HomeMy WebLinkAboutPR 23116: NATIONAL FIRE PROTECTION ASSOCIATION, 1582 STANDARD ON COMPREHENSIVE OCCUPATIONAL MEDICAL PROGRAM FIREFIGHTER PHYSICAL EXAMINATIONS City of Y---"
ort rthu
1
www.PortArthurTx.gov
INTEROFFICE MEMORANDUM
Date: April 14, 2023
To: The Honorable Mayor and City Council
Through: Ron Burton, City Manager
From: Greg Benson, Fire Chief �=
RE: PR 23116 National Fire Protection Association (NFPA) 1582 Standard on
Comprehensive Occupational Medical Program firefighter physical
examinations
Introduction:
The intent of this agenda item is to seek the City Council's approval of Proposed Resolution
23116 authorizing the City Manager to enter into a contract with Front Line Mobile Health,
Georgetown, Texas, for the implementation of NFPA 1582 Standard on Comprehensive
Occupational Medical Program firefighter physical examinations as a means to improve the
physical and mental health of Port Arthur Fire Department firefighters, at a cost of $975 per
participant with a total annual projected budgetary impact amount of$60,000.00. This amount
is based on RFP bid pricing. The program will be voluntary for each firefighter to determine
participation. The contract shall be for one year with the option to renew for two additional one
year periods.
Background:
Firefighters are routinely subject to toxic and carcinogenic products that increase the potential
for occupational cancers and cardiovascular disease. The NFPA 1582 standard outlines a
comprehensive proactive occupational medical program that will provide for improved physical
and mental health, safety, and effectiveness of fire fighters operating to protect civilian life and
property.
Budget Impact:
This item has a budgetary impact of$60,000.00, which is available in Fire Department
Professional Services Account No. 001-19-047-5420-00-30-000.
Recommendation:
The Fire Department recommends approval of this resolution.
"Remember,we are here to serve the Citizens of Port Arthur"
P.O.Box 1089 X Port Arthur,Texas 77641-1089 X 409.983.8101 X FAX 409.982.6743
P.R.No. 23116
04/14/2023 GSB
PAGE 1 OF 2
RESOLUTION NO.
A RESOLUTION AUTHORIZING THE CITY MANAGER
TO ENTER INTO A CONTRACT WITH FRONT LINE
MOBILE HEALTH, PLLC OF GEORGETOWN, TEXAS,
FOR THE IMPLEMENTATION OF THE NATIONAL FIRE
PROTECTION ASSOCIATION (NFPA) 1582 STANDARD
ON COMPREHENSIVE OCCUPATIONAL MEDICAL
PROGRAM FOR THE FIREFIGHTERS WITH AN ANNUAL
TOTAL PROJECTED BUDGETARY IMPACT OF
$60,000.00;FUNDING AVAILABLE IN FIRE DEPARTMENT
ACCOUNT NO. 001-19-047-5420-00-30-000
WHEREAS,a Request for Proposals(RFPs)was needed for the purpose of implementing
the National Fire Protection Association(NFPA) 1582 Standard on Comprehensive Occupational
Medical Program for firefighter physical examinations; and
WHEREAS, the Purchasing Division advertised in Port Arthur News on January 7, 2023
and January 14, 2023, accepting proposals to be received no later than 3:00 P.M., January 25,
2023; and
WHEREAS,four fire service occupational medical program firms submitted proposals by
January 23, 2023, and bids were publicly opened at 3:15pm, January 23, 2023; and
WHEREAS, the proposals were closely evaluated and Front Line Mobile Health was
considered the most qualified as delineated in Exhibit"A"; and
WHERAS, the Fire Department recommends to the City Council that the City Manager
be authorized to execute a contract with Front Line Mobile Health for implementation of NFPA
1582 Standard on Comprehensive Occupational Medical Program firefighter physical
examinations, with the option to renew for two additional one year periods.
NOW,THEREFORE,BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF PORT ARTHUR:
Section 1. That,the facts and opinions in the preamble are true and correct; and
Section 2. That,the City Council herein authorizes the City Manager to execute a contract
on behalf of the City with Front Line Mobile Health, Georgetown Texas for the implementation
of NFPA 1582 Standard on Comprehensive Occupational Medical Program physical examinations
for Port Arthur Fire Department firefighters, at a cost of $975 per participant, with an annual
P.R.No. 23116
04/14/2023 GSB
PAGE 1 OF 2
projected budgetary impact of$60,000.00 in a manner to be approved by the City Attorney, in
substantialy the same form, attached hereto as Exhibit"B."
Section 3. That a copy of the caption of this Resolution be spread upon the Minutes of the
City Council.
READ,ADOPTED,AND APPROVED on this 25th day of April 2023 A.D.,at a Regular
Meeting of the City Council of the City of Port Arthur, Texas,by the following vote:
AYES: Mayor
Council Members
NOES:
Thurman"Bill"Bartie
Mayor
ATTEST:
Sherri Bellard
City Secretary
APPROVED AS TO FORM:
Val Tizeno
City Attorney
APPROVED FOR ADMINISTRATION:
Ron Burton
City Manager
P.R.No. 23116
04/14/2023 GSB
PAGE 1 OF 2
Greg Benson
Fire Chief
C on Williams, CPPB
Purchasing Manager
Kandy Daniel
Director of Finance
P.R. No. 23116
04/14/2023 GSB
PAGE 1 OF 2
EXHIBIT A
ab tt
o y n "t k
et
= n
cen 'eZ
r) et
n
G
CL S O O O
k• O
O N 0C O `' ►+, Uti
r
r Az n
"a n
C (JQ R� O
T — N N eC rOr `3 _
"3 C
4. 4. c oN x ,..co to
? J ot
, O so
O
N.) E n
W z co A+
Z
A A A'
a C" 't
n -
n --I
dq '�'
C � Ism* IN) N � fD :••
N N VC: VC -, r?
'! N --1 0C --1 ..r
y ar
.---,\-1
..
z
P.R. No. 23116
04/14/2023 GSB
PAGE 1 OF 2
EXHIBIT B
CONTRACTUAL AGREEMENT FOR IMPLEMENTING THE NATIONAL FIRE
PROTECTION ASSOCIATION(NFPA) 1582 COMPLIANT ANNUAL PHYSICAL
EXAMINATION FOR THE PORT ARTHUR FIRE DEPARTMENT
THIS AGREEMENT, made this day of , 2023, by and between the
City of Port Arthur, a municipal corporation organized under the laws of the State of Texas,
hereinafter called "OWNER" or "CITY" and Front Line Mobile Health, PLLC, hereinafter
called "CONTRACTOR".
WITNESSETH: That for and in consideration of the payment terms, conditions and agreements
set forth herein, OWNER and CONTRACTOR agree as follows:
1. The term of this Contract shall for one year from the date stated on the Notice to Proceed,
unless sooner terminated under the provisions hereof. The contract has an option to renew for
two additional one-year periods. The City can terminate this contract at its convenience which
includes, but is not limited to, funding not being available in any budget cycle within thirty
(30) days written notice.
2. The Contractor will be implementing the National Fire Protection Association (NFPA) 1582
Standard on Comprehensive Occupational Medical Program for firefighter physical
examinations as specified in the contract documents.
3. During the term of this Contract, the Contractor will furnish at his own expense all of the
materials, supplies, tools, equipment, labor and other services necessary to connection
therewith, excepting those supplies specifically not required of Contractor in the
Specifications.
4. The CONTRACTOR agrees to perform all the work described in the specifications and
contract documents and to comply with the term,with a projected budgetary impact amount of
$60,000.00.
5. The term "Contract Documents" means and includes the following:
1) Agreement
2) General Information
3) Specification
4) Addendums
4) Bid
5) Notice of Award
6) Notice to Proceed
6. This Agreement shall be binding upon all parties hereto and their respective heirs, executors,
administrators, successors and assigns.
A-1
7. IN WITNESS WHEREOF,the parties hereto have executed, or caused to be executed by their
duly authorized officials, this Agreement in (2 copies) each of which shall be deemed an
original on the date first written above.
Signed on the day of 2023.
ATTEST CITY OF PORT ARTHUR
BY
CITY SECRETARY Ronald Burton,
City Manager
Signed on the day of , 2023.
WITNESS: FRONT LINE MOBILE HEALTH, PLLC
BY
Print Name:
PRINT NAME:
TITLE:
A-2
CITY OF PORT ARTHUR
Request for Bid
NFPA 1582 Compliant Annual Physical Examination for
Port Arthur Fire Department
January 7, 2023 January 14, 2023
CITY OF PORT ARTHUR,TEXAS
REQUEST FOR PROPOSALS
NOTICE IS HEREBY GIVEN THAT sealed Proposals,addressed to the City of Port Arthur,will be
received at the Office of the City Secretary, City Hall 444-4th Street or P. O. Box 1089, Port
Arthur,Texas 77641 no later than 3:00 P.M.,Wednesday,January 25,2023 and all bids received
will thereafter be opened and read aloud on Wednesday,January 25,2023 at 3:15 P.M.in the City
Council Chambers,5th Floor,City Hail, Port Arthur,Texas for certain services briefly described as:
NFPA 1582 COMPLIANT ANNUAL PHYSICAL EXAMINATION
FOR PORT ARTHUR FIRE DEPARTMENT
Proposals received after closing time will be returned unopened.
Copies of the Specifications and other Contract Documents will be available on file in the Purchasing
Office,444-4th Street,City of PortArthur,and are open for public inspection without charge.They can
also be retrieved from the City's website at w w,portarthurtx.gov/bids.asnx or www.publicpurchase.
corn.
The City of Port Arthur reserves the right to reject any and ail bids and to waive informalities.
Per Chapter 2 Article VI Sec. 2-262(C)of the City's Code of Ordinance, the City Council shall not
award a contract to a company that is in arrears in its obligations to the City.
C'l(7..frAtf-
tiWilliams CPPII'
Purchasing Manager
CITY OF PORT ARTHUR,TEXAS
REQUEST FOR PROPOSALS
NOTICE IS HEREBY GIVEN THAT sealed Proposals, addressed to the City of Port Arthur,will be
received at the Office of the City'Secretary, City Hall 444-4th Street or P. O. Box 1089, Port
l Arthur,Texas 77641 no later than 3:00 PM.,Wednesday,January 25,2023 and all bids received
:will thereafter be opened and read aloud on Wednesday,'January 25,2023 at 3:15 P.M.in the City
Council Chambers,5th Floor,City Hal!,Port Arthur,Texas for certain services briefly described as:
NFPA 1582 COMPLIANT ANNUAL PHYSICAL EXAMINATION
FOR PORT ARTHUR FIRE DEPARTMENT
Proposals received after closing time will be returned unopened.
Copies of the Specifications and other Contract Documents will be available on file in the Purchasing
Office,444-4th Street,City of Port Arthur,and are open for public inspection without charge.They can
also be retrieved from the City's website at www.portarthurtx.gov/bids.asnx or www.publicpurchase.
i corn.
The City of Port Arthur reserves the right to reject any and ail bids and to waive informalities.
Per Chapter 2 Article VI Sec. 2-262(C)of the City's Code of Ordinance, the City Council shall not
award a contract to a company that is in arrears in its obligations to the City.
Cii 'n Wittiams,CPPB
Purchasing Manager
\*!1(1G/f
THURMAN BILL BARTIE,MAYOR RON BURTON
INGRID HOLMES,MAYOR PRO TEM City of _ -' ) CITY MANAGER
COUNCIL MEMBERS: , SHERRI BELLARD,TRMC
DONALD FRANK SR. „G-v CITY SECRETARY
CAL J.JONES ?i4rr57 r
THOMAS J.KINLAW III VAL TREND
KENNETH MARKS Texas CITY ATTORNEY
CHARLOTTE MOSES
January 10,2023
REQUEST FOR PROPOSAL
NFPA 1582 COMPLIANT ANNUAL PHYSICAL EXAMINATION
FOR PORT ARTHUR FIRE DEPARTMENT
DEADLINE: Sealed proposal submittals must be received and time stamped by 3:00p.m.,Central
Standard Time, January 25, 2023 (The clock located in the City Secretary's office will be the
official time.) All proposals received will be read aloud at 3:15p.m. on January 25, 2023 in the
City Council Chambers,City Hall, 5th Floor,Port Arthur,TX. Proposals will be opened in a manner
to avoid public disclosure of contents; however,only the names of proposers will be read aloud.
MARK ENVELOPE: P23-019
DELIVERY ADDRESS: Please submit one (1)oritinal and three (3) exact duplicate copies of
your RFP to:
CITY OF PORT ARTHUR CITY OF PORT ARTHUR
CITY SECRETARY or CITY SECRETARY
P.O. BOX 1089 444 4TH STREET,461 Floor
PORT ARTHUR,TEXAS 77641 PORT ARTHUR, TEXAS 77640
POINTS OF CONTACT:
Questions concerning the Request for Proposal should be directed in writing to:
City of Port Arthur, TX
Clifton Williams,Purchasing Manager
P.O. Box 1089
Port Arthur, TX 77641
clifton.williams@portarthurtx.gov
Purchasing Division/Finance Department I Purchasing Manager,Clifton Williams,CPPB
P.O.Box 1089 1 444 4th Street 1 Port Arthur,Texas 77641 1409.983.8160 I Fax 409.983.8291
The enclosed REQUEST FOR PROPOSAL (RFP) and accompanying General Instructions are for
your convenience in submitting proposals for the enclosed referenced services for the City of Port
Arthur.
Proposals must be signed by a person having authority to bind the firm in a contract. Proposals shall
be placed in a sealed envelope,with the Vendor's name and address in the upper left-hand corner of
the envelope.
ALL PROPOSALS MUST BE RECEIVED IN THE CITY SECRETARY'S OFFICE BEFORE
OPENING DATE AND TIME. It is the sole responsibility of the firm to ensure that the sealed RFP
submittal arrives at the above location by specified deadline regardless of delivery method chosen
by the firm. Faxed or electronically transmitted RFP submittals will not be accepted.
Clifton Williams
Purchasing Manager
Page 2 of 28
REQUESTS FOR PROPOSALS
NFPA 1582 COMPLIANT ANNUAL PHYSICAL EXAMINATION
FOR PORT ARTHUR FIRE DEPARTMENT
(To be Completed ONLY IF YOU DO NOT BID.)
FAILURE TO RESPOND TO BID SOLICITATIONS FOR TWO (2) BID PERIODS MAY
RESULT IN REMOVAL FROM THE VENDOR'S LIST. However, if you are removed you will
be reinstated upon request.
In the event you desire not to submit a bid,we would appreciate your response regarding the
reason(s). Your assistance in completing and returning this form in an envelope marked with
the enclosed bid would be appreciated.
NO BID is submitted: this time only not this commodity/service only
Yes No
Does your company provide this product or services?
Were the specifications clear?
Were the specifications too restrictive?
Does the City pay its bills on time?
Do you desire to remain on the bid list for this product or service?
Does your present work load permit additional work?
Comments/Other Suggestions:
Company Name:
Person Completing Form: Telephone:
Mailing Address: Email:
City, State,Zip Code: Date:
Page 3 of 28
.. - ..: .::;arc.-.. .....
REQUEST FOR PROPOSALS
NFPA 1582 COMPLIANT ANNUAL PHYSICAL EXAMINATION
FOR PORT ARTHUR FIRE DEPARTMENT
OBJECTIVE
The City of Port Arthur is seeking a qualified contractor to provide NFPA 1582 complaint
annual physical examinations to members of the Port Arthur Fire Department,which provides
on-demand response to the Request for Proposals(RFP)to furnish all labor and equipment in
providing NFPA 1582 compliant physicals.
The objective of this Request for Proposal and resulting contract is to obtain proposals
from and the services of a qualified professional firm to perform annual physical
examinations per the NFPA 1582 standards for the Port Arthur Fire Department
members.
The program requires a medical provider with in-depth knowledge regarding fire- service
specific medical assessments in accordance with the Firefighter Life Safety Initiative and
NFPA 1582 Standards to provide consolidated medical assessment,possible
immunizations, and data record-keeping services of all incumbent personnel.
The Physical Medical Evaluation is designed to accomplish the following services:
• To provide a cost-effective investment in the early detection,disease prevention,
and health promotion of firefighters.
• To create physical data to monitor future effects of exposure to specific biological,
physical, or chemical agents.
• To detect changes in an individual's health that may be related to harmful working
conditions.
• To provide the fire department personnel with information about the individual's
occupational hazards and current health.
• Comply with federal,state,and local requirements.
• Reduce out-of-service time through preventative early intervention of potential
problems
• To recommend types of case-management/rehabilitation for injuries to decrease re-
injury rates
Scheduling will be coordinated with the Fire Chief, or designees. Specific scheduling will be
determined with the awardee.
Any blood work, urinalysis, or other pre-examination work should be completed in such a way
for the examining qualified medical provider to have results to review with the individual at the
time of the exam. If multiple trips will be required,this should be identified in the proposal for
scheduling purposes.
Offerors will include a description and synopsis, including a detailed description of how the
services will be delivered, detailing its methodology and approach to providing the Scope of
Services as described in this RFP. Include how a mobile unit if not brick and mortar site will be
utilized with all components of the Scope. Also,please discuss if any subcontractors will be
Page 4 of 28
utilized and for each task the subcontractor will be utilized. Pricing for any utilized
subcontractors shall be figured into each itemized pricing task in Attachment XX. The firm
contracted to provide services under this contract shall be responsible for subcontractors work
and payment.
The City of Port Arthur is considering having the requested services provided in a mobile setting
that is convenient for those being tested but will consider all options(including typical office
visits)offered by the providers. If mobile facilities are not available, facility locations(s)to be
used shall be identified along with any deviation in regular scheduled hours.
A summary profile will be provided to Port Arthur Fire Department through both the Fire Chief
identifying trends, department-wide recommendations for each, and general data summary
including comparisons between other benchmarks. This summary shall be suitable for sharing
with the entire membership. Profile will be done after each completed round of fire fighters and
police officer physicals and as required by the Fire Chief,or their designees. Confidential data
shall not be shared with full HIPPA compliance.
