R14-113 1
2 RESOLUTION NO. R14 -113
3
4 A RESOLUTION OF THE CITY OF BOYNTON BEACH,
5 FLORIDA, APPROVING AN ADDENDUM TO THE
6 PROVIDER AGREEMENT WITH MD NOW MEDICAL
7 CENTERS, INC., TO PROVIDE PHYSICIAN SERVICES FOR
8 THE CITY OF BOYNTON BEACH FOR THE PERIOD OF
9 JANUARY 4, 2015 THROUGH JANUARY 3, 2016;
10 AUTHORIZING THE CITY MANAGER TO EXECUTE THE
11 PROVIDER AGREEMENT; AND PROVIDING AN
12 , EFFECTIVE DATE.
13
14
15 , WHEREAS, on January 3, 2012, the City Commission approved a two (2) year
16 Agreement with two additional one year renewals, with MD Now Centers to provide
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17 1 physician services for new employees and to perform the required annual physical
18 ' examinations for firefighters; and
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19 WHEREAS, this Addendum to the Provider Agreement will allow an additional one
20 year extension under the same terms, conditions and pricing; and
21 WHEREAS, the City Commission of the City of Boynton Beach, upon
22 1 recommendation of staff, deems it to be in the best interests of the citizens of the City of
7
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23 a Boynton Beach to approve the Addendum to Provider Agreement for one additional year with
24 MD Now Medical Centers, Inc., providing for pre- employment examinations, and required
25 annual physicals for police officers and firefighters.
26 ! NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF
3
27 1 THE CITY OF BOYNTON BEACH, FLORIDA, THAT:
28 I 1 Section 1. The foregoing "Whereas" clauses are hereby ratified and confirmed as
29 ! being true and correct and are hereby made a specific part of this Resolution upon adoption
30 ; hereof.
1 S \CC\WP \Resolutions\2014 \R14 -113 - MD_ Now _(addendum)_(physician_services) doc
1 9
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1 Section 2. The City Commission of the City of Boynton Beach hereby approves
2 the one (1) year Addendum to Provider Agreement for physician services between the City of
3 Boynton Beach and MD Now Medical Centers, Inc.
4 Section 3. The City Manager is hereby authorized to execute the Addendum to
5 Provider Agreement with MD Now Medical Centers, Inc., a copy of which Addendum is
6 attached hereto as Exhibit "A ".
7 Section 4. This Resolution shall become effective immediately upon passage.
8 PASSED AND ADOPTED this l8 day of November, 2014.
9 CITY OF BOYNTON BEACH, FLORIDA
10
11 j
12 j ye / c � 1
13 Ma or — J Tay r
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15
�.� J.. �
16 -
17 • Mayor — Joe Casello
18
19
20
21 o�mi o er w ' • . 'd T. Met, er
22
23
24� �.
25 ommissioner - Mack McCray
26
27
28
29 Commissioner — Michae . F Lpatrick
30 ATTEST:
31 ' ,
32 j a s •
33 /1 J. ' et M. Prainito, MMC
34 arty G ` `. x
35
36
37 (( l.o - Seal)
S \' ' \Resol k . s\2014 \R1 :` MD_ Now_ (addendum)_(physician_serv,ces) doc
R t4 -113
FIRST ADDENDUM TO THE "PROVIDER AGREEMENT WITH MD NOW MEDICAL
CENTERS, INC."
This First Addendum shall take effect on signature by both parties.
THE CITY OF BOYNTON BEACH, FLORIDA, a municipal corporation, hereinafter referred to as
"CITY ",
and
MD NOW Medical Centers, Inc. of West Palm Beach, Florida hereinafter referred to as "PROVIDER"
WITNESSETH:
L The Agreement between the CITY and PROVIDER entered into the 4th of January 2012 is
amended as follows:
In consideration of the mutual terms and conditions, promises, covenants and payments
hereinafter set forth, CITY and PROVIDER agree as follows:
ITEM 4. TERM: The Term of this Agreement shall commence on January 4, 2015
for a period of one year.
2. All other terms and conditions of the Provider Agreement not specifically amended shall remain
in full force and effect for the balance of the term of the Agreement.
