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HomeMy WebLinkAboutP-24-641 Statcare dba Nao Medical.pdf CO,U County of Fresno �+ INTERNAL SERVICES DEPARTMENT 10 Facilities• Fleet•Graphics• Purchasing •Security•Technology O� 185�O PROCUREMENT AGREEMENT Agreement Number P-24-641 December 12, 2024 Statcare Urgent&Walk In Medical Care PLLC dba Nao Medical 135 Mineola Boulevard, Mineola New York, NY 11501 The County of Fresno (County) hereby contracts with Statcare Urgent&Walk In Medical Care PLLC dba Nao Medical (Contractor)to provide mobile drug and alcohol testing in accordance with the text of this agreement, Attachment"A", County of Fresno Request for Quotation No: 25-019 and the attached contractors response to County of Fresno Request for Quotation No: 25-019 by this reference made a part hereof. TERM: This Agreement shall become effective December 13, 2024 and shall remain in effect through December 12, 2027. EXTENSION: This Agreement may be extended for two (2) additional one (1)year periods by the mutual written consent of all parties. MINIMUM ORDERS: Unless stated otherwise there shall be no minimum order quantity. The County reserves the right to increase or decrease orders or quantities. CONTRACTOR'S SERVICES: Contractor shall perform the services as described in Attachment"A" attached, at the rates set forth in Attachment"A". ORDERS: Orders will be placed on an as-needed basis by County of Fresno Human Resources Department under this contract. PRICES: Prices shall be firm for the contract period. MAXIMUM: In no event shall services performed and/or fees paid under this Agreement be in excess of One Hundred Eighty Thousand Dollars ($180,000.00). ADDITIONAL ITEMS: The County reserves the right to negotiate additional items to this Agreement as deemed necessary. Such additions shall be made in writing and signed by both parties. DELIVERY: The F.O.B. Point shall be the destination within the County of Fresno. All orders shall be delivered complete as specified. All orders placed before Agreement expiration shall be honored under the terms and conditions of this Agreement. DEFAULT: In case of default by Contractor, the County may procure the articles/services from another source and may recover the loss occasioned thereby from any unpaid balance due the Contractor or by any other legal means available to the County. The prices paid by County shall be considered the prevailing 333 W. Pontiac Way, Clovis, CA 93612 / (559) 600-7110 The County of Fresno is an Equal Employment Opportunity Employer, PROCUREMENT AGREEMENT NUMBER: P-24-641 Page 2 Statcare Urgent&Walk In Medical Care PLLC dba Nao Medical December 12, 2024 market price at the time such purchase is made. Inspection of deliveries or offers for delivery, which do not meet specifications, will be at the expense of Contractor. INVOICING: An itemized invoice shall be sent to requesting County department in accordance with invoicing instructions included in each order referencing this Agreement. The Agreement number must appear on all shipping documents and invoices. Invoice terms shall be Net 45 Days. INVOICE TERMS: Net forty-five (45)days from the receipt of invoice. TERMINATION: The County reserves the right to terminate this Agreement upon thirty (30)days written notice to the Contractor. In the event of such termination, the Contractor shall be paid for satisfactory services or supplies provided to the date of termination. LAWS AND REGULATIONS: The Contractor shall comply with all laws, rules and regulations whether they be Federal, State or municipal, which may be applicable to Contractor's business, equipment and personnel engaged in service covered by this Agreement. AUDITS AND RETENTION: Terms and conditions set forth in the agreement associated with the purchased goods are incorporated herein by reference. In addition, the Contractor shall maintain in good and legible condition all books, documents, papers, data files and other records related to its performance under this contract. Such records shall be complete and available to Fresno County, the State of California, the federal government or their duly authorized representatives for the purpose of audit, examination, or copying during the term of the contract and for a period of at least three years following the County's final payment under the contract or until conclusion of any pending matter(e.g., litigation or audit), whichever is later. Such records must be retained in the manner described above until all pending matters are closed. LIABILITY: The Contractor agrees to: Pay all claims for damage to property in any manner arising from Contractor's operations under this Agreement. Indemnify, save and hold harmless, and at County's request defend the County, its officers, agents and employees from any and all claims for damage or other liability, including costs, expenses (including attorney's fees and costs), causes of action, claims or judgments resulting out of or in any way connected with Contractor's performance or failure to perform by Contractor, its agents, officers or employees under this Agreement, and from any and all costs and expenses (including attorney's fees and costs), damages, liabilities, claims, and losses occurring or resulting to any person, firm or corporation who may be injured or damaged by the performance, or failure to perform, of Contractor, its officers, agents, or employees under this Agreement. INSURANCE: Without limiting the COUNTY's right to obtain indemnification from CONTRACTOR or any third parties, CONTRACTOR, at its sole expense, shall maintain in full force and effect, the following insurance policies or a program of self-insurance, including but not limited to, an insurance pooling arrangement or Joint Powers Agreement(JPA)throughout the term of the Agreement: A. Commercial General Liability: Commercial general liability insurance with limits of not less than Two Million Dollars ($2,000,000) per occurrence and an annual aggregate of Four Million Dollars ($4,000,000). This policy must be issued on a per occurrence basis. Coverage must include products, completed operations, property damage, bodily injury, personal injury, and advertising injury. The Contractor shall obtain an endorsement to this policy naming the County of Fresno, its officers, agents, employees, and volunteers, individually and collectively, as additional insureds, but only insofar as the operations under this Agreement are concerned. Such coverage for additional insureds will apply as primary insurance and any other insurance, or self-insurance, maintained by the County is excess only and not contributing with insurance provided under the Contractor's policy. B. Automobile Liability: Automobile liability insurance with limits of not less than One Million Dollars ($1,000,000) per occurrence for bodily injury and for property damages. Coverage must include any auto used in connection with this Agreement. P-24-641 Statcare dba Nao Medical.dou PROCUREMENT AGREEMENT NUMBER: P-24-641 Page 3 Statcare Urgent&Walk In Medical Care PLLC dba Nao Medical December 12, 2024 C. Professional Liability: Professional liability insurance with limits of not less than One Million Dollars ($1,000,000) per occurrence and an annual aggregate of Three Million Dollars ($3,000,000). If this is a claims-made policy, then (1)the retroactive date must be prior to the date on which services began under this Agreement; (2)the Contractor shall maintain the policy and provide to the County annual evidence of insurance for not less than five years after completion of services under this Agreement; and (3) if the policy is canceled or not renewed, and not replaced with another claims-made policy with a retroactive date prior to the date on which services begin under this Agreement, then the Contractor shall purchase extended reporting coverage on its claims-made policy for a minimum of five years after completion of services under this Agreement. D. Worker's Compensation: Workers compensation insurance as required by the laws of the State of California with statutory limits. Additional Requirements Relating to Insurance: Contractor shall obtain endorsements to the Commercial General Liability insurance naming the County of Fresno, its officers, agents, and employees, individually and collectively, as additional insured, but only insofar as the operations under this Agreement are concerned. Such coverage for additional insured shall apply as primary insurance and any other insurance, or self-insurance, maintained by County, its officers, agents and employees shall be excess only and not contributing with insurance provided under Contractor's policies herein. This insurance shall not be cancelled or changed without a minimum of thirty (30)days advance written notice given to County. Contractor hereby waives its right to recover from County, its officers, agents, and employees any amounts paid by the policy of worker's compensation insurance required by this Agreement. Contractor is solely responsible to obtain any endorsement to such policy that may be necessary to accomplish such waiver of subrogation, but Contractor's waiver of subrogation under this paragraph is effective whether or not Contractor obtains such an endorsement. Within Thirty(30)days from the date Contractor signs and executes this Agreement, Contractor shall provide certificates of insurance and endorsement as stated above for all of the foregoing policies, as required herein, to the County of Fresno, Human Resources Department, 2220 Tulare St., Fresno, CA 93721 stating that such insurance coverage have been obtained and are in full force; that the County of Fresno, its officers, agents and employees will not be responsible for any premiums on the policies; that such Commercial General Liability insurance names the County of Fresno, its officers, agents and employees, individually and collectively, as additional insured, but only insofar as the operations under this Agreement are concerned; that such coverage for additional insured shall apply as primary insurance and any other insurance, or self-insurance, maintained by County, its officers, agents and employees, shall be excess only and not contributing with insurance provided under Contractor's policies herein; and that this insurance shall not be cancelled or changed without a minimum of thirty (30) days advance, written notice given to County. Certificates of Insurance are to include the contract number at the top of the first page. In the event Contractor fails to keep in effect at all times insurance coverage as herein provided, the County may, in addition to other remedies it may have, suspend or terminate this Agreement upon the occurrence of such event. All policies shall be with admitted insurers licensed to do business in the State of California. Insurance purchased shall be purchased from companies possessing a current A.M. Best, Inc. rating of A FSC VII or better. COMING ON COUNTY PROPERTY TO DO WORK: Contractor agrees to provide maintain and furnish proof of Comprehensive General Liability Insurance with limits of not less than $500,000 per occurrence. INDEPENDENT CONTRACTOR: In performance of the work, duties and obligations assumed by Contractor under this Agreement, it is mutually understood and agreed that Contractor, including any and all of Contractor's officers, agents, and employees will at all times be acting and performing as an independent contractor, and shall act in an independent capacity and not as an officer, agent, servant, employee,joint P-24-641 Statcare dba Nao Medical.dou PROCUREMENT AGREEMENT NUMBER: P-24-641 Page 4 Statcare Urgent&Walk In Medical Care PLLC dba Nao Medical December 12, 2024 venturer, partner, or associate of the County. Furthermore, County shall have no right to control or supervise or direct the manner or method by which Contractor shall perform its work and function. However, County shall retain the right to administer this Agreement so as to verify that Contractor is performing its obligations in accordance with the terms and conditions thereof. Contractor and County shall comply with all applicable provisions of law and the rules and regulations, if any, of governmental authorities having jurisdiction over matters the subject thereof. Because of its status as an independent contractor, Contractor shall have absolutely no right to employment rights and benefits available to County employees. Contractor shall be solely liable and responsible for providing to, or on behalf of, its employees all legally-required employee benefits. In addition, Contractor shall be solely responsible and save County harmless from all matters relating to payment of Contractor's employees, including compliance with Social Security, withholding, and all other regulations governing such matters. It is acknowledged that during the term of this Agreement, Contractor may be providing services to others unrelated to the County or to this Agreement. NON-ASSIGNMENT: Neither party shall assign, transfer or sub-contract this Agreement nor their rights or duties under this Agreement without the