1954 Lifescan Wellness Center Piggyback (copy)Life Extension Clinics, Inc. d/b/a Lifescan Wellness Center Piggyback
Contract (PBA 17/18-57)
The City of Sanford ("City") enters this "Piggyback" Contract with Life Extension
Clinics, Inc. d/b/a Lifescan Wellness Center, a Florida corporation (hereinafter referred to
as the "Vendor"), whose address 1011 North MacDill Avenue, Tampa, Florida 33607,
under the terms and conditions hereinafter provided. The City and the Vendor agree as
follows:
(1). The Purchasing Policy for the City of Sanford allows for "piggybacking"
contracts. Pursuant to this procedure, the City is allowed to piggyback an existing
government contract, and there is no need to obtain formal or informal quotations,
proposals or bids. The parties agree that the Vendor has entered a contract with the
City of Jacksonville, Florida, said contract being identified as "Contract Between City
Of Jacksonville And Life Extension Clinics, Inc. For Health Screening Physicals JFRD
Personnel/Ancillary Personnel" which is assigned Number "8158-08" deriving from
"Request for Proposal No. P-05-18", in order for the Vendor to provide an array of
services relative to diverse types of physical examinations and related matters (said
original contract being referred to as the "original government contract").
(2). The original government contract documents are incorporated herein by
reference and is attached as Exhibit "A" to this contract. All of the terms and
conditions set out in the original government contract are fully binding on the parties
and said terms and conditions are incorporated herein; provided, however, that the
City will negotiate and enter work orders/purchase orders with the Vendor in
accordance with City policies and procedures for particular goods and services.
1
(3). Notwithstanding the requirement that the original government contract
is fully binding on the parties, the parties have agreed to modify certain technical
provisions of the original government contract as applied to this Contract between
the Vendor and the City, as follows:
N/A.
(a). Time Period ("Term") of this Contract: (state N/A if this is not applicable).
(b). Insurance Requirements of this Contract: (state N/A if this is not
applicable). N/A.
(c). Any other provisions of the original government contract that will be
modified: (state N/A if this is not applicable). N/A.
(d). Address change for the City: Notwithstanding the address and contact
information for the government entity as set out in the original government contract, the
Vendor agrees that he/she/it shall send notices, invoices and shall conduct all business
with the City to the attention of City Manager, at: City of Sanford, 300 North Park Avenue;
Sanford, Florida 32771. The City Manager's designated representative for this Contract
is Craig Radzak, Fire Chief, 1303 William Clark Avenue (Fire Department Headquarters),
Sanford, Florida 32771, telephone number 407-688-5044, and whose e-mail address is
craig.radzak@sanfordfl.gov.
(e). Notwithstanding anything in the original government contract to the
contrary, the venue of any dispute will be in Seminole County, Florida. Litigation between
the parties arising out of this Contract shall be in Seminole County, Florida in the Court
of appropriate jurisdiction. The law of Florida shall control any dispute between the parties
2
arising out of or related to this Contract, the performance thereof or any products or
services delivered pursuant to such Contract.
(f). Notwithstanding any other provision in the original government contract to
the contrary, there shall be no arbitration with respect to any dispute between the parties
arising out of this Contract. Dispute resolution shall be through voluntary and non-binding
mediation, negotiation or litigation in the court of appropriate jurisdiction in Seminole
County, Florida, with the parties bearing the costs of their own legal fees with respect to
any dispute resolution, including litigation.
(g). All the services to be provided or performed shall be in conformance with
commonly accepted industry and professional codes and standards, standards of the
City, and the laws of any Federal, State or local regulatory agency.
(h).
(I). IF THE CONTRACTORIVENDOR HAS QUESTIONS
REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA
STATUTES, TO THE CONTRACTOR'S (VENDOR'S) DUTY TO PROVIDE
PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE
CUSTODIAN OF PUBLIC RECORDS AT (407) 688-5012, TRACI
HOUCHIN,
CITY CLERK,
CITY OF SANFORD,
CITY HALL,
300 NORTH
PARK
AVENUE,
SANFORD,
FLORIDA
327711
TRACI.HOUCHIN@SANFORDFL.GOV.