PURPOSE
The City of Port Arthur, TX Purchasing Department, on behalf of the Port Arthur Fire Department is
soliciting proposals from qualified firms to provide annual member physical examinations based
upon Firefighter NFPA 1582 standards. The purpose of this RFP is to solicit proposals from qualified
medical service providers to provide medical evaluation services for Fire Department personnel. (See
Attachment A—Specifications)
The resulting contract from this RFP shall be for one(1)year from the date of issue with an option to
renew for two (2)additional years,one(1)year at a time after the initial one-year period.The
contract may be canceled by either party for any reason,without penalty,provided notification is
made in writing at least 90 days prior to termination. Currently the Port Author Fire Department has
only male firefighters. Providing suitable examinations for future female firefighters added during
the contract extension shall be included.
It is the City's intent that this Request for Proposal (RFP)permit competition. It shall be the offeror's
responsibility to advise the Purchasing Director in writing if any language, requirement,
specification, etc.,or any combination thereof, inadvertently restricts or limits the requirements stated
in this RFP to a single source.The Purchasing Director must receive such notification not later than
five(5)business days after solicitation release date.
BACKGROUND
The City of Port Arthur is a local government located in Jefferson County, Texas, serving a
population of approximately 56,000.
The Port Arthur Fire Department currently has 7 fire stations and 108 career personnel.Approximately 10
of the 108 members work a Monday-Friday,day shift schedule in administrative,training or fire prevention
type roles.The Port Arthur Fire Department is implementing an NFPA 1582 physical examination program
to detect changes in an individual's medical condition that may be related to firefighter based working
conditions.No minimum or maximum quantities of work are guaranteed as participation in
physicals is voluntary.
Page 5 of 28
,SCOPE OF WORK
Attachment A outlines the scope of work for inclusion in the basic physical examination. All
examinations shall be compliant with NFPA 1582 standards.
The City of Port Arthur requires comprehensive responses to every section within this RFP.
Conciseness and clarity of content are emphasized and encouraged. Vague and general proposals
will be considered non-responsive and will result in disqualification. To facilitate the review of the
responses, Firms shall follow the described proposal format.The intent of the proposal format
requirements is to expedite review and evaluation. It is not the intent to constrain Vendors with
regard to content, but to assure that the specific requirements set forth in this RFP are addressed in a
uniform manner amenable to review and evaluation. Failure to arrange the proposal as requested
may result in the disqualification of the proposal.It is requested that proposals be limited to no
more than 50 pages. excluding resumes. All pages of the proposal must be numbered, and the
proposal must contain an organized,paginated table of contents corresponding to the sections and
pages of the proposal.
EXPERIENCE &KNOWLEDGE
Only individual medical professionals or legally formed medical partnerships may respond to this
RFP. Professionals submitting a proposal must meet the following minimum levels of skill.
i) Fire Service Specific Physician.
(1) This professional should have experience in occupational medicine; internal medicine
specializing in fields relevant to the fire service such as occupational toxicology,
industrial hygiene, epidemiology, infectious disease,pulmonary, cardiology,critical care,
and orthopedics; or emergency medicine.
(2) Physician should have a thorough knowledge of job-related activities,physical demands
of the occupation and stresses associated with firefighting. The individual must
understand the various Fire Service job analyses and remain current on medical literature
pertaining to fire service-related issues.
(3) The physician should have knowledge of local, state, and federal laws as well as the roles
of labor and management relating to occupational medicine, health, and safety.
(4) All medical staff shall be properly licensed in the State of Texas. Iii.
Page 6 of 28
i iii. The offeror shall provide the followinginformation.
(1) List of similar work done in the past 5 years.
(2) Examples of recent(last 2 years)of similar projects
(3) List any experience or knowledge of the areas in Port Arthur.
(4) List experience and qualification of team.
PROJECT APPROACH
a) Contractor shall provide the following information
i) Response time to mobilize and begin work.
ii) Personnel that are available to provide the work and state how long they have been on
Contractor's payroll.
iii) Equipment owned by Contractor available to provide the services.
COST
a). Contractor shall provide the following information
i) Cost per person to conduct exams.
ii) Any other fees required.
REFERENCES
ii) a). Include three(3)business references for which similar services have been provided.
Include the following:
(1) The term (beginning and ending dates)of your contract agreement(s).
(2) A brief description of the scope of work;and
(3) Contact name,title, address, email, and telephone number,
(4) The offeror(s)hereby authorize(s) and request(s) any person, firm, corporation and/or
government entity to furnish any information requested by the City in the verification of
the references provided and for determining the quality and timeliness of providing the
services. See Appendix C.
Page 7 of 28
EVALUATION AND SELECTION PROCESS
All proposals will be screened by an evaluation committee and those proposers selected for a
short list may be invited to attend an interview, at the proposer's own expense. Any invitation
for an oral presentation will be solely for the purpose of clarifying proposals received from
each qualifying proposer, and will not represent any decision on the part of the evaluation
committee as to the selection of a successful proposer.
The City will evaluate all responses based on the experience, personnel qualifications,
references,methodology/strategy,cost, and quality of response. The City reserves the right to
negotiate the final fee prior to recommending any Contractor for a contract.
The City's process is as follows:
1. The evaluation committee shall screen and rate all of the responses that are
submitted. Evaluation ratings will be on a 100-point scale and shall be based on
the following criteria:
a. Experience(40-points)
b. Project Approach 40-points)
c. Cost/Rates(20-points)
2 City staff shall recommend the most qualified Contractor to the City Council and
request authority to enter into contract negotiations.
3. When services and fees are agreed upon,the selected Contractor shall be offered a
contract subject to City Council approval.
4. Should negotiations be unsuccessful,the City shall enter into negotiations with the
next, highest-ranked Contractor. The process shall continue until an agreement is
reached with a qualified Contractor.
5. This RFP does not commit the City to pay for any direct and/or indirect costs
incurred in the preparation and presentation of the response. All finalist(s) shall
pay their own costs incurred in preparing for,traveling to,and attending interviews.
The City reserves the right to use all pertinent information (also learned from sources other
than disclosed in the RFP process) that might affect the City's judgment as to the
appropriateness of an award to the best-evaluated proposer.This information may be appended
to the proposal evaluation process results.
Page 8 of 28
GENERAL INFORMATION:
Proposers are cautioned to read the information contained in this RFP carefully and to submit a
complete response to all requirements and questions as directed.
TERMINOLOGY: "Bid" vs. "Proposal"--For the purpose of this RFP, the terms "Bid" and
`Proposal" shall be equivalent.
AWARD: The City of Port Arthur will review all proposals for responsiveness and compliance
with these specifications. The City reserves the right to award on the basis of the Lowest and Best
Offer in accordance with the laws of Texas, to waive any formality or irregularity, and/or to reject
any or all proposals.
ALTERING BIDS: Bids cannot be altered or amended after submission deadline. Any
interlineations,alteration,or erasure made before opening time must be initialed by the signer of the
bid, guaranteeing authenticity.
WITHDRAWAL OF PROPOSAL: The proposer may withdraw its proposal by submitting
written request, over the signature of an authorized individual,to the Purchasing Division any time
prior to the submission deadline. The proposer may thereafter submit a new proposal prior to the
deadline. Modification or withdrawal of the proposal in any manner, oral or written, will not be
considered if submitted after the deadline.
CONFLICT OF INTEREST:No public official shall have interest in this contract, in accordance
with Vernon's Texas Code Annotated, Local Government Code Title 5, Subtitle C, Chapter 171.
CONFLICT OF INTEREST: Provide a completed copy of the Conflict-of-Interest Questionnaire
(Form CIQ).The Texas legislature recently enacted House Bill 914 which added Chapter 176 to the
Texas Local Government Code. Chapter 176 mandates the public disclosure of certain information
concerning persons doing business or seeking to do business with the City of Port Arthur, including
affiliations and business and financial relationships such persons may have with City of Port Arthur
officers. The form can be located at the Texas Ethics Commission website:
https://www.ethics.state.tx.us/filinginfo/conflict_forms.htm
By doing business or seeking to do business with the City of Port Arthur including submitting a
response to this RFP,you acknowledge that you have been notified of the requirements of Chapter
176 of the Texas Local Government Code and you are representing that you in compliance with
them.
Any information provided by the City of Port Arthur is for information purposes only.If you
have concerns about whether Chapter 176 of the Texas Local Government Code applies to
you or the manner in which you must comply,you should consult an attorney.
ETHICS: Public employees must discharge their duties impartially so as to assure fair,competitive
access to governmental procurement by responsible contractors. Moreover, they should conduct
themselves in such a manner as to foster public confidence in the integrity of the City of Port
Arthur's procurement organization.
Page 9 of 28
Any employee that makes purchases for the City is an agent of the City and is required to follow the
City's Code of Ethics.
MINIMUM STANDARDS FOR RESPONSIBLE PROSPECTIVE BIDDERS: A prospective
bidder must affirmatively demonstrate bidder's responsibility. A prospective bidder must meet the
following requirements:
1. Be able to comply with the required or proposed delivery schedule.
2. Have a satisfactory record of performance.
3. Have a satisfactory record of integrity and ethics.
4. Be otherwise qualified and eligible to receive an award.
5. Be engaged in a full-time business and can assume liabilities for any performance or warranty
service required.
6. The City Council shall not award a contract to a company that is in arrears in its
obligations to the City.
7. No payments shall be made to any person of public monies under any contract by
the City with such person until such person has paid all obligations and debts
owed to the City, or has made satisfactory arrangements to pay the same.
ADDENDA: Any interpretations, corrections or changes to the RFP will be made by addenda no
later than 48 hours prior to the date and time fixed for submission of proposals. Sole issuing
authority of addenda shall be vested in the City of Port Arthur Purchasing Manager. The City
assumes no responsibility for the proposer's failure to obtain and/or properly submit any addendum.
Failure to acknowledge and submit any addendum may be cause for the proposal to be rejected. It
is the vendor's responsibility to check for any addendums that might have been issued before bid
closing date and time. All addenda will be numbered consecutively, beginning with 1.
PORT ARTHUR PRINCIPAL PLACE OF BUSINESS: Any bona fide business that claims the
City of Port Arthur as its principal place of business must have an official business address (office
location and office personnel)in Port Arthur,the principal storage place or facility for the equipment
shall be in Port Arthur and/or the place of domicile for the principal business owner(s) shall be in
Port Arthur or such other definition or interpretation as is provided by state law. Contractors outside
the City of Port Arthur are allowed to bid.
PRICES: The bidder should show in the proposal both the unit price and total amount, where
required, of each item listed. In the event of error or discrepancy in the mathematics,the unit price
shall prevail.
PURCHASE ORDER: A purchase order(s) shall be generated by the City of Port Arthur to the
successful bidder. The purchase order number must appear on all itemized invoices.
INVOICES: All invoices shall be mailed directly to the City of Port Arthur, Attn.: Accounts
Payable,P.O. Box 1089,Port Arthur, Texas 77641.
PAYMENT: Payment will be made upon receipt of the original invoice and the acceptance of the
goods or services by the City of Port Arthur,in accordance with the State of Texas Prompt Payment
Act, Article 601f V.T.C.S. The City's standard payment terms are net 30, i.e. payment is due 30
days from the date of the invoice.
Page 10 of 28
SALES TAX: The City of Port Arthur is exempt by law from payment of Texas Sales Tax and
Federal Excise Tax;therefore the proposal shall not include Sales Tax.
VENUE: This agreement will be governed and construed according to the laws of the State of
Texas. This agreement is performable in Port Arthur, Texas, Jefferson County. The City of Port
Arthur may request and rely on advice, decisions, and opinions of the Attorney General of Texas
and the City Attorney concerning any portion of these requirements.
COMPLIANCE WITH LAWS: The Contractor shall comply with all applicable laws,ordinances,
rules, orders, regulations and codes of the federal, state and local governments relating to
performance of work herein.
INTEREST OF MEMBERS OF CITY: No member of the governing body of the City, and no
other officer, employee or agent of the City who exercises any functions or responsibilities in
connection with the planning and carrying out of the program, shall have any personal financial
interest,direct or indirect, in this Contract; and,the Contractor shall take appropriate steps to assure
compliance.
DELINQUENT PAYMENTS DUE CITY: The City of Port Arthur Code of Ordinances prohibits
the City from granting any license, privilege or paying money to any-one owing delinquent taxes,
paving assessments or any money to the City until such debts are paid or until satisfactory
arrangements for payment has been made. Bidders must complete and sign the AFFIDAVIT
included as part of this RFP.
QUANTITIES: Quantities shown are estimated, based on projected use. It is specifically
understood and agreed that these quantities are approximate and any additional quantities will be
paid for at the quoted price. It is further understood that the contractor shall not have any claim
against the City of Port Arthur for quantities less than the estimated amount.
SHIPPING INFORMATION: All bids are to be F.O.B., City of Port Arthur, Port Arthur, TX
77640
INCORPORATION OF PROVISIONS REQUIRED BY LAW: Each provision and clause
required by law to be inserted into the Contract shall be deemed to be enacted herein and the Contract
shall be read and enforced as though each were included herein. If, through mistake or otherwise,
any such provision is not inserted or is not correctly inserted the Contract shall be amended to make
such insertion on application by either party.
CONTRACTOR'S OBLIGATIONS: The Contractor shall and will, in good workmanlike
manner, perform all work and furnish all supplies and materials, machinery, equipment, facilities
and means, except as herein otherwise expressly specified, necessary or proper to perform and
complete all the work required by this Contract, in accordance with the provisions of this Contract
and said specifications.
The apparent silence of these specifications as to any detail or to the apparent omission from it of a
detailed description concerning any point shall be regarded as meaning that only the best commercial
practices are to prevail.
Page 11 of 28
While the purpose of the specifications is to indicate minimum requirements in the way of capability,
performance,construction,and other details,its use is not intended to deprive the City of Port Arthur
the option of selecting goods which may be considered more suitable for the purpose involved.
Under the Title VI of the Civil Rights Act of 1964, no person shall, on the grounds of race, color,
or national origin, be excluded from participation in, be denied the benefits of, or be subjected to
discrimination under any program or activity receiving Federal financial assistance.
TERMINATION FOR CAUSE: If,through any cause,the Contractor shall fail to fulfill in a timely
and proper manner his obligations under this contract, or if the Contractor shall violate any of the
covenants, agreements or stipulations of this contract, the City shall thereupon have the right to
terminate this contract by giving written notice to the Contractor of such termination and specifying
the effective date thereof, at least fifteen (15) days before the effective date of such termination.
Notwithstanding the above,the Contractor shall not be relieved of liability to the City for damages
sustained by the City by virtue of any breach of the contract by the Contractor, and the City may
withhold any payments to the Contractor for the purpose of set-off until such time as the exact
amount of damages due the City from the Contractor is determined.
TERMINATION FOR CONVENIENCE:The City may terminate this contract at any time giving
at least thirty(30)days notice in writing to the Contractor. If the Contract is terminated by the City
as provided herein, the Contractor will be paid for the service that it has performed up to the
termination date. If this contract is terminated due to fault of the Contractor,the previous paragraph
hereof relative to termination shall apply.
RELEASES AND RECEIPTS: The City of Port Arthur before making payments may require the
Contractor to furnish releases or receipts for any or all persons performing work and supplying
material or service to the Contractor, or any sub-contractors for work under this contract, if this is
deemed necessary to protect its interests.
CARE OF WORK: The Contractor shall be responsible for all damages to person or property that
occurs as a result of his fault or negligence in connection with the work performed until completion
and final acceptance by the City.
SUB-CONTRACTS: The Contractor shall not execute an agreement with any sub-contractor or
permit any sub-contractor to perform any work included in this Contract until he has received from
the City of Port Arthur written approval of such agreement.
INSURANCE: All insurance must be written by an insurer licensed to conduct business in the State
of Texas, unless otherwise permitted by Owner. The Contract shall, at his own expense, purchase,
maintain and keep in force insurance that will protect against injury and/or damages which may
arise out of or result from operations under this contract,whether the operations be by himself or by
any subcontractor or by anyone directly or indirectly employed by any of them, or by anyone for
whose acts any of them may be liable, of the following types and limits
1. Standard Worker's Compensation Insurance:
Page 12 of 28
2. Commercial General Liability occurrence type insurance City of Port Arthur. its
officers, agents, and employees must be named as an additional insured):
a. Bodily injury$1,000,000 single limit per occurrence or$1,000,000 each
person/$1,000,000 per occurrence; and,
b. Property Damage$1,000,000 per occurrence regardless of contract amount; and,
c. Professional Liability: $1,000,000.
Contractor shall cause Contractor's insurance company or insurance agent to fill in all information
required (including names of insurance agency, contractor and insurance companies, and policy
numbers,effective dates and expiration dates)and to date and sign and do all other things necessary
to complete and make into valid certificates of insurance and pertaining to the above listed items,
and before commencing any of the work and within the time otherwise specified, Contractor shall
file completed certificates of insurance with the Owner.
None of the provisions in said certificate of insurance should be altered or modified in any respect
except as herein expressly authorized. Said CERTIFICATE OF INSURANCE Form should contain
a provision that coverage afforded under the policies will not be altered,modified or canceled unless
at least fifteen (15) days prior written notice has been given to the City of Port Arthur. Contractor
shall also file with the City of Port Arthur valid CERTIFICATE OF INSURANCE on like form
from or for all Subcontractors and showing the Subcontractor (s) as the Insured. Said completed
CERTIFICATE OF INSURANCE Form (s) shall in any event be filed with the City of Port Arthur
not more than ten (10) days after execution of this Contract.
NOTICE TO PROCEED: Notice to Proceed shall be issued within ten(10)days of the execution
of the Contract by OWNER. Should there be any reasons why Notice to Proceed cannot be issued
within such period, the time may be extended by mutual agreement between OWNER and
CON TRACTOR.
Page 13 of 28
APPENDICES
RETURN WITH PROPOSAL
A. Scope of Work
B. Cost Form Yes
C. Letter of Interest Yes
D. Vendor References Yes
E. Affidavit Yes
F. Non-Collusion Affidavit Yes
G. Conflict of Interest Questionnaire If It Applies
H. HB 89 Yes
I. SB 252 Yes
Page 14 of 28
APPENDIX A; SCOPE OF WORK
1) Firefighters of the Port Arthur Fire Department must undergo rigorous physical examination and
testing. Job requirements are unique to the fire service and medical and mental health risks are
constant. Personnel have a need for a wide spectrum of medical services,which must be provided by
professionals acquainted with the duties,working conditions,and mental and physical demands of
the job,as well as the hours and expectations associated with the provision of preventive and
emergency medical services.