written consent of the other party. AMENDMENTS: This Agreement constitutes the entire Agreement between the Contractor and the County with respect to the subject matter hereof and supersedes all previous negotiations, proposals, commitments, writings, advertisements, publications, Request for Proposals, Bids and understandings of any nature whatsoever unless expressly included in this Agreement. This Agreement supersedes any and all terms set forth in Contractor's invoice. This Agreement may be amended only by written addendum signed by both parties. INCONSISTENCIES: In the event of any inconsistency in interpreting the documents which constitute this Agreement, the inconsistency shall be resolved by giving precedence in the following order of priority: (1)the text of this Agreement (excluding Attachment"A", County's Request for Quotation No. 25-019 and the Contractor's Quote in response thereto); (2)Attachment"A"; (3)the County's Request for Quotation No. 25- 019 and (4)the Contractor's quotation made in response to County's Request for Quotation No. 25-019. GOVERNING LAWS: This Agreement shall be construed, interpreted and enforced under the laws of the State of California. Venue for any action shall only be in County of Fresno. ELECTRONIC SIGNATURES: The parties agree that this Agreement may be executed by electronic signature as provided in this section. A. An "electronic signature" means any symbol or process intended by an individual signing this Agreement to represent their signature, including but not limited to (1) a digital signature; (2)a faxed version of an original handwritten signature; or(3)an electronically scanned and transmitted (for example by PDF document)of a handwritten signature. B. Each electronic signature affixed or attached to this Agreement (1) is deemed equivalent to a valid original handwritten signature of the person signing this Agreement for all purposes, including but not limited to evidentiary proof in any administrative or judicial proceeding, and (2) has the same force and effect as the valid original handwritten signature of that person. C. The provisions of this section satisfy the requirements of Civil Code section 1633.5, subdivision (b), in the Uniform Electronic Transaction Act(Civil Code, Division 3, Part 2, Title 2.5, beginning with section 1633.1). D. Each party using a digital signature represents that it has undertaken and satisfied the requirements of Government Code section 16.5, subdivision (a), paragraphs (1)through (5), and agrees that each other party may rely upon that representation. This Agreement is not conditioned upon the parties conducting the transactions under it by electronic means and either party may sign this Agreement with an original handwritten signature. P-24-641 Statcare dba Nao Medical.dou PROCUREMENT AGREEMENT NUMBER: P-24-641 Page 5 Statcare Urgent &Walk In Medical Care PLLC dba Nao Medical December 12, 2024 Please acknowledge your acceptance by returning all pages of this Agreement to my office via email or USPS. Please refer any inquiries in this matter to Susan Walker, Purchasing Technician, at 559-600-7111 or suwalker@fresnocountyca.gov. FOR THE COUNTY OF FRESNO signedckbur Riley Blackburn Datle:tally 2025.01.06y14:35:2RileyB6a08'OOn Riley Blackburn Purchasing Manager 333 W. Pontiac Way Clovis, CA 93612 P-24-641 Statcare dba Nao Medical.docx PROCUREMENT AGREEMENT NUMBER: P-24-641 Page 6 Statcare Urgent&Walk In Medical Care PLLC dba Nao Medical December 12, 2024 CONTRACTOR TO COMPLETE: Company: Statcare Urgent and Walk in Medical Care PLLC dba Nao Medical Type of Entity: ❑ Individual ❑ Limited Liability Company ❑ Sole Proprietorship ❑ Limited Liability Partnership ❑ Corporation ❑ General Partnership 135 Mineola Blvd, Mineola NY 11501-3917 Address City State Zip TELEPHONE NUMBER FAX NUMBER E-MAIL ADDRESS Print Name & Priti Jain Title: Print Name &Title: �67 Signature: Signature: ACCOUNTING USE ONLY ORG No.: 89250100 Account No.: 7295 Requisition No.: 8922500105 (7/2024) P-24-641 Statcare dba Nao Medical.docx PROCUREMENT AGREEMENT NUMBER: P-24-641 ATTACHMENT"A" Statcare Urgent&Walk In Medical Care PLLC dba Nao Medical Page 1 of 1 12/12/2024 ATTACHMENT "A" Item Description Unit Price 1. Controlled Substances Testing- DOT w/MRO $ 360 Certification 2. Controlled Substances Testing- non-DOT w/MRO $ 360 3. Breath Alcohol Testing Screen $ 360 4. Alcohol Testing in Conjunction with Urine $ 360 Collection 5. Discount on Multiple Tests given on site $ 410 6. Waiting charge in excess of one (1) hour $ 200 (Payable in 15 minute increments) 7. No Show Fee (appointment not cancelled in a timely $ 300 manner) 8. Split sample Confirmation Tests (Re: B sample) $ 60 9. Charge if portable restroom needed $ None 25-019 Mobile Drug and Alcohol Testing Contractor's Response to County of Fresno Request for Quotation No. 25-019 P-24-641 Statcare dba Nao Medical.docx COUNTY OF FRESNO co FRES REQUEST FOR QUOTATION NUMBER: 25-019 MOBILE DRUG AND ALCOHOL TESTING Issue Date: October 9, 2024 Closing Date: OCTOBER 29, 2024 AT 10:00 AM All Questions and Responses must be electronically submitted on the Bid Page on Public Purchase. For assistance, contact Susan Walker at Phone (559) 600-7110. BIDDER TO COMPLETE Undersigned agrees to furnish the commodity or service stipulated in the attached at the prices and terms stated in this RFQ. Bid must be signed and dated by an authorized officer or employee. Statcare Urgent & Walk In Medical Care PLLC COMPANY Priti Jain M.D CONTACT PERSON 135 Mineola Boulevard, Mineola, ADDRESS New York NY 11501 CITY STATE ZIP CODE (917 310-3371 priti(�D_naomedical.com TELEPHONE NUMBER E-MAIL ADDRESS AUTHORIZED SIGNATURE Priti Jain M.D CEO PRINT NAME TITLE Purchasing Use:SLW:st ORG/Requisition:89250100/8922500105 25-019 Mobile Drug and Alcohol Testing na0* medical naomedical.com 25-019 MOBILE DRUG AND ALCOHOL TESTING Nao Medical: Statcare Urgent & Walk-in Medical Care PLLC DBA Nao Medical 135 Mineola Blvd, Mineola, NY 11501 Principal Contact: Priti Jain, MD Priti(a,NaoMedical.com 516-695-7493 G COS Q �856 ARE`' Table of Contents 1. Attestation 1 2. Executive Summary 1 3. Nao Medical's Responses to the Scope of Work 3 4. Nao Medical value added service 9 5. Cost Proposal 11 6. Nao Medical's Background and Organization 13 7. References 14 8. Sample Process Flows 19 9. Organizational Chart 19 10. Medical License (Attached to proposal) 22 11.Qualifications and client experience 23 1. Attestation Submission of this form is an acknowledgement that I understand and agree to the following terms: This formal offer will remain firm and non-revocable for a minimum period of 180 days from the Proposal Due Date. I, Priti Jain M.D, CEO of Nao Medical certify that, to the best of my knowledge, the supplied information for this proposal is true, accurate and complete. 2. Executive Summary Statcare Urgent & Walk-in Medical Care PLLC (DBA Nao Medical) was founded on April 12, 2011, with the goal of revolutionizing medical care service and delivery by emphasizing Clarity, Thoughtfulness, and Respect. Our core values guide everything we do. Today, we have over 250 employees and multiple locations, serving health needs across NY and surrounding communities through our on-the-go program and locations. We have serviced over 1 million New Yorkers and are excited to continue to grow our footprint and connection to NY and its residents. Nao Medical is based in Mineola NY. Nao Medical operates more than a dozen locations throughout all the NYC boroughs and Long Island, and we are continuously expanding. We are MWWBE certified with the city of New York and are in the process of obtaining our NY State MWBE certification and will be applying for City of Fresno certifications. Nao Medical is a full-service Medical Center offering Urgent Care, Primary Care, GYN, Nutrition, Tele-med, Mental Health, and Occupational Health services. We have a free concierge service for our patient's health care journey. We are licensed in multiple states, multilingual, a fully staffed call center and after-hours care program. In addition to serving local communities with the best care,Nao Medical provides a wide range of services, including but not limited to: • Annual physicals • Vaccines/Titers • COVID-19 testing,Flu Testing • Monoclonal Antibody Treatment/IV Hydration Infusions • Telehealth appointments with extended hours • Laboratory services,including STD and HIV screening and all other blood tests • Mobile medical units for off-site testing • Home care visits • X-RAY(in select locations) • Mental Health • MAT(Suboxone therapy) • Nutrition Services • Immigration Services • Occupational Health Services • Drug&Alcohol Testing We offer all these services at any of our locations, 365 days a year, with no prior appointment necessary. Additionally, our mobile medical team can provide comprehensive care on-site at any remote location. 1 Nao Medical stands out as a full-service nationwide Third Party Administrator (TPA) for occupational health services, distinguished by its comprehensive approach that extends beyond traditional offerings. We offer an extensive range of health solutions tailored to meet the unique needs of businesses and their employees, encompassing not only occupational health but also internal telemedicine services, virtual primary care, nutrition counseling, and mental health support. Our services are meticulously designed to cater to the evolving health needs of the modern workforce. We provide a wide array of occupational health services, including but not limited to on-site COVID-19 testing, D.O.T. physicals, pre-employment and post-offer exams, tele-visits for employees, respiratory physicals, pulmonary function testing, digital x-rays, federal drug testing, wellness physicals, ergonomic assessments, and a comprehensive suite of vaccines and flu shots What sets Nao Medical apart is our integrated approach to health care. Our capabilities are not just limited to addressing physical health concerns but also extend to supporting mental well-being, nutrition, and overall health maintenance. This holistic approach is facilitated through our telemedicine services, which ensure accessibility and convenience for all employees, thereby promoting a healthier, more productive workforce. Moreover, our commitment to quality care is reflected in our operations and client support systems. Nao Medical's dedicated staff and specialized account management services ensure that our occupational health clients receive the highest quality of patient care. Open 365 days a year, including holidays, and with a network of conveniently located offices throughout the NYC area, we guarantee accessible and reliable services tailored to the needs of businesses Our qualifications and extensive experience in the health sector underscore our capacity to serve a broad spectrum of health needs. With certifications in various medical and occupational health services and a solid background in providing comprehensive health solutions, Nao Medical is well-equipped to be a trusted partner in enhancing the health and productivity of your workforce In conclusion, as your partner, Nao Medical is dedicated to minimizing unnecessary lost time, meeting federal regulations, managing OSHA recordables, and reducing workers' compensation costs. By choosing Nao Medical, you are opting for a partner that not only understands the intricacies of occupational health but is also committed to providing a full spectrum of health services to support the well-being of your employees. 