(II). In order to comply with Section 119.0701, Florida Statutes, public
records laws, the Vendor must:
W
(A). Keep and maintain public records that ordinarily and necessarily would
be required by the City in order to perform the service.
(B). Provide the public with access to public records on the same terms and
conditions that the City would provide the records and at a cost that does not exceed
the cost provided in Chapter 119, Florida Statutes, or as otherwise provided by law.
(C). Ensure that public records that are exempt or confidential and exempt
from public records disclosure requirements are not disclosed except as authorized
by law.
(D). Meet all requirements for retaining public records and transfer, at no
cost, to the City all public records in possession of the Vendor upon termination of
the contract and destroy any duplicate public records that are exempt or confidential
and exempt from public records disclosure requirements. All records stored
electronically must be provided to the City in a format that is compatible with the
information technology systems of the City.
(III). If the Vendor does not comply with a public records request, the City
shall enforce the contract provisions in accordance with this Agreement.
(IV). Failure by the Vendor to grant such public access and comply with public
records requests shall be grounds for immediate unilateral cancellation of this
Agreement by the City. The Vendor shall promptly provide the City with a copy of any
request to inspect or copy public records in possession of the Vendor and shall
promptly provide the City with a copy of the Vendor's response to each such request.
(i). All other provisions in the original government contract are fully binding on
the parties and will represent the agreement between the City and the Vendor.
M
sf
Entered this day of �I.IQi�Si" , 2018.
Attest:
Michael J. Td6ana
Vice President/Treasure/Director
Attest.-
OT(C s dftw lum , AV,
Traci Houchin, City Clerk
Approved as to form and legal s
'"q
am L. Colbert City Attorney
Life Extension Clinics, Inc. d/b/a
Lifescan Wellness Center, a Florida
corporation.
By:
%Jearatricia Jo
Pre ident/Secc4e
City Of Sa
By:26:: 4/
Nortonnaparte r., ICMA-CM
't Man er � '�,
01. 0aw N.
5
Exhibit "A"
[Attach original government contract]
CONTRACT
BETWEEN
CITY OF JACKSONVILLE
AND
LIFE EXTENSION CLINICS, INC.
FOR
HEALTH SCREENING PHYSICALS
JFRD PERSONNEL/ANCILLARY PERSONNEL
THIS CONTRACT for health screening physicals for JFRD personnel and ancillary
personnel is made and entered into this day of , 2018 (the "Effective
Date"), by and between the CITY OF JACKSONVILLE, a municipal corporation existing under
the Constitution and the laws of the State of Florida (the "City"), and LIFE EXTENSION
CLINICS, INC. d/b/a LIFESCAN WELLNESS CENTER, a Florida profit corporation with its
principal office at 1011 North Macdill Avenue, Tampa, Florida 33607 (the "Contractor").
WHEREAS, City issued Request for Proposal No. P-05-18 (the "RFP") for certain
professional services described in the RFP (the "Services"); and
WHEREAS, based on Contractor's response to the RFP, City has negotiated and
awarded this Contract to Contractor; now therefore
IN CONSIDERATION of the premises and the mutual covenants contained below and
for other good and valuable consideration acknowledged by the parties to be sufficient, the
parties agree as follows:
1. Performance of Services. Contractor shall perform the Services as described
in and according to (i) the RFP and the Response, each of which is incorporated into and made a
part of this Contract, and (ii) the Scope of Services, attached hereto as Exhibit A and
incorporated herein by this reference.
2 Compensation. Contractor shall be paid for the Services the fees detailed in
the Contract Fee Summary, attached hereto as Exhibit B and incorporated herein by this
reference.
3. Maximum Indebtedness. As required by Section 106.431, Ordinance Code,
City's maximum indebtedness for the Services under this Contract for the initial period of
service shall be a fixed monetary amount not -to -exceed FIVE HUNDRED THOUSAND AND
00/100 DOLLARS ($500,000.00).