The program requires a medical provider with in-depth knowledge regarding fire-service-specific
medical assessments in accordance with NFPA 1582 Standards.
2) OBJECTIVES
a) Establish and maintain a confidential occupational medical evaluation program for members that
meets or exceeds NFPA 1582
b) Early detection, disease prevention,and health promotion of Port Arthur Fire Fighters
c) Create baseline data to monitor future effects of exposure to specific biological,physical,or
chemical agents.
d) Detect changes in individuals' health that may be related to harmful working conditions.
e) Provide information to personnel about occupational hazards and current health.
f) Comply with federal, state, and local requirements.
g) Reduce out-of-service time through preventative early intervention of potential problems.
h) Decrease re-injury rates.
3) SCOPE OF WORK
a) The components of the medical evaluations shall conform to all applicable U.S. OSHA standards,
including 29 CFR 1910.120, "Hazardous waste operations and emergency response"; 29 CFR
1910.134, "Respiratory protection";29 CFR 1910.95, "Occupational noise exposure"; and 29
CFR 1910.1030, `Bloodborne pathogens."
b) Medical and Occupational/Environmental History Questionnaire to Be Completed by Employee
& Reviewed by Physician.
c) General Physical and Neurological Examination
d) Vital Signs: Temperature,pulse, respiratory rate, and blood pressure (BP).
e) Head,Eyes, Ears,Nose, and Throat(HEENT)
0 Neck
g) Cardiovascular: Inspection, auscultation,percussion, and palpation
h) Pulmonary: Inspection, auscultation,percussion, and palpation.
i) Breast
j) Gastrointestinal: Inspection, auscultation,percussion, and palpation.
k) Genitourinary(includes pap smear,testicular exam)
1) Hernia Exam
m) Lymph Nodes: Evaluation of lymph nodes in the cervical, auxiliary, and
inguinal regions.
n) Neurological: Must include a general mental status evaluation and general assessment of the
major cranial/peripheral nerves (motor, sensory, reflexes.
Page 15 of 28
o) Musculoskeletal: Includes an overall assessment of range of motion (ROM) of all joints.
p) Skin Exam: (includes screening for cancers).
q) Vision-Assessment of vision must include evaluation of distance, near, peripheral, and color
vision. Evaluate for common visual disorders.
r) Galleri -multi cancer early detection blood test.
4) Blood Analysis.
a) The Blood Analysis must take place prior to physicals and reviewed during physicals. The
following are components of the blood analysis. At a minimum, laboratory services must provide
these components in their automated chemistry panel (aka SMAC 20) and complete blood count
(CBC)protocols.
b) CBC with differential, Red Blood Cell Count(Hematocrit) indices and morphology, and Platelet
Count.
c) CMP—Comprehensive Metabolic Profile.
d) C-Reactive Protein.
e) Lipid Panel—Includes Total Cholesterol, Low Density Lipoprotein(LDL-C) level, High Density
Lipoprotein (HDL-C) level,and Total Cholesterol/HDL Ratio, Triglycerides.
f) PSA Prostate Cancer Marker
5) Urinalysis
a) Dip Stick—Includes pH, Glucose, Ketones, Leukocyte Esterase, Protein, Blood, and Bilirubin
b) Urinalysis to include 10 panel drug screens
c) Microscopic—Includes WBC,RBC, WBC Casts, RBC Casts,and Crystals
6) Audiology -Hearing thresholds shall be assessed annually in each ear at each of the following
frequencies: 500 Hz, 1000 Hz, 2000 Hz, 3000 Hz, 4000 Hz, 6000 Hz, 8000 Hz Results should be
compared with baseline and subsequent test results.
7) Pulmonary Function Test(Spirogram)
a) Spirometry/Pulmonary Function Test(FVC, FEV1, absolute FEV1/FVC ratio)Results should be
compared with baseline and subsequent test results,
8) Chest X-Ray
a) This procedure should occur every other year for all WFR personnel Results should be compared
with baseline and subsequent test results.
9) Electrocardiograms (ECGs)
a) Resting ECG part of baseline and annually
b) Cardiac Treadmill Stress Test with EKG and with or without imaging echocardiography or
radionuclide scanning) shall be performed every other year for all WFR.
c) Coronary Calcium Scan—based on age&risk stratification
10)Mammography
a) Mammography shall be made available annually to each female member. Results should be
compared with baseline and subsequent test results.
Page 16 of 28
11)Titers, Immunizations and Infectious Disease Screening
a) Tuberculosis Screen(Annual PPD.
b) Hepatitis C Virus Screen—baseline and following exposure
c) HIV Screening available to all personnel
d) Hepatitis B
e) Td—Tetanus/Diphtheria Vaccine(Booster every 10 years)
f) MMR—Measles, Mumps, Rubella Vaccine
g) Polio Vaccine—booster
h) Hepatitis A Vaccine.
i) Varicella Vaccine offered to all non-immune personnel (chicken pox)
j) Meningococcal vaccine.
k) Heavy Metal and Special Exposure Screening—for new HazMat team members,exiting
members, and members with suspected exposure.
1) Arsenic(urine), Mercury (urine),Lead(urine), Lead(blood),Aluminum,Antimony,Bismuth,
Cadmium, Chromium, Copper,Nickel,Zinc Organophosphates (RBC cholinesterase),
Polychlorinated Biphenyls(blood)
12)Colon Cancer Screening
a) Fecal Occult Blood Testing shall be provided annually to all members.
13)Ultrasound Screening. This screening will include all of the following.
a) Echocardiogram—Heart with Function
b) Thyroid
c) Carotid Arteries with CIMT Vascular Age
d) Aorta and Aortic Valve
e) Internal Organs—Liver, Pancreas, Gall Bladder, Spleen, and Kidneys
0 Bladder
g) Ovaries and Uterus for women
h) Testicular and Prostate for men
14)Weight and Body Composition
a) Body weight to be measured and recorded annually
b) Body composition conducted solely for the purpose of departmental health using waist-to-hip
ratio.
15)CONSTRAINTS Out of Scope
a) It is out of scope to diagnose,treat, or offer to treat any disease or disorder, mental or physical or
any physical deformity or injury by any system or method and to effect cures thereof.
b) It is out of scope to provide a fitness for duty document.
c) General follow-up care is not supported by this contract. Personnel have the right to choose who
provides follow-up care. Therefore, it becomes the individual's responsibility for his/her medical
provider selection and payment for any follow-up visits and/or procedures.
16)TASKS/DELIVERABLES/PERFORMANCE REQUIREMENTS
a) Identify a primary contact for the duration of the contract, and a consistent point of contact for
scheduling exams and other work scope matters.
Page 17 of 28
b) Written respiratory protection clearance issued to WFR for each individual eligible to wear
positive and negative pressure respiratory protection in compliance with OSHA respiratory
protection standard 29 CFR 1910.134
c) Provide follow-up information or referral to personal physician, specialist(s), or other health care
practitioner(s), as needed.
d) In case of possible life-threatening abnormal cardiac findings,provider will refer the individual to
a specialist for follow up and will provide specific instructions for those referrals. Individual
health insurance will be used for any follow-up/referrals.
17)MEDICAL INFORMATION SYSTEM/CONFIDENTIALITY
a) All medical record keeping shall comply with the requirements of 29 CFR 1910.1020, "Access to
employee exposure and medical records,"and any other applicable regulations and laws.
b) Medical information must be collected in a database that can provide both aggregate reports as
well as specific individual information,that is electronically secure to only pre-authorized
medical providers.
c) The contractor will maintain medical records in a manner that makes them readily identifiable as
Port Arthur Fire Fighter medical records.
d) At no time will an individual's medical information be released without written authorization by
the employee.
18)OCCUPATIONAL STRESS AWARENESS CONSULTATION
a) At the annual exam the provider shall inform the member of, and assess for,the heightened of
stress associated with occupational exposures related to the job.
b) The provider shall make the member aware of common adverse signs and symptoms of
occupational stress inform the members of practices that might limit the damaging effects of
occupational stress and provide the member with referral to licensed behavioral health specialists
trained to recognize and treat stress-related disorders in first responders as indicated.
19)TRANSITION AND EXIT STRATEGY.
a) Contractor must provide for transfer of medical records to a new provider upon contract
expiration or termination.
END OF SECTION
Page 18 of 28
APPENDIX B; COST FORM
Providers Name:
Enter information in the colored cells. For each item,refer to Appendix A: Scope of Work specifications for
details. Any enhancements or deviations should be explained in comments and in your proposal. If there are no
changes, enter "as specified"
in the comments field.
Service Requested Comments/Explanation Estimated Provider Providers
Annual Unit Price Extended Price
Quantity (Estimated
Quantity x Unit
Price
Medical and
Occupational/Environmental
History Questionaries
General Physical and
Neurological Examination
Cost includes vital signs,HEENT,
neck,cardiovascular,pulmonary,
breast,gastrointestinal,hernia,
lymph nodes,neurological,vision,
musculoskeletal,and skin exams
Genitourinary
Testicular exam
Pap smear
Vision
Blood Analysis
CBC with differential
CMP
C-Reactive Protein,Triglycerides
Cholesterol
PSA Prostate Cancer Marker
Urinalysis
Audiology
Pulmonary Function Test
(Spirogram)
Chest X-Ray
Electrocardiograms
Resting ECG
Cardiac Treadmill Stress Test with
EKG without imaging
echocardiography or radionuclide
scanning
Coronary Calcium Scan
Mammography
Titers,Immunizations,and
Infectious Disease Screening:
Tuberculosis screening(annual
PPD)
Hepatitis C Virus Screening
Page 19 of 28
HIV Screening
Td
Hepatitis A Vaccine
Varicella Titer
Varicella Vaccine
Meningococcal Titer
Meningococcal Vaccine
Hepatitis A Titer
Hepatitis B Titer
Hepatitis B Vaccine
MMR
MMR Titer
Polio Titer
Polio Vaccine Booster
Heavy Metal and Special Exposure
Screening
Colon Cancer Screening
Ultrasound Screening-Full Body
Echocardiogram,thyroid,carotid
arteries,aorta/valve,internal
organs, bladder.
Female;ovary and uterus
Male;testicular and prostrate
Body Weight and Composition
Optional:Galleri cancer detection
blood test.
TOTAL PER EXAMINATION:
COMPANY NAME STREET ADDRESS
SIGNATURE OF BIDDER P.O. BOX
PRINT OR TYPE NAME CITY STATE ZIP
TITLE AREA CODE TELEPHONE NO
EMAIL FAX
Page 20 of 28
APPENDIX C
LETTER OF INTEREST
RFP —NFPA 1582 COMPLIANT ANNUAL PHYSICAL EXAMINATION FOR PORT ARTHUR FIRE
DEPARTMENT Deadline: January 25,2023
The undersigned firm submits the following information(this RFP submittal)in response to the Request for
Proposals(as amended by any Addenda),issued by the City of Port Arthur,TX(City)to provide RFP—Request
forNFPA 1582 Compliant Annual Physical Examinations for Port Arthur Fire Department Contractor for City
of Port Arthur,TX. Enclosed,and by this reference incorporated herein and made a part of this RFP,are the
following:
❖ Cost Form
❖ Completed RFP Letter of Interest Form
❖ Vendor References
❖ Completed Affidavit
❖ Non-Collusion Affidavit
❖ Completed Conflict of Interest Form
❖ HB 89
❖ SB 252
Firm understands that the City is not bound to select any firm for the final pre-qualified list and may reject any
responses submitted.
Firm also understands that all costs and expenses incurred by it in preparing this RFP and participating in
this process will be borne solely by the firm,and that the required materials to be submitted will become the
property of the City and will not be returned.
Firm agrees that the City will not be responsible for any errors, omissions, inaccuracies, or incomplete
statements in this RFP. Firm accepts all terms of the RFP submittal process by signing this letter of interest
and making the RFP submittal.
This RFP shall be governed by and construed in all respects according to the laws of the State of Texas.
Firm Name Date
Address City/State/Zip
Authorized Signature Title
Name(please print) Telephone
Email
Page 21 of 28
APPENDIX D
VENDOR REFERENCES
Please list at least three (3) companies or governmental agencies where the same or similar
products and/or services as contained in this specification package were recently provided.
THIS FORM MUST BE RETURNED WITH YOUR BID.
REFERENCE ONE
Government/Company Name:
Address:
Contact Person and Title:
Phone: Fax:
Contract Period: Scope of Work:
REFERENCE Two
Government/Company Name:
Address:
Contact Person and Title:
Phone: Fax:
Contract Period: Scope of Work:
REFERENCE THREE
Government/Company Name:
Address:
Contact Person and Title:
Phone: Fax:
Contract Period: Scope of Work:
OFFEROR MUST RETURN THIS PAGE WITH OFFER
Page 22 of 28
APPENDIX E
CITY OF PORT ARTHUR,TEXAS
NON-COLLUSION AFFIDAVIT
CITY OF PORT ARTHUR §
STATE OF TEXAS §
By the signature below, the signatory for the bidder certifies that neither he nor the firm,
corporation, partnership or institution represented by the signatory or anyone acting for the
firm bidding this project has violated the antitrust laws of this State, codified at Section
15.01, et seq., Texas Business and Commerce Code, or the Federal antitrust laws, nor
communicated directly or indirectly the bid made to any competitor or any other person
engaged in the same line of business, nor has the signatory or anyone acting for the firm,
corporation or institution submitting a bid committed any other act of collusion related to
the development and submission of this bid proposal.
Signature:
Printed Name:
Printed
Name:
Title:
Company:
Date:
SUBSCRIBED and sworn to before me by the above named on this
the day of , 20
Notary Public in and for the
State of Texas
My commission expires:
Page 23 of 28
APPENDIX F
AFFIDAVIT
All pages in Offeror's Responses containing statements, letters, etc., shall be signed by a duly
authorized officer of the company whose signature is binding.
The undersigned offers and agrees to one of the following:
I hereby certify that I do not have outstanding debts with the City of Port Arthur. I further
agree to pay succeeding debts as they become due.
I hereby certify that I do have outstanding debts with the City of Port Arthur and agree to
pay said debts prior to execution of this agreement. I further agree to pay succeeding debts as they
become due.
I hereby certify that I do have outstanding debts with the City of Port Arthur and agree to
enter into an agreement for the payment of said debts. I further agree to pay succeeding debts as
they become due.
Firm Name Date
Address City/State/Zip
Authorized Signature Title
Name (please print) Telephone
Email
STATE:
COUNTY:
SUBSCRIBED AND SWORN to before me by the above named
on this the day of , 20
Notary Public
RETURN THIS AFFIDAVIT AS PART OF THE PROPOSAL
Page 24 of 28
APPENDIX G
CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ
For vendor doing business with local governmental entity
This questionnaire reflects changes made to the law by H.B.23,84th Leg.,Regular Session. OFFICE USE ONLY
This questionnaire is being filed in accordance with Chapter 176,Local Government Code.by a vendor who Date Received
has a business relationship as defined by Section 176.001(1-a)with a local governmental entity and the
vendor meets requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administrator of the local governmental entity not later
than the 7th business day after the date the vendor becomes aware of facts that require the statement to be
filed. See Section 176.006(a-1).Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006,Local Government Code.An
offense under this section is a misdemeanor.
3.1 Name of vendor who has a business relationship with local governmental entity.
.2J n
l l Check this box if you are filing an update to a previously filed questionnaire.(The law requires that you file an updated
1 completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which
you became aware that the originally filed questionnaire was incomplete or inaccurate.)
J Name of local government officer about whom the information is being disclosed.
Name of Officer
J Describe each employment or other business relationship with the local government officer,or a family member of the
officer,as described by Section 176.003(a)(2)(A).Also describe any family relationship with the local government officer.
Complete subparts A and B for each employment or business relationship described.Attach additional pages to this Form
CIQ as necessary.
A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income,
other than Investment income,from the vendor?
LJ Yes No
B. is the vendor receiving or likely to receive taxable income,other than investment income,from or at the direction
of the local government officer or a family member of the officer AND the taxable income is not received from the
local governmental entity?
Yes n No
J Describe each employment
p yment or business relationship that the vendor named in Section 1 maintains with a corporation or
other business entity with respect to which the local government officer serves as an officer or director.or holds an
ownership interest of one percent or more.
li Check this box if the vendor has given the local government officer or a family member of the officer one or more gifts
as described in Section 176.003(a)(2)(B). excluding gifts described in Section 176.003(a-1).
Signature of vendor doing business with the governmental entity Date
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30/2015
Page 25 of 28
CONFLICT OF INTEREST QUESTIONNAIRE
For vendor doing business with local governmental entity
Acomplete copy of Chapter 176 of the Local Government Code may be found at http:hirvww.statutes.legis.state tx.usi
Docs'LG/htm/LG.176,htm.For easy reference,below are some of the sections cited on this form.
Local Government Code§176.001(1-a):"Business relationship'means a connection between two or more parties
based on commercial activity of one of the parties. The term does not include a connection based on:
(A) a transaction that is subject to rate or fee regulation by a federal,state,or local governmental entity or an
agency of a federal,state,or local governmental entity:
(B) a transaction conducted at a price and subject to terms available to the public;or
(C)a purchase or lease of goods or services from a person that is chartered by a state or federal agency and
that is subject to regular examination by,and reporting to,that agency.
Local Government Code fi 176.003(a)(2)(A)and(B1:
;a) A local government officer shall tile a conflicts disclosure statement with respect to a vendor if:
(2) the vendor:
(A) has an employment or other business relationship with the local government officer or a
family member of the officer that results in the officer or family member receiving taxable
income, other than investment income,that exceeds$2,500 during the 12-month period
preceding the date that the officer becomes aware that
(i) a contract between the local governmental entity and vendor has been executed;
cr
(ii) the local governmental entity is considering entering into a contract with the
vendor;
(B)has given to the local government officer or a family member of the officer one or more gifts
that have an aggregate value of more than$100 in the 12-month period preceding the date the
officer becomes aware that:
(i) a contract between the local governmental entity and vendor has been executed:or
(ii) the local governmental entity is considering entering into a contract with the vendor.