2 3. Response to the Scope of Work Response to Requirements and Instructions Nao Medical is committed to fully meeting and exceeding the requirements outlined in Fresno County's Quotation No. 25-019 for Mobile Drug and Alcohol Testing Services. We understand that this contract mandates adherence to the Code of Federal Regulations (CFR) Title 49 for commercial drivers, ensuring that safety-sensitive employees are thoroughly tested in compliance with federal standards. Our services extend to pre-employment,post-accident, reasonable suspicion, and return-to-duty testing scenarios, supporting Fresno County's commitment to a safe work environment. Bid Submission and Compliance We will submit our complete bid package electronically in PDF format as required, ensuring timely delivery through the Public Purchase portal. Nao Medical will adhere to the bid's 180-day firm quotation requirement and abide by all specified procedures regarding vendor communication and interaction with Fresno County Purchasing, recognizing the importance of maintaining strict communication protocols. Service and Compliance Commitments Nao Medical understands the importance of ensuring that each aspect of our service meets Fresno County's quality and legal standards: • HIPAA Compliance: Our data handling and reporting processes are fully HIPAA-compliant, with safeguards in place to protect employee privacy and confidential health information. This includes using secure channels for all result transmission, data storage, and destruction as required by law. • Insurance Requirements: Nao Medical will maintain comprehensive insurance coverage throughout the contract, including commercial general liability, auto liability, professional liability, and workers' compensation,with limits that meet or exceed the County's requirements. We will ensure that Fresno County is named as an additional insured on our policies and will provide 30 days' advance notice of any policy changes. • Data Security: We employ advanced security protocols to prevent unauthorized access, disclosure, or misuse of sensitive data. Our systems are designed to meet AES 128-bit encryption standards, and we have a well-established protocol for managing any potential data breaches, with immediate reporting to Fresno County and support for required notifications to affected individuals. Testing Operations and Execution We understand that the County's requirements include flexibility in testing locations and frequency. Nao Medical will provide the following: 3 • Mobile Testing Capabilities: Our team is equipped with mobile units capable of conducting tests at designated County locations or other sites as required, ensuring accessibility and minimizing disruption to operations. • Chain of Custody Protocols: Each specimen collection will follow stringent chain of custody protocols to ensure the integrity and reliability of all test results. Our trained collectors follow standard procedures to prevent tampering and to document each step from collection to lab processing. • Certified Laboratories: We partner with SAMHSA-certified labs, ensuring all testing adheres to federal standards. Test results are processed promptly, with negative results available within 24 hours and confirmed positive results within 48-72 hours. Our Medical Review Officers (MROs) are fully credentialed to interpret results and provide detailed analyses as needed. Accountability and Reporting Nao Medical recognizes the importance of accurate reporting and prompt response times: • Results Reporting and Documentation: We provide detailed test results directly to Fresno County's designated representatives through secure means. Monthly summaries and comprehensive reports will outline test outcomes, including any positive, adulterated, or inconclusive results. • Inspection and Quality Assurance: Our services include ongoing quality checks and compliance with Fresno County's performance expectations. We will coordinate with County representatives for periodic inspections and maintain transparent documentation to support all testing activities. In summary,Nao Medical is fully prepared to provide Fresno County with a dependable, secure, and compliant drug and alcohol testing service that aligns with all stated requirements, including detailed reporting, high-quality control, and adherence to all federal, state, and local regulations. We look forward to the opportunity to support Fresno County with a service that prioritizes accuracy, accountability, and the highest standards of confidentiality and integrity. Response to Scope of Work Nao Medical will leverage our extensive experience with state and local government agencies,providing a robust, compliant testing program that adheres to all specified regulations and standards. Here is an expanded approach to our proposed delivery of services: 1. Scope and Regulatory Compliance • Federal and DOT Compliance: Nao Medical will perform all drug and alcohol testing services in compliance with CFR Title 49, Part 382, Subpart C, and Part 40, Subpart C, covering DOT-regulated commercial drivers and non-DOT employees. We will adhere to all safety-sensitive requirements and DOT 4 protocols for commercial driver testing, maintaining compliance with the Department of Health and Human Services (HHS)National Laboratory Certification Program(NLCP)requirements. • Testing Types: Our services include pre-employment, post-accident, reasonable suspicion, and return-to-duty testing for both DOT and non-DOT employees. This structure ensures Fresno County's compliance with federal and state standards across multiple testing needs, delivering consistent and high-quality testing outcomes for each type of test required. 2. Mobile Testing Capabilities Across 15 Sites • Mobile and On-Site Testing: With our mobile testing teams,Nao Medical can provide on-site services directly at any of the 15 designated sites across Fresno County, including remote locations such as Coalinga, Firebaugh, and Shaver Lake. Our mobile teams are fully equipped to conduct both drug and alcohol tests, ensuring that testing can occur seamlessly at or near any work site as requested. Each mobile team is designed to maintain the integrity and confidentiality of the testing process, adhering to a stringent chain of custody protocol. • Flexible Scheduling: Testing will primarily be available Monday through Friday, from 6:00 a.m. to 6:00 p.m. However,Nao Medical will accommodate tests outside this window as needed to ensure no disruption to County operations and to cover instances such as reasonable suspicion or post-accident testing. 3. Permanent Local Testing Facility • Proximity to County Plaza Building: Nao Medical has partnered with local testing sites within 15 miles of the County Plaza Building at 2220 Tulare, Fresno, CA. This facility will serve as an additional testing location to accommodate employees who may prefer or require testing away from the mobile sites. The local office will be managed by certified collection staff and equipped to perform DOT-compliant drug and alcohol tests on an as-needed basis. 4. Timely Processing and Laboratory Analysis • Certified Laboratory Partnerships: We partner with SAMHSA-certified laboratories to ensure that all collected samples are analyzed according to the highest standards. Samples will be securely transported to an HHS-certified lab within 24 hours of collection or on the next business day, adhering to NLCP guidelines. • Fast Result Turnaround: Results for negative tests will be provided within 24-48 hours,while any positive results will be reported to the County Safety Officer immediately upon receipt. We guarantee that no results will take longer than one week, ensuring Fresno County remains informed and compliant. 5. Data Management and Reporting • Secure Reporting Protocols: Test results will be shared through a secure online test management platform or via encrypted email to the designated County representatives in the Human Resources Department, Risk Management Division. Our data security protocols are HIPAA-compliant, ensuring that all sensitive employee information remains confidential. 5 • Quarterly and Annual Summaries: Nao Medical will provide quarterly summaries detailing the number and types of tests conducted, as well as annual reports as requested. This transparent reporting allows for a streamlined review and ensures the County's ability to track compliance and manage safety metrics effectively. 6. Scheduling and Random Testing Coordination • Quarterly Scheduling with County Representatives: At the beginning of each quarter,Nao Medical will collaborate with the County's Risk Management Division or designated department representatives to schedule testing for randomly selected employees. This coordination will be documented, with our team ensuring minimal disruption to daily operations. • Testing Volume Management: Based on historical records, we will prepare for an estimated 80-100 drug tests and 30-50 alcohol tests annually. Nao Medical is experienced in handling fluctuating testing volumes and will deploy resources accordingly to ensure capacity meets demand while maintaining high-quality service. 7. Invoicing and Billing Procedures • Quarterly Billing System: Nao Medical will submit invoices quarterly, within 30 days after the end of each billing quarter, providing Fresno County with clear, itemized billing statements. Our invoices will include details of all testing services performed, and we will ensure accuracy and transparency in all charges. 8. Operational Oversight and Quality Assurance • Chain of Custody and Quality Control: We follow a rigorous chain of custody process for each test, documenting every stage from sample collection to result reporting. Our certified collection technicians are trained to handle specimens with care and follow standardized procedures, reducing risks of contamination or tampering. • Continuous Compliance Monitoring: Nao Medical conducts routine internal audits and follows a strict quality assurance process to ensure all aspects of testing meet federal, state, and County standards. This includes regular training for our staff on DOT and HHS protocols, data privacy standards, and emergency procedures. 9. Additional Support and Accountability • 24/7 Customer Support for Urgent Testing: In the event of an incident requiring immediate post-accident or reasonable suspicion testing,Nao Medical provides 24/7 customer support. This ensures the County has prompt access to testing services, irrespective of regular operational hours. • Local Account Management: A dedicated account manager will serve as the primary point of contact for Fresno County, facilitating smooth communication, addressing any operational concerns, and ensuring service consistency across all County sites. This manager will oversee scheduling, reporting, and quarterly meetings to discuss performance and address any improvements as needed. 6 In summary,Nao Medical is equipped to perform the comprehensive mobile drug and alcohol testing required by Fresno County. Our approach combines flexibility with strict regulatory adherence, rapid result reporting, secure data management, and continuous quality assurance. We are committed to supporting Fresno County's safety objectives by providing reliable, compliant, and responsive testing services across all specified sites. Nao Medical collection sites and Laboratory services: Nao Medical prioritizes flexibility and client-centric service by retaining the right to adjust laboratory affiliations with City of Fresno's consent. This strategic approach enhances our service availability across a broader geographic area and extends our operating hours, thanks to the addition of more laboratory and collection sites. Currently,we collaborate with leading laboratory companies such as Labcorp,Drugscan, CRL, and Quest, all of which offer third-party collection sites capable of furnishing all necessary documentation. This expansive network ensures comprehensive coverage throughout the region, allowing us to serve a wider audience effectively. Moreover, Nao Medical is open to forming partnerships with local, qualified laboratories to enrich our network further, ensuring optimal service accessibility and competitive pricing. Our primary goal is to be lab-agnostic, focusing on what's best for our clients and their unique needs. This approach underlines our commitment to being customer-centric,where decisions are made not only based on what is available but what is best for those we serve, ensuring they receive high-quality, efficient, and convenient service tailored to their specific requirements. SITES All Valley Compliance (Preferred) • Address: 744 P St, Ste 313, Fresno, CA 93721 • Hours: Monday- Friday: 9:00 am- 5:00 pm; Saturday- Sunday: Closed Liberty Drug Testing Services Inc (Preferred) • Address: 2559 S East Ave, Ste E, Fresno, CA 93706 • Hours: Monday- Friday: 8:00 am- 5:00 pm; Saturday- Sunday: Closed Central Valley Drug Testing(Preferred) • Address: 5649 N Palm Ave, Fresno, CA 93704 • Hours: Monday- Friday: 9:00 am- 5:00 pm; Saturday- Sunday: Closed ARS Drug Testing & Srvs Inc (Preferred) 7 • Address: 4277 W Richert Ave, Ste 105, Fresno, CA 93722 ATS Fresno (Preferred) • Address: 4337 N Golden State Blvd, Ste 102, Fresno, CA 93722 • Hours: Monday- Friday: 9:30 am- 5:00 pm; Saturday- Sunday: Closed The Driver Services (Preferred) • Address: 4670 N El Capitan Ave, Ste 105, Fresno, CA 93722 • Hours: Monday- Friday: 8:00 am- 5:00 pm; Saturday- Sunday: Closed Choices Compliance Solutions-Warner Rd(Preferred) • Address: 1095 E Warner Ave, Ste 103, Fresno, CA 93710 • Hours: Monday- Thursday: 8:00 am-4:30 pm; Friday: 9:00 am- 2:30 pm; Saturday - Sunday: Closed Choices Compliance Solutions (Preferred) • Address: 1095 E Warner Ave, Ste 103, Fresno, CA 93710 • Hours: Monday- Friday: 8:00 am- 12:00 pm, 1:00 pm- 5:00 pm; Saturday- Sunday: Closed 1. Nao Medical will provide scheduled access to collection sites with 24-hour availability within theCity of Fresno . Nao Medical has a mobile unit that can be made available 24 hours a day. Nao Medical will have a portal &App that has collection site scheduling and availability and hours. This changes depending on the time of the year as collection site availability adjusts,Nao's call center and concierge service will also be able to schedule collection locations. Nao Medical will have a local on-call collector available 24/7 as needed. Hook \uur appointnI �is ED A rw App our Concierge CA Us N Nao Medical's preferred methods of of scheduling appointments is via our 1)website https://naomedical.com/ or 2) Our app both available 24/7 or our 3) concierge-service https://naomedical.com/concierge-service/4) or