4. Term. The period of service of this Contract shall commence on the date
�_C%,VtJ/\
of its execution and continue for one year through 2019, with three (3)
one-year renewal options,
S. Contract Documents. This Contract consists of the following documents,
which are hereby incorporated as if fully set forth herein and which, in case of conflict, shall
have priority in the order listed:
(i) This document, as modified by any subsequent signed amendments.
(ii) Any amendments to this document.
(iii) Specific information regarding the RFP (Section I of the RFP).
(iv) Description of Services and Deliverables (Section 4 of the RFP).
(v) General Instructions to Respondents (Section 2 of the RFP).
(vi) General Contract Conditions (Section 3 of the RFP).
(vii) The Response, provided that any terms in the Response that are prohibited under
the RFP shall not be included in this Contract.
6. Notice. All notices under this Agreement shall be in writing and shall be
delivered by certified mail, return receipt requested, or by other delivery with receipt to the
following:
As to City:
Gail Loput
Jacksonville Fire & Rescue Department
515 Julia Street
Jacksonville, Florida 32202
As to Contractor:
Patricia Johnson
Life Extension Clinics, Inc.
1011 North MacDill Avenue
Tampa, Florida 33607
7. Contract Managers. Each party shall designate a Contract Manager during the
Term of this Contract whose responsibility shall be to oversee the party's performance of its
duties and obligations pursuant to this Contract. As of the Effective Date, City's Contract
Manager is Gail Loput (Phone: 904.997.4947; Fax: 904.630.4202; gloput(@coi.ne , and
Contractor's Contract Manager is Patricia Johnson (Phone: 813.876.0625; Fax: 813.876.0653;
Patricia.Johltson ,Ififescanwellness.cgm). Each party shall provide prompt written notice to the
other party of any changes to the party's Contract Manager or his or her contact information;
provided, such changes shall not be deemed Contract amendments and may be provided by
email.
8. Entire Agreement. This Contract constitutes the entire agreement between the
parties hereto for the Services to be performed and furnished by Contractor. No statement,
representation, writing, understanding, agreement, course of action, or course of conduct made
by either party or any representative of either party which is not expressed herein shall be
binding. Contractor may not unilaterally modify the terms of this Contract by affixing additional
terms to materials delivered to City (e.g., "shrink wrap" terms accompanying or affixed to a
deliverable) or by including such terms on a purchase order or payment document. Contractor
acknowledges that it is entering into this Contract for its own purposes and not for the benefit of
any third party.
9. Amendments. All changes to, additions to, modifications of, or
amendments to this Contract or any of its terms, provisions, and conditions shall be binding only
when in writing and signed by the authorized officer, agent, or representative of each of the
parties hereto.
10. Counterparts. This Contract and all amendments hereto may be executed
in several counterparts, each of which shall be deemed an original, and all such counterparts
together shall constitute one and the same instrument.
(Remainder of page left blank intentionally. Signature page follows immediately.]
IN WITNESS WHEREOF, the parties have executed this Contract as of the day and
year first above written.
ATTEST: CITY OF JACKSONVILLE
By y
James R. McCain, Lenny Curry
Corporation Sec NPLOrMousa
+ O Chief Administrative Officer
* For: Mayor Lenny Cutty
Under Authority of:
Executive Order Na. 2015-05
WITNESS: LIFE EXTENSION CLINICS, INC.
d/b/a LIFESCAN WfflESS CENTER
Type/Print Name
r�6
Title
M.
Title
fCICz
nt Name
Encumbrance and funding information for internal City use:
Account ..............
Amount ...............$500,000.00
This above stated amount is the maximum fixed monetary amount of the foregoing contract.
In accordance with Section 24.103(e), of the Ordinance Code of the Ci acksonville, i do hereby
certify that there is an unexpended, unencumbered, and unimpounded b Ian 'n the appropriation
sufficient to cover the foregoing agreement.