IN WITNESS OF THE FOREGOING, the parties have set their hands and seals the day and year
first written above.
DATED this day of , 2014.
CITY OF BOYNTON BEACH
Lori LaVerriere, City Manager
Approved as to Form:
James A. Cherof, City Attorney
Attest/Authenticated:
Janet M. Prainito, City Clerk
MD NOW MEDICAL CENTERS, INC.
By:
(Print Name and Title)
STATE OF FLORIDA
COUNTY OF
BEFORE ME, an officer duly authorized by law to administer oaths and take
acknowledgements personally appeared , and acknowledged
He /She executed the foregoing Addendum to Agreement for the use and purposes mentioned in
it, and that the instrument is His/Her act and deed.
IN WITNESS OF THE FOREGOING, I have set my hand and official seal in the State
and County aforesaid on this day of 2014.
NOTARY PUBLIC
My Commission Expires:
The City of
Boynton Beach
Procurement Services
100 E. Boynton Beach Boulevard
P.O. Box 310
Boynton Beach, Florida 33425 -0310
Telephone No: (561) 742 -6310
FAX (561) 742 -6316
October 23, 2014
MD Now Medical Centers
2007 Palm Beach Lakes Blvd.
West Palm Beach, FL 33409
ATTN: Peter Lamelas, M.D., M.B.A.
RE: EXTENSION TO PROVIDER AGREEMENT FOR "PHYSICIAN SERVICES" WITH MD
NOW MEDICAL CENTERS, INC. AND THE CITY OF BOYNTON BEACH
Dear Dr. Lamelas:
The Extension to the Provider Agreement for "Physician Services" between MD Now Medical
Centers, Inc. and the City of Boynton Beach expires January 3, 2015.
Although the Agreement allowed for only two (2) one -year extensions, the City has been pleased
with MD Now and would like to extend the agreement with the same terms and conditions and
pricing for an additional one -year period. If you agree, we would make a recommendation to the
Commission to extend the agreement for an additional one -year period, and the Provider
Agreement would be in effect until January 3, 2016.
Please indicate your response on the following page and retum it to me at your earliest
convenience. if you should have any questions, please do not hesitate to contact me at (561)
742 -6310.
Sincerely,
Tim W. Howard
Director of Financial Services
pc: Julie Oldbury, Director of HR/Risk
Patricia Sholos, Benefits Administrator
File
America's Gateway to the Gulfstream
The City of
Boynton Beach
Procurement Services
100 E. Boynton Beach Boulevard
P.O. Box 310
Boynton Beach, Florida 33425 -0310
Telephone No (561) 742 -6310
FAX (561) 742 -6316
RE: EXTENSION TO PROVIDER AGREEMENT FOR "PHYSICIAN SERVICES" WITH MD
NOW MEDICAL CENTERS, INC.
Agreement between the City of Boynton Beach, and MD Now Medical Centers:
Provider Agreement Renewal Period: JANUARY 4. 2015 THROUGH JANUARY 3, 2016
A a gree to extend the existing Agreement under the same Terms and Conditions
. . pricing through January 3, 2016.
No, I do not wish to renew the contract for the following reason(s)
MD NOW MEDICAL CENTERS
___%1
NAME OF COMPANY S . A ! RE
t .ui _f■ .0 IA) kW-- CEO Pl om"`
NA E OF REPRESENTATIVE TITLE
(please print) ( 9 0 ( — (_62T2 - : c,
DATE 19-9'(9-P14 (AREA CODE) TELEPHONE NUMBER
a - , j C.- d Cvi4/1
EMAIL
America's Gateway to "+P Gulfstream
- a og
PROVIDER AGREEMENT FOR "PHYSICIAN SERVICES"
WITH MD NOW MEDICAL CENTERS, INC.
THIS AGREEMENT is entered into between the City of Boynton Beach, hereinafter
referred to as "the City ", and MD Now Medical Centers. Inc., hereinafter referred to as
"the Provider," in consideration of the mutual benefits, terms, and conditions hereinafter
specified effective January 4, 2012.
1. PROJECT DESIGNATION. The Provider is retained by the City to perform
Physician Services in connection with the project designated.