our call center 917-801-2323 8 4. Nao Medical Value Added Services Nao Medical was founded by emergency room doctors who saw the need to keep patients out of the hospital and deliver care with our guiding principles of Thoughtfulness, Clarity, and Respect. Going to the doctors can be an overwhelming experience and our mission is to take the pain out of medicine. Focusing on preventative care, transparency, and patients first in a company founded and run by doctors with experience in medical emergencies, primary care, urgent care, immigration services, civil surgeon, nutrition, mental health women's health sets Nao Medical apart with our wide offerings. Nao Staffing Model: We have developed a staffing model That tracks patients per hour and visits/calls per day that help us determine proper Drug Collector, PCA, MA, Scribe, Provider, Virtual support, and CBO staff including (Finance, Operations, HR, EA's, IT, Managers and Leadership) This gives us the ability and flexibility to understand and quickly adapt staffing as well as properly price services. Our HR team is constantly recruiting for our Tele-med and regular medical staff so we can expand quickly and manage our credentialing. At Nao Medical, we understand that every business and organization is different. Therefore, we work closely with our clients to develop customized solutions based on their specific protocols and preferences. Call Center: Our call center is a centerpiece of our organization. It is already existing and fully operational and has all the infrastructure in place to expand. We currently have 25 employees in our QA, Patient delight, Concierge and Call Center and have a proven record of rapid scalability. This does not include our Tele-med department or our over 50 providers across all our platforms. During the height of Covid we handled over 150,000 inbound calls and over 35,000 outbound calls monthly. Our call center staff and provider team all follow scripts and process flows for each service type. Our QA team monitors calls to ensure all staff follow our core values of Respect, Clarity and Thoughtfulness and creates a performance report card enabling us to better evaluate and train staff. We are open 5 days a week from Sam to midnight and weekends from Sam to 8pm and can open 24 hours as needed. All Nao medical staff will adhere toCity of Fresno internal policies including but not limited to occupational health policies, enterprise information technology system policies, human resource policies and will incorporate those policies within our own HR and IT platforms. Technology: Nao Medical is a technology company at heart. We have a dynamic app, website and numerous systems in place that can be white labeled asCity of Fresno Drug and Alcohol Testing Services. Our concierge services are already built and functional and tied into our call center and other support services to enable a back office support network that 9 can schedule appointments and provide connection to our after hours and tele-med departments, lab results, and patient follow up calls. Mitigation plans: Nao Medical has much experience unfortunately with staffing and transportation issues. We currently operate 7 days a week with hours Sam to midnight and weekends from 9am to 1pm across a dozen locations and will deal with staffing issues daily. We have for the last decade dealt with Hurricanes, Floods, Covid Pandemic, Monkeypox, and everything else the region has seen. Our Staffing Model focuses on actual hourly patient needs by provider and support staff. It is based on our more than decade of experience in providing care that meets our core values. We have a fleet of vehicles that can shuttle test results and our staff if needed if transit is not available. We also can draw staff from our physical locations in emergencies. We currently have a staff of over 250 dedicated team members and move them daily to deal with staffing issues. Daily Coordination: Nao Medical will have a dedicated member of our Senior leadership Team (SLT) to act as an "Executive Lead" with TheCity of Fresno Drug Testing Services Program leads. This person will be the central point of contact for all program operations, and will be available for all daily meetings. The Nao Executive Lead will be a member of our SLT and have a direct connection to our CEO to resolve all issues that arise with the program and will be available any time that is needed. Furthermore, there will be a dedicated call line and staff across all our support teams including HR, IT, Patient Delight, Tele-med, Call Center, and our provider network. The Nao Executive Lead will adhere to the daily check in process and integrate it within our systems to ensure a seamless documented experience. Minimum Access Patient Standards: Nao Medical currently exists across metro NYC and virtually beyond and services all populations in a competent manner in accordance with our core values of Respect, Clarity, & Thoughtfulness. These core values are our DNA! We have Spanish speaking providers and a translation service that gives us the ability to communicate with almost any language. This is in place and ready upon demand and is a part of our Tele-med and call center services. We can brand everything on our platforms asCity of Fresno seamlessly. Pricing: The pricing and cost proposal we present considers all services, departments, support systems we have. Our proposal follows the format requested and we kept the pricing consistent across all durations requested and only adjusted prices to speed to ensure ability to move staff quickly to ensure proper staffing. Our proposal includes our services mentioned throughout this offering that are expanded beyond the requested proposal. Please see our Cost Proposal for more details. Availability: Nao Medical is available NAO! We built our systems and Nao on-the-go to address current market conditions. We have the ability to service any type of account today and have a proven track record of ramping up quickly and can draw for our existing location provider pool if needed in emergencies. We would have a dedicated staff for this opportunity and can deploy and expand rapidly within 72 hours. 10 5. Cost Proposal Nao Medical - Drug and Alcohol Testing Pricing Sheet Unit Service Description Price Additional Details On-Site Drug or A-cchcI Test(Per Test) S350.00 Includes S300 on-site sen-ice fee plus$50 for DOT or Nan-COT testing DOT Drug Test(Lab-Based) S5ID CID Zollection and lab analysis for DOT-compliant drug testing Non-DOT Drug Test(Lab-Based) S50.00 Zollectic- and lab analysis for ncn-DOT employees DOT Alcohol Test S50.00 Breathalyzer test for DOT-complian;alcohc testng Non-DOT Alcohol Test S50.00 Breathalyzer test for non-DOT employees Post-Accident/Reasonable Suspicion MOM Fer rge^t on-si;e testing ou;.-de•eguLar hours, Testing (On-Site) ind„des S300 add tic-al fee Return-to-Duty Testing S50-00 Applies to both DOT and non-DOT employees Administrative Fee for Reports^g & $10.00 Per;es:.covers da;a entry,HIPAA-compliant repo-t Data Management delivery.and quarerly summaries Example Calculation for On-Site Test For example, the total cost for an on-site DOT drug test would be: • On-Site Fee: $300.00 • DOT Drug Test: $50.00 • Administrative Fee: $10.00 • Total: $360.00 per on-site DOT drug test. Cost-Saving Options • Use Partner Collection Site: To reduce costs, Fresno County employees can utilize our partner collection site, located 1-25 miles from central County locations, at the standard$50 per test without the additional on-site fee. • Bulk Scheduling Discounts: Schedule multiple employees for testing at once to qualify for bulk discounts. Contact us for specific rates based on volume. No fee with collections of 30 or more. This structure provides cost-effective alternatives while ensuring flexible, high-quality service options for Fresno County's testing requirements. 11 6. Nao Medical Care Plan (Provided to all patients upon request and Data upload) THE NAO MEDICAL APPROACH/CARE PLAN Our 4-step healthcare delivery approach optimizes patient outcomes: • Thorough Patient Workup - Comprehensive assessments covering past medical history, medications, and social/family history. External medical record access and integration ensures we have all the information possible for all of our patients. • AI-Driven Risk Assessment and Action Plan-Advanced Al care teams classify each patient into a risk tier, providing a detailed risk assessment and personalized action plan. This is all delivered directly to the patient empowering them with their personalized care needs and motivating them to take action • Provider-Centered Preparation- our Al care team prepares providers pre visit with patient summaries, care gaps, and action items for focused, efficient care. These action items are prioritized to have the largest impact on patient long term health. • Closing Care Gaps and Patient Motivation- Providers concentrate on closing care gaps, scheduling recurring visits, and motivating patients to improve their health. 9:41 l 9:41 9:41 Hi Jerry, < Risk Your risk profile surpasses < Recommendations 50%of the population. j L4Personalized Health Strategies Increased Risks(1/6) July 25th,2024 Care Plan < You Have 2 Risk Factors For Hypertension Recommendation Progress 50% see Details 3 Recommendation Acted On 6 Total Recommendations Increased Risks(1/6) You Have 2 Risk Factors For Hypertension ' "Increased Risk": Hypertension � We recommend seeing your provider every See Details 2 weeks 2 Risk Factors: Increased Rtsks Average Risks Reduced Risks Primary Care ^ Family History " • This can help lower S risks. A family history of type 2 diabetes significantly i_. 55% 36% 9% y fj Hypertension Obesity t Stay on Track with Metformin Excess body weight is a strong risk factor for typ... Obesity Recommendation Progress 50% Reduce High Body Mass Index(BMI) •3 Recommendation Acted On 6 Total Recommendations 2 Recommendations: Men's Health v This can help lower 1 risks. Primary Care " We recommend seeing your provider every Primary Care can help regulate your High Body... 2 weeks Nut , Scroll Down v Nutrition This c Better Nutrit Scroll Down abetesto.. 0 Q G Risks Home Mitigate Risks Home Mitigate Risks Home Mitigate V==W 12 7. Background and Organization Number of Employees: 250+ Organizational Chart: Please review our attached Organizational Chart Recently completed similar size projects or contracts: On Site Testing and Exams/Drug and Alcohol Testing/Covid Testing: Donors Choose,NYC Department of Probation, ACS, Segal Family Foundation, Amtrak, NYC Parks and many other similar accounts. Medical License: Please see attached Medical Director License Years in Business: 12+ since April 2011 Legal Issues: Nao Medical has no potential or pending litigation that could adversely impact our company or our ability to provide the goods or services being sought in this RFP.Nao Medical has no ongoing, or concluded within the last 5 years, inquiries, warnings, findings, or investigations of any governmental body with our company. Nao Medical has no governmental investigations, recalls, withdrawals or safety alerts of any good or service offered our company within the United States within the last two years Background of Principles: Priti Jain M.D and Sandeep Jain M.D Founders of Nao Medical (Resumes upon request) doctors, won ff Where it all started While working long shifts as a doctor in the ER,Dr.Priti Jain saw that there was a huge gap developing between ., emergency care and primary care-and she decided - 1 something needed to change.Beginning as a small family- ' run company with big ambitions,Dr.Jain combined forces with her partner,Dr.Sandeep Jain.Together,they worked tirelessly,seeing patients while growing the business. Nao Medical was created to provide truly personal O healthcare and to be a resource to the local communities and residents it serves.Today Nao Medical operates across ten locations,has over 300 employees,and is a walk-in medical practice that bridges the gap between emergency and primary care.We continue to grow,expanding our f r� range of services to support even more people in all the ways we can. 1 13 8. References Department of Probation is a current and former client(on site- Medical services) Name Title Company Name Phone# Erna4 Elleen Parfrey Smith Agency Chief Cortracting Cif cer Department of 212-510-3790 easmlthoiNnrohation n4,nov Probation Yudelka Mendoza Deputy Director of Certifications The ACS 212-341-2560 oov Office of Humar Resources MichaelWag.ier Clrecter for Permanarcyfor Children'sAid 646.912.3709 michap4m'@childrensaidnyc.org Adoption and Poster Care Hariean A Dernis Sr.Vice President Family Foster Mercy First 718232.1500 hdenniskimercyfirst.om Care Programs x 2350 Deanna Tharpe Network Development manager Amtrak 512.439.3536 deannat@worksteps.com nao* medical on the go i'�,cai,irfrc of hcaltll�;it�� •is nao* • We currently offer On the Go visits Across Metro NYC �- and Nassau County • We have RV and medically stocked vans and cars ready to go • On the Go visits can be booked through the app, \` ; concierge, or by calling our call center -- _--. �- - • Our team can be on site in your location Nao! J 14 T h e jit tine Respect of healthcare is nao * - Clarity Thoughtfulness visit naomedical.com nao*medical Virtual Visits O ...a`Rawan O VaSR-C., I a AINwId0 Ce4 •. s6 m n—.1. 