Director of Finance
City Contract # 'Q
Form Approve:
ice of General Counse
gc-# 11914 i 3-v t-tifcertensimtyposm_screening`022318,docx'
s
Section 3
Description of Sarvicas and Deliverables
Tam individual/firm satected for this work will carry out the following tasks and provide the
following:
A. Comprehensive Physical Examination
Per (NFPA 15M & 15812)
I. ACSM/AHA i tcalth Histcry Que stionnalre ar PAR -Q
2. Prostate F.rctm for Men
3. Pelvic Exam for Women
4. Breast Exam for Women
S. Skin Cancer Screening
S. Cardiac Assessment
1. Echocardingram,
2 Resting EKG
3. Cardiac Stress Test (Ptw ACSM Guidelines, Females over 50, Males
over 40, Asymptomatic patients %Ath 2 or more cardiovascular disem
risk factors, or a concurrent cluonic disease that carries a high rine for
cardiovascular dise i).
4. Carotid Artery Ultrasound
5. Abde ndnal Aorta ultrasound
6. PatipherW Vascular Test
7. Total lipid Profile
G Cancer and Disease Assessment
L Digital Exam with occult screening
2 FSA for glen (for age 45>)
3. Thyroid Ultrasound
4. Liver, Pancreas, Gall Bladder, Spleen, and Kidney
Ultrasound
S. Pelvic Ultrasound for Women
S, 6Diabetes Test (Glucose)
6. Chest x-ray
7. PAP Samar
D. Pulmonary Function Test
C. Lab Test
r4wIs-fts .arN
1. Urinalysis
2. Complete Blood Count
3. Comprehensive Metabolic Pdnel
4. Thyrold Panni
S. Hem cult
re/fi
r i1'
10
EXHIBIT "NO
6. Urine Drug Screen ( Ten (10) panel DOT drug screen with
conformation of results sent to the I lealth and Safety Of kwi
7. HAZ MAT testing for members of the HAZ-MAT Team Per OSI iA 24
CFR 19IM120 and NFPA 472. Additional testing will be dome on an as
needed basis.
i3. Hepatitis A. 0 do C testing
9. Immunizations for rlep A do B do boosters
10. Hap A&B Titers when ne eded
11. HIV Testing
F. VWW ACAY Test
G. Hearing Exam (Audiometric exam per MTA 1582)
IL Personnel Consultation with review of testing results
L Roc inmendaffors for medical Interventions and behavioral
Modification changes
J. Fitness Assessment
1. Cardlovascular Eadurartce
2. Muscular Strength
3. Muscular Endurance
4. Fle)dbm y
3. Body Composition
6. Exercise Prescription
7. Functional MovementScreening (MWS)
K To provide The Tire and Rmue Department with summary
Informaticnt, of its Fire j Rescue personnel suitability for lire
Rescue do EMS work. The firma se lected would recouunend
programs and training to reduce the cbance of injury and
Illness. The firm selected would provide monthly and annual
summaries of results of die testing and training admiaisteroi to
the fin: and Rescue personnel.The Fire Department will
provide the Scheduling of Its personnel.
The testing will be conducted onsite at a location within Duval County,
Jacksonville, Fl. approved by the Director Fire Chief or his/her designee.
bol. The firm selected will provide all data requested relating
to the employees annual physical.
1. The milts of the exam %viii be provided for the Employee
to follow up with their Primary Care Physician.
N Develop computerized data reports and or electronic copies
of dw results and forward the same to the Health and Safety Officer. The format
must be compatibLe %viih t1u, JFRD databases. The Information will be sent to lite
Health and Safety Officer on a weekly basis.
O The patient file should be provided to Jacksonville Fire
raaa..a...»&I...h
-27-
Rescue as data an a CO or DVD Other electronic media or mothods will be
considered depending an the rile size. A ilk, nomenclatum must be Provided
Indicating the data types and lengths of Uve various fields in tine nomenclature.
P. 11m following formats am actaptabl4a;
1. WA rile
2. Microsoft Excel, xis
3. Mkmsdt Access, mdb
4. IvIlcrosdIMLServer bait.
No proprietary database formats other Umn the
aforementioned are acceptable to include SCANNED RE -CORDS.
1. A text file must meet the rallowing requirements:
7. A fixed field width must be provided for each column.
3. A carriage return (CRI and a line feed J1 TJ should be used for the tow
delimiter.
4. Other deficniters maybe used, but must have prior approval from JFRD.
R. Staffing
The fim selected will provide staffing to mevt the scheduling of Fire Rescue
personnel.