2. SCOPE OF SERVICES. Provider agrees to perform the services, identified on
Exhibit "A" attached hereto, and incorporated herein by reference, including the
provision of all labor, materials, equipment and supplies. No modifications will be
made to the original scope of work without the written approval of the City Manager
or his designee.
3. TIME FOR PERFORMANCE. Work under this contract shall commence upon the
giving of written notice by the City to the Provider to proceed. Provider shall perform
all services and provide all work product required pursuant to this agreement.
4. TERM: The term of this Agreement shall commence on January 4, 2012. The
Agreement will be for a period of one (1) year with an option for two (2) additional
one (1) year renewals.
5. PAYMENT. The Provider shall be paid by the City for completed work and for
services rendered under this agreement as follows:
a. Payment for the work performed by Provider shall be made as outlined on Exhibit
"A" attached hereto, on an as needed basis without express written modification
of the agreement signed by the City Manager or his designee.
b. The Provider may submit invoices to the City once per month during the progress
of the work for partial payment for project completed to date. Such vouchers will
be reviewed by the City, and upon approval thereof, payment will be made to the
Provider in the amount approved.
c. Final payment of any balance due the Provider of the total contras : r e earned
will be made promptly upon its ascertainment and verification by City after
the completion of the work under this Agreement and its acceptance - •'ze City.
d. Payment as provided in this section by the City shall be full con ‹ation for
work performed, services rendered and for all materials, supplies_ c- iment and
incidentals necessary to complete the work.
e. The Provider records and accounts pertaining to this Agreement are to be kept
available for inspection by representatives of the City and State for a period of
three (3) years after the termination of this Agreement. Copies shall be made
available upon request.
6. OWNERSHIP AND USE OF DOCUMENTS. All documents, records, and other
materials produced by the Provider in connection with the services rendered under
this Agreement shall be the property of the City whether the project for which they
are made is executed or not. The Provider shall be permitted to retain copies,
including reproducible copies, of documents, records, and other materials for
information, reference and use in connection with Physician's endeavors.
7. COMPLIANCE WITH LAWS. Provider shall, in performing the services
contemplated by this service agreement, faithfully observe and comply with all
federal, state and local laws, ordinances and regulations that are applicable to the
services to be rendered under this agreement.
8. INDEMNIFICATION. Provider shall indemnify, defend and hold harmless the City,
its offices, agents and employees, from and against any and all claims, losses or
liability, or any portion thereof, including attorneys fees and costs, arising from injury
or death to persons, including injuries, sickness, disease or death to Provider's own
employees, or damage to property occasioned by a negligent act, omission or failure
of the Provider.
9. INSURANCE. The Provider shall secure and maintain in force throughout the
duration of this agreement Malpractice Insurance along with comprehensive general
liability insurance with a minimum coverage of $1,000,000 per occurrence and
$1,000,000 aggregate for personal injury; and $1,000,000 per occurrence /aggregate
for property damage, and professional liability insurance policy with "A" rated
company; $250,0004750,000 with annual company aggregate of $3,000,000 with all
legal defense cost outside of policy limits. (see attached approved malpractice policy)
Said general liability policy shall name the City of Boynton Beach as an additinnal
named insured and shall include a provision prohibiting cancellation of - .
except upon thirty (30) days prior written notice to the City. Certificates c �e
as required by this section shall be delivered to the City within fifteen ( of
execution of this Agreement.
10. INDEPENDENT CONTRACTOR. The Provider and the City agree that r° Provider
is an independent contractor with respect to the services provided purstt:tr' to this
Agreement. Nothing in this Agreement shall be considered to create the ...'unship
of employer and employee between the parties hereto. Neither Prov:u - nor any
employee of Provider shall be entitled to any benefits accorded City e, - ,nlc %res by
virtue of the services provided under this agreement. The City shall not l:: , ,nsible
for withholding or otherwise deducting federal income tax or social se ,n for
i-
contributing to the state industrial insurance program, otherwise assutri. the duties
of an employer with respect to Provider, or any employee of Provider
11. COVENANT AGAINST CONTINGENT FEES. The Provider warm; hat he has
not employed or retained any company or person, other than a bon. employee
working solely for the Provider to solicit or secure this contract, and 1 he has not
paid or agreed to pay any company or person, other than a bona t,, ':mployee
working solely for the Provider, any fee, commission, percentage, ft ( kerage fee,
gifts, or any other consideration contingent upon or resulting from '' award or
making of this contract.
