<strong>City</strong> <strong>of</strong> <strong>West</strong> <strong>Palm</strong> <strong>Beach</strong> will be conducted in or on the premises <strong>of</strong> the Facility to provide a written attestation that it has checked to ensure individuals provided to conduct services in or on the premises <strong>of</strong> the Facility are legally permitted to work in the United States. A single attestation stating any and all individuals provided are legally permitted to work in the United States is permissible. REFERENCES: 1. Recruitment Policy, HR.OP.<strong>02</strong>7 2. Transfer-Promotion-Demotion Policy, HR.OP.035 3. Limitations on Employment Policy, HR.OP.019 4. Employment Application 5. Fair Credit Reporting Rights 6. Fair Credit Reporting Act Background Research Form 7. Enhanced Border Security and Visa Entry Re<strong>for</strong>m Act <strong>of</strong> 20<strong>02</strong> All rights reserved. This document contains proprietary and confidential in<strong>for</strong>mation which may not be reproduced or shared without the written consent <strong>of</strong> First Onsite. 13
<strong>City</strong> <strong>of</strong> <strong>West</strong> <strong>Palm</strong> <strong>Beach</strong> ESTIMATED PASS THROUGH CLINIC EXPENSES Y1 Y2 Y3 Y4 Y5 COMMENTS Annual Expense Growth Rate 3% 3% 3% 3% Supply Expense ($2.50 per visit) $6,730 $6,932 $7,140 $7,354 $7,575 Contract Services (Bio-hazard removal and cleaning services) $800 $824 $849 $874 $900 Quote from Coast Medical Services Licensing & Maintenance (s<strong>of</strong>tware, dispensing equip.) $5,800 $5,974 $6,153 $6,338 $6,528 ECW s<strong>of</strong>tware license and Rx dispensing equipment maint. Rents & Leases (copier) $1,200 $1,236 $1,273 $1,311 $1,351 Utilities (T1 line) $3,708 $3,708 $3,708 $3,708 $3,708 Quote from MegaPath $309/month Insurances (malpractice) $2,500 $2,750 $3,000 $3,250 $3,500 Not to exceed $3,500 Marketing & Advertising $1,500 $1,545 $1,591 $1,639 $1,688 Other (Medical Licensing) $455 $469 $483 $497 $512 State practitioner and pharmaceutical licenses Medical Review Officer Fee ($5 per drug screen) 10% $2,933 $3,<strong>02</strong>1 $3,112 $3,205 $3,301 Firemen and Policemen annual drug test plus an additional 10% <strong>of</strong> the remaining employees B Reader (Specialized X-ray reader) expense $75/per X-ray 10% $3,750 $3,863 $3,978 $4,098 $4,221 $75 per chest X-ray <strong>for</strong> all Firemen and Policemen new hires Radiology Reader expense 1% $2,019 $2,080 $2,142 $2,206 $2,272 $75 per X-ray Prescription Medication Expense ($4.55 ea.) $24,497 $25,232 $25,989 $26,769 $27,572 2 scripts per visit Lab Fees ($11 ea.) $45,903 $47,280 $48,698 $50,159 $51,664 TOTAL ESTIMATED PASS THROUGH EXPENSES $101,795 $104,913 $108,116 $111,409 $114,792 Firemen and Policemen annual exam plus an additional 25% <strong>of</strong> the remaining employees and dependents
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Originating Department: Human Resou
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AGENDA COVER MEMORANDUM Page 3 C.M.
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February 7, 2011 RESOLUTION NO. 48-
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February 7, 2011 4 RESOLUTION NO. 4
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February 7, 2011 FUND 133 - WATERFR
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February 7, 2011 8 RESOLUTION NO. 4
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RESOLUTION NO. 41-11 A RESOLUTION O
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Matter No. 10067 ITN No. 08/09-131
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“Medical Professionals” shall m
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less the estimated cost of any Supp
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longer in good standing with his or
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isk; thus, the amount forfeited in
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SECTION 3. Covenants and Responsibi
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Exhibit K b. Start Up Costs; c. the
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SECTION 8. Indemnification. First O
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9.7 Certificates of Insurance. Firs
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States Mail if mailed, upon acknowl
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12.15 No Discrimination in Employme
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earthquake, volcanic action, flood,
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Exhibit A Scope of Clinical Service
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Medical Surveillance � Hearing -
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EXHIBIT B SCOPE OF MANAGEMENT SERVI
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EXHIBIT D INVENTORY (attached heret
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EXHIBIT F PHYSICIAN’S AGREEMENT (
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EXHIBIT H CREDENTIALING PROCESS (at
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EXHIBIT J MINIMUM SQUARE FOOTAGE RE
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