury claims for their TMP. 3.9.4. Contractor and their TMP must comply with exposure control and OSHA standards and regulations regarding bloodborne pathogens. 3.10. TERMINATION OF TMP FOR CAUSE 3.10.1. CHS maintains discretion to terminate any TMP from assignment for cause. The following are example scenarios, but are not intended to be an all-inclusive list: 3.10.1.1. Failure to comply with safety and security policies. MCSO maintains responsibility for the security and safety of all inmates and personnel. If MCSO determines that a particular TMP is not complying with safety and security policies, MCSO has the right to refuse that TMP from working in the County jails. CHS will honor MCSO’s recommendation and proceed with termination. 3.10.1.2. Failure to remain drug and alcohol free while on-duty. TMP exhibiting signs of physical impairment will be questioned about their behavior. CHS has discretion to perform, or request that the agency contractor perform, a “for cause” drug or alcohol screen. All “for cause” drug or alcohol screens will be performed at a facility selected by CHS, at contractor’s expense. The TMP will be released from duty to the contractor or the contractor’s designated representative. If physical impairment due to substances such as drugs or alcohol is validated, CHS will proceed with termination. 3.10.1.3. Failure to perform duties within the scope of licensure/certification. CHS maintains responsibility for the delivery of health care provided to patients. If CHS determines that a particular TMP is performing duties outside of their scope of licensure/certification, CHS will proceed with termination. SERIAL 230025-RFP 3.10.1.4. Failure to accomplish tasks in accordance with standard procedures (e.g., failure to complete narcotics inventory, medication administration, omission of/incorrect entry of critical documentation). CHS maintains responsibility for the delivery of health care provided to patients. If CHS determines that a particular TMP is performing tasks that deviate from standard procedures or in an unsafe manner, CHS will proceed with termination. 3.10.1.5. Failure to provide quality of health care services. CHS maintains responsibility for the delivery of health care provided to patients. If CHS determines that a particular TMP is unable to provide the quality of services necessary, CHS will proceed with termination. 3.10.1.6. Failure to resolve performance/disciplinary issues. CHS will notify the contractor of progressive disciplinary actions pertaining to their TMP verbally and/or in writing. The contractor is required to respond to verbal and/or written communication pertaining to performance/disciplinary issues of their TMP and take an active role in resolving performance/disciplinary problems if/when they occur. If the performance/disciplinary issues are unable to be resolved, CHS will proceed with termination. 3.10.1.7. Failure to float: “Floating” refers to the reassignment of TMP to a different work location -OR- to a different position if the TMP satisfies the requisite essential job functions. All TMP are required to float. Failure to float refers to the scenario in which the TMP refuses to relocate to meet staffing needs upon request by CHS. If CHS determines that a particular TMP refuses to float as requested to meet staffing needs, CHS will proceed with termination. 3.10.2. Contractor will assume full responsibility for the TMP when released from duty. Contractor will absorb charges for the hours worked on that shift if the TMP is terminated for cause. CHS will be released from any further financial commitment to the contractor for the terminated TMP. Termination will result in the TMP being placed on a DNR status. TMP placed on DNR status are ineligible for any future work assignments and employment with CHS. 3.10.3. CHS is authorized to submit a formal report to the appropriate Arizona State Board or licensing/certification agency if TMP actions warrant termination for cause. Actions warranting a formal report include, but are not limited, to Sections 3.10.1.1 to 3.10.1.6. 3.11. CONVERSION FROM TMP TO CHS CORE EMPLOYEE STATUS 3.11.1. Buy-out Penalty: CHS will reimburse the contractor for 80 hours at the normal, fixed pricing rate if the TMP is hired by CHS prior to completing 1080 hours following orientation. 3.11.2. CHS will not reimburse the contractor, nor will CHS incur any buy-out penalty, in the following scenarios: 3.11.2.1. If the TMP is hired by CHS after completing 1080 hours following orientation. 