For breach or violation of this warranty, the City shall have the right to annul this
contract without liability or, in its discretion to deduct from the contract price or
consideration, or otherwise recover, the full amount of such fee, commission,
percentage, brokerage fee, gift, or contingent fee.
12. DISCRIMINATION PROHIBITED. The Provider, with regard to the work
performed by it under this Agreement, will not discriminate on the grounds of race,
color, national origin, religion, creed, age, sex or the presence of any physical or
sensory handicap in the selection and retention of employees or procurement of
materials or supplies.
13. ASSIGNMENT. The Provider shall not sublet or assign any of the services covered
by this Agreement without the express written consent of the City.
14. NON - WAIVER. Waiver by the City of any provision of this Agreement or any time
limitation provided for in this Agreement shall not constitute a waiver of any other
provision.
15. TERMINATION. This Agreement may be terminated as follows:
a. By either Party for Cause (defined for purposes of this Agreement as an incurred
breach of the provisions hereof), if the terminating Party has provided the other
Party with written notice of the matter or matters constituting Cause for
termination and the Party receiving such notice has not cured such matter or
matters within thirty (30) days of receipt.
b. In the event of the death of a member, partner or officer of the Physician, or any
of its supervisory personnel assigned to the project, the surviving members of the
Physician hereby agree to complete the work under the terms of this agreement, if
requested to do so by the City. This section shall not be a bar to renegotiations of
this agreement between surviving members of the Consultant and the City, if the
City so chooses.
16. DISPUTES. Any disputes that arise between the parties with rerec-r to the
performance of this Agreement, which cannot be resolved through nego ,, shall
t
be submitted to a court of competent jurisdiction in Palm Beach County, Florida.
This Agreement shall be construed under Florida Law.
17. NOTICES. Notices to the City of Boynton Beach shall be sent to the following
address:
City of Boynton Beach
Attention: Julie Oldbury, Director of Human Resources
P.O. Box 310
Boynton Beach, FL 33425 -0310
Facility where services will be provided current address is:
MD Now Medical Centers, Inc.
2272 N. Congress Avenue
Boynton Beach, Florida 33426
Main Phone; 561- 737 -1927
Notices to Consultant, Corporate Offices and Billing address is;
MD Now Medical Centers, Inc.
2007 Palm Beach Lakes Blvd
West Palm Beach, Florida 33409
Main Phone; 561- 420 -8555
INTEGRATED AGREEMENT. This Agreement, together with attachments or
addenda, represents the entire and integrated agreement between the City and the
Provider and supersedes all prior negotiations, representations, or agreements written
or oral. This Agreement may be amended only by written instrument signed by both
City and Provider.
DATED this i9 day of Ma.t[X.'`t tom. , 2012
CITY OF BOYNTON BEACH
-
4anr MD Now Medical Centers, Inc.
Attest /Authenticated: Peter Lamelas, MD, MBA, CEO & Medical Director
e• '> II • II r (Corporate Seal)
City lerk
Approved as to Forrn: Attest/Authenticated:
1 - ,-
ool., i ' :1:' . 4.4,A
, I ffice of t e •�ty4.. . Secretary
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"EXHIBIT A"
SCOPE OF SERVICES
City of Boynton Beach
2012-2013 Professional Services and Fees MD Now Medical Centers, Inc.