Local Government Code$176.006(a)and(a-1)
(a) A vendor shall file a completed conflict of interest questionnaire if the vendor has a business relationship
with a local governmental entity and:
(1) has an employment or other business relationship with a local government officer of that local
governmental entity,or a family member of the officer,described by Section 176.003(a)(2)(A);
(2) has given a local government officer of that local governmental entity,or a family member of the
officer,one or more gifts with the aggregate value specified by Section 176.003(a)(2)(B),excluding any
gift described by Section 176.003(a-1);or
(3) has a family relationship with a local government officer of that local governmental entity.
(a-1) The completed conflict of interest questionnaire must be filed with the appropriate records administrator
not later than the seventh business day after the later of:
(1) the date that the vendor:
(A) begins discussions or negotiations to enter into a contract with the local governmental
entity;or
(B)submits to the local governmental entity an application,response to a request for proposals
or bids,correspondence. or another writing related to a potential contract with the local
governmental entity;or
(2) the date the vendor becomes aware:
(A) of an employment or other business relationship with a local government officer,or a
family member of the officer,described by Subsection(a);
(B)that the vendor has given one or more gifts described by Subsection(a);or
(C)of a family relationship with a local government officer.
F.rm provided by Texas Ethics Commission www.ethics state,tx.us Revised 11/3012015
Page 26 of 28
APPENDIX H
House Bill 89 Verification
I, (Person name), the undersigned representative
(hereafter referred to as "Representative") of
(Company or
business name, hereafter referred to as "Business Entity"), being an adult over the age of
eighteen (18) years of age, after being duly sworn by the undersigned notary, do hereby
depose and affirm the following:
1. That Representative is authorized to execute this verification on behalf of Business
Entity;
2. That Business Entity does not boycott Israel and will not boycott Israel during the
term of any contract that will be entered into between Business Entity and the City of Port
Arthur; and
3. That Representative understands that the term "boycott Israel" is defined by Texas
Government Code Section 2270.001 to mean refusing to deal with, terminating business
activities with, or otherwise taking any action that is intended to penalize, inflict economic
harm on, or limit commercial relations specifically with Israel, or with a person or entity
doing business in Israel or in an Israeli-controlled territory, but does not include an action
made for ordinary business purposes.
SIGNATURE OF REPRESENTATIVE
SUBSCRIBED AND SWORN TO BEFORE ME, the undersigned authority, on this
day of , 20
Notary Public
Page 27 of 28
APPENDIX I
SB 252
CHAPTER 2252 CERTIFICATION
I, , the undersigned and
Representative of
(Company or Business Name)
being an adult over the age of eighteen (18) years of age, pursuant to Texas
Government Code, Chapter 2252, Section 2252.152 and Section 2252.153, certify that
the company named above is not listed on the website of the Comptroller of the State
of Texas concerning the listing of companies that are identified under Section
806.051, Section 807.051 or Section 2253.153. I further certify that should the above-
named company enter into a contract that is on said listing of companies on the
website of the Comptroller of the State of Texas which do business with Iran, Sudan
or any Foreign Terrorist Organization, I will immediately notify the City of Port
Arthur Purchasing Department.
Name of Company Representative (Print)
Signature of Company Representative
Date
Page 28 of 28
THE FRONT LINE XMEFHOD
vi
4/-424
I�Ys�u.
R )
MEDICAL BEHAVIORAL
o
Front Line brings over 130 years of active military experience,
5800 days deployed in support of combat operations and is built
specifically to meet the needs of law enforcement and fire service.
Four states, 72 departments, 5500+ public safety professionals
- From hire to retire and everything in between.
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com
REQUEST FOR PROPOSAL I R() I,I
Q I
Imo' �`I �•
Nfpa 1582 Compliant Annual Physical Examination MOBILE HEALTH
P23-019 January 23,2023
Mr.Clifton Williams
Purchasing Manager
City of Port Arthur
Port Arthur,Texas
Dear Mr.Williams,
We are a Veteran-Owned company who is leveraging our military experience to develop relevant health and
wellness programs for Public Safety organizations that address the three leading causes of death-cardiovascular
disease,cancer and suicide.Our mission is to provide a healthcare experience that revolutionizes the health of the
individual while becoming a catalyst for meaningful change for Public Safety wellness programs across the nation.
The intent of our proposal is to demonstrate:
• Front Line's proven ability to deliver a program that more than accomplishes the goals put forth in this RFP
• Our experience with highly specialized occupations(Fire,EMS,Law Enforcement,Military)
• Proven track record with over 50 Texas fire departments and over 5,000 Public Safety professionals
• The unique expertise and experience of the project team
• Physicians,Physician Assistants,Exercises Physiologists,X-ray Technicians and Diagnostic Sonographers
who understand the special challenges faced by the fire service communities
• Forensic,occupational,and human performance Psychologists
• Dynamic and flexible organizational structure that allows for de-centralized solutions to meet the unique
needs of Fire and Police Departments
• Vast knowledge of Texas Workers'Compensation and how it correlates with Public Safety
• Medical Intelligence for all physical,performance and operational metrics
Front Line Mobile Health is interested in working with individuals and teams who do not accept the status quo,
encourage professional discourse,and are able to think strategically to set conditions for success now as well as in
the future.We are prepared to collaborate with leaders who are committed to finding creative solutions to the most
complicated problems-of which cardiovascular disease,cancer,and suicide are some of the most pressing.
We have methodically researched,analyzed,and deliberately planned every part of the program that will be
presented in this proposal.Our aim is to articulate not only where we would like to get to(desired end-state),
but where we come from and how this uniquely places us as the right long-term partner for Port Arthur Fire
Department.
Lead From The Front!
RUSS BURNHAM,APA-C
Team Principal&CEO
Front Line Mobile Health,PLLC
6517 N Lakewood Dr.,Georgetown,TX 78633 frontlinemobilehealth.com 512.838.3808
TABLE OF CONTENTS
Current Operating Environment 2
Operational Priorities 4
7
Departments We Serve 8
Our Experience 9
Organization and Structure 10
Team Bios 11
Proposed Plan of Action 18
Action Plan for the Physical 19
Appendix B 20
Appendix B: Pricing 21
Letters of Recommendation 22
Data Reporting that Saves Lives 27
Report Samples 29
31
Executive Summary
Front Line Mobile Health is a veteran owned company and was founded in 2016.It is the brainchild of a chance conversation
between a Battalion Chief,with 20 years in the fire service,and an Army Physician Assistant.The Battalion Chief highlighted the
challenges facing the fire service in Texas,specifically the need for specialized medical providers who understood the intricacies
of cardiovascular disease,cancer,as well as suicide.He also lamented the difficulty he had experienced with multiple medical
systems and several out of state companies.
What has evolved over the last six years has culminated in what you will read on the following pages.We identified several
critical factors we learned in the military and translated these for the work we now do with Law Enforcement and Fire Service
organizations across the country.These permeate everything we do:
1. Show the Firefighter/Police Officer that you ,
actually care.They know right way if you don't.
2. Do not lie or feed them a line of bull.They can see t,{;,
a 0; t MOBILE HEALTH
right through this. �' �, � ,)Az.
=FOF_
3. Know your stuff.They expect it from you. '• d' E
4. Don't just identify problems.Provide solutions at " __ v �6
the same time. -.- 4
5. Winning matters,especially when lives are in the
balance. J`� ,it $ # -
Currently,we partner with over 50 different Fire and Police i
departments in the state of Texas.We provide a multitude ,<
of services to each client that range from annual NFPA 1582
Incumbent and Candidate occupational medical examinations, ,
TCOLE candidate medical and psychological examinations, = ; ` ,. .`
to Workers'Compensation reviews,risk management = * �- `= .�
evaluations,immunization programs,fitness evaluations,
return to work programs,Department Physician Services and
a multitude of workshops and in person trainings that address
the most pressing issues facing Public Safety professionals.
Why Front Line?
• We consistently outperform the competition
• We are committed to continual improvement and harness every ounce of data and knowledge we gain and share this with
our partners—helping to make them healthier,more effective,and ready to fight and win
• Our focus is not the total number of physicals performed or departments we partner with.Our measure of effectiveness is
the number of departments we have partnered with over the last six years that have left to go with another vendor;ZERO
• We believe to stay relevant;we must continually reinvent ourselves,push the envelope as it relates to testing,screening,
education and technology.It is our responsibility to re-earn the trust of our partners every year
We continue to harness our extensive military experience and overlay that with our growing understanding and partnership
within the fire service and law enforcement agencies to offer dynamic solutions that are unmatched in the industry.All medical
providers are licensed in the state of Texas and all physicians are residency-trained and hold licenses in multiple states.We
maintain a robust Texas presence with year-round clinics in Georgetown and Fort Worth. Planned expansion in 2023 is for a
clinic in the Houston area,as well as expand our presence in Colorado and other states.Our list of ad hoc services continues
to grow and be utilized by our clients for Candidate Evaluation,Return-To-Work assessments,Fit-for-Duty reviews and special
projects.
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 1
Current Operating Environment
Recognizing the current operating environment is paramount to identifying the priorities
and subsequent delivery of a Comprehensive Health and Wellness Program for police and
fire departments.The entire spectrum of information must be analyzed and then applied to
the unique requirements of policing and firefighting while keeping the taxpayer dollars and
stewardship of the departments in mind. ¢ u 0
Based on the Centers For Disease Control and Prevention Vital Statistics Report for 2021 the = Wa
10 leading causes of death were:heart disease,cancer,COVID-19,unintentional injuries, a a
0
stroke,chronic lower respiratory diseases,Alzheimer disease,diabetes,influences and
pneumonia,and kidney disease..This is depicted in the image below: FIRST RESPONDER HEALTH
Heart Disease
Cancer Figure 1.CDC Data Brief no.421.
Age-adjusted death rates for the 10
leading causes of death in 2020 United
States.2019 and 2020
Unintentional
injuries
Stroke
Chronic Lower
Respiratory Diseases
Alzheimer Disease
Diabetes =`
inftue za drici 1A,
Pneumonia ME 13,C 1♦201S
all 12,r` (♦2020
Kidney Disease Ell 12
0 50 100 150 200
Deaths per 100,000 U.S.standard population
CAUSE OF FATAL INJURY
According to the U.S.Fire Administration's report Firefighter
Fatalities in the United States 2020,the leading cause of
Exposure 36 fatal injury was stress or overexertion followed closely
by exposure.
15
Collapse 4
Caught or trapped 1 3
Out of air 12
Struck by 2
Other 1 2 Figure 2.US Fire Administration.Firefighter fatalities by cause of fatal injury(2020)
1
0 5 10 15 20 25 30 35 40
Number of firefighter fatalities
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 2
Current Operating Environment
NUMBER OF DEATHS
The National Fire Protection Association's Research Paper
Untied States Firefighter Injuries,2017 identified that
the major types of injuries received during fireground Vehicle Collision ` " 19
operations were:strain,sprain,muscular pain(48 percent);
wound,cut,bleeding,bruise(15 percent);smoke or gas
inhalation(7 percent)and thermal stress(frostbite or heat Struck by
exhaustion)(5 percent).Strains,sprains,and muscular pain
accounted for 56 percent of all non-fireground injuries. Stress/Overexertion 43
Suicide,while the tenth leading cause of death nationwide Out of Air I 1
for all age groups,is the second known leading cause of
death after unintentional injuries for those in the 25-44 age Lost I 1
group,which is also the age group that most fire fighters in Fall 111 5
metropolitan fire departments fall into.
There is also an emerging body of research that has linked Collapse 3
higher rates of certain types of cancer with firefighting.
The National Institute for Occupational Safety and Health Caught/Trapped 11
(NIOSH)recently undertook two large studies focused on
firefighter cancer and concluded that firefighters face a 0 10 20 30 40 50
9 percent increase in cancer diagnoses,and a 14 percent
increase in cancer-related deaths,compared to the general Figure 3.Firefighter line of Duty Fatalities by Cause of Fatal Injury(FRIA-2016)
population in the U.S.'
The need for occupationally specific,as well as financially responsible,medical examinations that include not only cancer but
cardiovascular disease,metabolic disease,orthopedic injuries and behavioral health conditions cannot be over-stated.However,if we
were to compare the above named sources with additional works in the contemporary fire service information space,the leading causes
of firefighter death would be cancer,suicide,and then cardiovascular disease.
Ages 25-44 Ages 45-64
35% Unintentional injuries 30
35%
lancer
25 280
30%
25% /� Heart Disease
20 21%
20%
15
15%
Heart Disease
Suicide 10% 10 Chronic Liver
10% 11% Homicide Disease and
6% Cirrhosis Kidney
sok Stroke HIV Disease 5 CDR` 4% - 2%is%ase
24r, 1% Septicemia
9°h
Sucf
0 0 —
Notes:CLRD is chronic lower respiratory diseases.
Figure 4.National Fire Protection Assn eiation s Research Paper United States Firefighter Injuries,20 7
As you can see from the firefighter specific data above,death from suicide is low(many legislative holes in how this is reported currently)
and cancer is not considered a line of duty death at the present time.While there is significant movement regarding cancer and firefighting
with the creation of presumptive cancer laws,these are primarily directed at Workers'Compensation benefits.We continually evaluate the
current operating environment and make recommendations Fire Chiefs based on the objective data available to us while understanding
that each department is unique.While there are many best practices that can be used across the spectrum of firefighting,there will always
be nuance and texture associated with each department.The amalgamation of these factors,as well as open dialogue with firefighters,
department leadership and other medical professionals will continue to drive our refinement over time.
41ttps:j 7www.nfpa.orglNews-and-Research(Resources/Emergency-Responders/Health-and-Weltness,,Firefighters-and-cancer
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 3
Operational Priorities
Based on our analysis of the current state of police and firefighter health *!i
and wellness,as well as our professional and military experience,we have
identified five of the largest challenges and opportunities that we focus
on to improve physical and behavioral health.Front Line's Operational
Priorities and proposed comprehensive health and wellness program will
prioritize early identification,education and analysis of the following:
• Cardiovascular Disease
• Metabolic Disease
• Cancer
i
• Orthopedic Injuries I
• Suicide,behavioral health and human performance L_--
Cardiovascular Disease:Diseases of the heart and vascular system are
by far the most well-known and most preventable cause of death that we
will aggressively address in the health and wellness program.This will be
accomplished this through laboratory analysis,physical examinations,
periodic chest x-rays,as well as cardiopulmonary exercise stress testing
(CPET).Counseling,education,and more importantly taking the time
to appropriately explain and answer each patient's questions regarding
cardiovascular disease,its pathophysiology,and the appropriate
treatments to reduce this highly morbid condition are paramount.
Metabolic Disease:Unfortunately,metabolic disease is reaching
epidemic proportions in the United States.This is happening within the
law enforcement and fire service communities as well.Obesity and the multiple complications associated with it,such as cardiovascular
disease,cancer,orthopedic injuries,and neurodegenerative disease,must be at the center of any health and wellness program that seeks to
reduce the overall burden of these diseases.Metabolic disease is quite easy to identify based on physical examination and routine laboratory
testing which is included in all our physical exams.The extent of metabolic disease can be further quantified through our cardiopulmonary
exercise testing(CPET)as well as ultrasounds of the liver(which are included as part of the cancer screening portion of the physical).
Reducing metabolic disease and obesity is one of our central focus areas as it impacts so many other areas of health and long-term wellness.
Cancer:Malignancy in the fire service is an issue that has been gaining increased attention in the last decade and has had a personal impact
on many fire departments.In order to achieve long-term viability and sustainability of a comprehensive health and wellness program that
looks for cancer,a delicate balance must be taken to screen patients at the appropriate time and in the appropriate setting.
Age is the single greatest risk factor for developing cardiovascular disease,metabolic disease,as well as cancer,regardless of occupation.
Therefore,we have created an age-based and risk stratified cancer screening program that provides intervals of testing to include specialized
laboratory assays,radiographs,and non-invasive ultrasounds to look for malignancies of the thyroid,lungs,liver,gallbladder,pancreas,
spleen,kidneys,colon,prostate,bladder,testicles and ovaries.Great care must be taken to prevent the unnecessary testing of low-risk
populations while still providing appropriate and aggressive cancer reduction strategies to those with increasing risk factors. For the long-
term financial and operational viability of a program,these detailed,cancer screenings must increase as a police officer and firefighter
ages and serves for longer periods of time.Younger patients with less age and occupational exposure should be tested less frequently.This
strategy uses taxpayer dollars where they can have the greatest effect.
Orthopedic Injuries:Policing and Firefighting are inherently dangerous.As such,orthopedic injuries are common repercussions from
line of duty events,as well as those suffered conditioning or preparing for work(sports,other physical activities/social engagements).The
management of metabolic disease through yearly and detailed physical examinations as well as one-on-one counseling/education are
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 4
Operational Priorities 1._Il ',. ; �` ,-';
t \\
some of the best practices we employ to keep police officers and firefighters
moving well and pain free.This has the side benefit of protecting the
^ !
taxpayers from needless Workers'Compensation cases and long-term "''
"
limited duty situations.The aggressive diagnosis and treatment of metabolic r ,
disease,specifically obesity,will greatly impact orthopedic injuries and long- ,j`,
term comorbidities such as osteoarthritis.
Suicide and other behavior health conditions:According to the Vital ��
Statistics Report referenced earlier,2017 was the first time that suicide or j f:rf, '
other intentional acts of self harm moved into the top 10 of the leading "' T H
causes of death in the United States.While the official suicide data in the
US fire service or Department of Justice is not readily available,suicide as a ""
general health condition and cause of mortality is not.This is an extremely
important focus area in all our work.We believe that the mind and body
are connected.People can be healthy but not well.Conversely,people
can be very unhealthy and still experience mental wellness.Dedicated '
o efforts to help police officers and firefighters detect depression,anxiety,
PTSD,substance use and sleep disturbance are central to every physical we
perform,whether that be for a police/firefighter candidate or an incumbent. -
All patients receive an annual human performance assessment that focuses �°
on the multifaceted dimensions of behavioral health and resilience. r,, -
The data we receive back and ultimately review with a firefighter during their physical allows us to spend the personal time and
attention required to discuss how a person's mental wellness affects their physical health and vice versa.Our assessments allow us to
help our patients understand when to reach out for help and what help is available.Additionally,there are many positive aspects of
behavioral health that we also evaluate,such as resiliency and social support.Equally as important as helping a a person understand
when to reach out for help,is encouraging them and praising them for instituting good behavioral health practices.Behavioral health
should not always be a bad news story.Many times,the greatest effect we can have is in supporting and encouraging those that are
walking through difficult times.We celebrate our patients for being honest and help guide them to develop positive coping strategies,
thereby increasing the ability to be resilient during stress-inducing times and events.Our human performance assessment uses the
industry standard testing instruments to include the ISI-7(Insomnia Severity Index),PCL-5(Posttraumatic Stress Disorder),PHQ-9
(Depression),Alcohol(Audit-C),Tobacco Use(FTND),and Anxiety(GAD-7).