3.11.2.2. If the TMP is hired by CHS for an employed position other than the TMP position performed for the agency contractor regardless of the number of hours completed following orientation. SERIAL 230025-RFP 3.11.2.2.1. For example: Hired by CHS as a Registered Nurse, but previously submitted by the agency contractor as a LPN. 3.11.2.3. If the TMP is hired by CHS as a member of CHS Pool but is still available for work assignments at other facilities with the contractor, regardless of the number of hours completed following orientation. 3.11.3. CHS reserves the right to hire TMP and will not incur any financial penalties assessed by the contractor to the TMP. 3.11.4. TMP who complete 1080 hours following orientation are under no obligation to convert to CHS Core Employee status. 3.12. INCENTIVES 3.12.1. Exhibit A: Pricing establishes the fixed pricing rates for services by position and the associated calculations for the addition of hourly premium pay/shift differentials for nights and weekends and multipliers for overtime and holidays. 3.12.2. Premium pay/shift differentials refer to hourly pay for productive work hours in addition to the fixed rate pricing to incentivize TMP to work nights and weekends. 3.12.2.1. To be eligible for premium pay/shift differentials, TMP must work at least two hours in a shift other than the first shift (any combination of second and/or third shift). 3.12.2.2. Premium pay/shift differentials only apply to actual time worked and are not included in the calculation of pay for any non-productive time. 3.12.2.3. Premium pay/shift differentials are included in the reverse invoicing payment process. 3.12.3. Emergency pay/hazard pay refers to additional pay intended to directly benefit TMP essential workers. 3.12.3.1. If approved Maricopa County Board of Supervisors (BOS), TMP essential workers will receive additional pay for productive work hours either at an hourly rate or as incentive pay, as determined by the CHS Director. 3.12.3.2. If approved emergency pay/hazard pay is included in the reverse invoicing payment process. 3.12.4. Overtime refers to any amount of time worked by TMP over forty hours during one weekly payroll period for CHS. Guaranteed minimum hours is not applicable. 3.12.4.1. The payroll period refers to the seven-day period beginning on Monday at 12:00 a.m. MST and ending the following Sunday at 11:59 p.m. MST based upon the beginning of the shift. 3.12.4.2. Overtime pay will be multiplied at a rate of one-and-one-half times the fixed pricing rates (after any premium pay/shift differentials are applied). 3.12.4.3. Overtime rates will only be multiplied for the hours beyond the first forty hours per weekly payroll period. 3.12.4.4. Overtime pay is included in the reverse invoicing payment process. SERIAL 230025-RFP 3.12.5. Holidays refer to each day listed as follows: New Year’s Day (January 1); Memorial Day; Independence Day (July 4th); Labor Day; Thanksgiving Day; and Christmas Day (December 25). For the avoidance of doubt, no other days are considered holidays for purposes of this contract. 3.12.5.1. Each holiday begins at 12:00 a.m. MST through 11:59 p.m. MST. 3.12.5.2. Holiday pay will be multiplied at a rate of one-and-one-half times the fixed pricing rates (after any premium pay/shift differentials are applied). 3.12.5.3. Holiday pay and overtime pay will not be combined on the same shift. 3.12.5.4. Holiday pay is included in the reverse invoicing payment process. 3.12.6. Float travel time refers to time spent traveling between jails when floated. 3.12.6.1. Float travel time will be compensated and is not to exceed 15 minutes/0.25 hours. 3.12.6.2. If float travel time exceeds 15 minutes/0.25 hours as appropriate for time and distance, this requires an approved Exemption form as detailed in Section 3.7.8. 3.12.6.3. Float travel time is included in the reverse invoicing payment process. 3.12.7. Floating to perform a different position if the TMP satisfies the requisite essential job functions. 3.12.7.1. For example: If the TMP was onboarded as RN but is scheduled for and fills a shift for an LPN; then the contractor will be compensated at the fixed rate pricing associated with the RN position. 3.12.8. Late calls 3.12.8.1. If CHS orders services less than two hours before the start of the shift; and the TMP report to the appropriate CHS clinic location within the first one hour of the scheduled shift start time, then CHS will compensate for the services as if the booked TMP reported to work at the scheduled start time for the shift. 3.12.8.1.1. If CHS orders services at any time after the start time of the shift, and if the TMP reports to the appropriate clinic location one or more hours after the scheduled shift start time, then CHS will compensate for the services for the actual hours worked. 3.12.9. Cancellations 3.12.9.1. Contractor will be reimbursed for up to four hours of fixed pricing rates by position in the following scenarios: 3.12.9.1.1. The confirmed shift was cancelled upon the TMP’s arrival. 