• - i ✓; .. �ak� ' .' t ' r*T" 7{ K A
A Drug & Alcohol Testing -10 panel $35
B Fire Department Annual Physical $100
C Fire Department Annual Physicals (with Stress Test) $275 or $350 wlechocardicgram
C1 Fire Department Annual Physicals (without Stress test) $100
D Firefighter New Hire Evaluation (with Stress test) $275 or $350 wlechocardiogram
D1 Firefighter New Hire Evaluation (without Stress test) $100
E Firefighter Testing for Infectious Disease $75
F Fire Rescue Fitness Evaluation (Wellness Program) $95
Additional Testing Services PPD $15
Chest X-ray (as needed) $50 (1 view) / $70 (2 views) with interpret
Drug Test (10 panel) $35
Tetanus (as needed) $40
Hepatitis B Sevres (as needed after hire) $60 each/$180 for senes of 3
Hepatitis B Booster (as needed) $60
Hepatitis A Senes (for Technical Rescue and Dire Team) $90 each/$180 for series of 2
Titers (quantitative) $25 each
CRP Blood Test (when cardiac nek factors indicate) $25
PSA (males over 40) $25
Stress Test $175 or $250 wlechocardiogram
Flu Shot $20
A Drug & Alcohol Testing - 10 panel $35
B Flu Shots $20
C Police Officer New Hire Evaluabon $100
D General Employees new hire pre - employment exam $65
E Police Testing for Infectious Disease s75
Additional Testing Services PPO $15
Chest X -ray (as needed) $50 (1 view) / $70 (2 views) with interpret
Drug Test (10 panel) $35
Tetanus (as needed) $40
Hepatitis B Senes (as needed after hire) $60 eachf$180 for series of 3
Hepatitis B Booster (as needed) $60
Hepatitis A Senes (for Technical Rescue and Dive Team) $90 each/$180 for senes of 2
Titers (quantitative) $25
CRP Blood Test (when cardiac nsk factors indicate) $25
Stress Test $175 or $250 which ccardiogram
Flu Slot $20
Lead Testing for Range instructors Only $20
PSA (males over 40) $25
Rate Guarantee 2 years
_pee additional Addenda on following page)
17 5-it/
Addendum 1
'•' Please note that Fire Department Physical Exams consist of a History 8 Physical Exam as per NFPA 1582, Chapter 6-7,
includes assessments, as requred Any blood -drawn labs (CMP, CBC, Complete Lipid Panel, TSH), blood typing labs and any
additional testing (EKG, Pulmonary function, Audiometry, etc) required for the physical exams detailed above shall be
com m to the cost uoted for the individual exams See schedule below)
Lab CMP, CBC, Complete Lipid Panel, TSH 540
Lab ABO, AB Blood typing (Rh) 120
EKG w/ Interpretation (not needed if Treadmill Stress) $50
Sprometry, Pulmonary Function testing w/ pulse tharnetery $30
Audiometry Testing 130
Cardiology Over read (if required for stress testing) 125
17 (A«
CITY OF BOYNTON BEACH SUPERBILL
Urgent Care Walk -In Medical Centers
Firefighter Annual Physical Exam
1. History / physical Exam Form 7 Urinalysis $375 I
2 TB 1 PPD (included) 8 Infectious Disease (RPR, Hep A, B, & C, Hep B
BBAF 3 EKG Quantitative HIV) $400 w/PSA
4 Pulmonary Function (Symmetry) 9 PSA Blood Test (Male > 40 years old) 'add Code 84153)
5 Audiometry 10 Hep 8 (Titer, Booster, Senes) and/or Tetanus and
6 CMP, LP, CBC, TSH Dlphthena (OPTIONAL - add additional CPT Codas) L - -
Firefighter Annual Physical Exam w/Stress Test
1 History / Physical Exam Form 8 Infectious Disease (RPR. Hep A, B, & C, Hep B $550
2 TB / PPD (included) Quantitative, HIV)
3 EKG 9 Stress Test (age 40 and every 2 years after -
( BBAFS 4 Pulmonary Function (Splrometry) PERFORMED SAME DAY AS EXAM) - $575 W(PSA