3 days ago liw © kWh Edda Figueroa ®w—B'y A PV ry © t r..ew .. e.nv. ��,�, ..••3aen a f.leenoRce erns lrw.,n. . wt. aCay age r,.` ;o�ldbw up •Hansel © Melvin Uybok "MNapa r.. ?no,...uqo a[w 3 oaY'�n •.. 3 earn ago r<w • JAQUELINAFANTUCI O Talaalu Cox O I�ieriew „r. ... 5 toM-,q-Evans t , 15 After Hours Service nao#medical ,ou..:.......... ui um. ..... , After Hours The care you need,when you need it ,i\t '� i If you need urgent attention from a medical provider, our After Hours team is available to help! nao*medical nao�medical Summary Why Nao Medical is the Best Choice for the City of Fresno: 1. Extensive Experience with Government Agencies • Nao Medical has a robust track record of working with state and local government agencies, including large-scale testing programs for public employees and other safety-sensitive roles. Our expertise with similar RFPs ensures that we understand the intricacies of government protocols, reporting needs, and compliance standards. • Our partnerships with agencies such as the NYC Department of Probation and the Administration for Children's Services highlight our ability to handle high-stakes testing with reliability and professionalism. 2. Full Regulatory Compliance and Certifications • Nao Medical's services are fully compliant with DOT regulations under CFR Title 49, Part 40, and Part 382, ensuring Fresno County's adherence to all federal drug and alcohol testing requirements. Our partnership with SAMHSA-certified labs further guarantees that all tests meet HHS standards. • We are HIPAA-compliant,protecting employee privacy through encrypted reporting channels and secure data management, meeting both federal and California-specific data security requirements. 3. Efficient and Reliable Mobile Testing Capabilities 16 • Our mobile testing units are designed to provide on-site services directly at Fresno County's remote locations. This reduces the logistical burden on the County by eliminating the need to transport employees to centralized testing sites. • With flexible scheduling, we can respond promptly to post-accident or reasonable suspicion testing needs outside standard hours, ensuring minimal disruption to County operations and meeting immediate compliance needs for incidents or other urgent testing requirements. 4. Advanced Data Management and Reporting Systems • Nao Medical offers a secure, online test management platform for real-time reporting and record-keeping. This system ensures Fresno County can access timely test results and comprehensive quarterly summaries, supporting seamless tracking and compliance management. • Our reporting structure aligns with Fresno County's need for quarterly and annual summaries, with immediate alerts for positive results, ensuring that all critical information is communicated promptly and securely. 5. Dedicated Local Presence and Support • Nao Medical provides a dedicated local testing facility within 15 miles of the County Plaza Building, offering convenience for employees and ensuring rapid access to services. • Our local account manager will serve as Fresno County's point of contact, handling all coordination, scheduling, and troubleshooting. This dedicated role allows for fast,personalized support, ensuring smooth operations and responsiveness to any evolving needs or challenges. 6. Commitment to Quality Control and Continuous Improvement • Nao Medical's quality assurance protocols, including regular audits, compliance checks, and ongoing staff training, ensure the highest standards of accuracy, integrity, and consistency across all testing services. • We welcome client feedback and incorporate it into our service model to continuously improve our processes and align with Fresno County's objectives, ensuring a proactive approach to meeting expectations and addressing issues. 7. Transparent and Predictable Cost Structure • Our quarterly invoicing system is transparent and includes detailed, itemized statements that align with Fresno County's budget and financial tracking needs. We focus on cost-efficiency without sacrificing service quality, making Nao Medical a valuable partner in both operational and financial terms. 8. Capacity for High-Volume Testing and Rapid Scale-Up 17 • With scalable resources and a fleet of mobile testing units,Nao Medical can easily manage the volume of testing Fresno County requires (80-100 drug tests and 30-50 alcohol tests annually) and quickly adapt to any increase in demand. • Our staffing model and network of certified technicians ensure we can provide adequate coverage across multiple sites simultaneously, maintaining service continuity and compliance across all 15 designated testing locations. In summary,Nao Medical's deep expertise, commitment to regulatory compliance, and comprehensive, client-focused approach make us the best choice for Fresno County's mobile drug and alcohol testing program. We offer not only the technical capacity but also the agility and local support structure to deliver reliable, high-quality services that will meet and exceed Fresno County's needs. Conclusion Nao Medical's nationwide network of major labs and medical partners, extensive experience, highly qualified team, comprehensive service offerings, and proven track record position us as the best choice for theCity of Fresno's Occupational Health Services contract. Our commitment to compliance, confidentiality, and client satisfaction ensures that we are the most qualified and capable provider to meet your needs. We look forward to the opportunity to serve theCity of Fresno and provide the highest standard of occupational health services. We look forward to the possibility of discussing this proposal in greater detail and to the opportunity to demonstrate our unparalleled commitment to quality care and client satisfaction in the occupational health sector.This comprehensive response is designed to convey Nao Medical's capabilities, readiness, and eagerness to meet and exceed the expectations ofCity of Fresno for their occupational health needs. Nao medical is the perfect partner for the City of Fresno . We are ready Nao! We are operational Nao! We can handle the volume Nao! We have an on-the-go team ready to serve your locations, we offer a full medical care team, we have a full IT and back-office support team, we have a call center in operation that can handle surges in all languages, We offer full service across Nutrition, Mental Health, Women's Health, Immigration Services,Urgent Care, Primary Care and Value Based Care. We appreciate the opportunity to submit this proposal. Thank you for your consideration. Nao Medical Team n Vt& Priti Jain MD CEO Nao Medical 516-695-7493 Pritina NaoMedical.com 18 9. Organization Chart Organizational Chart I -------------- I nao*medical ### Detailed Process Flow 1. Employee Selection and Scheduling 1. Employee Selection: o At the start of each quarter, Fresno County's Risk Management Division provides Nao Medical with a randomized list of employees requiring testing. o The list may include both DOT and non-DOT employees across various job functions, depending on program requirements. 2. Scheduling: o Nao Medical coordinates with County representatives to schedule testing at designated sites and times. o Flexible scheduling is available for post-accident, reasonable suspicion, and return-to-duty testing outside standard hours (6:00 a.m. - 6:00 p.m.) as needed. 2. Mobile and On-Site Testing Preparation 1. Site and Equipment Preparation: 19 o Mobile testing units are prepared with all necessary supplies, including tamper-evident collection kits, breathalyzer devices, chain-of-custody forms, and PPE for staff. o Testing supplies are verified for each location to ensure compliance with DOT and non-DOT standards. 2. Site Confirmation: o Nao Medical verifies testing sites (from the list of 15 designated locations or at the local facility within 15 miles of County Plaza). o Mobile units are dispatched to the specified sites, ensuring all necessary equipment and staff are on-site at the scheduled times. 3. Testing Process (Sample Collection) 1. Arrival and Verification: o Nao Medical's certified technicians arrive at the testing site and set up a secure, private testing area. o Each employee presents valid identification for verification against the randomized list. o The technician reviews the testing purpose (e.g.,pre-employment, post-accident, reasonable suspicion) to ensure the appropriate protocols are followed. 2. Sample Collection: o Urine Collection: For drug testing, samples are collected in tamper-evident, labeled containers. o Breath Alcohol Test: For alcohol testing, breathalyzer equipment is calibrated, and employees provide breath samples in a sterile environment. o The technician follows DOT chain-of-custody procedures to ensure sample integrity. 3. Documentation: o Detailed documentation, including date, time, location, and technician details, is recorded on the chain-of-custody form. o Any unusual circumstances (e.g., suspicion of tampering) are noted. 4. Sample Handling and Transport 1. Sealing and Packaging: o Collected samples are sealed immediately in tamper-evident bags, with chain-of-custody documentation attached to each sample. o Each sample is labeled with a unique identification number that corresponds to the employee's details on the County-provided list. 2. Secure Transportation: o Samples are transported within 24 hours (or by the next business day) to a SAMHSA-certified lab that meets HHS and DOT standards. o Nao Medical's transport protocols ensure samples remain sealed and tamper-free throughout transit. 5. Laboratory Analysis 1. Laboratory Processing: o The laboratory performs analysis according to HHS and CFR Title 49 standards, ensuring all drug and alcohol testing adheres to federal and state regulations. o Negative results are processed within 24-48 hours, while confirmed positive results follow additional verification. 2. Medical Review Officer (MRO) Evaluation: o If a test result is positive, the sample undergoes MRO review, where the MRO considers any potential medical explanations before confirmation. 20 o The MRO reports confirmed results, maintaining confidentiality and HIPAA compliance. 6. Reporting and Data Management 1. Result Reporting: o Test results are sent to Fresno County's Safety Officer and Risk Management Division through secure channels (online test management system or encrypted email). o Positive results are reported immediately to the Safety Officer, while other results are reported within 24-48 hours of receipt from the lab, ensuring no result takes longer than one week. 2. Quarterly and Annual Reports: o Nao Medical generates quarterly summaries of all tests conducted, including counts of negative and positive results, and provides detailed annual reports upon request. o Reports include employee IDs, test types, dates, and outcomes, supporting Fresno County's compliance tracking and record-keeping needs. 7. Billing and Invoicing 1. Quarterly Invoicing: o Nao Medical issues detailed invoices quarterly, 30 days after the close of each billing period. o Each invoice includes itemized services provided, ensuring transparency in cost management for Fresno County. 8. Quality Control and Compliance Checks 1. Quality Assurance Review: o Nao Medical performs regular quality control reviews to ensure compliance with federal, state, and County standards, including random audits of documentation and protocols. o Staff training and retraining are conducted regularly to maintain high standards in testing, documentation, and confidentiality. 2. Continuous Improvement and Client Feedback: o We work closely with Fresno County to gather feedback and refine our processes, addressing any issues promptly and adjusting procedures to meet evolving needs. o This partnership approach ensures Nao Medical provides consistent, high-quality testing services that align with the County's safety and compliance goals. 21 10. Medical License Priti Jain M.D (Supporting Providers & staff provided upon request) I SEE BACK FOR IMPORTANT INFORMATION The University of the State of New York Education Department 1 I� 0 Office of the Professions REGISTRATION CERTIFICATE Do not accept a copy of this certificate License Number: 235381-01 Certificate Number: 2617694 �w JAIN PRITI 232 W OLD COUNTRY RD HICKSVILLE NY 1 1 80 1-0000 is registered to practice in New York State through 02/28/2026 as a!nl PHYSICIAN 4 L LICENSEEiREG IS]RANT //—, OMMISSIO E OF EDUCATION R w F.XECC IVE SECRETARY DEPUTY COMMISSIONER / r� FOR THE. PROFESSIONS Fin,do( mirirt rs tiwhd only ij o has not etpired,rarer and address are correct,a ha.,not Geer raoyrered wah and i,an -3 nri,VU11•nw a copy.To rerlfi duu Mi.%reRicrration rerriTrare it wfid or for more information pleare tisit N'N'w,Op.neyedRo%,. 