ORGANIZATIONAL CLIMATE ASSESSMENT ORGANIZATIONAL CLIMATE ASSESSMENT
I> 1
... m„v . "
FRONT LINE FRONT �.�..........e-- . ,,.-.. ......_...�
YtltllLL tlf.LIY `...-'"^-"°`- ■tltllLE tl[ALIY
BODY FAT AND SLEEP CORRELATION LL..J CARDIOVASCULAR
0 0
..,..,.
oat
to
...o..v i' -0.18
ft...moo...roast ' bat roam
. 106 m a, -. >m
gure 5 Additional Pages from Fire Department Medical threat Brief
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 5
Operational Priorities
Medical Intelligence:While many healthcare
systems have electronic health records,they CANCER SURVEILLANCE Z
lack the specificity and ability to mine the
Blun, Gender
appropriate health surveillance metrics for u' 2020 2021
2022
data unique to policing and firefighting.In — O 4 4 5
recognition of this,we created and continue to a23
AbnormalCount Sgnffiance
enhance a proprietary electronic health recordCount
that allows us to see and report on all the -- sw.. W1He Blood ced. 3 2
data we collect.This data,and the knowledge O O '" "'
that can be ascertained from it,is the return ! Platelet 2 22
0 4
on investment.Our data analytics and health ri.,k.Are Sulks Abnormal sgnfi ance Biopsy count °
surveillance(AKA Medical Intelligence)allow : ' m.e Female
us to ask the right questions,such as:Are we Jell Oeselotku 2002 2021
M' 2022 mm 202'
2022
doing the right things?Are we offering the 0 0 0 0 0 0
right tests to our police officers,firefighters
and the department?Are the other programs FRONT LINE s veteran-crnad eemew,
MOBILE HEALTH
the department and city have instituted
working and having a positive impact on Figure 6 Page from Fire Department Medical Threat Brief
the health of the individual?Our medical
intelligence tools allow individuals to see
their health metrics over time.It also allows department leaders to see masked and aggregate data on the most pressing issues facing
the department such as obesity,cancer,blood pressure,dyslipidemia,cardiac dysfunction,anxiety,depression,sleep disturbance,
substance use,and posttraumatic symptoms.
.nv.,
-.}
'Y�4,,k� 4 t ,.... ti
41.4K+4evy2
>?r<4' sraelperStirorr .0","`e•Sa(eb+I, ..
•cr r--a' Rs . tz., t 4 ..
"""°lie "" Front Line Mobile Health utilizes a variety of operational tools
;:ekd ,ot,.,e hywese ..�..ne..e
and systems that allow us to perform services on site at our
i' partner department's location or directly imbedded We have
/' Y4 , - dedicated great time and attention to ensuring that regardless
'� / , of the preferred delivery method,our clients receive world-
ikar
--,tom 1 ''. class care and that the goal of reducing suffering and
- ays�,,.-+ �� preventing disease is met regardless of location.
1
IPort Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 6
Scope of Work
The Front Line configuration for lab tests,diagnostic tests and physical and mental examination can be found in the Cost section of our
response.However,there are some areas of the Scope of Work that we want to address specifically,as our approach for some items will
deviate from a strict interpretation of the specifications.Our focus is to always be supportive of the intent and goal of the Department in
identifying and conducting the most effective tests to assess and improve the health and wellness of the Port Arthur firefighters.
In a clear and transparent effort to address the City of Port Arthur's guidance within the RFP section titled"Scope of Work",the RFP
directs that responses are to be comprehensive as well as also providing conciseness and clarity of content.In an effort to meet this
requirement I would highlight that while there are many references to NFPA 1582 standards in the specifications,there are several
missing items in the scope of work table located on page 19&20 of the RFP,such as sections 7.7.25 Hormone Imbalance Awareness
Consultation as well as 7.7.26 Behavior Health Screening.I point this out because Behavior Health Screening is an integral part of our
firefighter evaluations,due to the psychological impact of being a firefighter.
Additionally,there are several components listed in Appendix B that are not in alignment with best practices or evidence-based medicine
such as"cardiac treadmill stress test with EKG without imaging echocardiography or radionuclide scanning".Front Line Mobile Health
follows the guidance set forth by the American College of Cardiology,the American Academy of Sports Medicine,as well as the Academy
of Thoracic Surgeons and the American Academy of chest Physicians and the American Heart Association who have released consensus
statements that the gold standard for aerobic capacity testing,which is the intent of the"exercise stress test to 12 METS"that is
referenced throughout NFPA 1582,is Cardiopulmonary Exercise Testing or CPET/CPEX.We do not provide cardiac treadmill stress testing
as the data is clear that this is a substandard test and does not provide the greatest amount of actionable medical intelligence for the
patient and/or on aggregate the department.
Furthermore,METS,is defined as a metabolic equivalent of work and is in fact
simply a derivative of maximum oxygen ventilation during exercise,otherwise �#,
stated as VO2 Max.For example,the direct measured VO2 Max can be divided by
3.5 which would return a value in METS.The methodology for METS within the 1582 th ,;
standard is reasonable as cardiopulmonary exercise testing has been previously A .
reserved for large institutions,teaching hospitals or professional sports cardiology •
clinics-all NFL Draftees undergo CPET at the NFL Combine using the same -k „'
equipment as Front Line.Because our firefighter patients are in fact,Occupational # `
Athletes,Front Line has made the investment in this technology as well as personnel
and training to offer this superior tool for evaluating cardiovascular health and risk
stratification.
To be clear,we do not offer coronary calcium scans as this toot is intended to be used as a risk stratification instrument for those
members found to be at high risk on CPET.It is our assessment that the funding for tests such as this would be reasonable and more
appropriate through the patient's primary care provider and would be supported by health insurance in the setting of a high risk CPET.
Coronary artery calcium scans provide no information on functional limitation if in fact calcium were present.Conversely this is exactly
why we use CPET;it provides a functional assessment of five different systems,not just a static image.
In regard to very specific tests for any female firefighters,we do not offer mammography as this requires the use of dedicated radiology
facilities,special training and equipment to squeeze the breast in a manner to obtain the appropriate image.This procedure is just not
possible in a mobile setting while remaining cost effective. Mammography would also be more appropriate in a clinical setting as any
suspicious lesions or masses should be evaluated immediately and when performed in this manner the opportunity for timely diagnosis
and consultation by a radiologist for malignancy is greatest.We also do not do pap smears,as this is something for which a woman
should use her gynecologist.
Finally,Front Line does offer infectious disease screening for all of the conditions listed in the scope of work and we can procure the
appropriate vaccines based on the request of the department.However,due to the decentralized and slightly geographically isolated
location of Port Arthur compared to Front Line's headquarters we will report on the immunization status of the department,conduct
cold storage training and training of fire department personnel in the administration of vaccines but we cannot administer the vaccines
ourselves.If selected as the primary vendor,this can be discussed in greater detail to find a mutually agreeable solution.
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 1
Departments We Serve
While many companies offer physicals for fire departments,none offer the breadth and depth that Front Line Mobile Health does.Health
and wellness should not be a once-a-year,fly-by-night solution.Fire service leaders and their departments need partners to help manage
and support all aspects of health and wellness—from hire to retire and everywhere in between.Leaders also need to show the return on
investment with such programs.Front Line is a comprehensive partner for progressive fire departments and leaders.We are committed
to working with each department to meet their specific needs,all while improving the health,wellness,and readiness of its members.
Serving Departments From 1 - 1000+
WASHINGTON 2023 AI PENNSYLVANIA
(Fire Department) 1 (Fire Department)
Central Pierce,WA Scranton,PA
6 Colorado(Fire Department) '
Evans FPD,CO
Berthoud FPD,CO
Windsor-Severance FPD,CO
Pagosa Springs FD,CO
Mountain View FPD,CO
Platteville-Gilchrest FPD,CO r r
r *
Greeley FD,CO i '
Loveland FD,CO rs--_ -_•t
r
q
, Ot�J ',' TEXAS Mansfield,TX El Paso County ESD Al,TX
Texas(police Jarrell,TX �1 s:6 (FireDepartment) Lake Worth,TX Flower Mound,TX
li Department) Morgan Point ii :' Pftu erville,?X Grand Prairie,TX Forest Hill,TX
Resort,TX L, g Town of Westlake Parker County ESD Al,TX
Willis,TX Westlake,TX
Temple,TX Mansfield,TX n Pedernales,TX Highland Park DPS,TX Wylie,TX
DFW Airport,TX Hutto,TX Jollyville,TX DFW Airport,TX
Liberty Hilt,TX „ Pantego,TX
Grapevine,TX Fort Worth,TX ,: Georgetown,G TX Forney,TX
Belton,TX
, Volente,TX Manor,TX Canyon Lake,TX
`" Taylor,TX River Oaks,TX Community VFD,TX
Temple,TX Jarrell,TX Harker Heights,TX
North Hays County,TX Richland Hills,TX Briar-Reno,TX
Georgetown Animal Control Florence,TX Keller,TX
Fort Worth,TX Bedford,TX Paris,TX
Roanoke,TX Lampasas,TX Prosper,TX
Manchaca,TX Lockhart,TX Stephenville,TX
Liberty Hill,TX Lewisville,TX Watauga,TX
CE-Bar,TX Sansom Park,TX
Decatur,TX
Grapevine,TX
Saginaw,TX Liberty Hill ISO,TX
Currently Partnering with 53 Texas Fire Departments.
Certified by the Texas Department of in #ex s Yea, ouii
' rers' Compensation We have two permanent offices in Texas(two
Being certified gives us a depth of knowledge more opening within 12 months)and can set up in
that we bring to every service we provide for your department as needed.
your department.
All our medical professionals hold Texas Licenses
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 8
Our Experience
Our core team is composed of former military medical providers,and most of our support personnel are all connected to the military
or public safety by a family member.This shared understanding separates us in the marketplace.Over the last 20 years,our team has
spent much of their lives separated from their families,serving overseas or in extended training rotations,providing good medicine in
bad places.These shared experiences have helped us create a relationship of trust,understanding,and empathy with our public safety
brethren—because we understand what it means to serve.
i Iwo
zu ` - vU�t t
a e
}V t&
'..k A'. Tom. - • 'A`�.i� �� =.t -
1J
.s `9
.t=
,s .. i_
_4 -
Stats and Experience
• Developed the first-ever online behavioral health screening
, tool specific for the fire service
____ Active Military Service
Total Years of • Contributed to the IAFC's"A Fire Department's Guide to Implementing NFPA 1582„
• Assisted the Texas State Legislature in enacting new taws that
901 Number of Days In dictate the amount of impairment a firefighter receives when
Support of Combat Operations they are diagnosed
with cancer
Been in r , , • Presented at FRI 2019,"Updates to NFPA 1582"as well as"How
Business Since 4 j a to implement an Effective Behavioral Health Program"
• Presented at FRI 2022,"The US Army's New Senior Leader
Physicals Per Year Selection Model-A Consideration for the Fire Service"
2023 projection
- t .• We have helped different fire
`n� departments obtain
I
I 1 k in FEMA
3.7
IN' l L L Grant funding
-4,.....,,iti
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 9
Organization and Structure
EXECUTIVE TEAM CEO
Russell Burnham APA-C
CFO COO CMO
Chris Nikkei Mike Conner APA-C Bruce VanderHaar
OPERATIONAL TEAMS
PROVIDERS CARDIOLOGY RADIOLOGY PSYCHOLOGY LOGISTICS SPECIALISTS
Chelsea C. Cherie B. Jennifer M. Rebecca B. Carol M. Austin M.
Stefan M. Cody W. Monica T. Christina N. Liz B.
Jody L. Ashley W. Dixie C. Collin M.
Christine C. Ryan T. Sue S.
Lori E.
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 10
Team Principal, Chief Executive Officer
EDUCATION: Russ Burnham has an extensive military background,starting with his training at
Rio Salado College,Associate the US Army Medical Department in the Interservice Physician Assistant Program as
• Degree in General Studies an undergraduate student and Tripler Army Medical Center as a graduate student.
Afterward,he served as a special staff officer for the 1-89 Cavalry Regiment,2BCT,10th
• University of Nebraska,B.S.in Biology Mountain Division squadron physician assistant;the 1-32 Infantry Battalion,3BCT,
10th Mountain Division as a battalion physician assistant;HHBN/2-12 Cavalry,1BCT,
• University of Nebraska,M.S.in 1st Cavalry Division as a battalion physician assistant;1-227 Attack Reconnaissance
Physician Assistant Studies
Battalion,1st Cavalry Division as an aeromedical physician assistant,and finished
QUALIFICATIONS: his Army career as the Senior Medical Advisor for 1st Battalion,3rd Security Forces
Assistance Brigade.
• Texas State Medical License
During his time in the military,Burnham provided medical care to numerous men
• National Commission on Certification and women in austere environments having deployed to Afghanistan twice,most
of Physician Assistants Certified recently returning in summer 2020 where he served as the Senior Medical Advisor to
the Afghan National Army 201st Corps Surgeon and the Regional Hospital Commander
• Pediatric Advanced Life Support
who oversaw the medical care for the six most eastern provinces in Afghanistan and
25,000 Soldiers.He also completed numerous trainings and programs,including
• Advanced Trauma Life Support
the CJ Reddy Leadership Course;the U.S.Army Flight Surgeon Course;the AMEDD
• Advanced Cardiac Life Support Captain's Career Course;the Mountain Warfare;Mountain Warfare Course,Tactical
Combat Medical Care(TCMC);and the AMEDD Officer Basic Course.
• Basic Life Support Burnham is also the recipient of many awards and decorations,including recognition
as only the second Soldier in history to be recognized as the US Army Soldier of the
ACTIVE MEDICAL LICENSES Year in 2003.He is a Sergeant Audie Murphy Inductee,the 2007 U.S.Army Medical
Command NCO of the Year;and was awarded the Ditch Medicine award in 2014 by the
• Texas US Central Command Surgeon for outstanding battlefield medicine and leadership.
• Colorado Burnham is a physician assistant and writer for Medical Equation in West Lake Hills,
Texas,for which he is deeply involved in Workers'Compensation reviews as well as
personal litigation medical cases with Dr.Obermiller.
Russ's interests in occupational medicine grew out of his time as Aeromedical
Physician Assistant and recognized the strikingly similar parallels between the Fire
Service and Army Aviation.He continues to research and understand the dynamics
of how cardiovascular disease,cancer and human performance intersect.He is
a member of the American College of Cardiology,the National Fire Protection
Association as well as the International Association of Fire Chiefs.
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 11
Chief Operations Officer
EDUCATION: Early in his military career,Mike served as company commander for the headquarters
• University of Texas at and support company of a psychological operations battalion.After earning his
Arlington,B.S.in Biology master's in physician assistant studies,Conner served as a primary care manager for
a U.S.Army Cavalry Squadron,which consisted of over five hundred men and women.
• University of Nebraska Medical He oversaw the training of all assigned EMTs and trained basic lifesaving tasks for
Center,B.S.in Biology non-medical personnel and was deployed to Jalalabad,Afghanistan,as the squadron
• University of Nebraska Medical Center, physician assistant in support of Operation Enduring Freedom.
M.S.in Physician Assistant Studies
After returning to the U.S.,Conner served as a lecturer and clinical preceptor for
QUALIFICATIONS: the Interservice Physician Assistant Program at the University of Nebraska Medical
• Physician Assistant—Certified Center at Fort Hood,where he was responsible for the education,mentorship and
supervision of physician assistant students.
• Texas Medical License
• Wilderness Medical Society member Conner spent a year as a neurosurgery physician assistant and then earned his U.S.
Army Flight Surgeon qualification,which allowed him to become an aeromedical
• American Academy of Physician physician assistant.While in that position,he served as the primary care manager
Assistants member for an empanelment of over 300 pilots and aviation support personnel.He was
responsible for their health,preventative medicine,and deployment readiness;
• Society of Army Physician performed histories,physical exams,and orders;interpreted lab and radiologic
Assistants member studies as well as ECGs;diagnosed and treated diseases from acute orthopedic
• ACLS injuries to diabetes and hypertension medication management;frequently performed
sutures,local anesthesia blocks,reduction of minor orthopedic injuries,nail removal
• BLS and ablation,and I&D of wounds;continued to oversee the training of all assigned
EMT-Basics and the training of all lifesaving tasks for non-medical personnel;while
ACTIVE MEDICAL LICENSES also serving as a special staff officer to the commander and staff on all medical issues.
• Texas Continuing to move up in the U.S.military,Conner became the chief of clinical
• Colorado operations for the 2nd Infantry Division before retiring as a brigade senior physician
assistant.While in that position,he was responsible for the care of over 11,000 military
personnel and was the primary care manager for 250 special staff.Conner now works
as an independent medical consultant at Medical Equation inc.for litigation and
workers'compensation cases and completed the DWC's Designated Doctor training in
2018.
While in the military,Conner received many awards,including the Bronze Star
Medal,the Meritorious Service Medal,the Army Commendation Medal,the
Army Achievement Medal,a U.S.Army Ranger Tab,a Senior Parachutist Badge,a
Combat Infantry Badge and an Expert Infantry Badge.He also wrote an entry in the
"Encyclopedia of World Trade:From Ancient Times to the Present"titled"Bioterrorism."
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 12
,. ,
Medical Director
EDUCATION: After serving in the United States Marine Corps as a C-130 navigator,Dr.John P.