5 Audiometry 10 PSA Blood Test (Male > 40 years old) (add Code 84153)
6 CMP, LP, CBC, TSH 1 1 Hep B (Titer, Booster, Series) and /or Tetanus and
7 Unnalysrs Diphthena (OPT/ONAL- add addMionaI CPT Codes)
Firefighter New Hire Physical Exam
1 History / Physical Exam Form 8 Urinalysis $395
2 TB / PPD (included) 9 Infectious Disease (RPR, Hep A, 8, & C, Hep B
1 3 EKG Quantitative, HIV) $420 w /PSA
BBFE 5 Pulmonary Function (Symmetry) 10 Blood Typing _ _ - - (add Code 84153)
8 Drug Screen (10 panel w/MRO) 11 PSA Blood Test (Mate > 40 years old)
7 CMP, CBC, TSH 12 Hep B (Trier, Booster, Serves) and/or Tetanus and
Diphtheria ( OPTONAL - add additional CPT Codas)
Firefighter New Hire Physical Exam w/Stress Test
History / Physical Exam Form 9 Infectious Disease (RPR, Hep A, B, & C, Hep B
' 2 TB / PPD (included) Quantitative, H'V) $570
3 EKG 10 Blood Typing
BBFES 4 Pulmonary Function (Symmetry) 11 Stress Test (age 40 and every 2 years after - $595 w /PSA
5 Audiometry PERFORMED SAME DAY AS EXAM) _ _ (add Code 84153)
6 Drug Screen (10 panel w/MRO) 12 PSA Blood Test (Male > 40 years old)
7 CMP, LP, CBC, TSH 13 Hep B (Titer, Booster, Series) and/or Tetanus and
8 Jrinalysis Diphtheria (OPTIONAL- add additional CPT Codas)
Fire Rescue Fitness Assessment (Wellness Program) -
1 Body Fat Evaluation (includes circumference and 4 Sit -ups (max 45) $95
skin laid) 5 Flexibility (sit and reach) (Participants will receive a
BBFA 12 Gnp Strength 6 5- minute Step Test (evaluations aerobic capacity) computer printout of evaluation)
( 3. Push Ups (max 45)
Police New Hire Physical Exam w /Stress Test
1 History / Physical Exam Form ( 9 infectious Disease (RPR, Hep A, B, & C, Hep B
2 TB 1 PPD (included) Quanbtative, HIV)
3 EKG 10. Blood Typing $570
BBPES 4 Pulmonary Function (Splrometry) 11 Stress Test (PERFORMED SAME DAY AS EXAM)
5 Audiometry
6 Drug Screen (10 panel w/MRO) Additional Services Hep B (Booster, Senes) and/or
7 CMP, LP, CBC, TSH Tetanus and Diphtheria ( . , : ' i . • , q
8. Urnnalysis
General EmptoyeeMew Hire Physical Exam $so
1 Physical Exam (includes Titmus - Visual Acuity and Peripheral Vision testing)
2. PPD (included)
BBGEE 3 Drug Screen (10 panel) (If requested) $115 w /Drug Screen
4 Chest X - Ray (if requested or positive PPD) (add Code G0434)
5 Hap B ('liter, Booster, Series) and / or Tetanus and Diphtheria (OPTIONAL - add additional CPT Codes) 1
Optional Testing
(By Request of Employer Practrboner, or Patient}
82075 Breath Alcohol Test (by request ONLY) $50 90746 Hep 8 Series $60 each
71010 Chest X-ray (1 view) $50 _ 86317 Hep B Titer $25
71020 Chest X-ray (2 view) (w/posnlve PPD) (Red Interp) $70 _ 83655 Lead Testing (Police Range Instructors o $20
88140 CRP Blood Test $25 1 88580 I PPD $15
BBDOT DOT Physical $65 84153 � PSA E food Test (Male > 40 years o/a _ $25
G0434 Drug Screen (10 panel w /MRO) $35 90701 I Tetanus (Td or DT) $40
93000 EKG $50 93015 Treadmill Stress Test (Plain) $175
BBFA Fit Assessment $95 93350 Treadmill Stress Test (with echocarorocrair ) $250
90633 1 Hep A Series (Technical Rescue and Dive Team) $90 each ` 1 93018 Treadmill Stress Test (Cardio/Rads/Overr&ao 1 $25
90746 Hep B Booster $60
PATIENT NAME ROOM # BP _ ' HR RR 02 : TEMP WT
Vital # 1
Vita/ # 2 --- -_ t -
ortho stark vs - Lay Pulse Lay B/P Sit Pulse Sit sir r Stand Pulse Stand B/P
TRIAGE MA ' DISCHARGE MA P' ' P' a I c-. -
I
Copyright MD ■ Centers, Inc 04/24/12 - LCL