22 11. Qualifications and Client Experience Current Contracts Current Contract Contract Contract End Contract Title Agency Amount Start Date Date DRUG&ALCOHOL DEPARTMENT OF 20.000.00 04/11/2024 04/11/2024 TESTING SERVICES PROBATION Pre-Employment Medical NYC TAXI AND LIMOUSINE 83,160.00 12/08/2023 12/08/2024 Examination Services COMMISSION SAMHSA FORENSIC DEPARTMENT OF 1,000,000.00 04/04/2024 04/03/2027 TOXICOLOGY SANITATION 06823P0005-Drug, ADMINISTRATION FOR 699..870,00 11/01/2023 10/31/2025 Alcohol, Medical and CHILDREN'S SERVICES Fitress Testing State-mole Drug Testing NEW MEXICO TBD 07/01/2024 TBD DEPARTMENT OF HEALTH Drug Testing Statewide NY STATE POLICE TBD 10/01/2023 TBD 23 Past Contracts Current Contract Contract Contract End Contract Title Agency Amount Start Date Date Medical Screening ADMINISTRATION FOR 85;000.00 07/01/2022 10/31/2023 Amerdment#1 CHILDREN'S SERVICES tc provide the complete DEPARTMENT OF PARKS 1 DO,000.00 02/23/2023 02/22/2025 dreg and alcohol testirc AND RECREATION Pre Employment Medical DEPARTMENT OF 110,000.00 11/01/2022 10/31/2023 Testing M;^JBE SF PROBATION Pre-Employment Drug ADMINISTRATION FOR 250,000.00 09/01/2022 10/31/2023 anc Alcohol Testing CHILDREN'S SERVICES Medical Screening ADMINISTRATION FOR 335,000.00 07/01/2022 10/31/2023 CHILDREN'S SERVICES Administration of COVID- DEPARTMENT OF r-EALTrl 7,500,000.00 10/01/2020 06/30/2021 19 vaccine and seasonal AND MENTAL HYGIENE D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol Annex88 testing,w/c injury care A Check Global testing,w/c injury care D.O.T.physicals,drug and breath alcohol Area Storage&Transfer Inc. testing,w/c injury care A&E Containers Workers Comp and Drug Testing D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol Area Wide Protective("AWP") testing,w/c injury care A24 testing,w/c injury care Arrow Transfer&Storage Inc D.O.T.physicals ABC News Covid Testing D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol Art Department/JS Reps Corp. testing,w/c injury care ABM Aviation testing,w/c injury care D.O.T.physicals,drug and breath alcohol Above All Store Fronts Inc. Covid testing&Physicals Astoria Generating Company testing,w/c injury care ACS(Administration of Children's Autel Covid testing Services) Drug screening&Physicals D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol Auto Chlor testing,w/c injury care Action Ambulette Inc. testing,w/c injury care D.O.T.physicals,drug and breath alcohol Adapthealth,LLC TPA AVA Companies testing,w/c injury care D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol BDG Media,Inc testing,w/c injury care Airseal Insulation Systems testing,w/c injury care D.O.T.physicals,drug and breath alcohol Bedford Stuyvesant New Charter COVID testing Ali Forney Center testing,w/c injury care Benchmark Quality Senior Living D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol (Orchard) testing,w/c injury care Align Pictures testing,w/c injury care All American School B'us- D.O.T.physicals,drug and breath alcohol Berkshire Farms Drug testing and Physicals "EMPLOYEE PAYS" testing,w/c injury care Big Fish Covid testing D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol All Foods Inc. testing,w/c injury care BinderyNYC testing,w/c injury care D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol Amark Express Services,Inc. testing,w/c injury care BiolVT testing,w/c injury care Amazon Drug Screening&Physicals D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol Bodega Pictures,LLC testing,w/c injury care American Christmas testing,w/c injury care BookClub COVID testing 24 D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol BookClub testing,w/c injury care Efficiency Enterprises testing D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol Brilliant Air LLC testing,w/c injury care Electric Lady Studios testing,w/c injury care Drug testing,physicals and breath alcohol D.O.T.physicals,drug and breath alcohol Briotix testing Eminent Consulting LLC testing,w/c injury care D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol Bryght Young Things testing,w/c injury care EMPIRE testing,w/c injury care Canteen Vending-Compass D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol Group testing,w/c injury care Encore testing,w/c injury care Capri Holdings Limited Covid Testing D.O.T.physicals,drug and breath alcohol Entropico testing,w/c injury care D.O.T.physicals,drug and breath alcohol European Granite&Marble D.O.T.physicals,drug and breath alcohol Casey Creative Group testing,w/c injury care Group,Inc. testing,w/c injury care D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol Caso Inc. testing,w/c injury care Eventure Production LLC testing,w/c injury care D.O.T.physicals,drug and breath alcohol Centerbridge Partners,L.P. testing,w/c injury care Evershource-HR Staffing Physicals,injury care Central 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Covid Testing D.O.T.physicals,drug and breath D.O.T.physicals,drug and breath Mary Pomilla(Multi Project Based) alcohol testing,w/c injury care Juice Press NYC alcohol testing,w/c injury care D.O.T.physicals,drug and breath D.O.T.physicals,drug and breath Men On The Move alcohol testing,w/c injury care Junk Luggers alcohol testing,w/c injury care D.O.T.physicals,drug and breath D.O.T.physicals,drug and breath Mercy First alcohol testing,w/c injury care KEURIG/DR.PEPPER alcohol testing,w/c injury care D.O.T.physicals,drug and breath Koukla Productions,LLC-DBA D.O.T.physicals,drug and breath Merola Tile alcohol testing,w/c injury care FLASH RAPID TESTING alcohol testing,w/c injury care Michael Kors Covid testing Kozy Shack Brand Injury care Midland Steel Workers Comp and Drug Testing D.O.T.physicals,drug and breath Kozy Shack Brand(Land 0"Lakes) alcohol testing,w/c injury care Oyster Rides TLC Physical Modern Marvels Covid testing D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol Park Pictures testing,w/c injury care Molloy Bros Moving and Storage testing,w/c injury care D.O.T.physicals,drug and breath alcohol Monadnock Construction Inc w/c,COVID testing Pepsi testing,w/c injury care D.O.T.physicals,drug and breath alcohol Pioneer Meat Injury care Mr.Hand Truck testing,w/c injury care Pitney Bowes/Vertical Screen, D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol Inc. testing,w/c injury care National Aerospace Solutions testing,w/c injury care D.O.T.physicals,drug and breath alcohol NATIONAL WASTE SERVICES Workers Comp and Drug Testing FIX PRODUCTIONS testing,w/c injury care Physicals,drug and breath alcohol testing, PnP Automotive Workers Comp and Drug Testing Navitas Healthcare LLC. w/c injury care D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol Polsinello Fuels Inc. testing,w/c injury care Nebraskaland testing,w/c injury care D.O.T.physicals,drug and breath alcohol Netflix Covid testing Pony Education testing,w/c injury care D.O.T.physicals,drug and breath alcohol Precision Environmental Inc. Respiratory fit Testing New York Blood Center testing,w/c injury care D.O.T.physicals,drug and breath alcohol New York Foundation for Senior D.O.T.physicals,drug and breath alcohol Precision Pipeline Solutions testing,w/c injury care Citizens testing,w/c injury care D.O.T.physicals,drug and breath alcohol New York Housing Authority W/C Injury care Preferred Home Care of NY testing,w/c injury care D.O.T.physicals,drug and breath alcohol Norwegian Cruise Line Physicals,drug and Stool testing PrimeFlight Aviation Services testing,w/c injury care D.O.T.physicals,drug and breath alcohol Nouveau Elevator w/c,D.O.T.,Covid testing Propark America New York,LLC testing,w/c injury care NY Lottery Covid testing PSEG(Corporate Health Extensive physicals,injury care, NYC Department of Probation Resources) Respiratory fit test Drug testing (Covid Testing) Covid testing D.O.T.physicals,drug and breath alcohol NYC Department of Probation Pure Air testing,w/c injury care (Physicals) Physicals Pure Medical Staffing(email D.O.T.physicals,drug and breath alcohol invoice) testing,w/c injury care Omni Bridges COVID testing D.O.T.physicals,drug and breath alcohol Quality Metal Workers Comp and Drug Testing Osmos Utilities testing,w/c injury care D.O.T.physicals,drug and breath alcohol Queens and Main testing,w/c injury care 26 D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol Queens Driving School testing,w/c injury care United Ag&Turf NE testing,w/c injury care Railroad Construction Work injury Evaluation UnitedHealth Group Physicals Reliant Transportation Workers Comp and Drug Testing. Universal Background Screening (AAA) Physicals drug testing Reyes-HB-Harriman-42 Drug Testing D.O.T.physicals,drug and breath alcohol UPS testing,w/c injury care Riverbay Corporation Variety D.O.T.physicals,drug and breath alcohol Urban Assembly Charter School Covid Testing Riverbay Corporation testing,w/c injury care D.O.T.physicals,drug and breath alcohol V 0 Montalvan Fence testing,w/c injury care Robert Louis Stevenson School COVID testing Rochdale Early Advantage Very Rare Productions Covid testing Charter School COVID testing Vice Covid Testing RRI Personnel Solutions Drug Testing Village Green A Carlisle D.O.T.physicals,drug and breath alcohol Community testing,w/c injury care Scheme Engine Covid testing D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol VLM Productions,LLC testing,w/c injury care Scialli&Sons Inc. testing,w/c injury care D.O.T.physicals,drug and breath alcohol Scrap King Workers Comp and Drug Testing W.B.Mason Company testing,w/c injury care Segal Family Foundation Covid Testing Walt Disney Studios Covid Testing D.O.T.physicals,drug and breath alcohol Sid Wainer&Son Drug Testing Waste Management testing,w/c injury care Six West Covid Testing D.O.T.physicals,drug and breath alcohol Water Lilies Fine Asian Cuisine testing,w/c injury care Solace Films Covid Testing D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol testing,w/c injury care SPX Cooling Technologies,Inc. testing,w/c injury care WB Mason Company D.O.T.physicals,drug and breath alcohol Steinway&Sons testing,w/c injury care D.O.T.physicals,drug and breath alcohol We are Good Company COVID testing Sterling Floor Designs testing,w/c injury care Westside Foods Workers Comp and Drug Testing D.O.T.physicals,drug and breath alcohol Studio 6 testing,w/c injury care White Glove Staffing Extensive physicals,injury care D.O.T.physicals,drug and breath alcohol D.O.T.physicals,drug and breath alcohol Superluminal Films testing,w/c injury care Winter Brothers testing,w/c injury care D.O.T.physicals,drug and breath alcohol WW(Weight Watchers) Covid Testing Swissport North America testing,w/c injury care D.O.T.physicals,drug and breath alcohol Teq testing,w/c injury care the American Dream School COVID testing The Hallen Construction D.O.T.physicals,drug and breath alcohol Company,Inc. testing,w/c injury care D.O.T.physicals,drug and breath alcohol The Light testing,w/c injury care The New York Times Workers Comp Times Square Church Covid testing Tony's Fish&Seafood Corporation Workers Comp and Drug Testing Total Transportation Workers Comp and Drug Testing Town of Hempstead Injury care,physicals drug screens D.O.T.physicals,drug and breath alcohol Triad Group LLC testing,w/c injury care D.O.T.physicals,drug and breath alcohol TRU FILMS testing,w/c injury care D.O.T.physicals,drug and breath alcohol UFCW Local 464A testing,w/c injury care Union Beer Distributors Workers Comp and Drug Testing D.O.T.physicals,drug and breath alcohol Unit9 testing,w/c injury care 27 Quotation No. 25-019 Page 13 BIDDER TO COMPLETE THE FOLLOWING: PARTICIPATION The County of Fresno is a member of the Central Valley Purchasing Group. This group consists of Fresno, Kern, Kings, and Tulare Counties and all governmental, tax supported agencies within these counties. Whenever possible, these and other tax supported agencies co-op (piggyback)on contracts put in place by one of the other agencies. Any agency choosing to avail itself of this opportunity, will make purchases in their own name, make payment directly to the contractor, be liable to the contractor and vice versa, per the terms of the original contract, all the while holding the County of Fresno harmless. If awarded this contract, please indicate whether you would extend the same terms and conditions to all tax supported agencies within this group as you are proposing to extend to Fresno County. 