• The University of Texas at Austin, Obermiller completed his residency in Physical Medicine and Rehabilitation at the
B.S.in Geological Sciences University of Texas Health Science Center at San Antonio and received his Doctorate in
Medicine from Texas Tech University School of Medicine in Lubbock.He also earned a
• Texas Tech University Health Sciences Bachelor of Science degree in Geology from the University of Texas at Austin.
Center,Doctor of Medicine
• University of Texas Medical School Dr.Obermiller is now the president and medical director of Medical Equation Inc.
at San Antonio Health Sciences based in Westlake.He co-founded the company in 1996—one of the first utilization
Center,Residency in Physical management services companies of its kind—and has served as a medical director
Medicine Rehabilitation since the company's inception.Dr.Obermiller,his partners and co-medical directors—
Dr.Brian C.Buck and Dr.Peter M.Garcia—form the Medical Equation leadership team
QUALIFICATIONS: for 22 doctors representing 19 specialties.
• Texas State Board Medical Licensure
Dr.Obermiller is board certified with the American Board of Physical Medicine
• Diplomat/Fellowship:American Board and Rehabilitation and is a Fellow of the American Board of Physical Medicine
of Physical Medicine and Rehabilitation and Rehabilitation.He co-founded Texas Orthopedics Sports and Rehabilitation
• Assistant Clinical Professor at Associates in 1986 in Austin.A practicing physician for more than 25 years,he
the University of Texas Health maintains a private practice in Austin and is a medical staff member at several Austin
Science Center at San Antonio area hospitals.
• Texas Department of Insurance,Division
of Workers'Compensation,American Dr.Obermiller is a Texas Division of Insurance,Division of Workers'Compensation
Academy of Disability Evaluating designated doctor and has held that designation since 1993.With over 20 years
Physicians(AADEP)Certified Designated in the workers'compensation and liability claims field,he is a leading expert in
Doctor,Certified in Maximum Medical compensability evaluation based on the Official Disability Guidelines(ODG).
Improvement and Impairment Ratings
MEI Inc.URA Certificate#05365 Dr.Obermiller provides expert testimony for contested case hearings and is a sought-
•
after speaker and lecturer.He regularly conducts Texas Department of Insurance
certified continuing education courses covering an array of utilization review topics.
ACTIVE MEDICAL LICENSES
Dr.Obermiller is regularly listed in Super Doctors®published in Texas Monthly
• Texas magazine and is an avid outdoorsman,pilot and hunting enthusiast.He is licensed
• California in the states of California,Colorado,Georgia,Illinois,Mississippi,Nevada,New York,
• Georgia North Carolina,Oklahoma,Tennessee,Texas and Virginia.
• Illinois Obermiller is no stranger to occupational medicine and served as the medical director
• New York for Lowe's of Texas for several years where he reviewed and evaluated complicated
• Tennessee cases related to on and off the job injuries.He has also overseen multiple other
health clinics and mobile organizations over the last 10 years to include working as
• Colorado a contractor for the National Guard Bureau where he oversaw physical exams for
• Virginia thousands of Guardsmen prior to deployment.
• North Carolina
He has served with Front Line Mobile Health as its Medical Director since its inception.
• Mississippi
• Nevada
• Oklahoma
• Kansas
• Missouri
• Michigan
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 13
Staff Radiologist
EDUCATION: Dr.Tilton has extensive experience caring for and working with highly specialized
M.D.from Uniformed Services University teams throughout his military career.Not only was he a Division I collegiate athlete,
• of Health Sciences,Bethesda,MD but he also served with distinction in the US Army as General Medical Officer and then
as board certified and residency trained Radiologist.
• B.S.in Mechanical Engineering,
Brigham Young University,Provo,UT Dr.Tilton completed medical school at the Uniform Services University of Health
Sciences and is residency at Madigan Army Medical center.After completing residency
• General studies at Pennsylvania Dr.Tilton served at multiple levels of leadership while assigned to Cart R.Darnall
State University,State College,PA Army Medical Center at Fort Hood before culminating in his selection as the Chief of
Radiology from June 2011-2013.
QUALIFICATIONS:
• IR/DR Certificate,American Never one to rest on his laurels,Dr.Tilton was then selected for an interventional
Board of Radiology radiology fellowship and became the Chief of Interventional Radiology at Walter Reed
National Military Medical Center before retiring from the military in Jut 2020.
• DR Certificate,American
Board of Radiology Dr.Tilton become the staff radiologist for Front Line Mobile Health in Jul of 2020
where he now directs and interprets all plain film x-rays and cancer screening
• Basic Life Saver ultrasounds.He is an active member of Front Line Medical Advisory board and knows
• Advanced Life Support firsthand what it means to serve.
LICENSES:
• Texas Medical Board
• Indiana Professional Licensing Agency
• Maryland Board of Physicians
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 14
SATISH G . WA
Cardiology
EDUCATION: Dr.Chandra isa board certified general and interventional cardiologist practicing in
• Residency Internal Medicine, North Texas.He specializes in prevention and treatment of cardiovascular diseases
Mercy Hospital including atherosclerotic coronary and peripheral vascular disease,hypertensive
heart disease,valvular heart disease,cardiac arrhythmias,heart failure and stroke.
• Chief Resident-Internal
Medicine,Mercy Hospital Dr.Chandraprakasam completed his internal medicine residency at Mercy Hospital,
St Louis where he also served as the chief resident.He did his cardiovascular
• Fellowship-Cardiovascular medicine fellowship from Creighton University,Omaha where he served as the chief
Disease,Creighton University cardiovascular Fellow and then went on to complete his interventional cardiology
• Chief fellow Cardiovascular fellowship where he received comprehensive training in coronary,peripheral/
Disease,Creighton University endovascular and structural heart interventions.He had the distinction of being
elected to the Alpha Omega Alpha(AOA)honor medical society for his contributions to
• Fellowship-Interventional medicine.During his training,he published and presented several research papers in
Cardiology,Creighton University peer reviewed journals and national meetings.
QUALIFICATIONS: He chose cardiovascular medicine as he has the opportunity to save his patients from
• ABIM Interventional Cardiology life threatening conditions and see them get better right away.
• ABIM-Cardiovascular disease
• Registered Physician
Vascular Interpretation
• Nuclear Cardiology
• National Board of Echocardiography
• ABIM-Internal Medicine
LICENSES:
• Texas Medical Board
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 15
Director of Human Performance, Forensic Psychology
EDUCATION: After earning her graduate degree,Dr.Blood began her professional career as an intern at
• State University of New York at the VA Medical Center in Buffalo,New York.She then became a psychology associate for
Buffalo,B.S.in Psychology the HARBEL Prevention and Recovery Center in Baltimore,Maryland,where she conducted
initial interviews and determined eligibility for programs.After leaving HARBEL,Blood
• Towson University,M.A.in Psychology joined the team at the Atlanta Medical Center as a Balint group leader.
• Georgia State University, While there,she led a Balint group of five family practice interns,residents,and chiefs
Doctor of Psychology to facilitate interpersonal awareness,provide support for work-related difficulties and
encourage increased awareness of doctor-patient interpersonal issues.
QUALIFICATIONS:
• Texas License While earning her doctorate,Blood worked as a practicum student for the Georgia State
University Counseling Center,Fort McPherson;the Center for Behavioral Change;and the
• Arizona License Shepherd Center,where she provided individual,group,couples,and family counseling
and administered psychodiagnostics and neuropsychological assessments.She also served
ACTIVE MEDICAL LICENSES as an intern for the Walter Reed National Military Medical Center in Bethesda,Maryland.
• Texas Once she obtained her doctorate,Blood worked as a clinical psychologist for the 1st Air
Cavalry Brigade,1st Cavalry Division,at Fort Hood;as well as a clinical psychologist for
• Arizona
the Soldier Behavioral Health Services,CRDAMC,at Fort Hood;as a clinical psychologist
for the Combat Operational Stress Control OIC,Task Force Med,Camp Bondsteel,in
Kosovo;and as the chief clinical psychologist for the Embedded Behavioral Health Clinic 8,
CRDAMC,at Fort Hood.Those positions included providing individual counseling services,
administering,scoring,and interpreting neurological and personality assessments of
clients;completing specialty evaluations to include aeromedical psychological evaluations,
security evaluations,forensic evaluations and assessed acute soldiers;supervising two
behavioral health technicians and visiting psychology residents;providing command
consultation to all levels of commanders;being assigned to 14th CSH in a deployed
environment to provide individual counseling services;providing services to all U.S.
military members and DoD contractors in the area of Kosovo;and providing outreach
services and training to Kosovar Behavioral Health professionals.
Blood recently completed her postdoctoral fellowship in Forensic Psychology where she
conducted forensic evaluations of military personnel regarding competence to stand
trial,criminal responsibility and risk/dangerousness assessments.She provided expert
consultation to the Federal Bureau of Investigations,National Center for the Analysis
of Violent Crime(NCAVC),Behavioral Analysis Unit(Crimes against Adults and Children,
Counterterrorism,and Verbal and Written Threats)and provided expert testimony and
consultation,forensic applications of psychological testing,malingering,competency
and criminal responsibility.She has extensive experience in conducting fitness for duty
evaluations,security clearance evaluations and psychological autopsies integrating clinical
interview,collateral data and psychological testing.
Blood's additional training includes The Judge Advocate General OBC Criminal Law Course,
Command and General Staff College(CGSC),the AMEDD Officer Advanced Course(CCC),the
Combat Operational Stress Control(COSC)Course,the Aeromedical Psychology Course,
and the AMEDD Officer Basic Course(BOLC).
Dr.Blood now serves as the director for all Assessment and Selection at the US Army
Combat Advisor Training Academy where she uses her extensive background to screen and
evaluate the psychological health and fitness for Soldiers who are asked to serve on small
teams in austere environments.
Port Arthur Fire Department REP P23-019 frontlinemobilehealth.com 16
3
ffK .
Exercise Physiologist
EDUCATION: Alex Jesko is an experienced exercise physiologist with a specialty in the clinical
• Baccalaureate in Kinesiology from application of cardiopulmonary exercise testing,bariatrics,cardiac rehab and
Texas Women's University cardiovascular assessments in tactical athletes.
• Associate degree in General Alex's background is well-suited to helping Front Line's patients achieve the optimum
Studies,Weatherford College in cardiopulmonary health.
QUALIFICATIONS: At Front Line Mobile Health,Alex performs the cardiopulmonary exercise test(CPET)
to assess cardiovascular function through gas exchange analysis and 12-lead ECG.He
• ACLS(Advanced Cardiac Life Support) also performs the very important function of being a Front Line resource in educating
Basic Life Support Firefighters on the important information obtained through CPET and how to best
• incorporate the results into their daily lives in order to achieve optimum cardiac
• MET-Test Cardiopulmonary health.
Exercise Test Training
Alex also shares the role of lead technician on the Front Line InBody 570,the body
• Has completed over 2000 patient composition system we chose for the vast amount of information that it captures and
Cardiopulmonary Tests reports.
Alex's extensive work history in exercise physiology is very appropriate in working
with our Firefighter patients,as they are considered athletes in every possible way.He
was the Exercise Physiologist in a multi-disciplinary team for a surgical weight-loss
center where he developed,implemented and managed their CPET testing program,
which included 4 systems at 2 locations.He did both the initial fitness assessment
of moderate-to-high-risk patients,as well as guided them through pre/post-surgery
exercise programs.
Alex is focused on improving cardiac outcomes and has participated in blog posting
and serving on support groups for bariatric patients,who were working toward
increased physical activity and a wellness-centered lifestyle.
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 11
Proposed Plan of Action
If selected as the Prime Service Provider for this project the following
Timeline/Implementation Plan is proposed:
1.Establish Professional Services Agreement(PSA)with City of Port Arthur for all services to be provided and to whom
(within 90 days of Selection)
a. Services provided for incumbent members
b. Establishment of performance period
c. Billing instructions and points of contact
d. Reporting information
e. Statement of understanding regarding Medical Clearance Forms(if there will be any)and what standard will be
used
f. Identify if any additional services are to be requested outside of the proposed project that for the sake of
convenience would be appropriate to complete at the time of the project
2.Establish working group between Port Arthur Fire Department and FLMH and hold first meeting(in person or virtually
within 90 days of selection)
3.Working group provides FLMH demographic information(on FLMH approved template)for incumbent members who
are included as part of this project(within 90 days of Selection)
4.Working Group and FLMH establish execution timeline for project and begin coordinating calendars and personnel
(within 30 days after PSA is signed)
5.FLMH conducts Pre-Deployment Site Survey(PDSS)to Port Arthur Fire Department facility where services will be
provided and to meet with each member of the working group in person (within 60 days of PSA being signed)
a. Confirms dates,times,and location of services
b. Reconfirm demographic information and personnel as established in Step 2
c. Conducts face to face meeting with the Working Group
6.FLMH provides Port Arthur Fire Department refined and completed Execution Matrix for approval.This will include
dates,times,locations,services to be provided,personnel and equipment.(within 2 weeks after all PDSS have been
completed)
7.Execution Matrix is refined or approved by appropriate Port Arthur Fire Department authority.
8.Execution Matrix moves into production and will adhere to the following format for each project participant
department(if more than one)and will be based on the mutually agreed upon timeline in Steps 4,6&7. (within two
weeks of Execution Matrix approval)
a. In person Execution Brief to explain the process,workflow,medical clearance form delivery(if any),and to
answer any questions
b. On-Line forms
c. Specimen Collection
d. Testing
e. Consultation
f. Reporting to Port Arthur Fire Department
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 18
Action Plan for the Physical
"This is the best physical I have ever had" is
something that we hear on a routine basis from
firefighters that are new to the Front Line experience. Why is this important?Firefighters can quickly see through
The reasons they say that can be varied, but they someone who doesn't understand the nature of their job,and that
all have one thing in common:The professionalism, destroys credibility.When credibility is gone,advice is not followed,
and when advice is not followed,bad outcomes can occur.
knowledge and compassion of the Front Line team is
at a level they have never encountered before.
The Front Line process has been deliberately designed to be efficient in both data capture
as well as time utilization.
PART 1:PRE-APPOINTMENT
Laboratory
scheduled by Questionnaire 1 Performance Analysis
Department - Assessment I (Samples include:
blood,
Leadership and stool.)urine,
PART 2:TESTING
r'o Biometric Chest X-Ray t Audiogram Vision
Analysis Q
I
Cardiopulmonary Ultrasound of the thyroid,liver,
gallbladder,pancreas,spleen,
Exercise Test
kidneys,testicles(male only),
(CPET) ovaries(female only)
PART 3:CONSULTATION AND REVIEW PART 4:MEDICAL INTELLIGENCE
Head to toe
examination a Medical A Operational Presentations to
and consultation ' Recommendation a Readiness Brief I Necessary Boards,
with a medical Form 0 4 City Councils,
provider Managers,etc.(as
requested)
Three important aspects of the Front Line Process are worth noting:First,the data required from each firefighter can be entered
on a cell phone,away from the station.This enhances the confidentiality and accuracy of the data.Second,each physical
concludes with a head-to-toe examination and a discussion of all results.This typically provides a 45 to 60 minute or more private,
one-on-one opportunity to explore results and recommendations in depth.Third,the final step is the presentation of aggregate
results to department leadership in what we term the Operational Readiness Brief. Every one of our client departments finds
this presentation to be extremely valuable in helping them understand the health risks in their department and gives them the
information they need to create policies designed to mitigate that risk.
Port Arthur Fire Department RFP P23-019 frontlinemobiiehealth.com 19
APPENDIX B; COST FORM
Providers Name: `/ Y� 214, k kito //êo17 .
Enter information in the colored cells. For each item,refer to Appendix A: Scope of Work specifications for
details. Any enhancements or deviations should be explained in comments and in your proposal. If there are no
changes, enter"as specified"
in the comments field.
Service Requested Comments/Explanation Estimated Provider Providers
Annual Unit Price Extended Price
Quantity (Estimated
Quantity x Unit
Price
Medical and
OccupationaUEnvironmental e r7_5
History Questionaries (�� f
General Physical and
Neurological Examination
Cost includes vital signs,HEENT,
neck,cardiovascular,pulmonary,
breast,gastrointestinal,hernia,
lymph nodes,neurological,vision,
musculoskeletal, and skin exams
Genitourinary
Testicular exam
Pap smear
Vision
Blood Analysis
CBC with differential
CMP
C-Reactive Protein,Triglycerides
Cholesterol
PSA Prostate Cancer Marker
Urinalysis
Audiology
Pulmonary Function Test
(Spirogram)
Chest X-Ray
Electrocardiograms
Resting ECG
Cardiac Treadmill Stress Test with
EKG without imaging
echocardiography or radionuclide
scanning
Coronary Calcium Scan
Mammography
Titers,Immunizations,and
Infectious Disease Screening:
Tuberculosis screening(annual
PPD)
Hepatitis C Virus Screening
Page 19 of 28
HIV Screening
Td
Hepatitis A Vaccine
Varicella Titer
Varicella Vaccine
Meningococcal Titer
Meningococcal Vaccine
Hepatitis A Titer
Hepatitis B Titer
Hepatitis B Vaccine
MMR
MMR Titer
Polio Titer
Polio Vaccine Booster
Heavy Metal and Special Exposure
Screening
Colon Cancer Screening
Ultrasound Screening-Full Body
Echocardiogram,thyroid,carotid
arteries,aorta/valve, internal
organs, bladder.
Female;ovary and uterus
Male;testicular and prostrate
Body Weight and Composition
Optional:Galleri cancer detection
blood test.
TOTAL PER EXAMINATION:
�o 4tre h.s'/7 _ Jde .
C ANY NAME STREET ADDRESS
LAC �
SIGNATURE OF BIDDER P.O. BOX
.r ce 11-414,i% c 6fo� e , i) 7t
PRINT OR TYPE NAME CITY c) STATE ZIP
C�fl Al 7,p , 311 3 8'�
TITLE A CODE TELEPHONE NO
j rccc�'rrB�s tie 4404-/ .61(-4 - Gam►
EMAIL FAX
Page 20 of 28
Appendix B
PARTNERSHIP
t, PARTNERSHIP
PARTNERSHIP is the highest-level service classification and represents a shift in the role
that Front Line plays in your organization.The PARTNERSHIP level sees Front Line take
an active rote in maintaining and improving the health and wellness of your team.We
Comprehensive Services become your outsourced Medical Staff.