S. Physicals that reveal abnormal results will be reviewed with the
patient/employee by a physician, PA. NP who Is board certified in emergency
medicine, Intemal medicine, or family practice. Jim Mowing conditions are
ctmsidered serious and ti'm employee/ patient ativised to follow up with their
primry care physician and/or specialty physician. Physicals resulting In
failure of the PFT portion of the exam should W reported immediately to Un
Health & Safety Officer.
1. Abnormal EM and other related cardiac abnormalities
2. New onset of Hypertension or uncontrolled I typettension
3. Diabetes
4. Asthma
S. Facture of the PFT
6. Any ilgWricant abnormal lab values
7. Any condition that may show cause for a rat -For -Duty
B. Any condition that does not meet the current standards of
NFPA 1582
T. FinatEvolundonwiUk-ireviewedamisignetlbynphyskian
who is board cerci W In Emergemy MediAna, Internal Medicine or Family
Practice. This certification mum be provided before any contract Is awarded.
r ds 1414M -28.
9. Quotation of Rates, Fees, or Charges and Other Detailed Cost Propmal or
Cost Breakdown iaformatiou
19
r' t
A iy�t aW Tasts— & P-06-18
Mted
ow
Ch and jjWW Metais mat Teets
127.00
Hemiffis A Test
55.00
N a mm
55.00
Has
musclo
1S5 00
HaPaMA3ft
30.
Haaaft H Titer
3000
2 chat r%c
00 EACH
M10fis 0 Vacdn 3 slot sed")
65.gq EACH
thw Dm (10 Parawt
3SQQ
Drug R Con tion
50.00
AARO as Indicated
100.00
HIV Tact
40.00
P P MOE
4600
OTHER W&MAVAUKE
92 Wood TWO
2200
Mask F5 T
45.00
X- hit review
65.00
Tebusw
40.00
M22b-il&Wkw Scmwdn2
65:00
Post Offer PoNce aind fftft ExafalraMons
TSD based on lesUng
re ants
Ciu T
66.00
Ta tet UIM Test
21.00
Cardiac
780 Lri Market ke
CTA COMOM Attt dm YA Lung CT
TBD by Market Price
LOCATION Optionw
f. LN* Scarf hes a pdvate, PUBLIC SAFETY ONLY Wellness
Cwftr tha! is located at
dt30SalktbwyRoad, Salta 24th?
JnbonvX*, FL 32216
2 on•-sft swWm lbrhicad erndbrphyskWs at
tocatlan(s) provided by JFRD.
E
cyl'lll�i7 6
ONE CITY. ONE JACKSONVILLE.
Floor.79
City of Jacksonville
aM03 Building
Jacksonville, Fl. 32202
Door Mayor Curry:.
R
Flwida
4
Lenny Curry, Mayor
Procurement Division
Ed Bail Building
214 N. Hogan Street, Suite 800
Jacksonville, Florida 32202
Ret; P-05-18 Health ScreenkV Physicals for JFRD Personnel/Ancillary Personnel
Jacksonville Fire & Rescue DepaMnent
ButictiM (or the purpose of concluding fee and contract negotlailom with the numt*r one xanked
w • • .r above -captioned project. 3
ffi7yn- • •. • _ s.a r r. .
fiat the City of Jacksonville enter into a contract with We Extension Corks, Inc. d/b/a UfeScan Wellness
Center to provide Hadth ScreenkV Physicals for JFRD Personnel/Anc!NM Personnel to: (q Incorporate the
attached Scope of Services identified as Exhibit `A' and Contract Fee Summary Identified as Exhibit T: M the
Initial period of service Is for one year from date of execution of the contract Wth three (3) ore -year renewal
options available: and {Hi) the mo)dmum Indebtedness of the City pursuant to the agreement Is a not -to -
exceed amount of $=000.0a. AN other terms and conditions are per the RFP and the city's standard contract
language.
� coam�
Y-.. Mousu
ChierAdministrative OfFcer
For. Mayor Lenny Curry
Under Authority of
Executive Order No. 2015-o5