7 Yes, we will extend contract terms and conditions to all qualified agencies within the Central Valley Purchasing Group and other tax supported agencies. No, we will not extend contract terms to any agency other than the County of Fresno. (Authorized Signature) CEO Title 25-019 Mobile Drug and Alcohol Testing Quotation No. 25-019 Page 17 BIDDER QUESTIONNAIRE BIDDERS SHALL RESPOND TO ALL OF THE FOLLOWING QUESTIONS: Numberlof years your firm has been in business: 13 years Number of people employed full time: 100 Part time: List any professional associations to which your firm belongs. MWBE NYC - WBENC - Urgent Care Association - MWBE MTA List any license or certification held by Contractor or employees in your firm and attach to bid response. CEO Dr Priti's Medical License CILIA Certificates of Labs Describe your firm's experience in conducting Department of Transportation (D.O.T.) Drug & Alcohol Testing. Attached Separately - DOT Drug and Alcohol Experience Describe your firm's process and how the mobile testing will be accomplished, and who will perform the testing. Attached Separately - Mobile Testing Service and Process Does your firm charge for "no-show" and for waiting time in excess of one hour? (Explain your policy for no-show and explain advance notice time frame as well as wait time.) Attached Separately - No show and waiting policy and multiple tests 25-019 Mobile Drug and Alcohol Testing Quotation No. 25-019 Page 18 If multiple tests are scheduled for a given site and if one of the employees does not show for the test, will there still be a no- show fee for that employee? Attached Separately- No show and waiting policy and multiple tests If we are able to get the employee that missed the test to another schedule site, will there still be a no-show fee or any other fee that is in addition to the cost of obtaining and processing the test? If we are able to accomodate them within the same schedule then no 'no show' fee If one of the scheduled locations does not have access to a restroom, does the vendor have a mobile restroom that can be used on site? Attached Separately- Mobile Testing and Services What hours are your location hours? After regular hours availability for testing? Attached Separately - Location Hours and After hours 25-019 Mobile Drug and Alcohol Testing na0* medical naomedical.com Nao Medical DOT Drug and Alcohol Testing Experience 1. DOT-Compliant Testing Services o Comprehensive DOT testing offerings: pre-employment, random, post-accident, reasonable suspicion, and return-to-duty testing. o Testing conducted per 49 CFR Part 40 standards, ensuring adherence to federal regulations. 2. Certified and Accredited Personnel o Certified Breath Alcohol Technicians (BATs) for alcohol testing. o SAMHSA-certified lab partnerships for substance testing. o Dedicated Medical Review Officers (MROs) to confirm and validate test results. 3. Chain of Custody and Compliance o Secure chain of custody protocols to maintain sample integrity from collection to lab delivery. 0 24/7 collection site availability and mobile unit support to accommodate after-hours and on-demand testing needs. o Detailed chain of custody documentation with secure, tamper-evident packaging. 4. Flexible Collection and Reporting Capabilities o On-site and remote collection options available at client locations, mobile units, and fixed sites. o Real-time tracking and access to test results through a secure employer portal. o Detailed and customizable reports for compliance tracking and audit readiness. 5. Support Infrastructure and Client Services Statcare Urgent&Walk-In Medical Care DBA Nao Medical nao*medical naomedical.com 0 24/7 call center and support team for rapid response to client inquiries and emergencies. o Dedicated account management team for individualized client support, training, and consultation. o Robust billing system with transparent invoicing, customizable to align with each client's requirements. 6. Trusted Track Record and Proven Success o Serving government and corporate clients, including NYC Department of Probation and various public and private transportation agencies. o Extensive experience with high-volume testing programs and compliance management. 7. Technological Advantage and Data Security o Secure digital access for client testing schedules and results, accessible through our dedicated app and website. o Compliance with HIPAA, GDPR, and industry security standards to protect client data. 8. Commitment to Quality and Continuous Improvement o Regular internal audits and quality assurance reviews. o Quarterly compliance reports and satisfaction surveys to enhance service delivery and ensure regulatory adherence. This checklist reflects Nao Medical's comprehensive experience and capabilities in DOT drug and alcohol testing, highlighting our readiness to meet the specific needs of any organization or agency under DOT regulatory standards Statcare Urgent&Walk-In Medical Care DBA Nao Medical 2 naw- medical naomedical.com Nao Medical's Mobile Testing Process 1. Scheduling and Coordination o Appointment Scheduling: Clients can schedule mobile testing services through our 24/7 call centre, our website, or our mobile app. Our concierge service team coordinates with clients to select a time and location that minimises disruption to their operations. o Pre-Testing Preparation: Prior to the scheduled appointment, our team confirms the details with the client, including the number of employees to be tested, type of tests (e.g., DOT drug, alcohol, random, or reasonable suspicion), and any specific client requirements. 2. On-Site Setup and Sample Collection o Mobile Unit Arrival: Our mobile testing units arrive at the client's location with all necessary equipment and testing supplies, including breath alcohol testing (EBT) devices, urine collection materials, and secure chain of custody forms. o Privacy and Compliance: The setup ensures privacy for each test conducted, maintaining compliance with 49 CFR Part 40 regulations. Each mobile unit is designed to create a confidential testing environment. o Sample Collection: Trained and certified collection specialists perform each drug and alcohol test according to DOT standards. The collector verifies the identity of each individual, initiates chain of custody protocols, and documents the sample collection, ensuring tamper-evident packaging. 3. Chain of Custody and Secure Transportation Statcare Urgent&Walk-In Medical Care DBA Nao Medical na0* medical naomedical.com o Secure Packaging: After sample collection, specimens are immediately sealed in tamper-evident containers with a unique identifier and required documentation. o Transportation to Lab: Specimens are then transported securely to a SAMHSA-certified laboratory for analysis. All transportation follows a strict chain of custody procedures, and tracking is maintained to ensure sample integrity. 4. Laboratory Analysis and Reporting o Lab Testing: The SAMHSA-certified lab conducts drug and alcohol analyses according to DOT regulations, and results are reviewed by a certified Medical Review Officer (MRO) to confirm accuracy and compliance. o Results Reporting: Clients receive results through our secure employer portal within 24-72 hours of testing, depending on the type of test. For immediate needs, preliminary results for certain tests (e.g., breath alcohol) are available within hours. 5. Follow-Up and Client Support o Result Clarifications and MRO Services: If any results are positive, our MRO contacts the employee to verify potential valid explanations and reviews supporting documentation. The MRO then provides final results and informs the client of compliance and further action steps if needed. o Client Support and Documentation: After testing, our team is available to support clients with any questions, additional reporting needs, or regulatory documentation. Who Will Perform the Testing Statcare Urgent&Walk-In Medical Care DBA Nao Medical 2 na0* medical naomedical.com • Certified Collection Specialists: Each mobile testing session is conducted by certified collectors who have completed DOT-compliant training for drug and alcohol testing. They are skilled in handling both routine and sensitive situations, ensuring adherence to all regulatory and chain of custody protocols. • Breath Alcohol Technicians (BATs): Certified BATs perform all alcohol tests, using DOT-approved evidential breath testing (EBT) devices for accurate results. • Medical Review Officers (MROs): MROs oversee result verification, follow-ups on positive results, and compliance documentation, ensuring accuracy in reporting. Our mobile testing services provide clients with the convenience of on-site testing, allowing for efficient and compliant testing without disrupting the work environment. By handling logistics, compliance, and reporting in-house, Nao Medical ensures a seamless, reliable, and professional experience for all clients. Nao Medical can arrange for a mobile restroom facility for on-site testing at locations without restroom access. However, this service would incur an additional fee to cover rental and setup costs. In our experience, the cost of a mobile restroom often outweighs the convenience, and it may be more practical to coordinate with nearby facilities for restroom access when possible. We are happy to discuss the best approach to meet your site's needs while keeping additional costs manageable. Statcare Urgent&Walk-In Medical Care DBA Nao Medical 3 na0* medical naomedical.com Nao Medical has a structured policy for no-show and waiting time charges, designed to meet both client needs and industry standards. These charges are implemented solely to cover the costs associated with resource allocation and staffing and are required by some of our key partners to maintain service standards. We do not use these fees as a profit center, but rather as a way to ensure fair and efficient service delivery to all clients. No-Show Policy • Advance Notice Requirement: We require a minimum of 24 hours' notice for cancellations or rescheduling to avoid no-show charges. This allows us to manage staffing and resources effectively without unnecessary costs to our clients. • No-Show Charge: If an employee does not appear for a scheduled test without prior notice, a no-show fee will apply. This fee is calculated as a flat rate per scheduled employee and is included in our cost proposal. The fee covers the reserved resources, including staff time and logistical preparations, ensuring that the client only incurs a cost for the time dedicated to their service needs. Waiting Time Policy • One-Hour Grace Period: Nao Medical provides a one-hour grace period on-site to account for any minor delays or unexpected circumstances on the client's side. During this time, our team is on standby at no additional charge. • Excess Waiting Time Charge: If waiting time exceeds one hour, a waiting time fee will be applied on an hourly basis. This fee compensates for the additional time our team remains on standby, Statcare Urgent&Walk-In Medical Care DBA Nao Medical nao*medical naomedical.com ensuring resources are effectively managed while allowing us to meet the service commitments to all clients. • Advance Notice for Anticipated Delays: If the client anticipates a delay in employee availability, we encourage them to notify us in advance. This communication helps us make any necessary adjustments and may allow us to avoid or reduce waiting time charges. These policies are part of our commitment to fair and transparent billing practices, meeting partner requirements, and maintaining high standards in service delivery. By covering only the operational costs of our no-show and waiting time services, we support efficient scheduling and resource use without imposing additional financial burden on our clients. If multiple tests are scheduled at a given site and one of the employees does not show for their test, a no-show fee of$300 for that specific employee will generally apply, as resources—including time, staffing, and logistics—are allocated based on the expected number of tests. However, Nao Medical is open to collaborating with clients to explore ways to minimise or eliminate no-show fees through efficient scheduling and communication. We will not charge a no show fee if there are over 15 candidates scheduled and one doesn't show up. We have structured our pricing to be as competitive as possible, leveraging multiple labs and collection sites with varying cost structures. This approach helps keep testing costs low but leaves limited flexibility to absorb the costs associated with no-shows. By working together, we can develop a scheduling and notification plan tailored to your organisation's needs to reduce or avoid these fees where possible, ensuring efficient use of resources while maintaining cost-effective service. Statcare Urgent&Walk-In Medical Care DBA Nao Medical 2 naw- medical naomedical.com Nao Medical's locations generally operate during the following hours: • Monday to Friday: 7:30 am - 7:00 pm • Saturday and Sunday: 9:00 am - 3:00 pm For after-hours testing, including evenings and weekends, we offer flexible options to accommodate urgent testing needs, such as post-accident or reasonable suspicion cases. We encourage clients to coordinate after-hours needs through our 2417 concierge center, which is available to assist with scheduling and logistical arrangements. Our concierge team will work with you to identify the most suitable site and hours, as availability may vary based on the specific testing location. Advance notice is recommended for after-hours scheduling to ensure appropriate staffing. Additional fees may apply for after-hours services to cover extended operational requirements. Please refer to our proposal for further details on after-hours services, or reach out to our concierge team for immediate assistance in arranging these services. Statcare Urgent&Walk-In Medical Care DBA Nao Medical Quotation No. 25-019 Page 19 QUOTATION SCHEDULE Please ensure to factor all costs throughout the contract term. Also factor Labor Wage increases as well as potential future raw material cost increases. The County will not accept price increases during the initial three-year term of the contract. Price quotes for Department of Transportation (D.O.T.) approved/certified test services only. Quote should include services of a Certified HHS laboratory. All quotes for services shall include labor, materials, equipment, lab costs, taxes, etc., to provide drug and alcohol testing. Item Description Est. Unit Price Extended Quantity Price 1. Controlled Substances Testing- DOT w/MRO 100 $ 360 $ 36000 Certification 2. Controlled Substances Testing- non-DOT N/A $ 360 $ w/M RO 3. Breath Alcohol Testing Screen 50 $ 360 $ 1800 4. Alcohol Testing in Conjunction with Urine 20 $ 360 $ 7200 Collection 5. Discount on Multiple Tests given on site N/A* $ in proposal $ 6. Waiting charge in excess of one (1) hour N/A* $ $200 $ (Payable in 15 minute increments) 7. No Show Fee (appointment not cancelled in a N/A* $ $300 $ timely manner) 8. Split sample Confirmation Tests (Re: B sample) N/A* $ $60 $ 9. Charge if portable restroom needed N/A* $ None $ *N/A: No est. quantity available. 