3.12.9.1.2. The TMP was released from duty early in lieu of being floated/re-assigned to another CHS clinic location. 3.13. PENALTIES 3.13.1. CHS will not compensate the contractor for the following: SERIAL 230025-RFP 3.13.1.1. mileage. 3.13.1.2. excess time, which refers to any time worked by TMP without prior written approval from CHS. 3.13.1.3. travel time, which refers to time spent traveling to the assignment before clocking-in and from the assignment after clocking-out (except for Float Travel Time). 3.13.1.4. failure to float, which refers to the TMP refuses reassignment to another location upon request by CHS. 3.13.1.4.1. If this occurs, CHS will not compensate the contractor for the entire shift when the TMP failed to float, including before the request to float was made and after the TMP’s refusal to float. 3.13.1.5. float travel time that exceeds 15 minutes/0.25 hours and in the absence of an approved Exemption form as detailed in Section 3.7.8. 3.13.1.6. On-call rates, which refers to time during which TMP is not present at any CHS clinic location but remains available to work at any CHS clinic location if requested by CHS. For the avoidance of doubt, no TMP is on- call unless CHS requests that the specified TMP provide on-call services during that time. 3.13.1.7. Call-back rates, which refers to time during which TMP works if: (a) TMP is assigned to an on-call shift, and (b) at the request of CHS, TMP presents to the designated CHS clinic location to work at the CHS clinic location for the remainder of the on-call shift. For the avoidance of doubt, no time is call-back time until the TMP arrives at the designated CHS clinic location to work the shift. 3.13.1.8. Late cancellations: If the agency contractor cancels a confirmed shift with less than four hours of advance notice, and does not provide an adequate replacement, then agency contractor will be charged for the fixed pricing rate by position multiplied by four hours. 3.13.1.9. No-shows: If the TMP no-shows for a confirmed shift, then the agency contractor will be charged for the full scheduled shift multiplied by the applicable fixed pricing rate by position. 3.14. CHS will make Alternative Contribution payments for any TMP who are also (ASRS retirees that return to work, whether by direct-hire, contract, or service to third parties: https://www.azasrs.gov/content/alternate-contribution-rate. 3.14.1. The agency contractor is responsible for reimbursing CHS for Alternative Contribution payments for any TMP who ASRS are also retirees. 3.15. Disputes: Except as otherwise provided by law, any dispute arising under this contract shall be submitted to the Dispute Process as specified in Maricopa County Procurement Code section MC1-905 and MC1-906, as amended. The provisions of this dispute process can be found on https://www.maricopa.gov/DocumentCenter/View/66987/Maricopa-County- Procurement-Code Disputes involving adjusted invoices should be addressed directly to CHS’ Finance Supervisor, in writing, and with supporting documentation provided. In the event differences cannot be resolved between the contractor and CHS, then resolution must be accomplished in accordance with the Maricopa County Procurement Code, section MC1-905 and MC1-906. SERIAL 230025-RFP 3.16. Ownership of Intellectual Property: Any and all intellectual property, including but not limited to copyright, invention, trademark trade name, service mark, and/or trade secrets created or conceived pursuant to or as a result of this contract and any related subcontract (“Intellectual Property”), shall belong to CHS. CHS shall be considered the creator of such Intellectual Property. CHS, by requesting the issuance of this contract, shall own the entire right, title, and interest to the Intellectual Property throughout the world. The contractor shall notify CHS, within 30 days of the creation of any Intellectual Property by it or its subcontractor(s). The contractor, on behalf of itself and any subcontractor(s), agrees to execute any and all document(s) necessary to assure ownership of the Intellectual Property vests in CHS and shall take no affirmative actions that might have the effect of vesting all or part of the Intellectual Property in any entity other than CHS. The Intellectual Property shall not be disclosed by contractor or its subcontractor(s) to any entity other than CHS of without the express written authorization of CHS. 3.17. Property: Any materials, including reports, computer programs and other deliverables, created under this contract is the property of CHS. The contractor is not entitled to a patent or copyright on those materials and may not transfer the patent or copyright to anyone else. The contractor shall not use or release these materials without the prior written consent of CHS.