./ Organizational PARTNERSHIP level is most appealing to Fire Departments that recognize that the
Climate Assessment investment made to actively improve the physical and mental health of their team pays
dividends by reducing sick days,injuries, needless or lengthy workers'compensation
./ Chest X-Ray every year claims,and reducing the incidence of catastrophic career or life-ending disease.
d Cancer labs and
ultrasounds every For the firefighter, PARTNERSHIP provides everything needed for a comprehensive
year evaluation:extensive blood work,annual chest X-rays,annual ultrasound cancer
screenings,annual Cardio-Pulmonary Exercise Testing(CPET)and increased
d Cardiopulmonary medical education.The participant also receives a Total Health Assessment that is a
Exercise Test(CPET/ personalized,comprehensive yet easy-to-read living document that aids in disease
CPEX)every year
surveillance. lithe participant is a multi-year Front Line patient,comparative and
./ Extensive Labs, trending data is also included.
including-
Testosterone, The department leadership sees significantly more benefit at the PARTNERSHIP level
Estrodial,Cortisot, as well.The Operational Readiness Brief becomes the basis for an in-person meeting
and Thyroid with leadership to discuss and interpret the findings.At the same time the organization
Stimulating Hormone gains access to the Front Line Organizational Climate Assessment.This tool presents in
./ Medical Staff-Health an aggregated and easy-to-understand manner,the views expressed by the firefighters
and Safety on the important issues of trust in leadership,group cohesion,safety,discrimination/
harassment and unwanted workplace experiences.
11.
Pricing Details
The pricing in this proposal is all-inclusive in terms of travel costs
and the expenses we normally incur while doing these physicals.
Any tests or exams not included in the list of components for each
tier of service would be billed as additional.Some examples would
be testing for heavy metals or checking immunity levels.
We also have a web site where the Firefighter can order additional
tests and pay out of pocket for them.These would have to be
ordered in advance of the blood draw so all the results can be
presented to the Firefighter at the time of the face-to-face meeting
with a Front Line provider.
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com
Appendix B: Pricing
COMPONENTS OF PARTNERSHIP LEVEL SERVICES
LAB TESTS E1. ``4'
Comp Metabolic Panel Personalized Risk Assessment
Complete Blood Count Health Questionnaire and Screening
Lipid Panel Vision Screening
Urinalysis with reflex Micro Body Composition Analysis
Hemoglobin A1C Audiogram
PSA,Total(Males Only) Physical Examination&Consultation
w/Medical Provider
CA-125(Females Only)
Fecal Occult Blood Test Human Performance Assessment
Cortisol,AM Data Capture
Resting EKG
TSH Reflex to T4(Thyroid)
Testoterone Free/Tot with SBG(males)
Cardio-Pulmonary Exercise Test(CPET)
Chest X-Ray
Estradiol(Females)
Cancer Screening Ultrasound:thyroid,testicular
(male only)abdomen(liver,gallbladder,pancreas,
spleen,kidneys,ovaries,non-invasive)
Total Price Per Participant: $975
NOTE: Participant pricing is conditional on at least 50%of the Port Arthur firefighters participating.
ADDITIONAL LAB TESTS AND PRICING
Heavy Metal Assessment $90 Lead $25
RBC Cholinesterase $30 Aluminum $20
Quantiferon Gold(TB) $75 Antimony $75
Hepatitis C Screen $15 Bismuth $80
Hepatitis B Screen $15 Cadmium $45
Hepatitis A Screen $15 Chromium $30
HIV Screening $20 Copper $25
MMR+Varicella Titer $80 Nickel $30
Polio Titer $110 Polychlorinated Biphenyls $110
Arsenic Screen $25 Zinc $40
Mercury $25 Galled Cancer Screening $749
Port Arthur Fire Department RFP P23-019 frontlinemohilehealth.com 21
APPENDIX D
VENDOR REFERENCES
Please list at least three (3) companies or governmental agencies where the same or similar
products and/or services as contained in this specification package were recently provided.
THIS FORM MUST BE RETURNED WITH YOUR BID.
REFERENCE ONE
Government/Company Nam : lia'tSar y 65D 0.4 ( °4w Qa_.d F►/r)
Address: G)9D3 g- K'ci4t +J PT-4 of dl-e) � 7f6 b
Contact Person and Title: A l c_4_ S/ 4
Phone: `JI?'�5l`2fel /'' tit5epli 'yrn,E 'ire,.o�-
Contract Period: ,olDa ectAiScope of Work: 4 kup Are,i-C1-41
//erg 1 de s
REFERENCE TWO
Government/Company Name: 6r,-D
,/ e � 1-2 )111.
5y �2
Address: 5 D 1''9. 14"O�2 . f�re Cc -. Tg'6Z
Contact Person and Title: cI i)hitetz-Zlj/"..,,e j Clue- z(
f�
Phone: 57 -'? 0 --�jy�3 - ' JO 0-k-, 5kii, ale2 r i/ I . o.•
Contract Period: , 1 t' E%; —Scope of Work: AKtlua
'tie Ate rrs, ✓ tw•_ &9
• REFERENCE THREE� qq C-39‘Witi
-�d
Government/Company Name: /�6 r�L%��/Ar'7'—i- -b/`-P
Address: 57,5- 10 ll— f ) 70iv ).- '7,l6r
Contact Person and Title: T ite 2Vi,S/ �- -C
Phone: ;1?-39a-(6� ejjik. virP,P t1Jar 4-& s,Jo f
Contract Period: A/.3V 7 p rnicope of Work: 1114 K TA-Iptea-Qs
hew kite; 1
OFFEROR MUST RETURN THIS PAGE WITH OFFER
Page 22 of 28
Letters of Recommendation
TR SIS COUP- a €'. 4,A C g S E ^ V 5o k i $`+ '$ 4 ' 'd / t
QF�UGERViiIf PFLUGERVILLE FIRE DEPARTMENT
203 E.PECAN STREET
PFLUGERVILLE,TEXAS 78660 iso ci..ass
(512)251-2801 ';-
;RAYS
FSC
To Whom It May Concern,
Our department of 140 sworn members selected Front Line Mobile Health to be our partner for
occupational health programs back in 2016. I can undoubtably confirm that this was a decision that has
paid dividends beyond our expectations.
Before working with Front Line,we had attempted to create medical physicals and other wellness
programs with large community health care organizations such as Baylor Scott&White as well as St.
David's Medical Center for extended periods of time with no clear way forward identified by medical
providers.We did not have anyone to turn to who understood the legal and occupational risks to
appropriately adjudicate on or off the job injuries,nor provide the department the level of feedback we
needed until partnering with Front Line.Their extensive new hire screening has helped increase the
physical and psychological quality of our selected firefighter candidate's and has improved the overall
readiness and quality of our employees.The larger organizations we attempted to work with lacked a
level of occupational experience,frequently treating our firefighters,the same as people being seen for
Department of Transportation physicals,school physicals or other one-size-fits-all services failing to
acknowledge the unique aspects and risk factors associated with firefighting.Additionally, it proved
extremely hard to find one company that could offer the multitude of services our fire department
needed.This included new hire physical exams,annual incumbent physical exams that met the NFPA
1582 standards,immunizations, return to work exams as well as fit for duty examinations.The return to
work exams as well as the fit for duty examinations have been extremely helpful by not only reducing
our risk and potential liability to our department but to other departments we have referred Front Line
to.
We also have assessed several other in and out of state of companies that market NFPA 1582 physicals
to fire departments.After thoroughly evaluating all of them,one from Florida,one from California and
one from Pennsylvania,there really was no comparison. I cannot stress enough the level of expertise
Front Line has brought with their knowledge of the Texas Worker's Compensation system,their military
background,and the quality of their staff.All of these attributes have contributed to a single solution for
our health and wellness needs that is the best in the industry.This is also evident by the number of
departments that have joined the Front Line community and we are proud to be members of this group.
In the last two fiscal years we received two FEMA Assistance to Firefighters Grants in excess of$1.5
million for our health and wellness programs. Russ and his team have been integral in helping us make
that happen.In our second of the two grants we expanded our program to include nine other regional
departments with over 500 fighters in total. Front Line was able to execute our project across multiple
Because We Care!
www.pflugervillefire.org
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 22
Letters of Recommendation
locations and times with great success. They were also able to provide us data that was specific to our
FEMA reporting requirements and again,exceeded expectations.
We have expanded our cardiovascular screenings to now include CPET; which is the future of early
cardiac risk detection for the fire service.We have been performing annual behavioral health screens for
the last five years which have been extremely enlightening and has helped break the stigma associated
with this topic and is now discussed openly within our department in a positive manner.We learned
about what really ails our firefighters, not just what is in the news.This has placed us in a better position
to discuss problems and allocate appropriate resources.
Lastly, it was clear from the beginning that Russ and his team not only cared deeply for our firefighters,
but he understood the importance of the executive level data analysis and communication that fire
departments need. Front Line's ability to collect,analyze,and present in a meaningful way the physical
and behavioral data they received when working with our department has been superb.This
information has been so powerful that we have asked Front Line to present to our ESD board on a yearly
basis. Our board members were astonished by the level of detail and analysis being provided to the
department and the individual firefighters.This has made funding such endeavors quite easy.
There is more I would be happy to discuss with you and this letter only touches the surface of what we
think of Front Line and their partnership with our department. Feel free to contact me if you would like
further information or to discuss further.
Nick Perkins
Fire Chief
Travis County ESQ No. 2
Because We Care!
www.pflugervillefire.org
Page 2 of 2
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 23
Letters of Recommendation
CITY OF GEORGETOWN
184E
�i E O RG ETONA' September 5,2022
TEXAS
To Whom It May Concern,
Front Line Mobile Health has been providing our National Fire Protection Association(NFPA)Standard
1582 Firefighter Annual Physicals for over four years to our department of over 130 members.The team
provides the physicals for current firefighters and has expanded their program to include CPET,
behavioral health/human performance and cancer screenings.Front Line Mobile Health also provides
the department's needs for new hire physicals,new hire psychological screening,consults with the
department's executive team as well as the Health and Safety Committee,and return to work physicals
when requested.Their program and work have been so well received that our police department of over
100 officers has started using Front Line for evaluating their new recruits as well as participating in the
annual wellness program.
When we first sought to re-evaluate our department physicals Russ and his team instantly connected
with our team and have done an excellent job balancing empathy and quality care.They continue to
assist us in adhering to the national standards and best practices that guide health and wellness
programs in the fire service.The Front Line team are staunch advocates of progressive thinking and are
constantly reevaluating and helping us understand the newest literature and research as it relates to
firefighter readiness and longevity.Each year we have methodically worked with Front Line to expand
our screening and testing regimens.They continue to provide a vast amount of knowledge and support
when needed.
As we moved into 2020 Russ and the Front Line team completed our annual physical and behavioral
health screenings and have been a partner and advisor during the COVID-19 pandemic.They have been
a resource that our department leadership can lean on to ensure our firefighters health and safety
continues to be a priority.It is the goal of the Department that our firefighters are healthy and
continually maintain an operational readiness so we can continue to provide service to the community
that exceeds their expectations—Front Line continues to help us achieve this.
Prior to working with Front Line,most of our firefighters dreaded their physical.This is now something
they look forward to with great enthusiasm.We continue to be impressed with the passion and
progressiveness of the Front Line team and we know that they are constantly working to improve the
lives of our firefighters.Our partnership with them is one that has borne many fruits and one we expect
to continue into the next decade.
If yyouf have any questions,please feel free to contact me at the methods listed on this form.
Jeff Davis
Assistant Chief
Georgetown Fire Department
3600 DB Woods Rd. P.O.Box 409 Georgetown,Texas 78627-0409 512)930-3473 :512,930-3613(fax]
www.geortn-towl,!.i.org fire@georgetown.org
Port Arthur Fire Department RFP P23-019 `:' frontlinemobilehealth.com 24
Letters of Recommendation
FORT WORTH
September 5,2022
To Whom It May Concern,
The Fort Worth Fire Department had instituted annual occupational medical examinations almost three
decades ago.Throughout that time,we had used a local hospital to partner with but realized that the dynamics
of firefighter health and wellness has changed significantly in that timeframe.Three years ago,we started
looking internally at our own organization and realized that the status quo was no longer going to be
acceptable.We identified that cardiovascular disease,cancer,as well as behavioral health issues that affect
human performance were becoming more prevalent and our health and wellness program was not doing
enough to effectively meet the needs of our firefighters.
We reached out to all healthcare agencies within the Dallas-Fort Worth area and even looked outside of our
local area to try and find a better solution. Ultimately,while other major health centers and out of state entities
submitted proposals and proposed solutions,the decision to change and partner with Front Line Mobile Health
was easy. It was clear from the onset that Russ and his team had extensive knowledge and experience in
dealing with highly specialized groups and high-risk occupations.Additionally,they had a proven track record
with other fire departments which provided a significant amount of credibility.
We are now in year three of a five-year agreement with Front Line. It is exquisitely clear that we made the right
choice.To say that we have been impressed or even satisfied with our partnership with Front Line would be an
understatement.They continue to push the limits of knowledge,evidenced-based practices,and emerging
ideas.They have truly proven to be the dynamic partner we were seeking,and our department and firefighters
have been better for it.Front Line also provides us many additional services to include evaluating our new
recruits,performing return to work and fit for duty evaluations and their understanding of the Texas Worker's
Compensation has been extremely helpful in navigating a host of issues found in a department of our size.
During the recent COVID-19 pandemic,Front Line was able to come alongside the entire City of Fort Worth,let
alone the fire department to provide medical examinations for any City employee who had recovered from the
virus.This has proven to be an immense value to the department and shows their ability to move with the
times and support large organizations outside the fire service without missing a beat.
Fort Worth
bittd FIRE DEPARTMENT .oritT '.,
l r BOB BOLEN PUBLIC SAFETY TRAINING COMPLEX*505 W.FELIX STREET*FORT WORTH,TX 76115 3 ;
817-392-6800*FAX 817-392-6859 +
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 25
9
Letters of Recommendation
FORT WORTH
'-"Nfteirpo'
Their data analytics and decision science modeling has also been a game changer.The way Front Line collects
and protects data and then analyzes it is helping us to make department-wide policy change.Russ and Mike
often refer to their time in the military and the importance of providing commanders actionable intelligence to
make decisions. I can personally attest that they have brought this mindset to the Fort Worth Fire Department
and it is proving to be extremely useful to us and is helping us make better,more educated decisions.
I would recommend that any Fire Department that is deeply committed to improving the health,wellness and
medical decision making of their department partner with Front Line without delay.
Please feel free to reach out to me if you would like any more information.
Respectfully,
'lariz E. Davis
ire Chief
Fort Worth Fire Department
Fort Worthy porrk
FIRE DEPARTMENT
massocaal
1' 1/ BOB BOLEN PUBLIC SAFETY TRAINING COMPLEX*505 W.FELIX STREET*FORT WORTH,TX 76115 4,;
I 817-392-6800*FAX 817-392-6859 * � `vy +
1 Iw.1•.4=1•N111
- Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 26
Data Reporting that Saves Lives
Our job is not complete until we have provided the firefighter or police officer and the department leadership with the medical
intelligence necessary to effect meaningful change.That roadmap is the hundreds of data points we acquire throughout an exam,
which are interpreted,converted and presented in a way that converts the raw data into meaningful,actionable information.
As your health and wellness partner,we want to help our senior leaders move from a data poor environment to one that is data
rich.With better data,the hope is that they can make better decisions-i.e.create policy that reduces risk,improves readiness,and
makes their organizations more effective.Then they can do more to create policy that reduces potential risk so they can be more
effective for the community they serve.
We do this through a combination of data-driven tools for both the firefighter/police officer and the leadership.
Or' Dome for Date sj° riven er ns a r ee Levels
u
Individual-Front Line Total Health Assessment *
Better individual health decisions ,
Organizational-Front Line Operational Readiness Brief, •
Fitness Threat Brief and Organizational Climate Assessment 3
Better policy decisions individual
4
Industry Population-Front Line Network
Cumulative industry data to show trends
Get the bigger picture to be proactive o` nizatta�a�
with policy decisions.
RESULTS:Each of our physicals concludes with a 45-60 minute or more hands-on exam and review of the results of all tests and
exams with the firefighter.The firefighter leaves with hard-copy of all results and access to our portal where the results can be
downloaded and shared with family or other medical resources.
HUMAN PERFORMANCE ASSESSMENT(HPA):Part of every exam HPA.This assessment focuses on the multi-faceted dimensions
of behavioral health and resilience.The report it produces creates a comprehensive look at the firefighter's behavioral health by
assessing the firefighter's sleep,alcohol use,burnout,PTS,anxiety,depression,trauma,social support and compassion.
During the one-on-one portion of the exam,the results are discussed and
various resources are offered to help the firefighter deal with any issues that
_- , h ., were identified through the assessment.As part of the Operational Readiness
"`-I" Brief leadership sees aggregated results from the HPA.These results can provide
" ,i . .- the basis for changes in policy or programs.
r.
OPERATIONAL READINESS BRIEF(ORB):The ORB is the summary document
for leadership that pulls together the masked and aggregated data for all the
evaluations conducted.This is presented as an interactive module that allows
leadership to drill down and analyze the physical and emotional health of their
'VL._ ol organization.It provides leadership with the ability to address the issues of
obesity,cancer,high blood pressure,dyslipidemia,cardiac disfunction,anxiety,
-i ' ! w `1 depression,sleep disturbance,substance use and PTS. This provides strong
0o •'� data to assist in program budgeting and policy making.Plus,if the department
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 27
Data Reporting that Saves Lives
CANCER SURVEILLANCE ' ' 1'I
'' 1 30 1 2 i o a a 5 is a multi-year Front Line client,trending and year-over-year
... " Sr 3.2.. .1 . comparisons are made.One of the major benefits of being part of
c
7 "'.15050`. 9 3 42 z the Front Line family is being able to compare your department's
2 0 PI.. 0 4 1 health metrics against those of the entire Front Line database.
z 7
_ = aWok - "= The ORB gives leadership not only a snapshot of their department's
9 - 9 9 9 9 9 9 9 health,but also points the direction to creating policies that are
FRONT LINE preventative and proactive.