25-019 Mobile Drug and Alcohol Testing Quotation No. 25-019 Page 20 CHECK LIST This Checklist is provided to assist the vendors in the preparation of their bid response. Included in this list, are important requirements and is the responsibility of the bidder to submit with the bid package in order to make the bid compliant. Because this checklist is just a guideline, the bidder must read and comply with the bid in its entirety. Check off each of the following: 1. V The Request for Quotation (RFQ) has been signed and completed. 2. Addenda, if any, have been signed and included in the bid package. 3. V The completed Reference List as provided with this RFQ. 4. The completed Bidder Questionnaire page as provided with this RFQ. 5. V The Quotation Schedule as provided with this RFQ has been completed, price reviewed for accuracy and any corrections initialed. 6. V Indicate all of bidder exceptions to the County's requirements, conditions and specifications as stated within this RFQ. 7. The Participation page as provided within this RFQ has been signed and included 8. The Local Vendor Bid Preference and Disabled Veteran Business Enterprise Bid Preference section (if applicable) has been signed and included. 9. V Return checklist with RFQ response. 10. Completed RFQ in pdf format, electronically submitted to the Bid Page on Public Purchase. 25-019 Mobile Drug and Alcohol Testing CENTERS FOR MEDICARE&MEDICAID SERVICES • CLINICAL LABORATORY IMPROVEMENT AMENDMENTS • CLRTIFIC.-ITE 0FACCREDITAT10A' LABORATORY NAME AND ADDRESS CLIA 1D NUMBER QUEST DIAGNOSTICS NICHOLS INSTITUTE 05DO643352 • 33608 ORTEGA HIGHWAY SAN JUAN CAPISTRANO, CA 92675 EFFECTIVE DATE 02/28/2023 • , ' LABORATORY DIRECTOR EXPIRATION DATE ' IRINA MARAMICA M.D. 02/27/2025 • Pursuant to Section 353 of the Public Hu-dth Services Act(42 U.S.C.263a)as revised by the Clinical Laboratory Improrrment Amendments(CLIA), • the above named laboratory locoed at the address shown hereon(and other approved locations)may-accept human specimens for the purposes of perfomiing laboratory examinations or procedures. This certificate shall be-.-.did until the expiration date above,but is subject to newcation,suspension,limitation,or other sanctions for violation of the Act or the regulations promulgated thmunder. • Moni ue Spruill,Director • Division of Clinical Laboratory Improvement Lie Quality Quality&Safety Oversight Group asn�s roReuuirwuauru,umvmcrs Center for Clinical Standards and Quality 1037 Certs2_013123 If you currently hold a Certificate of Compliance or Certificate of Accreditation,below is a list of the laboratory specialties/subspecialties you are certified to perform and their effective date: LAB CERTIFICATION(CODE) EFFECTIVE.DATE LAB CERTIFICATION(CODE) EFFECTIVE DATE HISTOCOMPATIBILTY(010) 03/22/2000 HSTOPATHOLOGY(610) 02/05/2004 BACTERIOLOGY 010) 02/14/2020 TYTOGENETICS(900) 07/25/1995 MYCOBACTERIOLOGY(115) 01/10/2022 MYCOLOGY(120) 01/10/2022 PARASITOLOGY(130) 01/10/2022 VIROLOGY(140) 01/10/2022 SYPHILIS SEROLOGY(210) 01/10/2022 GENERAL IMMUNOLOGY(220) 07/25/1995 ROUTINE CHEMISTRY(310) 07/25/1995 URINALYSIS(320) 11/05/2018 ENDOCRINOLOGY(330) 03/29/2003 TOXICOLOGY(340) 03/29/2003 HEMATOLOGY(400) 07/25/1995 FOR MORE INFORMATION ABOUT CLIA,VISIT OUR WEBSITE AT\V\VW CMS.GOV/CLIA OR CONTACT YOUR LOCAL STATE.AGENCY.PLEASE SEE THE REVERSE FOR YOUR STATE AGENCY'S ADDRESS AND PHONE NUMBER. PLEASE CONTACT YOUR STATE AGENCY FOR ANY CHANGES TO YOUR CURRENT CERTIFICAI'E. CENTERS FOR MEDICARE&MEDICAID SERVICES CLINICAL LABORATORY IMPROVEMENT AMENDMENTS CERTIFICATE OF A CCREDITA TION LABORATORY NAME AND ADDRESS CLIA ID NUMBER CLINICAL REFERENCE LABORATORY-TOXICO 17D2005163 • 8433 QUIVIRA ROAD LENEXA, KS 66215 EFFECTIVE DATE 04/25/2024 + LABORATORY DIRECTOR EXPIRATION DATE ' DAVID J KUNTZ Ph.D. 04/24/2026 Pursuant to Section 353 of the Public Health Services Act(42 U.S.C.263a)as revised by the Clinical Laboratory Improvement Amendments(CLIA), the above named laboratory located at the address shown hereon(and other approved locations)may accept human specimens for the purposes of performing laboratory examinations or procedures. This certificate shalt be valid until the expiration date above,but is subject to revocation,suspension,limitation,or other sanctions for violation of the Act or the regulations promulgated thereunder. Moni ue ur Spruill,Director Division of Clinical Laboratory Improvement&Quality FEEVI"�/ � Quality&Safety Oversight Group CENTERS FOP,MEDICARE&MEDICAID SERVICES Center for Clinical Standards and Quality 200 Certs2 032624 If you currently hold a Certificate of Compliance or Certificate of Accreditation,below is a list of the laboratory specialties/subspecialties you are certified to perform and their effective date: LAB CERTIFICATION(CODE) EFFECTIVE DATE LAB CERTIFICATION(CODE) EFFECTIVE DATE TOXICOLOGY(340) 04/25/2012 FOR MORE INFORMATION ABOUT CLIA,VISIT OUR WEBSITE AT WWW.CMS.GOV/CLIA OR CONTACT YOUR LOCAL STATE AGENCY.PLEASE SEE THE REVERSE FOR YOUR STATE AGENCY'S ADDRESS AND PHONE NUMBER. PLEASE CONTACT YOUR STATE AGENCY FOR ANY CHANGES TO YOUR CURRENT CERTIFICATE. CILIA ID Number: 17132005163 CLINICAL REFERENCE LABORATORY-TOXICO 8433 QUIVIRA ROAD LENEXA, KS 66215 STATE AGENCY ADDRESS AND PHONE NUMBER: KANSAS DEPARTMENT OF HEALTH & ENVIRONMENT CLIA LABORATORY CERTIFICATION 6810 SE DWIGHT STREET TOPEKA, KS 66620-0001 (785)296-8634 LABORATORY MAILING ADDRESS: IV r • CWH CLINICAL AND PUBLIC HEALTH Gli(ornia n<parrmenr of FORN�' PublickeaRh LABORATORY LICENSE In accordance with the provisions of Chapter 3,Division 2 of the Business and Professions Code,the persons named below are hereby issued a license authorizing operation of a clinical laboratory at the indicated address. CLINICAL REFERENCE LABORATORY, INC. CRL 8433 QUIVIRA RD, LENEXA, KS 66215-2802 p p STATE ID: C D S-0 0 8 0 0111 LICENSE TYPE: SCAN OR CODE TOVERIFYLICENSE CLINICAL LABORATORY LICENSE r + OR VISIT.•www.cdph.ca.gov/LFS �.t EFFECTIVE DATE: 08/20/2024 CERTIFICATE OF DEEMED STATUS EXPIRATION DATE:08/19/2025 OWNER/S: DIRECTORS: MERRIMAN,MICHAEL SHAWN R CLINTON PHD SOTOS,MARYBETH CLINICAL REFERENCE LABORATORY,INC. DISPLAY:State law requires that the clinical laboratory license shall be conspicuously posted in the clinical laboratory. CHANGE OF LABORATORY NAME,DIRECTOR,OWNER AND/OR ADDRESS: State law requires that the laboratory owner and/or the director notify this office within 30 days of any change in ownership,name,location,or laboratory directors. If this office is not notified,your license may be revoked 30 days after major Owner and/or Director change. If your license is revoked,you must cease engaging in clinical laboratory practice and apply for a new laboratory license. To make these changes or to submit anew application,visit our website: hftps://www.cdph.ca.goviLFS(Go to Laboratory Facilities) ROBEFkt J.THOMAS BRANCH CHIEF LABORATORY FIELD SERVICES LAB CERT 300(02-2022) I�'1 K�^.�-d" ,q,�^`,+Lf R;,,F �'�' ��T4�� �`-�`-�, .�,.A��.,—�.�.• -��-y�i �J,,��-�-� -'��"?+,. -w -.''"'tt,A F 4 `V,v ��a„, 64. 'r'' -'fit+i_: 'y "+tEwy �+�"�'�. d•�A'� �+["'�S" 4i � `v r> CENTERS FOR MEDICARE&MEDICAID SERVICES CLINICAL LABORATORY IMPROVEMENT AMENDMENTS f CERTIFICATE OFACCREDIT,-17 IO[V I 1 LABORATORY NAME AND ADDRESS CLIA ID NUMBER ESOTERIX-INC 05DO663070 e 4301 LOST HILLS ROAD CALABASAS HILLS, CA 91301-5358 EFFECTIVE DATE 02/16/2023 4 e LABORATORY DIRECTOR EXPIRATION DATE o BRIAN POIRIER M.D. 02/15/2025 Pursuant to Section 353 of the Public Health Services Act(42 U.S.C.263a)as revised by the Clinical Laboratory Improvement Amendments(CLIA), 6 the above named laboratory located at the address shown hereon(and other approved locations)may accept human specimens for the purposes of performing laboratory examinations or procedures. This certificate shall be valid until the Expiration date above,but is subject to revocation,suspension,limitation,or other sanctions for violation of the Act or the regulations promulgated thereunder. Moni ue S lill,Director Division of Clinical Laboratory Improvement&Quality Quality&Safety Oversight Group CENIr15 FOR Mf01GREi MEDICAIDSERVICis Center for Clinical Standards and Quality 238 Certs2 011723 If you currently hold a Certificate of Compliance or Certificate of Accreditation,below is a list of the laboratory specialties/subspecialties you are certified to perform and their effective date: LAB CERTIFICATION(CODE) EFFECTIVE DATE LAB CERTIFICATION(CODE) EFFECTIVE DATE GENERAL IMMUNOLOGY(220) 02/16/2001 ROUTINE CHEMISTRY(310) 02/16/2001 ENDOCRINOLOGY(330) 02/16/2001 TOXICOLOGY(340) 04/06/2012 FOR MORE INFORMATION ABOUT CLIA,VISIT OUR WEBSITE AT WWW.CMS.GOV/CLIA OR CONTACT YOUR LOCAL STATE AGENCY.PLEASE SEE THE REVERSE FOR YOUR STATE AGENCY'S ADDRESS AND PHONE NUMBER. PLEASE CONTACT YOUR STATE AGENCY FOR ANY CHANGES TO YOUR CURRENT CERTIFICATE. m n o �✓. 0 N � 0 N. ._ �y v •\i (D a � t N m m 00)cn CD n 0 m -� x OD - m p -p -n `� 1� a o 0 ID a o o n yNmo o° ` o C °m '- CD m d `° �• 1�1 a tCD f w Z Z c�hl❑ CD o m a = = O m a a~ m a cft =o cr n L� CfJ -D-1 m n c m o m m a n y o = M co r CD D) 0 0 0 �"' O a•� D' im N � O �� ID D w ego �'rn 7p o .,0 vyciop � k D � vmm � =. 1 c�ii rn r P Q � � .. vram ° O °' c7 O > O � co w da D ni m c ( O �DD _Z� N oncnpO0Om o o Z CI) m Oma ,N :No a6.m 0mm o a<' : v (nm m0 manoOm � � �x oo T 01 < rs Xt --� 7 Cn m CD > o z o m e m Zrm _ o'K.D a [ l w- m 1 � n =r a O n 0..:.O m s 0 m =I ra:.p Q a a o m < O= O Ena M -n o .7pJ a m �^ n (� ,y In m = .Z :m D m -• rm ca D aQC lrlr A a@ m o CD T �U3 o. v m m i -m o am m o a m n rn. y 7 (p N ti o O p n n.. C m S tia ` !)CDPH CLINICAL AND PUBLIC HEALTH (:alifornia PublicHealth LABORATORY LICENSE Rt!fcRN In accordance with the provisions of Chapter 3,Division 2 of the Business and Professions Code,the persons named below are hereby issued a license authorizing operation of a clinical laboratory at the indicated address. QUEST DIAGNOSTICS NICHOLS INSTITUTE 33608 ORTEGA HWY, SAN JUAN CAPISTRANO, CA 92675-2042 p - p STATE ID: C D F-0 0 0 0 2 5 6 2 LICENSE TYPE: ma y'gP SCAN OR CODE TO VERIFYLICENSE r ;±S OR VISIT.-www.cdph.ca.gov/LFS CLINICAL LABORATORY LICENSE EFFECTIVE DATE: 12/29/2023 CERTIFICATE OF DEEMED STATUS t;2- Elk' EXPIRATION DATE:12/28/2024 OWNERS: DIRECTORS: QUEST DIAGNOSTICS,INC.(DE) IRINA MARAMICA MD DISPLAY:State law requires that the clinical laboratory license shall be conspicuously posted in the clinical laboratory. CHANGE OF LABORATORY NAME,DIRECTOR,OWNER AND/OR ADDRESS: State law requires that the laboratory owner and/or the director notify this office within 30 days of any change in ownership,name,location,or laboratory directors. If this office is not notified,your license may be revoked 30 days after major Owner and/or Director change. If your license is revoked,you must cease engaging in clinical laboratory practice and apply for a new laboratory license. To make these changes or to submit a new application,visit our website: https:/https://www.cdph.cagoviLFS(Go to Laboratory Facilities) ROBElkt J.THOMAS BRANCH CHIEF LABORATORY FIELD SERVICES LAB CERT 300(02-2022) SEE BACK FOR INWRTANT 1NFORINWrION ;3 The university of the State of New York Education Deparbnent Office of the Professions REGISTRATION CERTIFICATE Do not accept a copy of this certificate License-Number: 235381-01 Certificate Number: 2617694 JAIN PRITI 232 W OLD COUNTRY RD ' HICKSVILLE NY 11801-0000 Is .registered to practice in New York State through 02/28/2026 as a(u) PHYSICIAN LICENSEEIREGISTRANT COSIMISSIO :�R OF FDUCAT:ON EXFCLrlIVE SECRETARY DEPUTY COMMISSIONER FOR THE PROFESSIONS This document is yoiid only if it has ant eVirrd,nine mid address are Correa,it has not been simpered wilt oral is an origin d•nor a ropy.To verify that this registration certircare is valid orfor more information pleare Osit wwmop.nssed gor.