HomeMy WebLinkAboutContract 39329-A1 (2)CITY SECRETARY CONTRACT N0.,3q3dci-A-I
FIRST AMENDMENT TO CITY SECRETARY CONTRACT NO . 39329
STATE OF TEXAS §
§
COUNTY OF TARRANT §
PROFESSIONAL SERVICES AGREEMENT
This First Amendment to City Secretary Contract No . 39329 -Profess ional Services Agreement ("First
Amendment'') is made and entered into this '2.\ S-t-day of l>c(C-Mlotc. 2011, by and between the City
of Fort Worth ("CITY "), a home-rule mun icipal corporation of the State of Texas, act ing by and through its
duly authorized Assistant City Manager, and Occupational Health Centers of the Southwest, P.A., DBA
Concentra Medical Centers ("CONCENTRA "), a Texas Professional Association, acting by and through
its duly authorized Senior Vice President and Chief Medical Officer.
WITNESS ETH:
WHEREAS, CITY and CONCENTRA have ente red into a Professional Services Agreement
effective October 1, 2009 , the same being City Secretary Contract No . 39329 (the "Ag reement"), and
WHEREAS, pursuant to the Agreement , CONCENTRA provides non-occupational-injury health
care serv ices to CITY employees , including drug screenings , physician assessments, and vaccinations ,
with such services being performed primarily at designated Fort Worth locations during specified operating
hours; and
WHEREAS , CONCENTRA has notified the CITY of a change in location and operating hou rs for
some of the specifically designated locations ; and
WHEREAS , CITY and CONCENTRA wish to amend the Agreement to reflect the revised location
and operating hours; and
WHEREAS, CITY and CONCENTRA also wish to amend the Agreement to allow for the provis ion
of and compensation for additional screenings , assessments , and vacc inations.
NOW THEREFORE , in consideration of the foregoing and the mutual covenants and agreements
contained herein, CITY and CONCENTRA hereby agree as follows :
1. That Section 1, "Concentra Locations/Facilities and Hours of Operation," of Exh ibit A, "Scope of
Services " is hereby de leted in its entirety and replaced with the following:
l. CONCENTRA LOCATIONS/FA CILITIES A ND HOURS OF OPERATION
CONCENTRA operates fifteen (15) clinic loca tions in the Fort Worth/D allas area an d 300 other locations
aro und th e United States. T he CITY wi ll primarily utilize CONCENTRA 's Fort Worth locations as seen
be low , b ut c an access any other CONCENTRA locatio n as necessary:
Fi rs t Amendme nt of CSC 39329
OFFICIAL RECORD
CITY SECRETARY
1 ?-22 -1 1 POL1 :42 N FT. ij ~ TX
CONCENTRA PHYSICAL CITY STATE ZIP TELEPHO FAX OPERATING
CLINIC NAME AD DRESS CODE NE HOURS
Fort 2500 West Mon-Fri 8:00 am to
Wort h/F orest Freeway, Suite Fort TX 76102 (817) (817) 8:00 pm
Worth 882-8700 882-8707 Sat 8:00 am to 5:00 Par k Clinic 100 pm
Fo rt 4060 Sandshell Fort (817) (817) Mon-Fri 8:00am to Wo rth/Fo ss i I TX 76137 Dr. Worth 306-9777 306-9780 5:00 pm Cr eek Clinic
Bur le son Mon-Fri 8:00am to
Cen ter/So uth 811 NE Alsbury Burleson TX 76028 (817) 8:00 pm
Cli nic Road, Suite 800. 293-7311 Sat 8:00 am to 5:00
pm
CITY employees will have their own entrance to the Fort Worth/Forest Park Clinic. CONCENTRA
will dedicate the back half of the Fort Worth/Forest Park Clinic for the CITY services and needs,
including a dedic ated telephone number (817) 335-3320, a CITY check-in desk, a private waiting
room, and two CITY dedicated exam rooms .
All other portions of Exhibit A, "Scope of Services," of City Secretary Contract 39329 shall remain in full
force and effect throughout the term of the Agreement and any renewals thereof.
2. That the "Urinary Drug Screens (UDS)" chart in Section 2, "Non-Occupational Injury Health Care
Services," of Exhibit B, "Schedule of Compensation," is hereby amended to add the following:
Ser vice Service Fee Service Fee Se rvice Fee Service Fee Service Fee
Desc ri ption Year 1 Year2 Yea r 3 Year4 Ye ars
Pre-Selected N/A N/A $60/hr for $60/hr for $60/hr for
Ran dom After technician technician technician
Hours Drug
Screen
Un-Scheduled N/A N/A $200/hr for first $200/hr for first $200/hr for first
Random After hour (which hour (which hour (which
Hours Drug includes 1 Drug includes 1 Drug includes 1 Drug
Screen Test & 1 BAT); Test & 1 BAT); Test & 1 BAT);
$60/hr for $60/hr for $60/hr for
technician technician technician
All other portions of the "Urinary Drug Screens (UDS)" chart in Section 2, "Non-Occupational Injury Health
Care Services," of Exhibit B, "Schedule of Compensation," of City Secretary Contract 39329 shall remain in
full force and effect throughout the term of the Agreement and any renewals thereof.
3. That the "Physical Examinations/Assessments" chart in Section 2, "Non-Occupational Injury Health
Care Services," of Exhibit B, "Schedule of Compensation," is hereby amended to add the following:
Firs t Amendment of CSC 39329 Page 2 of 4
Service Service Fee Service Fee Service Fee Service Fee Service Fee
Description Year 1 Year2 Year3 Year 4 Years
HPE Job Site N/A N/A $350.00 $350.00 $350.00
Assessment
HPE Admin . N/A N/A $95/hr $95/hr $95/hr
Fee
All other portions of the "Physical Examinations/Assessments" chart in Section 2, "Non-Occupational Injury
Health Care Services," of Exhibit B, "Schedule of Compensation," of City Secretary Contract 39329 shall
remain in full force and effect throughout the term of the Agreement and any renewals thereof.
4. That the "lmmunizationsNaccines" chart in Section 2, "Non-Occupational Injury Health Care
Services," of Exhibit B, "Schedule of Compensation," is hereby amended to add the following:
Service Service Fee Service Fee Service Fee Service Fee Service Fee
Description Year1 Year2 Year3 Year4 Years
Varicilla Titer N/A N/A $78.75 $78.75 $78.75
Tdap N/A N/A $66.50 $66.50 $66.50
(Pertussis/
Whooping
CouQh
MMR Vaccine N/A N/A $78 .50 $78 .50 $78.50
Varicilla N/A N/A $120.50 $120.50 $120.50
Vaccine
All other portions of the "lmmunizationsNaccines" chart in Section 2, "Non-Occupational Injury Health Care
Services," of Exhibit B, "Schedule of Compensation," of City Secretary Contract 39329 shall remain in full
force and effect throughout the term of the Agreement and any renewals thereof.
5. That all other terms and conditions of City Secretary Contract No. 39329 that are not specifically
amended herein shall remain in full force and effect throughout the term of the Agreement and any
subsequent renewals.
[SIGNATURES APPEAR ON FOLLOWING PAGE]
First Amendment of CSC 39329 Page 3 of 4
IN WITNESS WHEREOF , the parties hereto have executed th is Amendment , this '1-\ St" day of
De.ctM'o«r,2011 .
CITY OF FORT WORTH:
First Ame ndment of CSC 39329
OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST,
P.A., DBA CONCENTRA MEDICAL CENTERS:
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Pa ge 4 of 4