010011a 1111LIN
TOTAL HEALTH ASSESSMENT(THA):The Front Line Total Health
Assessment portfolio is the primary deliverable to the firefighter
when all the results of the annual medical evaluation are available.
The assessment is intended to provide the firefighter with
actionable medical intelligence that promotes meaningful change
through:
1. Identifying the risks to health and wellness
,9 2.Identifying the prevalence of disease
ey 3. Encouraging individual responsibility and change
�
l
"Iff'�` ..r.b.y`9�.1y multiition,the THA is a living-year Front Line patient are significant hasbheyfits are afble'ng a
to see
year over year trends and comparisons.
Report Samples
.„.0. ...... M 1..:.1w0 I.... 0155 Mr1109W...ro 6wrm .=b+ 15421.—.410. 1
15021030=.10.102.3 This denotes how each member
153 lie 15 u 5 300 , 5003
n 1„ MI 146 311 .2 OM .»,Poo Fs...2495.6 3< performed based on the NFPA 1582
36 1M 21' 133 313 152 Kc0 FIa+t1100 29E.
�-n. AA 172 126 02 171 46. G15 . 161.It ie..r s m.o.em<.,!
1. 141 ,, n,� 3,, Criteria,as well as the American
C 35 172 11 121 307 396 31. (I Pow We. a
,U 933 110 123 291 334 4290 p9.7Po. bra. College of Sports Medicine.
% 10 171 117 122 2. 171 4250 45.w E.. -
57 112 s 121 230 .1 3s26 tl5=.n. Fceuaa II Me 121 121 2. 311 322. 13Po. P9.24 This intelligence is used to support
1 30 209 x0 12D 250 1. 42 10 pxe.9Poo. 631.5340W
174 117 119 305 sr 70 44..1 pp............ local Peer Fitness Trainers and
53 160 3.
172 17/ 117 m 31n A mV^^°-1' 1, '. gives them a template of who to
175 222 116 265 134 4003
Flau.i.. L 2293
2J 26 °� _ "' '°� help first,or stated in another ,
R 175 162 115 2Y 14 r010 Fl tl Po.]2 rz201
C201 11) au 3a ram R...+ 1.04
% 1 216 N1 113 350 347 1930 92.0.. who is at greatest risk.
d 8 211 272 112 316 320 AM 10 F.. 564. --
'1 55 276 112 327 312 500 GI5.ry.�. bx1N.
32 2163 136 111 257 110 3NW115a.r _
.0 2.06 503r 1511140
-9 30 . UM 111 2. no 3150 41.0.1 Ime. r30.N63'27.
SS 175 122 M1 271 UMGIE.I.0 9,e9!
LS 51 19s 232 le or 142 3230 CPo.
1G 66 199 a5 10S an tot 3129 g5slwl 100•6590 M305W
V 30 a,c 211 105 VI 107 3660 4 Goof 7745
C C 2K 1. M3 331 133 3620 0Po. a /
51 190 Mc 260 292 36M 11
M 40 A M] of 3 1160 ....
1, 1a/ 2Z. 3a 360 Gl.,.we 61 _ 3069
N 170 202 2 102 560 W.I. 61. ,m . 0.193
FRONT LINE a retalan owned sampans
MOBILE HEALTH
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 28
Report Samples
tnes I5. r saaCOrnrfle"+d I ,�') s Fort Worth FO Class 91 Fort Worth rD Ciess 92
Avow's(lin was Asap al Rorly6l%stM koarayo of Yye.bAq by Fibres for Age Average of Max V02.Average of Iody6ex and Average of Watts/kg by 1502 R.mmm nd.don
Average of Ms POI deeeegeof elodyfatia Ilikreesgs of Wdtis/sg Average of Mac VOL nAveragn or Bodyiat%IDAverage of Wattsr'rg
35
aC
291 283 27.8
ell— ■_______.
WPWT17 26 v
f a i a.—
e235
a i
. to
3.6_ 28. 23
a
Exceeds Meets Requ;r lob Restriction
G i.apenor F)Excellent El Pond C;Fan Cl Poor d;they?coat vlmpa a,... .rt
FRONT " LINE
a veteran owned company
MOBILE HEALTH
Reports that compare NFPA 1582 metrics with the American College of Sports Medicine,body fat%as well as watts per kilogram.
This data is frequently used by our partners to enhance their promotion point systems as well as by HR to assign health premium
rebates/savings.
Poor fa Allinson residing n early rectums.of anaerobic energy(cwbs).This Eerenent fat mdaatim..eyed tMo aon ugne a fram reang g vo w9 Latgr __.._ -Ara sthe fuel mwngetrain ones
results r early onset of Lactate product.(AT)and Sana the MNiduats abAsy to WOW base and a delayed onset of lactate production.,ndfaNwl can perform . generated by moan*systems
performVerna —
stens*a[ireyfera prolonged pined oftaee ligher e•em before fatgued. r niemhrytebalm — 0 At Awer artmstes fat,sthe
„a *arm preferred energy source( energy)
firers ono t 'at s on �'M �e e e W.pi fat aide...a longer produce
.+� rem w, energy nun k emugn,the body hilt to
eel. e11 � i netos ae fon(earns)teal can be gene .faster or
INN
,.;eta 1 a / 1 >.,..a 4 groc ysis,n turn procki ng agate
x ash I /' fie \i a,er 'n°fOOi[: 1 ata[rarrafd+aww.mmed,ate
i / Carba _
ea�ea {4 energy tea are used wt.,re snort
�l t and come at a pr.
tsi•. i"' � '".• { 111 .Once deputed,tney force the.mbera.
to decrease wren ty to arge
e a e If s a •a .
„.,. i ,ern ; less wastes Seconds
�� e
V!
^a .Vra(AT)represents the van.on
e ,, a • a V i.akOVE from fat to earns atom the nttn as.df
` a a a N m a Sava Naomi i1 ae Oape.anro TO 'M
rntl ',.
'..rmeisiverdm[or,rca[e:++resnom
BM Yes/A.M72se ,11 g Wills lee str*fatawr 1st At BMW .Lactate rcononang out at
arum- _mrvamy-
smaa.,ci o race that'enc.on can amp upano
vnmwew•. u .miryaa n.5 m nA AU
\94e91.4, e a N u fe .naM,ci a to . .1 ar R'\ accommodates)
accoodates)
tr•daKrm e ie Is no CO %adr%%e a in W n ae 'r -V a(RC)represents me raps
—caef.ac—
ft,M\b at 1n is. it Na no... SO n fat U1 151
scums..Of Nctate/F•,Omfrom
rait�aat ramp., c -.. giycoyoc energy,can atnougM of as
thud...i S se s is iliata.ara.ci9 % 9 76 ea se[mdiaase tMetmd
EH SO eel au fide a evi de eat SO Orr lea ORMEatflotr —* Qnrupts sat-base>uance,
naives ryperveM+r:on rta
Training anaerobically(CrossEr,WIT)may increase yap speed and abihry:o tolerate higher...isles'or longer periods o`time,but training aerobically increases bevy cr•rergdon
(mnea)increases the efficiency o'yo;x cardiovascular and respratory systems,allowing you to work at a higher mzns y without having to resort to Jung -Latta.cervi[dar0nrruut.on
the costly anaerobic energy as mach. rmsrna,cn
Adapations?rom Zonea training infix/de:mrochondrul growth muscle rss:,re,improved lactate clearance and recovery,increased stroke volume,and
naeased plasma volume resaft:;g in improved Oa transport andVOamaa
FRONT LINE a veteran awned company
MOBILE HEALTH
Example data of what each member receives after their testing.This data shows an individual at what heart rate they burn the
greatest fat,carbohydrates and provides an exercise prescription they can use to improve their health and readiness.
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 29
Sample Electronic Health Portal
Front Line uses an Electronic Health Record system that does allow patient access to their records.
Mate SEeds IME=
Po DAgeed Dot 01 2021
Aderesc Last Soleelteed Appr
Neu Scheduled Iopt
CDS Pooe- , Past mud ean n="0 sorgac 4,414X1r.rou taxi.itio.,/.4,
New Referral Fs,Demaq*Ow" Pool Domorxwoox
Upload doges scanned aver,lotumerts Of PLIFsOcevoloaded from owe eieceme medics records
111.44satec Dcoontots ezCecA, ieie Sqrm1 Crs.I Fy im R15,5 Arwutner,s
Add new documents for this patient SeteeFies to UposO
Document Tags
ninadnet nrsn.ressnte
n000dxgoo A41011‘ond UfIL lloct000nt Saw UsloOdoi on Actions
O Ot tt2C22 112'2022 fax •0. # x
• sitar.= IIMEr SEM 24.2072 lox 4.Ono /
a oi IF n42 11111111111K NMI I 11=022 Pax +took x
a 01 262422 MOW ISINE 71 21124rx2 Fax 4.104* / X
• oi sac22 111.1111p.7 212, EOM 10132022 fat +
O .2(22 1.11. 11111111111111111M 1". lane 11121022 Xxx •link
01'Z2C22 .11111111..MM S'14""245.025 11111111111 31,trzon f•at X
1111M1.14'" 111111111111 )1 1 20Z sox + / X
`407 MOO Iveole,e Pp .1.4.4 t
I• C11O2lC22 11=Mic 252. WiTINFACI 11 2'2572 Paw dos*
Port Arthur Fire Department RFP P23-019 frontlinemobilehealth.com 30
APPENDIX C
LETTER OF INTEREST
RFP —NFPA 1582 COMPLIANT ANNUAL PHYSICAL EXAMINATION FOR PORT ARTHUR FIRE
DEPARTMENT Deadline: January 25,2023
The undersigned firm submits the following information(this RFP submittal)in response to the Request for
Proposals(as amended by any Addenda),issued by the City of Port Arthur,TX(City)to provide RFP—Request
forNFPA 1582 Compliant Annual Physical Examinations for Port Arthur Fire Department Contractor for City
of Port Arthur,TX. Enclosed, and by this reference incorporated herein and made a part of this RFP,are the
following:
❖ Cost Form
❖ Completed RFP Letter of Interest Form
❖ Vendor References
❖ Completed Affidavit
❖ Non-Collusion Affidavit
❖ Completed Conflict of Interest Form
❖ HB 89
❖ SB 252
Firm understands that the City is not bound to select any firm for the final pre-qualified list and may reject any
responses submitted.
Firm also understands that all costs and expenses incurred by it in preparing this RFP and participating in
this process will be borne solely by the firm,and that the required materials to be submitted will become the
property of the City and will not be returned.
Firm agrees that the City will not be responsible for any errors, omissions, inaccuracies, or incomplete
statements in this RFP. Firm accepts all terms of the RFP submittal process by signing this letter of interest
and making the RFP submittal.
This RFP shall be governed by and construed in all respects according to the laws of the State of Texas.
17/ki/M e 1. WO c))6, -,3
Firm Name Date
kCi 4. e J - j: � tf,� �i /� �r63
Add ity/State/p
t.CCe_,(14-1 aPP
Authorized Signature/ai4?er/Ia
Title
✓' k.0 P 'b - 3r2--
Name(please print) Telephone
IL) el<40 ; AeWA erM
Email
Page 21 of 28
APPENDIX E
CITY OF PORT ARTHUR,TEXAS
NON-COLLUSION AFFIDAVIT
CITY OF PORT ARTHUR §
STATE OF TEXAS §
By the signature below, the signatory for the bidder certifies that neither he nor the firm,
corporation, partnership or institution represented by the signatory or anyone acting for the
firm bidding this project has violated the antitrust laws of this State, codified at Section
15.01, et seq., Texas Business and Commerce Code, or the Federal antitrust laws, nor
communicated directly or indirectly the bid made to any competitor or any other person
engaged in the same line of business, nor has the signatory or anyone acting for the firm,
corporation or institution submitting a bid committed any other act of collusion related to
the development and submission of this bid proposal.
Signature:
V/( U46
Printed Name:
Printed �� 144Ppe-/---/w
Name:
Title: C1//� /yl Q�fC6/-1-14"A-
Company: , 119 4,fg te:4-6/4
Date: p, '
SUBS RIBED and sworn to before me by the above named3,rtict
Lji 1 on this
the /! day of 20 a".
Fa..... .....:.. .. .;-_�.. _.� ary �'••lic in and for the
lP � KELLY WILKINSON State of Texas
" Notary ID#126738976
j} M January 13, 2025 • My expires:
Commission Expires > commission ex ires: //I3/ 2_c
� vs`=
Page 23 of 28
APPENDIX F
AFFIDAVIT
All pages in Offeror's Responses containing statements, letters, etc., shall be signed by a duly
authorized officer of the company whose signature is binding.
The undersigned offers and agrees to one of the following:
XI hereby certify that I do not have outstanding debts with the City of Port Arthur. I further
agree to pay succeeding debts as they become due.
I hereby certify that I do have outstanding debts with the City of Port Arthur and agree to
pay said debts prior to execution of this agreement. I further agree to pay succeeding debts as they
become due.
I hereby certify that I do have outstanding debts with the City of Port Arthur and agree to
enter into an agreement for the payment of said debts. I further agree to pay succeeding debts as
they become due.
frirL if/(e,4,2F 7-46g3
Firm Name Date
6tp
- ellid-At, / 7)(6 33
Addres ,ity/State/Zip
Authorized Signature Title
?l2ue VOIAIGIer /4a- - 33-6 3f2
Name(please print) Telephone
r 'P C9 ra �cb L 1L WeA.8�./% • eV-14(
Email
KELLY WILKINSON
STATE: C`,7x°�`� Notary ID#126738476
STATE: C��S "y4 { My Commission Expires
=c��-' January 13, 2025
COUNTY:
SUBSCRIBED AND SWORN to before me by the above named ljA/c.0 Ulic l�cJ�I 4'
on this the / day of , 20 23 .
ota blic
RETURN THIS AFFIDAVIT AS PART OF THE PROPOSAL
Page 24 of 28
APPENDIX G
CONFLICT OF INTEREST QUESTIONNAIRE FORM CIQ
For vendor doing business with local governmental entity
This questionnaire reflects changes made to the law by H.B.23,84th Leg., Regular Session. OFFICE USE ONLY
This questionnaire is being filed in accordance with Chapter 176,Local Government Code,by a vendor who Date Received
has a business relationship as defined by Section 176.001(1-a)with a local governmental entity and the
vendor meets requirements under Section 179.006(a).
By law this questionnaire must be filed with the records administrator of the local governmental entity not later
than the 7th business day after the date the vendor becomes aware of facts that require the statement to be
filed. See Section 176.006(a-1),Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006,Local Government Code.An
offense under this section is a misdemeanor.
▪ Name of vendor who has a business relationship with local governmental entity.
J
❑ Check this box if you are filing an update to a previously filed questionnaire.(The law requires that you file an updated
completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which
you became aware that the originally filed questionnaire was incomplete or inaccurate)
▪ Name of local government officer about whom the information is being disclosed.
Name of Officer
J Describe each employment or other business relationship with the local government officer,or a family member of the
officer,as described by Section 176.003(a)(2)(A). Also describe any family relationship with the local government officer.
Complete subparts A and B for each employment or business relationship described. Attach additional pages to this Fonn
CIQ as necessary.
A. Is the local government officer or a family member of the officer receiving or likely to receive taxable income,
other than investment income,from the vendor?
Yes No
S. Is the vendor receiving or likely to receive taxable income,other than investment income,from or at the direction
of the local government officer or a family member of the officer AND the taxable income is not received from the
local governmental entity?
n Yes n No
J Describe each employment or business relationship that the vendor named in Section 1 maintains with a corporation or
other business entity with respect to which the local government officer serves as an officer or director,or holds an
ownership interest of one percent or more.
1-1 Check this box if the vendor has given the local government officer or afamily member of the officer one or more gifts
described in Section 176.003(a)(2)(B), excl ing gifts described in Section 176.003(a-1).
J
C `/� - Ze
Qj
Signature a vendo oing business with the o ernmen tail entity Date
Form provided by Texas Ethics Commission www.ethics.state.tx.us Revised 11/30'2015
Page 25 of 28
APPENDIX H
House Bill 89 Verification
I, gain V(14je r -Q--` (Person name), the undersigned representative
(hereafter referred to as "Representative") of 90A.71 L/4 e lip ade4.ie
(Company or
business name, hereafter referred to as "Business Entity"), being an adult over the age of
eighteen (18) years of age, after being duly sworn by the undersigned notary, do hereby
depose and affirm the following:
1. That Representative is authorized to execute this verification on behalf of Business
Entity;
2. That Business Entity does not boycott Israel and will not boycott Israel during the
term of any contract that will be entered into between Business Entity and the City of Port
Arthur; and
3. That Representative understands that the term "boycott Israel" is defined by Texas
Government Code Section 2270.001 to mean refusing to deal with, terminating business
activities with, or otherwise taking any action that is intended to penalize, inflict economic
harm on, or limit commercial relations specifically with Israel, or with a person or entity
doing business in Israel or in an Israeli-controlled territory, but does not include an action
made for ordinary business purposes.
r?oNoD ?26738SIGNATURE OF REPRESENTATIVE
*PLLeee,c94.--k--e-t,
My Commissian Expires
fcv�- January ?32D25
SUBSCRIBED AND SWORN TO BEFORE ME, the undersigned authority, on this
c4
dayof � iv , 2O 1
7* /#;(--.- Notary Public
Page 27 of 28
APPENDIX I
SB 252
CHAPTER 2252 CERTIFICATION
VaAik'r7 1 u-4A- , the undersigned and
Representative of ro bit L t n." ' l G� 1 //L1.-
(Company or Business Name)
being an adult over the age of eighteen (18) years of age, pursuant to Texas
Government Code, Chapter 2252, Section 2252.152 and Section 2252.153, certify that
the company named above is not listed on the website of the Comptroller of the State
of Texas concerning the listing of companies that are identified under Section
806.051, Section 807.051 or Section 2253.153. I further certify that should the above-
named company enter into a contract that is on said listing of companies on the
website of the Comptroller of the State of Texas which do business with Iran, Sudan
or any Foreign Terrorist Organization, I will immediately notify the City of Port
Arthur Purchasing Department.
Name of Company Representative (Print)
Signature of Company Representative _
Dat
Page 28 of 28